Konteraka ea Dupuytren

Konteraka ea Dupuytren ke ho tiisa le ho tiisa (contracture) ea lisele ka tlasa letlalo letsohong la letsoho le menoana.

Lebaka ha le tsejoe. U na le monyetla oa ho hlaolela boemo bona haeba u na le nalane ea lelapa. Ho bonahala eka ha e bakoe ke ho lula kapa ho tsoa tsietsing.

Boemo bona bo atile haholo kamora ho ba lilemo tse 40. Banna ba ameha khafetsa ho feta basali. Lisosa tse kotsi ke tšebeliso ea joala, lefu la tsoekere le ho tsuba.

Ho ka ameha letsoho le leng kapa a mabeli. Monoana oa lesale o ameha khafetsa, o lateloa ke menoana e menyenyane, e bohareng le ea index.

Ho hlaha leqhubu le lenyane kapa hlama liseleng tse ka tlasa letlalo lehlakoreng la palema la letsoho. Ha nako e ntse e feta, e tenya joaloka sehlopha se kang mohala. Hangata, ha ho na bohloko. Maemong a sa tloaelehang, li-tendon kapa manonyeletso a ruruha ebile a bohloko. Matšoao a mang a ka bang teng ke ho hlohlona, ​​khatello, ho cha kapa khatello.

Ha nako e ntse e feta, ho ba thata ho holisa kapa ho otlolla menoana. Maemong a boima, ho li otlolla ho ke ke ha khoneha.

Mofani oa tlhokomelo ea bophelo o tla hlahloba matsoho a hau. Ho lemoha hangata ho ka etsoa ka matšoao a tloaelehileng a boemo boo. Liteko tse ling ha li hlokahale hangata.

Haeba boemo bo se bobe haholo, mofani oa hau a ka khothaletsa boikoetliso, libaka tse futhumetseng tsa ho hlapela metsi, ho otlolla kapa ho hlapela.

Mofani oa hau a ka khothaletsa kalafo e kenyelletsang ho kenya moriana kapa ntho e 'ngoe le e' ngoe lithong tse se nang mabali kapa tse bofubelu:

• Moriana oa Corticosteroid o imolla ho ruruha le bohloko. E sebetsa hape ka ho se lumelle ho tenya ha lisele ho mpefala. Maemong a mang, e folisa lisele ka botlalo. Hangata ho hlokahala litlhare tse 'maloa.
• Collagenase ke ntho e tsejoang e le enzyme. E entoa ka har'a lisele tse teteaneng ho e senya. Kalafo ena e bontšitsoe e sebetsa hantle joalo ka ho buuoa.

Ho ka etsoa opereishene ho tlosa lisele tse amehileng. Hangata ho buuoa ho buelloa maemong a boima ha monoana o se o sa khone ho atolosoa. Ho ikoetlisa ka mor'a ho buuoa ho thusa letsoho ho hlaphoheloa ka tsela e tloaelehileng.

Tsamaiso e bitsoang aponeurotomy e ka khothaletsoa. Sena se kenyelletsa ho kenya nale e nyane sebakeng se amehileng ho arola le ho khaola maqhubu a teteaneng a lisele. Hangata ho ba le bohloko bo fokolang kamora moo. Pholiso e potlakile ho feta ho buuoa.

Mahlaseli a kotsi ke khetho e 'ngoe ea kalafo. E sebelisetsoa linyeoe tse bonolo tsa tumellano, ha lisele li se thata joalo. Phekolo ea radiation e ka emisa kapa ea liehisa ho tenya ha lisele. Hangata e etsoa hanngoe feela.

Bua le mofani oa hau ka likotsi le melemo ea mefuta e fapaneng ea kalafo.

Boloetse bona bo tsoela pele ka sekhahla se sa lebelloang. Phekolo hangata e ka khutlisetsa motsamao o tloaelehileng ho menoana. Lefu lena le ka khutla hape nakong ea lilemo tse 10 kamora ho buuoa makhetlo a ka bang halofo ea linyeoe.

Ho mpefala ha konteraka ho ka baka bofokoli le tahlehelo ea tšebetso ea letsoho.

Ho na le kotsi ea ho lematsoa ke methapo ea mali le methapo nakong ea ts'ebetso ea opereishene kapa aponeurotomy.

Bitsa mofani oa hau haeba u na le matšoao a lefu lena.

Hape letsetsa haeba o lahleheloa ke maikutlo monoaneng oa hau kapa haeba malebela a menoana a utloa a bata 'me a ba putsoa.

Ho hlokomela maemo a kotsi ho ka lumella ho fumanoa kapele le kalafo.

Palmar fascial fibromatosis - Dupuytren; Konteraka ea pherekano - Dupuytren; Nale aponeurotomy - Dupuytren; Ho lokolloa ha nale - Dupuytren; Percutaneous nale fasciotomy - Dupuytren; Fasciotomy- Dupuytren; Ente ea enzyme - Dupuytren; Ente ea Collagenase - Dupuytren; Fasciotomy - enzymatic - Dupuytren

Costas B, Coleman S, Kaufman G, James R, Cohen B, Gaston RG. Ts'ebetso le polokeho ea collagenase clostridium histolyticum bakeng sa maqhutsu a lefu la Dupuytren: teko e laoloang ka linako tsohle. Bothata ba BMC Musculoskelet. 2017; 18: 374. PMCID: 5577662 www.ncbi.nlm.nih.gov/pmc/articles/PMC5577662.

Calandruccio JH. Konteraka ea Dupuytren. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 75.

Lefu la Eaton C. Dupuytren. Ka: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, bahlophisi. Opereishene ea Letsoho ea Green. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 4.

Motsoako oa Stretanski MF. Konteraka ea Dupuytren. Ka: Frontera WR, Silver JK, Rizzo TD, e monyenyane, eds. Bohlokoa ba Phekolo ea 'mele le Tlhabollo: Mathata a Musculoskeletal, Pain, le Rehabilitation. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 29.