Yadda ake Ganewa da Kula da kwangilar Dupuytren

Wadatacce

• Dalilin kwantiragin Dupuytren
• Alamomin kwantiragin Dupuytren
• Yadda ake kula da kwangilar Dupuytren
• 1. Yin gyaran jiki
• 2. Yin tiyata
• 3. Allurar Collagenase

Kwancen Dupuytren canji ne da ke faruwa a tafin hannu wanda ke sa yatsa koyaushe ya kasance mai lankwasa da sauran. Wannan cutar ta fi shafar maza ne, daga shekara 40 kuma yatsun da suka fi kamuwa su ne zobe da ruwan hoda. Ana yin maganinta ta hanyar ilimin motsa jiki, amma a wasu lokuta tiyata na iya zama dole.

Wannan kwangilar ba ta da kyau, amma tana iya kawo rashin jin daɗi da hana rayuwar yau da kullun ga wanda abin ya shafa, wanda ke haifar da ciwo da wahalar buɗe hannu gaba ɗaya. A wannan yanayin, ana haifar da ƙananan nodules na fibrosis waɗanda za a iya ji yayin matse yankin dabino. Yayin da suke girma, nubules na Dupuytren suna haɓaka ƙananan igiyoyi waɗanda suka faɗaɗa haifar da kwangilar.

Dalilin kwantiragin Dupuytren

Wannan cutar na iya zama na gado, sanadiyyar cutar kansa, yana iya bayyana saboda wani aiki na ciwan ciki ko ma saboda tasirin wani magani, kamar Gadernal. Yawanci yakan faru ne ta hanyar maimaita motsi na rufe hannu da yatsu, musamman ma idan akwai rawar jiki da ke ciki. Mutanen da ke da ciwon sukari, shan sigari da shan giya fiye da kima da alama suna da sauƙi don haɓaka waɗannan nodules.

Alamomin kwantiragin Dupuytren

Alamun kwantiragin Dupuytren sune:

• Nodules a cikin tafin hannu, wanda ke ci gaba da samar da 'kirtani' a yankin da abin ya shafa;
• Matsalar buɗe yatsun da abin ya shafa;
• Matsalar sanya hannunka a buɗe yadda yakamata akan shimfidar ƙasa, misali tebur, misali.

Babban likitan ne ko likitan kashi ya yi wannan binciken, har ma ba tare da buƙatar takamaiman gwaji ba. Mafi yawan lokuta cutar kanyi saurin tafiya sannu a hankali, kuma a kusan rabin al'amuran duka hannaye biyu suna yin tasiri a lokaci guda.

Yadda ake kula da kwangilar Dupuytren

Ana iya yin magani tare da:

1. Yin gyaran jiki

Maganin kwangilar Dupuytren ana yin sa ne tare da aikin likita, inda za a iya amfani da albarkatun anti-inflammatory kamar su laser ko duban dan tayi. Bugu da kari, hada karfi da karfe da kuma lalacewar nau'ikan nau'ikan nau'ikan collagen na uku a cikin fascia wani bangare ne na jinyar, ko dai ta hanyar tausa ko amfani da na'urori, kamar ƙugiya, ta amfani da dabarar da ake kira ƙira. Maganin gyaran hannu yana iya kawo raɗaɗin ciwo da ƙarancin kyallen takarda, yana mai daɗaɗa jin daɗi ga mai haƙuri, inganta ƙimar rayuwarsa.

2. Yin tiyata

Ana nuna tiyata musamman lokacin da kwangilar ta fi 30º a yatsun hannu kuma ta fi 15º girma a tafin hannu, ko kuma lokacin da nodules suka haifar da ciwo. A wasu lokuta, tiyata ba ta warkar da cutar, saboda tana iya sake faruwa shekaru da yawa daga baya. Akwai damar 70% na cutar ta dawo yayin da ɗayan waɗannan dalilai suka kasance: jinsi maza, farkon cutar kafin shekaru 50, tare da samun hannayen duka biyun, samun relativesan uwan ​​farko daga arewacin Turai da kuma samun yatsu abin ya shafa. Koyaya, duk da haka, ana ci gaba da nuna tiyata saboda yana iya kawo taimako daga alamun lokaci mai tsawo.

Bayan tiyatar, tilas ne a sake dawo da aikin motsa jiki, kuma galibi ana amfani da tsaga don yatsun yatsu na tsawon watanni 4, wanda dole ne a cire kawai don tsabtace mutum da kuma yin maganin jiki. Bayan wannan lokacin, likita na iya sake yin nazari, kuma ya rage amfani da wannan ƙwanƙwasa mara motsi don yin amfani da shi yayin bacci kawai, na wasu watanni 4.

3. Allurar Collagenase

Wani, hanyar da ba ta da yawa ta magani ita ce aikace-aikacen enzyme da ake kira collagenase, wanda aka samo daga ƙwayoyin cuta Clostridium histolyticum, kai tsaye a kan fascia da abin ya shafa, wanda kuma ke samun kyakkyawan sakamako.

Gujewa rufe hannunka da yatsunka sau da yawa a rana shawara ce da za a bi, idan ya cancanta, an ba da shawarar dakatar da aiki ko canjin fannin, idan wannan na ɗaya daga cikin dalilan bayyanar ko kuma taɓarɓarewar nakasar.