Ua ʻike anei ʻoe i kēia mau mea i kou wāwae maʻi diabetes? E kamaʻilio kākou e pili ana i ka wāwae Charcot!

Loaʻa iā ʻoe ka maʻi diabetes? A laila ua ʻike paha ʻoe e pono ʻoe e mālama pono i kou mau wāwae. I kekahi manawa, ʻoiai kahi ʻeha liʻiliʻi a i ʻole kahi paheʻe a hāʻule wale nō hiki ke lilo i pilikia nui. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o nā kūlana koʻikoʻi loa, akā i nānā pinepine ʻole ʻia, hiki i ka maʻi diabetes ke hana i kou mau wāwae.

He aha ka wāwae ʻo Charcot? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka wāwae ʻo Charcot kahi pilikia koʻikoʻi o ka maʻi diabetes e hoʻopilikia i nā wāwae, e pili pinepine ana me ka neuropathy . He ʻano kakaikahi ia, akā ʻaʻole liʻiliʻi ka pōʻino e hiki ke hana.

E noʻonoʻo, i ka wā e hōʻino ai ka maʻi diabetes i nā aʻalolo i kou mau wāwae, ʻoi aku hoʻi kou mau wāwae, nalowale kou ʻike ma ia wahi. ʻAʻole paha ʻoe e hiki ke ʻike i nā mea e like me ka ʻeha, ka mae ʻana, a i ʻole ka wela kūpono. ʻO ia ka manawa e hoʻomaka ai ka pilikia. ʻOiai inā he ʻeha liʻiliʻi kou ma kou wāwae, he kui ma kou wāwae, a he iwi haki liʻiliʻi paha, ʻaʻole paha ʻoe e ʻike, no laila e hoʻopaneʻe paha ʻoe i ka loaʻa ʻana o ka lāʻau no ia mea. Ma muli o kēlā naʻaupō, hiki i kahi mea liʻiliʻi ke lilo i maʻi koʻikoʻi a i ʻole ke kūlana e hoʻololi ai i ke ʻano o kou wāwae.

Inā ʻaʻole e mālama koke ʻia ʻo Charcot Foot, hiki ke hōʻino ʻia nā hono o kou wāwae a ʻaʻole paha ʻoe e hiki ke hoʻohana pono i kou wāwae. Eia kekahi, inā loaʻa kahi maʻi i kou wāwae, hiki ke laha ma kou kino a, i kekahi mau hihia koʻikoʻi, hiki ke alakaʻi i ka ʻoki ʻana, kahi hiki ke hoʻoweliweli i ke ola.

No laila, he mea nui loa ka kaohi ʻana i ka maʻi diabetes a mālama i kou pae kō koko (blood glucose). ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ke ʻike pinepine i ke kauka no ka ʻōlelo aʻo a e nānā mau i ke ʻano o kou mau wāwae.

Ua lohe paha ʻoe i nā kauka e hoʻohana ana i nā inoa e like me kēia ma kahi o Charcot Foot:

• Ka wāwae e pili ana i ka maʻi diabetes
• ʻO ke ʻano o Charcot
• ʻO ka neuropathy Charcot

Pehea ka maʻamau o ka wāwae ʻo Charcot?

He maʻi laha ʻole ka wāwae Charcot. ʻAʻole ia e ulu i nā kānaka a pau me ka maʻi diabetes. Hoʻopilikia ia ma lalo o 1% o ka poʻe me ka maʻi diabetes. Eia naʻe, ʻoiai he mea laha ʻole ia, he koʻikoʻi ka pōʻino hiki ke hana.

He aha nā hōʻailona mua o ka wāwae Charcot? He mea nui e ʻike i kēia mau mea!

Inā ʻike mua ʻia kēia ʻano, hiki ke pale ʻia mai ka hōʻino nui ʻana. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona.

