Zvinokonzera uye Kurapwa
Dupuytren's contracture ndiyo inokonzera kusimbisa, kana kuti kubvumirana, yefamily palm, iyo inogadzirisa mhuka iri pasi peganda riri muchanza cheruoko rwako. Nokuda kwekubvumirana, minwe inogona kugadzikana zvachose, uye basa roruoko rwako harundi.
Chimiro chemachinda chinonzi tecu inopenya iri pamusoro pematoni uye pasi peganda reruoko.
Iko kunofanirwa kunonamatira zvose paganda riri pamusoro uye kune zvivako pasi apa. Chirindo chemasango chinobatsira kunopa chigunun'una, chinonamatira pamusoro pechanza neminwe.
Zvinokonzera
Hapana anoziva chaizvoizvo zvinokonzera Dupuytren's contract, asi inonyatsozivikanwa kuti inotanga mumhuri-60 kubva kuzana kusvika makumi manomwe kubva muzana yevanhu vane nhoroondo yemhuri yemamiriro acho ezvinhu. Zvimwe zvinhu zvakambofungidzirwa kuti zvinoita kuti Dupuytren aite chibvumirano, zvakadai sekushungurudzika, chirwere cheshuga , kudhakwa, kuora mwoyo, uye chirwere cheropa, asi hapana hukama hwakajeka.
Mamiriro acho akawandisa kune vakwegura (kazhinji mushure mezera remakore makumi mana), varume (vanowanzozivikanwa kupfuura vakadzi), neNorth Europe madzitateguru. Rimwe boka rinowanzotaurwa ndevaya vane Viking madzitateguru, uye inogona kunzi chirwere cheViking.
Kune uchapupu hunoratidza kuti kushungurudzika kunogona kubatsira pakuvandudzika kweDupuytren's contract. Yakatsvakurudzwa kana zviitiko zvinoshungurudza kana nhoroondo yebasa rebhuku rinogona kuunza dambudziko iri.
Zvishoma nezvishoma, kune uchapupu hwekubuda ropa mukati memishonga yakakanganiswa, uchapupu hwokuti kushungurudzika kunogona kuita kuti izvi zviitike. Izvozvo zvakati, Dupuytren's inowanzoonekwa mumaoko ose, uye inowanikwa kakawanda mune hukuru uye husingarevi maoko-uchapupu hwokuti dambudziko iri harisi chikonzero chekudzokororazve kunetseka.
Zvaunotarisira
Mavhikirini ekutanga ekubvumirana kweDupuytren kazhinji kacho, kazhinji kacho, kasina kupfava mumuromo. Mhotukari inogona kutanga kuwirirana, uye ganda rinowedzera. Pakupedzisira, mune zvikamu zvekupedzisira zvechirwere, ganda uye zvisikwa zvepasi zvinokonzera, zvinokonzera kuora kwemaoko neminwe basa. Vanhu vane chibvumirano cheDupuytren vane minwe iyo yakakotamira pasi kune palm palm.
Kunyange zvazvo zvigunwe zvose zvingave zvakabatanidzwa, chibvumirano cheDupuytren chinowanzobata hutete uye zviduku. Kufambira mberi kwaDupuytren kunowanzova kukurumidza kuputika, kuteverwa nenguva yekuchinja kuduku. Dupuytren's contract ishoma kunorwadza, asi inogona kuva nhamo huru. Dupuytren's inowanzomira kubatanidzwa kwemaoko asi inogonawo kusanganisira zvimwe zvikamu zvemuviri, kazhinji zvinowanikwa pasi petsoka. Vanenge mashanu kubva muzana yevarwere vane chibvumirano cheDupuytren vanewo mamiriro akafanana emakumbo etsoka dzinonzi Lederhose's disease.
Dupuytren's Contracture vs. Disease
Vanhu vazhinji, vanachiremba vakabatanidza, shandisa mazwi aya zvakasiyana. Kunyora kutaura, chirwere cheDupuytren chinoreva kupararira kwemasero anokonzera kuumbwa kwemakumbo nemagungano.
Dupuytren's contract ndeyokuguma kwekuwedzera kwesero uye kuratidzwa kwakafanana kwechirwere cheDupuytren. Kurapa kwechibvumirano cheDupuytren kunogona kutaridzirwa apo chiitiko chacho chinokonzera kuoma kuita mabasa ezuva nezuva.
Prognostic Factors
| Heredity | Nhoroondo yemamiriro aya mukati memhuri yako inoratidza kuti ichava nehasha. |
| Zvepabonde | Dupuytren anowanzotanga gare gare uye anofambira mberi zvishoma nezvishoma kuvakadzi. |
| Kunwa doro kana Epilepsy | Aya mamiriro aya anosangana neDupuytren's anowedzera kushungurudza, uye zvinowanzoitika zvakare. |
| Nzvimbo yezvirwere | Kana mavoko maviri, kana kuti apo kune kuwirirana kwetsoka, kufambira mberi kunowedzera kukurumidza. |
| Maitiro Ezvirwere | Zvimwe zvechisimba Dupuytren zvinowanzoita zvakare shure kwekuvhiyiwa uye inoramba iine hutsinye. |
Kwemakore mazhinji, kurapwa muzvikamu zvepakutanga kweChipupu cheDupuytren chaiva kurinda uye kumirira mamiriro ezvinhu. Nokuti chirwere chokuvhiya chinoparadza uye chingada kuti nguva refu ibudirire uye kugadziriswa, yakawanzochengetwa sechisarudzo chekupedzisira kana zviratidzo zvakatanga kupindira zvikuru nemabasa ezuva nezuva.
