Mgwirizano wa Dupuytren

Kulumikizana kwa Dupuytren ndikulimba kopanda ululu komanso kolimba (contracture) wa minofu pansi pakhungu padzanja lamanja ndi zala.

Choyambitsa sichikudziwika. Mutha kukhala ndi izi ngati muli ndi mbiri yabanja. Zikuwoneka kuti sizimayambitsidwa chifukwa chokhala pantchito kapena zoopsa.

Vutoli limakonda kupezeka pambuyo pa zaka 40. Amuna amakhudzidwa nthawi zambiri kuposa akazi. Zowopsa ndi kumwa mowa, matenda ashuga, ndikusuta.

Dzanja limodzi kapena onse atha kukhudzidwa. Chala chachitsulo chimakhudzidwa nthawi zambiri, chimatsatiridwa ndi zala zazing'ono, zapakati, ndi zolozera.

Tinthu tating'onoting'ono, todontho kapena chotupa chimayamba kutuluka munthawi ya khungu pakanjanja. Popita nthawi, imakulira kukhala gulu longa chingwe. Kawirikawiri, sipakhala kupweteka. Nthawi zambiri, ma tendon kapena mafupa amatupa komanso kupweteka. Zizindikiro zina zotheka kuyabwa, kupanikizika, kuwotcha, kapena kupsinjika.

Nthawi ikamapita, zimakhala zovuta kutambasula kapena kuwongola zala. Pazovuta zazikulu, kuwongolera sikungatheke.

Wothandizira zaumoyo awunika manja anu. Matendawa amatha kupangidwa kuchokera kuzizindikiro za vutoli. Mayesero ena safunika kawirikawiri.

Ngati vutoli silowopsa, omwe amakupatsani mwayi angakulimbikitseni kuchita masewera olimbitsa thupi, kusamba kwamadzi ofunda, kutambasula, kapena mabala.

Woperekayo angakulimbikitseni chithandizo chomwe chimakhudza kuyika mankhwala kapena mankhwala mu minofu yotupa kapena yolimba:

• Mankhwala a Corticosteroid amachepetsa kutupa ndi kupweteka. Zimagwiranso ntchito posalola kuti minofu ikule kwambiri. Nthawi zina, amachiritsa minofu yonse. Mankhwala ambiri amafunikira.
• Collagenase ndi chinthu chomwe chimadziwika kuti enzyme. Imabayidwa munthupi yokhuthala kuti iwonongeke. Mankhwalawa awonetsedwa kuti ndi othandiza monga opaleshoni.

Opaleshoni itha kuchitidwa kuti ichotse minofu yomwe yakhudzidwa. Kuchita opaleshoni nthawi zambiri kumalimbikitsidwa pamavuto akulu pomwe chala sichingathenso kukulitsidwa. Kuchita masewera olimbitsa thupi mutatha opaleshoni kumathandiza dzanja kuti liziyenda bwino.

Njira yotchedwa aponeurotomy ingalimbikitsidwe. Izi zimaphatikizapo kuyika singano yaying'ono kudera lomwe lakhudzidwa kuti igawane ndikudula matumba olimba. Nthawi zambiri pamakhala kupweteka pang'ono pambuyo pake. Kuchiritsa kumathamanga kuposa opaleshoni.

Kutentha ndi njira ina yothandizira. Amagwiritsidwa ntchito pofufuza pang'ono, pomwe mnofu siwukulu kwambiri. Thandizo la radiation lingayime kapena kuchepetsa kukula kwa minofu. Nthawi zambiri zimachitika kamodzi kokha.

Lankhulani ndi omwe akukuthandizani za zoopsa ndi zabwino zamankhwala osiyanasiyana.

Matendawa amapita pamlingo wosayembekezereka. Opaleshoni imatha kubwezeretsanso zala. Matendawa amatha kubwereranso patatha zaka 10 atachitidwa opaleshoni mpaka theka la milandu.

Kukulitsa kwa mgwirizano kungayambitse kuwonongeka ndi kutayika kwa ntchito kwa dzanja.

Pali chiopsezo chovulala pamitsempha yamagazi ndi mitsempha nthawi ya opaleshoni kapena aponeurotomy.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za matendawa.

Imbani foni ngati simumva kumva chala chanu kapena ngati zala zanu zakumva zimamva kuzizira ndikusintha buluu.

Kudziwitsa za zoopsa kumatha kuloleza kuzindikira ndi kulandira chithandizo mwachangu.

Palmar fascial fibromatosis - Dupuytren; Kuphwanya mgwirizano - Dupuytren; Singano aponeurotomy - Dupuytren; Kutulutsa kwa singano - Dupuytren; Percutaneous singano fasciotomy - Dupuytren; Fasciotomy- Dupuytren; Jekeseni wa enzyme - Dupuytren; Collagenase jekeseni - Dupuytren; Fasciotomy - enzymatic - Dupuytren

Costas B, Coleman S, Kaufman G, James R, Cohen B, Gaston RG. Kuchita bwino ndi chitetezo cha collagenase clostridium histolyticum ya matenda amtundu wa Dupuytren: kuyesedwa kosasinthika. Kusokonezeka kwa BMC Musculoskelet. 2017; 18: 374. PMCID: 5577662 www.ncbi.nlm.nih.gov/pmc/articles/PMC5577662.

Calandruccio JH. Mgwirizano wa Dupuytren. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 75.

Matenda a Eaton C. Dupuytren. Mu: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, olemba. Opaleshoni ya Dzanja la Green. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 4.

Stretanski MF. Mgwirizano wa Dupuytren. Mu: Frontera WR, Silver JK, Rizzo TD, Jr., olemba. Zofunikira za Thupi Lathupi ndi Kukonzanso: Matenda a Musculoskeletal, Ululu, ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 29.