Ðe suklidɔ le ŋuwòa? Ekema ɖewohĩ ènya xoxo be ele be yealé be na yeƒe afɔwo ŋutɔ, abe wò ŋutilã ƒe akpa bubu ɖesiaɖe ene. Gake ɣeaɖewoɣi la, tɔtrɔ sue aɖe le wò afɔ ŋu, vuvu vi aɖe, alo dzoxɔxɔ vi aɖe si se le eɖokui me be yevɔ̃ɖi wu afɔ kemɛa gɔ̃ hã ate ŋu anye kuxi gã aɖe ƒe gɔmedzedze wu alesi nèsusui. Egbea, míele nu ƒom tso nɔnɔme aɖe si va kpena ɖe suklidɔ ŋu, gake ame geɖe menya nu tso eŋu le míaƒe dukɔa me o, gake ate ŋu anye afɔku gã aɖe ne womelé ŋku ɖe eŋu nyuie o. Míeyɔa esia be ‘Afɔdzideƒe’.
Kpuie ko la, nukae nye Charcot Foot?
Bu lãmeka siwo le wò afɔwo me be wonye telefon kawo ƒe ɖoɖo aɖe. Ka ƒe ɖoɖo sia tsɔa seselelãme siwo le wò afɔwo me, abe vevesese, dzoxɔxɔ, kple asikaka ame ŋu ene yia wò ahɔhɔ̃ me. Fifia, ne womete ŋu ɖu suklidɔ dzi nyuie o ɣeyiɣi didi aɖe la, sukli ƒe agbɔsɔsɔ si le ʋu me ate ŋu agblẽ nu le wò afɔwo ƒe lãmekawo ŋu. Le atikewɔwɔ me la, míeyɔa esia be suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle .
Nukae dzɔna ne lãmekawo gblẽ alea? Seselelãme si le afɔwo me dzi ɖena kpɔtɔna. Ame aɖewo sena le wo ɖokui me be yewoƒe afɔwo le ƒoƒom, gake ame bubuwo ya mesea naneke kura o.
Azɔ tsɔe be esi nènɔ zɔzɔm kple afɔ si me seselelãme aɖeke mele o la, ètro wò afɔ vie le vo me, alo wò afɔ gbã vie. Ame si sɔ la ase veve vevie ne edzɔ alea, eyata woagbɔ ɖe eme kaba ahadi atike. Gake esi wò lãmekawo gbɔdzɔ eye mèsena le ɖokuiwò me o ta la, mèsea veve sia o. Eyata èzɔna, ƒua du, eye nèwɔa dɔ le afɔ ma ŋu abe alesi nèwɔnɛ ɖaa ene.
Ɣemaɣie kuxia dzea egɔme. Ne ƒu kple ƒunukpeƒe siwo gblẽ xoxo la yi edzi le nuteɖeamedzi me la, nusiwo gblẽna la dzina ɖe edzi. Ƒuawo dzea gbagbã kple ŋeŋe, eye ƒunukpeƒewo tea ƒoƒo. Le ɣeyiɣi aɖe megbe la, afɔ bliboa ƒe nɔnɔme trɔna eye wòdzea tɔtrɔ gɔme. Emae nye nusi míeyɔna be Charcot Foot .
Kpuie ko la, Charcot Foot nye abi sue aɖe na afɔ si megate ŋu sea nu gɔme o eye eƒe lãmekawo gblẽ le suklidɔ ta, gake ne èyi edzi zɔ edzi evɔ mèse vevea o la, ƒuwo kple ƒunukpeƒewo agbã eye afɔa azu nuwɔametɔ.
Nukae nye Charcot Foot ƒe dzesiwo? Aleke woawɔ ade dzesii kaba?
Nɔnɔme sia kpɔkpɔ kabae nye nu vevitɔ kekeake. Elabena zi alesi wokpɔe kaba la, zi nenemae woate ŋu axe mɔ ɖe kuxi sesẽwo nu. Na míakpɔ nusiwo dzesiawo nye ɖa. Maɖe esia afia wò le nɔnɔmetata si gɔme sese le bɔbɔe me .
| Dzesiwo ƒe nɔnɔme | Nusi nàkpɔ |
|---|---|
| Dzesi siwo dzena kaba (ele be woade dzesii kaba) . |
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| Dzesi siwo dzena ne nɔnɔmea nu sẽ |
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Nukatae dɔléle sia va dzea ame aɖewo dzi? Nukawoe nye afɔku siwo le eme?
Nu vevitɔ si gbɔ Charcot Foot tsonae nye lãmekawo ƒe gbegblẽ si suklidɔ (Diabetic Neuropathy) , si ŋu míeƒo nu tsoe va yi hena vɛ. Gake menye amesiame si ŋu suklidɔ le ye xɔa nɔnɔme sia o. Nu bubu geɖewo hã li siwo nana dɔléle sia xɔxɔ ƒe afɔkua dzina ɖe edzi.
