Uri kunzwa mapundu anorwadza pasi petsoka dzako here? Ngatidzidzei nezve Plantar Fibromatosis kana kuti Ledderhose Disease.

Wakambonzwa bundu kana kuputika pasi petsoka yako paunofamba kana kuibata here? Zvinonzwa sekuti pane kanhu kadiki kakanamatira mushangu yako? Mapundu aya dzimwe nguva anogona kukonzera kurwadziwa paunomira kana kufamba. Iri ndiro dambudziko ratichataura nezvaro nhasi, rinonzi Plantar Fibromatosis , kana kuti Ledderhose Disease . Iri idambudziko risingawanzoitiki, asi zvakakosha kuti uzive nezvaro.

Chii ichi (Plantar Fibromatosis)?

Zvichitaurwa zviri nyore, Plantar Fibromatosis chirwere chinoitika mu plantar fascia , ganda gobvu rinotsigira nekudzivirira pasi petsoka yako. Apa ndipo panokura mapundu madiki, akaomarara anonzi plantar fibromas pasi petsoka yako, kunyanya pakati pe arch. Izvi zvinogona kunzwa sebundu diki revhu kana pizi. Mapundu aya dzimwe nguva anogona kukura nekukurumidza, kusvika pa 1 kana 2 centimeter muhukuru.

Zvino ungave uchishamisika kana mapundu aya ari kenza. Kwete, haasi kenza (isina kuipa). Izvi zvinoreva kuti haapararire kune dzimwe nhengo dzemuviri. Zvisinei, anogona kurwadza zvikuru . Anogona kukanganisa kugona kwako kumira nekufamba, uye anogonawo kuderedza hupenyu hwako. Saka kana uine zviratidzo izvi, zvakanaka kuona chiremba kuti akupe mazano.

Matanho echirwere ichi ndeapi?

Kune matanho matatu makuru ePlantar Fibromatosis. Ngatitarisei kuti ndeapi:

1. Chikamu chekutanga (Chikamu chekupararira): Muchikamu chino, kune rudzi rwesero rinonzi fibroblasts rinoumba nyama iri pasi, uye huwandu hwemasero iwayo hunowedzera. Zvisinei, panguva ino, pane puroteni shoma inonzi collagen .

2. Chikamu chekushanda: Pano, mafibroblast anoramba achikura, uye huwandu hwecollagen hunowedzera. Panguva iyi ndipo panotanga kuumbwa mabundu atataura.

3. Chikamu chekupedzisira: Muchikamu chino, mashandiro e fibroblast anoderera, asi kugadzirwa kwe collagen kunokurumidza. Izvi zvinoita kuti mavanga aumbe uye atange kukotama.

Ndezvipi zviratidzo zvaunogona kunzwa?

Chirwere cheLedderhose chinokonzera bundu rimwe kana akawanda pasi petsoka yako. Izvi zvinogona kushungurudza uye zvinogona kukanganisa mabasa ako ezuva nezuva. Heano mamwe zviratidzo zvePlantar Fibromatosis:

• Kurwadziwa nekuzvimba mutsoka: Kurwadziwa kunogona kuitika, kunyanya munzvimbo ine mapundu. Kurwadziwa uku kunogona kuwedzera kana wakamira kana kufamba.
• Kuoma kumira uye/kana kufamba:Nekuti mapundu anokonzera kurwadziwa kana tsoka dziri pasi, vamwe vanhu vanoomerwa nekufamba kana kutomira.
• Zvigunwe zvinokotama pasi: Dzimwe nguva zvigunwe zvinogona kukotama pasi, kureva kuti, zvichienda pasi petsoka, zvakasikwa.
• Kusagona kutwasanudza minwe: Kana minwe yako yakotama saizvozvo, zvinogona kuoma kutwasanudza zvakare.

Chii chingave chiri kukonzera izvi?

Vaongorori havasati vaziva kuti chii chinokonzera plantar fibromatosis, asi vanotenda kuti zvinhu zvakawanda zvinogona kukonzera izvi. Izvi zvinosanganisira:

• Majini: Izvi zvinoreva kuti zvinogona kugarwa nhaka.
• Zvimwe zvirwere zvine chekuita nazvo: Semuenzaniso, zvinogona kunge zvichikonzerwa nematambudziko akadai seDupuytren 's contracture (apo minwe inokotama mukati), Peyronie's disease (chirwere chinokanganisa nhengo yemurume), uye knuckle pads .
• Kukuvara kana kukuvara pasi petsoka: Dambudziko iri rinogonawo kuitika nekuda kwekukuvara kwakanyanya pasi petsoka.

Ndiani ane mukana mukuru wekuwana izvi? (Zvinhu Zvinokonzera Njodzi)

Kunyangwe chirwere ichi (Ledderhose Disease) chichigona kuitika chero pazera ripi zvaro, chinonyanya kuitika kuvanhu vane makore ari pakati pe30 ne50. Uyewo, vamwe vanhu vane mukana mukuru wekuwana chirwere ichi. Semuenzaniso:

• Kune avo vanobva kuNorthwestern Europe.
• Varume vanokura zvishoma kupfuura vakadzi.
• Vanosvuta fodya vari panjodzi huru.

