Isivumelwano seDupuytren

Isivumelwano seDupuytren kukuqina okungenabuhlungu kunye nokuqinisa (isivumelwano) seethishu phantsi kolusu entendeni yesandla nakwiminwe.

Unobangela awaziwa. Kungenzeka ukuba uphuhlise le meko ukuba unembali yosapho kuyo. Kubonakala ngathi ayibangelwa kukuhlala okanye ukwenzakala.

Le meko ixhaphake kakhulu emva kweminyaka engama-40. Amadoda achaphazeleka rhoqo kunabafazi. Izinto ezinobungozi kukusetyenziswa kotywala, isifo seswekile kunye nokutshaya.

Isandla esinye okanye zombini sinokuchaphazeleka. Umnwe weringi uchaphazeleka rhoqo, ulandelwe yiminwe emincinci, ephakathi, kunye nesalathiso.

Isincinci, i-nodule okanye iqhuma liphuma kwithishu engezantsi kwesikhumba kwicala lesundu lesandla. Ngokuhamba kwexesha, iyaqina njengebhanti efana nentambo. Ngokwesiqhelo, akukho zintlungu. Kwiimeko ezinqabileyo, imisipha okanye amalungu adumba kwaye abe buhlungu. Ezinye iimpawu ezinokubakho kukurhawuzelela, uxinzelelo, ukutshisa, okanye uxinzelelo.

Njengoko ixesha lihamba, kuba nzima ukolula okanye ukulungisa iminwe. Kwiimeko ezinzima, ukuzilungisa akunakwenzeka.

Umboneleli wezempilo uya kuvavanya izandla zakho. Ukuxilongwa kunokwenziwa rhoqo kwiimpawu eziqhelekileyo zemeko. Olunye uvavanyo alufane lufuneke.

Ukuba imeko ayinzima, umboneleli wakho unokuncoma ukuzivocavoca, ukufudumala kwamanzi okuhlamba, ukunweba, okanye izihlunu.

Umboneleli wakho unokucebisa unyango olubandakanya ukujova iyeza okanye into ethile kwizicwili ezinqabileyo okanye ezinemicu.

• Iyeza leCorticosteroid liphelisa ukudumba kunye nentlungu. Ikwasebenza ngokungavumeli ukuqina kwethishu ukuba ibe mandundu. Kwezinye iimeko, iphilisa ngokupheleleyo izicubu. Unyango oluninzi zihlala zifuneka.
• I-Collagenase yinto eyaziwa ngokuba yi-enzyme. Ingene kwilungu elixineneyo ukuyiphula. Olu nyango lubonakalisiwe lusebenza ngokuchanekileyo njengotyando.

Utyando lunokwenziwa ukususa izicwili ezichaphazelekayo. Utyando luhlala lucetyiswa kwiimeko ezinzima xa umnwe ungasenakwandiswa. Ukunyanga ngokwasemzimbeni emva kokwenziwa kotyando kunceda isandla siphinde siphume ukuhamba okuqhelekileyo.

Inkqubo ebizwa ngokuba yi-aponeurotomy inokucetyiswa. Oku kubandakanya ukufaka inaliti encinci kwindawo echaphazelekayo ukwahlula nokusika imitya eqinileyo yethishu. Kukho iintlungu ezincinci emva koko. Ukuphilisa kukhawuleza kunokuhlinzwa.

Imitha yenye indlela yokonyango. Isetyenziselwa iimeko ezinobumnene zekhontrakthi, xa izicubu zingenakunzima. Unyango lwe-radiation lungayeka okanye lucothise ukutyeba kwezihlunu. Ihlala isenziwa kube kanye.

Thetha nomboneleli wakho malunga nomngcipheko kunye nezibonelelo zeentlobo ezahlukeneyo zonyango.

Ukuphazamiseka kuqhubeka kwinqanaba elingalindelekanga. Ugqirha lunokubuyisela intshukumo yesiqhelo kwiminwe. Esi sifo sinokuphinda sibuye kwisithuba seminyaka eli-10 emva kotyando ukuya kuthi ga kwisiqingatha samatyala.

Ukujuliswa kwesivumelwano kungakhokelela kukukhubazeka kunye nokulahleka komsebenzi wesandla.

Kukho umngcipheko wokonzakala kwimithambo yegazi kunye luvo ngexesha lotyando okanye iaponeurotomy.

Tsalela umnikezeli wakho ukuba unempawu zolu gulo.

Fowuna kwakhona ukuba ulahlekelwa yimvakalelo emnweni wakho okanye ukuba iingcebiso zomnwe wakho ziyabanda kwaye ujike ube luhlaza okwesibhakabhaka.

Ukuqaqanjiswa kwemiba yomngcipheko kunokuvumela ukubonwa kwangoko kunye nonyango.

I-Palmar fascial fibromatosis - iDupuytren; Isivumelwano sokudibana - iDupuytren; Inaliti aponeurotomy - Dupuytren; Ukukhutshwa kwenaliti-iDupuytren; Inaliti ye-fasciotomy yenaliti-Dupuytren; I-Fasciotomy- iDupuytren; Inaliti ye-enzyme - iDupuytren; Inaliti yeCollagenase - iDupuytren; I-Fasciotomy-enzymatic - iDupuytren

ICostas B, uColeman S, uKaufman G, uJames R, uCohen B, uGaston RG. Ukusebenza kunye nokukhuseleka kwe-collagenase clostridium histolyticum yesifo seDupuytren maqhuqhuva: ityala elilawulwa ngokungahleliwe. Ingxaki ye-BMC Musculoskelet Disord. Ngo-2017; 18: 374. IINKCUKACHA: 5577662 www.ncbi.nlm.nih.gov/pmc/articles/PMC5577662.

ICalandruccio JH. Isivumelwano seDupuytren. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 75.

Isifo se-Eaton C. Dupuytren. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 4.

IStretanski MF. Isivumelwano seDupuytren. Ku: UFrontera WR, iSilver JK, uRizzo TD, Omnci., Ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 29.