Yu gɛt dayabitis? Dɔn sɔntɛm yu dɔn no se yu nid fɔ tek kia ɔf yu fut dɛn gud gud wan, jɔs lɛk ɛni ɔda pat na yu bɔdi. Bɔt sɔntɛnde, ivin if yu fut chenj smɔl, yu swel smɔl, ɔ yu wam smɔl we yu fil bad pas di ɔda fut, dat kin bi di biginin fɔ wan big prɔblɛm pas aw yu tink. Tide, wi go tɔk bɔt wan sik we kin kam wit dayabitis, bɔt we bɔku pipul dɛn na wi kɔntri nɔ no bɔt, bɔt we kin rili denja if dɛn nɔ pe atɛnshɔn to am fayn. Wi de kɔl dis ‘Charkot Fut’.
Fɔ tɔk am simpul wan, wetin na Charcot Foot?
Tink bɔt di nɛf dɛn we de na yu leg dɛn lɛk wan sistem we gɛt tɛlifon waya. Dis waya dɛn kin kɛr di tin dɛn we yu kin fil na yu leg, lɛk pen, ɔt, ɛn tɔch to yu bren. Naw, we dɛn nɔ ebul fɔ kɔntrol dayabitis fayn fɔ lɔng tɛm, di nerv dɛn na yu leg kin pwɛl bikɔs di shuga na yu blɔd bɔku. Insay mɛrɛsin, wi kin kɔl dis dayabitik nyuropathy .
Wetin kin apin we di nerv dɛn dɔn pwɛl lɛk dis? Di filin na di leg dɛn kin stɔp. Sɔm pipul dɛn kin fil lɛk se dɛn leg de swɛt, ɛn ɔda wan dɛn nɔ kin fil natin atɔl.
Naw imajin se we yu de waka wit wan leg we nɔ gɛt ɛni sɛns, yu aksidɛntli twis yu leg smɔl, ɔ yu gɛt smɔl fraktrɔs na yu leg. Nɔmal pɔsin go fil bad bad pen we dat apin, so dɛn go rɛst kwik kwik wan ɛn go to tritmɛnt. Bɔt bikɔs yu nerv dɛn wik ɛn yu nɔ gɛt ɛni sɛns, yu nɔ de fil dis pen. So yu de waka, rɔn, ɛn wok pan da leg de lɛk aw yu kin du.
Na da tɛm de di prɔblɛm bigin. As di bon ɛn jɔyn dɛn we dɔn ɔlrɛdi pwɛl de kɔntinyu fɔ strɛs, di damej de go ɔp. Di bon dɛn kin bigin fɔ brok ɛn krɔs, ɛn di jɔyn dɛn kin bigin fɔ lus. As tɛm de go, di wan ol fut kin chenj in shep ɛn bigin fɔ chenj. Na dat wi kin kɔl Charcot Foot .
Fɔ tɔk am simpul wan, Charcot Fut na smɔl injuri to fut we dɔn lɔs sɛns ɛn nerve damej bikɔs ɔf dayabitis, bɔt if yu kɔntinyu fɔ waka pan am we yu nɔ fil di pen, di bon ɛn jɔyn dɛn go brok ɛn di fut go defɔm.
Wetin na di sayn dɛm fɔ Charcot Foot? Aw fɔ no am kwik?
Fɔ no dis sik kwik kwik wan na di tin we impɔtant pas ɔl. Bikɔs di mɔ we dɛn no am kwik kwik wan, na di mɔ dɛn go ebul fɔ avɔyd siriɔs prɔblɛm dɛn. Lɛ wi si wetin na di sayn dɛm. A go sho una dis na wan chɔt we izi fɔ ɔndastand .
| Sityueshɔn fɔ simptom | Wetin yu go si |
|---|---|
| Di fɔs sayn dɛm (dɛn fɔ no am kwik kwik wan) . |
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| Simptom dɛm wae kin apun wae de sik tranga |
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Wetin mek sɔm pipul dɛn kin gɛt dis sik? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Di men tin we kin mek pɔsin gɛt Charcot Fut na di nerve damej we dayabitis (Diabetic Neuropathy) , we wi bin dɔn tɔk bɔt. Bɔt nɔto ɔlman we gɛt dayabitis kin gɛt dis sik. Bɔrku ɔda tin dɛn de wae kin mek pɔrsin gɛt dis sik.
