Yu dɔn ɛva fil dɛn tin ya na yu fut we gɛt dayabitis? Mek wi tok abaut Charcot Foot!

Yu gɛt dayabitis? Dɔn yu go mɔs no se yu nid fɔ tek kia ɔf yu fut mɔ. Sɔntɛnde, ivin smɔl injuri ɔ simpul slip ɛn fɔdɔm kin bi big prɔblɛm. Tide, wi go tɔk bɔt wan pan di siriɔs tin dɛm, bɔt bɔku tɛm dɛn kin fɔgɛt bɔt, we dayabitis kin mek yu fut.

Wetin na Charcot Fut? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Charcot Fut na siriɔs prɔblɛm we kin kam wit dayabitis we kin afɛkt di fut, bɔku tɛm i kin gɛt fɔ du wit nyuropathy . Na wan sik wae nɔr kin bɔrku, bɔt di damej wae i kin kɔz nɔr kin smɔl.

Naw imajin, we dayabitis de pwɛl di nerv dɛn na yu leg, mɔ yu fut, yu nɔ de fil fayn na da say de. Yu nɔr kin ebul fɔ fil tin lɛk pen, swɛt, ɔr wam fayn fayn wan. Na da tɛm de di prɔblɛm kin bigin. Ivin if yu gɛt smɔl wund na yu leg, nel na yu fut, ɔ smɔl bon we brok, yu nɔ go fil am, so yu kin delay fɔ gɛt tritmɛnt fɔ am. Bikɔs ɔf da ignorance de, ivin smɔl tin kin tɔn to siriɔs infekshɔn ɔ ivin wan kɔndishɔn we kin chenj di shep fɔ yu leg.

If dɛn nɔ trit Charcot Fut kwik, di jɔyn dɛn na yu fut kin pwɛl ɛn yu nɔ go ebul fɔ yuz yu fut fayn. Dɔn bak, if infekshɔn apin na yu fut, i kin skata ɔlsay na yu bɔdi ɛn, sɔm tɛm dɛn we i kin rili bad, i kin mek yu kɔt yu fut, we kin ivin mek yu layf de pan denja.

So, i rili impɔtant fɔ kɔntrol dayabitis ɛn kip yu blɔd shuga lɛvɛl (blɔd glukɔs) in chɛk. Di bɛst we fɔ avɔyd dis na fɔ go to dɔktɔ ɔltɛm fɔ advays ɛn fɔ chɛk ɔltɛm aw yu leg dɛn de fil.

Yu go dɔn yɛri dɔktɔ dɛn de yuz nem dɛn lɛk dis insted ɔf Charcot Foot:

• Fut we gɛt fɔ du wit dayabitis
• Charcot arthropathy we pɔsin kin gɛt
• Charcot nyuropati we pɔsin kin gɛt

Aw kɔmɔn tin fɔ Charcot Fut?

Charcot Foot na rili wan kɔndishɔn we nɔ kin apin so ɔltɛm . I nɔ kin kam pan ɔlman we gɛt dayabitis. I kin afɛkt less dan 1% pan pipul dɛm wae gɛt dayabitis. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, di damej we i kin kɔz kin bɔku.

Wetin na di fɔs sayn dɛm fɔ Charcot Foot? I impɔtant fɔ no dɛn tin ya!

If dɛn no dis sik kwik kwik wan, dɛn kin avɔyd am fɔ mek i nɔ mek big big damej. So, e fayn fɔ no bɔt dɛn kayn sik ya.

• Leg pen: Bɔt yu nɔ go fil di pen jɔs bikɔs di nerv dɛn dɔn pwɛl.
• Di kɔlɔ we di fut kin chenj ɔ we kin rɛd:If yu leg tɔn rɛd wantɛm wantɛm ɛn tan lɛk se i dɔn chenj in kɔlɔ.
• Swel: If di leg, mɔ di fut, fil se i dɔn swel.
• Fɔ fil strenj wam na di leg: Ɛspɛshali if wan leg fil notis se i wam pas di ɔda wan.

