He aha te Tukunga o Dupuytren? Tohutohu, Take, me te Maimoatanga

Ko te tukunga o Dupuytren he āhuatanga o te ringa e hangaia ai he kiko mātotoru, rite ki te taura, i raro i te kiri o tō papa ringa me ō maihao. Ka pakari haere tenei kiko i te wa, ka tō te maihao ki tō papa ringa, ka uaua ki te whakatika katoa.

Ahakoa ka rongo pea tenei he wehi, he mea nui kia mōhio kua tupu haere te tukunga o Dupuytren i ngā tau maha. Ko te ingoa o te āhuatanga i whakaingoatia i muri i a Baron Guillaume Dupuytren, he taote Wīwī i whakamārama tuatahi i te āhuatanga. Kāore i puta mai i te whara, kāore hoki i te whakamahi nui, ā, he maha atu i to whakaaro, e pā ana ki te miriona o te tangata puta noa i te ao.

He aha ngā tohu o te tukunga o Dupuytren?

Ko te tohu tuatahi ko te mea noa he puku iti, ngawari ranei i tō papa ringa, i te nuinga o te wā tata ki te pūtake o tō maihao mowhiti, maihao iti ranei. I te tīmatanga, kaore pea koe e kite i ngā raruraru ki te nekehanga o ngā maihao, ā, ka rite pea te puku ki te karere.

I te whakawhānui o te āhuatanga, ka kite pea koe i ēnei huringa e tupu haere ana:

• Ngā whitiki kiko mātotoru e taea te kite i raro i te kiri o tō papa ringa
• Te kiri e puta mai ana he pūpū, he pōrearea ranei
• Ngā maihao e tīmata ana ki te tō ki tō papa ringa, he iti noa i te tīmatanga
• Te uaua ki te whakatakoto i tō ringa papatahi ki runga i te tepu, te mata ranei
• Ngā raruraru ki te pupuri i ngā mea nui, ki te whakauru ranei i tō ringa ki tō putea

Ko te maihao mowhiti me te maihao iti te nuinga o te pānga, ahakoa e taea te pānga ki tetahi maihao. Ka kite pea koe kua tino kitea te āhuatanga i tetahi ringa, ahakoa ka pā ki ngā ringa e rua i te wa.

I etahi wā, ka rongo etahi i te mātotorutanga rite ki ētahi atu wāhi o o rātou tinana, pēnei i ngā papa o o rātou waewae, tae noa ki te taha o o rātou pūngāwerewere. Ka puta tenei i raro i te 10% o te hunga e pā ana ki te tukunga o Dupuytren.

He aha ngā take o te tukunga o Dupuytren?

Kāore i tino mōhiotia te take tika, engari e pā ana ki te hanga nui rawa o te collagen i roto i te papa o tō ringa. Ko te collagen he pūmua e awhina ana i te hanganga o te kiko hono hauora, engari i roto i te tukunga o Dupuytren, ka hanga he koretake.

He maha ngā take e āwhina ana ki te whanaketanga o tenei āhuatanga:

• Ko te ira te mea nui rawa - ka tupu i roto i ngā whānau
• Te tau, i te mea he mea noa i muri i te 50
• He uri o te Raki o Ūropi
• Te mate huka, ka tere pea te whakawhānui
• Te wāhine, ka kino pea te āhuatanga
• Te inu nui o te waiū
• Ētahi rongoā, inā te hunga rongoā hopu

He mea tika kia mōhio kāore te whara o te ringa, te whakamahinga rānei e puta ai te tukunga o Dupuytren, ahakoa te whakaaro a etahi. Ka tupu te āhuatanga mai i roto i ngā tukanga hanga kiko o tō tinana.

I etahi wā, ka hono te āhuatanga ki ētahi atu take hauora pēnei i te mate ate, ētahi atu āhuatanga autoimmune ranei, engari he mea noa enei hononga, ā, he uaua ake ngā āhuatanga hauora.

Nōhea te haere ki te taote mō te tukunga o Dupuytren?

Me whakaaro koe ki te haere ki te taote ina kite tuatahi koe i ngā puku, pōrearea ranei, te mātotoru ranei i tō papa ringa. Ka taea e te aromatawai wawe te awhina i a koe ki te mōhio ki te aha e tatari ana, ki te whakarite ranei mō te heke mai.

