5 Izingozi ze-Dupuytren's Contracture Treatment

Isivumelwano sikaDupuytren yisimo esibangela izicubu eziqinile ukuba zenzeke entendeni yesandla neminwe. Ngokuqinisekile kungani le nkinga kwenzeka khona kancane imfihlakalo, kodwa kukhona into eyaziwa ngokofuzo futhi kuye kwaba nezinye izici ezihlanganisa indlela yokuphila, imisebenzi, kanye nezinye izimo zezokwelapha ezingase zidlale nengxenye.

Lokhu ukuqina kwezicubu entendeni yesandla, okuthiwa i-fascia, kudonsela iminwe phansi ekwenzeni izintambo ukwenza imisebenzi elula-ikakhulukazi njengoba isimo sibonakala. Ngenxa yalesi sizathu, abantu abaningi abanezimo bafuna ukwelashwa ukusiza ukuthuthukisa umsebenzi wesandla. Imithi yokwelapha ehlukene ingase ibe nezingozi ezahlukene.

Nazi ezinye zezinkinga ezivame kakhulu ezingase zenzeke ekwelapheni isivumelwano sikaDupuytren.

1 -

Ukuphindaphindiwe

Ukuphindaphinda kukaDupuytren kuyisiciniseko emva kokulashwa kwesivumelwano. Isifo sikaDupuytren yisimiso esiholela esivumelwaneni esisathuthuka. Ukwelashwa kwesifo (isivumelwano) asiqedi inkinga engaphansi (isimo). Ngakho-ke, ngokuhamba kwesikhathi, inkinga kungenzeka ukuthi ibuye.

Ucwaningi lwamanje luhlola uphenyo lwesifo se-Dupuytren futhi, ngokuhamba kwesikhathi, singase sithuthukise izindlela zokwelashwa ezingahle ziguqule inkinga yalesi sifo. Kodwa-ke, ukwelapha kwamanje, kuhlanganise nokuhlinzwa, ukwelapha, ukuphuza i- needle aponeurotomy , kanye namagciwane e-collagenase , konke kuqondiswa izimpawu. Isikhathi esivamile kuze kube khona ukuphindaphinda kwenzeka umahluko phakathi kwalezi zonyango-nabantu abangamaphesenti angaba ngu-50 abaphindaphinda eminyakeni emithathu ye-aponeurotomy yenaliti naseminyakeni emihlanu yokuhlinzwa.

2 -

Inhlekelele Yokulimala

Ukuphikisana kokwelashwa kukaDupuytren okwesaba kakhulu odokotela abahlinzayo ngokuvamile kuyingozi yokuzibulala. Izintambo zikaDupuytren zingasondelwa eduze kwemizwa eminwe futhi ngezinye izikhathi intambo idonsa isibindi endaweni engalindelekile. Nganoma yikuphi ukwelashwa okungavamile, le nerve ingalimala. Uma ukulimala kwenzwa kwenzeka, umunwe ungathuthuka noma udideke futhi lokhu kungaba inkinga enomphela.

Ngenkathi odokotela bephikisana ngokuphepha kwezokwelapha ezahlukene, iqiniso liwukuthi kungenzeka ukuthi ukulimala kwenzwa akufani kakhulu nezinketho zokwelashwa ezihlukahlukene. Ngokuqinisekile, ukulimala kwenzwa kungcono ukugwema ngokuthola ukwelashwa nodokotela onolwazi ekwelapheni okhethiwe. Isibonelo, udokotela ohlinzayo owenza njalo ukuhlinzwa angase abe nengozi encane yokulimala komjovo ngokuhlinzwa ngaphandle kokwelapha izinaliti, kodwa umehluko ukhona ngenxa yesipiliyoni sobuhlinza, hhayi ukwelashwa okuqondile. Udokotela ohlinzayo owenza njalo i-aponeurotomy yenaliti cishe uyoba nethuba elifanayo lokubangela ukulimala kwamagciwane.

3 -

Ubuhlungu

Ubuhlungu ngemuva kokwelashwa kuyinkinga ecasulayo. Ngokuvamile, isivumelwano sikaDupuytren siyinkinga ecasulayo, kodwa akuyona inkinga ebuhlungu. Kodwa-ke, abantu abangamaphesenti angaba ngu-20 babika ubuhlungu obukhulu ngemuva kokwelashwa kwesimo.

Isandla neminwe zigcwele ukuphela kwezinzwa futhi zijwayele ukuthuthukisa ukungakhululeki ngemva kokwelapha. Ngokuvamile, ubuhlungu buxazulula isikhathi, kodwa kunabantu abathile ababuhlungu obungapheli noma isimo esibizwa ngokuthi ubuhlungu besifo esibuhlungu esifundazweni esingabangela ukunganaki nokukhubazeka okuqhubekayo.

4 -

Izinyembezi Zesikhumba

Umonakalo wesikhumba kuyinto evamile ngokuvamile ngemuva kokwelashwa kwesivumelwano sikaDupuytren. Lapho isivumelwano sikaDupuytren sithinta iminwe esandleni sesandla, isikhumba singasenza futhi siqine. Ngaphezu kwalokho, isikhumba siba nesisindo esincane kakhulu futhi siguquguquke.

Lapho kukhishwa intambo kaDupuytren, isikhumba singadinga ukukhululwa noma singase siphule. Ngesikhathi sokuhlinzwa, ngezinye izikhathi kuhlanganiswa isikhumba kuyadingeka ukuvala amanxeba. Ngemuva kokugaya i-collagenase noma i-needle aponeurotomy, isikhumba singabhula futhi izimbobo zivuleke. Lezi zivuko esikhumbeni zingenwa igciwane futhi zibuhlungu. Ngenxa yalesi sizathu, isikhumba sesikhumba singase sigcine umkhawulo wokwenza ngcono udokotela wakho angaphumelela ngokuphulukiswa.

5 -

Isisindo se-Scar

Izicubu ze-Scar yimbangela yanoma yiluphi uhlobo lwezokwelapha eziyingozi. Ngokwelashwa okuncane okungenasidingo, izicubu ezincane ezincane zakha. Ngezokwelapha eziningi ezingavamile, izicubu ezinzima kakhulu zingakha. Izicubu zomzimba zivame kakhulu ukwelashwa kanti futhi ekugcineni zinganciphisa izinketho zokwelashwa esikhathini esizayo uma ngabe isivumelwano sibuyela phansi.

> Imithombo:

> Becker GW, Davis TR: Umphumela wezokwelapha zokwelashwa kwesifo esiyinhloko se-Dupuytren: Ukubuyekezwa okuhlelekile. J Hand Surg Eur Vol 2010; 35 (8): 623-626.

> Black EM, i-Blazar PE. "Isifo se-Dupuytren: ukuqonda okuguqukayo kwesifo esineminyaka yobudala" J Am Acad Orthop Surg. 2011 Dec; 19 (12): 746-57.