He puku rite te rahi ki te pīni kei te kapu o ō waewae, e uaua ai te hikoi? Me ako tātou mō te Plantar Fibromatosis!

Kua pāngia koe e tētahi mea pēnei i te puku iti i raro i tō waewae? Kei te rite koe ki te mea he kirikiri iti kei roto i tō hu? Kei te mamae rānei tō waewae i a koe e hikoi ana? Ehara ēnei i te tohu hei wareware noa. I tēnei rā ka kōrero tātou mō tētahi mate e kore e pai te āhua, engari kāore i te tino mōhiotia.

He aha tēnei (Plantar Fibromatosis) te mate Lederhose rānei?

Ki te kī māmā noa iho, ko te Plantar Fibromatosis , e mōhiotia ana ko te mate Ledderhose e ētahi, he mate onge e pā ana ki te paparanga kiko honohono matotoru i raro i ō tātou waewae. Ko tēnei paparanga kiko honohono e kiia ana ko te plantar fascia . Hei whakamārama, koinei te mea e tiaki ana, e tautoko ana hoki i ō tātou kapu waewae. Nō reira, ina puta tēnei plantar fibromatosis, ka puta he pona iti, mārō, tata ki te rahi o te pī, ki raro i te waewae, inā koa i te āwhata o te waewae. Ka tere te tipu o ēnei pona i ētahi wā, tae atu ki te 1, ki te 2 henimita rānei te rahi. Whakaarohia te kore whakamarie ina rongo koe me te mea he kirikiri iti kei roto i tō hu!

Ehara ēnei puku i te mate pukupuku, arā, he "pai" , arā, kāore e kino. Heoi, ka taea e rātou te whakararu i te mamae . Ka piki ake pea tēnei mamae i te tū, i te hikoi rānei. I ētahi wā, ka heke te kounga o te oranga ki te wāhi e kore ai e taea e koe te mahi i ō mahi o ia rā. Nō reira, ki te pāngia koe e ēnei tohu, he pai ake te toro atu ki te tākuta i te wā e taea ai. Kātahi ka taea e ia te tirotiro i tō waewae, me te kī atu ki a koe he aha ngā kōwhiringa maimoatanga e tika ana māu.

He aha ngā wāhanga o tēnei mate?

E toru ngā wāhanga matua o te plantar fibromatosis. Kia titiro tātou he aha ēnei.

• Te wāhanga tuatahi (Wāhanga whakaputa uri): I tēnei wā, ka piki ake te maha o ngā pūtau e kiia nei ko ngā fibroblast, he momo pūtau e hanga ana i te kiko honohono. Heoi, i tēnei wā, he tino iti te pūmua e kiia nei ko te collagen .
• Te wāhanga tuarua (Wāhanga Kaha): I konei, ka tipu tonu ngā pūtau fibroblast, ā, ka piki ake hoki te nui o te collagen. Ka tīmata aua puku i kōrerotia ake nei ki te hanga i tēnei wāhanga.
• Te wāhanga tuatoru (Wāhanga Toenga): Ina tae tātou ki tēnei wāhanga, ka heke te mahi a ngā pūtau fibroblast. Engari he tino tere te tipu o te collagen. Nā tēnei, ka hangaia he kiko whara, ka tīmata te whakawhāiti me te (whakapiri).

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He aha ngā tohu o te plantar fibromatosis?

Kua kōrerotia mai ki a mātou ko te mate Lederhosen ka puta he puranga pupuhi i ngā kapu o ō waewae. Ka tino whakararuraru tēnei, ā, i ētahi wā ka kore e taea te mahi i ngā mahi o ia rā. He aha atu ngā tohu ka puta mai i tēnei?

• Te mamae me te pupuhi i ngā kapu o ngā waewae.
• Te uaua ki te tū me te hikoi.
• I ētahi wā ka piko ngā māikuku ki te kapu o te waewae , me te mea kei te mau.
• Te kore e taea te whakatika i ngā maihao.

Whakaarohia te nui o te raruraru mēnā he mamae noa iho te hikoi!

He aha ngā take mō tēnei?

Kāore anō kia tino mōhiotia e ngā kairangahau te pūtake o tēnei mate, engari e whakaaro ana rātou he maha ngā āhuatanga ka whai wāhi ki tēnei.

