Ingabe unezigaxa ezincane ezilingana nobhontshisi ezinyaweni zakho, okwenza kube nzima ukuhamba? Ake sifunde nge-Plantar Fibromatosis!

Wake wezwa into efana neqhubu elincane phansi konyawo lwakho? Ingabe kuzwakala sengathi itshe elincane linamathele esicathulweni sakho? Noma ingabe unyawo lwakho luyabuhlungu uma uhamba? Lezi akuzona izimpawu okufanele uzishaye indiva. Namuhla sizokhuluma ngesimo esingaba sibi ngendlela efanayo, kodwa esingaziwa kahle.

Kuyini lokhu (i-Plantar Fibromatosis) noma isifo se-Lederhose?

Kalula nje, i-Plantar Fibromatosis , eyaziwa nangokuthi isifo se-Ledderhose ngabanye, yisimo esingavamile esithinta ungqimba olujiyile lwezicubu ezixhumene phansi kwezinyawo zethu. Lolu ngqimba lwezicubu ezixhumene lubizwa ngokuthi i-plantar fascia . Ukuze kube sobala, yilokhu okuvikela nokusekela amathe ethu. Ngakho-ke, lapho kwenzeka le plantar fibromatosis, amaqhubu amancane, aqinile, acishe abe usayizi we-pea, akheka phansi konyawo, ikakhulukazi eqongweni lonyawo. La maqhubu ngezinye izikhathi angakhula ngokushesha kakhulu, afike ku-1 noma 2 cm ngobukhulu. Cabanga ukuthi kubuhlungu kanjani uma uzizwa sengathi unetshe elincane elinamathele esicathulweni sakho!

Lezi ziqhubu azinawo umdlavuza, okusho ukuthi "zibuthakathaka" , okusho ukuthi azilimazi. Kodwa-ke, zingabangela ubuhlungu obukhulu . Lobuhlungu bungakhula uma umi noma uhamba. Ngezinye izikhathi, ikhwalithi yokuphila ingancipha kuze kube yilapho ungakwazi ngisho nokwenza imisebenzi yakho yansuku zonke. Ngakho-ke, uma unalezi zimpawu, kungcono ukubona udokotela ngokushesha okukhulu. Angabe esehlola unyawo lwakho futhi akutshele ukuthi yiziphi izindlela zokwelapha ezifanele wena.

Yiziphi izigaba zalesi sifo?

Kunezigaba ezintathu eziyinhloko ze-plantar fibromatosis. Ake sibone ukuthi ziyini.

• Isigaba sokuqala (Isigaba Sokwanda): Phakathi nalesi sikhathi, inani lamaseli abizwa ngokuthi ama-fibroblast, okuyizinhlobo zamaseli enza izicubu ezixhumeneyo, liyakhula. Kodwa-ke, phakathi nalesi sikhathi, iphrotheni ebizwa ngokuthi i-collagen iphansi kakhulu.
• Isigaba sesibili `(Isigaba Esisebenzayo)`: Lapha, amaseli e-fibroblast ayaqhubeka nokukhula, futhi inani le-collagen nalo liyakhula. Lawo maqhuqhuva esikhulume ngawo aqala ukwakheka phakathi nalesi sigaba.
• Isigaba sesithathu `(Isigaba esisele)`: Uma sifika kulesi sigaba, umsebenzi wamaseli e-fibroblast uyancipha. Kodwa ukukhula kwe-collagen kushesha kakhulu. Ngenxa yalokhu, kwakheka izicubu zesibazi, eziqala ukuqina futhi `(zinciphe)`.

Ziyini izimpawu ze-plantar fibromatosis?

Sitshelwe ukuthi isifo iLederhosen sibangela ukuqoqwa kwamaqhubu ezinyaweni zakho. Lokhu kungaba yinto engakhululekile, futhi ngezinye izikhathi kwenza kube nzima ukwenza imisebenzi yansuku zonke. Yiziphi ezinye izimpawu ezingabangelwa yilokhu?

• Ubuhlungu nokuvuvukala ezithendeni zezinyawo.
• Ubunzima bokuma nokuhamba.
• Ngezinye izikhathi izinzwane zigoba ziye phansi konyawo , njengokungathi ziyabanjwa.
• Ukungakwazi ukuqondisa iminwe.

Cabanga ukuthi kungaba nzima kangakanani uma ngisho nokuhamba bekubuhlungu!