- Fɔ gɛt shuga fɔ lɔng tɛm: Pipul wae dɔn gɛt shuga fɔ pas 7-10 ia kin gɛt bɔrku risk.
- Dayabitis we dɛn nɔ kin kɔntrol fayn: We yu kɔntinyu fɔ gɛt bɔku blɔd shuga (haypa glycemia) kin pwɛl di nerv dɛn kwik kwik wan.
- Smok: Smok kin mek di blɔd vesel dɛn smɔl ɛn i kin mek di blɔd nɔ go na di fut dɛn. Dis kin afɛkt di nerv dɛm ɛn di wund we de wɛl bad bad wan.
- Fɔ drink rɔm: If yu drink pasmak, dat kin pwɛl di nerv dɛn dairekt wan bak.
- Hapatɛnshɔn, ay kɔlɔstrel, ɛn fat: Dɛn tin ya kin ambɔg bak di blɔd we de go ɔlsay ɛn i kin mek i gɛt mɔ prɔblɛm.
- Kidni sik: Dis risk kin pasmak bak fɔ pipul dɛm wae gɛt kidni sik wae kin kam wit dayabitis.
Us denja prɔblɛm dɛn dis kin mek?
Yu kin fil fɔ fred smɔl we yu yɛri dɛn tin ya. Bɔt i rili impɔtant fɔ no dɛn tin ya, bikɔs da tɛm de wi go tek kia ɔf dis. If dɛn nɔ trit Charcot Fut insay di tɛm, siriɔs prɔblɛm kin apin.
1. di fut de fכm fכ tεm: dεn kin chenj di shep fכ di fut fכ כltεm. Dis kin mek i nɔ pɔsibul fɔ wɛr nɔmal sus ɛn i kin mek i nɔ izi fɔ waka.
2. Wund ɛn infɛkshɔn we nɔ de wɛl: Fut ɔlsa kin izi fɔ gɛt baktri. Sɔntɛnde, dɛn infɛkshɔn ya kin go na di bon dɛn.
3. Fɔ kɔt di fut: If dɛn nɔ ebul fɔ kɔntrol di infekshɔn, ɔ if di difɔmiti na di fut bad bad wan , sɔntɛnde dɛn kin nid fɔ ɔpreshɔn sɔm pat ɔ ɔl di fut fɔ sev layf.
4. I kin mek pɔsin in layf de pan denja: If fut infekshɔn go insay di blɔd ɛn i go ɔlsay na di bɔdi (sepsis), i kin ivin mek pɔsin in layf de pan denja.
Di bɛst we fɔ avɔyd dɛn siriɔs tin ya na fɔ go to dɔktɔ wantɛm wantɛm we yu si di fɔs sayn fɔ di sik, lɛk fɔ rɛd, swel, ɛn wam leg.
Aw dɔktɔ kin no ɛn trit dis?
We yu tɛl yu dɔktɔ bɔt yu sik dɛn, di fɔs tin we i go du na fɔ chɛk yu tu fut. I go kɔmpia yu fut ɛn luk fɔ swel, chenj in shep, rɛd, ɛn wam. I go chɛk bak aw yu fut dɛn de fil.
Afta dat, dɛn kin rifer yu fɔ du tɛst lɛk dis fɔ kɔnfirm di diagnosis:
- Fut X-ray: Chɛk fɔ si if di bon dɛn dɔn pwɛl, krak, ɔ brok.
- MRI scan (MRI): Fɔ si klia wan se di sɔft tisu ɛn jɔyn dɛn dɔn pwɛl apat frɔm di bon dɛn.
- Blɔd tɛst: Chɛk fɔ si if yu gɛt di sik.
