Ngaba unamaqhuma abuhlungu ezantsi kweenyawo zakho? Masifunde ngePlantar Fibromatosis okanye iLedderhose Disease.

Ngaba wakha waziva iqhuma okanye iqhuma ezantsi konyawo lwakho xa uhamba okanye ulichukumisa? Livakala ngathi kukho i-pea encinci enamathele esicathulweni sakho? La maqhuma ngamanye amaxesha anokubangela iintlungu xa umi okanye uhamba. Le yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiPlantar Fibromatosis , okanye iLedderhose Disease . Le yimeko engaqhelekanga, kodwa kubalulekile ukuba uyiqaphele.

Yintoni le (iPlantar Fibromatosis)?

Ngamafutshane, iPlantar Fibromatosis yimeko eyenzeka kwi -plantar fascia , umaleko otyebileyo wezicubu ezixhasa kwaye zikhusela umphantsi wonyawo lwakho. Kulapho kuvela khona amaqhuma amancinci, aqinileyo abizwa ngokuba yi -plantar fibromas emzantsi wonyawo lwakho, ingakumbi embindini we-arch. La maqhuma anokuvakala ngathi liqhuma elincinci lodongwe okanye i-pea. La maqhuma ngamanye amaxesha anokukhula ngokukhawuleza, ukuya kuthi ga kwi-1 okanye kwi-2 centimeter ngobukhulu.

Ngoku usenokuba uzibuza ukuba la maqhuqhuva anomhlaza na. Hayi, awanamhlaza (angabi yingozi). Oku kuthetha ukuba awasasazeki kwamanye amalungu omzimba. Nangona kunjalo, anokuba buhlungu kakhulu . Angachaphazela amandla akho okuma nokuhamba, kwaye anokunciphisa umgangatho wobomi bakho. Ngoko ke ukuba unale mpawu, kungcono ukubona ugqirha ukuze akunike ingcebiso.

Ngawaphi amanqanaba ale meko?

Kukho amanqanaba amathathu aphambili ePlantar Fibromatosis. Makhe sijonge ukuba zeziphi ezi zigaba:

1. Isigaba sokuqala (Isigaba sokukhula): Kule sigaba, kukho uhlobo lweseli olubizwa ngokuba yi-fibroblasts olwenza izicubu ezingaphantsi, kwaye inani lazo seli liyakhula. Nangona kunjalo, ngeli xesha, kukho iproteni encinci kakhulu ebizwa ngokuba yi-collagen .

2. Isigaba esisebenzayo: Apha, ii-fibroblast ziyaqhubeka nokukhula, kwaye ubungakanani be-collagen buyanda. Kungesi sigaba apho amaqhuqhuva esiwakhankanyileyo aqala ukwakheka khona.

3. Isigaba esiseleyo: Kule sigaba, umsebenzi we-fibroblast uyancipha, kodwa ukuveliswa kwe-collagen kukhawuleza. Oku kubangela ukuba izicubu ezibomvu ziqale ukuncipha.

Zeziphi iimpawu onokuziva?

Isifo seLedderhose sibangela ukuba kubekho iqhuma elinye okanye ngaphezulu ezantsi kwenyawo lakho. Oku kunokuba nzima kakhulu kwaye kunokuphazamisana nemisebenzi yakho yemihla ngemihla. Nazi ezinye iimpawu zePlantar Fibromatosis:

• Intlungu nokudumba ezintendeni zeenyawo: Intlungu inokubakho, ingakumbi kwindawo apho kukho amaqhuma khona. Le ntlungu isenokukhula xa umi okanye uhamba.
• Ubunzima bokuma kunye/okanye ukuhamba:Ngenxa yokuba amaqhuma abangela iintlungu xa iintende zeenyawo ziphantsi komhlaba, abanye abantu bakufumanisa kunzima ukuhamba okanye ukuma.
• Iinzwane ezigobileyo ezantsi: Ngamanye amaxesha iinzwane zinokugobileka ezantsi, oko kukuthi, ukuya ezantsi konyawo, ngokwemvelo.
• Ukungakwazi ukolula iminwe: Xa iminwe yakho igobile ngolo hlobo, kunokuba nzima ukuyilungisa kwakhona.

Yintoni enokubangela oku?

Abaphandi abakayazi kakuhle into ebangela i-plantar fibromatosis, kodwa bakholelwa ukuba zininzi izinto ezinokubangela oku. Ezi ziquka:

• I-genetics: Oku kuthetha ukuba isenokuba yimfuza.
• Ezinye iimeko zempilo ezinxulumene noko: Umzekelo, inokunxulunyaniswa neemeko ezifana ne -Dupuytren's contracture (apho iminwe igoba ngaphakathi), isifo sikaPeyronie (imeko echaphazela ipenisi kumadoda), kunye ne -knuckle pads .
• Ukulimala okanye ukwenzakala ezintendeni zeenyawo: Le meko inokubakho ngenxa yokwenzakala okukhulu ezintendeni zeenyawo.

