Koj puas muaj mob ntshav qab zib? Yog li ntawd tej zaum koj twb paub lawm tias koj yuav tsum tau saib xyuas koj txhais taw zoo, ib yam li lwm qhov ntawm koj lub cev. Tab sis qee zaum, txawm tias muaj kev hloov me me hauv koj txhais taw, me ntsis o, lossis me ntsis kub uas hnov zoo li lwm txhais taw, tuaj yeem yog qhov pib ntawm teeb meem loj dua li koj xav. Hnub no, peb yuav tham txog ib qho mob uas los nrog mob ntshav qab zib, tab sis uas ntau tus neeg hauv peb lub tebchaws tsis paub txog, tab sis nws tuaj yeem txaus ntshai heev yog tias tsis tau ua tib zoo saib xyuas. Peb hu qhov no ua 'Charcot Foot'.
Hauv lwm lo lus, Charcot Foot yog dab tsi?
Xav txog cov hlab ntsha hauv koj ob txhais ceg zoo li ib lub xov tooj. Lub cev ntawm cov xov hlau no nqa cov kev xav hauv koj ob txhais ceg, xws li mob, kub, thiab kov, mus rau koj lub hlwb. Tam sim no, thaum tus kab mob ntshav qab zib tsis raug tswj hwm zoo rau lub sijhawm ntev, cov hlab ntsha hauv koj ob txhais ceg tuaj yeem raug puas tsuaj los ntawm cov ntshav qab zib siab. Hauv kev kho mob, peb hu qhov no ua diabetic neuropathy .
Thaum cov hlab ntsha raug puas tsuaj li no, yuav ua li cas? Qhov kev xav hauv ob txhais ceg txo qis. Ib txhia neeg xav tias lawv ob txhais ceg tingling, thaum lwm tus tsis hnov dab tsi li.
Tam sim no xav txog tias thaum koj taug kev nrog ib ceg uas tsis muaj kev xav, koj tau ua yuam kev ntswj koj ceg me ntsis, lossis koj muaj ib qho pob txha me me hauv koj ceg. Ib tug neeg ib txwm yuav hnov mob hnyav thaum qhov ntawd tshwm sim, yog li lawv yuav so sai sai thiab nrhiav kev kho mob. Tab sis vim tias koj cov hlab ntsha tsis muaj zog thiab koj tsis muaj kev xav, koj tsis hnov qhov mob no. Yog li koj taug kev, khiav, thiab ua haujlwm ntawm ceg ntawd li niaj zaus.
Yog thaum ntawd qhov teeb meem pib. Thaum cov pob txha thiab cov pob qij txha uas twb puas lawm tseem raug kev nyuaj siab, qhov kev puas tsuaj ntxiv zuj zus. Cov pob txha pib tawg thiab tawg, thiab cov pob qij txha pib xoob. Raws li lub sijhawm dhau mus, tag nrho ko taw hloov pauv thiab pib deform. Qhov ntawd yog qhov peb hu ua Charcot Foot .
Hauv kev hais yooj yim, Charcot Foot yog qhov raug mob me me rau ko taw uas tsis muaj kev hnov thiab cov hlab ntsha puas tsuaj vim yog ntshav qab zib, tab sis yog tias koj txuas ntxiv taug kev ntawm nws yam tsis hnov qhov mob, cov pob txha thiab cov pob qij txha yuav tawg thiab ko taw yuav deformed.
Cov tsos mob ntawm Charcot Foot yog dab tsi? Yuav ua li cas thiaj paub thaum ntxov?
Kev kuaj pom tus mob no thaum ntxov yog qhov tseem ceeb tshaj plaws. Vim tias thaum kuaj pom sai npaum li cas, cov teeb meem loj dua tuaj yeem tiv thaiv tau. Cia peb saib seb cov tsos mob yog dab tsi. Kuv yuav qhia qhov no rau koj hauv daim ntawv qhia yooj yim to taub.
| Cov tsos mob | Koj yuav pom dab tsi |
|---|---|
| Cov tsos mob thaum ntxov (yuav tsum paub thaum ntxov) |
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| Cov tsos mob uas tshwm sim thaum tus mob hnyav heev |
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Vim li cas ib txhia neeg thiaj muaj tus mob no? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Qhov ua rau mob Charcot Foot yog vim muaj ntshav qab zib (Diabetic Neuropathy) , uas peb tau tham ua ntej lawm. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj ntshav qab zib yuav muaj tus mob no. Muaj ntau yam ua rau muaj tus mob no.