If yu notis ɛni wan pan dɛn chenj ya na yu fut, go to dɔktɔ wantɛm wantɛm . Di kwik we yu no Charcot Foot, na di mɔ yu chans fɔ avɔyd siriɔs prɔblɛm dɛn.

Wetin na di sayn dɛm fɔ Charcot Foot we i kin tranga?

If yu nɔ trit yu kwik, Charcot Foot kin mek yu fut chenj (Charcot foot deformity). Dis min se:

• Rכka-bכtכm fut: Dis na we di bon dεm we de midul yu fut de brok εn kכlכp. Dis kin mek di natura kɔv (arch) we de dɔŋ yu fut kin lɔs, ɛn yu fut kin rawnd dɔŋ di midul, lɛk di bɔt ɔf chia we de rɔk. Yu bɔt arch kin tan lɛk se i de kɔmɔt usay i bin de trade.
• Toe deformity: Yu fut finga dɛn kin bɛn ɛn bɛn dɔŋ. We di bon dɛn na yu fut finga dɛn brok, dɛn kin bɛn lɛk nel we dɛn de tray fɔ ol di grɔn.
• Ankle deformity: Yu ankle kin pul na wan say, bɛn, ɛn i kin luk difrɛn ɛn nɔ stebul we yu si am frɔm di ɔda say.
• Fut ɔlsa: We yu fut ɔ yu anklɛ nɔ fayn bikɔs ɔf Charcot fut, dɛn kin put sɔm say dɛn ɔnda ɛkstra wet. Dis kin mek di skin na dɛn say dɛn de pwɛl, ɛn opin ɔlsa (we dɛn kɔl פצעים) kin kam. Dɛn wund ya kin gɛt di sik bak.

Wetin mek Charcot Foot de divɛlɔp? Wetin na di kɔz?

Di men rizin fɔ mek yu gɛt Charcot Fut na bikɔs yu nɔ de fil ɛni sayn lɛk pen pan ɔl we yu gɛt injuri ɔ infɛkshɔn na yu fut. Dɛn kin kɔl dis sik we dɛn kɔl dayabitis fut sik.

• Pipul wae gɛt shuga kin gɛt bɔrku shuga na dɛn blɔd (haypa glycemia) if dɛn nɔr kɔntrol di glukɔs na dɛn blɔd fayn fayn wan.
• Dis we aw di blɔd shuga bɔku fɔ lɔng tɛm kin mek di nerv dɛn pwɛl (nyuropathy), mɔ na di ɔda pat dɛn na di leg ɛn fut dɛn we de dɔŋ.
• Bikɔs ɔf da nerve de damej, yu nɔ de fil fayn na yu leg ɛn fut.
• Bikɔs yu nɔ go ebul fɔ no di sayn dɛn we de sho se yu de fil pen ɔ sɔntin we nɔ fayn na yu leg, yu nɔ go nid fɔ go to dɔktɔ. Dɔn, ivin sɔntin we kin bi smɔl ɛn izi fɔ trit kin dɔn bi big prɔblɛm bay di tɛm we yu no se i de mek yu fil pen.

Fɔ ɛgzampul, tink bɔt pɔsin we gɛt Charcot Foot, we gɛt brok bon, ligament, ɔ tɛndon na in leg, bɔt i kin kɔntinyu fɔ waka pan di brok leg bikɔs i nɔ de fil di pen. Bɔku tɛm, smɔl injuri na yu an ɔ yu bon we brok kin wɔs if yu kɔntinyu fɔ yuz yu leg we yu nɔ fil am. As tɛm de go, di ɛkstra prɛshɔn kin chenj di shep fɔ yu fut ɛn anklɛ fɔ ɔltɛm.

Semweso, if yu gɛt Charcot Fut, yu nɔ go fil sɔm sayn dɛn lɛk pen ɔ wam, so yu kin mis wan infɛkshɔn te i kɔz siriɔs prɔblɛm.

Udat de pan ay risk fɔ gɛt Charcot Foot?

Charcot Foot na wan sik wae kin mɔs afɛkt pipul dɛm wae gɛt shuga . Pipul wae dɔn gɛt dayabitis fɔ pas sɛvin ia, wae de smok, ɛn wae de drink rɔm ɔltɛm kin gɛt bɔrku risk fɔ gɛt pwɛl hat (neuropathy).

