Ese urimo kugira ibibyimba bibabaza munsi y'ibirenge byawe? Reka twige ku ndwara ya Plantar Fibromatosis cyangwa Ledderhose Disease.

Ese wigeze wumva ikibyimba cyangwa ikibyimba munsi y'ikirenge cyawe iyo ugenda cyangwa ugikoraho? Bimera nk'aho hari agahu gato kafashe mu nkweto yawe? Ibi bibyimba rimwe na rimwe bishobora gutera ububabare iyo uhagaze cyangwa ugenda. Iyi ni yo ndwara tugiye kuvugaho uyu munsi, yitwa Plantar Fibromatosis , cyangwa Ledderhose Disease . Iyi ni indwara idasanzwe, ariko ni ngombwa kuyimenya.

Iki ni iki (Plantar Fibromatosis)?

Mu magambo make, Plantar Fibromatosis ni indwara igaragara mu gice cy’uruti rw’ikirenge , igice kinini cy’umubiri gishyigikira kandi kirinda igice cy’ikirenge cyawe. Aha niho uduce duto, dukomeye twitwa plantar fibromas tumera ku gice cy’ikirenge cyawe, cyane cyane hagati mu gice cy’ikirenge. Ibi bishobora kumera nk’agace gato k’ibumba cyangwa amashaza. Utwo duce rimwe na rimwe dushobora gukura vuba cyane, kugeza kuri santimetero 1 cyangwa 2 mu bunini.

Noneho ushobora kuba wibaza niba ibi bibyimba ari kanseri. Oya, ntabwo ari kanseri (ntibitera kanseri). Ibi bivuze ko bitakwirakwira mu bindi bice by'umubiri. Ariko, bishobora kubabaza cyane . Bishobora kugira ingaruka ku bushobozi bwawe bwo guhagarara no kugenda, ndetse bishobora no kugabanya ubuzima bwawe. Niba rero ufite ibi bimenyetso, ni byiza kureba muganga kugira ngo akugire inama.

Ni izihe ntambwe z'iki kibazo?

Hari ibyiciro bitatu by'ingenzi bya Plantar Fibromatosis. Reka turebe ibyo ari byo:

1. Icyiciro cya mbere (Icyiciro cyo kwiyongera): Muri iki cyiciro, hari ubwoko bw'uturemangingo twitwa fibroblasts tugize ingirabuzimafatizo ziri munsi, kandi umubare w'utwo turemangingo uriyongera. Ariko, muri iki gihe, hari poroteyine nke cyane yitwa kolajeni .

2. Icyiciro cy'imikorere: Aha, fibroblast zikomeza kwiyongera, kandi ingano ya kolajeni iriyongera. Muri iki cyiciro niho uduce twavuze dutangira kwirema.

3. Icyiciro gisigaye: Muri iki cyiciro, imikorere ya fibroblast iragabanuka, ariko umusaruro wa collagen wihuta. Ibi bituma inkovu zikora hanyuma zigatangira gufungana.

Ni ibihe bimenyetso ushobora kumva?

Indwara ya Ledderhose itera ikibyimba kimwe cyangwa byinshi mu gice cyo hasi cy'ikirenge cyawe. Ibi bishobora kubangamira cyane kandi bishobora kubangamira imirimo yawe ya buri munsi. Dore ibindi bimenyetso bya Plantar Fibromatosis:

• Ububabare no kubyimba mu birenge: Ububabare bushobora kubaho, cyane cyane ahantu hari ibibyimba. Ubu bubabare bushobora kwiyongera iyo uhagaze cyangwa ugenda.
• Kugorwa no guhagarara no kugenda:Kubera ko ibibyimba bitera ububabare iyo ibirenge biri hasi, bamwe mu bantu birabagora kugenda cyangwa guhagarara.
• Amano amanuka: Hari igihe amano ashobora kugwa hasi, ni ukuvuga mu gice cyo hasi cy'ikirenge, mu buryo busanzwe.
• Kudashobora kugorora intoki: Iyo intoki zawe zimaze kunama gutyo, bishobora kugorana kongera kuzigorora.

Ni iki gishobora kuba gitera ibi?

Abashakashatsi ntibaramenya neza icyatera plantar fibromatosis, ariko bizera ko hari ibintu byinshi bishobora kuyitera. Muri byo harimo:

• Genetics: Ibi bivuze ko ishobora kuba iy'uruhererekane rw'umubiri.
• Izindi ndwara zifitanye isano: Urugero, zishobora kuba zifitanye isano n'indwara nka Dupuytren's contracture (aho intoki zigonda imbere), Peyronie's disease (indwara ifata igitsina cy'umugabo), na knuckle pads .
• Gukomereka cyangwa gukomereka ku birenge: Iyi ndwara ishobora no guterwa no gukomereka gukomeye ku birenge.