- Suklidɔ ƒe amesinɔnɔ ɣeyiɣi didi: Ame siwo ŋu suklidɔ le wu ƒe 7-10 la le afɔku me wu.
- Suklidɔ si dzi womeɖu nyuie o: Sukli ƒe agbɔsɔsɔ si nɔa ʋu me atraɖii (suklidɔ) gblẽa nu le lãmekawo ŋu kabakaba.
- Sigaretnono: Sigaretnono nana ʋukawo me mekɔna o eye wòɖea ʋu si sina yia afɔwo me dzi kpɔtɔna. Esia gblẽa nu le lãmekawo kple abi ƒe dɔyɔyɔ ŋu le mɔ gbegblẽ nu.
- Ahanono: Ahanono fũu akpa hã ate ŋu agblẽ nu le lãmekawo ŋu tẽ.
- Ʋusɔgbɔdɔ, ʋumemi ƒe agbɔsɔsɔ fũ, kple lolo akpa: Nɔnɔme siawo ate ŋu ado kplamatse ʋu ƒe sisi hã eye wòana afɔkua nadzi ɖe edzi.
- Ayikudɔ: Afɔku sia lolo wu na amesiwo ŋu ayikudɔ si suklidɔ hena vɛ hã.
Kuxi siwo me afɔku le kawoe esia ate ŋu ahe vɛ?
Ðewohĩ vɔvɔ̃ ɖo wò vie ne èse nyateƒenya siawo. Gake ele vevie ŋutɔ be míanya nusiawo, elabena ekema míakpɔ esia gbɔ. Ne womeda Charcot Foot le ɣeyiɣi nyuitɔ dzi o la, kuxi sesẽwo ate ŋu ado mo ɖa.
1. Afɔ ƒe nɔnɔme gbegblẽ tegbee: Woate ŋu atrɔ afɔa ƒe nɔnɔme tegbee. Esia wɔnɛ be manya wɔ be woado afɔkpa siwo sɔ o eye wònana azɔlizɔzɔ hã sesẽna.
2. Abi kple dɔlékui siwo mehayana o: Dɔlékuiwo ate ŋu axɔ afɔdzideƒewo bɔbɔe. Ɣeaɖewoɣi la, dɔlékui siawo ate ŋu akaka ɖe ƒuwo me.
3. Afɔɖeɖe: Ne womate ŋu aɖu dɔlékuia dzi o, alo ne afɔa ƒe nɔnɔme madeamedzia nu sẽ , ɣeaɖewoɣi la, ahiã be woawɔ dɔ na afɔa ƒe akpa aɖe alo eƒe akpa bliboa be woaɖe agbe.
4. Edea ame ƒe agbe afɔku me: Ne afɔdzidɔ ge ɖe ʋukawo me eye wòkaka ɖe ŋutilã bliboa me (sepsis) la, ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
Mɔ nyuitɔ si dzi nàto aƒo asa na nɔnɔme sesẽ siawoe nye be nàyi ɖɔkta gbɔ enumake ne èkpɔ dzesi gbãtɔ, abe afɔ siwo biã, vuvu, kple dzodzo ene.
Aleke ɖɔkta wɔa dea dzesi esia ahadae?
Ne ègblɔ wò dzesiwo na wò ɖɔkta la, nu gbãtɔ si wòawɔe nye be wòado wò afɔ evea siaa kpɔ. Atsɔ wò afɔwo asɔ kple wo nɔewo eye wòadi be wovuvu, woƒe nɔnɔme le tɔtrɔm, woƒe abi biã, eye woƒe dzoxɔxɔ le wo ŋu. Alé ŋku ɖe ale si wò afɔwo sena le wo ɖokui me hã ŋu.
Le ema megbe la, woate ŋu aɖo wò ɖe dodokpɔwo abe esiawo ene be woatsɔ aɖo kpe dɔlélea dzi:
- Afɔdzideƒe ƒe X-ray: Kpɔe ɖa be ƒuawo gblẽ, wogbã, alo wogbã hã.
- MRI scan (MRI): Be woakpɔ nusiwo gblẽ le lãkusi falɛfalɛwo kple ƒunukpeƒewo ŋu nyuie tsɔ kpe ɖe ƒuwo ŋu.
- Ʋudodokpɔ: Kpɔe ɖa be dɔlékuiwo le eŋu hã.
Dɔdamɔnu siwo wozãna
Atike vevitɔ si wozãna na Charcot Foot enye "off-loading," si fia be womatsɔ kpekpeme aɖeke ade afɔ si ŋu dɔlélea le la dzi o. Esia le vevie elabena ne èyi edzi zɔ ƒu siwo gblẽ la dzi la, ɖeko wòana nɔnɔmea nagagblẽ ɖe edzi.