Pamusoro pezvo, chirwere ichi (Plantar Fibromatosis) chinowanzoitika kuvanhu vane zvimwe zvirwere. Funga nezvezvinhu izvi:

• Kune avo vanonwa doro zvakanyanya (Dambudziko rekushandisa doro zvakanyanya)
• Kune avo vane chirwere cheshuga (Diabetes Mellitus)
• Kune avo vane chirwere chinonzi Dupuytren contracture (izvi zvakafananawo nechirwere ichi)
• Kune avo vane pfari
• Kune avo vane fudzi rakaomeswa nechando
• Kune avo vane mapedhi emakumbo
• Kune avo vane chirwere chinonzi Peyronie's disease

Chiremba anoongorora sei izvi?

Paunoenda kunoona chiremba ane bundu riri pasi petsoka yako, anoriongorora sei chaizvo (Plantar Fibromatosis)?

Kutanga, chiremba achakubvunza mibvunzo mishoma. Funga nezvezvinhu zvakaita se:

• 'Pane mumwe munhu mumhuri yako ane mhando dzakadai dzemapundu emiti here?' (Ndiko kuti, ona kana paine hukama hwenhaka)
• "Wakambova nedambudziko rakafanana neiri (Dupuytren contracture) here kare?"
• 'Une chirwere cheshuga here?'
• 'Une pfari here?'

Mushure mekubvunza mibvunzo iyi, chiremba achanyatsoongorora gumbo rako. Zvadaro, vachanyatsoteerera zvinotevera:

• Chitsiko chetsoka chinoongororwa kana paine kuzvimba, maronda, mapundu, maronda, kana zvimwe zvirema.
• Vanocherechedza kana paine nzvimbo dzinorwadza pasi petsoka nezvitsitsinho, kana nzvimbo dzinorwadza kana dzakadzvanywa.
• Tendon yeAchilles iri kumashure kwegumbo rako netsandanyama dzakaripoteredza zvichaongororwa.
• Kufamba kwetsoka kunoongororwa.
• Uchakumbirwa kufamba chinhambwe chipfupi uye tsoka dzako nemakumbo zvichatariswa kuti zvinofamba sei.

Miedzo yekusimbisa chirwere

Mushure meizvozvo, chiremba anogonawo kuita mimwe miedzo kuti asimbise chirwere chacho.

• Ultrasound: Mushure mekuongorora zviratidzo zvako nenhoroondo yezvekurapa, kana chiremba wako achifungidzira kuti ungave uine Plantar Fibromatosis, anogona kuita ultrasound kuti asimbise chirwere chacho.
• Kuongororwa kweMagnetic Resonance Imaging (MRI): Dzimwe nguva, kana chirwere chacho chakanyanya kuipa, mapundu anogona kunge apararira munyama iri pasi. Zvisinei, izvi hazviwanzoitiki. Kuongororwa kweMRI kunogona kubatsira kuona kuti chirwere chako chakanyanya sei.
• Kuongororwa kwemuviri: Izvi zvinosanganisira kutora chidimbu chidiki chenyama, masero, kana mvura kubva mubundu riri pasi pako wozviedza. Kuongororwa kwemuviri kunogona kusimbisa kuti bundu harisi rekenza.

Kurapa kweizvi ndekupi? (Kurapa)

Zvakanaka, ngationei kuti ndeapi marapirwo aripo echirwere ichi (Plantar Fibromatosis). Pakutanga kweizvi, vanachiremba vanowanzoedza kupa zororo nekurapa kuri nyore uye kwakapfava.

Kurapwa nekukurumidza

• Kuisa aizi: Isa aizi yakaputirwa nejira rakachena panzvimbo inorwadza yetsoka kwemaminitsi angangoita makumi maviri. Unogona kuita izvi katatu kusvika kana kana pazuva.
• Mishonga: Unogona kutenga mishonga inoderedza marwadzo inotengeswa kunze kwemutero, kana mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) (yakadai seaspirin, ibuprofen, kana naproxen), kuderedza marwadzo nekuzvimba. Zvisinei, zvakanaka kubvunza chiremba.
• MaOrthotics: Zvishongo zveOTC zvinogona kubatsira kana kuti maorthotics akagadzirwa nemaoko. Unogona kucheka maburi muzvishongo zvako kuti zvikwane pamusoro pemapundu. Izvi zvinoderedza kumanikidzwa kwemapundu.
• Kukwiza: Kwiza zvinyoro nyoro pasi petsoka dzako . Asi usabata mapundu , sezvo kuita izvozvo kunogona kuwedzera marwadzo.
• Kurapa muviri:Unogona kushanda nenyanzvi yekurovedza muviri kuti uite maekisesaizi anotambanudza nekusimbisa nyama dzinobatana dziri pasi petsoka.

