Ukuqina kweDupuytren? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kweDupuytren kuyisimo sesandla lapho ithusi elikhulu, elifana nentambo, likha phansi kwesikhumba sesandla sakho nemithamo. Lethusi liqina kancane kancane ngokuhamba kwesikhathi, okubangela ukuba imithamo yakho igobilele phansi kwesandla sakho, futhi kwenze kube nzima ukuyilulamisa ngokuphelele.

Nakuba lokhu kungase kuzwakale kukhulu, kubalulekile ukwazi ukuthi ukuqina kweDupuytren kuvame ukuthuthuka kancane eminyakeni eminingi. Lesimo sibizwe ngegama likaBaron Guillaume Dupuytren, udokotela waseFrance owachaza okokuqala ngemininingwane. Akubangelwa ukulimala noma ukusetshenziswa kakhulu, futhi kuvamile kunalokho obungacabanga, kubathinta izigidi zabantu emhlabeni jikelele.

Ziyini izimpawu zokuqina kweDupuytren?

Isisindo sokuqala sivame ukuba yibhontshisi encane, ebuhlungu noma umgodi esandleni sakho, ngokuvamile eduze kwesisekelo somunwe wakho wesigamu noma umunwe omncane. Ekuqaleni, ungase ungaphawuli noma yiziphi izinkinga zokunyakaza komunwe, futhi ibhontshisi ingase izwakale ifana ne-callus.

Njengoba isimo siqhubeka, cishe uzobona lezi zinguquko zithuthuka kancane kancane:

• Amabhande amakhulu ethusi ongayizwa phansi kwesikhumba sesandla sakho
• Isikumba esibonakala siqina noma sinemigodi
• Imithamo eqala ukugoba phansi kwesandla sakho, iqala kancane ekuqaleni
• Ubunzima bokubekela isandla sakho phansi etafuleni noma ophahleni
• Izinkinga zokubamba izinto ezinkulu noma ukubeka isandla sakho ephaketheni

Umunwe wesigamu nomunwe omncane yiwona ovame ukuthinteka, nakuba noma yimuphi umunwe ungaba nethonya. Ungase futhi uqaphele ukuthi isimo sivame ukuba sibonakala kakhulu esandleni esisodwa, nakuba singathinta womabili amahlombe ngokuhamba kwesikhathi.

Kwezinye izimo ezingavamile, abanye abantu baye baba nokuqina okufanayo kwezinye izingxenye zomzimba wabo, njengokubhoboza kwezinyawo noma ngisho nasezindlebeni zabo. Lokhu kwenzeka kubantu abangaphansi kuka-10% abane-Dupuytren's contracture.

Yini ebangela ukuqina kweDupuytren?

Imbangela eqondile ayiqondakali ngokuphelele, kodwa ihilela umzimba wakho ukukhiqiza i-collagen eningi esandleni sakho. I-Collagen iyipuroteni evame ukusiza ekwakheni ithusi lokuxhuma elimpilo, kodwa ekuqineni kweDupuytren, yakha ngokungavamile.

Izici eziningana zingase zifaka isandla ekuthuthukiseni lesi simo:

• I-Genetics idlala indima enamandla - ngokuvamile idluliselwa emindenini
• Ubudala, njengoba buvamile ngemuva kweminyaka engama-50
• Ukuba ngumuntu waseYurophu enyakatho
• Ukuba nesifo sikashukela, esingase sikhulise ukuqhubeka
• Ukubhema, okungase kubangele ukuba isimo sibe sibi
• Ukusetshenziswa okukhulu kotshwala
• Imithi ethile, ikakhulukazi eminye imithi yokuqapha

Kubalulekile ukuqaphela ukuthi ukulimala kwesandla noma ukusetshenziswa okuphindaphindayo akubangeli ukuqina kweDupuytren, naphezu kwalokho abanye abantu abakukholelwako. Isimo sithuthuka kusuka ekuqaleni kwemisebenzi yokwakha ithusi lomzimba wakho.

Kwezinye izimo ezingavamile, isimo singahlotshaniswa nezinye izinkinga zempilo njengosulelelo lwesisu noma izimo ezithile zokuzimela komzimba, kodwa le miqondiso ayivamile futhi ngokuvamile ihilela izimo eziyinkimbinkimbi zezokwelapha.

Nini okufanele ubona udokotela ngokuqina kweDupuytren?

Kufanele ucabange ukuya kudokotela uma uqaphela okokuqala noma yiziphi izibhontshisi ezingavamile, imigodi, noma ukuqina esandleni sakho. Ukubheka okusheshayo kungakusiza ukuqonda ukuthi yini okulindeleke nokuhlela ikusasa.

Ukhathalelo lwezokwelapha oluphuthumayo ludingeka uma uhlangabezana nalokhu:

• Imithamo egoba kakhulu kangangokuba awukwazi ukuyilulamisa ngemisebenzi yansuku zonke
• Ubunzima bokubamba izinto noma ukwenza imisebenzi owayuyenza kalula
• Ivivinyo le-“tabletop” liba ngelokungenakwenzeka - awukwazi ukubekela isandla sakho phansi ophahleni
• Ukuqhubeka okusheshayo kokugoba komunwe emasontweni noma ezinyangeni
• Ubuhlungu noma ukungakhululeki okukhulu esandleni sakho

Khumbula ukuthi ukuqina kweDupuytren akunikeli ubuhlungu, ngakho uma uhlangabezana nokungahambi kahle okukhulu, kubalulekile ukukuhlola. Udokotela wakho angakusiza futhi ukuqonda izinketho zokwelapha ngaphambi kokuba isimo sithinte impilo yakho yansuku zonke.

Ziyini izici ezingozi zokuqina kweDupuytren?

Ukuqonda izici zakho ezingozi kungakusiza ukwazi ukuthi yini okufanele uyilinde nokuthi nini kufanele ufuna iseluleko sezokwelapha. Isici esibaluleke kakhulu esingozini ukuba namalungu omndeni aneleli simo.

Ingozi yakho ingase ibe phezulu uma una:

• Umlando womndeni wokuqina kweDupuytren
• Ubuzwe baseYurophu enyakatho, ikakhulukazi isizwe saseScandinavia, i-Irish, noma i-Scottish
• Ubulili besilisa - amadoda athinteka kakhulu kunabesifazane
• Ubudala obungaphezu kweminyaka engama-50, nakuba kungase kwenzeke kubantu abancane
• Isifo sikashukela, ikakhulukazi uma siye sabakhona iminyaka eminingi
• Umlando wokubhema noma umkhuba wokubhema wamanje
• Ukusetshenziswa okuvamile kotshwala okukhulu
• I-Epilepsy, ikakhulukazi uma uthatha imithi ethile yokuqapha

Ukuba nalezi zici ezingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile lesi simo. Abantu abaningi abanezici eziningi ezingozi abazange bahlangabezane nokuqina kweDupuytren, kanti abanye abanezinye izici ezingozi bangase bathuthukise.

Ngokungavamile, isimo singahlotshaniswa nezinye izifo zethusi lokuxhuma noma sibonakale kubantu abane-HIV, kodwa lezi zimo azivamile futhi ngokuvamile zihilela ubunzima obengeziwe bezokwelapha.

Ziyini izinhlanganisela ezingase zenzeke zokuqina kweDupuytren?

Inkinga enkulu iwukulahleka okuqhubekayo komsebenzi womunwe njengoba ukuqina kuya kubi. Lokhu kungathinta kakhulu ikhono lakho lokwenza imisebenzi yansuku zonke edinga umsebenzi ophelele wesandla.

