Ledderhose chirwere chinoonekwa nechitarisiko chebenign tumors mune arch yetsoka. Chirwere ichi chinogona kuramba chakanyarara asi chinogonawo kuratidzwa nekurwadziwa uye kusagadzikana kana uchifamba. Management inoenderana nekukanganiswa kwechirwere zuva nezuva.

Tsanangudzo yeLedderhose chirwere

Ledderhose chirwere is plantar fibromatosis, inova mhando yepamusoro-soro fibromatosis inoitika muchitsiko chetsoka. Fibromatosis inoratidzirwa nechitarisiko cheiyo fibroids, ane bundu mamota nekuwedzera kweiyo fibrous tishu.

Panyaya yechirwere cheLedderhose, kukura kwemota kunoitika nenzira yemanundu. Mune mamwe mazwi, tinogona kuona yakatenderedzwa uye inonamira kugadzirwa pasi peganda padanho reiyo plantar aponeurosis (fibrous membrane iri panzvimbo yemuchadenga yetsoka uye ichitambanuka kubva pachitsitsinho bone kusvika pasi pezvigunwe).

Ledderhose chirwere chinowanzobata tsoka mbiri. Shanduko yaro inononoka. Inogona kuwedzera pamusoro pemakore akati wandei.

Zvinokonzera chirwere cheLedderhose

Zvinokonzera plantar fibromatosis zvinoramba zvisina kunzwisiswa nanhasi. Zvinotaridza kuti kukura kwayo kunogona kuve kwakakodzera, kufarirwa kana kusimbiswa ne:

• nhaka yekugara nhaka iyo inoita kunge iripo mu30% kusvika 50% yematambudziko;
• kuvapo kwechirwere cheshuga;
• kudhakwa;
• kutora mimwe mishonga, kusanganisira isoniazid uye barbiturates;
• micro-traumas, senge iwo aripo mumitambo;
• kutsemuka mutsoka;
• nzira dzekuvhiya mudunhu rino.

Vanhu vanobatwa nechirwere cheLedderhose

Ledderhose chirwere chinowanzoonekwa mushure memakore makumi mana ekuberekwa uye chinonyanya kubata vanhurume. Pakati pe40 uye 50% yeavo vanokanganiswa varume.

Ledderhose chirwere chakawanikwa chichiwanzobatanidzwa nemamwe marudzi maviri e fibromatosis:

• Chirwere cheDupuytren, chinoenderana nemichindwe fibromatosis nekukura kwemamota muruoko;
• Chirwere chePeyronie chinoenderana nefibromatosis inowanikwa munzvimbo yemurume.

Ledderhose chirwere chinowanzobatanidzwa nechirwere cheDupuytren pane chaPeyronie. Pakati peavo vanobatwa nechirwere cheLedderhose, zvinofungidzirwa kuti vangangoita makumi mashanu muzana vavo zvakare vane chirwere cheDupuytren.

Ledderhose Chirwere Kuongorora

Iko kuongororwa kunovakirwa zvakanyanya pakiriniki yekuongororwa. Chiremba anoongorora anoonekwa zviratidzo uye anonamira nzvimbo yekudyara. Iyi palpation inoratidza kuumbwa kwemamonyoro hunhu hwekukura kwechirwere cheLedderhose.

Kusimbisa kuongororwa, nyanzvi yehutano inogona kuraira bvunzo dzekurapa, senge ultrasound kana MRI (magnetic resonance imaging).

Plantar nodules

Ledderhose chirwere chinoonekwa nekufambira mberi kukura kwemajinga mune arch yetsoka. Yakasimba uye yakasununguka, aya ma nodule anogona kubatika pasi peganda. Iwo anowanzo kuve ari epakati chikamu cheiyo arch yetsoka.

Ongorora: kuoneka kwema nodule kunogona kunge kusingaite, pasina pachena kiriniki kuratidzwa.

Marwadzo uye kusagadzikana

Nepo chirwere cheLedderhose chichigona kunyarara, chinogona zvakare kukonzera marwadzo uye kusagadzikana kana uchifamba-famba. Kushungurudzika kwakanyanya kunogona kuitika uye kuita kuti zviome kufamba, kumhanya uye kuisa tsoka yako pasi zvachose.

Hapana kurapwa mune zvimwe zviitiko

Kana chirwere cheLedderhose chisingakonzere kusagadzikana kana kurwadziwa, hapana chaicho manejimendi chinodiwa. Kugara uchiongorora kurapwa kuri munzvimbo yekuongorora kufambira mberi kwechirwere uye kuona kuoneka kwekusagadzikana nekukurumidza sezvazvinogona.

Physiotherapy

Mukana wekurwadziwa uye kusagadzikana kana uchifamba, kukwizwa uye kwekunze kwekushamisika wave wave zvikamu zvinogona kutariswa.

Orthopedic chete

Kupfeka plantar orthotic (orthoprostheses) inogona kukurudzirwa kudzikamisa kurwadziwa uye kusagadzikana.

Kurapwa

Yemunharaunda corticosteroid kurapwa inogona zvakare kushandiswa kubvisa marwadzo.

Kuvhiya kurapa

Kana chirwere cheLedderhose chichikonzera kushomeka kwakakosha kwekushanda, kuiswa kweaponeurectomy kunogona kukurukurwa. Iyi inzira yekuvhiya iyo inosanganisira kucheka iyo plantar fascia. Inoitwa pasi peanesthesia yemuno, iyo aponeurectomy inogona kuve yakasarudzika kana yakazara zvichienderana nenyaya yacho.

Kuvhiya kunoteverwa nezvikamu zvekuvandudza.

Iyo etiology yeLedderhose chirwere inoramba isinganyatsonzwisisike nanhasi. Kudzivirira kunosanganisira kurwisa zvinhu zvinodzivirirwa zvinogona kukurudzira kana kuwedzera kukura kwayo. Mune mamwe mazwi, zvinogona kunyanya kukurudzirwa ku:

• pfeka shangu dzakakodzera;
• chengetedza chikafu chine hutano uye chakaringana;
• ita chiitiko chemuviri wenguva dzose.