Ke ʻike nei ʻoe i nā puʻupuʻu ʻeha ma lalo o kou mau wāwae? E aʻo kākou e pili ana i ka Plantar Fibromatosis a i ʻole ka maʻi Ledderhose.

Ua ʻike anei ʻoe i kahi puʻupuʻu a puʻupuʻu paha ma lalo o kou wāwae i kou hele ʻana a i ʻole e hoʻopā aku? Me he mea lā he pī liʻiliʻi i paʻa i loko o kou kāmaʻa? Hiki i kēia mau puʻupuʻu ke hōʻeha i kekahi manawa ke kū ʻoe a hele paha. ʻO kēia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Plantar Fibromatosis , a i ʻole Ledderhose Disease . He kūlana kakaikahi kēia, akā he mea nui e makaʻala iā ia.

He aha kēia (Plantar Fibromatosis)?

I ka ʻōlelo maʻalahi, ʻo Plantar Fibromatosis kahi kūlana e kū mai ana i loko o ka plantar fascia , kahi papa mānoanoa o nā ʻiʻo e kākoʻo a pale i ke kapuwaʻi o kou wāwae. ʻO kēia kahi e ulu ai nā puʻupuʻu liʻiliʻi a paʻakikī i kapa ʻia ʻo plantar fibromas ma ke kapuwaʻi o kou wāwae, ʻoi aku hoʻi ma waenakonu o ke kūlou. Hiki i kēia mau mea ke manaʻo e like me kahi puʻupuʻu liʻiliʻi o ka lepo a i ʻole ka pī. I kekahi manawa hiki i kēia mau puʻupuʻu ke ulu wikiwiki loa, a hiki i 1 a 2 paha kenimika ka nui.

I kēia manawa ke noʻonoʻo nei paha ʻoe inā he maʻi kanesa kēia mau puʻupuʻu. ʻAʻole, ʻaʻole lākou he maʻi kanesa (benign). ʻO ke ʻano kēia ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. Eia naʻe, hiki iā lākou ke ʻeha loa . Hiki iā lākou ke hoʻopilikia i kou hiki ke kū a hele, a hiki ke hōʻemi i kou ʻano ola. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.

He aha nā pae o kēia maʻi?

ʻEkolu mau pae nui o ka Plantar Fibromatosis. E nānā kākou i ko lākou ʻano:

1. Ka pae mua (pae hoʻonui): Ma kēia pae, aia kekahi ʻano cell i kapa ʻia ʻo fibroblasts e hana ana i ka ʻiʻo ma lalo, a piʻi ka helu o kēlā mau cell. Eia nō naʻe, i kēia manawa, he kakaikahi loa ka protein i kapa ʻia ʻo collagen .

2. Ka pae hana: Maanei, ke hoʻomau nei ka ulu ʻana o nā fibroblasts, a ke piʻi nei ka nui o ke collagen. I loko o kēia pae e hoʻomaka ai nā nodules a mākou i ʻōlelo ai.

3. Pae koena: I kēia pae, emi iho ka hana fibroblast, akā wikiwiki ka hana ʻana o ka collagen. Hoʻokumu kēia i nā ʻiʻo ʻeha a hoʻomaka e ʻaelike.

He aha nā hōʻailona āu e ʻike ai?

ʻO ka maʻi Ledderhose ke kumu o hoʻokahi a ʻoi aku paha mau puʻupuʻu e ulu ana ma lalo o kou wāwae. Hiki i kēia ke lilo i mea ʻoluʻolu ʻole a hiki ke hoʻopilikia i kāu mau hana o kēlā me kēia lā. Eia kekahi mau hōʻailona ʻē aʻe o Plantar Fibromatosis:

• ʻEha a me ka pehu ʻana ma nā kapuwaʻi wāwae: Hiki ke loaʻa ka ʻeha, ʻoiai ma kahi o nā puʻupuʻu. Hiki ke hoʻonui ʻia kēia ʻeha i ke kū ʻana a i ʻole ke hele ʻana.
• Ka paʻakikī ke kū a/a i ʻole ka hele wāwae:Ma muli o ka ʻeha o nā puʻupuʻu ke kau nā kapuwaʻi ma ka honua, he paʻakikī i kekahi poʻe ke hele a kū paha.
• Nā manamana wāwae e piʻo ana i lalo: I kekahi manawa hiki i nā manamana wāwae ke piʻo i lalo, ʻo ia hoʻi, i ke kapuwaʻi o ka wāwae, ma ke ʻano maoli.
• ʻAʻole hiki ke hoʻopololei i nā manamana lima: Ke kūlou kou mau manamana lima pēlā, hiki ke paʻakikī ke hoʻopololei hou iā lākou.

