Dupuytren kwangila

Dupuytren kwangila shine kauri da matsi (kwangila) na nama ƙarƙashin fata akan tafin hannun da yatsun hannu.

Ba a san musabbabin hakan ba. Zai yuwu ku kamu da wannan matsalar idan kuna da tarihin iyali. Da alama ba aiki ne ya same shi ba ko kuma saboda rauni.

Yanayin ya fi kamari bayan shekaru 40. Maza sun fi kamuwa fiye da mata. Abubuwan haɗarin sune amfani da barasa, ciwon suga, da shan sigari.

Hannun ɗaya ko duka biyu na iya shafar. Yatsan zobe yana shafar mafi sau da yawa, sannan thean, tsakiya, da yatsun hannu ke bi.

Aarami, nodule ko dunƙule yana tasowa a cikin nama da ke ƙasan fatar a gefen tafin hannun. Bayan lokaci, ya yi kauri zuwa gaɗa kamar igiya. Yawancin lokaci, babu ciwo. A cikin al'amuran da ba kasafai ake samun su ba, jijiyoyin ko haɗuwa sun zama kumbura da zafi. Sauran alamun bayyanar sune itching, matsa lamba, ƙonawa, ko tashin hankali.

Yayin da lokaci ya wuce, zai zama da wuya a miƙa ko miƙe yatsun. A cikin yanayi mai tsanani, daidaita su ba zai yiwu ba.

Mai ba da kiwon lafiya zai bincika hannuwanku. Ana iya yin ganewar asali yawanci daga alamun alamun halin. Sauran gwaje-gwaje ba safai ake buƙata ba.

Idan yanayin ba mai tsanani ba ne, mai ba da sabis naka na iya bayar da shawarar motsa jiki, baho mai dumi, mikewa, ko tsinkaye.

Mai ba da sabis ɗinku na iya ba da shawarar magani wanda ya haɗa da allurar magani ko wani abu a cikin tabo ko ƙwayar fibrous:

• Corticosteroid magani yana magance kumburi da zafi. Hakanan yana aiki ta hana barin kaurin nama yayi muni. A wasu lokuta, yana warkar da nama gaba daya. Yawancin lokuta ana buƙatar magunguna.
• Collagenase wani abu ne wanda aka sani da enzyme. An yi masa allura a cikin kaurin nama don fasa shi. Wannan magani an nuna yana da tasiri kamar tiyata.

Za a iya yin aikin tiyata don cire kayan da abin ya shafa. Yawancin lokaci ana ba da shawarar yin aikin tiyata a cikin mawuyacin yanayi lokacin da ba za a iya ƙara yatsa ba. Motsa jiki na motsa jiki bayan tiyata yana taimakawa hannu don dawo da motsi na yau da kullun.

Hanyar da ake kira aponeurotomy na iya bada shawarar. Wannan ya haɗa da saka ƙaramin allura a cikin yankin da abin ya shafa don raba da kuma yanke sarƙar kaurin nama. Yawancin lokaci akwai ƙananan ciwo bayan haka. Waraka ya fi aikin tiyata sauri.

Radiation wani zaɓi ne na magani. Ana amfani da shi don ƙananan lokuta na kwanciya, lokacin da nama ba shi da kauri sosai. Radiation na radiyo na iya tsaidawa ko rage saurin kaurin nama. Yawanci ana yin sa ne sau ɗaya kawai.

Yi magana da mai ba ka sabis game da haɗari da fa'idodin nau'ikan jiyya.

Rashin lafiyar yana ci gaba a matakin da ba za a iya faɗi ba. Yin aikin tiyata na iya maido da motsi na yau da kullun ga yatsunsu. Cutar na iya sake dawowa tsakanin shekaru 10 bayan tiyata har zuwa rabin cutar.

Mafi munin kwangila na iya haifar da nakasawa da rasa aikin hannu.

Akwai haɗarin rauni ga jijiyoyin jini da jijiyoyi yayin aikin tiyata ko aponeurotomy.

Kira mai ba ku sabis idan kuna da alamun wannan matsalar.

Hakanan kira idan kun rasa ji a yatsanku ko kuma idan yatsun yatsunku suna jin sanyi kuma sun zama shuɗi.

Sanin abubuwan haɗari na iya ba da damar ganowa da magani da wuri.

Palmar fascial fibromatosis - Dupuytren; Flexion kwangila - Dupuytren; Aponeurotomy na Allura - Dupuytren; Sakin allura - Dupuytren; Ciwon allura fasciotomy - Dupuytren; Fasciotomy- Dupuytren; Allurar enzyme - Dupuytren; Allurar Collagenase - Dupuytren; Fasciotomy - enzymatic - Dupuytren

Costas B, Coleman S, Kaufman G, James R, Cohen B, Gaston RG. Inganci da amincin collagenase clostridium histolyticum don cutar nupules na Dupuytren: gwajin bazuwar sarrafawa. BMC Cutar Musculoskelet. Magani. 2017; 18: 374. PMCID: 5577662 www.ncbi.nlm.nih.gov/pmc/articles/PMC5577662.

Calandruccio JH. Dupuytren kwangila A cikin: Azar FM, Beaty JH, Canale ST, eds. Bellungiyar Orthopedics ta Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: babi na 75.

Eaton C. Dupuytren cuta. A cikin: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Yin aikin tiyatar hannu na Green. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 4.

Stretanski MF. Dupuytren kwangila A cikin: Frontera WR, Azurfa JK, Rizzo TD, Jr., eds. Mahimmancin Magungunan Jiki da Gyarawa: Cutar Musculoskeletal, Pain, da Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: babi na 29.