Chii chinonzi Dupuytren's Contracture? Zviratidzo, Zvinokonzera, & Kurapa

Dupuytren's contracture chirwere chetsoka umo tishu yakakora, ine chitarisiko chetambo, inoumbwa pasi peganda remuoko wako neminwe. Tishu iyi inosimba zvishoma nezvishoma nekufamba kwenguva, zvichikonzera kuti minwe yako ikonyarare ichienda kuruoko rwako, zvichiita kuti zviome kuitadzura zvizere.

Kunyangwe izvi zvinganzwa zvichitya, zvakakosha kuziva kuti Dupuytren's contracture kazhinji inobudirira zvishoma nezvishoma kwemakore mazhinji. Chirwere ichi chinonzi zita raBaron Guillaume Dupuytren, chiremba wekuFrance uyo akatanga kuritsanangura zvakadzama. Haikonzerwi nekuvadzwa kana kushandiswa zvakanyanya, uye chakajairika kupfuura zvaunofunga, chinotapura mamiriyoni evanhu pasi rose.

Zviratidzo zveDupuytren's contracture ndeapi?

Chiratidzo chekutanga kazhinji chidimbu chidiki, chinorwadza kana gomba paruoko rwako, kazhinji pedyo nepakati pemunwe wako wechitatu kana mutete. Pakutanga, ungasazive matambudziko nekutadzura kweminwe, uye chidimbu chinganzwa senge chisimbiso.

Sezvo chirwere ichi chichienderera mberi, iwe uchaona kuchinja uku kuchibuda zvishoma nezvishoma:

• Mabhandi akakora etishu aunonzwa pasi peganda remuoko rwako
• Ganda rinotaridzika rakapfupika kana rakaita madimikira
• Minwe inotanga kukonyara ichienda kuruoko rwako, kutanga zvishoma pakutanga
• Kuomerwa nekuisa ruoko rwako pasi patafura kana pamusoro
• Matambudziko ekubata zvinhu zvikuru kana kuisa ruoko rwako mubhegi rako

Munwe wechitatu nemutete ndidzo dzakanyanya kukanganiswa, kunyangwe chero munwe ungabatwa. Ungacherechedzawo kuti chirwere ichi chinowanzoonekwa zvakanyanya paruoko rumwe, kunyangwe chingakanganisa maoko ese maviri nekufamba kwenguva.

Muitiro ushoma, vamwe vanhu vanonzwa kuwanda kwakafanana kune dzimwe nzvimbo dzemuviri wavo, senge pasi petsoka dzavo kana kunyange kumativi emakwati avo. Izvi zvinoitika muvashoma kupfuura 10% yevanhu vane Dupuytren's contracture.

Chii chinokonzera Dupuytren's contracture?

Chikonzero chaicho hachizivikanwi zvizere, asi chinosanganisira muviri wako kugadzira collagen yakawanda mupamaoko pako. Collagen ndiyo protein inowanzo kubatsira pakugadzira tishu dzakabatana dzakasimba, asi muDupuytren's contracture, inoumbwa zvisina kujairika.

Zvinhu zvakati wandei zvinogona kukonzera mamiriro ezvinhu aya:

• Genetics inotamba basa guru - kazhinji inofamba mumhuri
• Zera, sezvo iri nyaya yakajairika mushure memakore makumi mashanu
• Kuva wechidzika chekuEurope yeChamhembe
• Kuva nedenda, izvo zvinogona kukurumidza kuitika kwechirwere ichi
• Kusvuta, izvo zvinogona kuipa mamiriro ezvinhu
• Kunwa doro zvakanyanya
• Mishonga yakati, kunyanya mishonga yekurapa kurwara kwepfungwa

Zvinokosha kucherechedza kuti kukuvara kwechigunwe kana kushandiswa kwenguva refu hakukonzere Dupuytren's contracture, pasinei nezvinotaurwa nevamwe vanhu. Mamiriro ezvinhu anoitika kubva mukati mekuvakwa kwetishu dzemuviri wako.

