Ingabe uzwa amaqhubu abuhlungu phansi kwezinyawo zakho? Ake sifunde nge-Plantar Fibromatosis noma i-Ledderhose Disease.

Wake wezwa iqhubu noma iqhubu phansi konyawo lwakho uma uhamba noma uluthinta? Kuzwakala sengathi iphizi encane inamathele esicathulweni sakho? Lezi ziqhubu ngezinye izikhathi zingabangela ubuhlungu uma umi noma uhamba. Lesi yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Plantar Fibromatosis , noma i-Ledderhose Disease . Lesi yisimo esingavamile, kodwa kubalulekile ukuqaphela.

Kuyini lokhu (i-Plantar Fibromatosis)?

Kalula nje, i-Plantar Fibromatosis yisimo esenzeka ku -plantar fascia , ungqimba olujiyile lwezicubu olusekela futhi luvikele iphansi lonyawo lwakho. Yilapho kuvela khona amaqhubu amancane, aqinile abizwa ngokuthi ama-plantar fibromas ematheni onyawo lwakho, ikakhulukazi phakathi kwe-arch. Lawa angazwakala njengeqhubu elincane lobumba noma uphizi. La maqhubu ngezinye izikhathi angakhula ngokushesha kakhulu, afinyelela ku-1 noma 2 cm ngobukhulu.

Manje ungase uzibuze ukuthi lezi ziqhubu zinomdlavuza yini. Cha, azinawo umdlavuza (azinabungozi). Lokhu kusho ukuthi azisabalali kwezinye izingxenye zomzimba. Kodwa-ke, zingaba buhlungu kakhulu . Zingathinta ikhono lakho lokuma nokuhamba, futhi zinganciphisa nekhwalithi yokuphila kwakho. Ngakho-ke uma unalezi zimpawu, kungcono ukubona udokotela ukuze uthole iseluleko.

Yiziphi izigaba zalesi simo?

Kunezigaba ezintathu eziyinhloko ze-Plantar Fibromatosis. Ake sibheke ukuthi ziyini:

1. Isigaba sokuqala (Isigaba Sokwanda): Kulesi sigaba, kukhona uhlobo lweseli olubizwa ngokuthi ama-fibroblasts olwakha izicubu ezingaphansi, futhi inani lalawo maseli liyakhula. Kodwa-ke, ngalesi sikhathi, kunephrotheni encane kakhulu ebizwa ngokuthi i-collagen .

2. Isigaba esisebenzayo: Lapha, ama-fibroblast ayaqhubeka nokukhula, futhi inani le-collagen liyakhula. Kuphakathi nalesi sigaba lapho amaqhubu esikhulume ngawo eqala ukwakheka khona.

3. Isigaba esisele: Kulesi sigaba, umsebenzi we-fibroblast uyancipha, kodwa ukukhiqizwa kwe-collagen kuyashesha. Lokhu kubangela ukwakheka kwezicubu zesilonda bese kuqala ukufinyela.

Yiziphi izimpawu ozizwayo?

Isifo se-Ledderhose sibangela ukuba kuvele iqhubu elilodwa noma ngaphezulu phansi konyawo lwakho. Lokhu kungaba yinto engakhululekile futhi kungaphazamisa imisebenzi yakho yansuku zonke. Nazi ezinye izimpawu ze-Plantar Fibromatosis:

• Ubuhlungu nokuvuvukala ezithendeni zezinyawo: Ubuhlungu bungase buvele, ikakhulukazi endaweni lapho kukhona khona amaqhubu. Lobuhlungu bungakhula uma umi noma uhamba.
• Ubunzima bokuma kanye/noma ukuhamba:Ngenxa yokuthi amaqhubu abangela ubuhlungu lapho izinyawo ziphansi, abanye abantu bakuthola kunzima ukuhamba noma ngisho nokuma.
• Izinzwane ezigobile phansi: Ngezinye izikhathi izinzwane zingagobile phansi, okungukuthi, ziye ematheni onyawo, ngokwemvelo.
• Ukungakwazi ukuqondisa iminwe: Uma iminwe yakho isigobile kanjalo, kungaba nzima ukuyiqondisa futhi.

Yini engabangela lokhu?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-plantar fibromatosis, kodwa bakholelwa ukuthi kunezici eziningana ezingase zibe nomthelela kuyo. Lezi zifaka:

• Izakhi zofuzo: Lokhu kusho ukuthi kungaba yifa.
• Ezinye izimo zempilo ezihlobene: Isibonelo, kungase kuhlotshaniswe nezimo ezifana nokuqina kwe-Dupuytren (lapho iminwe igoba khona ngaphakathi), isifo sikaPeyronie (isimo esithinta ipenisi emadodeni), kanye nama-knuckle pads .
• Ukulimala noma ukulimala ezithendeni zezinyawo: Lesi simo singase senzeke nangenxa yokulimala okukhulu ezithendeni zezinyawo.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici Eziyingozi)

Nakuba lesi simo (i-Ledderhose Disease) singakhula kunoma yimuphi ubudala, sivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-50. Futhi, abanye abantu banamathuba amaningi okuba naso. Isibonelo:

• Kulabo abadabuka eNyakatho-ntshonalanga yeYurophu.
• Amadoda ayithuthukisa kancane kunabesifazane.
• Ababhemayo nabo basengozini enkulu.

