Kodi mukukumana ndi zotupa zopweteka pansi pa mapazi anu? Tiyeni tiphunzire za Plantar Fibromatosis kapena Ledderhose Disease.

Kodi munamvapo chotupa kapena chotupa pansi pa phazi lanu mukamayenda kapena kuchikhudza? Chimamveka ngati nandolo yaying'ono yalowa mu nsapato yanu? Zotupa izi nthawi zina zimayambitsa kupweteka mukamayimirira kapena kuyenda. Uwu ndi vuto lomwe tikambirane lero, lotchedwa Plantar Fibromatosis , kapena Ledderhose Disease . Uwu ndi vuto losowa, koma ndikofunikira kudziwa za izi.

Kodi ichi ndi chiyani (Plantar Fibromatosis)?

Mwachidule, Plantar Fibromatosis ndi matenda omwe amapezeka mu plantar fascia , minofu yokhuthala yomwe imathandizira ndikuteteza phazi lanu. Apa ndi pomwe ziphuphu zazing'ono, zolimba zotchedwa plantar fibromas zimamera pansi pa phazi lanu, makamaka pakati pa arch. Izi zimatha kumveka ngati chidutswa cha dongo kapena nandolo. Ziphuphu izi nthawi zina zimatha kukula mwachangu kwambiri, mpaka masentimita 1 kapena 2 kukula.

Tsopano mwina mukudabwa ngati zotupa izi ndi khansa. Ayi, si khansa (yoipa). Izi zikutanthauza kuti sizifalikira ku ziwalo zina za thupi. Komabe, zimatha kupweteka kwambiri . Zingakhudze luso lanu loyimirira ndi kuyenda, komanso zingachepetse moyo wanu. Chifukwa chake ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala kuti akupatseni upangiri.

Kodi magawo a vutoli ndi ati?

Pali magawo atatu akuluakulu a Plantar Fibromatosis. Tiyeni tiwone zomwe zili:

1. Gawo loyamba (Gawo Lochulukitsa): Mu gawoli, pali mtundu wa selo lotchedwa fibroblasts lomwe limapanga minofu yomwe ili pansi pake, ndipo chiwerengero cha maselowo chimawonjezeka. Komabe, panthawiyi, pali mapuloteni ochepa kwambiri otchedwa collagen .

2. Gawo Logwira Ntchito: Apa, ma fibroblast amapitirira kukula, ndipo kuchuluka kwa collagen kumawonjezeka. Ndi panthawiyi pomwe timibulu tatchulazi timayamba kupangika.

3. Gawo lotsalira: Mu gawoli, ntchito ya fibroblast imachepa, koma kupanga kolajeni kumachitika mwachangu. Izi zimapangitsa kuti minofu ya zipsera ipangidwe ndikuyamba kufooka.

Ndi zizindikiro ziti zomwe mungamve?

Matenda a Ledderhose amachititsa kuti pakhale chotupa chimodzi kapena zingapo pansi pa phazi lanu. Izi zingakhale zovuta kwambiri ndipo zingasokoneze zochita zanu za tsiku ndi tsiku. Nazi zizindikiro zina za Plantar Fibromatosis:

• Ululu ndi kutupa m'mapazi: Ululu ukhoza kuchitika, makamaka m'dera lomwe pali ziphuphu. Ululuwu ukhoza kuwonjezeka mukamayimirira kapena kuyenda.
• Kuvuta kuyima ndi/kapena kuyenda:Popeza kuti ziphuphuzi zimayambitsa ululu pansi pa mapazi, anthu ena amavutika kuyenda kapena kuimirira.
• Zala zakumanja zikupindika pansi: Nthawi zina zala zakumanja zimatha kupindika pansi, kutanthauza kuti, ku phazi, mwachibadwa.
• Kulephera kuwongola zala: Zala zanu zikapindika choncho, zimakhala zovuta kuziwongolanso.

Kodi n’chiyani chingayambitse izi?

Ofufuza sakudziwabe chomwe chimayambitsa plantar fibromatosis, koma akukhulupirira kuti pali zinthu zingapo zomwe zingayambitse vutoli. Izi zikuphatikizapo:

• Majini: Izi zikutanthauza kuti ikhoza kukhala yobadwa nayo.
• Matenda ena okhudzana ndi thanzi: Mwachitsanzo, akhoza kugwirizanitsidwa ndi matenda monga Dupuytren’s contracture (komwe zala zimapinda mkati), matenda a Peyronie (vuto lomwe limakhudza mbolo mwa amuna), ndi ma knuckle pads .
• Kuvulala kapena kuvulala kwa mapazi: Vutoli likhoza kuchitikanso chifukwa cha kuvulala kwakukulu kwa mapazi.

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu Zoopsa)

Ngakhale kuti vutoli (Ledderhose Disease) lingayambe munthu aliyense, limapezeka kwambiri mwa anthu azaka zapakati pa 30 ndi 50. Komanso, anthu ena ali ndi mwayi waukulu woti adwale matendawa. Mwachitsanzo:

• Kwa iwo omwe ali ndi fuko la Northwestern Europe.
• Amuna amakula pang'ono kuposa akazi.
• Anthu osuta fodya nawonso ali pachiwopsezo chachikulu.

