Koj puas muaj pob khaus mob rau hauv qab koj txhais taw? Cia peb kawm txog Plantar Fibromatosis lossis Ledderhose Disease.

Koj puas tau muaj ib lub pob lossis lub pob me me ntawm koj txhais taw thaum koj taug kev lossis kov nws? Nws zoo li lub taum me me daig hauv koj txhais khau? Cov pob no qee zaum tuaj yeem ua rau mob thaum koj sawv lossis taug kev. Qhov no yog tus mob uas peb yuav tham txog hnub no, hu ua Plantar Fibromatosis , lossis Ledderhose Disease . Qhov no yog ib qho mob tsis tshua muaj, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.

Qhov no yog dab tsi (Plantar Fibromatosis)?

Hais yooj yim xwb, Plantar Fibromatosis yog ib qho mob uas tshwm sim hauv plantar fascia , ib txheej tuab ntawm cov ntaub so ntswg uas txhawb nqa thiab tiv thaiv lub hauv paus ntawm koj txhais taw. Qhov no yog qhov chaw me me, tawv pob hu ua plantar fibromas tsim ntawm lub hauv paus ntawm koj txhais taw, tshwj xeeb tshaj yog nyob rau hauv nruab nrab ntawm lub arch. Cov no tuaj yeem zoo li ib lub pob me me ntawm av nplaum lossis taum pauv. Cov pob no qee zaum tuaj yeem loj hlob sai heev, txog li 1 lossis 2 centimeters loj.

Tam sim no tej zaum koj yuav xav paub seb cov qog no puas yog mob qog noj ntshav. Tsis yog, lawv tsis yog mob qog noj ntshav (benign). Qhov no txhais tau tias lawv tsis kis mus rau lwm qhov ntawm lub cev. Txawm li cas los xij, lawv tuaj yeem mob heev . Lawv tuaj yeem cuam tshuam rau koj lub peev xwm sawv thiab taug kev, thiab tseem tuaj yeem txo koj lub neej zoo. Yog li ntawd, yog tias koj muaj cov tsos mob no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau txais kev qhia.

Cov theem ntawm tus mob no yog dab tsi?

Muaj peb theem tseem ceeb ntawm Plantar Fibromatosis. Cia peb saib seb lawv yog dab tsi:

1. Theem thawj (Theem Proliferative): Hauv theem no, muaj ib hom cell hu ua fibroblasts uas ua cov ntaub so ntswg hauv qab, thiab tus lej ntawm cov cell ntawd nce ntxiv. Txawm li cas los xij, lub sijhawm no, muaj cov protein me me hu ua collagen .

2. Theem nquag: Ntawm no, cov fibroblasts txuas ntxiv loj hlob, thiab qhov ntau ntawm collagen nce ntxiv. Nws yog thaum lub sijhawm no uas cov nodules uas peb tau hais txog pib tsim.

3. Theem seem: Hauv theem no, cov haujlwm fibroblast txo qis, tab sis collagen tsim tawm sai heev. Qhov no ua rau cov nqaij caws pliav tsim thiab pib cog lus.

Koj tuaj yeem hnov ​​​​​​cov tsos mob dab tsi?

Kab mob Ledderhose ua rau muaj ib lossis ntau lub pob tshwm sim rau hauv qab ntawm koj txhais taw. Qhov no tuaj yeem ua rau tsis xis nyob heev thiab tuaj yeem cuam tshuam rau koj cov dej num txhua hnub. Nov yog qee cov tsos mob ntawm Plantar Fibromatosis:

• Mob thiab o ntawm ko taw: Tej zaum yuav mob, tshwj xeeb tshaj yog nyob rau thaj chaw uas muaj pob. Qhov mob no yuav nce ntxiv thaum sawv lossis taug kev.
• Qhov nyuaj ntawm kev sawv thiab/lossis kev taug kev:Vim tias cov pob ua rau mob thaum cov taw ntawm ko taw nyob rau hauv av, qee tus neeg pom tias nws nyuaj rau taug kev lossis sawv ntsug.
• Cov ntiv taw nkhaus mus rau hauv qab: Qee zaum cov ntiv taw tuaj yeem nkhaus mus rau hauv qab, uas yog, mus rau hauv qab taw, ntawm qhov xwm txheej.
• Tsis muaj peev xwm ncaj cov ntiv tes: Thaum koj cov ntiv tes khoov li ntawd, nws yuav nyuaj rau ncaj lawv dua.