• ʻEha wāwae: Eia naʻe, ʻaʻole paha ʻoe e manaʻo i ka ʻeha ma muli o ka hōʻino ʻia ʻana o nā aʻalolo.
• ʻO ke kala ʻana a i ʻole ka ʻulaʻula o ka wāwae:Inā ʻulaʻula koke kou wāwae a me he mea lā ua loli kona kala.
• Pehu: Inā pehu ka wāwae, ʻoi aku hoʻi ka wāwae.
• Ke manaʻo nei i ka mehana ʻē i ka wāwae: ʻOiai inā ʻike ʻia ka mehana o kekahi wāwae ma mua o kekahi.

Inā ʻike ʻoe i kekahi o kēia mau loli i kou mau wāwae, e ʻike koke i ke kauka . ʻO ka wikiwiki o kou ʻike ʻana iā Charcot Foot, ʻoi aku ka maikaʻi o kou kūlana e pale aku ai i nā pilikia koʻikoʻi.

He aha nā hōʻailona o ka wāwae ʻo Charcot ke lilo ia i mea koʻikoʻi?

Inā ʻaʻole i mālama ʻia i ka wā mua, hiki i ka Charcot Foot ke hoʻololi i ke ʻano o kou wāwae (Charcot foot deformity). ʻO ke ʻano kēia:

• Ka wāwae lalo-pōloli: ʻO kēia ka wā e haki ai a hiolo nā iwi ma waenakonu o kou wāwae. ʻO kēia ke kumu o ka nalowale ʻana o ke kūlou kūlohelohe (arch) ma lalo o kou wāwae, a lilo kou wāwae i poepoe i lalo i waenakonu, e like me ka lalo o kahi noho lūlū. Hiki ke ʻike ʻia kou kūlou lalo e puka ana ma kahi i kū ai ma mua.
• ʻO ke ʻano o ka manamana wāwae: Hiki ke kūlou a kūlou i lalo kou mau manamana wāwae. Ke haki nā iwi o kou mau manamana wāwae, hiki iā lākou ke kūlou e like me nā kui i ko lākou hoʻāʻo ʻana e paʻa i ka lepo.
• Ka hewa o ka kuʻekuʻe wāwae: Hiki ke huki ʻia kou kuʻekuʻe wāwae i kekahi ʻaoʻao, kūlou, a hiki ke nānā aku i kahi ʻokoʻa a paʻa ʻole ke nānā ʻia mai kēlā ʻaoʻao.
• Nā ʻeha wāwae: Ke hoʻololi ʻia kou wāwae a kuʻekuʻe wāwae paha ma muli o ka wāwae Charcot, kau ʻia kekahi mau wahi ma lalo o ke kaumaha keu. Hiki i kēia ke hōʻino i ka ʻili ma ia mau wahi, a hiki ke ulu nā ʻeha hāmama (i kapa ʻia ʻo פתוחים פצעים). ʻOi aku ka maʻalahi o ka loaʻa ʻana o ka maʻi i kēia mau ʻeha.

No ke aha e ulu ai ka wāwae ʻo Charcot? He aha ke kumu?

ʻO ke kumu nui o ka ulu ʻana o Charcot Foot, ʻaʻole ʻoe e ʻike i kekahi mau hōʻailona e like me ka ʻeha ʻoiai he ʻeha a he maʻi paha kou ma kou wāwae. Ua kapa pinepine ʻia kēia he maʻi wāwae maʻi diabetes.

• Loaʻa paha i ka poʻe me ka maʻi diabetes ke kō koko kiʻekiʻe (hyperglycemia) inā ʻaʻole lākou e kaohi pono i ko lākou pae glucose koko.
• Hiki i kēia pae koko kiʻekiʻe no ka manawa lōʻihi ke hōʻeha i nā aʻalolo (neuropathy), ʻoiai ma nā wāwae haʻahaʻa a me nā wāwae.
• Ma muli o kēlā hōʻino ʻana o ke aʻalolo, nalowale kou ʻike i kou mau wāwae a me kou mau wāwae.
• No ka mea, ʻaʻole paha ʻoe e ʻike i nā hōʻailona o ka ʻeha a i ʻole kekahi mea hewa me kou wāwae, ʻaʻole pono paha ʻoe e ʻimi i ke kōkua lapaʻau. A laila, ʻoiai kahi mea liʻiliʻi a maʻalahi hoʻi e mālama ʻia, ua lilo paha ia i pilikia nui i ka manawa āu e ʻike ai ua ʻeha.

