Hoʻohālikelike ʻia ka maʻi Ledderhose e ke ʻano o nā tumora benign i ka paʻa o ka wāwae. Hiki ke noho hāmau kēia maʻi akā hiki ke hōʻike ʻia e ka ʻeha a me ka hōʻoluʻolu ke hele wāwae. Pili ka mālama ʻana i ka hopena o ka maʻi i kēlā me kēia lā.

Ka wehewehe ʻana o ka maʻi Ledderhose

ʻO ka maʻi Ledderhose ka plantar fibromatosis, kahi ʻano o ka fibromatosis poʻokela i loaʻa i ka paʻa o ka wāwae. Hoʻohālikelike ʻia ka fibromatosis e ka helehelena o fibroids, nā puʻupuʻu benign me ka hoʻonui ʻana o kaʻiʻo fibrous.

I ke kumu o ka maʻi Ledderhose, ulu ka ulu ʻana ma ke ʻano o nā nodule. I nā huaʻōlelo ʻē aʻe, hiki iā mākou ke ʻike i kahi ʻano poepoe a palpable ma lalo o ka ʻili ma ka pae o ka plantone aponeurosis (membrane fibrous aia ma ka papa o ka wawae o ka wāwae a hoʻonui ʻia mai ka iwi kuʻekuʻe i ke kumu o nā manamana wāwae).

Hoʻopili pinepine ka maʻi Ledderhose i nā wāwae ʻelua. Lohi kona evolution. Hiki ke hoʻolōʻihi i mau makahiki.

Nā kumu o ka maʻi Ledderhose

ʻO nā kumu o ka plantar fibromatosis ʻaʻole i maopopo iki a hiki i kēia lā. Me he mea lā e hiki ke kūpono, makemake ʻia a hoʻonui ʻia paha kāna hoʻolālā ʻana e:

• kahi predisposition hoʻoilina hoʻoilina i ʻike ʻia aia ma 30% a 50% o nā hihia;
• ke ola o ka maʻi diabetes;
• ʻalekohola;
• ke lawe nei i kekahi mau lāʻau, me isoniazid a me barbiturates;
• micro-traumas, e like me nā mea i loaʻa i ka poʻe haʻuki;
• haki i ka wāwae;
• nā kaʻina hana ma kēia wahi.

ʻO ka poʻe i hoʻopilikia ʻia e ka maʻi Ledderhose

Kū pinepine ka maʻi Ledderhose ma hope o 40 mau makahiki a pili nui i nā kāne. Ma waena o 50 a 70% o ka poʻe i hoʻopilikia ʻia he mau kāne.

Ua ʻike ʻia ka maʻi Ledderhose e pili pinepine ʻia me nā ʻano ʻelua o fibromatosis.

• ʻO ka maʻi ʻo Dupuytren, i kūlike i ka palmar fibromatosis me ka ulu ʻana o nā tumors i ka lima;
• ʻO ka maʻi o Peyronie i kūlike i ka fibromatosis i hoʻopaʻa ʻia ma ka peni.

Pili pinepine ka maʻi Ledderhose me ka maʻi o Dupuytren ma mua o ka Peyronie's. Ma waena o ka poʻe i hoʻopilikia ʻia e ka maʻi Ledderhose, ua manaʻo ʻia aia ma kahi o 50% o lākou kekahi i loaʻa i ka maʻi ʻo Dupuytren.

ʻIke maʻi maʻi Ledderhose

Hoʻokumu nui ʻia ke kuhi ma kahi hōʻike hoʻokolohua. Loiloi ke kauka i nā ʻōuli i ʻike ʻia a palpates ka mahele kanu. Hōʻike kēia palpation i ke ʻano o nā nodule ʻano o ka ulu ʻana o ka maʻi Ledderhose.

No ka hōʻoia ʻana i ka hōʻailona, ​​hiki i ke kauka ʻoihana olakino ke kauoha i nā hoʻokolohua kiʻi olakino, e like me kahi ultrasound a i ʻole MRI (kiʻi resonance magnetic).

Nā nodule Plantar

Hoʻohālikelike ʻia ka maʻi Ledderhose e ka ulu holomua o nā nodule i ka paʻa o ka wāwae. Paʻa a lahilahi, maʻalahi kēia mau nodule ma lalo o ka ʻili. Aia lākou ma ka mahele waena o ka pio o ka wāwae.

Kaha: ʻo ka helehelena o nā nodule e like asymptomatic, me ka ʻole o ka hōʻike pilikino.

ʻEha a me ka hōʻoluʻolu ʻole

ʻOiai hiki i ka maʻi Ledderhose ke hāmau, hiki nō ke hōʻeha i ka ʻeha a me ka hōʻoluʻolu ke hele a puni. Hiki ke hana i ka ʻeha nui a paʻakikī i ka hele ʻana, holo a kau i kou wāwae i ka honua i ka nui.

ʻAʻohe mālama i kekahi mau hihia

Inā ʻaʻole kumu ka maʻi Ledderhose i ka hōʻoluʻolu a ʻeha paha, ʻaʻole koi ʻia kahi hoʻokele kikoʻī. Aia kahi nānā olakino maʻamau e nānā i ka holomua o ka maʻi a ʻike i ke ʻano o ka pilikia i ka hiki.

Physiotherapy

Inā ʻeha a hōʻoluʻolu ke hele wāwae, noʻonoʻo ʻia nā lomilomi a me nā wā nalu haʻalulu extracorporeal.

Kapu orthopedic

ʻO ke kau ʻana i nā orthotics plantar (orthoprostheses) e ʻōlelo ʻia e kaupalena i ka ʻeha a me ka hōʻoluʻolu ʻole.

ʻO ka lāʻau lapaʻau

Hiki nō ke hoʻohana i ka lāʻau corticosteroid therapy e hōʻoluʻolu ai i ka ʻeha.

ʻO keʻano maʻamau

Inā loaʻa ka maʻi Ledderhose i ka hōʻino nui ʻana o ka hana, e kūkākūkā ʻia ka hoʻokomo ʻana i kahi aponeurectomy. He hana ʻoki kēia e pili ana i ka ʻoki ʻana i ka fascia plantar. Hana ʻia ma lalo o ka anesthesia kūloko, hiki i ka aponeurectomy ke ʻāpana a i ʻole ka hilinaʻi ʻana i ka hihia.

Hoʻopili ʻia ke kīʻaha e nā kau hoʻoponopono hou.

ʻO ke ʻano o ka maʻi ʻo Ledderhose ʻaʻole i maopopo iki a hiki i kēia lā. Kūpono ka pale ʻana i ka hakakā ʻana i nā kumu pale i hiki ke hāpai a hoʻokūkū paha i kona ulu ʻana. I nā huaʻōlelo ʻē aʻe, aʻoaʻo paha ia ma:

• komo i nā kāmaʻa kūpono;
• mālama i kahi papaʻai olakino a kaulike;
• komo i ka hoʻoikaika kino hana.