Dab tsi ua rau qhov no?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj tus kab mob plantar fibromatosis, tab sis lawv ntseeg tias muaj ntau yam ua rau muaj tus kab mob no. Cov no suav nrog:

• Cov noob caj noob ces: Qhov no txhais tau tias nws tuaj yeem yog los ntawm noob caj noob ces.
• Lwm yam mob nkeeg uas cuam tshuam nrog: Piv txwv li, nws yuav cuam tshuam nrog cov mob xws li Dupuytren's contracture (qhov twg cov ntiv tes khoov rau sab hauv), Peyronie's disease (ib yam mob uas cuam tshuam rau tus qau hauv cov txiv neej), thiab knuckle pads .
• Kev raug mob lossis raug mob rau ntawm ko taw: Qhov mob no kuj tseem tuaj yeem tshwm sim vim yog raug mob hnyav rau ntawm ko taw.

Leej twg yuav muaj feem ntau dua rau qhov no? (Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo)

Txawm hais tias tus mob no (Ledderhose Disease) tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 30 thiab 50. Tsis tas li ntawd, qee tus neeg muaj feem yuav tshwm sim nws. Piv txwv li:

• Rau cov neeg uas yog neeg European sab qaum teb.
• Cov txiv neej muaj nws ntau dua li cov poj niam.
• Cov neeg haus luam yeeb kuj muaj kev pheej hmoo siab dua.

Ntxiv mus, tus mob no (Plantar Fibromatosis) feem ntau tshwm sim rau cov neeg uas muaj lwm yam kab mob. Xav txog cov no:

• Rau cov neeg uas haus dej cawv ntau dhau (kev siv cawv tsis zoo)
• Rau cov neeg mob ntshav qab zib (Diabetes Mellitus)
• Rau cov neeg uas muaj mob hu ua Dupuytren contracture (qhov no kuj zoo ib yam li tus kab mob no)
• Rau cov neeg uas muaj mob qaug dab peg
• Rau cov neeg uas muaj lub xub pwg khov
• Rau cov neeg uas muaj cov plaub hau luv luv
• Rau cov neeg uas muaj tus mob hu ua Peyronie's disease

Tus kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob uas muaj ib lub pob nyob rau hauv qab ntawm koj txhais taw, nws yuav kuaj mob li cas (Plantar Fibromatosis)?

Ua ntej, tus kws kho mob yuav nug koj ob peb lo lus nug. Xav txog tej yam xws li:

• Puas muaj leej twg hauv koj tsev neeg muaj cov pob khaus plantar no? (Yog li ntawd, saib seb puas muaj qhov txuas ntawm caj ces)
• Koj puas tau muaj mob zoo li no (Dupuytren contracture) ua ntej lawm?
• Koj puas muaj mob ntshav qab zib?
• Koj puas muaj mob qaug dab peg?

Tom qab nug cov lus nug no, tus kws kho mob yuav kuaj koj ceg kom zoo zoo. Tom qab ntawd, lawv yuav ua tib zoo mloog cov hauv qab no:

• Yuav kuaj xyuas lub hauv paus taw seb puas o, mob nqaij, pob, qhov txhab, lossis lwm yam kev puas tsuaj.
• Lawv sau tseg seb puas muaj qhov mob ntawm cov hauv paus taw thiab pob taws, lossis cov chaw uas mob thaum nias.
• Cov leeg Achilles nyob tom qab koj pob luj taws thiab cov leeg nqaij nyob ib puag ncig nws yuav raug kuaj xyuas.
• Xyuas seb ko taw txav tau li cas.
• Yuav hais kom koj taug kev luv luv thiab koj txhais taw thiab pob luj taws yuav raug saib xyuas seb puas muaj kev txav mus los.

