Ssukaali aleeta ebigere okulema? Eno eyinza okuba embeera ey’akabi eyitibwa Charcot Foot!

Olina obulwadde bwa sukaali? Olwo osanga okimanyi dda nti olina okufaayo ennyo ku bigere byo, ng’ekitundu ekirala kyonna eky’omubiri gwo. Naye oluusi, ne bwe wabaawo enkyukakyuka entonotono mu kigere kyo, okuzimba okutono, oba ebbugumu eritono eriwulira nga lisinga ekigere ekirala, kiyinza okuba entandikwa y’ekizibu ekinene okusinga bw’olowooza. Olwaleero, tugenda kwogera ku mbeera ejja ne ssukaali, naye nga abantu bangi mu ggwanga lyaffe tebamanyi, naye nga eyinza okuba ey’akabi ennyo singa tetufaayo bulungi. Kino tukiyita ‘Ekigere kya Charcot’.

Mu ngeri ennyangu, Charcot Foot kye ki?

Lowooza ku busimu obuli mu magulu go ng’enkola ya waya z’essimu. Enkola eno eya waya etwala ebiwulirwa mu magulu go, gamba ng’obulumi, ebbugumu, n’okukwata, okutuuka ku bwongo bwo. Kati ssukaali bw’aba tafugibwa bulungi okumala ebbanga ddene, obusimu mu magulu go busobola okwonoonebwa ssukaali omungi mu musaayi. Mu busawo, kino tukiyita obulwadde bwa sukaali obuyitibwa neuropathy .

Kiki ekibaawo ng’obusimu bwonoonese bwe buti? Okuwulira mu magulu kukendeera. Abantu abamu bawulira ng’amagulu gabawunya, ate abalala tebawulira kintu kyonna.

Kati teebereza nti bwe wali otambula n’ekigere ekitaliiko kye kiwuniikiriza, mu butanwa wakyusakyusa ekigere kyo katono, oba n’ofuna akatundu akatono mu kigere. Omuntu owa bulijjo yandiwulidde obulumi obw’amaanyi ng’ekyo kituuse, n’olwekyo yawummulanga mangu n’anoonya obujjanjabi. Naye olw’okuba obusimu bwo bunafu ate nga tolina sensation, obulumi buno tobuwulira. Kale otambula, odduka, era okola ku kigere ekyo nga bulijjo.

Wano obuzibu we butandikira. Amagumba n’ennyondo ebyayonooneka edda bwe byeyongera okunyigirizibwa, okwonooneka kweyongera. Amagumba gatandika okukutuka n’okumenyekamenyeka, n’ennyondo ne zitandika okusumululwa. Ekiseera bwe kigenda kiyitawo, ekigere kyonna kikyusa ekifaananyi ne kitandika okukyukakyuka. Ekyo kye tuyita Charcot Foot .

Bubonero ki obulaga ekigere kya Charcot? Oyinza otya okukitegeera nga bukyali?

Okuzuula embeera eno amangu kye kintu ekisinga obukulu. Kubanga gye kikoma okuzuulibwa amangu, ebizibu eby’amaanyi gye bikoma okuziyizibwa. Ka tulabe obubonero bwe buli. Kino nja kukulaga mu kipande eky’angu okutegeera .

Lwaki abantu abamu bafuna embeera eno? Biki ebiyinza okuvaako akabi?

Ekisinga okuvaako ekigere kya Charcot kwe kwonooneka kw’obusimu obuva ku ssukaali (Diabetic Neuropathy) , kye twayogeddeko emabegako. Kyokka si buli muntu alina ssukaali nti afuna embeera eno. Waliwo ebintu ebirala ebiwerako ebyongera obulabe bw’okufuna embeera eno.

• Okubeera n’obulwadde bwa sukaali okumala ebbanga: Abantu abamaze emyaka egisukka mu 7-10 nga balina ssukaali bali mu bulabe bwa maanyi.
• Ssukaali atafugibwa bulungi: Ssukaali bw’abeera mu musaayi buli kiseera (hyperglycemia) ayonoona mangu obusimu.
• Okunywa sigala: Okunywa sigala kifunda emisuwa n’okukendeeza ku kutambula kw’omusaayi mu bigere. Kino kikosa bubi obusimu n’okuwona kw’ebiwundu.
• Okunywa omwenge: Okunywa omwenge ekisusse nakyo kiyinza okwonoona obusimu obutereevu.
• Puleesa, kolesterol omungi, n’omugejjo: Embeera zino nazo zisobola okutaataaganya entambula y’omusaayi ne zongera ku bulabe.
• Obulwadde bw’ekibumba: Obulabe buno era buba bungi mu bantu abalina obulwadde bw’ekibumba obuva ku ssukaali.

