5 Ngozi dzeDupuytren's Contracture Treatment

Dupuytren's contracture ndiyo mamiriro ezvinhu anoita kuti mishonga yakasimba igadzike muchanza chechipiri neminwe. Zvakananga nei chiitiko ichi chikaitika chinhu chiduku chisingazikamwi, asi kune chizivikanano chemajini uye pane zvimwe zvinhu zvinosanganisira mararamiro evanhu, mabasa, uye mamwe marapirwo anogonawo kutora chikamu.

Uku kusimbiswa kwemavara muchindwe, chinonzi fascia, kunokwidza minwe pasi kusvika mumuchindwe kuita mabasa akaoma zvakaoma-kunyanya sezvo mamiriro acho akaoma. Nokuda kwechikonzero ichi, vanhu vazhinji vane chirwere ichi vanotsvaka kurapwa kubatsira kubatsiridza basa remaoko. Zvirwere zvakasiyana-siyana zvinogona kunge zvine ngozi dzakasiyana.

Heano zvimwe zvezvinetso zvinowanzoitika zvinogona kuitika pakurapwa kweDupuytren's contract.

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Kudzokorora

Kudzoka kweDupuytren's inenge iri chivimbiso mushure mekurapwa kwechibvumirano. Chirwere cheDupuytren chirwere chinoita kuti pave nechibvumirano chinowedzera. Kurapa kwechiratidzo (chibvumirano) hachibvisi chinetso chepfungwa (chirwere). Saka, nekufamba kwenguva, dambudziko rinogona kudzoka.

Tsvakurudzo yezvino inotsvakurudza nezvehupenyu hwechirwere cheDupuytren uye, nekufamba kwenguva, tinogona kukura maitiro ekurapa anogona kuchinja mararamiro echirwere ichi. Zvisinei, zvirwere zvemazuva ano, kusanganisira kuvhiyiwa, therapy, needle aponeurotomy , uye injenji ye collagenase , zvose zvinorayirirwa pazviratidzo. Ivhareji yenguva kusvikira kudzokorora kunoitika zvakasiyana pakati pemishonga iyi-pamwe ne50 muzana yevanhu vane kudzokorora mumakore matatu ekushaiwa aponeurotomy uye mumakore mashanu ekuvhiya.

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Nerve Injury

Icho chirevo chekurapa kwaDupuytren kunonyanya kutywa nevarapi vezvechiremba kazhinji kacho kunokonzerwa nenyonga. Tsvimbo dzeDupuytren dzinogona kuvharwa zvakaputirwa nemitsipa muminwe uye dzimwe nguva tambo inokwevera mutsara munzvimbo isingatarisiri. Nechinorapwa chero chipi zvacho chisingaiti, mutsara unogona kukuvadzwa. Kana chirwere ichi chikaitika, munwe unogona kukura kana kushaya simba uye izvi zvinogona kuva dambudziko rekusingaperi.

Kunyange zvazvo vanachiremba vangave vachikakavadzana nezvekuchengetedzwa kwemishonga yakasiyana, chokwadi ndechokuti mukana wekukuvara kwehutano hausi zvakasiyana zvikuru nemasarudzo akasiyana-siyana ekurapwa. Zvechokwadi, kukuvadza kwehutano kunonyanya kudzivirirwa nokuva nemishonga nachiremba ane unyanzvi mukurapa yakasarudzwa. Somuenzaniso, chiremba anovhiya anowanzovhiya angave asina mikana yekukuvara kwemitsipa nekuvhiyiwa kupfuura nekurapwa kwemasano, asi kusiyana kunowedzera nekuda kwechiitiko chechiremba, asi kwete kurapwa. Mumwe chiremba anovhiya anogara achiita sora aponeurotomy angangodaro ane mukana wakafanana wekukonzera kushungurudzika kwehutano.

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Pain

Pain mushure mekurapa chinetso chinogumbura. Pakazara, chibvumirano chaDupuytren chinetso chinogumbura, asi kwete dambudziko rinorwadza. Zvisinei, kusvika 20 kubva muzana yevanhu vanorondedzera kurwadziwa kukuru mushure mekurapwa kwemamiriro acho ezvinhu.

Ruoko neminwe zvese zvakazara nekugadzikana kwehutano uye zvinowanzoita kuti usanyanya kusimba mushure mekurapa. Kazhinji, kurwadziwa kunogadzirisa nenguva, asi pane vamwe vanhu vane marwadzo asingagumi kana mamiriro ezvinhu anonzi yakaoma regional pain syndrome zvinogona kukonzera kusagadzikana nekudzikama.

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Ganda Rinora

Kuora kweganda kunoshamisa zvinowanzoitika mushure mekurapwa kweDupuytren's contract. Apo chibvumirano cheDupuytren chinokwevera minwe mumaoko omukati, ganda rinogonawo kusimbisa uye kubvumirana. Mukuwedzera, ganda rinowedzera kuderera uye rinogadziriswa.

Kana kusunungurwa kwetambo reDupuytren kuchiitwa, ganda rinogona kusunungurwa kana rinogona kubvarura. Panguva yekuvhiyiwa, pane dzimwe nguva ganda rekugadzira rinodikanwa kuvhara mavanga. Mushure mekugadzirwa kwegogenasease kana saroni aponeurotomy, ganda rinogona kubvarura uye masango anogona kuzaruka. Aya mavhura ari paganda anogona kutapukirwa uye anorwadza. Nokuda kwechikonzero ichi, ganda rakasimba rinogona kupedzisa kuwanda kwekuvandudza chiremba wako anogona kubudirira nekurapa.

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Tsvina Nyuchi

Nhengo dzemafuta dzinokonzerwa nemhando ipi zvayo yekurapa kusingaiti. Nehutachiona husina kupindira, zviduku zvishoma zvinowanzoita. Zvine mishonga yakawanda yakawandisa, mamwe magetsi anokwanisa kuumba. Nyama yakawanda inowanikwa mushure mekurapwa uye inogona kugadzirisa zvirongwa zvekurapa mune ramangwana kana uye kana chibvumirano chinodzoka pasi mumugwagwa.

> Sources:

> Becker GW, Davis TR: Chigumisiro chekurapwa kwechirwere chekutanga cheDupuytren's: Kuongorora kwakarongeka. J Hand Surgery Eur Vol 2010; 35 (8): 623-626.

> Black EM, Blazar PE. "Dupuytren chirwere: kuchinzwisisa kuchinja kwechirwere chekare" J Am Acad Orthop Surg. 2011 Dec; 19 (12): 746-57.