He mea nui ake te tiaki hauora tere ina pāngia koe e:

• Ngā maihao e tō rawa ana kaore e taea te whakatika mō ngā mahi o ia rā
• Te uaua ki te hopu i ngā mea, ki te mahi ranei i ngā mahi i mahia ngāwari e koe
• Kaore e taea te whakamātautau “tepū” - kaore e taea te whakatakoto i tō ringa papatahi ki runga i te mata
• Te tere o te tō maihao i roto i ngā wiki, ngā marama ranei
• Te mamae, te kore ngāwari ranei i tō ringa

Kia mahara he iti noa te mamae o te tukunga o Dupuytren, no reira, ki te pāngia koe e te mamae nui, he mea nui kia arotakehia. Ka taea hoki e tō taote te awhina i a koe ki te mōhio ki ngā whiringa maimoatanga i mua i te pānga nui o te āhuatanga ki tō oranga o ia rā.

He aha ngā take morearea mō te tukunga o Dupuytren?

Ka taea e te mōhiotanga ki ō take morearea te awhina i a koe ki te mōhio ki te aha e titiro ana, me te wa e rapu awhina ai. Ko te take morearea nui rawa ko te whai whānau e pā ana ki te āhuatanga.

Ka nui ake pea tō morearea ki te whai koe i:

• Te hītori whānau o te tukunga o Dupuytren
• Te uri o te Raki o Ūropi, inā te uri o Scandinavia, Ireland, Scotland ranei
• Te ira tane - ka pā atu ki ngā tāne i ngā wāhine
• Te pakeke neke atu i te 50, ahakoa ka puta i ngā tāngata kōhungahunga
• Te mate huka, inā kua roa te wā
• Te hītori o te wāhine, te wāhine ranei
• Te inu nui o te waiū
• Te mate hopu, inā kei te inu koe i ētahi rongoā hopu

Ko te whai i ēnei take morearea kāore e tikanga ka whānau koe i te āhuatanga. He tokomaha ngā tāngata e whai ana i ngā take morearea maha kāore e pāngia e te tukunga o Dupuytren, ā, ko ētahi atu e whai ana i ngā take morearea iti ka whānau tonu.

I etahi wā, ka hono te āhuatanga ki ētahi atu mate kiko hono, ki te puta ranei i ngā tāngata e whai ana i te HIV, engari he mea noa enei āhuatanga, ā, he uaua ake ngā āhuatanga hauora.

He aha ngā raruraru pea o te tukunga o Dupuytren?

Ko te raruraru nui ko te ngaro haere o te mahi maihao i te whakawhānui o te tukunga. Ka pānga nui tenei ki tō kaha ki te mahi i ngā mahi o ia rā e hiahia ana ki te mahi ringa katoa.

Ngā raruraru mahi noa:

• Te uaua ki te pupuri i ngā mea nui pēnei i ngā wira waka, ngā ringaringa tatau ranei
• Ngā raruraru ki te horoi whaiaro, pēnei i te horoi i tō mata, te kakahu ranei i ngā karapu
• Ngā wero ki ngā mahi mahi e hiahia ana ki ngā pūkenga motuka pai
• Te raruraru ki ngā whakaongaonga pēnei i te mahi māra, te takaro i ngā taputapu waiata, ngā mahi toi ranei
• Te moe moe ki te hopu o ō maihao tō ki ngā papa moe

I ngā take kino, ka tō katoa ngā maihao ki te papa ringa, ka uaua ngā mahi ngāwari pēnei i te wiri i ngā ringa, te whakauru ranei i tō ringa ki tō putea. Ka taea hoki e tenei taumata o te tukunga te arahi ki ngā raruraru kiri i te wa e mutu tonu ana te maihao tō ki tō papa ringa.

I etahi wā, ka whānau ngā tāngata i ngā raruraru mai i te āhuatanga anō, pēnei i te komirimi iwi, ngā raruraru iwi toto ranei, engari he mea noa enei. I te nuinga o te wā, ka puta mai ngā raruraru mai i te maimoatanga whakaroa ina tino kino te tukunga.

Me pēhea te whakamātautau i te tukunga o Dupuytren?

He ngāwari te whakamātautau, ā, e hangai ana ki te tirotiro tinana o ō ringa. Ka taea e tō taote te kite i te āhuatanga mā te kite i ngā whitiki kiko mātotoru, mā te kite ranei i te nekehanga o ō maihao.

I te wā o tō hui, ka mahi pea tō taote:

• Te tirotiro i ō ringa e rua, ahakoa kotahi anake te pānga
• Te tono atu ki a koe ki te mahi i te whakamātautau “tepū” - te whakatakoto i tō ringa papatahi ki runga i te mata
• Te ine i te taumata o te tō maihao mā ngā taputapu motuhake
• Te uiui mō tō hītori whānau me ngā tohu kua kitea e koe
• Te tirotiro mō te mātotorutanga kiko rite ki ētahi atu wāhi o tō tinana

I te nuinga o te wā, kāore e hiahiatia ngā whakamātautau atu, na te mea he tino rerekē ngā kitenga tinana. Ka tango pea tō taote i ngā whakaahua, ngā ine ranei hei aroturuki i te whakawhānui o te āhuatanga i te wa.

I etahi wā kaore te whakamātautau e mārama ana, ka tono pea tō taote i te ultrasound, MRI ranei hei kite pai ake i ngā hanganga kiko i roto i tō ringa, engari he mea noa tenei.

He aha te maimoatanga mō te tukunga o Dupuytren?

E whakawhirinaki ana te maimoatanga ki te nui o te pānga o te āhuatanga ki tō oranga o ia rā, me te kino o te tō maihao. I ngā wā tīmatanga, ka tūtohu pea tō taote ki te aroturuki noa i te āhuatanga, na te mea ka tupu haere.

Ngā whiringa maimoatanga kore-whakahaere:

• Ngā whakaurunga steroid hei whakaheke i te kiko, hei whakaheke i te whakawhānui
• Ngā whakaurunga collagenase (Xiaflex) hei whakawai i ngā whitiki tō
• Te aponeurotomy ngira, kei te whakamahia te ngira hei wawahi i te kiko mātotoru
• Te rongoā tinana hei pupuri i te ngawari o te ringa
• Te whakakakahu, ahakoa he iti te whai hua mō ngā tukunga kua whakatūria

Ka whakaarohia ngā maimoatanga whakahaere ina pānga nui te tō maihao ki tō mahi:

• Fasciotomy - te tapahi i ngā whitiki kiko tō
• Fasciectomy - te tango katoa i te kiko mātotoru
• Dermofasciectomy - te tango i te kiko me te kiri, ka whakamahi i te kiri whakakapi

Ka awhina tō taote i a koe ki te whakatau i te huarahi pai e hangai ana ki tō āhuatanga motuhake, te kino o tō tukunga, me ō hiahia whaiaro.

I etahi wā ka tino kino te āhuatanga, kua hoki mai anō ranei i ngā wā maha, ka whakaarohia ngā tukanga uaua ake pēnei i te hono hono, te tapahi ranei, engari he mea noa enei.

Me pēhea te whakahaere i te tukunga o Dupuytren i te kāinga?

Ahakoa kaore e taea te whakaora i te tukunga o Dupuytren i te kāinga, ka taea e koe te mahi i ētahi mahi hei pupuri i te mahi ringa, hei whakaheke ranei i te whakawhānui. Ka taea e ngā whakakori ringa ngawari, ngā whakatairanga te awhina i te pupuri i ō maihao kia ngawari.

Ko ētahi o ngā rautaki awhina ka taea e koe te whakamātautau:

• Te mahi i ngā whakatairanga maihao ngawari i ngā wā maha o ia rā
• Te whakamahi i ngā wai mahana i mua i te whakatairanga hei whakawai i te kiko
• Te mirimiri ngawari i tō papa ringa mā te kirikiri hei pupuri i te kiri ngawari
• Te karo i te pupuri i ngā taputapu tino kaha, te roa ranei
• Te whakamahi i ngā taputapu whakarite mō ngā mahi e uaua ana
• Te whakaaro ki te mutu i te wāhine, na te mea ka kino pea te āhuatanga

He mea nui kia mōhio kāore ngā whakatairanga me ngā whakakori e huri ai te tukunga, engari ka taea te awhina i te pupuri i te ngawari kei a koe. Kia ngawari ki ēnei mahi - ka taea e te whakatairanga kaha te whaka kino i te āhuatanga.

Kia pupuri i ngā huringa i roto i tō mahi ringa kia taea ai te whakaatu ki tō taote i ngā wā tirotiro. Ka awhina tēnei mōhiohio i ngā whakatau maimoatanga.

Me pēhea te whakarite mō tō hui taote?

I mua i tō hui, tangohia he wā ki te kite, ki te tuhi ranei i ō tohu. Tuhia te wā i kite tuatahi ai koe i ngā huringa i tō ringa, me te āhua o te pānga o te āhuatanga ki ō mahi o ia rā.

Whakaarohia te whakarite i tēnei mōhiohio:

• He rārangi o ngā mahi motuhake kua uaua
• Tetahi hītori whānau o ngā raruraru ringa, te tukunga o Dupuytren ranei
• Ō rongoā o nāianei me ngā āhuatanga hauora
• Ngā pātai mō ngā whiringa maimoatanga me te aha e tatari ana
• Ngā whakaahua e whakaatu ana i te whakawhānui o tō āhuatanga, ki te whai koe

Whakaarohia ō whāinga me ō awangawanga e pā ana ki te maimoatanga. Ka pai etahi ki te tatari, ki te aroturuki ranei i te āhuatanga, ā, ko ētahi atu e hiahia ana ki te whakaoti wawe. Ka taea e tō taote te awhina i a koe ki te mahi i te whakatau pai e hangai ana ki tō āhuatanga motuhake.

