Uyichonga njani kwaye uyiphatha njani ikhontrakthi kaDupuytren

Umxholo

• Unobangela wesivumelwano sikaDupuytren
• Iimpawu zesivumelwano sikaDupuytren
• Ungayiphatha njani ikhontrakthi kaDupuytren
• 1. Umzimba wonyango
• 2. Utyando
• 3. Inaliti yeCollagenase

Isivumelwano sikaDupuytren lutshintsho olwenzeka entendeni yesandla ebangela ukuba umnwe omnye uhlale ugobile kunabanye. Esi sifo sichaphazela ikakhulu amadoda, ukusukela kwiminyaka engama-40 ubudala kunye neminwe echaphazeleka kakhulu yiringi kunye nepinki. Unyango lwayo lwenziwa nge-physiotherapy, kodwa kwezinye iimeko kunokufuneka kwenziwe utyando.

Esi sivumelwano sinobungozi, kodwa sinokuzisa ukungonwabi kwaye sithintele ubomi bemihla ngemihla yomntu ochaphazelekayo, sibangele iintlungu kunye nobunzima bokuvula ngokupheleleyo isandla. Kule meko, amaqhuqhuva amancinci e-fibrosis akhiwa anokuvakala xa ucinezela kummandla wesundu. Njengoko bekhula, amaqhuqhuva kaDupuytren akhulisa imicu emincinci eyandayo ebangela isivumelwano.

Unobangela wesivumelwano sikaDupuytren

Esi sifo sinokubangelwa lilifa, ngenxa yokuzimela, sinokubonakala ngenxa yenkqubo yamathambo okanye ngenxa yesiphumo secala lamayeza athile, njengeGadernal. Ihlala ibangelwa kukushukuma okuphindaphindiweyo kokuvala isandla kunye neminwe, ngakumbi xa kukho ukungcangcazela okubandakanyekileyo. Abantu abanesifo seswekile, abatshayayo kunye nabasela utywala ngokugqithileyo babonakala befumanisa kulula ukuphuhlisa la maqhuqhuva.

Iimpawu zesivumelwano sikaDupuytren

Iimpawu zesivumelwano sikaDupuytren zezi:

• Amaqhuqhuva entendeni yesandla, aqhubela phambili kwaye enze 'imitya' kwindawo echaphazelekayo;
• Kunzima ukuvula iminwe echaphazelekayo;
• Ubunzima ekubekeni isandla sakho sivuleke ngokufanelekileyo kumhlaba othe tyaba, njengetafile, umzekelo.

Ukuxilongwa kwenziwa ngugqirha oqhelekileyo okanye ugqirha wamazinyo, ngaphandle kwesidingo sovavanyo oluthile. Amaxesha amaninzi esi sifo sihamba kancinci, kwaye phantse isiqingatha samatyala zombini izandla zichaphazeleka ngaxeshanye.

Ungayiphatha njani ikhontrakthi kaDupuytren

Unyango lunokwenziwa nge:

1. Umzimba wonyango

Unyango lwesivumelwano sikaDupuytren lwenziwa nge-physiotherapy, apho izixhobo ezichasayo ezinjenge-laser okanye i-ultrasound, umzekelo, zinokusetyenziswa. Ukongeza, ukudityaniswa ngokudibeneyo kunye nokonakala kohlobo III collagen idipozithi kwi-fascia yinxalenye yonyango, nokuba kungokuthanjiswa okanye ngokusetyenziswa kwezixhobo, ezinje ngehuku, usebenzisa ubuchule obubizwa ngokuba yi-crochet. Unyango olwenziwe ngesandla luyakwazi ukuzisa isiqabu seentlungu kunye nokuthamba ngakumbi kwezicubu, zizise intuthuzelo enkulu kwisigulana, siphucule umgangatho wobomi baso.

2. Utyando

Utyando luboniswa ngokukodwa xa ikhontrakthi ingaphezulu kwe-30º eminweni kwaye ingaphezulu kwe-15º entendeni yesandla, okanye xa amaqhuqhuva abangela iintlungu. Ngamanye amaxesha, utyando alusinyangi isifo, kuba lunokuphinda kwenzeke emva kweminyaka. Kukho amathuba angama-70% esi sifo ukuba sibuye xa kukho enye yezi zinto zilandelayo: isini esiyindoda, ukuqala kwesi sifo ngaphambi kweminyaka engama-50, ukuba nezandla zombini zichaphazele, ukuba nezihlobo zokuqala ezikwintshona yeYurophu nokuba neminwe ichaphazelekayo. Nangona kunjalo, nangona kunjalo, utyando luyaqhubeka ukubonakaliswa kuba lunokuzisa isiqabu kwiimpawu ixesha elide.

Emva kotyando, i-physiotherapy kufuneka iphinde iqale, kwaye iqhekeza lihlala lisetyenziselwa ukugcina iminwe yandiswa kangangeenyanga ezi-4, ekufuneka isuswe kuphela kucoceko lomntu kunye nokwenza unyango lomzimba. Emva kweli xesha, ugqirha unokuphinda avavanye, kwaye anciphise ukusetyenziswa kwesi sithintelo sokungasebenzi ukuze usebenzise kuphela ngexesha lokulala, ezinye iinyanga ezi-4.

3. Inaliti yeCollagenase

Enye indlela engaqhelekanga yonyango kukusetyenziswa kwe-enzyme ebizwa ngokuba yi-collagenase, ethathwe kwintsholongwane IClostridium histolyticum, ngqo kwi-fascia echaphazelekayo, ekwafezekisa iziphumo ezilungileyo.

Ukuphepha ukuvala isandla kunye neminwe kaninzi ngemini yingcebiso ekufuneka ilandelwe, ukuba kukho imfuneko, kuyacetyiswa ukuba kumiswe emsebenzini okanye kutshintshwe icandelo, ukuba sesinye sezizathu zokuvela okanye ukuwohloka kokukhubazeka.