Ngubani onokuba nethuba elingcono lokuphuhlisa oku? (Izinto Ezinobungozi)

Nangona esi sifo (iLedderhose Disease) sinokuvela nakweyiphi na iminyaka, sixhaphake kakhulu kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-50 ubudala. Kwakhona, abanye abantu banamathuba amaninzi okuba naso. Umzekelo:

• Kwabo bavela kuMntla-ntshona weYurophu.
• Amadoda ayiphuhlisa kancinci kunabafazi.
• Abantu abatshayayo nabo basengozini enkulu.

Ukongeza, le meko (Plantar Fibromatosis) ixhaphake kakhulu kubantu abanezinye izifo. Cinga ngezi zinto:

• Kwabo basela kakhulu (ingxaki yokusebenzisa utywala)
• Kwabo banesifo seswekile (iDiabetes Mellitus)
• Kwabo banemeko ebizwa ngokuba yiDupuytren contracture (oku kuyafana kancinci nesi sifo)
• Kwabo banesifo sokuwa
• Kwabo banamagxa aqandisiweyo
• Kwabo bane- knuckle pads
• Kwabo banemeko ebizwa ngokuba sisifo sikaPeyronie

Ugqirha uyixilonga njani le nto?

Xa usiya kugqirha oneqhuma ezantsi kwenyawo lakho, ulifumanisa njani kanye kanye eli qhuma (iPlantar Fibromatosis)?

Okokuqala, ugqirha uza kukubuza imibuzo embalwa. Cinga ngezinto ezifana nezi:

• 'Ngaba kukho umntu kusapho lwakho onezi ntlobo zeentsumpa zezityalo?' (Oko kukuthi, jonga ukuba kukho ikhonkco elivela kwilifa)
• 'Wakha waba nesifo esifana nesi (Dupuytren contracture) ngaphambili?'
• 'Ingaba unaso isifo seswekile?'
• 'Ingaba unesifo sokuwa?'

Emva kokubuza le mibuzo, ugqirha uza kuhlola umlenze wakho ngononophelo. Emva koko, baza kuqwalasela oku kulandelayo:

• Inxalenye yonyawo ijongwa ukuba ayinakudumba, ayinazivubeko, inamaqhuma, amanxeba, okanye ezinye iziphene.
• Baqaphela ukuba kukho iindawo ezibuhlungu ezintendeni zeenyawo nezithende, okanye iindawo ezibuhlungu xa zicinezelwe.
• I-Achilles tendon engasemva kweqakala lakho kunye nezihlunu ezijikeleze yona ziya kuhlolwa.
• Umgama wokuhamba konyawo uyajongwa.
• Uza kucelwa ukuba uhambe umgama omfutshane kwaye iinyawo zakho namaqatha akho aza kuhlolwa ukuba ahambahamba na.

Uvavanyo lokuqinisekisa isifo

Emva koko, ugqirha unokwenza iimvavanyo ezithile ukuqinisekisa ukuba uxilongo luchanekile.

• I-Ultrasound: Emva kokuphonononga iimpawu zakho kunye nembali yezonyango, ukuba ugqirha wakho ukrokrela ukuba usenokuba ne-Plantar Fibromatosis, banokwenza i-ultrasound ukuqinisekisa ukuxilongwa.
• Iskeni seMagnetic Resonance Imaging (MRI): Ngamanye amaxesha, xa isifo sinzima kakhulu, amaqhuma asenokuba asasazeke kwizicubu ezingaphantsi. Nangona kunjalo, oku kunqabile kakhulu. Iskeni se-MRI sinokunceda ekuqinisekiseni ukuba imeko yakho imbi kangakanani.
• I-Biopsy: Oku kuquka ukuthatha iqhekeza elincinci lezicubu, iiseli, okanye ulwelo oluvela kwiqhuma elisezantsi lakho uze ulivavanye. I-biopsy inokuqinisekisa ukuba iqhuma alinamhlaza.

Luluphi unyango lwale nto? (Unyango)

Kulungile, ngoku masibone ukuba loluphi unyango olufumanekayo loku (Plantar Fibromatosis). Kwinqanaba lokuqala loku, oogqirha badla ngokuzama ukubonelela ngonyango olulula nolulula.

Unyango lwakwangoko

• Ukufaka umkhenkce: Beka ipakethe yomkhenkce egqunywe ngelaphu elicocekileyo kwindawo ebuhlungu yeenyawo kangangemizuzu engama-20. Ungakwenza oku kathathu ukuya kane ngemini.
• Amayeza: Ungathenga amayeza okunciphisa iintlungu athengiswa ngaphandle kwemvume kagqirha, okanye amayeza angengo-steroidal anti-inflammatory (NSAIDs) (afana ne-aspirin, i-ibuprofen, okanye i-naproxen), ukunciphisa iintlungu nokudumba. Nangona kunjalo, kungcono ukubonana nogqirha.
• Ii-Orthotics: Ii-Off-the-counter (OTC) izihlangu ezifakelwa okanye ii-orthotics ezenziwe ngokwezifiso zinokunceda. Ungasika imingxunya kwii-insert zezihlangu zakho ukuze zilingane phezu kwamaqhuma. Oku kuya kunciphisa uxinzelelo kumaqhuma.
• Massage: Hlikihla kancinci iinyawo zakho . Kodwa musa ukuchukumisa amaqhuma , kuba ukwenza njalo kunokunyusa intlungu.
• Ulungiso lwenyama:Ungasebenzisana nogqirha wezonyango ukuze wenze imithambo eyolula kwaye iqinise izicubu ezidityanisiweyo ezisezantsi konyawo.

