He mau puʻupuʻu e like me ka nui o ka pī ma nā kapuwaʻi o kou mau wāwae, e paʻakikī ai ka hele ʻana? E aʻo kākou e pili ana i ka Plantar Fibromatosis!

Ua ʻike anei ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi ma lalo o kou wāwae? Ke manaʻo nei anei ʻoe ua paʻa kahi ʻiliʻili liʻiliʻi i loko o kou kāmaʻa? A i ʻole ua ʻeha kou wāwae i kou hele ʻana? ʻAʻole kēia he mau hōʻailona e hoʻowahāwahā wale ʻia. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻoluhi like ʻole, akā ʻaʻole i ʻike nui ʻia.

He aha kēia (Plantar Fibromatosis) a i ʻole ka maʻi Lederhose?

I ka ʻōlelo maʻalahi, ʻo Plantar Fibromatosis , i ʻike ʻia hoʻi ʻo ka maʻi Ledderhose e kekahi poʻe, he maʻi kakaikahi ia e hoʻopilikia ai i ka papa pili mānoanoa ma lalo o ko mākou mau wāwae. Ua kapa ʻia kēia papa pili ʻo plantar fascia . I ka pololei, ʻo ia ka mea e pale a kākoʻo i ko mākou mau kapuwaʻi. No laila, i ka wā e loaʻa ai kēia plantar fibromatosis, nā nodules liʻiliʻi a paʻakikī, e like me ka nui o ka pea, e hana ʻia ma lalo o ka wāwae, ʻoi aku hoʻi ma ke apo o ka wāwae. Hiki i kēia mau nodules ke ulu wikiwiki loa, a hiki i 1 a 2 kenimika paha ka nui. E noʻonoʻo i ke ʻano ʻoluʻolu ʻole ke manaʻo ʻoe he ʻiliʻili liʻiliʻi kāu i paʻa ai i kou kāmaʻa!

ʻAʻole kēia mau puʻupuʻu he maʻi kanesa, ʻo ia hoʻi he "maikaʻi" lākou, ʻo ia hoʻi, ʻaʻole lākou e hōʻino. Eia naʻe, hiki iā lākou ke hōʻeha nui . Hiki ke hoʻonui ʻia kēia ʻeha i ke kū ʻana a i ʻole ke hele wāwae ʻana. I kekahi manawa, hiki ke hoʻemi ʻia ke ʻano o ke ola a hiki i kahi hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe. A laila hiki iā ia ke nānā i kou wāwae a haʻi iā ʻoe i nā koho lapaʻau kūpono iā ʻoe.

He aha nā pae o kēia maʻi?

ʻEkolu mau pae nui o ka plantar fibromatosis. E nānā kākou i ke ʻano o lākou.

• ʻO ka pae mua (pae hoʻonui): I loko o kēia wā, piʻi ka nui o nā pūnaewele i kapa ʻia ʻo fibroblasts, ʻo ia kekahi ʻano pūnaewele e hana i nā ʻiʻo hoʻopili. Eia nō naʻe, i loko o kēia wā, ua haʻahaʻa loa ka protein i kapa ʻia ʻo collagen .
• ʻO ka lua o ka pae (Papa hana): Maanei, ke hoʻomau nei nā pūnaewele fibroblast i ka ulu ʻana, a ke piʻi nei hoʻi ka nui o ka collagen. Hoʻomaka kēlā mau puʻupuʻu a mākou i ʻōlelo ai e hana i kēia pae.
• ʻO ke kolu o ka pae (Residual phase): Ke hiki mākou i kēia pae, emi iho ka hana o nā cell fibroblast. Akā, wikiwiki loa ka ulu ʻana o ka collagen. Ma muli o kēia, ua hoʻokumu ʻia nā ʻiʻo ʻeha, kahi e hoʻomaka ai e paʻa a (contract).

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He aha nā hōʻailona o ka plantar fibromatosis?

Ua haʻi ʻia mai iā mākou ʻo ka maʻi Lederhosen ke kumu o ka hōʻiliʻili ʻana o nā puʻupuʻu ma nā kapuwaʻi o kou mau wāwae. Hiki ke hoʻoluhi loa kēia, a i kekahi manawa hiki ʻole ke hana i nā hana o kēlā me kēia lā. He aha nā hōʻailona ʻē aʻe e hiki ai i kēia ke hana?