Kev kuaj mob kom paub tseeb tias muaj tus kab mob

Tom qab ntawd, tus kws kho mob kuj tseem yuav ua qee qhov kev kuaj mob kom paub tseeb tias yog qhov mob tseeb.

• Ultrasound: Tom qab tshuaj xyuas koj cov tsos mob thiab keeb kwm kho mob, yog tias koj tus kws kho mob xav tias koj muaj Plantar Fibromatosis, lawv yuav ua ultrasound los paub meej tias koj muaj mob.
• Kev Siv Duab Xam Phaj Sib Nqus (MRI): Qee zaum, thaum tus kab mob hnyav dua, cov qog yuav kis mus rau hauv cov nqaij hauv qab. Txawm li cas los xij, qhov no tsis tshua muaj. Kev siv MRI tuaj yeem pab txiav txim siab seb koj tus mob hnyav npaum li cas.
• Kev kuaj mob los ntawm lub cev: Qhov no suav nrog kev muab ib daim nqaij me me, cov qe ntshav dawb, lossis cov kua dej los ntawm lub qog ntawm koj lub pob tw thiab kuaj nws. Kev kuaj mob tuaj yeem lees paub tias lub qog tsis yog mob qog noj ntshav.

Kev kho mob rau qhov no yog dab tsi? (Kev kho mob)

Zoo, tam sim no cia peb saib seb muaj kev kho mob dab tsi rau qhov no (Plantar Fibromatosis). Thaum ntxov ntawm qhov no, cov kws kho mob feem ntau sim muab kev kho mob me me thiab yooj yim.

Kev kho mob thaum ntxov

• Siv dej khov: Muab ib lub pob dej khov qhwv rau hauv ib daim ntaub huv rau ntawm qhov chaw mob ntawm ko taw li 20 feeb. Koj ua tau qhov no peb mus rau plaub zaug hauv ib hnub.
• Cov Tshuaj: Koj tuaj yeem yuav cov tshuaj loog mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj, lossis cov tshuaj loog mob uas tsis yog steroidal (NSAIDs) (xws li aspirin, ibuprofen, lossis naproxen), los txo qhov mob thiab o. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los sab laj nrog kws kho mob.
• Cov Khoom Siv Kho Mob: Cov khoom siv kho mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj (OTC) lossis cov khoom siv kho mob uas tsim tshwj xeeb rau koj tus kheej yuav pab tau. Koj tuaj yeem txiav cov qhov hauv koj cov khoom siv kho mob kom haum rau cov pob qij txha. Qhov no yuav txo qhov kev nyem rau ntawm cov pob qij txha.
• Zaws: Maj mam zaws koj ob txhais taw . Tab sis tsis txhob kov cov pob , vim tias ua li ntawd tuaj yeem ua rau mob ntxiv.
• Kev kho lub cev:Koj tuaj yeem ua haujlwm nrog tus kws kho lub cev kom ua cov kev tawm dag zog uas ncab thiab ua kom cov nqaij sib txuas hauv qab taw muaj zog.

Nco ntsoov: Yog tias qhov mob tsis ploj mus tom qab ob peb lub hlis nrog cov kev kho mob yooj yim no, koj yuav tsum mus ntsib kws kho mob dua.

Kev kho mob yog tias qhov mob tsis ploj mus

Yog tias qhov mob tsis ploj mus tom qab ob peb lub hlis ntawm kev kho mob yooj yim, koj tus kws kho mob yuav qhia lwm yam kev kho mob, xws li:

• Cov tshuaj steroids hauv qhov chaw txhaj tshuaj: Cov tshuaj steroid txhaj ncaj qha rau hauv lub qog.
• (Verapamil) Tshuaj: Qhov no qee zaum muab ua tshuaj pleev.
• Kev kho mob hluav taws xob:
• Kev kho mob siv lub zog suab siab (Extracorporeal shock wave therapy - ESWT): Kev kho mob siv cov suab nrov muaj zog heev.
• (Tshuaj Tamoxifen):
• (Sorafenib) tshuaj:
• Kev txhaj tshuaj Collagenase: Kev txhaj tshuaj uas muaj cov enzyme uas rhuav tshem collagen.
• Kev Phais Mob: Feem ntau kev phais mob yog qhov kev xaiv kawg yog tias lwm yam kev kho mob tsis ua haujlwm, vim tias cov qog no yuav rov tshwm sim dua.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj ib qho ntawm cov tsos mob no, nco ntsoov teem sijhawm mus ntsib kws kho mob:

• Yog koj pom cov pob me me hauv nruab nrab ntawm lub xib teg.
• Yog koj xav tias koj muaj teeb meem sawv ntsug lossis taug kev.
• Yog tias koj muaj mob ntev ntev hauv koj lub nraub qaum qis.
• Yog tias nws nyuaj rau ncaj koj cov ntiv taw, lossis yog tias lawv zoo li khoov rau hauv qab.

Koj tuaj yeem nug tus kws kho mob li cas?

Thaum koj mus ntsib koj tus kws kho mob, tsis txhob hnov ​​qab nug txhua yam lus nug uas koj muaj txog tus mob no. Piv txwv li:

• Kws kho mob, kuv yuav tsum tsis txhob ua tej yam dab tsi? Ua ntev npaum li cas?
• Kuv ua tau dab tsi los tswj qhov mob no?
• Tus kws kho mob pom zoo kom kuv siv hom kev kho mob twg?

Yuav muaj dab tsi tshwm sim rau qhov xwm txheej no?

(Kab Mob Ledderhose) lossis (Plantar Fibromatosis) tuaj yeem ua rau mob pob rau hauv qab ko taw. Yog tias tsis kho kom zoo, qhov mob no tuaj yeem maj mam zuj zus tuaj. Tab sis qhov xov xwm zoo yog tias tus kab mob no tsis kis mus rau lwm qhov ntawm lub cev, thiab nws tsis ua rau tuag taus. Txawm li cas los xij, koj yuav tsum mus ntsib kws kho mob kom paub tseeb tias tsis muaj lwm yam mob txaus ntshai thiab kom tau txais kev kho mob zoo.

Txawm hais tias qhov no (Plantar Fibromatosis) yog ib yam kab mob uas tsis tshua muaj, tab sis kev nyob nrog nws tuaj yeem ua rau mob heev thiab ntxhov siab. Thaum tus kab mob zuj zus tuaj, koj yuav pom tias nws nyuaj rau taug kev thiab sawv tsis mob. Txawm hais tias cov qog uas tsim hauv (Ledderhose Disease) tsis yog mob qog noj ntshav, lawv tuaj yeem cuam tshuam tsis zoo rau koj lub neej txhua hnub. Yog tias koj muaj cov tsos mob ntawm tus mob no, nco ntsoov tham nrog kws kho mob. Yog tias paub ntxov, nws tuaj yeem tswj tau nrog kev kho mob yooj yim. Yog tias tus mob hnyav dua me ntsis, koj tus kws kho mob kuj tseem yuav xa koj mus rau tus kws kho mob ko taw thiab pob luj taws.

Cov Lus Xaus Kawg coj mus tsev

Yog li, kuv vam tias koj tam sim no nkag siab zoo dua txog qhov peb tau tham txog (Plantar Fibromatosis).

• Yog koj pom cov pob tshiab ntawm koj txhais taw, tshwj xeeb yog tias lawv mob, nco ntsoov mus ntsib kws kho mob.
• Cov qog no tsis yog mob qog noj ntshav, tab sis lawv tuaj yeem ua rau nws nyuaj rau ua cov haujlwm txhua hnub.
• Yog kuaj pom thiab kho thaum ntxov, yuav muaj feem ntau dua los pab.
• Ua raws li koj tus kws kho mob cov lus qhia kom zoo thiab nrhiav kev kho lub cev yog tias tsim nyog.
• Ua tib zoo thaum xaiv khau, thiab siv cov orthotics yog tias tsim nyog.

Koj txhais taw coj koj mus txhua qhov chaw, yog li nws tseem ceeb heev rau kev saib xyuas lawv. Kuv vam tias cov ntaub ntawv no yuav pab tau koj!

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