Momwe Mungadziwire ndi Kusamalira Mgwirizano wa Dupuytren

Zamkati

• Zomwe zimayambitsa mgwirizano wa Dupuytren
• Zizindikiro za mgwirizano wa Dupuytren
• Momwe mungasamalire mgwirizano wa Dupuytren
• 1. Physiotherapy
• 2. Opaleshoni
• 3. Collagenase jekeseni

Mgwirizano wa Dupuytren ndikusintha komwe kumachitika padzanja lamanja komwe kumapangitsa kuti chala chimodzi chizikhala chopindika kuposa ena onse. Matendawa amakhudza kwambiri amuna, kuyambira zaka 40 ndipo zala zomwe zakhudzidwa kwambiri ndi mphete ndi pinki. Chithandizo chake chimachitika kudzera mu physiotherapy, koma nthawi zina kuchita opaleshoni kumafunika.

Izi ndizabwino, koma zimatha kubweretsa mavuto ndikulepheretsa moyo watsiku ndi tsiku wokhudzidwayo, kupweteketsa komanso kuvuta kutsegula dzanja kwathunthu. Pachifukwa ichi, timagulu ting'onoting'ono ta fibrosis timapangidwa tomwe timatha kumva tikakanikizika pagawo la mgwalangwa. Akamakula, tinthu tating'onoting'ono ta Dupuytren timapanga zingwe zazing'ono zomwe zimakulitsa mgwirizano.

Zomwe zimayambitsa mgwirizano wa Dupuytren

Matendawa amatha kukhala obadwa nawo, amadzichitira okhaokha, amatha kuwoneka chifukwa chazinyalala kapena chifukwa chamankhwala ena, monga Gadernal. Nthawi zambiri zimachitika chifukwa chobwereza-bwereza kutseka kwa dzanja ndi zala, makamaka pakakhala kugwedezeka. Anthu omwe ali ndi matenda ashuga, amasuta komanso amamwa mowa mopitirira muyeso akuwoneka kuti zimawapangitsa kukhala kosavuta kupanga ma nodulewa.

Zizindikiro za mgwirizano wa Dupuytren

Zizindikiro za mgwirizano wa Dupuytren ndi:

• Zotuluka m'manja, zomwe zimapita patsogolo ndikupanga 'zingwe' mdera lomwe lakhudzidwa;
• Zovuta kutsegula zala zakhudzidwa;
• Zovuta kuyika dzanja lanu lotseguka pamalo athyathyathya, monga tebulo, mwachitsanzo.

Matendawa amapangidwa ndi dokotala kapena mafupa, ngakhale osafunikira mayeso enaake. Nthawi zambiri matendawa amapita pang'onopang'ono, ndipo pafupifupi theka la milandu manja onse amakhudzidwa nthawi yomweyo.

Momwe mungasamalire mgwirizano wa Dupuytren

Chithandizo chitha kuchitika ndi:

1. Physiotherapy

Chithandizo cha mgwirizano wa Dupuytren chimachitika ndi physiotherapy, pomwe zinthu zotsutsana ndi zotupa monga laser kapena ultrasound, zitha kugwiritsidwa ntchito. Kuphatikiza apo, kuphatikiza ndi kuwonongeka kwa mtundu wa III wa collagen womwe umasungidwa mu fascia ndi gawo lofunikira la chithandizocho, mwina kudzera kutikita minofu kapena kugwiritsa ntchito zida, monga ndowe, pogwiritsa ntchito njira yotchedwa crochet. Buku lothandizira limatha kubweretsa mpumulo komanso kupweteka kwambiri kwaminyewa, ndikulimbikitsa wodwalayo, ndikukhala ndi moyo wabwino.

2. Opaleshoni

Kuchita opaleshoni kumawonetsedwa makamaka ngati mgwirizano ndi woposa 30º m'zala komanso woposa 15º m'manja, kapena pomwe ma nodule amayambitsa kupweteka. Nthawi zina, opaleshoni siyichiza matendawa, chifukwa imatha kuonekanso patadutsa zaka zambiri. Pali mwayi wa 70% kuti matendawa abwererenso ngati chimodzi mwazinthu izi chilipo: amuna, kuyamba kwa matendawa asanakwanitse zaka 50, kukhala ndi manja onse okhudzidwa, kukhala ndi achibale oyamba ochokera kumpoto kwa Europe komanso kukhala ndi zala zakhudzidwa. Komabe, ngakhale zili choncho, opaleshoni ikupitilizabe kuwonetsedwa chifukwa imatha kubweretsa mpumulo kuzizindikiro kwanthawi yayitali.

Pambuyo pa opaleshoniyi, physiotherapy iyenera kuyambiranso, ndipo kagwiritsidwe kake kamagwiritsiridwa ntchito kusunga zala kwa miyezi 4, zomwe zimayenera kuchotsedwa pokhapokha paukhondo komanso kuchiritsa. Pambuyo pa nthawi imeneyi, adokotala amatha kuwunikiranso, ndikuchepetsa kugwiritsa ntchito chidutswachi kuti chingagwiritsidwe ntchito atagona, kwa miyezi ina inayi.

3. Collagenase jekeseni

Njira ina yodziwika bwino yothandizira ndi kugwiritsa ntchito enzyme yotchedwa collagenase, yochokera ku bakiteriya Clostridium histolyticum, mwachindunji pa fascia yomwe yakhudzidwa, yomwe imapindulitsanso zabwino.

Kupewa kutseka dzanja ndi zala nthawi zambiri patsiku ndikulimbikitsidwa kutsata, ngati kuli kofunikira, kuyimilira pantchito kapena kusintha gawo ndikulimbikitsidwa, ngati ichi ndi chimodzi mwazomwe zimayambitsa mawonekedwe kapena kukulirakulira.