

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Collagenase clostridium histolyticum injection iyisithako esikhethekile se-enzyme esihlukanisa ukwakheka kwe-collagen emzimbeni wakho. Lo muthi usiza ukwelapha izimo lapho i-collagen eyeqile idala izigaxa ezibuhlungu noma amaqembu ezicubu, enikeza inketho engeyona yokuhlinzwa kubantu ababhekene nalezi zimo eziyinselele.
I-Collagenase clostridium histolyticum iyi-enzyme etholakala emabhaktheriya eqondise ngqo futhi ihlukanise i-collagen. Cabanga nge-collagen njengephrotheni yemvelo yomzimba esiza ukubamba izicubu ndawonye, kodwa ngezinye izikhathi yakheka ezindaweni okungafanele.
Lo muthi usebenza ngokuncibilikisa i-collagen eyeqile eyakha amaqembu aqinile, anezintambo noma ama-nodules. I-enzyme ivela ohlotsheni oluthile lwebhaktheriya olubizwa nge-Clostridium histolyticum, olukhiqiza ngokwemvelo le phrotheni ephula i-collagen.
Udokotela wakho unikeza lo muthi ngokujova ngqo endaweni ethintekile. Lo muthi uyatholakala ngaphansi kwamagama emikhiqizo afana ne-Xiaflex e-United States futhi yakhelwe ngqo izifo ze-collagen eziqondiwe.
Lo mjovo welapha izimo ezimbili eziyinhloko lapho ukwakheka kwe-collagen kudala izinkinga. Zombili lezi zimo zihilela ukwakheka kwe-collagen eyeqile okudala imikhawulo yomzimba nokungakhululeki.
Ukusetshenziswa okuyinhloko kungokwe-Dupuytren's contracture, isimo lapho amaqembu aqinile ezicubu akheka entendeni yesandla sakho neminwe. La maqembu ngokuqhubekayo adonsa iminwe yakho ngase entendeni yesandla sakho, okwenza kube nzima ukuqondisa ngokugcwele. Lesi simo ngokuvamile sithinta umunwe wesithupha nomunwe omncane kakhulu.
Ukusetshenziswa okwesibili okuvunyelwe kungokwesifo sikaPeyronie, esithinta amadoda futhi sihlanganisa ukwakheka kwama-plaque e-fibrous esithweni sangasese sendoda. Lawa ma-plaque angabangela ukugoba, ubuhlungu, nobunzima ekusebenzeni ngokocansi. Umjovo usiza ukwephula lezi zinto ze-collagen ukuze kuncishiswe ukugoba futhi kuthuthukiswe ukusebenza.
Udkt wakho angase futhi acabangele lokhu kwelashwa kwezinye izimo ezihilela ukwakheka kwe-collagen okweqile, nakuba lokhu kusetshenziswa kungavamile. Umuthi uqondise ngqo ezindaweni lapho i-collagen yakhe khona amaqembu angajwayelekile noma ama-nodules aphazamisa ukusebenza okuvamile.
Le enzyme isebenza ngokukhomba ngqo nokwephula imicu ye-collagen eyakhe amaqembu angajwayelekile noma ama-nodules. Umuthi usebenza njengezikele ze-molecular, unqamula esakhiweni se-collagen esibangela izimpawu zakho.
Uma ifakwe ngqo esicutshini esithintekile, i-enzyme iqala ukusebenza kungakapheli amahora ukuncibilikisa i-collagen enezinkinga. Le nqubo iyancipha futhi iqondiswe, ithinta kuphela ukwakheka kwe-collagen okweqile kunokuba isicubu esizungezile esinempilo.
Umuthi uthathwa njengonamandla ngokulinganisela ngenjongo yawo. Uphula ngempumelelo amaqembu aqinile e-collagen abelokhu emelana nokunye ukwelashwa, kodwa usebenza ngendlela elawulwayo, yendawo.
Ezinsukwini nasemavikini alandelayo ngemuva komjovo, umzimba wakho ngokwemvelo usebenzisa i-collagen ephukile. Lokhu kuvumela indawo ethintekile ukuthi ibuyele kancane kancane endaweni ejwayelekile nokusebenza.
Awuthathi lo muthi ngokwakho - kufanele unikezwe uchwepheshe wezempilo endaweni yezokwelapha. Udkt wakho uzokwenza umjovo womuthi ngqo eqenjini le-collagen elithintekile noma i-nodule esebenzisa inaliti enhle.
Ngaphambi kokujovwa kwakho, akudingeki ukuthi ugweme ukudla noma ukuphuza, kodwa udokotela wakho angase ancome ukugwema imithi ethile eyandisa ingozi yokopha. Lokhu kungase kuhlanganise i-aspirin, izinciphisi zegazi, noma imithi elwa nokuvuvukala izinsuku eziningana ngaphambi kokwelashwa.
