Dupuytren akugwirizana: mankhwala ndi mankhwala ochiritsira, ndemanga pa zotsatira. Dupuytren akugwirizana: mankhwala popanda opaleshoni

Matendawa ndi amodzi mwa matenda omwe amapezeka masiku ano. Kawirikawiri pali vuto ngati mgwirizano, pamene kutuluka kwa mgwirizano kumapweteka kapena kosatheka. Chimodzi mwa mitundu ndi Dupuytren. Chithandizo ndi mankhwala achilendo (ndemanga zowonjezera ndi zabwino) zimathandizira kulimbana ndi matenda ngati sanagwidwe.

Kusiyana kwa Dupuytren

Matendawa akuwonetsedwa ndi kuchulukitsitsa kwa matenda a tendon ndi maonekedwe awo, chifukwa chala zala zimakhazikitsidwa bwino, ndipo kufalikira kwake kuli kochepa, zomwe zimaphatikizapo kusasunthika pang'ono kapena kwathunthu. Izi zingayambitse kutaya ntchito yaikulu ya burashi. Kukhazikitsidwa kwazomwekukuchitika kumachitika pachikhatho cha dzanja lanu. M'dera la tchire loonongeka limapanga chisindikizo ngati mawonekedwe a nkhono. Mitundu ya phokoso la chala ndi chala chaching'ono pa dzanja lamanja nthawi zambiri zimakhudzidwa. Matenda a Dupuytren amachititsa dzina lake ndi dokotala wa ku France yemwe adafotokoza mwatsatanetsatane chithunzi cha matendawa. Kawirikawiri, matendawa amapezeka mwa amuna akuluakulu, akazi amapezeka kawiri kawiri. Kumayambiriro koyambirira ndizotheka kugwiritsa ntchito mankhwalawa ndi mankhwala ochiritsira. Koma ndi njira yopita patsogolo ya matendawa, nthawi zambiri sitingathe kuchita popanda kugwira ntchito.

Masitepe a

Poganizira zizindikirozo, titha kusiyanitsa magawo 4 a Dupuytren:

1. Kupanga kamtengo kakang'ono kapena chidindo pachimake cha kukula kwa 0,5 mpaka 1 masentimita, osasokoneza moyo wa tsiku ndi tsiku. Nthawi zina, pamene ululu wa palpation ukhoza kuchitika.

2. Kulemera kwake kumawonjezeka kukula, kufalikira pamwala waukulu , khungu limakhala lolimba kwambiri pamtunda uno, ziphuphu ndi zooneka ngati mapepala zimaonekera pa izo. Ntchito yowonjezerayi ndi yoperewera, koma yopanda phindu, motero, ndi matenda omwe amadziwika ngati Dupuytren, chithandizo popanda opaleshoni chingathe kupereka zotsatira zabwino.

3. Ndondomekoyi imafalikira kotero kuti kuchepa kwazowonjezereka kungathe kufika madigiri 90. Kuti abweretse chala chake mu malo akenthu, kawirikawiri imafuna capsulotomy ya kanjedza. Pofuna kubwezeretsanso kuwonjezereka kwa chala, kuchitapo opaleshoni n'kofunikira.

4. Njira zothandizira patholotiki zimagwiritsa ntchito zipangizo zamagetsi ndi zomangamanga. Pofika pa chingwe chokhudzidwa, mgwirizano wa Dupuytren ukhoza kutha. Ntchitoyi pa sitejiyi sikuti imapereka zotsatira zabwino. Nthaŵi zina, zimadutsa pakamwa.

Zizindikiro

Chithunzi cha kuchipatala chili ndi zizindikiro zake. Kuwonekera pamtundu wa nkhono yowopsya kumalo a mgwirizano wa metacarpophalangeal, kuphatikizapo kuchepa kwa kuthekera kwa kufalikira kwa chala, ndicho chizindikiro chachikulu cha matendawa. Kuwonjezeka kwapang'onopang'ono kwa kukula kwakeku kumapangitsa kuti kuchepetsedwa kwa tendon ndi kukhazikitsidwa mgwirizano pakati pa interphalangeal.