Ngaphezu kwalokho, lesi simo (i-Plantar Fibromatosis) sivame kakhulu kubantu abanezinye izifo ezithile. Cabanga ngalezi zinto:

• Kulabo abaphuza ngokweqile (isifo sokusebenzisa utshwala)
• Kulabo abanesifo sikashukela (i-Diabetes Mellitus)
• Kulabo abane -Dupuytren contracture (isimo esibangela ukuba iminwe igobe ngaphakathi) (lokhu kufana kancane nalesi sifo)
• Kulabo abanesifo sokuwa
• Kulabo abanehlombe eliqandisiwe
• Kulabo abanama -knuckle pads
• Kulabo abanesifo esibizwa ngokuthi isifo sikaPeyronie

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela oneqhubu phansi konyawo lwakho, ulithola kanjani ngempela (i-Plantar Fibromatosis)?

Okokuqala, udokotela uzokubuza imibuzo embalwa. Cabanga ngezinto ezifana nalezi:

• 'Ingabe ukhona emndenini wakho onalezi zinhlobo zama-plantar warts?' (Okungukuthi, bheka ukuthi kukhona yini ukuxhumana kwefa)
• 'Wake waba nesimo esifana nalesi (i-Dupuytren contracture) ngaphambili?'
• 'Ingabe unesifo soshukela?'
• 'Ingabe unesifo sokuwa?'

Ngemva kokubuza le mibuzo, udokotela uzohlola umlenze wakho ngokucophelela. Ngemuva kwalokho, bazonaka okulandelayo:

• Iphansi lonyawo liyahlolwa ukuthi alinawo yini ukuvuvukala, ukuklwebheka, amaqhubu, amanxeba, noma okunye ukukhubazeka.
• Baqaphela ukuthi kukhona yini izindawo ezibuhlungu ezithendeni zezinyawo nezithende, noma izindawo ezibuhlungu uma zicindezelwa.
• I-Achilles tendon ngemuva kweqakala lakho kanye nemisipha ezungezile kuzohlolwa.
• Ububanzi bokunyakaza konyawo buyahlolwa.
• Uzocelwa ukuba uhambe ibanga elifushane futhi izinyawo zakho namaqakala akho kuzoqashwa ukuze kuhlolwe ukuthi uyanyakaza yini.

Ukuhlolwa kokuqinisekisa lesi sifo

Ngemva kwalokho, udokotela angenza nokuhlolwa okuthile ukuqinisekisa ukuthi isifo sitholakale kahle.

• I-Ultrasound: Ngemva kokubukeza izimpawu zakho kanye nomlando wezokwelapha, uma udokotela wakho esola ukuthi ungaba ne-Plantar Fibromatosis, angenza i-ultrasound ukuqinisekisa ukuxilongwa.
• Ukuskena kwe-Magnetic Resonance Imaging (MRI): Ngezinye izikhathi, lapho isifo sibi kakhulu, amaqhubu angase asakazekele ezicutshini ezingaphansi. Kodwa-ke, lokhu akuvamile kakhulu. Ukuskena kwe-MRI kungasiza ekunqumeni ukuthi isimo sakho sibi kangakanani.
• Ukuhlolwa kwezicubu: Lokhu kuhilela ukuthatha ingxenye encane yezicubu, amaseli, noma uketshezi oluvela eqhubu elisezansi lakho bese kuhlolwa. Ukuhlolwa kwezicubu kungaqinisekisa ukuthi iqhubu alinawo umdlavuza.

Iyini indlela yokwelapha lokhu? (Ukwelashwa)

Kulungile, manje ake sibone ukuthi yiziphi izindlela zokwelapha ezitholakalayo zalokhu (i-Plantar Fibromatosis). Ezigabeni zokuqala zalokhu, odokotela bavame ukuzama ukunikeza impumuzo ngokwelashwa okulula nokulula.

Ukwelashwa kwasekuqaleni

• Ukufaka iqhwa: Beka iphakethe leqhwa eligoqwe ngendwangu ehlanzekile endaweni ebuhlungu yephansi lonyawo cishe imizuzu engama-20. Ungakwenza lokhu kathathu kuya kane ngosuku.
• Imithi: Ungathenga imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela, noma imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) (njenge-aspirin, i-ibuprofen, noma i-naproxen), ukuze unciphise ubuhlungu nokuvuvukala. Kodwa-ke, kungcono ukubonana nodokotela.
• Ama-Orthotics: Ama-insert ezicathulo athengiswa ngaphandle kwekhawunta (OTC) noma ama-orthotics enziwe ngokwezifiso angasiza. Ungasika imigodi kuma-insert ezicathulo zakho ukuze alingane namaqhubu. Lokhu kuzonciphisa ingcindezi kumaqhubu.
• Massage: Hlikihla kancane izithende zezinyawo zakho . Kodwa ungathinti amaqhubu , ngoba ukwenza kanjalo kungandisa ubuhlungu.
• Ukwelashwa ngokomzimba:Ungasebenzisana nochwepheshe wezokwelapha ngokomzimba ukuze wenze izivivinyo ezelula futhi ziqinise izicubu ezixhumeneyo ematheni onyawo.

Khumbula: Uma ubuhlungu bungapheli ngemva kwezinyanga ezimbalwa ngalezi zindlela zokwelapha ezilula, kufanele nakanjani ubone udokotela futhi.

Ukwelashwa uma ubuhlungu bunganciphi

Uma ubuhlungu bungapheli ngemva kwezinyanga ezimbalwa zokwelapha okulula, udokotela wakho angase asikisele ezinye izindlela zokwelapha, ezifana nalezi:

• Ama-steroid angaphakathi kwemithambo: Imijovo ye-steroid efakwa ngqo eqhubu.
• (I-Verapamil) Umuthi: Lokhu ngezinye izikhathi kunikezwa njengomuthi wokugcoba.
• Ukwelashwa ngemisebe:
• (Ukwelashwa ngamagagasi okushaqeka kwangaphandle komzimba - ESWT): Ukwelashwa okusebenzisa amagagasi omsindo anamandla aphezulu.
• Umuthi (we-Tamoxifen):
• Umuthi (weSorafenib):
• Umjovo we-Collagenase: Umjovo oqukethe i-enzyme ephula i-collagen.
• Ukuhlinzwa: Ukuhlinzwa kuvame ukubhekwa njengesinyathelo sokugcina uma zonke ezinye izindlela zokwelapha zingaphumeleli, njengoba lezi zimila zingase ziphinde zivele.

Kufanele ngimbone nini ngempela udokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi uhlela i-aphoyintimenti yokubonana nodokotela:

• Uma ubona izigaxa phakathi kwe-sole.
• Uma uzizwa sengathi unenkinga yokuma noma yokuhamba.
• Uma unezinhlungu zesikhathi eside emhlane wakho ongezansi.
• Uma kunzima ukuqondisa izinzwane zakho, noma uma zibonakala zigobile phansi.

Yimiphi imibuzo ongayibuza udokotela?

Uma ubona udokotela wakho, ungakhohlwa ukubuza noma yimiphi imibuzo onayo ngalesi simo. Isibonelo:

• 'Dokotela, yimiphi imisebenzi okufanele ngiyigweme? Isikhathi esingakanani?'
• 'Ngingenzani ukuze ngilawule lobu buhlungu?'
• 'Udokotela ungincoma luhlobo luni lokwelashwa?'

Yini engalindelwa ngalesi simo?

(Isifo i-Ledderhose) noma i-Plantar Fibromatosis) kungabangela amaqhubu abuhlungu phansi konyawo. Uma kungelashwa kahle, lesi simo singaba sibi kancane kancane. Kodwa izindaba ezinhle ukuthi lesi sifo asisabalali kwezinye izingxenye zomzimba, futhi asisongeli impilo. Kodwa-ke, kufanele nakanjani ubone udokotela ukuze uqiniseke ukuthi azikho ezinye izimo eziyingozi futhi uthole ukwelashwa okufanele.

Nakuba lesi (Plantar Fibromatosis) siyisifo esingavamile, ukuhlala naso kungaba buhlungu kakhulu futhi kucindezele. Njengoba lesi sifo siqhubeka, uzothola ukuthi kuba nzima kakhulu ukuhamba nokuma ngaphandle kobuhlungu. Nakuba amaqhubu akheka ku-(Ledderhose Disease) engewona umdlavuza, angathinta kabi impilo yakho yansuku zonke. Uma unezimpawu zalesi simo, qiniseka ukuthi ukhuluma nodokotela. Uma sibonakala kusenesikhathi, singalawulwa ngokwelashwa okulula. Uma isimo sibi kakhulu, udokotela wakho angakudlulisela kuchwepheshe wezinyawo namaqakala.

Umyalezo Wokugcina Wokuya Nasekhaya

Ngakho-ke, ngithemba ukuthi usuyaqonda kangcono lokho esikhulume ngakho (i-Plantar Fibromatosis).

• Uma ubona amaqhubu amasha ezithendeni zakho, ikakhulukazi uma ebuhlungu, qiniseka ukuthi ubona udokotela.
• Lezi ziqhubu azinawo umdlavuza, kodwa zingenza kube nzima ukwenza imisebenzi yansuku zonke.
• Uma kutholakale futhi kwelashwa kusenesikhathi, kunethuba elikhulu lokukhululeka.
• Landela imiyalelo kadokotela wakho ngokucophelela bese ucela ukwelashwa ngokomzimba uma kudingeka.
• Qaphela lapho ukhetha izicathulo, futhi usebenzise ama-orthotics uma kudingeka.

Izinyawo zakho zikuyisa yonke indawo, ngakho-ke kubalulekile ukuzinakekela. Ngithemba ukuthi lolu lwazi luzokusiza!

i- plantar fibromatosis, isifo se-Ledderhose, i-plantar fasciitis, ubuhlungu bezinyawo, ubuhlungu be-plantar, i-plantar fibroma, izifo zezinyawo