Inqubo yokujova ngokuvamile ithatha imizuzu embalwa nje. Udokotela wakho uzothola indawo eqondile lapho i-collagen band iqina khona kakhulu bese ejova umuthi ngqo kuleyo ndawo. Ungase uthole i-anesthetic yendawo ukunciphisa ukungakhululeki ngesikhathi senqubo.
Ngemva kokujova, uzodinga ukubuyela ehhovisi likadokotela wakho ezinsukwini ezimbalwa ukuze uthole inqubo yokulandela. Ngesikhathi salokhu kuvakasha, udokotela wakho uzosebenzisa indawo ephathwayo ukusiza ukwephula ama-collagen bands athambile.
Ubude bokwelashwa buxhomeke esimweni sakho esithile nokuthi usabela kanjani ekujovweni kokuqala. Abantu abaningi badinga izikhathi eziningi zokujova ezihlukaniswe ngamasonto ambalwa ukuze bathole imiphumela engcono kakhulu.
Nge-Dupuytren's contracture, ungase udinge ukujova okungu-1-3 ngomunwe ngamunye othintekile, ngokujova ngakunye okunikezwa cishe ngamasonto angu-4 ngamanye. Udokotela wakho uzohlola inqubekela phambili yakho ngemva kokujova ngakunye ukuze anqume ukuthi ngabe ukwelashwa okwengeziwe kuyadingeka yini.
Nge-Peyronie's disease, inkambo yokwelashwa ejwayelekile ihlanganisa ukujova okungu-2 ngomjikelezo wokwelashwa ngamunye, ngokujova okunikezwa cishe ngamasonto angu-6 ngamanye. Ungase udinge imijikelezo eminingi yokwelashwa kuye ngobunzima besimo sakho.
Udokotela wakho uzoqapha inqubekela phambili yakho kuyo yonke inqubo yokwelashwa. Umgomo uwukuthola ukuthuthuka okukhulu ekusebenzeni nasezimpawini ngenkathi usebenzisa inani elincane lokujova elidingekayo.
Abantu abaningi bahlangabezana nemiphumela emibi ngemva kokuthola lo mjovo, kodwa lezi zivame ukuba mnene futhi zesikhashana. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzilungiselele inqubo yokwelashwa.
Imiphumela emibi ejwayelekile abantu abaningi abahlangabezana nayo ihlanganisa ukuvuvukala, ukulimala, nobuhlungu endaweni yokujova. Lezi zimpawu zivame ukuthuthuka kungakapheli amahora ambalwa ngemva komjovo futhi zingahlala izinsuku eziningana kuya evikini.
Nawa amanye emiphumela emibi ebikwa kaningi ongase uyibone:
Lezi zimpawu ezivamile empeleni ziyizimpawu zokuthi umuthi usebenza ukwephula ama-collagen bands. Abantu abaningi bathola ukuthi lezi zimpawu ziqondakala kalula ngemithi yokwelapha ubuhlungu etholakala ngaphandle kwe-oda kanye namaphakethe eqhwa.
Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukusabela okukhulu komzimba, izimpawu zokutheleleka endaweni yokujova, noma ukopha okungavamile noma ukulimala okungathuthuki.
Izinkinga ezingavamile kodwa ezingathi sína zingahlanganisa ukuqhekeka kwemisipha, ukulimala kwemizwa, noma ukulimala kwemithambo yegazi. Udokotela wakho uzoxoxa nawe ngalezi zingozi futhi akuqaphele ngokucophelela ngesikhathi sokwelashwa ukuze kuncishiswe lezi zinto ezingenzeka.
Amaqembu amaningana abantu kufanele agweme lokhu kwelashwa ngenxa yezingozi ezengeziwe noma ukusebenza kahle okuncishisiwe. Udokotela wakho uzohlola ngokucophelela ukuthi lo muthi uphephile yini esimweni sakho esithile.
Akufanele uthole lo mjovo uma wazi ukuthi unokungezwani komzimba ne-collagenase noma ezinye izingxenye zomuthi. Abantu abanezifo zokopha noma labo abathatha imithi yokunciphisa igazi kungenzeka futhi badinga ukugwema lokhu kwelashwa.
Izimo ezithile zezokwelapha zenza ukuthi lokhu kwelashwa kungafaneleki, futhi udokotela wakho uzodinga ukwazi ngomlando wakho wezokwelapha ophelele ngaphambi kokuqhubeka.
Nazi izimo eziyinhloko ezingakuvimbela ekutholeni lokhu kwelashwa:
Udokotela wakho uzobuye acabangele ezinye izinto ezinjengobudala bakho, impilo yonke, neminye imithi oyithathayo. Lokhu kuhlola ngokucophelela kusiza ekuqinisekiseni ukuthi ukwelashwa kuphephile futhi kungenzeka ukuthi kusebenza ngempumelelo esimweni sakho esithile.
Igama elivamile lomkhiqizo wale mithi yi-Xiaflex, etholakala e-United States. Leli yigama lomkhiqizo odokotela abaningi neziguli abazoliqaphela lapho bexoxa ngezinketho zokwelapha.
Kwamanye amazwe, imithi efanayo ingatholakala ngaphansi kwamagama ahlukene omkhiqizo, yize isithako esisebenzayo sihlala sifana. Udokotela wakho uzoqoka umkhiqizo othile otholakala endaweni yakho.
Lapho ucwaninga ngalokhu kwelashwa noma uxoxa ngakho nethimba lakho lezempilo, ungase ukubone kubhekiselwa kulo ngegama lalo elivamile noma amagama ahlukene omkhiqizo. Zonke izinguqulo ziqukethe i-enzyme efanayo esebenzayo futhi zisebenza ngendlela efanayo.
Ezinye izinketho eziningana zokwelapha zikhona zezimo ezilashwa yile mithi. Udokotela wakho angase ancome lezi ezinye izindlela uma ungafaneleki kahle ukujovwa nge-enzyme noma uma ukhetha ezinye izindlela.
Nge-Dupuytren's contracture, izinketho zokuhlinzwa zihlanganisa i-needle aponeurotomy, lapho inaliti isetshenziselwa ukuqeda ama-collagen bands, noma i-fasciectomy, lapho izicubu ezithintekile zisuswa ngokuhlinzwa. Ukwelashwa ngokomzimba kanye nokufaka i-splint nakho kungasiza ezigabeni zokuqala.
Nge-Peyronie's disease, ezinye izindlela zihlanganisa eminye imithi ejovwayo efana ne-verapamil noma i-interferon, imithi yomlomo, i-shock wave therapy, noma ukulungiswa ngokuhlinzwa. Amadivayisi e-vacuum kanye ne-penile traction therapy nazo ngezinye izikhathi ziyatuswa.
Izinketho ezingezona zokuhlinzwa zivame ukuba ngaphansi kokuhlasela kodwa zingase zingasebenzi kahle ezimweni ezinzima. Ukwelashwa ngokuhlinzwa kuvame ukuba ngokuqinisekile kodwa kuthwala izingozi eziphakeme nezikhathi zokululama ezinde.
Lo muthi unikeza izinzuzo eziningana ngaphezu kokwelashwa ngokuhlinzwa, kodwa ukukhetha okungcono kuncike esimweni sakho esithile nezintandokazi. Zombili izindlela zinezindawo zazo ekwelapheni izimo ezihlobene ne-collagen.
Ukujova kwe-enzyme akuhlaseli kangako kune-surgery, ngokuvamile kudinga i-anesthesia yendawo kuphela futhi ikuvumela ukuthi ubuyele emisebenzini ejwayelekile ngokushesha. Akukho ukusikeka kokuhlinzwa, okusho ukuthi kunciphisa ingozi yokutheleleka nokulimala.
Noma kunjalo, ukuhlinzwa kungase kusebenze kahle ezimweni ezinzima noma lapho ama-collagen bands ekhulu kakhulu futhi ebanzi. Ukwelashwa ngokuhlinzwa kungahlinzeka ngemiphumela engaphelelwa yisikhathi, ikakhulukazi ezimweni ezithuthukile.
Ukwelulama ekujoveni kwe-enzyme kuvame ukushesha, nabantu abaningi bekwazi ukusebenzisa izandla zabo noma babuyele emisebenzini ejwayelekile phakathi nezinsuku ezimbalwa kuya emavikini. Ukululama ngokuhlinzwa kuvame ukuthatha isikhathi eside futhi kungase kudingeke ukulungiswa okuningi.
Udokotela wakho uzokusiza ukuthi ulinganise lezi zici ngokusekelwe ekuqineni kwesimo sakho, impilo yakho yonke, nezintandokazi zakho zomuntu siqu zendlela yokwelashwa.
Abantu abaningi abanesifo sikashukela bangathola lokhu kwelashwa ngokuphepha, kodwa udokotela wakho uzodinga ukuhlola isimo sakho esithile. Isifo sikashukela singathinta ukuphola kwamanxeba futhi sandise ingozi yokutheleleka, ngakho lezi zinto zidinga ukucatshangelwa.