Le esia ta la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be:
- Plaster (cast) tɔxɛ aɖe sisi: Wotsɔa aŋɔ si ŋu wotrɔ asi le etɔxɛe dea afɔa me be wòagaʋuʋu alo atsɔ kpekpeme o.
- Atizɔtiwo alo afɔzɔla zazã .
- Bunɔkeke zazã: Ne nɔnɔmea nu sẽ la, ahiã be nàzã bunɔkeke hena ɣeyiɣi aɖe.
- Afɔkpa kple mɔ̃ tɔxɛwo (Afɔ ƒe ƒuwo kple afɔkpawo): Ne afɔ ƒe ƒuwo haya vɔ la, ahiã be nàzã afɔkpa tɔxɛwo alo nusiwo wotsɔ dea eme (`Afɔkpa ƒe nɔnɔme`) siwo sɔ ɖe afɔa ƒe nɔnɔme nu eye màde nyaƒoɖeamenu geɖe ɖe edzi o.
- Lãmesẽnyawo Gbɔkpɔkpɔ: Le kamededeŋutinunyala ƒe kpekpeɖeŋu me la, àte ŋu awɔ kamedede siwo ana ƒunukpeƒewo ƒe ʋuʋu nanyo ɖe edzi eye woado ŋusẽ afɔ ƒe lãmekawo.
- Amekoko: Le nɔnɔme sesẽ aɖewo me la, ahiã be woawɔ dɔ na ame be wòaɖo ƒu gbagbãawo eye wòana afɔa nali ke.
Nusiwo wòle be nàwɔ atsɔ akpɔ wò afɔwo ta ne suklidɔ le ŋuwò
Be nàkpɔ ɖokuiwò ta tso nɔnɔme sesẽ si woyɔna be Charcot Foot me la, ele be nàlé be na wò afɔwo nyuie abe suklidɔléla ene. Na numame siawo nanye wò gbesiagbegbenɔnɔ ƒe akpa aɖe.
| Nusi woawɔ | Nuɖᴐɖᴐ |
|---|---|
| Afɔdzidede gbesiagbe | Zã sia zã hafi nàmlɔ anyi la, zã ahuhɔ̃e alo bia tso ame aɖe si le aƒeme si be wòalé ŋku ɖe wò afɔkpodziwo, wò afɔbidɛwo dome, kple wò ɖawo ŋu. Kpɔe ɖa be ʋuʋudedi sue aɖewo, biã, vuvu, alo ʋuʋudedi aɖeke le eŋu hã. |
| Dzadzɛnyenye | Klɔ wò afɔwo gbesiagbe kple tsi fafɛ kple adzalẽ fafɛ. Emegbe, nàƒu wo nyuie, vevietɔ le afɔbidɛawo dome, eye nàtu wo woaƒu. |
| Afɔkpa siwo sɔ | Do afɔkpa siwo sɔ nyuie eye woƒe eme fa. Mègazɔ afɔ ƒuƒlu le gota gbeɖe o. Do afɔkpa falɛfalɛ aɖe le xɔ me hã. |
| Suklidɔ dzi ɖuɖu | Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi eye nàna wò ʋumesukli ƒe agbɔsɔsɔ nanɔ agbɔsɔsɔ si sɔ me. Esiae nye nusianu ƒe gɔmeɖoanyi. |
| Atikewɔwɔ me dodokpɔ | Ɣesiaɣi si nèyi suklidɔdaƒe la, bia tso wò ɖɔkta si be wòalé ŋku ɖe afɔ eveawo ŋu. |
Gbedasi si Wotsɔ Yi Aƒeme
- Charcot Foot nye kuxi sesẽ aɖe si lãmekawo ƒe gbegblẽ le suklidɔ ta hena vɛ.
- Ne suklidɔ le ŋuwò la, mègaŋe aɖaba ƒu wò afɔ ƒe vuvu, bibi, alo dzoxɔxɔ si mebɔ o dzi o . Kpɔ ɖɔkta enumake, ne vevesese aɖeke mele eŋu o gɔ̃ hã.
- De dzesii kabae nye mɔ nyuitɔ si dzi woato aƒo asa na nɔnɔmewo abe nuwɔametɔ sesẽwo kple lãmetutudɔ ene.
- Na wòazu numame na wò be nàlé ŋku ɖe wò afɔwo ŋu gbesiagbe. Gblɔe na wò ɖɔkta ne ède dzesi tɔtrɔ aɖewo.
- Zi alesi nèɖu wò suklidɔ dzi nyuie la, zi nenemae afɔku si le wò kuxi siawo xɔxɔ me dzi ɖena kpɔtɔnae.
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