Ni nde ufite amahirwe menshi yo kurwara ibi? (Ibintu bishobora gutera ibyago)

Nubwo iyi ndwara (Ledderhose Disease) ishobora kugaragara mu myaka iyo ari yo yose, ikunze kugaragara ku bantu bari hagati y'imyaka 30 na 50. Nanone, hari abantu bashobora kuyirwara cyane. Urugero:

• Ku bakomoka mu majyaruguru y'uburengerazuba bw'i Burayi.
• Abagabo bayikuramo gato kurusha abagore.
• Abanywa itabi nabo bari mu kaga gakomeye.

Byongeye kandi, iyi ndwara (Plantar Fibromatosis) ikunze kugaragara cyane ku bantu bafite izindi ndwara zimwe na zimwe. Tekereza kuri ibi bintu:

• Ku banywa inzoga nyinshi (indwara yo kunywa inzoga)
• Ku barwayi ba diyabete (Diabete Mellitus)
• Ku bafite Dupuytren contracture (indwara ituma intoki zigonda imbere) (ibi nabyo bisa n'iyi ndwara)
• Ku bafite igicuri
• Ku bafite urutugu rwakonje
• Ku bafite udupira two ku maguru
• Ku bafite indwara yitwa Peyronie

Ni gute umuganga asuzuma ibi?

Iyo ugiye kwa muganga ufite ikibyimba munsi y'ikirenge cyawe, ni gute asuzuma neza indwara ya Plantar Fibromatosis?

Ubwa mbere, umuganga azakubaza ibibazo bike. Tekereza ku bintu nk'ibi:

• 'Hari umuntu mu muryango wawe ufite bene ubu bwoko bw'ibisebe by'ibimera?' (Ni ukuvuga, reba niba hari isano iri hagati y'ibisekuruza)
• 'Ese wigeze ugira ikibazo nk'iki (Dupuytren contracture) mbere?'
• 'Ese urwaye diyabete?'
• 'Urwaye igicuri?'

Nyuma yo kubaza ibi bibazo, muganga azasuzuma ukuguru kwawe witonze. Hanyuma, azitondera ibi bikurikira:

• Igice cy'ikirenge kirasuzumwa niba nta kubyimba, ibisebe, ibibyimba, ibikomere, cyangwa ubundi busembwa.
• Bagaragaza niba hari ahantu hababaza ku birenge no ku gatsinsino, cyangwa ahantu hababaza iyo hakandagiwe.
• Umutsi w'inyuma w'akaguru kawe n'imitsi iwukikije bizasuzumwa.
• Ingano y'ingendo z'ikirenge iragenzurwa.
• Uzasabwa kugenda n'amaguru intera ngufi kandi ibirenge byawe n'utuguru bizakurikiranwa kugira ngo birebe ko bigenda.

Ibizamini byemeza indwara

Nyuma y'ibyo, muganga ashobora kandi gukora ibizamini bimwe na bimwe kugira ngo yemeze neza ko indwara yanduye.

• Ultrasound: Nyuma yo gusuzuma ibimenyetso byawe n'amateka y'ubuzima bwawe, niba muganga wawe akeka ko ushobora kuba ufite Plantar Fibromatosis, ashobora kugukorera ultrasound kugira ngo yemeze ko ari indwara.
• Isuzuma rya Magnetic Resonance Imaging (MRI): Hari igihe, iyo indwara ikomeye cyane, ibibyimba bishobora kuba byarakwirakwiriye mu ngingo ziri munsi yayo. Ariko, ibi ni gake cyane. Isuzuma rya MRI rishobora gufasha kumenya ubukana bw'indwara yawe.
• Gupima indwara y'umubiri: Ibi bikubiyemo gufata agace gato k'uturemangingo, uturemangingo, cyangwa amazi mu kibyimba kiri hasi yawe ukagapima. Gupima indwara y'umubiri bishobora kwemeza ko ikibyimba atari kanseri.

Ni ubuhe buryo bwo kuvura ibi? (Ubuvuzi)

Noneho reka turebe uburyo bwo kuvura buhari kuri iki kibazo (Plantar Fibromatosis). Mu ntangiriro z'iki kibazo, abaganga bagerageza kuvura mu buryo bworoshye kandi bworoheje.

Ubuvuzi bw'ibanze

• Gushyira urubura: Shyira agapaki k'urubura gapfundikiye mu gitambaro gisukuye ku gice kibabaza cyo mu gice cy'ikirenge mu gihe cy'iminota 20. Ushobora kubikora gatatu kugeza kuri kane ku munsi.
• Imiti: Ushobora kugura imiti igabanya ububabare igurishwa na muganga, cyangwa imiti igabanya ububabare itari iya steroide (NSAIDs) (nka aspirine, ibuprofen, cyangwa naproxen), kugira ngo ugabanye ububabare no kubyimba. Ariko, ni byiza kugisha inama muganga.
• Imiti yo kuvura inkweto: Imiti yo kuvura inkweto ikoreshwa mu kugura inkweto (OTC) cyangwa imiti yo kuvura inkweto yihariye bishobora gufasha. Ushobora gukata imyobo mu miti yo kuvura inkweto zawe kugira ngo igere ku mitsi. Ibi bizagabanya umuvuduko ku mitsi.
• Massage: Koza witonze mu birenge byawe . Ariko ntukore ku bibyimba , kuko kubikora bishobora kongera ububabare.
• Ubuvuzi bw'umubiri:Ushobora gukorana n'umuganga w'imitsi kugira ngo ukore imyitozo yoroshya no gukomeza ingingo zihuza amaguru mu gice cyo hasi cy'ikirenge.