Bizibu ki eby’akabi kino bye kiyinza okuleeta?

Oyinza okuwulira ng’otya katono bw’owulira ensonga zino. Naye kikulu nnyo okumanya ebintu bino, kubanga olwo kino tujja kukirabirira. Singa Charcot Foot tejjanjabibwa mu budde, ebizibu eby’amaanyi bisobola okubaawo.

1. Okulema kw’ekigere okw’olubeerera: Enkula y’ekigere esobola okukyusibwa enkalakkalira. Kino kizibuwalira okwambala engatto eza bulijjo era kizibuwalira okutambula.

2. Ebiwundu n’obulwadde obutawona: Amabwa mu bigere gasobola bulungi okukwatibwa obuwuka. Oluusi yinfekisoni zino zisobola okusaasaana mu magumba.

3. Okusalako: Singa yinfekisoni tesobola kufugibwa, oba singa obulema bw’ekigere buba bwa maanyi , oluusi ekitundu oba kyonna ekigere kiyinza okwetaaga okulongoosebwa okutaasa obulamu.

4. Kitta obulamu: Singa obulwadde bw’ekigere buyingira mu musaayi ne busaasaana mu mubiri gwonna (sepsis), buyinza n’okutta obulamu.

Omusawo kino akizuula n’okukijjanjaba atya?

Bw’otegeeza omusawo obubonero bwo, ky’agenda okusooka okukola kwe kukebera ebigere byombi. Ajja kugeraageranya ebigere byo n’anoonya okuzimba, enkyukakyuka mu nkula, okumyuuka n’ebbugumu. Era ajja kukebera engeri ebigere byo gye biwuliramu.

Oluvannyuma lw’ekyo, oyinza okusindikibwa okukeberebwa nga bino okukakasa nti ozuuliddwa:

• X-ray z’ebigere: Kebera oba amagumba gaayonoonese, enjatika oba emenyese.
• MRI scan (MRI): Okulaba obulungi okwonooneka kw’ebitundu ebigonvu n’ennyondo ng’oggyeeko amagumba.
• Okukebera omusaayi: Kebera oba olina obulwadde.

Enkola z’obujjanjabi

Obujjanjabi obukulu obw'ekigere kya Charcot bwe "off-loading," ekitegeeza obutassa buzito bwonna ku kigere ekikoseddwa. Kino kyetaagisa nnyo kubanga okugenda mu maaso n’okutambulira ku magumba agonoonese kijja kwongera okusajjuka embeera.

Ku kino, omusawo ayinza okukuwa amagezi ebintu nga:

• Okusiiga pulasita ow’enjawulo (cast): Siiga ekigere ekikoleddwa mu ngeri ey’enjawulo okutangira ekigere okutambula oba okwetikka obuzito.
• Okukozesa emiggo oba ekitambulira .
• Okukozesa obugaali: Singa embeera eba ya maanyi, oyinza okukozesa obugaali okumala akaseera.
• Engatto n’ebyuma eby’enjawulo (Orthotics and Footwear): Amagumba g’ekigere bwe gamala okuwona, ojja kwetaaga okukozesa engatto ez’enjawulo oba ebiyingizibwa (`Orthotics`) ebituukagana n’enkula y’ekigere era togiteekako puleesa ya njawulo.
• Obujjanjabi bw’omubiri: Ng’oyambibwako omusawo w’omubiri, osobola okukola dduyiro okulongoosa entambula y’ennyondo n’okunyweza ebinywa mu kigere.
• Okulongoosa: Mu mbeera ezimu ez’amaanyi, kiyinza okwetaagisa okulongoosebwa okuteekawo amagumba agamenyese n’okutebenkeza ekigere.

Ebintu by’osaanidde okukola okukuuma ebigere bw’oba ​​olina obulwadde bwa sukaali

Okwekuuma embeera embi eyitibwa Charcot Foot, olina okulabirira obulungi ebigere ng’omulwadde wa sukaali. Emize gino gifuule ekitundu ku bulamu bwo obwa bulijjo.