He awhina hoki te kawe mai i te rārangi o ngā mahi nui rawa atu ki a koe, ahakoa mō te mahi, ngā whakaongaonga, te oranga o ia rā ranei. Ka awhina tēnei mōhiohio i tō taote ki te mōhio ki te āhua o te pānga o te āhuatanga ki a koe.

He aha te mea nui mō te tukunga o Dupuytren?

Ko te tukunga o Dupuytren he āhuatanga e taea te whakahaere, e tupu haere ana i te wa. Ahakoa ka taea te whakamāmā i te mahi ringa, ka taea e te mōhiotanga ki ō whiringa, te mahi tahi ranei me tō rōpū hauora te awhina i a koe ki te pupuri i te oranga mahi, whai hua.

Ko te mea nui rawa kia mahara kāore koe e tatari kia pānga nui te āhuatanga ki ō mahi o ia rā ki te rapu awhina. Ka taea e te aromatawai wawe me te aroturuki te awhina i a koe ki te mahi i ngā whakatau e pā ana ki te wā maimoatanga me ngā whiringa.

Ka tukuna e ngā huarahi maimoatanga hou ngā hua pai mō te nuinga o te iwi, ā, he tokomaha ngā tāngata e whai ana i te tukunga o Dupuytren e mau tonu ana ki o rātou mahi noa me te iti o te raruraru. Ko te matua ko te noho mōhio, te pupuri i te kōrero whakatuwhera me tō kaiwhakarato hauora, te mahi whakamua ranei mō tō hauora ringa.

Ngā pātai e uiui pinepinetia ana e pā ana ki te tukunga o Dupuytren

P1: Ka pāngia ngā ringa e rua e te tukunga o Dupuytren?

Ahakoa ka taea e te tukunga o Dupuytren te pānga ki ngā ringa e rua, ka tīmata i tetahi ringa, kāore pea e pā ki tetahi atu. E 40-60% pea o te iwi ka whānau i roto i ngā ringa e rua, engari ka rerekē te kino me te whakawhānui i waenga i ngā ringa. Ahakoa e pā ana ki ngā ringa e rua, he nui ake te pānga o tetahi i tetahi atu.

P2: Ka taea te aukati i te tukunga o Dupuytren kia kaua e kino ake?

Ahakoa kaore e taea te aukati katoa i te whakawhānui, ka taea e ētahi huringa oranga te awhina i te whakaheke i te whanaketanga. Ko te mutu i te wāhine, te whakahaere pai i te mate huka, te whakaiti ranei i te inu waiū ka awhina pea. Heoi, na te mea ko te ira te mea nui rawa, he mea noa te whakawhānui ahakoa ēnei ngāka.

P3: Kia tere te whakawhānui o te tukunga o Dupuytren?

He tino rerekē te whakawhānui mai i te tangata ki te tangata. Ka kite etahi i ngā huringa i roto i ngā marama, ā, ko ētahi atu ka kite i te whakawhānui haere i ngā tau maha, ngā tekau tau ranei. Ka taea e ngā take pēnei i te tau o te tīmatanga, te hītori whānau, me te hauora whānui te whakauru ki te tere o te whakawhānui o te āhuatanga. Ko ngā tāngata kōhungahunga me te hunga e whai ana i ngā hītori whānau kaha ka tere te whakawhānui.

P4: He mea tika te whakahaere mō te tukunga o Dupuytren?

Kāo, kāore i te mea tika te whakahaere. He tokomaha ngā tāngata e whai ana i ngā tukunga ngawari e whakahaere pai ana kaore he whakahaere whakahaere. Ko te maimoatanga te tikanga ka tūtohuhia ina pānga nui te āhuatanga ki ngā mahi o ia rā, ki te kore ranei e taea te whakatakoto i tō ringa papatahi ki runga i te tepu. Ka taea e ngā whiringa kore-whakahaere pēnei i ngā whakaurunga te whai hua mō ētahi tāngata.

P5: Ka hoki mai te tukunga o Dupuytren i muri i te maimoatanga?

Ae, ka taea te hoki mai o te tukunga o Dupuytren i muri i te maimoatanga, ahakoa ka rerekē tenei e whakawhirinaki ana ki te huarahi maimoatanga me ngā take motuhake. Ko te nui o te hokinga mai he iti ake te nuinga i ngā tukanga whakahaere whānui ake, engari ahakoa i muri i te maimoatanga angitu, ka taea e ētahi tāngata te whānau i ngā wāhi hou o te tukunga i te wa. Ka korero tō taote mō ngā morearea o te hokinga mai i te wa e whakarite ana i tō maimoatanga.