Maitiro Ekuziva uye Kubata Chibvumirano chaDupuytren

Zvemukati

• Zvinokonzera chibvumirano chaDupuytren
• Zviratidzo zvechibvumirano chaDupuytren
• Maitiro ekurapa chibvumirano chaDupuytren
• 1. Physiotherapy
• 2. Kuvhiya
• 3. Collagenase jekiseni

Chibvumirano chaDupuytren ishanduko inoitika muchanza choruoko iyo inoita kuti mumwe munwe ugare wakakombama kupfuura vamwe. Chirwere ichi chinonyanya kubata vanhurume, kubva pamakore makumi mana ekuberekwa uye minwe yakanyanya kubatwa iringi uye pinki. Kurapa kwayo kunoitwa kuburikidza ne physiotherapy, asi mune dzimwe nguva kuvhiyiwa kunogona kudikanwa.

Chibvumirano ichi hachina kuipa, asi chinogona kuunza kusagadzikana uye kukanganisa hupenyu hwezuva nezuva hweanokanganiswa, zvichikonzera kurwadziwa uye kunetseka kuvhura ruoko zvachose. Mune ino kesi, madiki madiki e fibrosis anoumbwa anogona kunzwika kana uchimanikidza padunhu remuchindwe. Sezvo ivo pavanenge vachikura, maDupuytren ma nodule anovandudza tambo diki dzinowedzera dzinokonzeresa chibvumirano.

Zvinokonzera chibvumirano chaDupuytren

Chirwere ichi chinogona kunge chiri chekugara nhaka, autoimmune chikonzero, chinogona kuoneka nekuda kweye rheumatic maitiro kana kunyangwe nekuda kwemhedzisiro mhedzisiro yemimwe mishonga, yakadai seGadernal. Inowanzo kukonzereswa nekudzokorora kufamba kwekuvhara ruoko nezvigunwe, kunyanya kana paine kudedera kwakabatanidzwa. Vanhu vane chirwere cheshuga, vanosvuta uye vanonwa doro zvakawandisa vanoita sekunge vanoona zviri nyore kukudziridza aya maqhubu.

Zviratidzo zvechibvumirano chaDupuytren

Zviratidzo zvechibvumirano chaDupuytren ndezvi:

• Nodules muchanza cheruoko, iyo inofambira mberi uye inoita 'tambo' munzvimbo yakakanganiswa;
• Zvakaoma kuvhura zvigunwe zvakabatwa;
• Zvakaoma pakuisa ruoko rwako zvakanaka kuvhurika pane yakati sandara pamusoro, senge tafura, semuenzaniso.

Iko kuongororwa kunoitwa neakajairika murapi kana chiremba wemazino, kunyangwe pasina kudikanwa kweimwe bvunzo. Kazhinji yenguva chirwere chinofambira mberi zvishoma nezvishoma, uye munenge hafu yezviitiko maoko ese akabatwa panguva imwe chete.

Maitiro ekurapa chibvumirano chaDupuytren

Kurapa kunogona kuitwa ne:

1. Physiotherapy

Kurapa kwechibvumirano chaDupuytren kunoitwa ne physiotherapy, uko anti-kupisa zviwanikwa senge laser kana ultrasound, semuenzaniso, inogona kushandiswa. Uye zvakare, kubatana kwekubatana pamwe nekuparara kwerudzi rwechitatu collagen kunoiswa mufascia chikamu chakakosha chekurapa, kungave kuburikidza nekukwiza muviri kana nekushandisa zvishandiso, senge chirauro, uchishandisa nzira inonzi crochet. Chinyorwa cheManheru chinokwanisa kuunza kusununguka kwekurwadziwa uye kusagadzikana kukuru kwemashuga, kuunza nyaradzo huru kumurwere, kuvandudza hupenyu hwake.

2. Kuvhiya

Kuvhiya kunonyanya kuratidzwa kana chibvumirano chakakura kudarika 30º muzvigunwe uye chakakura kudarika 15º muchanza cheruoko, kana kana maronda acho achikonzera kurwadziwa. Mune zvimwe zviitiko, kuvhiyiwa hakurape chirwere, nekuti kunogona kuitazve makore anotevera. Pane mukana we70% wechirwere unodzoka kana chimwe chezvinhu zvinotevera chiripo: murume murume kana murume, kutanga kwechirwere asati asvitsa makore makumi mashanu, kuve nemaoko maviri akabatwa, kuva nedhigirii rekutanga hama kubva kuchamhembe kweEurope uye zvakare kuve neminwe. zvakakanganiswa. Nekudaro, kunyangwe zvakadaro, kuvhiya kunoramba kuchiratidzwa nekuti kunogona kuunza zororo kubva kuzviratidzo kwenguva yakareba.

Mushure mekuvhiyiwa, physiotherapy inofanirwa kutangwazve, uye bhendi rinowanzoshandiswa kuchengetedza zvigunwe zvakawedzerwa kwemwedzi mina, izvo zvinofanirwa kubviswa chete kune hutsanana uye kuita kurapwa kwemuviri. Mushure menguva iyi, chiremba anogona kuongorora zvakare, uye kudzikisa kushandiswa kweiyi immobilization splint yekushandisa chete panguva yekurara, kwemamwe mwedzi mina.

3. Collagenase jekiseni

Imwe nzira isinganyanyozivikanwa yekurapa ndeyekushandisa enzyme inonzi collagenase, inotorwa kubva kubhakitiriya Clostridium histolyticum, zvakananga pane yakakanganiswa fascia, iyo zvakare inowana mhedzisiro yakanaka.

Kudzivisa kuvhara ruoko rwako neminwe kakawanda pazuva kurudziro inofanirwa kuteverwa, kana zvichidikanwa, kumira pabasa kana shanduko yechikamu inokurudzirwa, kana ichi chiri chimwe chezvikonzero zvekuonekwa kana kuwedzera kwekuremara.