Izinkinga ezivamile zokusebenza zihlanganisa:

• Ubunzima bokubamba izinto ezinkulu njengezitiya zezimoto noma ama-doorknobs
• Izinkinga zokuhlanzeka komuntu siqu, njengokuhlanza ubuso bakho noma ukubeka izihlangu
• Izinselele ngemisebenzi yomsebenzi edinga amakhono okuqondisa okuhle
• Ubunzima ngezinto zokuzilibazisa njengokulima, ukudlala izitho zomculo, noma ubuciko
• Ukuhlupheka kokulala uma imithamo yakho egobile ibamba ama-bedsheets

Kwezinye izimo ezinzima, imithamo ethintekayo ingagoba ngokuphelele phansi kwesandla, okwenza imisebenzi eyisisekelo njengokuxoxa izandla noma ukubeka isandla sakho ephaketheni kungenzeki. Leli zinga lokuqina lingase futhi liholele ezinkingeni zesikhumba lapho umunwe ogobile uhlala uqina khona phansi kwesandla sakho.

Ngokungavamile, abantu bathuthukisa izinhlanganisela ezivela esimweni ngokwabo, njengokucindezelwa kwezinzwa noma izinkinga zezitho zegazi, kodwa lezi azivamile. Ngokuvamile, izinhlanganisela zivela ekwelapheni okulile lapho ukuqina kuya kubi.

Ukuqina kweDupuytren kunohlulwa kanjani?

Ukuhlukaniswa kuvame ukuba kulula futhi kusekelwe ikakhulu ekubhekeni komzimba wezandla zakho. Udokotela wakho ngokuvamile angakwazi ukubona isimo ngokuzwa amabhande amakhulu ethusi nokuqaphela indlela imithamo yakho esebenza ngayo.

Ngesikhathi sokuqokwa kwakho, udokotela wakho cishe uzo:

• Hlola womabili amahlombe akho, ngisho noma omunye kuphela obonakala ethintekile
• Akucele ukwenza i- “tabletop test” - ubeke isandla sakho phansi ophahleni
• Linganisa izinga lokugoba komunwe usebenzisa amathuluzi akhethekile
• Buza ngomlando womndeni wakho nanoma yiziphi izimpawu ozibonile
• Hlola ukuqina okufanayo kwethusi kwezinye izingxenye zomzimba wakho

Ngokukhulu kwesikhathi, azikho ezinye izivivinyo ezidingekayo ngoba imiphumela yomzimba iyavelele kakhulu. Udokotela wakho angase athathe izithombe noma ukulinganisa ukuqapha ukuqhubeka kwesimo ngokuhamba kwesikhathi.

Kwezinye izimo ezingavamile lapho ukuhlukaniswa kungacaci, udokotela wakho angase ayalele i-ultrasound noma i-MRI ukuze abone kangcono izakhiwo zethusi esandleni sakho, kodwa lokhu akuvamile.

Yini ukwelashwa kokuqina kweDupuytren?

Ukwelashwa kuncike ekutheni isimo sithinta kangakanani impilo yakho yansuku zonke nokuthi ukuqina komunwe kufike kangakanani. Ezingeni lokuqala, udokotela wakho angase akukhuthaze ukulandela isimo nje ngoba luqhubeka kancane.

Izinketho zokwelapha ezingelona ubuhlinzwa zihlanganisa:

• Ukuqapha i-steroid ukuthambisa ithusi nokuthambisa ukuqhubeka
• I-Collagenase injections (Xiaflex) ukuqeda amabhande agobile
• I-Needle aponeurotomy, lapho inhlanzi isebenziswa khona ukuqeda ithusi elikhulu
• I-Physical therapy ukuze ugcine ukuguquguquka kwesandla
• I-Splinting, nakuba lokhu kungasebenzi kahle ezimweni eziqinisile

Izinqubo zobuhlinzwa zicatshangelwa lapho ukugoba komunwe kuthinta kakhulu umsebenzi wakho:

• I-Fasciotomy - ukusika amabhande ethusi agobile
• I-Fasciectomy - ukususa ithusi elikhulu ngokuphelele
• I-Dermofasciectomy - ukususa ithusi nesikhumba, bese usebenzisa isikhumba esitshalwe

Udokotela wakho uzokusiza unqume indlela engcono kakhulu ngokuya ngesimo sakho, ubukhulu bokuqina kwakho, kanye nezifiso zakho siqu.