Kumalo okhudzidwa, ziwonetsero zooneka ngati mapiko ndi ziphuphu zimakhala zoonekeratu. Zowawa kwambiri m'mayendedwe oyambirira a matendawa sizimapezeka. Amadandaula za odwala oposa 10% omwe ali ndi Dupuytren. Zithunzi za zizindikiro za matendawa zimasonyeza kuti n'zovuta kuwasokoneza ndi zizindikiro za matenda ena aliwonse.

Zofufuza

Kawirikawiri, odwala amapita kuchipatala pamene matendawa ayambitsidwa ndipo ntchito za dzanja zatha kale. Ngakhale kumayambiriro koyambirira, matendawa amatsimikiziridwa ndi chithunzi cha kachipatala kamene kamakhala ndi njira yolumikizira, kutengera kuchuluka kwa kayendetsedwe ka zala, poyerekeza ndi kukula kwake kwa kayendedwe ka mgwirizano (popanda kugwiritsa ntchito ma laboratory iliyonse). Chofunikira kwambiri ndi nthawi yomwe imapezeka "Dupuytren". Chithandizo popanda opaleshoni ndi kugwiritsa ntchito njira zowonongeka pankhaniyi zingakhale ndi zotsatira zabwino.

Zimayambitsa

Asayansi ambiri amakhulupirira kuti chachikulu chimene chimayambitsa matendawa ndi chifukwa chokhala ochepa kwambiri obadwa nawo, komanso osachiritsika a adenosine triphosphate. Zinthu zingapo zingayambitse matendawa: mavuto okhudzana ndi zaka (arthritis, arthrosis), kuvulala kwapakhomo kosagwirizana ndi zinthu zovuta kugwira ntchito, zizoloŵezi zoipa, kusowa kwa magazi. Zonsezi zimathandiza kuti chitukuko cha Dupuytren chigwirizane. Zifukwa zikhoza kukhala ndi ena, mwachitsanzo, matenda a shuga, matenda a impso, dongosolo lamanjenje, khunyu.

Chithandizo cha kuyenda. Maphunziro a madokotala

Imodzi mwa njira zothandiza kwambiri zothandizira ndi kupewa monga momwe madokotala amavomerezera ndi khalidwe la mankhwala opanga masewera olimbitsa thupi. Kusunthira mwasankhidwe bwino kumapangitsa kuti chiwerengero cha zakudya chikhale chowonjezeka m'magulu amtunduwu, kumalimbikitsa chizoloŵezi cha kuchepetsa thupi, motero kuchepetsa chiopsezo chomwe Dupuytren angagwirizane nacho. Zojambulajambula zimaphatikizapo maseŵero olimbitsa thupi monga aspensor gymnastics pamene wodwala amachita chitukuko chala za dzanja lomwe lagwiritsidwa ntchito, ndikuyendetsa phokoso lophatikizana pamodzi ndi kayendedwe ka stroking.

Zochita zolimbitsa thupi, monga madotolo amanenera, zochitika zogwira mtima kwambiri pogwiritsira ntchito zizindikiro. Angagulidwe pa shopu lililonse la masewera. Izi ndi mipira yapadera ya brush, spring kapena raber simulators-expanders. Kuwagwiritsa ntchito kwa mwezi kwa mphindi 15-20 tsiku ndi tsiku, mukhoza kuwonjezera kwambiri mphamvu ya minofu yotambasula.

Malingana ndi akatswiri, kokha ndi mawonetseredwe a chipiriro ndi chipiriro akugonjetsedwa ndi matenda ngati Dupuytren. Chithandizo cha mankhwala ochiritsira ndi abwino, koma chidzagwira ntchito pokhapokha ngati chiwonjezeredwa ku kukhazikitsidwa kwa zozoloŵera zosavuta kuti chitukuko cha minofu ya manja. Amayesetsa kutambasula ndi kuchepetsa minofu yofooketsa. Njira yowonjezera, kuphatikizapo zolimbitsa thupi, ndizofunika kwambiri mu matendawa.
Ngati mungathe kupita ku chipatala cha physiotherapy, simuyenera kusowa.