• ʻEha a me ka pehu ʻana ma nā kapuwaʻi.
• Ka paʻakikī ke kū a me ka hele ʻana.
• I kekahi manawa kūlou nā manamana wāwae i ke kapuwaʻi o ka wāwae , me he mea lā e makau ʻia ana.
• ʻAʻole hiki ke hoʻopololei i nā manamana lima.

E noʻonoʻo i ka nui o ka pilikia inā he ʻeha ka hele wāwae ʻana!

He aha nā kumu no kēia?

ʻAʻole maopopo loa i nā kānaka noiʻi ke kumu o kēia maʻi, akā manaʻo lākou he nui nā kumu e kōkua ai i ia.

• ʻIke hoʻoilina: I kekahi manawa hiki ke hoʻoilina.
• Nā kūlana olakino ʻē aʻe: No ka laʻana, pili paha ia me nā kūlana e like me ka Dupuytren contracture (kahi kūlana e paʻakikī ai nā poho lima a paʻakikī ke kūlou i nā manamana lima), ka maʻi Peyronie (kahi kūlana o ka ʻōpū kāne), a me nā knuckle pads.
• Nā ʻeha a i ʻole nā ​​ulia i nā kapuwaʻi wāwae: I kekahi manawa hiki ke hana ʻia kēia ʻano e ka ʻeha i nā kapuwaʻi wāwae.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

Hiki i kēia maʻi ke ulu i kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka maʻamau i nā poʻe ma waena o 30 a me 50 mau makahiki. Eia kekahi:

• 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 nui o ka poʻe me kekahi mau maʻi mau e loaʻa i ka plantar fibromatosis. Eia kekahi laʻana:

• Ka pilikia o ka hoʻohana ʻana i ka waiʻona.
• Ka maʻi diabetes.
• ʻO kēlā ʻaelike Dupuytren aʻu i ʻōlelo ai ma mua.
• ʻEpilepsy.
• Poʻohiwi paʻahau.
• Nā pāpaku puʻupuʻu.
• ʻO ka maʻi Peyronie.

Pehea e ʻike ai nā kauka iā Ledarthrosis?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau ma mua o ka nānā ʻana i kou wāwae. He aha nā nīnau?

• Ua loaʻa anei i kekahi o kou ʻohana ka plantar fibromatosis ma mua?
• Ua ʻike mua ʻia ʻoe me kahi ʻano like, e like me ka ʻaelike ʻo Dupuytren?
• He maʻi diabetes kou?
• He maʻi ʻepilepsy kou?

A laila e nānā ke kauka i kou wāwae. E nānā ʻo ia i kēia mau mea:

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

Nā hoʻāʻo e ʻike i ka maʻi

Hiki paha i ke kauka ke hana i kekahi mau hoʻokolohua e hoʻomaopopo pololei i ka plantar fibromatosis.

• Hoʻokolokolo ʻana o ka ultrasound:E kōkua kēia i ka hōʻoia ʻana i ka manaʻo o ke kauka ma ka nānā ʻana i kāu mau hōʻailona a me kāu mōʻaukala olakino.
• MRI (Magnetic Resonance Imaging): I kekahi manawa, ke holomua ka maʻi, hiki i nā puʻupuʻu ke komo hohonu i loko o ka ʻōpū. Akā, he mea kākaʻikahi loa ia. Hiki i kahi 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 ʻāpana, a i ʻole ka wai mai ke kapuwaʻi o kou wāwae no ka hoʻāʻo ʻana. Hiki i kahi biopsy ke hōʻoia ʻaʻole he maʻi kanesa ka puʻupuʻu.

Pehea e mālama ʻia ai ka plantar fibromatosis?

Inā ʻike mua ʻia kēia maʻi, aia kekahi mau ala e mālama ai. E nānā kākou i ke ʻano o lākou.

• Hau: E kau i kahi ʻeke hau i uhi ʻia me kahi kāwele māmā ma ke kapuwaʻi o ka wāwae no kahi o 20 mau minuke, 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 (NSAIDs - nā lāʻau anti-inflammatory nonsteroidal) e like me ka aspirin, ibuprofen, a me ka 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 a i ʻole nā ​​orthotics i hana kūikawā ʻia ke kōkua. Hiki iā ʻoe ke ʻoki i nā lua liʻiliʻi ma nā ʻaoʻao o kēia mau kāmaʻa e hoʻomaha ai i ke kaomi ma nā puʻupuʻu.
• Lomilomi: E lomilomi mālie i nā kapuwaʻi o kou mau wāwae. Akā, mai hoʻopā i nā puʻupuʻu, no ka mea, ʻo ka hana ʻana pēlā e hoʻonui ai i ka ʻeha.
• Hoʻōla kino: E hana pū me kahi mea hoʻōla kino e hana i nā hoʻomaʻamaʻa e hoʻolōʻihi a hoʻoikaika i nā ʻiʻo pili i ke kua haʻahaʻa.

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.

Inā ʻaʻole ia e hōʻoluʻolu i ka ʻeha, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe, e like me:

• Nā steroid intralesional .
• He lāʻau lapaʻau i kapa ʻia ʻo Verapamil (i kekahi manawa hāʻawi ʻia kēia ma ke ʻano he poni).
• Hoʻōla radiation .
• Lapaʻau haʻalulu extracorporeal (ESWT) .
• ʻO Tamoxifen ka inoa o ka lāʻau lapaʻau.
• ʻO Sorafenib ka inoa o ka lāʻau lapaʻau.
• ʻO ka hoʻokomo ʻana i ka collagenase .
• ʻO ka hope loa, hana ʻia ke ʻoki ʻana e wehe i nā puʻupuʻu.

Āhea wau e ʻike ai i ke kauka?

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

• Inā ʻike ʻoe i nā puʻupuʻu a i ʻole nā ​​​​puʻupuʻu ma waenakonu o ke kapuaʻi.
• Inā paʻakikī ke kū a hele paha.
• Inā he ʻeha mau ma nā kapuwaʻi wāwae.
• Inā paʻakikī ke hoʻopololei i kou mau manamana wāwae.

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha nā hana e pono iaʻu e hōʻalo a no ka lōʻihi?
• He aha kaʻu e hana ai e kāohi i koʻu ʻeha?
• He aha nā lāʻau lapaʻau āu e paipai nei?

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka plantar fibromatosis?

Hiki iā Lederhosen ke hana i nā puʻupuʻu ʻeha ma nā kapuwaʻi wāwae, a inā ʻaʻole mālama ʻia, hiki i ke kūlana ke ʻoi aku ka ʻino. ʻO ka nūhou maikaʻi, ʻaʻole e laha kēia kūlana i nā ʻāpana ʻē aʻe o ke kino, a ʻaʻole ia he kūlana e hoʻoweliweli i ke ola. Eia nō naʻe, pono ʻoe e ʻike i ke kauka e hōʻoia ʻaʻole ia he mea ʻoi aku ka koʻikoʻi a e loaʻa i ka lāʻau kūpono.

ʻOiai he maʻi laha ʻole ka plantar fibromatosis, hiki i ka noho ʻana me ia ke ʻeha loa a hoʻoluhi. I ka holomua ʻana o ka maʻi, hiki iā ʻoe ke paʻakikī ʻaʻole wale ke hele me ka ʻeha ʻole, akā ke kū pū kekahi. ʻO ka mea pōmaikaʻi, ʻaʻole nā ​​​​​​mea ulu e ulu ana i kēia maʻi he maʻi kanesa. Eia naʻe, hiki iā lākou ke loaʻa ka hopena maikaʻi ʻole i kou ola. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​mai kānalua e kamaʻilio me ke kauka. Inā ʻike mua ʻoe iā lākou, hiki ke kāohi ʻia me nā lāʻau lapaʻau maʻalahi. Inā koʻikoʻi ka maʻi, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea wāwae a me nā kuʻekuʻe wāwae.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, i kēia manawa ua maopopo iā ʻoe ka plantar fibromatosis, a i ʻole ka maʻi Lederhoz, a mākou i kamaʻilio ai i kēia lā. ʻO ka mea nui loa, inā ʻoe e manaʻo i kahi puʻupuʻu maʻamau ʻole ma ke kapuwaʻi o kou wāwae, ʻeha, a paʻakikī paha i ka hele wāwae, mai hoʻowahāwahā wale iā ia a e ʻimi i ke aʻo lapaʻau. Inā ʻike mua ʻoe iā ia, ʻoi aku ka maʻalahi o ka mālama ʻana. ʻAʻohe mea e hopohopo ai, ʻaʻole kēia he maʻi kanesa. Akā, ʻaʻole ʻoe makemake e noho me ka ʻeha, ʻeā? No laila e mālama i kou kino, a inā ʻike ʻoe i kekahi mau loli, e hana koke.

ʻO ka plantar fibromatosis, ka maʻi Ledderhose, ka ʻeha wāwae, nā puʻupuʻu wāwae, nā maʻi wāwae, nā ʻiʻo pili, nā kapuwaʻi wāwae, plantar fibromatosis, ka maʻi Ledderhose