Dɔn bak, if yu gɛt dayabitis ɛn dɛn ɔda wɛlbɔdi prɔblɛm ya, yu go gɛt prɔblɛm wit yu nerv:

• Ay blɔd prɛshɔn (haypa prɛshɔn) .
• Fɔ fat ɔ fɔ gɛt bɔku bɔku bɔdi
• Di ay kɔlɔstrel lɛvɛl na di blɔd
• Kidni sik

Wetin na di denja kɔndishɔn (kɔmplikɛshɔn dɛm) we kin apin bikɔs ɔf Charcot Foot?

Charcot fut na wan kɔmplikeshɔn we de mek di nerve damej (nyuropathy) we dayabitis kin kam wit. Bɔt if yu fut dɔn pwɛl bad bad wan ɔ yu gɛt bad bad infekshɔn, mɔ siriɔs prɔblɛm dɛn kin apin. Dɛn tin ya na:

• Di shep fɔ yu fut kin chenj fɔ ɔltɛm , ɛn dis kin mek i nɔ pɔsibul fɔ wɛr sus we yu kin wɛr ɔltɛm.
• If di chenj we di bɔdi chenj na di leg rili bad, i kin nid fɔ kɔt di leg we di sik afɛkt . Dis kin bi bak if ɔlsa na di leg gɛt di sik.
• Charcot fut kin kil if wan infekshɔn spre ɔlsay na di bɔdi, ɔ if ɔda prɔblɛm dɛn we kin mek pɔsin in layf de pan denja we gɛt fɔ du wit dayabitis kin apin.

Aw dɔktɔ go kɔrɛkt wan fɔ no if pɔsin gɛt Charcot Foot?

Dɔktɔ go no if yu gɛt Charcot fut bay we i go chɛk yu ɛn du sɔm imej tɛst dɛn. If yu gɛt pen, swel, ɔ wam na yu leg, ɔ if yu nɔ gɛt sɛns igen na yu anklɛ, fut, ɔ fut finga, yu fɔ tɛl yu dɔktɔ.

Di dɔktɔ go chɛk yu anklɛ ɛn yu fut. I go luk ɔl tu di leg dɛn ɛn kɔmpia dɛn fɔ ɛni chenj. I go tɔch yu anklɛ, yu fut, ɛn yu fut finga dɛn bak fɔ si aw yu de fil.

Us tɛst dɛn dɔktɔ dɛn kin yuz fɔ no if pɔsin gɛt Charcot Foot?

Di dɔktɔ kin du sɔm tɛst fɔ no if i gɛt Charcot Fut:

• Fɔt ɛkstrem rayt
• MRI (Magnetik Rɛsɔnans Imej - MRI) tɛst dɛn
• Blɔd tɛst fɔ chɛk fɔ si if pɔsin gɛt di sik

Wetin na di tritmɛnt dɛm fɔ Charcot Foot?

Di tin we impɔtant pas ɔl we yu de trit Charcot Fut na fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn . Bifo ɛni injuri ɔ prɔblɛm wɔs, yu fɔ stɔp fɔ put wet pan yu fut ɛn waka. Yu dɔktɔ go tɛl yu fɔ du tritmɛnt fɔ ridyus yu sik ɛn fɔ ridyus di pɔrmɛnt impak we Charcot Fut gɛt pan yu ebul fɔ yuz yu fut.

Di tritmɛnt dɛn we dɛn kin yuz fɔ Charcot Fut na:

Fɔ pul wet pan yu fut

If yu ridyus di wet ɛn prɛshɔn pan di leg we afɛkt, dat kin ɛp fɔ mek di leg nɔ swel ɛn mek di wund dɛn lɛk we i brok, nɔ go wɔs. Yu kin nid dɛn tin ya fɔ du dis:

• Kast ɔ bres na fayn tin fɔ du.
• Krɔch dɛn.
• Wan freym we de waka `(walker)`.
• Wan wilchia.