Munguva pfupi yapfuura, maitiro ekurapa mashoma-asingasviki akapa tariro yokuti contract Dupuytren inogona kunyatsogadziriswa, kunyanya kana ichibatwa mumatanho ekutanga edambudziko.
Isu tinoziva kuti zvakanyanya kuvimbiswa, zvakanyanya kuve zvakanyanya kuva nerugare rwechigarire basa zvakare. Nokudaro, vanhu vazhinji vari kutsvaga zvirongwa zvishoma zvekurapa, kunyanya kutanga kwekutanga Dupuytren's contract.
Kurapa
Pane zviyamu zvina zvingasarudzwa zvekurapa ikozvino inowanikwa mukurapwa kweDupuytren's contracture:
- Kucherechedza: Kucherechedza kunowanzotaridzwa mukutanga kwechitendero cheDupuytren. Izvi zvinowanzova nzira yakanakisisa yevanhu vasina kusimba nemaoko avo. Izvi zvinogona kusanganisira vanhu vasina kubvumirana zvishoma, kana vanhu vasingashandise maoko avo, uye vanogona kuita zvose zvavanoita.
- Bhuku reAlexle Aponeurotomy : Needle aponeurotomy inzira inotangwa muFrance, iyo ichangobva kuve yakakurumbira muUnited States. Pasingashandisi zvinoshandiswa, sindete inoshandiswa kuparadzanisa tambo dzaDupuytren, uye kudzorera zvimwe kana kuti zvose zvigunwe. Simba aponeurotomy rinonyanya kubudirira muzvikamu zvekutanga zveDupuytren's contract.
- Collagenase Injections : Collagenase iine enzyme inokonzerwa nebhakitiriya iyo inopindwa mujinga reDupuytren. Iyo enzyme inoshanda kushandura maitiro akaoma Dupuytren. Rimwe zuva mushure mokujowa, mushure mekunyora kwekemikemu, iwe unodzokera kuna chiremba kuti iwe unobatwa nemunwe kuti uparadze mishonga yakasimbiswa, uye udzorere unhu hunoita.
- Kuvhiya: Kuvhiya kunoitwa kuti ubvise chikamu chemasango kubva muchanza cheruoko. Kuvhiya kunogona kubudirira pakudzorera basa, uye kunogona kudiwa mumatanho ekupedzisira eDvumelwanoytren's contract. Kuvhiyiwa kunowanzova nekugadzirisa kwenguva refu.
Surgery
Mune vamwe varwere, zvirwere zvishoma-zvisingaiti zvinogona kunge zvisina kukodzera. Uyewo, havasi vanachiremba vose vanoziva kuti sindano aponeurotomy ndiyo nzira yekurapa yeDupuytren's contract. Pane gakava pamusoro pekushandiswa kwekurapa uku, uye naizvozvo havasi vanachiremba vose vanokurudzira ingano aponeurotomy. Kana iwe uchida kukurukura nesiramu aponeurotomy ne physicain, unogona kuwana ruzivo rwechiremba vanoita izvi nenzira yeDwandaytren's-Online websaiti.
Kuvhiya kwaDupuytren's contract kunozivikanwa sef fasciectomy, uko zvikamu zveparkar palmic zvakabviswa. Kunyoresa kwekuvhiya ndechokuti kune zviitiko zvakakosha zvinosanganiswa nehutano. Chinyanya kukosha ndechokuti ruvara rwemavara runogona kuumbwa mushure mekuvhiyiwa, zvichiita kuti dambudziko rakafanana neDupuytren's contracture, asi rine ruvara rwemavara. Uyezve, iyo Dupuytren inogona kudzoka, uye kuvhiyiwa kechipiri kwakazara nezvinetso. Zvimwe zvinetso zvekuvhiya zvinosanganisira kushaya mungozi, utachiona, uye kupora kwenguva refu.
Kuvandudza
Kuvandudza mushure mekushaiwa nenyuchi aponeurotomy inokurumidza kukurumidza. Kazhinji, varwere vanogonazve kuita mabasa ezvakanaka pakarepo, uye vanorayirwa kurega mitambo uye basa rakaoma kwemavhiki. Zvichienderana nerudzi rwechibvumirano, kubviswa kunogona kupiwa kunogona kupiswa maawa mashomanana zuva rega rega.
Kuvandudza mushure mekuvhiyiwa kunosiyana zvikuru. Varwere vane zvibvumirano zvishoma vanogona kukwanisazve kuita mabasa akajairika izvo zvinoshandiswa kuporesa, mukati mavhiki mashoma. Zvimwe zvibvumirano zvakakomba zvingada mwedzi kubwinya uye kugadziriswa neruoko rwechirapa kuti zvidzivirire zvisikwa zvemavara.
Sources:
Benson LS, et al. "Dupuytren's contract" J. Am. Acad. Ortho. Surgery ;; 6: 24 - 35.
Eaton C, The Hand Center © 2007.
Murphy K, "Kururamisa Kwemitsetse Yakaitwa, Hapana Kuvhiya Kunodiwa" The New York Times July 24, 2007.