Kuphatikiza apo, vutoli (Plantar Fibromatosis) limapezeka kwambiri mwa anthu omwe ali ndi matenda ena. Taganizirani izi:

• Kwa iwo omwe amamwa mowa mopitirira muyeso (vuto la kugwiritsa ntchito mowa)
• Kwa odwala matenda a shuga (Diabetes Mellitus)
• Kwa iwo omwe ali ndi Dupuytren contracture (vuto lomwe limapangitsa kuti zala zipinde mkati) (izi zikufanananso ndi matendawa)
• Kwa iwo omwe ali ndi khunyu
• Kwa iwo omwe ali ndi mapewa oundana
• Kwa iwo omwe ali ndi ma knuckle pads
• Kwa iwo omwe ali ndi vuto lotchedwa matenda a Peyronie

Kodi dokotala amazindikira bwanji izi?

Mukapita kwa dokotala ndi chotupa pansi pa phazi lanu, kodi amachipeza bwanji (Plantar Fibromatosis)?

Choyamba, dokotala adzakufunsani mafunso angapo. Ganizirani zinthu monga:

• 'Kodi pali aliyense m'banja mwanu amene ali ndi matenda a plantar warts ngati amenewa?' (Ndiye kuti, onani ngati pali cholowa chogwirizana)
• 'Kodi mudayamba mwakhalapo ndi vuto lofanana ndi ili (Dupuytren contracture) kale?'
• 'Kodi muli ndi matenda ashuga?'
• 'Kodi muli ndi khunyu?'

Pambuyo pofunsa mafunso awa, dokotala adzayang'ana mwendo wanu mosamala. Kenako, adzayang'ana zotsatirazi:

• Chidendene cha phazi chimafufuzidwa ngati pali kutupa, mabala, ziphuphu, mabala, kapena zolakwika zina.
• Amazindikira ngati pali malo opweteka pansi pa mapazi ndi zidendene, kapena malo omwe amapweteka akamakanikiza.
• Mnofu wa Achilles womwe uli kumbuyo kwa bondo lanu ndi minofu yozungulira bondo lanu zidzawunikidwa.
• Kuyenda kwa phazi kumayesedwa.
• Mudzapemphedwa kuyenda mtunda waufupi ndipo mapazi ndi akakolo anu adzayang'aniridwa kuti aone ngati akuyenda bwino.

Mayeso otsimikizira matendawa

Pambuyo pake, dokotala angachitenso mayeso ena kuti atsimikizire matenda enieni.

• Ultrasound: Pambuyo pofufuza zizindikiro zanu ndi mbiri yanu yachipatala, ngati dokotala wanu akukayikira kuti mwina muli ndi Plantar Fibromatosis, angachite ultrasound kuti atsimikizire matendawa.
• Kujambula kwa Magnetic Resonance Imaging (MRI): Nthawi zina, matendawa akakula kwambiri, ziphuphu zimatha kufalikira m'minofu yapansi. Komabe, izi sizichitika kawirikawiri. Kujambula kwa MRI kungathandize kudziwa momwe matenda anu alili ovuta.
• Kufufuza za khansa: Izi zimaphatikizapo kutenga chidutswa chaching'ono cha minofu, maselo, kapena madzi kuchokera pa chotupa chomwe chili pansi panu ndikuchiyesa. Kufufuza za khansa kungatsimikizire kuti chotupacho sichili ndi khansa.

Kodi chithandizo cha izi ndi chiyani? (Chithandizo)

Chabwino, tsopano tiyeni tiwone mankhwala omwe alipo pa izi (Plantar Fibromatosis). Poyamba izi, madokotala nthawi zambiri amayesa kupereka mpumulo ndi mankhwala ofatsa komanso osavuta.

Chithandizo choyambirira

• Kupaka ayezi: Ikani paketi ya ayezi yokulungidwa mu nsalu yoyera pamalo opweteka pansi pa phazi kwa mphindi pafupifupi 20. Mutha kuchita izi katatu kapena kanayi patsiku.
• Mankhwala: Mutha kugula mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa kampani, kapena mankhwala oletsa kutupa (NSAIDs) (monga aspirin, ibuprofen, kapena naproxen), kuti muchepetse ululu ndi kutupa. Komabe, ndi bwino kufunsa dokotala.
• Ma Orthotics: Zovala zogulira nsapato zomwe sizigwiritsidwa ntchito pa kauntala (OTC) kapena ma orthotics apadera angathandize. Mutha kudula mabowo m'mabowo anu kuti agwirizane ndi ma bumps. Izi zichepetsa kupanikizika kwa ma bumps.
• Kusisita: Pakani pang'onopang'ono mapazi anu . Koma musakhudze mabala , chifukwa kuchita zimenezi kungapangitse ululu kukhala wochuluka.
• Kuchiza thupi:Mukhoza kugwira ntchito ndi katswiri wa zamaganizo kuti muchite masewera olimbitsa thupi omwe amatambasula ndikulimbitsa minofu yolumikizana pansi pa phazi.