Mankhwala a anthu. Ndemanga

Amagwiritsidwa ntchito kwambiri ndi anthu omwe ali ndi mgwirizano wa Dupuytren, mankhwala ndi mankhwala ochiritsira. Yankho pazogwiritsa ntchito njira zosiyanasiyana zapakhomo zimatsimikizira kuti ndi thandizo lanu mukhoza kuchepetsa kapena kuchepetsa kupitirira kwa matendawa. Odwala madzulo onse amagwiritsa ntchito mafuta onunkhira ndi odzola, okonzeka okha.

Chithandizo cha matendawa ndi mankhwala ochizira amafuna kuti mukhale osamala kwambiri, choncho muyenera kuwapatsa nthawi. Kugwiritsa ntchito mankhwala ochiritsira, monga momwe odwala amadziwira, ndikumwamba kwambiri pamayambiriro a matendawa, komanso nthawi yomwe amatha kugwira ntchito. Njira zazikulu zothana ndi matendawa ndi ntchito zowonjezera, kusamba, compresses.

Kusamba kotchuka kwambiri ndiko kuyeretsa mbatata, kaloti, anyezi ndi beets. Muphika waukulu, khala kutsuka, kuthira madzi ndi kuwonjezera mchere wambiri ndi madontho 20 a tincture a ayodini (kwa malita asanu oyeretsera). Misa yonse kuphika mpaka ndiwo zamasamba zowonongeka, kenako kuzizira mpaka kutentha kwa madigiri 40 ndikuponyera wodwala dzanja mmenemo kwa mphindi 10, kuyesera kuwongola zala. Pambuyo pa ndondomekoyi, pezani burashi ndi thaulo lotentha.

Kuchulukitsa ndi kupondereza

Kutsekemera ndi mafuta, monga odwala akuchitira umboni, kumathandizanso kuthetsa matenda ngati momwe Dupuytren anachitira. Manjawa amadzazidwa ndi mafuta (makamaka apangidwa kunyumba), kenako amawombera kwa mphindi zisanu ndi chimodzi, akupukuta zala zanu ndi mitengo ya palmu bwino mpaka kuoneka kowawa.

Kwa compresses, mukhoza kugwiritsa ntchito madzi aloe. Tsamba lakuda likutambasula, perekani malo opweteka ndikupita kwa mphindi zingapo, kenako musambe m'manja ndi madzi ofunda. Kugwiritsira ntchito mogwira mtima ngati kutengeka kwa decoction ya singano kapena cones. 100 magalamu a singano kutsanulira kapu ya madzi otentha ndi kulola kuti ikhale yopanda. Pukutani msuzi mu msuzi kwa kanthawi kwa wodwalayo mkono. Kupititsa patsogolo ntchito yopanga njira yopangira pogwiritsa ntchito maphikidwe apadera a maphikidwe.

Njira yowonjezera

Malingaliro ambiri othandizira ali ndi chestnut tincture, yomwe imagwiritsidwa ntchito mkati. Maluwa a chomerachi ayenera kuumirizidwa pa vodka (maluwa amodzi a 500 ml ya vodika) kwa milungu iwiri m'malo amdima, ndiye kupsyinjika ndi kumwa madontho 30 patsiku.

Zotsatira zabwino, malinga ndi odwala, pogwiritsira ntchito nthawi yaitali (pafupifupi chaka chimodzi) zimapereka kulowetsedwa kwa oat. Galasi yambewu imathira madzi okwanira ndipo imapatsa maola 10. Pambuyo pake, wiritsani, yolani kuthetsa, kuwonjezera madzi ku buku lapachiyambi ndi kutenga 100 ml katatu patsiku kwa miyezi 1.5. Kenako mwezi umatha, ndipo maphunzirowo akubwerezedwa.