Muenzaniso ushoma, mamiriro ezvinhu anogona kusanganiswa nezvimwe zvirwere senge chirwere chechiropa kana zvimwe zvirwere zve autoimmune, asi hukama uhwu hahuwanzoitika uye kazhinji hunosanganisira mamiriro ezvinhu akaoma ezvekurapa.

Rini unofanira kuona chiremba nekuda kweDupuytren's contracture?

Unofanira kufunga nezvekuona chiremba kana wangoona chero zvimwe zvinhu, maburi, kana kuwanda mupamaoko pako. Kuongororwa pakutanga kunogona kukubatsira kunzwisisa zvaunofanira kutarisira uye kuronga ramangwana.

Kubatsirwa kwezvekurapa nekukurumidza kunodiwa kana ukawana:

• Minwe inokotama zvakanyanya zvekuti haugone kuitadzisa kuti uite mabasa ezuva nezuva
• Kuomerwa kubata zvinhu kana kuita mabasa awakamboita nyore nyore
• ``Tabletop test`` inenge isingaitike - haugone kuisa ruoko rwako pasi pane imwe nzvimbo
• Kukurumidza kukotama kweminwe kwemavhiki kana mwedzi
• Kurwadziwa kana kusagadzikana kwakanyanya muruoko rwako

Yeuka kuti Dupuytren's contracture hainyanyi kukonzera marwadzo, saka kana uri kurwadziwa zvakanyanya, zvakakosha kuti uongororwe. Chiremba wako anogona kukubatsirawo kunzwisisa nzira dzekurapa usati mamiriro acho akakanganisa hupenyu hwako hwezuva nezuva.

Zvinokonzera njodzi yeDupuytren's contracture ndeapi?

Kunzwisisa zvinokonzera njodzi kunogona kukubatsira kuziva zvekutarisa uye nguva yekutsvaka mazano emurapi. Chinokonzera njodzi huru ndechekuva nemhuri ine mamiriro aya.

Ngokukurumidza njodzi yako inogona kukwira kana uine:

• Nhoroondo yemhuri yeDupuytren's contracture
• Madzitateguru ekuEurope yepakati, kunyanya Scandinavian, Irish, kana Scottish heritage
• Murume - varume vanowirwa kakawanda kupfuura vakadzi
• Makore anopfuura 50, kunyangwe zvingangoitika kune vechidiki
• Chirwere cheshuga, kunyanya kana chavapo kwemakore mazhinji
• Nhoroondo yekusvuta kana tsika yekusvuta iripo
• Kunwa doro zvakanyanya nguva dzose
• Epilepsy, kunyanya kana uchitora mishonga yekubata chirwere

Kuve nezvinokonzera njodzi hazvirevi kuti ucharwara nechinetso ichi. Vanhu vazhinji vane zvinokonzera njodzi dzakawanda havazombovi neDupuytren's contracture, nepo vamwe vane zvinokonzera njodzi shoma vangangova nacho.

Zvisingawanzoitika, mamiriro acho anogona kusanganiswa nezvimwe zvirwere zve connective tissue kana kuoneka kune vanhu vane HIV, asi mamiriro aya haawanzoitika uye kazhinji ane zvinhu zvakaoma zvekurapa.

Matambudziko anogona kuitika eDupuytren's contracture ndeapi?

Dambudziko guru ndiro kurasikirwa kwenguva refu nebasa reminwe sezvo contracture ichikura. Izvi zvinogona kukanganisa zvakanyanya kugona kwako kuita mabasa ezuva nezuva anoda basa rakazara reruoko.