- Muaj mob ntshav qab zib ntev heev: Cov neeg uas muaj mob ntshav qab zib ntau tshaj 7-10 xyoo muaj feem yuav mob ntau dua.
- Kab mob ntshav qab zib uas tsis tswj tau zoo: Cov ntshav qab zib ntau tas li (hyperglycemia) ua rau cov hlab ntsha puas sai sai.
- Haus Luam Yeeb: Haus luam yeeb ua rau cov hlab ntsha nqaim thiab txo cov ntshav ntws mus rau ko taw. Qhov no cuam tshuam tsis zoo rau cov hlab ntsha thiab kev kho qhov txhab.
- Kev haus dej cawv: Kev haus dej cawv ntau dhau kuj tuaj yeem ua rau cov hlab ntsha puas tsuaj ncaj qha.
- Ntshav siab, roj cholesterol ntau, thiab rog dhau: Cov mob no kuj tuaj yeem cuam tshuam rau kev ncig ntshav thiab ua rau muaj kev pheej hmoo ntau ntxiv.
- Kab mob raum: Qhov kev pheej hmoo no kuj siab dua rau cov neeg uas muaj kab mob raum los ntawm ntshav qab zib.
Qhov no ua rau muaj teeb meem txaus ntshai dab tsi?
Tej zaum koj yuav ntshai me ntsis thaum koj hnov cov lus tseeb no. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tej no, vim tias thaum ntawd peb yuav saib xyuas qhov no. Yog tias Charcot Foot tsis kho raws sijhawm, tej zaum yuav muaj teeb meem loj heev.
1. Kev puas tsuaj tas mus li ntawm ko taw: Cov duab ntawm ko taw tuaj yeem hloov pauv mus tas li. Qhov no ua rau nws tsis tuaj yeem hnav khau ib txwm thiab ua rau nws nyuaj rau taug kev.
2. Cov qhov txhab thiab kev kis kab mob uas tsis kho tau: Cov qhov txhab ko taw tuaj yeem kis tau kab mob yooj yim. Qee zaum cov kab mob no tuaj yeem kis mus rau cov pob txha.
3. Txiav ceg taw: Yog tias tus kab mob tsis tuaj yeem tswj tau, lossis yog tias ko taw puas loj heev , qee zaum yuav tsum tau phais tshem ib feem lossis tag nrho ko taw kom cawm tau txoj sia.
4. Ua rau neeg tuag taus: Yog tias tus kab mob ko taw nkag mus rau hauv cov ntshav thiab kis mus thoob plaws lub cev (sepsis), nws tuaj yeem ua rau neeg tuag taus.
Txoj kev zoo tshaj plaws kom tsis txhob muaj cov mob hnyav no yog mus ntsib kws kho mob tam sim ntawd thaum pom thawj cov tsos mob, xws li ob txhais ceg liab, o, thiab kub.
Tus kws kho mob kuaj mob thiab kho qhov no li cas?
Thaum koj qhia rau koj tus kws kho mob txog koj cov tsos mob, thawj qhov uas nws yuav ua yog kuaj xyuas koj ob txhais taw. Nws yuav piv koj ob txhais taw thiab nrhiav seb puas o, hloov pauv ntawm cov duab, liab, thiab sov. Nws kuj tseem yuav kuaj xyuas seb koj txhais taw xav li cas.
Tom qab ntawd, koj yuav raug xa mus rau kev kuaj mob xws li cov no los paub meej tias koj muaj mob dab tsi:
- Duab X-ray ntawm ko taw: Xyuas seb puas muaj kev puas tsuaj, tawg, lossis pob txha tawg.
- Kev thaij duab MRI (MRI): Txhawm rau pom tseeb tias puas tsuaj rau cov nqaij mos thiab cov pob qij txha ntxiv rau cov pob txha.
- Kev kuaj ntshav: Xyuas seb puas muaj kab mob.
Cov kev kho mob
Kev kho mob tseem ceeb rau Charcot Foot yog "off-loading," uas txhais tau tias tsis txhob muab qhov hnyav rau ntawm ko taw uas raug mob. Qhov no yog qhov tseem ceeb vim tias kev txuas ntxiv taug kev ntawm cov pob txha uas raug mob tsuas yog ua rau qhov mob hnyav zuj zus xwb.