Eia kekahi laʻana, e noʻonoʻo i kahi kanaka me Charcot Foot, nona ka iwi haki, ligament, a i ʻole tendon i ko lākou wāwae, akā hiki ke hoʻomau i ka hele wāwae ma luna o ka wāwae haki no ka mea ʻaʻole lākou e ʻike i ka ʻeha. ʻO ka maʻamau, hiki i kahi ʻeha kuʻekuʻe wāwae liʻiliʻi a i ʻole ka iwi haki ke ʻoi aku ka ʻino inā ʻoe e hoʻomau i ka hoʻohana ʻana i kou wāwae me ka ʻole o ka manaʻo. I ka hala ʻana o ka manawa, hiki i ke kaomi keu ke hoʻololi mau i ke ʻano o kou wāwae a me kou kuʻekuʻe wāwae.

Pēlā nō, inā loaʻa iā ʻoe ʻo Charcot Foot, ʻaʻole paha ʻoe e ʻike i nā hōʻailona e like me ka ʻeha a i ʻole ka wela, no laila e hala paha ʻoe i kahi maʻi a hiki i ka wā e hoʻoulu ai i nā pilikia koʻikoʻi.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka wāwae ʻo Charcot?

ʻO ka wāwae ʻo Charcot kahi maʻi e hoʻopilikia pinepine ai i ka poʻe me ka maʻi diabetes . ʻO ka poʻe i loaʻa i ka maʻi diabetes no nā makahiki ʻehiku a ʻoi, ka poʻe puhi paka, a me ka poʻe inu waiʻona mau, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka hōʻino ʻana o nā aʻalolo (neuropathy).

Eia kekahi, inā loaʻa iā ʻoe ka maʻi diabetes a me kēia mau kūlana olakino ʻē aʻe, ʻoi aku ka nui o kou hiki ke hōʻino i ke aʻalolo:

• Ke koko kiʻekiʻe (hypertension)
• Ka momona a i ʻole ka piʻi ʻana o ke kaumaha
• Ka pae cholesterol kiʻekiʻe i loko o ke koko
• Maʻi puʻupaʻa

He aha nā kūlana weliweli (nā pilikia) e hiki ke kū mai ma muli o ka wāwae ʻo Charcot?

ʻO ka wāwae Charcot kahi pilikia o ka hōʻino ʻana o ke aʻalolo (neuropathy) i hoʻokumu ʻia e ka maʻi diabetes. Eia nō naʻe, inā ua hōʻino nui ʻia kou wāwae a i ʻole loaʻa iā ʻoe kahi maʻi koʻikoʻi, hiki ke loaʻa nā pilikia koʻikoʻi. ʻO kēia mau mea:

• Hiki ke loli mau ke ʻano o kou wāwae , e hiki ʻole ai ke komo i nā kāmaʻa maʻamau.
• Inā koʻikoʻi nā loli kino o ka wāwae, pono paha ke ʻoki ʻia ka wāwae i hoʻopilikia ʻia . Hiki nō hoʻi kēia ke ʻano inā loaʻa kahi maʻi ʻeha ma ka wāwae.
• Hiki i ka wāwae Charcot ke make inā pālahalaha kahi maʻi i loko o ke kino, a i ʻole inā loaʻa nā pilikia ʻē aʻe e pili ana i ka maʻi diabetes.

Pehea e ʻike pololei ai ke kauka i ka wāwae ʻo Charcot?