Matambudziko ekushanda anowanzoitika anosanganisira:

• Kuomerera kubata zvinhu zvikuru sekutungamira mahwindo emotokari kana maknob emokova
• Matambudziko ekugadzirisa muviri, sekushambidza chiso chako kana kupfeka magorovhosi
• Matambudziko nebasa rinoda hunyanzvi hwemota yakasimba
• Matambudziko nemabasa ekushambadzira senge kurima, kutamba zviridzwa zvekuimba, kana mabasa ekugadzira
• Kurara kusina kunaka kana zvigunwe zvako zvakabatana zvikabata mashiti eimba

Muitiro wakakomba, zvigunwe zvakabatwa zvinogona kupfugama zvachose kuenda paruoko, zvichiita mabasa akajairwa senge kukwazisana kana kuisa ruoko rwako mubhegi rako zvisingaite. Iyi nhanho yekubatanidza inogona zvakare kukonzera matambudziko eganda uko chigunwe chakapfugama chinogara chichikwira paruoko rwako.

Zvisingawanzoitika, vanhu vanowana matambudziko kubva kune mamiriro acho pachawo, senge kuoma kwetsinga kana matambudziko eropa, asi izvi hazviwanzoitika. Kazhinji, matambudziko anobva pakurapwa kwakakanganiswa kana kubatanidza kuchikomba.

Dupuytren's contracture inozivo sei?

Kuziva kazhinji kunongororwa uye kunobva zvikuru pakutarisa maoko ako. Chiremba wako anogona kazhinji kuziva mamiriro acho nekubata mabhandi akakora etsinga uye kuona kuti zvigunwe zvako zvinofamba sei.

Mukati mekupangana kwako, chiremba wako achaita zvinotevera:

• Tarisa maoko ako ese, kunyangwe rimwe chete richionekwa rakabatwa
• Kukumbira kuti uite "tabletop test" - kuisa ruoko rwako pasi pane imwe nzvimbo
• Kuyera huwandu hwekupfugama kwechigunwe uchishandisa zvishandiso zvakakosha
• Kubvunza nezve nhoroondo yemhuri yako uye chero zviratidzo zvawaona
• Kutarisa kuzvimba kwakafanana kwetsika mune dzimwe nzvimbo dzemuviri wako

Kazhinji, hapana bvunzo dzekuwedzera dzinodiwa nekuti zviwanikwa zvemuviri zvakasiyana. Chiremba wako angatora mifananidzo kana kuyera kuti atevedze kufambira mberi kwemariro nguva nenguva.

Mu zviitiko zvisingawanzoitika apo chirwere hachioneke zvakanaka, chiremba wenyu angarayira ultrasound kana MRI kuti aone zvakanaka zvimiro zve tishu paruoko rwenyu, asi izvi hazviwanzoitika.

Kurapwa kweDupuytren's contracture ndekupi?

Kurapwa kunoenderana nekuti chirwere ichi chinoita sei muhupenyu hwako hwezuva nezuva uye kuti kuoma kwekunyanyisa kwechigunwe kwakaita sei. Mumavambo, chiremba wenyu angakurudzira kungotarisa mamiriro acho sezvo anoenderera mberi zvishoma nezvishoma.

Sarudzo dzekurapa dzisingakuvadzi dzinosanganisira:

• Kuisa mishonga yeSteroid kuti ubudise tishu uye kudzikisa kufambira mberi
• Kuisa mishonga yeCollagenase (Xiaflex) kuti uburitse mabhandi akabatana
• Needle aponeurotomy, uko tsono inoshandiswa kuputsa tishu gobvu
• Kurapa kwemuviri kuchengetedza kugona kwemaoko
• Kuisa splint, kunyange izvi hazvina kukosha pakukanganisa kwakagadzirwa

Kurapwa kwekurapa kunofungwa kana kubatana kwechigunwe kuchikanganisa basa rako zvakanyanya:

• Fasciotomy - kukamura mabhandi etishu akabatana
• Fasciectomy - kubvisa tishu yakakura zvachose
• Dermofasciectomy - kubvisa tishu neganda, wobva washandisa ganda regraft

Chiremba wenyu acha kukubatsira kusarudza nzira yakanakisa zvichienderana nemamiriro ako chaiwo, kuomarara kwekuoma kwako, uye zvaunoda.