Yeuka: Kana kurwadziwa kukasapera mushure memwedzi mishoma nemishonga iyi iri nyore, unofanira kuona chiremba zvakare.

Kurapwa kana marwadzo asingaderere

Kana kurwadziwa kusingaderere mushure memwedzi mishoma yekurapwa kuri nyore, chiremba wako anogona kukupa mamwe marapirwo, akadai se:

• Majekiseni emudumbu: Majekiseni emudumbu anopinzwa zvakananga mubundu.
• (Verapamil) Mushonga: Dzimwe nguva uyu unopihwa semushonga wekuzora.
• Kurapa nemwaranzi:
• Kurapa kweExtracorporeal shock wave (ESWT): Kurapa uchishandisa mafungu eruzha ane simba guru.
• Mushonga (Tamoxifen):
• Mushonga (Sorafenib):
• Jekiseni reCollagenase: Jekiseni rine enzyme inopwanya collagen.
• Kuvhiyiwa: Kuvhiyiwa kunowanzoonekwa senzira yekupedzisira kana mamwe marapirwo ese akakundikana, sezvo mamota aya achiwanzo dzoka.

Ndinofanira kuona chiremba rini chaizvo?

Kana uine chimwe chezviratidzo izvi, ronga nguva yekuona chiremba:

• Kana ukaona mapundu pakati pechitsiko.
• Kana uchinzwa sekunge uri kunetseka kumira kana kufamba.
• Kana uine kurwadziwa kwenguva refu kumusana wako wepazasi.
• Kana zvichinetsa kutwasanudza zvigunwe zvako, kana kuti zvichiita sekuti zvakakotama pasi.

Mibvunzo ipi yaungabvunza chiremba?

Kana waona chiremba wako, usakanganwa kubvunza mibvunzo yaunayo nezvechirwere ichi. Semuenzaniso:

• 'Chiremba, ndezvipi zvinhu zvandinofanira kudzivisa? Kwenguva yakareba sei?'
• 'Ndingaitei kuti ndidzore marwadzo aya?'
• 'Chiremba anondikurudzira kuti ndirapwe sei?'

Chii chingatarisirwa nemamiriro ezvinhu aya?

(Ledderhose Disease) kana (Plantar Fibromatosis) zvinogona kukonzera mapundu anorwadza pasi petsoka. Kana zvikasarapwa zvakanaka, chirwere ichi chinogona kuwedzera zvishoma nezvishoma. Asi mashoko akanaka ndeekuti chirwere ichi hachipararire kune dzimwe nhengo dzemuviri, uye hachityisidzi hupenyu. Zvisinei, unofanira kuona chiremba kuti uve nechokwadi chekuti hapana zvimwe zvirwere zvine njodzi uye kuti uwane kurapwa kwakakodzera.

Kunyange zvazvo chirwere ichi (Plantar Fibromatosis) chiri chirwere chisingawanzoitiki, kurarama nacho kunogona kurwadza uye kushungurudza. Sezvo chirwere ichi chichienderera mberi, uchaona kuti zvinova zvakaoma kufamba nekumira pasina kurwadziwa. Kunyange zvazvo mapundu anoumbwa mu (Ledderhose Disease) asiri ekenza, anogona kukanganisa hupenyu hwako hwezuva nezuva. Kana uine zviratidzo zvechirwere ichi, iva nechokwadi chekutaura nachiremba. Kana zvikaonekwa nekukurumidza, zvinogona kudzorwa nekurapwa kuri nyore. Kana chirwere chacho chakanyanya kuoma, chiremba wako anogonawo kukutumira kuna chiremba wetsoka nemakumbo.

Mharidzo Yekupedzisira Yekuenda Kumba

Saka, ndinovimba kuti ikozvino mava kunzwisisa zviri nani zvatakataura nezvazvo (Plantar Fibromatosis).

• Kana ukaona mapundu matsva patsoka dzako, kunyanya kana achirwadza, iva nechokwadi chekuona chiremba.
• Mapundu aya haasi ekenza, asi anogona kuita kuti zviome kuita mabasa ezuva nezuva.
• Kana chirwere chikaonekwa uye chikarapwa nekukurumidza, pane mukana mukuru wekuzorora.
• Tevedzera mirairo yachiremba wako nokungwarira uye tsvaga kurapwa kwemuviri kana zvichidikanwa.
• Chenjerera pakusarudza shangu, uye shandisa orthotics kana zvichidikanwa.

Tsoka dzako dzinokuendesa kwese kwese, saka zvakakosha kudzitarisira. Ndinovimba ruzivo urwu ruchakubatsira!

` plantar fibromatosis, chirwere cheLedderhose, plantar fasciitis, kurwadziwa kwetsoka, kurwadziwa kweplantar, plantar fibroma, zvirwere zvetsoka