Uma isifo sakho sikashukela silawulwa kahle futhi ungenazo izinkinga ezithinta ukujikeleza kwegazi noma ukuphola, ukwelashwa ngomjovo kuvamile ukuthi kuphephile. Udokotela wakho angase afune ukukuqapha eduze ngesikhathi sokuphola.
Abantu abanezinkinga zesifo sikashukela ezithinta imithambo yegazi noma imizwa ezandleni noma ezinyaweni bangase badinge izinyathelo zokuphepha ezikhethekile noma ezinye izindlela zokwelapha. I-endocrinologist yakho kanye nodokotela onikeza umjovo kufanele bahlele ukunakekelwa kwakho.
Njengoba lo muthi unikezwa kuphela ochwepheshe bezempilo ezindaweni zokwelapha ezilawulwayo, ukweqisa ngengozi akunakwenzeka. Ukulinganisa kucatshangelwa ngokucophelela futhi kulinganiswa ngomjovo ngamunye.
Uma ukhathazekile ngomjovo wakho noma uba nezimpawu ezingavamile ngemva kokwelashwa, xhumana nodokotela wakho ngokushesha. Bangahlola ukuthi izimpawu zakho ziyizimpawu ezivamile noma okuthile okudinga ukunakekelwa okwengeziwe.
Izimpawu ezingase zibonise inkinga zihlanganisa ubuhlungu obukhulu, ukuvuvukala okukhulu, izimpawu zokutheleleka, noma ukusabela komzimba. Udokotela wakho uzonikeza imiyalelo ethile mayelana nokuthi yini okufanele uyibheke nokuthi kufanele ushayele nini.
Uma uphuthelwa ukuqokwa komjovo okuhlelelwe, xhumana nehhovisi likadokotela wakho ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Isikhathi phakathi kwemijovo sibalulekile ukuze uthole imiphumela emihle, kodwa ukubambezeleka okuncane ngokuvamile akuthinti umphumela wokwelashwa wonke.
Udktela wakho angase adinge ukulungisa isimiso sakho sokwelashwa noma ahlolisise isimo sakho uma sekudlule isikhathi eside kusukela emjovweni wakho wokugcina. Bazonquma indlela engcono kakhulu yokuqhubeka nohlelo lwakho lokwelashwa.
Ungazami ukulungisa ama-aphoyintimenti aphuthelwe ngokuwahlela eduze kakhulu. Isikhala phakathi kwemijovo sivumela umzimba wakho isikhathi sokuphendula ekwelashweni nokuphola kahle.
Wena nodokotela wakho nizonquma ndawonye ukuthi nini ukuyeka ukwelashwa ngokusekelwe ekuphenduleni kwakho nokwaneliseka ngemiphumela. Abantu abaningi baqeda inkambo yabo yokwelashwa lapho sebezuzile ukuthuthuka okukhulu emsebenzini nasezimpawini.
Abanye abantu bafeza imigomo yabo ngemva komjovo owodwa noma emibili nje, kanti abanye bangazuza ekwelashweni okwengeziwe. Udokotela wakho uzohlola inqubekela phambili yakho ngemva komjovo ngamunye ukuze anqume ukuthi ngabe ukwelashwa okwengeziwe kungaba usizo yini.
Isinqumo sokuyeka ukwelashwa sincike ezintweni ezinjengokuthi ukuthuthuka okungakanani okuye kwenzeka, ukuthi uyayithokozela yini imiphumela, nokuthi ngabe imijovo eyengeziwe ingahlinzeka ngomunye umvuzo.
Udokotela wakho uzohlinzeka ngemikhawulo ethile yomsebenzi ngemva komjovo wakho, kodwa ngokuvamile, kufanele ugweme imisebenzi eqinile izinsuku eziningana. Ukunyakaza okulula nokusetshenziswa ngobumnene kwendawo ewelashwayo kuvame ukukhuthazwa ukusiza ngokuphola.
Ukuphakamisa izinto ezisindayo, ukubamba, noma imisebenzi enobudlova kufanele kugwenywe kuze kube yilapho udokotela wakho ekukhulula ukuthi uqale kabusha imisebenzi evamile. Lokhu ngokuvamile kuthatha izinsuku ezimbalwa kuya evikini, kuye ngokuthi uphola kanjani.
Ukuvivinya umzimba okuncane noma ukwelula okutuswa udokotela wakho kungasiza ngempela ekululameni kwakho nasemiphumeleni yokwelashwa. Landela imiyalelo kadokotela wakho ngokucophelela ukuze uthuthukise ukuphola kwakho nomphumela wokwelashwa.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.