Kumbukirani: Ngati ululu sutha patatha miyezi ingapo ndi mankhwala osavuta awa, muyenera kuwonananso ndi dokotala.

Chithandizo ngati ululu suchepa

Ngati ululu suchepa patatha miyezi ingapo ya chithandizo chosavuta, dokotala wanu angakulangizeni njira zina zochiritsira, monga:

• Ma steroid a m'mimba: Jakisoni wa steroid wolowetsedwa mwachindunji mu chotupa.
• (Verapamil) Mankhwala: Nthawi zina amaperekedwa ngati mafuta odzola.
• Chithandizo cha radiation:
• Chithandizo cha mafunde ogwedezeka akunja kwa thupi (ESWT): Chithandizo chogwiritsa ntchito mafunde amphamvu kwambiri a phokoso.
• Mankhwala (Tamoxifen):
• Mankhwala a (Sorafenib):
• Kuikapo Collagenase: Jakisoni wokhala ndi enzyme yomwe imaphwanya collagen.
• Opaleshoni: Opaleshoni nthawi zambiri imaonedwa ngati njira yomaliza ngati njira zina zonse zalephera, chifukwa zotupazi zimatha kubwereranso.

Kodi ndiyenera kupita kwa dokotala liti kwenikweni?

Ngati muli ndi zizindikiro izi, onetsetsani kuti mwaonana ndi dokotala:

• Ngati muwona ziphuphu pakati pa chidendene.
• Ngati mukumva ngati mukuvutika kuyima kapena kuyenda.
• Ngati muli ndi ululu wa msana kwa nthawi yayitali.
• Ngati n'kovuta kuwongola zala zanu za mapazi, kapena ngati zikuoneka kuti zawerama pansi.

Ndi mafunso ati omwe mungafunse dokotala?

Mukapita kwa dokotala wanu, musaiwale kufunsa mafunso aliwonse omwe muli nawo okhudza vutoli. Mwachitsanzo:

• 'Dokotala, ndi zinthu ziti zomwe ndiyenera kupewa? Kwa nthawi yayitali bwanji?'
• 'Ndingatani kuti ndichepetse ululu uwu?'
• 'Dokotala akundilangiza chithandizo chamtundu wanji?'

Kodi n’chiyani chingayembekezeredwe ndi vutoli?

(Matenda a Ledderhose) kapena (Plantar Fibromatosis) angayambitse ziphuphu zopweteka pansi pa phazi. Ngati sizikuchiritsidwa bwino, vutoli likhoza kuipiraipira pang'onopang'ono. Koma nkhani yabwino ndi yakuti matendawa safalikira ku ziwalo zina za thupi, ndipo sakuika moyo pachiswe. Komabe, muyenera kuonana ndi dokotala kuti muwonetsetse kuti palibe matenda ena oopsa komanso kuti mupeze chithandizo choyenera.

Ngakhale kuti matenda amenewa (Plantar Fibromatosis) ndi osowa kwambiri, kukhala nawo kungakhale kopweteka kwambiri komanso kovutitsa maganizo. Pamene matendawa akupitirira, mudzapeza kuti zimakhala zovuta kuyenda ndi kuyimirira popanda kupweteka. Ngakhale kuti ziphuphu zomwe zimapangika mu (Ledderhose Disease) si khansa, zimatha kusokoneza moyo wanu watsiku ndi tsiku. Ngati muli ndi zizindikiro za matendawa, onetsetsani kuti mwalankhula ndi dokotala. Ngati mwazindikira msanga, zitha kuthetsedwa ndi mankhwala osavuta. Ngati vutoli ndi lalikulu pang'ono, dokotala wanu angakutumizireninso kwa katswiri wa mapazi ndi akakolo.

Uthenga Womaliza Wopita Nawo Kunyumba

Kotero, ndikukhulupirira kuti tsopano mwamvetsa bwino zomwe tidakambirana (Plantar Fibromatosis).

• Ngati muwona zotupa zatsopano pa mapazi anu, makamaka ngati zikupweteka, onetsetsani kuti mwaonana ndi dokotala.
• Mabowo amenewa si a khansa, koma angapangitse kuti zikhale zovuta kuchita zinthu za tsiku ndi tsiku.
• Ngati matendawa atapezeka ndi kuchiritsidwa msanga, pali mwayi waukulu wopeza mpumulo.
• Tsatirani malangizo a dokotala wanu mosamala ndipo funani chithandizo cha physiotherapy ngati pakufunika kutero.
• Samalani posankha nsapato, ndipo gwiritsani ntchito ma orthotics ngati pakufunika kutero.

Mapazi anu amakutengerani kulikonse, choncho ndikofunikira kuwasamalira. Ndikukhulupirira kuti izi zikuthandizani!

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