• Ira tuku iho: I ētahi wā ka taea te tuku iho.
• Ētahi atu āhuatanga hauora: Hei tauira, tera pea e hono ana ki ngā āhuatanga pēnei i te Dupuytren contracture (he āhuatanga e mārō ai ngā kapu o ngā ringa, e uaua ai te piko o ngā maihao), te mate a Peyronie (he āhuatanga o ngā ira tāne), me ngā hononga o ngā hononga.
• Ngā whara, ngā aituā rānei ki ngā kapu o ngā waewae: I ētahi wā ka puta anō hoki tēnei āhuatanga i te whara o ngā kapu o ngā waewae.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ka taea e tēnei mate te pā mai i ngā tau katoa. Heoi, he nui ake te kitea i roto i te hunga i waenga i te 30 me te 50 tau te pakeke. Koia anō hoki:

• Mō te hunga nō te Tai Tokerau o Ūropi.
• He nui ake te whanaketanga o tēnei āhuatanga ki ngā tāne i ngā wāhine.
• He nui ake anō hoki te mōrearea o te hunga kaipaipa .

Hei tāpiritanga, ko te hunga whai mate pūmau ka nui ake te tūponotanga ki te whakawhanake i te plantar fibromatosis. Hei tauira:

• Te mate whakamahi waipiro.
• Mate huka.
• Ko te mate Dupuytren i kōrerotia e au i mua ake nei.
• Mate haurangi.
• Pakihiwi tio.
• Ngā papa o te ringaringa.
• Te mate a Peyronie.

Me pēhea te tātaritanga a ngā tākuta i te Ledarthrosis?

Ina haere koe ki te tākuta, ka pātai atu ia i ētahi pātai ki a koe i mua i te tirotiro i tō waewae. He aha ngā pātai?

• Kua pāngia tetahi o tō whānau e te plantar fibromatosis i mua?
• Kua tākutatia kētia koe mō tētahi āhuatanga rite, pērā i te mate pukupuku o Dupuytren?
• He mate huka tōu?
• He mate haurangi tōu?

Kātahi ka tirohia tō waewae e te tākuta. Ka rapua e ia ngā mea e whai ake nei:

• Tirohia mēnā he pupuhi, he marō, he puku, he patunga, he panoni rānei ki te āhua o te kapu o te waewae.
• Kia tūpato ki ngā wāhi o te kapu o ngā waewae me ngā rekereke e mamae ana, e whara rānei ina pēhia.
• Ka tirohia hoki tō uaua Achilles me ngā uaua e karapoti ana.
• Ka tirohia te whānuitanga o te nekehanga o te waewae.
• Ka tonoa koe kia hikoi mō tētahi tawhiti poto, ā, ka aroturukitia ō waewae me ō pona waewae mō ngā nekehanga.

Ngā whakamātautau hei tautuhi i te mate

Ka whakahaerehia pea e te tākuta ētahi whakamātautau hei tautuhi tika i te plantar fibromatosis.

• Whakamātautau Ultrasound:Mā tēnei ka āwhina i a koe ki te whakaū i ngā whakaaro o te tākuta mā te tirotiro i ō tohu me tō hītori hauora.
• MRI (Whakaahua Āhua Aukume): I ētahi wā, ina kua tino horapa te mate, ka taea e ngā puku te uru hohonu ki roto i te arai o te puku. Engari he tino onge tēnā. Ka taea e te MRI te āwhina ki te whakatau i te kino o tō āhua.
• Ko te koiora: Ko te tango i tētahi wahi iti o te kiko, o ngā pūtau, o te wai rānei mai i te kapu o tō waewae hei whakamātautau. Mā te koiora ka taea te whakaū kāore te puku i te mate pukupuku.

Me pēhea te rongoā i te plantar fibromatosis?

Ki te kitea wawetia tēnei mate, he maha ngā huarahi hei rongoā. Kia kite tātou he aha ēnei.