He aha paha ke kumu o kēia?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka plantar fibromatosis, akā manaʻoʻiʻo lākou he nui nā kumu e kōkua ai i ia. ʻO kēia mau mea:

• ʻIke hoʻoilina: ʻO ke ʻano kēia he hiki ke hoʻoilina.
• Nā kūlana olakino ʻē aʻe e pili ana: No ka laʻana, hiki ke pili pū me nā kūlana e like me ke kuʻi ʻana o Dupuytren (kahi e kūlou ai nā manamana lima i loko), ka maʻi Peyronie (kahi kūlana e pili ana i ka penis i nā kāne), a me nā knuckle pads .
• ʻEha a ʻeha paha i nā kapuwaʻi wāwae: Hiki ke hana ʻia kēia ʻano ma muli o kahi ʻeha nui i nā kapuwaʻi wāwae.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

ʻOiai hiki ke ulu kēia maʻi (Ledderhose Disease) i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā poʻe ma waena o 30 a me 50 mau makahiki. Eia kekahi, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. Eia kekahi laʻana:

• No ka poʻe o ʻEulopa Komohana ʻĀkau.
• Hoʻomohala iki aʻe nā kāne iā ia ma mua o nā wahine.
• Aia pū kekahi i ka pilikia nui aʻe o ka poʻe puhi paka .

Eia kekahi, ʻoi aku ka maʻamau o kēia ʻano (Plantar Fibromatosis) i nā poʻe me kekahi mau maʻi ʻē aʻe. E noʻonoʻo i kēia mau mea:

• No ka poʻe e inu nui ana (Alcohol use disorder)
• No ka poʻe me ka maʻi diabetes (Diabetes Mellitus)
• No ka poʻe me ke ʻano i kapa ʻia ʻo Dupuytren contracture (ua like iki kēia me kēia maʻi)
• No ka poʻe me ka maʻi epilepsy
• No ka poʻe me ka poʻohiwi paʻa
• No ka poʻe me nā ʻūpā lima
• No ka poʻe me ke ʻano i kapa ʻia ʻo ka maʻi Peyronie

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka me kahi puʻupuʻu ma lalo o kou wāwae, pehea lā ʻo ia e ʻike ai iā ia (Plantar Fibromatosis)?

ʻO ka mea mua, e nīnau ke kauka iā ʻoe i kekahi mau nīnau. E noʻonoʻo i nā mea e like me:

• 'Aia kekahi o kou ʻohana i loaʻa i kēia ʻano ʻōuli plantar?' (ʻO ia hoʻi, e nānā inā he pilina hoʻoilina)
• Ua loaʻa anei iā ʻoe kahi maʻi e like me kēia (Dupuytren contracture) ma mua?
• 'He maʻi kō kou?'
• 'He maʻi ʻepilepsy kou?'

Ma hope o ka nīnau ʻana i kēia mau nīnau, e nānā pono ke kauka i kou wāwae. A laila, e hoʻolohe lākou i kēia mau mea:

• Nānā ʻia ke kapuwaʻi o ka wāwae no ka pehu ʻana, ka ʻūpā ʻana, nā puʻupuʻu, nā ʻeha, a i ʻole nā ​​kīnā ʻē aʻe.
• Hoʻomaopopo lākou inā he mau wahi ʻeha ma nā kapuwaʻi a me nā kuʻekuʻe wāwae, a i ʻole nā ​​​​wahi ʻeha i ke kaomi ʻia.
• E nānā ʻia ke aʻalolo Achilles ma ke kua o kou kuʻekuʻe wāwae a me nā ʻiʻo a puni ia.
• Nānā ʻia ka laulā o ka neʻe ʻana o ka wāwae.
• E noi ʻia ʻoe e hele no kahi mamao pōkole a e nānā ʻia kou mau wāwae a me nā kuʻekuʻe wāwae no ka neʻe ʻana.

Nā hoʻāʻo e hōʻoia i ka maʻi

Ma hope o kēlā, hiki i ke kauka ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻoia pololei.

