Cutar cutar Ledderhose tana da alaƙa da bayyanar ɓarna a cikin ƙafar ƙafa. Wannan cutar na iya zama shiru amma kuma ana iya bayyana ta zafi da rashin jin daɗi yayin tafiya. Gudanarwa ya dogara da tasirin cutar a kullun.

Ma'anar cutar Ledderhose

Cutar Ledderhose ita ce fibromatosis na shuke -shuke, wanda shine nau'in fibromatosis na sama wanda ke faruwa a ƙafar ƙafa. Fibromatosis yana da alaƙa da bayyanar fibroids, ciwace -ciwacen daji mara kyau tare da yaɗuwar ƙwayar fibrous.

Game da cutar Ledderhose, ci gaban tumor yana faruwa a cikin nodules. A takaice dai, muna iya ganin samuwar taso da taɓarɓarewa a ƙarƙashin fata a matakin aponeurosis na shuka (membrane fibrous da ke kan farfajiyar ƙafar ƙafa kuma yana ƙaruwa daga ƙashin diddige zuwa gindin yatsun kafa).

Cutar Ledderhose yawanci tana shafar ƙafafu biyu. Juyin halittarsa ​​a hankali yake. Yana iya tsawaita shekaru da yawa.

Sanadin cutar Ledderhose

Abubuwan da ke haifar da fibromatosis na tsire -tsire har yanzu ba a fahimci su sosai ba. Da alama ci gabansa na iya kasancewa, fifiko ko fifita shi ta:

• tsinkayen kwayoyin halittar gado wanda da alama yana cikin 30% zuwa 50% na lokuta;
• kasancewar ciwon suga;
• shaye-shaye;
• shan wasu magunguna, ciki har da isoniazid da barbiturates;
• micro-traumas, kamar waɗanda ke cikin 'yan wasa;
• karaya a kafa;
• hanyoyin tiyata a wannan yankin.

Mutanen da cutar Ledderhose ta shafa

Cutar Ledderhose yawanci tana bayyana bayan shekaru 40 kuma galibi tana shafar maza. Tsakanin kashi 50 zuwa 70% na wadanda abin ya shafa maza ne.

An gano cutar Ledderhose sau da yawa ana alaƙa da wasu nau'ikan fibromatosis guda biyu:

• Cutar Dupuytren, wacce ta yi daidai da fibromatosis na palmar tare da haɓaka ciwace -ciwacen hannu;
• Cutar Peyronie wacce ta yi daidai da fibromatosis da ke cikin azzakari.

Cutar Ledderhose galibi ana alakanta ta da cutar Dupuytren fiye da ta Peyronie. Daga cikin waɗanda cutar Ledderhose ta shafa, an kiyasta cewa kusan kashi 50% daga cikinsu kuma suna da cutar Dupuytren.

Ciwon Cutar Ledderhose

Binciken asali ya samo asali ne akan gwajin asibiti. Likita yana tantance alamun da aka gane kuma yana taɓarɓare yankin shuka. Wannan palpation yana nuna samuwar nodules halayyar ci gaban cutar Ledderhose.

Don tabbatar da ganewar asali, ƙwararren masanin kiwon lafiya na iya yin odar gwaje -gwajen hoto na likita, kamar duban dan tayi ko MRI (hoton resonance magnetic).

Plantar nodules

Cutar Ledderhose tana da alaƙa da ci gaban nodules a cikin ƙafar ƙafa. M da na roba, waɗannan nodules suna taɓarɓarewa ƙarƙashin fata. Galibi suna cikin tsakiyar ɓangaren baka.

Lura: bayyanar nodules na iya zama asymptomatic, ba tare da bayyananniyar asibiti ba.

Zafi da rashin jin daɗi

Duk da yake cutar Ledderhose na iya yin shiru, tana iya haifar da ciwo da rashin jin daɗi yayin motsi. Ciwo mai tsanani na iya faruwa kuma yana da wahala tafiya, gudu da sanya ƙafarka a ƙasa gaba ɗaya.

Babu magani a wasu lokuta

Idan cutar Ledderhose ba ta haifar da rashin jin daɗi ko zafi ba, ba a buƙatar takamaiman gudanarwa. Ana kula da lafiya na yau da kullun don tantance ci gaban cutar da gano bayyanar rashin jin daɗi tun da wuri.

Jiyya

Idan akwai ciwo da rashin jin daɗi yayin tafiya, ana iya yin tausa da ƙarin lokacin girgiza girgiza.

Orthopedic tafin kafa

Za a iya ba da shawarar sanya tsattsarkan shuka (orthoprostheses) don iyakance zafi da rashin jin daɗi.

Kiwon lafiya

Hakanan ana iya amfani da maganin corticosteroid na gida don rage jin zafi.

Jiyya na tiyata

Idan cutar Ledderhose ta haifar da nakasa aiki mai mahimmanci, ana iya tattaunawa akan sanya aponeurectomy. Wannan aikin tiyata ne wanda ya haɗa da yanke fascia na shuka. An yi shi a ƙarƙashin maganin rigakafi na gida, aponeurectomy na iya zama sashi ko duka dangane da shari'ar.

Ana yin aikin tiyata bayan zaman gyarawa.

Ilmin ilimin cutar Ledderhose har yanzu ba a fahimce shi da kyau ba. Rigakafin ya ƙunshi yaƙi da abubuwan da za a iya hanawa waɗanda za su iya inganta ko ƙara bunƙasa ci gabansa. A takaice dai, yana iya zama da kyau musamman ga:

• sanya takalma masu dacewa;
• kula da lafiyayyen abinci;
• shiga cikin motsa jiki na yau da kullun.