Pamene Dupuytren ali ndi gawo loyamba, chithandizo chopanda opaleshoni chiyenera kutsatiridwa ndi kusintha kwa zakudya. Ndikofunika kuchotsa mkaka, zakudya zamtundu, zokoma ndi kuonjezera kugwiritsira ntchito nsomba, woyera kabichi, kaloti, radish horse, radishes ndi anyezi.

Maphikidwe a mapiritsi

Ndemanga zambiri za odwala ogwirizana, zomwe zimagwiritsidwa ntchito popiritsa, zimaphatikizapo ndondomeko zakonzekera. Mu mankhwala owerengeka pali ndalama zochuluka kwambiri zomwe zimakhala zosavuta kukonzekera kunyumba.

• 250 ml mafuta a mafuta, masamba ambiri ndi masamba 7-10 a tsabola wotentha, kudutsa mu chopukusira nyama, kusakaniza ndikulimbikira masiku 9. Pambuyo pa fyuluta ndikupaka zotsatirazi zosakaniza kusuntha pazitsamba.
• 300 g wa zipatso zowonongeka, tsatirani vodka (500 ml) kwa masabata awiri, kenaka kukaniza ndi kuyatsa manja musanakagone.
• 500 g wa msuzi wamtengo wapatali wotsekedwa wothira mu botolo la galasi lakuda, kuthira madzi ndikupatsa masiku 14. Kutsekedwa kovomerezeka kukupaka pakhosi m'malo opweteka.

Kuwoneka bwino kwa mankhwala odzola, okonzedwa kuchokera ku mafuta ndi sera, adakumana ndi odwala ambiri omwe amadziwa kuti mankhwalawa ndi "Dupuytren's contracture". Umboni wawo umatsimikizira kuti mafutawa amachotsa kutupa ndi kuyabwa, amachepetsa khungu komanso amawombera malo owonongeka.

Kuphika, wiritsani 250 g wa mafuta ndi 100 g wa sera, kenaka yikani 100 g ya pine resin (monga ufa) ndi wiritsani kwa mphindi khumi, kutsanulira 30 g wa ufa wa celandine, wiritsani kwa mphindi zisanu, kutsanulira 0,5 l mafuta a mlenje, mubweretse Wiritsani ndi fyuluta. Mafutawa amayikidwa mitsuko pansi pa zivindikiro ndikugwiritsidwa ntchito.

Mosasamala kuti ndi mafuta otani omwe amagwiritsidwa ntchito popaka, onetsetsani kuti mukulunga dzanja la wodwala ndi mpango wachikondi kapena rugwira potsatira njirayi.

Kupewa matenda

Matenda aliwonse ndi osavuta kupewa kusiyana ndi kuchiza. Ndipo mgwirizano wa Dupuytren ndi wosiyana. Cholinga choletsera chiyenera kugwiritsidwa ntchito pogwiritsa ntchito chitsulo chochepetsera manja ndi mitsempha yambiri, chifukwa maonekedwe a ming'alu khungu amatha kuyambitsa matendawa. Ngati ntchitoyo imafuna kuti manja agwire nthawi yayitali, ndiye kuti maola asanu alionse, muyenera kuyendetsa mphindi zisanu, kuthamanga ndi kusinthasintha zala zanu.

Mankhwalawa adzakhala ovuta ngati atapezeka ndi mgwirizano wa Dupuytren. Chithandizo popanda opaleshoni nthawi zambiri chimangothandiza kuthetsa matendawa, koma ngakhale opaleshoni sangathe kuchotsa. Choncho, tiyenera kulimbikira kwambiri kupewa kupewa, makamaka izi zikugwiritsidwa ntchito kwa anthu omwe ali ndi choloŵa choloŵa chawo.

Palibe chifukwa chodzipangira mankhwala. Pogwiritsa ntchito mankhwala amtundu uliwonse, nthawi zonse muzifunsira kwa dokotala. Adzasankha dera la nthendayi ndikupereka momwe angagwiritsire ntchito mankhwala a Dupuytren panyumba.