• Ultrasound: Ma hope o ka nānā ʻana i kāu mau hōʻailona a me ka mōʻaukala olakino, inā manaʻo kāu kauka he Plantar Fibromatosis paha kāu, hiki iā lākou ke hana i kahi ultrasound e hōʻoia i ka hōʻailona.
• ʻO ke kiʻi ʻana o Magnetic Resonance Imaging (MRI): I kekahi manawa, i ka wā e ʻoi aku ka koʻikoʻi o ka maʻi, ua pālahalaha paha nā puʻupuʻu i loko o nā ʻiʻo ma lalo. Eia naʻe, he mea kakaikahi loa kēia. Hiki i kahi scan MRI ke kōkua i ka hoʻoholo ʻana i ke koʻikoʻi o kou kūlana.
• Biopsy: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo, nā pūnaewele, a i ʻole ka wai mai ka puʻupuʻu ma kou ʻaoʻao lalo a hoʻāʻo iā ia. Hiki i kahi biopsy ke hōʻoia ʻaʻole ka puʻupuʻu he maʻi kanesa.

He aha ka lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)

ʻAe, e nānā kākou i nā lāʻau lapaʻau i loaʻa no kēia (Plantar Fibromatosis). I nā pae mua o kēia, hoʻāʻo pinepine nā kauka e hāʻawi i ka hōʻoluʻolu me nā lāʻau lapaʻau akahai a maʻalahi.

Lapaʻau mua

• Ka hoʻopili ʻana i ka hau: E kau i kahi ʻeke hau i wahī ʻia i loko o kahi lole maʻemaʻe ma kahi ʻeha o ka kapuwaʻi wāwae no kahi o 20 mau minuke. Hiki iā ʻoe ke hana i kēia ʻekolu a ʻehā manawa i ka lā.
• Nā lāʻau lapaʻau: Hiki iā ʻoe ke kūʻai i nā lāʻau hoʻopau ʻeha ma luna o ke kūʻai aku, a i ʻole nā ​​​​lāʻau anti-inflammatory nonsteroidal (NSAID) (e like me ka aspirin, ibuprofen, a i ʻole naproxen), e hōʻemi i ka ʻeha a me ka pehu. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka.
• Orthotics: Hiki i nā mea hoʻokomo kāmaʻa ma luna o ke kauka kūʻai (OTC) a i ʻole nā ​​orthotics maʻamau ke kōkua. Hiki iā ʻoe ke ʻoki i nā lua i loko o kāu mau mea hoʻokomo kāmaʻa e kūpono ma luna o nā puʻupuʻu. E hōʻemi kēia i ke kaomi ma luna o nā puʻupuʻu.
• Lomilomi: E lomilomi mālie i nā kapuwaʻi o kou mau wāwae . Akā , mai hoʻopā i nā puʻupuʻu , no ka mea, hiki i ka hana ʻana pēlā ke hoʻonui i ka ʻeha.
• Hoʻōla kino:Hiki iā ʻoe ke hana pū me kahi mea hoʻoponopono kino e hana i nā hoʻomaʻamaʻa e hohola a hoʻoikaika i nā ʻiʻo pili i ka ʻāwae o ka wāwae.

E hoʻomanaʻo: Inā ʻaʻole e emi ka ʻeha ma hope o kekahi mau mahina me kēia mau lāʻau lapaʻau maʻalahi, pono ʻoe e ʻike hou i ke kauka.

Lapaʻau inā ʻaʻole e emi ka ʻeha

Inā ʻaʻole e emi ka ʻeha ma hope o kekahi mau mahina o nā lāʻau lapaʻau maʻalahi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe, e like me:

• ʻO nā steroid intralesional: Nā inikini steroid i hoʻokomo pololei ʻia i loko o ka puʻupuʻu.
• Lāʻau lapaʻau (Verapamil): Hāʻawi ʻia kēia i kekahi manawa ma ke ʻano he poni.
• Hoʻōla radiation:
• Lapaʻau nalu haʻalulu Extracorporeal (ESWT): He lāʻau lapaʻau e hoʻohana ana i nā nalu kani ikehu kiʻekiʻe.
• lāʻau lapaʻau (Tamoxifen):
• lāʻau lapaʻau (Sorafenib):
• ʻInikini Collagenase: He inikini e loaʻa ana kahi enzyme e wāwahi i ka collagen.
• ʻOki kino: Manaʻo ʻia ke ʻoki kino he hopena hope loa inā ʻaʻole holo pono nā lāʻau lapaʻau ʻē aʻe a pau, no ka mea, ʻoi aku ka nui o ka hiki ke hoʻi hou mai kēia mau ʻōpū.