Kwezinye izimo ezingavamile lapho isimo sibukhulu kakhulu noma siphinde sabuyela izikhathi eziningi, izinqubo eziyinkimbinkimbi njengokuhlanganiswa kwamajoini noma ukususa umunwe kungacatshangelwa, kodwa lezi azivamile.

Indlela yokuphatha ukuqina kweDupuytren ekhaya?

Nakuba ungakwazi ukwelapha ukuqina kweDupuytren ekhaya, ungathatha izinyathelo zokuhlala unomsebenzi wesandla futhi mhlawumbe uthambise ukuqhubeka kwalo. Ukwenza umthambo olula wesandla nokuqina kungakusiza ugcine imithamo yakho iguquguquka ngangokunokwenzeka.

Nawa amanye amaqhinga awusizo ongazama:

• Yenza ukuqina komunwe olula izikhathi eziningi ngosuku
• Sebenzisa amanzi afudumele ngaphambi kokwenza umthambo ukuze uthambise ithusi
• Gcoba isandla sakho kancane nge-lotion ukuze ugcine isikhumba siqina
• Gwema ukubamba amathuluzi ngamandla kakhulu noma isikhathi eside
• Sebenzisa imishini yokuguqula imisebenzi eba nzima
• Cabanga ukuyeka ukubhema, njengoba kungase kubangele ukuba isimo sibe sibi

Kubalulekile ukuqonda ukuthi ukuqina nokwenza umthambo ngeke kuphinde kube ukuqina, kodwa kungakusiza ugcine noma yikuphi ukuguquguquka onakho. Yiba mnene ngale misebenzi - ukuqina okukhulu kungase kube yimbangela yokuba isimo sibe sibi.

Gcina ulandelela izinguquko emsebenzini wesandla sakho ukuze ukwazi ukuzibika kudokotela wakho ngesikhathi sokuvakasha okulandelayo. Lolu lwazi lusiza ukuqondisa izinqumo zokwelapha.

Kufanele ulungiselele kanjani ukuqokwa kwakho kudokotela?

Ngaphambi kokuqokwa kwakho, thatha isikhathi sokuqaphela nokuqopha izimpawu zakho. Qaphela ukuthi nini uqaphele okokuqala izinguquko esandleni sakho nokuthi isimo silithinte kanjani imisebenzi yakho yansuku zonke.

Cabanga ukulungiselela lolu lwazi:

• Uhlu lwemisebenzi ethile ebe nzima
• Noma yimuphi umlando womndeni wezinkinga zesandla noma ukuqina kweDupuytren
• Imithi yakho yamanje nezinye izimo zezokwelapha
• Imibuzo mayelana nezinketho zokwelapha nokuthi yini okulindeleke
• Izithombe ezibonisa ukuqhubeka kwesimo sakho, uma unawo

Cabanga ngezinhloso zakho nokukhathazeka mayelana nokwelashwa. Abanye abantu bakhetha ukulinda nokulandela isimo, kanti abanye bafuna ukululungisa ekuqaleni. Udokotela wakho angakusiza wenze isinqumo esingcono kakhulu ngokuya ngesimo sakho siqu.

Kusiza futhi ukuletha uhlu lwemisebenzi ebalulekile kuwe, kungaba yimisebenzi, izinto zokuzilibazisa, noma impilo yansuku zonke. Lolu lwazi lusiza udokotela wakho ukuqonda indlela isimo elikuthinta ngayo ngokuqondile.

Yini okubalulekile mayelana nokuqina kweDupuytren?

Ukuqina kweDupuytren kuyisimo esilawuleka esithuthuka kancane kancane ngokuhamba kwesikhathi. Nakuba ekugcineni kungase kuvimbele umsebenzi wesandla, ukuqonda izinketho zakho nokusebenza neqembu lakho lezokunakekelwa kwezempilo kungakusiza ugcine impilo esebenzayo, enezithembiso.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukulinda kuze kube yilapho isimo sithinta kakhulu imisebenzi yakho yansuku zonke ukuze ufuna usizo. Ukubheka okusheshayo nokulandelwa kungakusiza wenze izinqumo ezilwemi mayelana nesikhathi sokwelashwa nezinketho.

