Dupuytren chibvumirano

Chibvumirano cheDupuytren kusimba kusingarwadzi uye kusimbisa (contracture) yetishu pazasi peganda pachanza cheruoko neminwe.

Chikonzero hachizivikanwe. Iwe uri mukana wekuvandudza mamiriro aya kana uine nhoroondo yemhuri yacho. Izvo zvinoita sekunge hazvikonzerwe nebasa kana kubva mukushungurudzika.

Mamiriro acho anowanzoitika mushure memakore makumi mana. Varume vanokanganiswa kazhinji kupfuura vakadzi. Njodzi zvinhu kushandisa doro, chirwere cheshuga, uye kuputa.

Ruoko rumwe kana maviri anogona kukanganiswa. Munwe wemhete unobatwa kazhinji, uchiteverwa neiyo midiki, yepakati, uye indekisi minwe.

Chidiki, nodule kana bundu rinokura munyama iri pazasi peganda parutivi rwechanza cheruoko. Nekufamba kwenguva, inowedzera kuita tambo-senge bhendi. Kazhinji, hapana kurwadziwa. Mune zvisingawanzoitika zviitiko, iwo tendon kana majoini anopisa uye anorwadza. Zvimwe zvinogona kuitika zviratidzo kuvava, kumanikidza, kupisa, kana kusagadzikana.

Sezvo nguva inopfuura, zvinova zvakaoma kuwedzera kana kururamisa minwe. Muzviitiko zvakakomba, kuzvitwasanudza hazvigoneke.

Anopa hutano anoongorora maoko ako. Kuongororwa kunogona kazhinji kugadzirwa kubva kune chaiwo zviratidzo zveiyo mamiriro. Mimwe bvunzo haiwanzo kudikanwa.

Kana mamiriro acho asina kunyanyisa, mupi wako anogona kukurudzira kurovedza muviri, mabhati emvura anodziya, kutambanudza, kana zvimedu.

Wako mupi anogona kukurudzira kurapwa kunosanganisira kupinza jekiseni mushonga kana chinhu muzvinhu zvine mavanga kana zvine turu.

• Corticosteroid mushonga unobvisa kuzvimba uye kurwadziwa. Izvo zvinoshandawo nekusabvumira kuomarara kwetishu kuti iwedzere. Mune zvimwe zviitiko, inoporesa nyama yacho zvachose. Mishonga yakawanda inowanzodiwa.
• Collagenase chinhu chinozivikanwa se enzyme. Inopindwa mukati mehutete hwakakora kuti iputse. Uku kurapwa kwakaratidzirwa kuve kwakangoshanda sekuvhiya.

Kuvhiya kunogona kuitwa kuti ubvise iyo yakabatwa matishu. Kuvhiya kunowanzo kurudzirwa mune zvakakomba zviitiko apo munwe usingachakwanise kuwedzerwa. Kurapa kwepanyama kurovedza muviri mushure mekuvhiyiwa kunobatsira ruoko kupora kufamba kwakajairika.

Maitiro anonzi aponeurotomy anogona kukurudzirwa. Izvi zvinosanganisira kuisa tsono mudiki munzvimbo yakakanganiswa kuti ipatsanure nekucheka mabhanhire akasimba etinyama. Kazhinji pane marwadzo mashoma mushure. Kuporesa kunokurumidza kupfuura kuvhiya.

Radiation imwe nzira yekurapa. Iyo inoshandiswa kune akapfava zviitiko zvechibvumirano, apo iwo munyama usina kunyanyisa kukora. Radiation kurapa kunogona kumira kana kunonoka kukora kwenyama. Inowanzoitwa kamwe chete.

Taura nemupi wako nezve njodzi uye mabhenefiti emhando dzakasiyana dzekurapa.

Iyo kusagadzikana kunofambira mberi pamwero usingafungidzirwe. Kuvhiya kunogona kazhinji kudzosera yakajairika kufamba kune zvigunwe. Chirwere ichi chinogona kudzoka mukati memakore gumi mushure mekuvhiyiwa inosvika hafu yehafu yematambudziko.

Kuwedzeredza kwechibvumirano kunogona kukonzera kuora uye kurasikirwa kwekushanda kweruoko.

Pane njodzi yekukuvara kumitsipa yeropa uye tsinga panguva yekuvhiyiwa kana aponeurotomy.

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere ichi.

Zvakare fona kana ukarasikirwa nekunzwa mumunwe wako kana kana iwe matipi matipi uchinzwa kutonhora uye kuita bhuruu.

Kuziviswa kwezvinhu zvine njodzi kunogona kubvumidza kutanga kurapwa uye kurapwa.

Palmar fascial fibromatosis - Dupuytren; Kubvumirana chibvumirano - Dupuytren; Tsono aponeurotomy - Dupuytren; Tsono kusunungurwa - Dupuytren; Percutaneous tsono fasciotomy - Dupuytren; Fasciotomy- Dupuytren; Enzyme jekiseni - Dupuytren; Collagenase jekiseni - Dupuytren; Fasciotomy - enzymatic - Dupuytren

Costas B, Coleman S, Kaufman G, James R, Cohen B, Gaston RG. Kubudirira uye chengetedzo ye collagenase clostridium histolyticum yeDupuytren chirwere maqhumu: muyedzo wakarongedzwa. BMC Musculoskelet Kusawirirana. 2017; 18: 374. PMCID: 5577662 www.ncbi.nlm.nih.gov/pmc/articles/PMC5577662.

Calandruccio JH. Dupuytren chibvumirano. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 75.

Eaton C. Dupuytren chirwere. Mune: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Inoshanda Ruoko Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 4.

Stretanski MF. Dupuytren chibvumirano. Muna: Frontera WR, Sirivha JK, Rizzo TD, Jr., eds. Zvakakosha zvePhysical Medicine uye Rehabilitation: Musculoskeletal Dambudziko, Marwadzo, uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 29.