E ʻike ke kauka i ka wāwae Charcot ma ka nānā ʻana iā ʻoe a me ka hana ʻana i kekahi mau hoʻokolohua kiʻi. Inā ʻike ʻoe i ka ʻeha, ka pehu ʻana, a i ʻole ka mehana i kou wāwae, a inā ua nalowale kou ʻike i kou kuʻekuʻe wāwae, wāwae, a i ʻole nā ​​manamana wāwae, pono ʻoe e haʻi i kāu kauka.

E nānā ke kauka i kou mau kuʻekuʻe wāwae a me kou mau wāwae. E nānā ʻo ia i nā wāwae ʻelua a hoʻohālikelike iā lākou no nā loli. E hoʻopā pū ʻo ia i kou mau kuʻekuʻe wāwae, nā wāwae, a me nā manamana wāwae e ʻike i ka nui o kou manaʻo.

He aha nā hoʻokolohua a nā kauka e hoʻohana ai e ʻike ai i ka wāwae ʻo Charcot?

Hiki i ke kauka ke hana i kekahi mau hoʻokolohua e ʻike ai i ka wāwae ʻo Charcot:

• Nā kukuna X-wāwae
• Nā hoʻokolohua MRI (Magnetic Resonance Imaging - MRI)
• Nā hoʻāʻo koko e nānā i nā maʻi

He aha nā lāʻau lapaʻau no ka wāwae ʻo Charcot?

ʻO ka mea nui loa i ka mālama ʻana i ka wāwae ʻo Charcot, ʻo ia ke pale ʻana i nā pilikia koʻikoʻi . Ma mua o ka ʻino ʻana o kekahi ʻeha a pilikia paha, pono ʻoe e hoʻōki i ke kau ʻana i ke kaumaha ma kou wāwae a me ka hele wāwae. E paipai kāu kauka i nā lāʻau lapaʻau e hōʻemi i kāu mau hōʻailona a hoʻemi i ka hopena mau loa o ka wāwae ʻo Charcot i kou hiki ke hoʻohana i kou wāwae.

ʻO nā lāʻau lapaʻau maʻamau no ka wāwae ʻo Charcot:

Ke lawe nei i ke kaumaha mai kou wāwae

ʻO ka hōʻemi ʻana i ke kaumaha a me ke kaomi ma ka wāwae i hoʻopilikia ʻia e hiki ke kōkua i ka hōʻemi ʻana i ka pehu a pale i nā ʻeha, e like me nā haki, mai ka ʻoi aku ka ʻino. Pono paha ʻoe i kēia mau mea e hana ai i kēia:

• He manaʻo maikaʻi ka hoʻolei ʻana i kahi mea hoʻoheheʻe a i ʻole ka mea hoʻopaʻa.
• Nā koʻokoʻo.
• He kiʻikuhi hele wāwae `(walker)`.
• He noho huila.

ʻO nā ʻokoʻa ma waena o nā kāmaʻa orthotics a me nā kāmaʻa

ʻO nā Orthotics nā mea i kau ʻia i loko o kou mau kāmaʻa e kākoʻo i kou mau wāwae a kōkua i ka mālama ʻana i kou mau manamana wāwae i kahi. Pono paha ʻoe i nā mea hoʻokomo i hana ʻia a i ʻole kahi mea kākoʻo kuʻekuʻe wāwae. Hiki i kāu kauka ke ʻōlelo aku i nā orthotics, a i ʻole nā ​​​​kāmaʻa me ka hohonu kūikawā, e hōʻemi i ke kaomi ma kou mau wāwae a maʻalahi iā ʻoe ke hele.

Hoʻōla kino

He loea mālama ola kino ka mea hoʻōla kino e kōkua iā ʻoe e hoʻomaikaʻi i ke ʻano o ka neʻe ʻana o kou kino. Inā pilikia ʻoe i ka neʻe ʻana ma muli o nā mea e like me ka ʻeha, ka ʻoʻoleʻa, a i ʻole ka ʻoluʻolu ʻole, hiki iā ia ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona. Hiki iā lākou ke hoʻomohala i kahi papahana hoʻoikaika kino i hana ʻia e kōkua iā ʻoe e hoʻoneʻe i kou kino.

ʻO ke ʻoki wāwae ʻo Charcot

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi (e like me nā iwi haʻihaʻi, nā hono, nā ʻeha), a inā he maʻi kou e hiki ke laha, pono paha ʻoe e hana i ke ʻoki wāwae ʻo Charcot.

E hoʻoponopono ke kauka lapaʻau i ka pōʻino i kou wāwae a me kou kuʻekuʻe wāwae a hoʻopaʻa i kou wāwae. I kekahi manawa, pono paha e ʻoki ʻia ka wāwae o ka poʻe me ka wāwae Charcot koʻikoʻi.

E wehewehe ke kauka lapaʻau iā ʻoe i ke ʻano o ke ʻoki kino e pono ai ʻoe e hana a me ka mea e manaʻo ai i ka wā e hoʻōla ai.

He aha kā mākou e hana ai e pale aku ai i ka wāwae ʻo Charcot?

ʻO ke ala maikaʻi loa e pale ai i ka wāwae ʻo Charcot, ʻo ia ka mālama pono ʻana i kāu maʻi diabetes a me kou olakino holoʻokoʻa.Ke kāohi ʻoe i kou pae kō koko, hiki iā ʻoe ke pale i ke kō koko kiʻekiʻe (hyperglycemia) a hōʻemi i ka pilikia o ka hōʻino ʻana o nā aʻalolo (neuropathy).

E nīnau i kāu kauka i ka pinepine o kou nānā ʻana i kou mau wāwae. E nīnau pū inā pono ʻoe e ʻike i kahi podiatrist a i ʻole he orthopedist wāwae a me ka kuʻekuʻe wāwae.

Hiki i ka hana ʻana i kēia mau mea ke hōʻemi i kou pilikia o Charcot Foot a me nā pilikia wāwae ʻē aʻe e pili ana i ka maʻi diabetes:

• E nānā i kou mau wāwae i kēlā me kēia lā. E nānā i nā loli. Mai poina e nānā ma waena o kou mau manamana wāwae. E noi i kekahi no ke kōkua, a i ʻole e hoʻohana i ke aniani.
• E nānā i kou mau wāwae i kēlā me kēia manawa a ke kauka.
• E mālama pono i kou mau manamana wāwae i ʻoki ʻia a waiho ʻia. E ʻoki pololei iā lākou i mea e pale ai i nā manamana wāwae i ulu i loko.
• E mālama i kou mau wāwae e kahe maikaʻi ana. E hoʻokiʻekiʻe iki i kou mau wāwae i ka wā e noho ana, a e hoʻoluliluli pinepine i kou mau manamana wāwae.
• E ʻaʻahu i nā socks a me nā kāmaʻa (a i ʻole nā ​​​​slippers) i ka lā a pau. E hōʻoia ʻaʻole paʻa kou mau socks a kūpono kou mau kāmaʻa. (ʻOiai ʻaʻole mākou e ʻaʻahu pinepine i nā kāmaʻa ma ka home ma Sri Lanka, he mea nui kēia e pale i kou mau wāwae inā loaʻa iā ʻoe ka maʻi diabetes).
• E holoi i kou mau wāwae i kēlā me kēia lā. E hoʻomaloʻo maikaʻi iā lākou, ʻoiai ma waena o nā manamana wāwae. E kau i ka lotion ma luna a me lalo o kou mau wāwae, akā ʻaʻole ma waena o nā manamana wāwae.

He aha ke ʻano o ka wā e hiki mai ana e hiki i kekahi me Charcot Foot ke manaʻo?

Inā ʻike mua ke kauka i ka wāwae ʻo Charcot, pono ʻoe e pale i nā pilikia koʻikoʻi .

E loaʻa iā ʻoe nā manawa hoʻokolokolo maʻamau me kāu kauka. E lawe ʻo ia i nā X-ray hou aku e nānā i nā loli a i ʻole nā ​​​​hōʻailona hou i kou mau wāwae.

