5 Ngozi za Dupuytren's Contracture Treatment

Dupuytren ali ndi vuto lomwe limayambitsa minofu yolimba pamanja pazanja ndi zala. Zomwe zilili chifukwa cha matendawa ndizovuta, koma pali zinthu zina zomwe zimadziwika kuti zimakhala ndi moyo, zochitika, ndi zina zochiritsira zomwe zingatengere gawo.

Kuwongolera kwa minofu pachikhatho, chomwe chimatchedwa fascia, chimakoka zala kumanja kuti zikhale zosavuta kuchita ntchito zovuta-makamaka ngati vuto likula. Pa chifukwa ichi, anthu ambiri omwe ali ndi matendawa amapempha chithandizo kuti athandize kusintha ntchito. Mankhwala osiyana angakhale ndi zoopsa zosiyanasiyana.

Nazi zina mwazidzidzidzi zomwe zingatheke pochiza mgwirizano wa Dupuytren.

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Kubwereza

Kubwereza kwa Dupuytren ndi chitsimikizo pambuyo pa chithandizo cha mgwirizano. Matenda a Dupuytren ndi omwe amachititsa mgwirizano. Chithandizo cha chizindikiro (mgwirizano) sichichotseratu vutoli (vuto). Choncho, patapita nthawi, vuto likhoza kubweranso.

Kafukufuku wamakono akufufuza za biology ya matenda a Dupuytren ndipo, patapita nthawi, tikhoza kukhala ndi mankhwala omwe angasinthe matendawa. Komabe, njira zamakono zamakono, kuphatikizapo opaleshoni, mankhwala, nthenda ya apulourotomy , ndi injection za collagenase , zonse zimayendetsedwa ndi zizindikiro. Nthawi yambiri mpaka kawirikawiri imakhala yosiyana pakati pa mankhwalawa - pafupifupi 50 peresenti ya anthu omwe amatha kubwereza mkati mwa zaka zitatu za apulourotomy a singano komanso mkati mwa opaleshoni zisanu.

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Kuvulaza Mitsempha

Kuphatikizidwa kwa mankhwala a Dupuytren omwe amaopedwa ndi madokotala opaleshoni kaŵirikaŵiri amayamba kuvulala. Zingwe za Dupuytren zimatha kuzungulira pafupi ndi mitsempha ndi zala ndipo nthawizina chingwe chimapangitsa mitsempha kukhala malo osayembekezereka. Ndi chithandizo chilichonse chosawonongeka, mitsempha ikhoza kuvulala. Pamene kuvulala kwa mitsempha kukuchitika, chala chimatha kukula kapena kupweteka ndipo izi zingakhale vuto losatha.

Ngakhale madokotala angatsutsane za chitetezo cha mankhwala osiyanasiyana, choonadi ndi mwayi wa kuvulala kwa mitsempha sizinali zosiyana kwambiri ndi zosankha zosiyanasiyana. Ndithudi, kuvulala kwa mitsempha kumapewa bwino kwambiri pochita chithandizo ndi dokotala wodziwa bwino chithandizo chosankhidwa. Mwachitsanzo, dokotala amene amachita opaleshoni nthawi zonse sangakhale ndi mwayi wochita opaleshoni pang'ono kuposa opaleshoni, koma kusiyana kwake ndi chifukwa cha zomwe dokotala wa opaleshoni amachidziwa, osati mankhwala ochiritsira. Dokotala wochita opaleshoni amene amachititsa kachilombo kameneka nthawi zambiri amakhala ndi mwayi wofanana wa kuwononga mitsempha.

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Ululu

Ululu wa mankhwala ndi vuto losokoneza. Kawirikawiri, mgwirizano wa Dupuytren ndi vuto lokhumudwitsa, koma si vuto lalikulu. Komabe, mpaka 20 peresenti ya anthu amafotokozera ululu waukulu pambuyo pochiza matendawa.

Dzanja ndi zala zili ndi mapeto a mitsempha ndipo zimakhala zosavuta pakapita chithandizo. Kawirikawiri, kupweteka kumathetsa nthawi, koma pali anthu ena omwe amamva ululu kapena matenda omwe amachititsa kuti azivutika kwambiri m'madera omwe amatha kupweteka komanso kulemala.

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Misozi Yamatenda

Kuwonongeka kwa khungu kumadabwitsa kawirikawiri pambuyo pa chithandizo cha Dupuytren. Pamene Dupuytren akugwirizanitsa zala zala m'dzanja lace, khungu limatha kukhazikika ndi kugwirizanitsa. Kuwonjezera apo, khungu limakhala lochepa kwambiri ndipo limasintha.

Pamene kumasulidwa kwa chingwe cha Dupuytren chikuchitika, khungu liyenera kutulutsidwa kapena likhoza kuthyola. Pa opaleshoni, nthawizina khungu lachitsulo ndilofunika kuti mutseke mabala. Pambuyo pa jekeseni ya collagenase kapena singano aponeurotomy, khungu lingathyole ndipo mabowo angatsegulidwe. Mitsempha imeneyi pakhungu ikhoza kutenga kachilomboka ndi kupweteka. Pachifukwachi, khungu la khungu lingathe kuchepetsa kuchuluka kwa momwe dokotala angakwaniritsire mankhwala.

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Zisakani

Minofu yowopsya ndi zotsatira za mtundu uliwonse wa mankhwala ovuta. Ndi chithandizo chochepa chosawonongeka, minofu yochepa yochepa imapanga. Ndi mankhwala ovuta kwambiri, minofu yambiri imatha kupanga. Mankhwalawa amapezeka kwambiri pambuyo pochizira opaleshoni ndipo pamapeto pake angathe kuchepetsa njira zamtsogolo zothandizira chithandizo ngati polojekiti ikabwerera mumsewu.

> Zotsatira:

> Becker GW, Davis TR: Zotsatira za mankhwala opaleshoni ya matenda a Dupuytren oyambirira: Kuwongolera mwatsatanetsatane. J Hand Surgery Eur Vol 2010; 35 (8): 623-626.

> Black EM, Blazar PE. "Matenda a Dupuytren: kumvetsa kosavuta kwa matenda akale" J Am Acad Orthop Surg. 2011 Dec; 19 (12): 746-57.