Āhea pololei wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hoʻonohonoho pono i kahi manawa e ʻike ai i ke kauka:

• Inā ʻike ʻoe i nā puʻupuʻu ma waenakonu o ke kapuaʻi.
• Inā manaʻo ʻoe he paʻakikī iā ʻoe ke kū a hele paha.
• Inā loaʻa iā ʻoe ka ʻeha lōʻihi ma kou kua haʻahaʻa.
• Inā paʻakikī ke hoʻopololei i kou mau manamana wāwae, a inā paha me he mea lā ua kūlou lākou i lalo.

He aha nā nīnau e hiki iā ʻoe ke nīnau aku i ke kauka?

Ke ʻike ʻoe i kāu kauka, mai poina e nīnau i kāu mau nīnau e pili ana i kēia maʻi. Eia kekahi laʻana:

• 'E ke kauka, he aha nā hana e pono iaʻu e pale aku? Pehea ka lōʻihi?'
• 'He aha kaʻu e hana ai e kāohi i kēia ʻeha?'
• 'He aha ke ʻano o ka lāʻau lapaʻau a ke kauka e ʻōlelo mai nei noʻu?'

He aha ka mea e hiki ke manaʻo ʻia me kēia kūlana?

ʻO ka (Ledderhose Disease) a i ʻole (Plantar Fibromatosis) hiki ke hana i nā puʻupuʻu ʻeha ma lalo o ka wāwae. Inā ʻaʻole mālama pono ʻia, hiki i kēia ʻano ke ʻoi aku ka ʻino. Akā ʻo ka nūhou maikaʻi, ʻaʻole e laha kēia maʻi i nā ʻāpana ʻē aʻe o ke kino, a ʻaʻole ia he mea hoʻoweliweli i ke ola. Eia nō naʻe, pono ʻoe e ʻike i ke kauka e hōʻoia ʻaʻohe mau ʻano ʻē aʻe a e loaʻa ka lāʻau kūpono.

ʻOiai he maʻi laha ʻole kēia (Plantar Fibromatosis), hiki i ka noho ʻana me ia ke ʻeha loa a hoʻoluhi. I ka holomua ʻana o ka maʻi, e ʻike ʻoe e lilo ana i mea paʻakikī ke hele a kū me ka ʻeha ʻole. ʻOiai ʻaʻole maʻi kanesa nā puʻupuʻu i hana ʻia ma (Ledderhose Disease), hiki iā lākou ke hoʻopilikia maikaʻi ʻole i kou ola o kēlā me kēia lā. Inā loaʻa iā ʻoe nā hōʻailona o kēia ʻano, e kamaʻilio me ke kauka. Inā ʻike mua ʻia, hiki ke hoʻomalu ʻia me nā lāʻau lapaʻau maʻalahi. Inā ʻoi aku ka koʻikoʻi o ke ʻano, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea wāwae a me ka kuʻekuʻe wāwae.

Leka Hoʻihoʻi Hope Loa

No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka mea a mākou i kamaʻilio ai (Plantar Fibromatosis).

• Inā ʻike ʻoe i nā puʻupuʻu hou ma kou mau wāwae, ʻoiai inā he ʻeha lākou, e ʻike pono i ke kauka.
• ʻAʻole maʻi kanesa kēia mau puʻupuʻu, akā hiki iā lākou ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.
• Inā ʻike ʻia a mālama ʻia i ka wā mua, nui ka manawa e hoʻomaha ai.
• E hahai pono i nā ʻōlelo a kāu kauka a e ʻimi i ka hoʻōla kino inā pono.
• E akahele i ke koho ʻana i nā kāmaʻa, a e hoʻohana i nā orthotics inā pono.

Lawe kou mau wāwae iā ʻoe i nā wahi a pau, no laila he mea nui e mālama iā lākou. Lana koʻu manaʻo he kōkua kēia ʻike iā ʻoe!

ʻO ka plantar fibromatosis, ka maʻi Ledderhose, ka plantar fasciitis, ka ʻeha wāwae, ka ʻeha plantar, ka plantar fibroma, nā maʻi wāwae