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi a i ʻole nā ​​​​pilikia mai Charcot Foot, pono paha ʻoe e hoʻololi i kou ʻano hele wāwae, neʻe a puni, a aʻo paha e hoʻohana i nā mea kōkua neʻe. E wehewehe kāu kauka i ka mea e manaʻo ai. E alakaʻi ʻo ia iā ʻoe ma kāu huakaʻi hoʻōla a pane i nā nīnau āu e loaʻa ai.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā ʻike ʻoe i kekahi mau hōʻailona hou ma kou mau wāwae, a inā paha e ʻoi aku ka ʻino o kahi hōʻailona e kū nei, e ʻike koke i ke kauka.

Inā loaʻa iā ʻoe ka maʻi diabetes, e haʻi koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau mea:

• Nā loli i ke ʻano o kou mau wāwae.
• Nā loli i ka ʻili ma kou mau wāwae (e like me ka ʻeha, ka loli ʻana o ke kala, ka mehana, a i ʻole kahi ʻala ʻē).
• Me he mea lā e hāʻule ana ka lauoho ma kou mau manamana lima, nā manamana wāwae, a me nā wāwae .
• Ma kou mau wāwae, kuʻekuʻe wāwae, nā wāwae, nā manamana wāwaeMe he mea lā ua nalowale koʻu mau manaʻo.
• ʻEha, mae, kuni, a ʻūlū paha i kou mau wāwae a me kou mau wāwae (ʻoi aku hoʻi i ka pō).

He aha nā nīnau āu e nīnau ai i ke kauka?

• Loaʻa iaʻu ka wāwae ʻo Charcot, a i ʻole kekahi maʻi wāwae ʻē aʻe e pili ana i ka maʻi diabetes?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• E pono anei iaʻu ke ʻoki kino?
• ʻEhia pinepine e pono ai iaʻu ke nānā i koʻu mau wāwae?

Hiki iā ʻoe ke hele me ka wāwae ʻo Charcot?

I nā pae mua o ka wāwae Charcot, pono ʻoe e hiki ke hele a neʻe a puni . Eia nō naʻe, inā ʻike ʻoe i kekahi pehu a i ʻole ke kala ʻana o ke kala, mai hoʻokau i kou wāwae . ʻOiai inā ʻaʻole ʻoe e manaʻo, he hōʻailona paha ia ua ʻeha kou wāwae.

E noho ikaika, akā e koho i nā hana mālie ʻaʻole e hoʻoluhi nui i kou mau wāwae. He mea maikaʻi nā mea e like me ka ʻauʻau ʻana a me ke kaʻa paikikala. E nīnau i kāu kauka i nā hana palekana loa iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He pilikia kakaikahi ka wāwae ʻo Charcot o ka maʻi diabetes i ka wā e hōʻino ʻia ai nā aʻalolo ma nā wāwae haʻahaʻa a me nā wāwae. ʻO ke ala maikaʻi loa e pale aku ai i nā pilikia koʻikoʻi, ʻo ia ka ʻike ʻana iā ia i ka wā hikiwawe loa.

Inā loaʻa iā ʻoe ka maʻi diabetes, e ʻike pinepine i ke kauka no nā nānā ʻana a me nā hoʻokolokolo wāwae. E nānā kāu kauka i kou mau wāwae no nā loli e hiki ke hōʻike i kahi kumu pilikia.

E kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i kāu maʻi diabetes. Hiki iā ia ke kuhikuhi i nā kumuwaiwai e kōkua iā ʻoe e mālama i kou pae kō koko a hōʻemi i kou pilikia o ka neuropathy diabetic a me ka wāwae Charcot. E lawe kou mau wāwae iā ʻoe i kahi lōʻihi i ke ola, no laila ʻo kou kuleana ke mālama pono iā lākou!

ʻO ka wāwae Charcot, ka maʻi diabetes, ka maʻi wāwae, ka hōʻino ʻana o ke aʻalolo, nā ʻeha wāwae, nā pilikia o ka maʻi diabetes, ka mālama wāwae