Difrɛns bitwin ɔtotik ɛn sus

Ɔtotiks na tin dɛn we dɛn kin put insay yu sus fɔ sɔpɔt yu fut ɛn ɛp fɔ mek yu fut finga dɛn kɔntinyu fɔ de. Yu kin nid fɔ put tin dɛn we yu want fɔ put insay ɔ yu kin nid fɔ gɛt anklɛ bres. Yu dɔktɔ kin tɛl yu fɔ yuz ɔtotik, ɔ sus we gɛt spɛshal dip fɔ mek yu nɔ prɛs yu fut ɛn mek i izi fɔ yu fɔ waka.

Fizik tɛrapi

Fyzikal thɛrapist na pɔrsin wae de kia fɔ yu wɛl bɔdi biznɛs wae de ɛp yu fɔ mek yu bɔdi de muv fayn fayn wan. If yu gɛt prɔblɛm fɔ muv bikɔs ɔf tin lɛk pen, stif, ɔr nɔr de fil fayn, i kin ɛp yu fɔ kɔntrol yu sik dɛn. Dɛn kin mek bak wan ɛksɛsayz program we dɛn want fɔ ɛp yu fɔ muv yu bɔdi.

Charcot Fut Ɔpreshɔn

If yu gɛt siriɔs sayn (lɛk brok bon, jɔyn, wund), ɔ if yu gɛt infekshɔn we kin skata, yu kin nid fɔ gɛt Charcot Fut ɔpreshɔn.

Di dɔktɔ we de du di ɔpreshɔn go mek di say we yu fut ɛn yu anklɛ jɔyn dɔn pwɛl ɛn mek yu fut tinap tranga wan. Na smɔl tɛm nɔmɔ, pipul dɛn we gɛt siriɔs Charcot Foot kin nid fɔ kɔt dɛn leg.

Di dɔktɔ we de du di ɔpreshɔn go ɛksplen to yu us kayn ɔpreshɔn yu nid fɔ du ɛn wetin fɔ ɛkspɛkt insay di tɛm we yu go wɛl.

Wetin wi kin du fɔ mek Charcot Fut nɔ kam?

Di bɛst we fɔ mek yu nɔ gɛt Charcot Fut na fɔ manej yu dayabitis ɛn yu ɔl wɛl bɔdi fayn fayn wan.We yu kɔntrol yu blɔd shuga, yu kin mek yu nɔ gɛt bɔku blɔd shuga (haypa glycemia) ɛn yu kin ridyus di risk fɔ mek yu nerv pwɛl (nyuropathy).

Aks yu dɔktɔ aw ɔltɛm yu fɔ chɛk yu fut. Aks bak if yu fɔ go to dɔktɔ we de mɛn yu fut ɔ dɔktɔ we de mɛn yu fut ɛn anklɛ.

If yu du dɛn tin ya, dat kin mek bak yu nɔ gɛt Charcot Foot ɛn ɔda prɔblɛm dɛn we gɛt fɔ du wit yu fut we gɛt fɔ du wit dayabitis:

• Chek yu fut evride. Luk fɔ ɛni chenj we yu dɔn mek. Nɔ fɔgɛt fɔ luk bitwin yu fut finga dɛn. Aks pɔsin fɔ ɛp am, ɔ yuz miro.
• Mek dɛn chɛk yu fut ɛvri tɛm we yu go to dɔktɔ.
• Kip yu fut nel dɛn trim fayn fayn wan ɛn fayl. Kɔt dɛn stret akɔdin to fɔ mek yu nɔ gro insay di fut nel.
• Kip yu leg dɛn we de rɔn fayn fayn wan. Kip yu leg dɛn ɔp smɔl we yu sidɔm, ɛn wig yu fut finga dɛn ɔltɛm.
• Wear sɔks ɛn sus (ɔ slip) ɔl di de. Mek shɔ se yu sɔks nɔ tayt ɛn yu sus fit fayn. (Pan ɔl we wi nɔ kin wɛr sus na os na Sri Lanka, dis impɔtant fɔ protɛkt yu fut if yu gɛt dayabitis).
• Wash yu fut ɛvride. Dray dɛn fayn fayn wan, mɔ bitwin di fut finga dɛn. Put loshan pan yu fut dɛn we de ɔp ɛn dɔŋ, bɔt nɔto bitwin di fut finga dɛn.