Rau qhov no, tus kws kho mob yuav pom zoo cov yam xws li:
- Siv ib daim plaster tshwj xeeb (cast): Ib daim cast uas tsim tshwj xeeb raug siv los tiv thaiv ko taw kom tsis txhob txav lossis ris qhov hnyav.
- Siv cov pas nrig los yog lub cuab yeej taug kev .
- Siv lub rooj zaum muaj log: Yog tias tus mob hnyav heev, tej zaum koj yuav tau siv lub rooj zaum muaj log ib ntus.
- Khau thiab cov khoom siv tshwj xeeb (Orthotics thiab Footwear): Tom qab cov pob txha ntawm ko taw tau zoo lawm, koj yuav tsum siv cov khau tshwj xeeb lossis cov khoom ntxig ('Orthotics') uas haum rau cov duab ntawm ko taw thiab tsis muab kev nyuaj ntxiv rau nws.
- Kev Kho Mob Lub Cev: Nrog kev pab los ntawm tus kws kho mob lub cev, koj tuaj yeem ua cov kev tawm dag zog los txhim kho kev txav mus los ntawm cov pob qij txha thiab ua kom cov leeg ntawm ko taw muaj zog.
- Kev Phais Mob: Hauv qee kis mob hnyav, tej zaum yuav xav tau kev phais mob los kho cov pob txha tawg thiab ua kom ko taw ruaj khov.
Tej yam koj yuav tsum ua los tiv thaiv koj ob txhais taw yog tias koj muaj ntshav qab zib
Yuav kom tiv thaiv koj tus kheej ntawm tus mob hnyav hu ua Charcot Foot, koj yuav tsum saib xyuas koj ob txhais taw kom zoo thaum koj yog tus neeg mob ntshav qab zib. Ua kom cov cwj pwm no ua ib feem ntawm koj lub neej txhua hnub.
| Yuav ua li cas | Kev piav qhia |
|---|---|
| Kev kuaj xyuas ko taw txhua hnub | Txhua hmo ua ntej koj mus pw, siv daim iav los yog hais kom ib tug neeg hauv tsev kuaj xyuas koj ob txhais taw, ntawm koj cov ntiv taw, thiab ib ncig ntawm koj cov rau tes. Xyuas seb puas muaj qhov khawb me me, liab, o, lossis ua pob liab. |
| Kev Huv Si | Ntxuav koj txhais taw txhua hnub nrog dej sov so thiab xab npum me me. Tom qab ntawd, so kom qhuav, tshwj xeeb tshaj yog ntawm cov ntiv taw, thiab so kom qhuav. |
| Khau kom raug | Hnav khau uas haum zoo thiab mos sab hauv. Tsis txhob taug kev tsis hnav khau sab nraum zoov. Hnav ib khub khau mos sab hauv tsev thiab. |
| Kev tswj ntshav qab zib | Ua raws li koj tus kws kho mob cov lus qhia thiab tswj koj cov ntshav qab zib kom nyob rau hauv qhov ntau thiab tsawg. Qhov no yog lub hauv paus ntawm txhua yam. |
| Kev kuaj mob | Txhua zaus koj mus rau chaw kho mob ntshav qab zib, hais kom koj tus kws kho mob kuaj ob txhais taw. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Charcot ko taw yog ib qho teeb meem loj uas tshwm sim los ntawm kev puas tsuaj ntawm cov hlab ntsha vim yog ntshav qab zib.
- Yog koj muaj ntshav qab zib, tsis txhob tsis quav ntsej txog qhov o, liab, lossis sov tsis zoo li qub hauv koj ceg . Mus ntsib kws kho mob tam sim ntawd, txawm tias tsis mob los xij.
- Kev kuaj pom thaum ntxov yog txoj hauv kev zoo tshaj plaws los zam kev mob xws li kev puas tsuaj loj heev thiab kev txiav ceg.
- Ua kom nws yog ib qho kev coj ua los xyuas koj txhais taw txhua hnub. Qhia rau koj tus kws kho mob yog tias koj pom muaj kev hloov pauv.
- Koj tswj tau koj tus kab mob ntshav qab zib zoo npaum li cas, koj qhov kev pheej hmoo ntawm kev muaj cov teeb meem no yuav tsawg dua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus