Isifo se-Ledderhose sibonakala ngokubonakala kwezicubu ezinobungozi emgqeni wonyawo. Lesi sifo singahlala sithule kodwa singabuye sibonakale ngobuhlungu nokungakhululeki lapho uhamba. Ukuphatha kuncike emthelela wesifo nsuku zonke.

Incazelo yesifo iLedderhose

Isifo i-Ledderhose i-plantar fibromatosis, okuwuhlobo lwe-fibromatosis engaphezulu eyenzeka ekhothameni lonyawo. I-Fibromatosis ibonakala ngokubonakala kwama-fibroids, ama-benign tumors anokwanda kwezicubu ze-fibrous.

Endabeni yesifo i-Ledderhose, ukuthuthukiswa kwesimila kwenzeka ngendlela yamaqhuqhuva. Ngamanye amazwi, singabona ukwakheka okuyindilinga nokuzwakalayo ngaphansi kwesikhumba ezingeni le-plantar aponeurosis (ulwelwesi lwe-fibrous olutholakala endaweni yesitshalo sonyawo futhi lusuka ethanjeni lesithende luye phansi kwezinzwane).

Isifo i-Ledderhose ngokuvamile sithinta izinyawo zombili. Ukuvela kwayo kuhamba kancane. Inganwebeka iminyaka eminingana.

Izinkinga ze-Ledderhose

Izimbangela ze-plantar fibromatosis azikaqondwa kahle kuze kube namuhla. Kungabonakala sengathi ukuthuthukiswa kwayo kungahle kube ngenxa, kuthandwe noma kugcizelelwe:

• i-genetic predisposition ebonakala sengathi ikhona ku-30% kuya ku-50% wamacala;
• ukuba khona kwesifo sikashukela;
• ukuphuza ngokweqile;
• ukuthatha imithi ethile, okuhlanganisa i-isoniazid ne-barbiturates;
• micro-traumas, njengalezo ezikhona kubasubathi;
• ukuphuka onyaweni;
• izinqubo zokuhlinzwa kulesi sifunda.

Abantu abahlaselwe yi-Ledderhose disease

Isifo i-Ledderhose ngokuvamile sivela ngemva kweminyaka engu-40 ubudala futhi sihlasela kakhulu abesilisa. Phakathi kuka-50 no-70% walabo abathintekayo ngabesilisa.

Isifo se-Ledderhose sitholakale sivame ukuhlotshaniswa nezinye izinhlobo ezimbili ze-fibromatosis:

• Isifo sikaDupuytren, esihambisana ne-palmar fibromatosis ngokuthuthukiswa kwezimila esandleni;
• Isifo sikaPeyronie esihambisana ne-fibromatosis etholakala epipini.

Isifo iLedderhose sivame ukuhlotshaniswa nesifo sikaDupuytren kunesikaPeyronie. Kulabo abahlaselwe yisifo iLedderhose, kulinganiselwa ukuthi cishe u-50% wabo unesifo sikaDupuytren.

Ukuxilongwa Kwesifo I-Ledderhose

Ukuxilongwa kusekelwe ngokuyinhloko ekuhlolweni komtholampilo. Udokotela uhlola izimpawu ezicatshangelwayo futhi athambise isifunda se-plantar. Le palpation ibonisa ukwakheka kwamaqhuqhuva uphawu lokukhula kwesifo iLedderhose.

Ukuqinisekisa ukuxilongwa, uchwepheshe wezokunakekelwa kwempilo angase a-ode ukuhlolwa kwesithombe sezokwelapha, njenge-ultrasound noma i-MRI (i-magnetic resonance imaging).

Izigaxa ze-Plantar

Isifo se-Ledderhose sibonakala ngokukhula okuqhubekayo kwamaqhuqhuva endaweni yonyawo. Eqinile futhi enwebeka, lawa maqhuqhuva ayabonakala ngaphansi kwesikhumba. Ngokuvamile zitholakala engxenyeni emaphakathi yekhothamo lonyawo.

Qaphela: ukubonakala kwamaqhuqhuva kungase kungabonakali, ngaphandle kokubonakaliswa okusobala komtholampilo.

Ubuhlungu nokungakhululeki

Nakuba isifo se-Ledderhose singathula, singabangela ubuhlungu nokungakhululeki lapho uhambahamba. Ubuhlungu obukhulu bungenzeka futhi kwenze kube nzima ukuhamba, ukugijima nokubeka unyawo lwakho phansi ngokujwayelekile.

Akukho ukwelashwa kwezinye izimo

Uma isifo se-Ledderhose singabangeli ukungakhululeki noma ubuhlungu, akukho ukwelashwa okuqondile okudingekayo. Ukuqapha kwezokwelapha okuvamile kusendaweni ukuze kuhlolwe ukuqhubeka kwesifo futhi kuhlonzwe ukubukeka kokuphazamiseka ngokushesha ngangokunokwenzeka.

I-Physiotherapy

Esimeni sobuhlungu nokungaphatheki kahle lapho uhamba, ama-massage namaseshini e-extracorporeal shock wave angase acatshangelwe.

I-Orthopedic sole

Ukugqoka ama-plantar orthotics (ama-orthoprostheses) kungase kuphakanyiswe ukunciphisa ubuhlungu nokungakhululeki.

Ukwelashwa

Ukwelashwa kwe-corticosteroid yendawo nakho kungasetshenziswa ukukhulula ubuhlungu.

Ukwelapha okuhlinzwa

Uma isifo se-Ledderhose sibangela ukukhubazeka okuphawulekayo kokusebenza, ukubekwa kwe-aponeurectomy kungase kuxoxwe ngakho. Lena inqubo yokuhlinzwa ehlanganisa ukusika i-plantar fascia. Okwenziwa ngaphansi kwe-anesthesia yendawo, i-aponeurectomy ingaba ingxenye noma isiyonke kuye ngecala.

Ukuhlinzwa kulandelwa izikhathi zokuvuselela.

I-etiology yesifo i-Ledderhose ayikaqondwa kahle kuze kube namuhla. Ukuvimbela kuhlanganisa ukulwa nezinto ezingagwemeka ezingakhuthaza noma zigqamise ukukhula kwakho. Ngamanye amazwi, kungase kube kuhle kakhulu ukuthi:

• gqoka izicathulo ezifanele;
• gcina ukudla okunempilo nokulinganisela;
• zijwayeza ukuzivocavoca umzimba njalo.