Us kayn fiuja pɔsin we gɛt Charcot Foot kin ɛkspɛkt?

If dɔktɔ no Charcot Foot kwik, yu fɔ ebul fɔ avɔyd siriɔs prɔblɛm dɛn .

Yu go gɛt ɔltɛm fɔl-ap apɔntinmɛnt wit yu dɔktɔ. I go tek mɔ X-ray fɔ chɛk fɔ ɛni chenj ɔ nyu sayn na yu leg.

If yu gɛt siriɔs simptom ɔ kɔmplikeshɔn frɔm Charcot Foot, yu kin nid fɔ chenj yu stayl fɔ waka, muv rawnd, ɔ lan fɔ yuz tin dɛn we de ɛp yu fɔ muv. Yu dɔktɔ go ɛksplen wetin fɔ ɛkspɛkt. I go gayd yu fɔ yu fɔ wɛl ɛn ansa ɛni kwɛstyɔn we yu gɛt.

Ustɛm a fɔ go to dɔktɔ?

If yu notis ɛni nyu sayn na yu leg, ɔ if i tan lɛk se wan sik we yu dɔn gɛt de wɔs, go to dɔktɔ wantɛm wantɛm.

If yu gɛt dayabitis, tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn tin ya:

• Chenj na di shep fɔ yu leg dɛn.
• Chenj na di skin na yu leg (lɛk we yu gɛt wund, we yu nɔ gɛt kɔlɔ, we yu wam, ɔ we yu gɛt strenj smel).
• I kin tan lɛk se di ia na yu finga dɛn, yu fut finga dɛn, ɛn yu leg dɛn de fɔdɔm .
• Na yu leg, ankles, fut, fut fingaI tan lɛk se a dɔn lɔs mi sɛns.
• Pen, swɛt, bɔn, ɔ tingling na yu leg ɛn fut (espɛshali na nɛt).

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

• A gɛt Charcot Foot, ɔ ɔda fut sik we gɛt fɔ du wit dayabitis?
• Us kayn tritmɛnt a nid?
• Yu tink se a go nid ɔpreshɔn?
• Aw ɔltɛm a fɔ chɛk mi fut?

Yu kin waka wit Charcot Foot?

We Charcot Foot bigin, yu fɔ ebul fɔ waka ɛn muv rawnd . Bɔt if yu notis ɛnitin we de swel ɔ we di kɔlɔ dɔn chenj, nɔ fos yu fut . Ivin if yu nɔ fil am, i kin bi sayn fɔ sho se yu fut dɔn wund.

Stay aktif, bɔt pik saful saful tin dɛn we nɔ de put tumɔs strɛs pan yu leg. Tin dɛn lɛk fɔ swim ɛn fɔ rayd baysikul fayn. Aks yu dɔktɔ us tin dɛn fɔ du we nɔ bad fɔ yu.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Charcot Fut na wan prɔblɛm we nɔ kin apin so ɔltɛm we pɔsin kin gɛt dayabitis we kin apin we di nɛf dɛn we de dɔŋ di leg ɛn fut dɔn pwɛl. Di bɛst we fɔ mek yu nɔ gɛt siriɔs prɔblɛm na fɔ no am kwik kwik wan.

If yu gɛt dayabitis, go to dɔktɔ ɔltɛm fɔ chɛk-ap ɛn fɔ chɛk yu fut. Yu dɔktɔ go wach yu fut fɔ ɛni chenj we go sho se yu gɛt prɔblɛm.

Tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol yu dayabitis. I kin rikomɛnd risɔs fɔ ɛp yu fɔ manej yu blɔd shuga lɛvɛl ɛn ridyus yu risk fɔ gɛt dayabitik nyuropathy ɛn Charcot fut. Yu fut go kɛr yu go fa na layf, so na yu wok fɔ kia fɔ dɛn gud gud wan!

` Charcot Fut, Dayabitis, Fut Sik, Nɛv Damej, Fut Injuri, Dayabitis Kɔmplikɛshɔn, Fut Keya