Khumbula: Ukuba intlungu ayipheli emva kweenyanga ezimbalwa ngonyango olulula, ngokuqinisekileyo kuya kufuneka ubone ugqirha kwakhona.

Unyango ukuba intlungu ayipheli

Ukuba intlungu ayipheli emva kweenyanga ezimbalwa zonyango olulula, ugqirha wakho unokucebisa ezinye iindlela zonyango, ezifana nezi:

• Ii-steroids ezifakwa ngaphakathi kwemithambo yegazi: Ii-steroid injections ezifakwa ngqo kwiqhuma.
• (I-Verapamil) Amayeza: Ngamanye amaxesha anikwa njenge-ointment.
• Unyango ngemitha:
• Unyango lwamaza okwethuka angaphandle komzimba (ESWT): Unyango olusebenzisa amaza esandi anamandla aphezulu.
• Amayeza (eTamoxifen):
• (Sorafenib) amayeza:
• Inaliti yeCollagenase: Inaliti equlethe i-enzyme eqhekeza i-collagen.
• Utyando: Utyando ludla ngokuthathwa njengenyathelo lokugqibela ukuba zonke ezinye iindlela zonyango aziphumeleli, njengoko ezi thumba zinokuphinda zibuye.

Ndifanele ndibonane nini ngqo nogqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba wenza idinga lokubona ugqirha:

• Ukuba ubona amaqhuma embindini wesoli.
• Ukuba uziva ngathi unengxaki yokuma okanye yokuhamba.
• Ukuba unentlungu engapheliyo emqolo wakho ongezantsi.
• Ukuba kunzima ukolula iinzwane zakho, okanye ukuba zibonakala zigobile.

Yeyiphi imibuzo onokuyibuza ugqirha?

Xa ubona ugqirha wakho, ungalibali ukubuza nayiphi na imibuzo onayo malunga nale meko. Umzekelo:

• 'Gqirha, zeziphi izinto ekufuneka ndiziphephe? Ixesha elingakanani?'
• 'Ndingenza ntoni ukulawula le ntlungu?'
• 'Ugqirha undicebisa ukuba ndinyangwe ngoluphi uhlobo lonyango?'

Yintoni enokulindelwa ngale meko?

(Isifo iLedderhose) okanye (iPlantar Fibromatosis) zinokubangela amaqhuma abuhlungu ezantsi kwenyawo. Ukuba anganyangwa ngokufanelekileyo, le meko inokuba mandundu kancinci kancinci. Kodwa iindaba ezimnandi zezokuba esi sifo asisasazeki kwezinye iindawo zomzimba, kwaye asisongeli ubomi. Nangona kunjalo, ngokuqinisekileyo kufuneka ubone ugqirha ukuqinisekisa ukuba akukho ezinye iimeko eziyingozi kwaye ufumane unyango olufanelekileyo.

Nangona esi (Plantar Fibromatosis) sisifo esingaqhelekanga, ukuhlala naso kunokuba buhlungu kakhulu kwaye kubangele uxinzelelo. Njengoko esi sifo siqhubeka, uya kufumanisa ukuba kuba nzima ngakumbi ukuhamba nokuma ngaphandle kwentlungu. Nangona amaqhuma aqala kwi (Ledderhose Disease) engengomhlaza, anokuchaphazela kakubi ubomi bakho bemihla ngemihla. Ukuba uneempawu zesi sifo, qiniseka ukuba uthetha nogqirha. Ukuba uqatshelwe kwangethuba, sinokulawulwa ngonyango olulula. Ukuba imeko imbi kancinci, ugqirha wakho unokukuthumela kwingcali yeenyawo namaqatha.

Umyalezo Wokugqibela Wokuya Ekhaya

Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono into ebesithetha ngayo (iPlantar Fibromatosis).

• Ukuba ubona amaqhuma amatsha ezinyaweni zakho, ingakumbi ukuba abuhlungu, qiniseka ukuba ubona ugqirha.
• La maqhuqhuva awangomhlaza, kodwa anokwenza kube nzima ukwenza imisebenzi yemihla ngemihla.
• Ukuba ifunyenwe kwaye yanyangwa kwangethuba, kukho ithuba elikhulu lokukhululeka.
• Landela imiyalelo kagqirha wakho ngononophelo kwaye ufumane unyango lomzimba ukuba kuyimfuneko.
• Lumka xa ukhetha izihlangu, kwaye usebenzise i-orthotics ukuba kuyimfuneko.

Iinyawo zakho zikusa naphi na, ngoko ke kubalulekile ukuzinyamekela. Ndiyathemba ukuba olu lwazi luza kukunceda!

i- plantar fibromatosis, isifo seLedderhose, i-plantar fasciitis, iintlungu zeenyawo, iintlungu zezityalo, i-plantar fibroma, izifo zeenyawo