Mu zviitiko zvisingawanzoitika apo mamiriro acho akaoma kwazvo kana akadzoka kakawanda, maitiro akaoma akadai sekujoina fusion kana amputation angafungwa, asi izvi hazviwanzoitika.

Maitiro ekugadzirisa Dupuytren's contracture pamba?

Kunyangwe iwe usingakwanisi kurapa Dupuytren's contracture pamba, unogona kutora matanho ekugadzirisa basa remaoko uye zvichida kudzikisa kufambira mberi kwaro. Kuita maekisesaizi emaoko zvinyoro uye kuwedzera kunogona kukubatsira kuchengetedza minwe yako yakasununguka sezvinobvira.

Heano mamwe mazano anobatsira aunogona kuedza:

• Ita zvinyoro-nyoro minwe yako kakawanda pazuva rega rega
• Shingairira mvura inodziya usati watambanudza kuti ubudise tishu
• Zvinyoro-nyoro massage ruoko rwako ne lotion kuchengetedza ganda rako rakapfava
• Dzivisa kubata zvinhu zvakasimba kwenguva yakareba
• Shingairira michina inobatsira mabasa akaoma
• Funga nezvekurega kusvuta, sezvo zvingaita kuti mamiriro ezvinhu aipisise

Zvakakosha kunzwisisa kuti kutambanudza nekurovedza hakuzochinji contracture, asi zvinogona kubatsira kuchengetedza kunyanyisa kwauinawo. Iva nyoro nemabasa aya - kutambanudza kwakasimba kunogona dzimwe nguva kuita kuti mamiriro ezvinhu aipisise.

Chengeta shanduko mumabasa emuoko wako kuti ugone kuzivisa chiremba wako panguva yekushanya kwekuongororwa. Ruzivo urwu runobatsira kutungamira sarudzo dzekurapa.

Ungagadzirira sei kuonana nachiremba wako?

Usati waenda kuna chiremba wako, tenga nguva yekutarisa uye kunyora zviratidzo zvako. Cherechedza kana wakazviona kekutanga shanduko muruoko rwako uye mamiriro acho akaita sei mabasa ako ezuva nezuva.

Funga nezvekugadzirira ruzivo urwu:

• Rondedzero yebasa chaiyo rakaoma
• Nhoroondo yemhuri yematambudziko emuoko kana Dupuytren's contracture
• Mishonga yako iripo nezvirwere
• Mibvunzo nezve sarudzo dzekurapa uye zvaunofanira kutarisira
• Mifananidzo inoratidza kufambira mberi kwemamiriro ako, kana uine

Funga nezvezvinangwa zvako nezvinokunetsa maererano nekurapa. Vamwe vanhu vanosarudza kumirira uye kutarisa mamiriro acho, nepo vamwe vachida kuita chimwe chinhu pakutanga. Chiremba wako anogona kukubatsira kuita sarudzo yakanaka zvichienderana nemamiriro ako.

Zvinobatsirawo kuunza rondedzero yemabasa akakosha kwauri, kana iri yebasa, zvinofadza, kana hupenyu hwezuva nezuva. Ruzivo urwu runobatsira chiremba wako kunzwisisa kuti mamiriro acho anokukanganisa sei iwe pachako.

Chii chinonyanya kukosha nezve Dupuytren's contracture?

Kurwadziwa kweDupuytren chirwere chinogona kutongwa chinokura zvishoma nezvishoma. Kunyange zvazvo pakupedzisira chingagona kudzora kushanda kwemeso, kunzwisisa zvaunogona kuita nekushanda nesangano rako rehutano kunogona kukubatsira kuchengetedza hupenyu hunoshanda, hunogutsa.

Chinhu chakakosha chokurangarira ndechokuti haufaniri kumirira kusvika chirwere ichi chakukanganisa zvikuru mabasa ako ezuva nezuva kuti utsvage rubatsiro. Kuongororwa nekutarisa pakutanga kunogona kukubatsira kuita sarudzo dzakachenjera pamusoro penguva yekurapa nezvimwe zvaunogona kuita.