Ibuka: Niba ububabare butagabanutse nyuma y'amezi make ukoresheje ubu buryo bworoshye bwo kuvura, nta kabuza ugomba kongera kubonana na muganga.

Kuvura iyo ububabare butagabanutse

Niba ububabare butagabanutse nyuma y'amezi make yo kuvurwa mu buryo bworoshye, muganga wawe ashobora kukugira inama y'ubundi buryo bwo kuvura, nko:

• Steroid zo mu nda: Inshinge za steroid ziterwa mu kibyimba.
• (Verapamil) Umuti: Hari igihe utangwa nk'amavuta yo kwisiga.
• Ubuvuzi bushingiye ku mirasire:
• Ubuvuzi bwo kuvura indwara yo gushyuha hanze y'umubiri (ESWT): Ubuvuzi bukoresha amajwi afite imbaraga nyinshi.
• Umuti (Tamoxifen):
• Umuti (Sorafenib):
• Inshinge ya Collagenase: Inshinge irimo enzyme isenya collagen.
• Kubaga: Ubusanzwe kubaga bifatwa nk'uburyo bwa nyuma iyo ubundi buryo bwose bwo kuvura butagenze neza, kuko ibi bibyimba bishobora kongera kugaruka.

Ni ryari neza nabonana na muganga?

Niba ufite kimwe muri ibi bimenyetso, fata gahunda yo kubonana na muganga:

• Niba ubonye utubyimba hagati mu gice cy'inyuma.
• Niba wumva ufite ikibazo cyo guhagarara cyangwa kugenda.
• Niba ufite ububabare bw'igihe kirekire mu mugongo wo hasi.
• Niba bigoye kugorora ibirenge byawe, cyangwa niba bisa nkaho byananutse.

Ni ibihe bibazo ushobora kubaza muganga?

Iyo ugiye kwa muganga wawe, ntukibagirwe kubaza ikibazo icyo ari cyo cyose ufite kuri iyi ndwara. Urugero:

• 'Muganga, ni ibihe bikorwa nkwiye kwirinda? Igihe kingana iki?'
• 'Nakora iki kugira ngo nshobore kugenzura ubu bubabare?'
• 'Ni ubuhe bwoko bw'ubuvuzi muganga yangiriye?'

Ni iki cyakwitegwa muri iki kibazo?

(Indwara ya Ledderhose) cyangwa (Plantar Fibromatosis) bishobora gutera ibibyimba bibabaza munsi y'ikirenge. Iyo bitavuwe neza, iyi ndwara ishobora kwiyongera buhoro buhoro. Ariko inkuru nziza ni uko iyi ndwara idakwirakwira mu bindi bice by'umubiri, kandi ntabwo ishyira ubuzima mu kaga. Ariko, ugomba kujya kwa muganga kugira ngo urebe neza ko nta zindi ndwara ziteje akaga zihari kandi ubone ubuvuzi bukwiye.

Nubwo iyi ndwara (Plantar Fibromatosis) ari indwara idakunze kugaragara, kuyibana nayo bishobora kubabaza cyane kandi bigatera agahinda. Uko iyi ndwara ikomeza kwiyongera, uzasanga bigenda bigorana kugenda no guhagarara nta bubabare. Nubwo ibibyimba biba muri (Ledderhose Disease) atari kanseri, bishobora kugira ingaruka mbi ku buzima bwawe bwa buri munsi. Niba ufite ibimenyetso by'iyi ndwara, menya neza ko wavuganye na muganga. Iyo igaragaye hakiri kare, ishobora kugenzurwa hakoreshejwe uburyo bworoshye bwo kuvura. Niba iyi ndwara ikomeye gato, muganga wawe ashobora no kukwohereza kwa muganga w'inzobere mu by'ibirenge n'akaguru.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Rero, ndizera ko ubu usobanukiwe neza ibyo twaganiriyeho (Plantar Fibromatosis).

• Niba ubonye utubyimba dushya ku birenge byawe, cyane cyane niba bibabaza, menya neza ko wagiye kwa muganga.
• Ibi bibyimba ntabwo ari kanseri, ariko bishobora gutuma bigorana gukora imirimo ya buri munsi.
• Iyo igaragaye kandi ikavurwa hakiri kare, hari amahirwe menshi yo koroherwa.
• Kurikiza amabwiriza ya muganga wawe witonze kandi ushake ubuvuzi bw'umubiri nibiba ngombwa.
• Witondere igihe uhitamo inkweto, kandi ukoreshe orthotics niba bibaye ngombwa.

Ibirenge byawe birakujyana ahantu hose, bityo ni ngombwa kubyitaho. Ndizera ko aya makuru azagufasha!

` plantar fibromatosis, indwara ya Ledderhose, plantar fasciitis, ububabare bw'ibirenge, ububabare bw'ibimera, plantar fibroma, indwara z'ibirenge