Izindlela zokwelapha zanamuhla zinikeza imiphumela emihle kubantu abaningi, futhi abantu abaningi abane-Dupuytren's contracture baqhubeka bejabulela imisebenzi yabo evamile ngokuphazamiseka okuncane. Isifuba ukuba unolwazi, ugcine ukuxhumana okuvulekile nodokotela wakho, futhi ube ngumuntu oqaphile mayelana nempilo yesandla sakho.

Imibuzo evame ukubuzwa mayelana nokuqina kweDupuytren

Q1: Ingabe ukuqina kweDupuytren kuzothinta womabili amahlombe ami?

Nakuba ukuqina kweDupuytren kungathinta womabili amahlombe, ngokuvamile kuqala esandleni esisodwa futhi kungase kungaluthinti olunye. Cishe u-40-60% wabantu ekugcineni baye bathuthukisa kuwo womabili amahlombe, kodwa ubukhulu nokuqhubeka kungase kuhluke kakhulu phakathi kwamahlombe. Ngisho noma womabili amahlombe ethintekile, omunye ngokuvamile uhilelekile kakhulu kunomunye.

Q2: Ngingakwazi ukuvimbela ukuqina kweDupuytren ukuba kungabi sibi?

Nakuba ungakwazi ukuvimbela ngokuphelele ukuqhubeka, izinguquko ezithile zendlela yokuphila zingase zisize ukunciphisa ukuthuthuka kwalo. Ukuyeka ukubhema, ukuphatha kahle isifo sikashukela, nokulinganisela ukusetshenziswa kotshwala kungase kusize. Noma kunjalo, njengoba i-genetics idlala indima enamandla, ukuqhubeka okuthile kuvame ukungaphepheki naphezu kwalokhu okuzamayo.

Q3: Ukuqina kweDupuytren kuqhubeka ngokushesha kangakanani?

Ukuqhubeka kuyahluka kakhulu kumuntu nomuntu. Abanye abantu baqaphela izinguquko ezinyangeni, kanti abanye babona ukuqhubeka kancane eminyakeni eminingi noma ngisho namakhulukhulu eminyaka. Izici ezifana nobudala bokuqala, umlando womndeni, kanye nempilo jikelele zingathinta ukuthi isimo siqhubeka ngokushesha kangakanani. Abantu abancane nalabo abanamlando womndeni onamandla bavame ukuba nokuqhubeka okusheshayo.

Q4: Ingabe ubuhlinzwa kudingeka njalo ngokuqina kweDupuytren?

Cha, ubuhlinzwa akuyona njalo into edingekayo. Abantu abaningi abane-contractures ezincane baphatha kahle ngaphandle kokungenelela kobuhlinzwa. Ukwelashwa kuvame ukunconywa lapho isimo siyaphazamisa kakhulu imisebenzi yansuku zonke noma lapho ungakwazi ukubekela isandla sakho phansi etafuleni. Izinketho ezingelona ubuhlinzwa njengokuqapha kungase kube nomphumela kubantu abanye.

Q5: Ingabe ukuqina kweDupuytren kungabuya ngemuva kokwelashwa?

Yebo, ukuqina kweDupuytren kungabuya ngemuva kokwelashwa, nakuba lokhu kuyahluka kuye ngendlela yokwelashwa nezici zomuntu siqu. Amanani okuphinda kwenzeke ngokuvamile aphansi ngezinqubo zobuhlinzwa ezibanzi, kodwa ngisho nangemuva kokwelashwa okuphumelelayo, abanye abantu bangase bathuthukise izindawo ezintsha zokuqina ngokuhamba kwesikhathi. Udokotela wakho uzoxoxa ngengozi yokuphinda kwenzeke lapho ehlela ukwelashwa kwakho.