Nzira dzemazuva ano dzekurapa dzinounza mibairo yakanaka kune vanhu vakawanda, uye vanhu vakawanda vane chirwere cheDupuytren vanoramba vachifarira mabasa avo emazuva ese pasina kukanganiswa kukuru. Kiyi ndeyokuramba uine ruzivo, kuchengetedza kutaurirana kwakavhurika nemupi wako wehutano, uye kuva ane simba pamusoro pehutano hwako hwemasimba.

Mibvunzo inobvunzwa kazhinji pamusoro peDupuytren's contracture

Mubvunzo 1: Kurwadziwa kweDupuytren kuchakanganisa maoko angu ese here?

Kunyangwe kurwadziwa kweDupuytren kuchikwanisa kukanganisa maoko ese, kazhinji kunotanga paruoko rumwe uye kungasatomboitika kune rumwe. Anenge 40-60% evanhu pakupedzisira vanozviwana vari nemaoko ese maviri, asi kukomba nekufambira mberi kunogona kusiyana zvikuru pakati pemaoko. Kunyangwe maoko ese ari maviri akakanganiswa, rimwe kazhinji rinonyanya kukanganiswa kupfuura rimwe.

Mubvunzo 2: Ndingadzivisa sei kuti kurwadziwa kweDupuytren kusanyanya kuipa?

Kunyangwe usingakwanisi kudzivirira zvachose kufambira mberi, kuchinja mararamiro kunogona kubatsira kudzikamisa kukura kwaro. Kurega kusvuta, kutonga chirwere cheshuga zvakanaka, uye kuderedza kushandiswa kwe doro kunogona kubatsira. Zvisinei, sezvo majeni ari iwo anokosha kwazvo, kufambira mberi kunowanzoitika kunyangwe paine kuedza uku.

Mubvunzo 3: Kurwadziwa kweDupuytren kunofambira mberi nekukurumidza sei?

Kukura kwayo kuno siyana zvikuru kubva kumunhu kuenda kune mumwe. Vamwe vanhu vanoona kuchinja kwemwedzi, nepo vamwe vachiona kukura kuri nhete kwemakore mazhinji kana kunyange makumi emakore. Zvinhu zvakaita sezera rekutanga, nhoroondo yemhuri, uye hutano hwese zvinogona kukanganisa kuti chirwere ichi chinokura nekukurumidza sei. Vanhu vaduku neavo vane nhoroondo dzakasimba dzemhuri vanowanzova nekukura kukurumidza.

Mubvunzo 4: Kuoperetishoni kunogara kuri kudikanwa here pakukombama kweDupuytren?

Kwete, kuoperetishoni hakusi nguva dzose kudikanwa. Vanhu vazhinji vane kukombama kwakapfava vanozvibata zvakanaka pasina kuipiswa kwekuoperetishoni. Kurapwa kunowanzo kurudzirwa kana mamiriro acho akakanganisa zvikuru mabasa ezuva nezuva kana iwe usingakwanisi kuisa ruoko rwako pasi patafura. Sarudzo dzisingaiti kuoperetishoni dzakadai sekuiswa mishonga inogona kuva inoshanda kune vamwe vanhu.

Mubvunzo 5: Kukombama kweDupuytren kunogona kudzoka here mushure mekurapwa?

Hungu, kukombama kweDupuytren kunogona kudzoka mushure mekurapwa, kunyange izvi zvichienderana nenzira yekurapa nezvinhu zvemunhu. Mitengo yekudzoka inowanzo derera nekuita kwakakura kwekuoperetishoni, asi kunyangwe mushure mekurapwa kwakabudirira, vamwe vanhu vanogona kuumba nzvimbo itsva yekukombama nekufamba kwenguva. Chiremba wako achakukurukura ngozi dzekudzoka paanenge achironga kurapwa kwako.