Yiziphi izizathu zalokhu?

Abacwaningi abakakazi kahle ukuthi yini ebangela lesi sifo, kodwa bacabanga ukuthi kunezici eziningana ezingase zibe nomthelela kuso.

• Izakhi zofuzo: Ngezinye izikhathi kungaba yifa.
• Ezinye izimo zempilo: Isibonelo, kungase kuhlotshaniswe nezimo ezifana ne-Dupuytren contracture (isimo lapho izintende zezandla ziba nzima ukugoba khona neminwe), isifo sikaPeyronie (isimo sezitho zangasese zabesilisa), kanye nama-knuckle pads.
• Ukulimala noma izingozi ezithendeni zezinyawo: Ngezinye izikhathi lesi simo singabangelwa nokulimala ezithendeni zezinyawo.

Ubani osengozini enkulu yokuthola lesi sifo?

Lesi sifo singakhula kunoma yimuphi ubudala. Kodwa-ke, sivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-50. Futhi:

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

Ngaphezu kwalokho, abantu abanezifo ezithile ezingamahlalakhona banamathuba amaningi okuthola i-plantar fibromatosis. Isibonelo:

• Inkinga yokusebenzisa utshwala.
• Isifo sikashukela.
• Lokho kuqina kwe-Dupuytren engikushilo ekuqaleni.
• Isifo sokuwa.
• Ihlombe eliqandisiwe.
• Ama-knuckle pads.
• Isifo sikaPeyronie.

Odokotela bayixilonga kanjani i-Ledarthrosis?

Uma uya kudokotela, uzokubuza imibuzo ngaphambi kokuhlola umlenze wakho. Yimiphi imibuzo?

• Ingabe ukhona emndenini wakho oke waba ne-plantar fibromatosis ngaphambili?
• Wake watholakala unesifo esifanayo ngaphambilini, njenge-Dupuytren's contracture?
• Ingabe unesifo soshukela?
• Ingabe unesifo sokuwa?

Udokotela uzohlola unyawo lwakho. Uzobheka okulandelayo:

• Hlola ukuvuvukala, ukuklwebheka, amaqhubu, amanxeba, noma izinguquko esimweni se-sole.
• Qaphela noma yiziphi izindawo eziphansi kwezinyawo nezithende ezibuhlungu noma ezibuhlungu uma zicindezelwa.
• I-Achilles tendon yakho kanye nemisipha eyizungezile nazo zizohlolwa.
• Ububanzi bokunyakaza konyawo buyahlolwa.
• Uzocelwa ukuba uhambe ibanga elifushane futhi izinyawo zakho namaqakala akho kuzoqashwa ukuthi anganyakazi yini.

Ukuhlolwa kokuxilonga lesi sifo

Udokotela angase futhi enze ezinye izivivinyo ukuze ahlole ngokunembile i-plantar fibromatosis.

• Ukuhlolwa kwe-Ultrasound:Lokhu kuzosiza ukuqinisekisa ukuthi udokotela ucabangani ngokubheka izimpawu zakho kanye nomlando wezokwelapha.
• I-MRI (I-Magnetic Resonance Imaging): Ngezinye izikhathi, lapho isifo sesiqhubeke kakhulu, amaqhubu angangena ajule olwelwesini lwesisu. Kodwa lokho akuvamile kakhulu. I-MRI ingasiza ekunqumeni ukuthi isimo sakho sibucayi kangakanani.
• I-Biopsy: Lokhu kuhilela ukuthatha ingxenye encane yezicubu, amaseli, noma uketshezi oluvela ematheni onyawo lwakho ukuze luhlolwe. I-biopsy ingaqinisekisa ukuthi iqhubu alinawo umdlavuza.

Iphathwa kanjani i-plantar fibromatosis?

Uma lesi sifo sitholakala kusenesikhathi, kunezindlela eziningana zokuselapha. Ake sibone ukuthi ziyini.

• Iqhwa: Beka iphakethe leqhwa elimbozwe ngethawula elilula ematheni onyawo cishe imizuzu engama-20, kathathu kuya kane ngosuku.
• Imithi: Ungathenga imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela (ama-NSAID - izidakamizwa ezilwa nokuvuvukala ezingezona eze-steroidal) njenge-aspirin, i-ibuprofen, ne-naproxen ukunciphisa ubuhlungu nokuvuvukala. Kodwa-ke, kungcono ukubonana nodokotela.
• Ama-Orthotics: Ama-insert ezicathulo noma ama-orthotics enziwe ngokwezifiso angasiza. Ungasika imigodi emincane ezithendeni zalezi zicathulo ukuze unciphise ingcindezi emaqhubu.
• Massage: Hlikihla kancane izithende zezinyawo zakho. Kodwa ungathinti amaqhubu, ngoba ukwenza kanjalo kungandisa ubuhlungu.
• Ukwelashwa ngokomzimba: Sebenzisana nodokotela wezokwelapha ngokomzimba ukuze wenze izivivinyo ezelula futhi ziqinise izicubu ezixhumeneyo emhlane ongezansi.

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

Uma lokho kungayiqedi ubuhlungu, udokotela angase asikisele ezinye izindlela zokwelapha, ezifana nalezi:

• Ama-steroid angaphakathi kwemithambo yegazi .
• Umuthi obizwa ngokuthi i-Verapamil (ngezinye izikhathi unikezwa njengomuthi wokugcoba).
• Ukwelashwa ngemisebe .
• Ukwelashwa kwamagagasi okushaqeka kwangaphandle komzimba (ESWT) .
• Umuthi ubizwa ngokuthi i-Tamoxifen .
• Umuthi ubizwa ngokuthi iSorafenib .
• Umjovo we-Collagenase .
• Ekugcineni, kwenziwa ukuhlinzwa ukuze kususwe amaqhubu.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi uhlela i-aphoyintimenti yokubona udokotela:

• Uma ubona izigaxa noma amaqhubu phakathi kwesisekelo.
• Uma kunzima ukuma noma ukuhamba.
• Uma kukhona ubuhlungu obungapheli ezithendeni zezinyawo.
• Uma kunzima ukuqondisa izinzwane zakho.

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Yimiphi imisebenzi okufanele ngiyigweme futhi isikhathi esingakanani?
• Yini engingayenza ukuze ngilawule ubuhlungu bami?
• Yikuphi ukwelashwa okuncomayo?

Yini engingayilindela uma ngine-plantar fibromatosis?

I-Lederhosen ingabangela amaqhubu abuhlungu ezinyaweni, futhi uma ingelashwa, lesi simo singaba sibi kakhulu. Izindaba ezinhle ukuthi lesi simo asisabalali kwezinye izingxenye zomzimba, futhi akusona isimo esisongela ukuphila. Kodwa-ke, kufanele nakanjani ubone udokotela ukuze uqiniseke ukuthi akuyona into ebucayi kakhulu futhi uthole ukwelashwa okufanele.

Nakuba i-plantar fibromatosis iyisifo esingavamile, ukuhlala nayo kungaba buhlungu kakhulu futhi kucindezele. Njengoba lesi sifo siqhubeka, ungase ukuthole kunzima ukuhamba ngaphandle kobuhlungu kuphela, kodwa nokuma. Ngenhlanhla, ukukhula okubangelwa yilesi sifo akusona umdlavuza. Kodwa-ke, kungaba nomthelela omubi empilweni yakho. Uma unalezi zimpawu, ungangabazi ukukhuluma nodokotela. Uma uziqaphela kusenesikhathi, zingalawulwa ngokwelashwa okulula. Uma lesi sifo sibi kakhulu, udokotela wakho angakudlulisela kuchwepheshe wezinyawo namaqakala.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, manje usuyaqonda kahle i-plantar fibromatosis, noma isifo i-Lederhoz, esikhulume ngaso namuhla. Into ebaluleke kakhulu ukuthi uma uzwa iqhubu elingavamile ematheni onyawo lwakho, ubuhlungu, noma ubunzima bokuhamba, ungalishayi indiva nje bese ucela iseluleko sezokwelapha. Uma ulibona kusenesikhathi, kulula ukuliphatha. Akukho okufanele ukhathazeke ngakho, lokhu akuyona umdlavuza. Kodwa awufuni ukuphila nobuhlungu, akunjalo? Ngakho-ke nakekela umzimba wakho, futhi uma ubona noma yiziphi izinguquko, thatha isinyathelo ngokushesha.

I - Plantar fibromatosis, isifo se-Ledderhose, ubuhlungu bezinyawo, amaqhubu ezinyawo, izifo zezinyawo, izicubu ezixhumeneyo, amathe, i-plantar fibromatosis, isifo se-Ledderhose