Ledderhose matenda yodziwika ndi maonekedwe a chosaopsa zotupa mu khola phazi. Matendawa amatha kukhala chete koma amatha kuwonetseredwa ndi ululu komanso kusapeza bwino poyenda. Kusamalira kumadalira momwe matendawa amakhudzira tsiku ndi tsiku.

Tanthauzo la matenda a Ledderhose

Matenda a Ledderhose ndi plantar fibromatosis, yomwe ndi mtundu wa fibromatosis wowoneka bwino womwe umapezeka m'mphepete mwa phazi. Fibromatosis imadziwika ndi mawonekedwe a fibroids, zotupa zoyipa zomwe zimachulukitsa minofu yamafuta.

Pankhani ya matenda a Ledderhose, kukula kwa chotupa kumachitika mwa mawonekedwe a nodule. Mwa kuyankhula kwina, tikhoza kuona mapangidwe ozungulira komanso omveka pansi pa khungu pamlingo wa plantar aponeurosis (membala ya fibrous yomwe ili pamtunda wa phazi ndikuyenda kuchokera ku chidendene fupa mpaka pansi pa zala).

Matenda a Ledderhose nthawi zambiri amakhudza mapazi onse awiri. Chisinthiko chake chikuchedwa. Ikhoza kupitirira zaka zingapo.

Zomwe Zimayambitsa Matenda a Ledderhose

Zomwe zimayambitsa plantar fibromatosis sizikudziwikabe mpaka pano. Zitha kuwoneka kuti kukula kwake kungakhale chifukwa, kuyanjidwa kapena kutsimikiziridwa ndi:

• chibadwa chachibadwa chomwe chikuwoneka kuti chilipo mu 30% mpaka 50% ya milandu;
• kukhalapo kwa matenda a shuga;
• uchidakwa;
• kumwa mankhwala ena, kuphatikizapo isoniazid ndi barbiturates;
• ma micro-traumas, monga omwe amapezeka mwa othamanga;
• fractures pa phazi;
• njira za opaleshoni m'derali.

Anthu omwe akhudzidwa ndi matenda a Ledderhose

Matenda a Ledderhose nthawi zambiri amawonekera pambuyo pa zaka 40 ndipo amakhudza kwambiri amuna. Pakati pa 50 ndi 70% mwa omwe akukhudzidwa ndi amuna.

Matenda a Ledderhose apezeka kuti nthawi zambiri amalumikizidwa ndi mitundu iwiri ya fibromatosis:

• Matenda a Dupuytren, omwe amafanana ndi palmar fibromatosis ndi kukula kwa zotupa m'manja;
• Matenda a Peyronie omwe amafanana ndi fibromatosis omwe amapezeka mu mbolo.

Matenda a Ledderhose nthawi zambiri amagwirizana ndi matenda a Dupuytren kuposa a Peyronie. Mwa omwe akhudzidwa ndi matenda a Ledderhose, akuti pafupifupi 50% aiwo ali ndi matenda a Dupuytren.

Kuzindikira Matenda a Ledderhose

Matendawa amachokera makamaka pakuwunika kwachipatala. Dokotala amawunika zomwe akuwona ndikugwedeza dera la plantar. Izi palpation limasonyeza mapangidwe tinatake tozungulira khalidwe la chitukuko cha Ledderhose matenda.

Kuti atsimikizire za matendawa, katswiri wa zaumoyo atha kuyitanitsa mayeso oyerekeza achipatala, monga ultrasound kapena MRI (magnetic resonance imaging).

Mitundu ya Plantar

Matenda a Ledderhose amadziwika ndi kukula kwa tinthu tating'onoting'ono tating'onoting'ono pamapazi. Olimba ndi zotanuka, tinatake tozungulira ndi polpable pansi pa khungu. Nthawi zambiri amakhala pakatikati pa phazi la phazi.

Chidziwitso: mawonekedwe a tinthu tinatake tozungulira amatha kukhala asymptomatic, popanda kuwonekera kwachipatala.

Ululu ndi kusapeza bwino

Ngakhale kuti matenda a Ledderhose angakhale chete, angayambitsenso ululu ndi kusamva bwino pamene akuyendayenda. Kupweteka kwakukulu kumatha kuchitika ndikupangitsa kuti zikhale zovuta kuyenda, kuthamanga ndikuyika phazi lanu pansi nthawi zambiri.

Palibe chithandizo nthawi zina

Ngati matenda a Ledderhose samayambitsa kupweteka kapena kupweteka, palibe chithandizo chapadera chomwe chimafunika. Kuwunika kwachipatala nthawi zonse kumayang'ana momwe matendawa akupitira ndikuzindikira kuwoneka kwazovuta mwachangu.

Physiotherapy

Pakakhala kupweteka komanso kusapeza bwino mukuyenda, kutikita minofu ndi magawo a extracorporeal shock wave angaganizidwe.

Mafupa okha

Kuvala ma orthotics a plantar (orthoprostheses) angaperekedwe kuchepetsa ululu ndi kusamva bwino.

Chithandizo cha mankhwala

Kuchiza kwa corticosteroid komweko kungagwiritsidwenso ntchito kuthetsa ululu.

Chithandizo cha opaleshoni

Ngati matenda a Ledderhose ayambitsa kuwonongeka kwakukulu kwa magwiridwe antchito, kuyika kwa aponeurectomy kungakambidwe. Iyi ndi njira yopangira opaleshoni yomwe imaphatikizapo kudula plantar fascia. Kuchitidwa pansi pa opaleshoni ya m'deralo, aponeurectomy ikhoza kukhala yochepa kapena yokwanira malinga ndi vutolo.

Opaleshoniyo imatsatiridwa ndi magawo okonzanso.

Etiology ya matenda a Ledderhose sichidziwika bwino mpaka pano. Kupewa kumaphatikizapo kulimbana ndi zinthu zomwe zingapewedwe zomwe zingalimbikitse kapena kukulitsa kukula kwake. M'mawu ena, zingakhale bwino makamaka:

• kuvala nsapato zoyenera;
• kukhala wathanzi komanso wathanzi;
• kuchita masewera olimbitsa thupi.