• Hukapapa: Whakatakotoria he putea hukapapa kua hipokina ki te tauera māmā ki te kapu o te waewae mō te 20 meneti pea, e toru ki te whā ngā wā i te rā.
• Ngā Rongoā: Ka taea e koe te hoko i ngā rongoā mamae kore-whakapā (NSAID - Ngā rongoā anti-inflammatory kore-steroidal) pērā i te aspirin, ibuprofen, me te naproxen hei whakaiti i te mamae me te pupuhi. Heoi, he pai ake te kōrero ki te tākuta.
• Ngā taputapu whakakapi waewae: Ka taea e ngā taputapu tāpiri hu, ngā taputapu whakakapi waewae rānei i hangaia kia rite ki ō hiahia. Ka taea e koe te tapahi i ngā kōhao iti ki ngā kapu o ēnei hu hei whakamama i te pēhanga ki ngā puku.
• Mirimiri: Mirimiri mārire i te kapu o ō waewae. Kaua e pā ki ngā puku, kei nui ake pea te mamae.
• Whakaora tinana: Mahi tahi me te kaiwhakaora tinana ki te mahi i ngā mahi whakakori tinana e totoro ana, e whakapakari ana hoki i ngā kiko honohono o te tuara o raro.

Kia maumahara, ki te kore te mamae e memeha i muri i ētahi marama mā te whakamahi i ēnei maimoatanga ngāwari, me toro atu anō koe ki te tākuta.

Ki te kore e whakaora i te mamae, ka tūtohu pea te tākuta i ētahi atu maimoatanga, pēnei i:

• Ngā steroids ā-roto .
• He rongoā e kīia ana ko Verapamil (ka hoatuhia tēnei i ētahi wā hei hinu).
• Te rongoā irahiko .
• Te rongoā ngaru ohorere i waho o te tinana (ESWT) .
• Ko Tamoxifen te ingoa o te rongoā.
• Ko te ingoa o te rongoā ko Sorafenib .
• Werohanga kolakenase .
• Hei whakamutunga, ka mahia he pokanga hei tango i ngā puku.

Āhea ahau me toro atu ki te tākuta?

Mena ka pāngia koe e tētahi o ēnei tohu, me whakarite he wā ki te toro atu ki te tākuta:

• Ki te kite koe i ngā puku, i ngā kōpuku rānei i waenganui o te kapu.
• Mena he uaua ki te tū, ki te hikoi rānei.
• Mena he mamae tonu kei roto i ngā kapu o ngā waewae.
• Mena he uaua ki te whakatikatika i ō matimati.

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• He aha ngā mahi me karo e au, ā, kia pēhea te roa?
• He aha taku e taea ai te whakahaere i tōku mamae?
• He aha ngā maimoatanga e taunaki ana koe?

He aha ngā mea ka taea e au te tumanako mēnā he plantar fibromatosis tōku?

Ka pā mai pea ngā puku mamae ki ngā kapu o ngā waewae i te Lederhosen, ā, ki te kore e rongoatia, ka kino haere te āhua. Ko te rongo pai, kāore tēnei āhua e horapa ki ētahi atu wāhanga o te tinana, ā, ehara i te āhua e morearea ai te ora. Heoi anō, me toro atu koe ki te tākuta kia mōhio ai koe ehara i te mea kino rawa atu, kia tika ai hoki te maimoatanga.

Ahakoa he mate onge te plantar fibromatosis, he tino mamae, he tino pōuri hoki te noho tahi me tēnei mate. I te whanaketanga o te mate, tera pea ka uaua ki a koe te hikoi me te kore mamae, me te tū hoki. Waimarie, ehara ngā tipu e puta mai ana i tēnei mate i te mate pukupuku. Heoi, ka pā kino pea ki tō oranga. Mena kei a koe ēnei tohu, kaua e mangere ki te kōrero ki te tākuta. Mena ka kitea wawetia e koe, ka taea te whakahaere mā te whakamahi i ngā maimoatanga ngāwari. Mena he kino te mate, ka tukuna pea koe e tō tākuta ki tētahi tohunga waewae me te pona.

Hei whakamutunga, ngā mea hei maumahara

Āe, kua mārama kē koe ki te mate plantar fibromatosis, te mate Lederhoz rānei, i kōrerohia e tātou i tēnei rā. Ko te mea nui, ki te rongo koe i tētahi puku rerekē i te kapu o tō waewae, he mamae, he uaua rānei ki te hikoi, kaua e wareware noa, engari me rapu tohutohu hauora. Ki te mōhio wawe koe, he māmā ake te rongoā. Kāore he mea hei manukanuka, ehara tēnei i te mate pukupuku. Engari kāore koe e hiahia ki te noho me te mamae, tika? Nō reira, tiakina tō tinana, ā, ki te kite koe i tētahi huringa, me mahi tonu.