Di we aw dɛn kin trit am
Di men tritmɛnt fɔ Charcot Fut na "off-loading," we min se yu nɔ fɔ put ɛni wet pan di fut we afɛkt. Dis impɔtant bikɔs if yu kɔntinyu fɔ waka pan di bon dɛn we dɔn pwɛl, dat go jɔs mek di sik wɔs.
Fɔ dis, di dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:
- Fɔ put spɛshal plasta (kas): Dɛn kin put spɛshal kast fɔ mek di fut nɔ muf ɔ bia wet.
- Yuz kruk ɔ pɔsin we de waka .
- Yuz wilchia: If di sik bad, yu go nid fɔ yuz wilchia fɔ sɔm tɛm.
- Spɛshal shuz ɛn divays (Orthotics and Footwear): Afta di bon dɛm na di fut dɔn wɛl, yu go nid fɔ yuz spɛshal shuz ɔ insɛt (`Orthotics`) we fit di shep fɔ di fut ɛn nɔ put ɛkstra prɛshɔn pan am.
- Fizik Tɛrapi: If pɔsin we de mɛn yu bɔdi go ɛp yu, yu kin du ɛksɛsayz fɔ mek di jɔyn dɛn muv fayn ɛn fɔ mek di mɔsul dɛn na yu fut strɔng.
- Ɔpreshɔn: Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ sɛt di bon dɛn we dɔn brok ɛn fɔ mek di fut stebul.
Tin dɛm wae yu fɔ du fɔ protɛkt yu fut if yu gɛt dayabitis
Fɔ protɛkt yusɛf frɔm di siriɔs sik we dɛn kɔl Charcot Foot, yu nid fɔ tek kia ɔf yu fut fayn fayn wan as pɔsin we gɛt dayabitis. Mek dɛn abit dɛn ya bi pat pan yu layf ɛvride.
| Wetin fɔ du | Tɔk bɔt |
|---|---|
| Fɔ chɛk yu fut ɛvride | Ɛvri nɛt bifo yu go slip, yuz miro ɔ aks pɔsin na os fɔ chɛk yu fut dɛn, bitwin yu fut finga dɛn, ɛn rawnd yu nel dɛn. Chek fɔ ɛni smɔl abrashɔn, rɛd, swel, ɔ blista. |
| Fɔ mek yu klin | Wash yu fut ɛvride wit wam wata ɛn sop we nɔ gɛt wan bɔt. Dɔn, dray dɛn fayn fayn wan, mɔ bitwin di fut finga dɛn, ɛn pat dɛn dray. |
| Fɔ wɛr di rayt fut | Wear sus we fit fayn ɛn we saf insay. Nɔ ɛva waka barefut na do. Wear wan pe fɔ sɔft slip insay os bak. |
| Kɔntrol fɔ gɛt dayabitis | Fɔ fala yu dɔktɔ in instrɔkshɔn ɛn kip yu blɔd shuga lɛvɛl insay di rayt rɛnj. Dis na di fawndeshɔn fɔ ɔltin. |
| Mɛdikal ɛgzamin | Ɛnitɛm we yu go na di klinik fɔ gɛt dayabitis, aks yu dɔktɔ fɔ chɛk yu tu fut. |
Mɛsej we dɛn kin kɛr go na os
- Charcot Fut na siriɔs kɔmplikeshɔn we kin kam bikɔs ɔf di nerve damej bikɔs ɔf dayabitis.
- If yu gɛt dayabitis, nɔ ignore ɛni swel, rɛd, ɔ wam we nɔ kɔmɔn na yu leg . Si dɔktɔ wantɛm wantɛm, ilɛksɛf i nɔ de fil pen.
- Fɔ no am kwik na di bɛst we fɔ avɔyd tin dɛn lɛk fɔ gɛt siriɔs difɔmiti ɛn fɔ kɔt in an.
- Mek am abit fɔ chɛk yu fut ɛvride. Tɛl yu dɔktɔ if yu notis ɛni chenj.
- Di mɔ yu kɔntrol yu dayabitis, na di mɔ yu go gɛt dɛn prɔblɛm ya.
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