Zunthlum hian ke a tichhe thei em? Hei hi Charcot Foot tia koh dinhmun hlauhawm tak a ni thei!

Zunthlum i nei em? Tichuan, i taksa peng dang ang bawkin i ke enkawl nasat a ngai tih i hre tawh ngei ang. Mahse, a châng chuan, i kea inthlâk danglamna tê tê, a hring tlem emaw, a ke dang aiin a lumna tlem emaw pawh ni se, i ngaihtuah aiin harsatna lian zâwk bul ṭanna a ni thei. Vawiin hian zunthlum nena lo awm, mahse kan rama mi tam takin an hriat loh, mahse uluk taka ngaihsak loh chuan a hlauhawm hle thei dinhmun kan sawi dawn a ni. Hei hi ‘Charcot Foot’ kan ti a.

A awlsam zawngin Charcot Foot hi eng nge ni?

I ke chhunga nerve awmte chu telephone wire system angin ngaihtuah rawh. He wire system hian i kea hriatna, natna, lumna, leh khawih te chu i thluak thlengin a phur a ni. Tunah chuan hun rei tak chhung chu zunthlum hi a thunun tha lo a nih chuan i kea nerve te chu thisen sugar level sang vangin a tichhe thei a ni. Damdawi lamah chuan hei hi diabetic neuropathy kan ti a ni.

Hetianga nerve a chhiat hian eng nge thleng thin? Kea hriatna chu a tlahniam thin. Mi thenkhat chuan an ke a hrual ang maiin an hria a, thenkhat erawh chuan engmah an hre lo.

Tunah chuan i ke pakhat, hriatna nei lo hmanga i kal laiin, i ke chu i tikehsawm deuh a, a nih loh leh i ke chu a tliak tê tê i nei tih han mitthla teh. Mi pangngai chuan chutiang thil a thlen chuan natna nasa tak a nei ang a, chuvângin rang takin an chawl a, enkawlna an zawng ang. Mahse i nerve a chak lo va , sensation i neih loh avangin he natna hi i hre lo. Chuvangin chu ke chu a hma ang bawkin i kal a, i tlan a, i thawk bawk.

Chutah chuan buaina chu a intan ta a ni. Ruh leh ruh chhia tawhte chu a stress chhunzawm zel chuan a chhiatna chu a pung zel a ni. Ruhte chu a chhe tan a, a chhe tan a, ruhte pawh a lo chhuak tan bawk. Hun a kal zel a, ke pum pui hi a pianzia a inthlak a, a inthlak danglam tan thin. Chu chu Charcot Foot kan tih chu a ni.

Charcot Foot natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat hmasak theih ang?

Hetiang dinhmun hi hriat hmasak hi a pawimawh ber a ni. A chhan chu a hriat hma poh leh harsatna lian zawk a thlen theih loh avangin. A symptoms chu eng nge ni tih i lo en ang u. Hei hi hriatthiam awlsam chart- ah ka rawn entir ang che .

Engvangin nge mi thenkhatin he natna hi an neih? Risk factors te chu engte nge ni?

Charcot Foot awm chhan ber chu zunthlum (Diabetic Neuropathy) , kan sawi tawh ang khan nerve tihchhiat vang a ni. Mahse, zunthlum vei zawng zawng hian he natna hi an nei vek lo. Hetiang natna vei theihna tipungtu thil dang engemaw zat a awm bawk.

• Hun rei tak chhung zunthlum vei: Kum 7-10 aia rei zunthlum vei tawhte chu an hlauhawmna a sang zawk.
• Diabetes control tha lo: Thisen sugar level sang zel (hyperglycemia) hian nerve a tichhe nghal vat thin.
• Meizial zuk: Meizial hian thisen kalna kawng a ti zim a, kea thisen kal a ti tlem bawk. Hei hian nerve leh hliam damna a nghawng tha lo hle.
• Zu in: Zu in tam lutuk hian direct-in nerve a tichhe thei bawk.
• Hypertension, cholesterol sang, leh thau lutuk: Heng natna te hian thisen kal dan a tibuai thei bawk a, a hlauhawmna a tipung thei bawk.
• Kal natna: Zunthlum vanga kal natna nei tan pawh he hlauhawmna hi a sang zawk a ni.

Hei hian eng harsatna hlauhawm nge a thlen theih?

Heng thudikte i hriat hian tlem chuan i hlauthawng mai thei. Mahse hengte hi hriat a pawimawh hle a, a chhan chu chutih hunah chuan hei hi kan buaipui dawn a ni. Charcot Foot hi a hun taka enkawl a nih loh chuan harsatna lian tham a awm thei a ni.

1. Ke permanent deformity: Ke pianzia hi a nghetin a danglam thei. Hei hian pheikhawk pangngai bun theih loh a siam a, kea kal pawh a ti harsa bawk.

2. Hliam dam lo leh hri kai: Ke ulcer hi awlsam takin bacteria in a kai thei. A châng chuan, heng natnate hi ruh thlengin a darh thei a ni.

3. Amputation: Infection control theih loh a nih chuan, emaw ke deformity a nasat chuan , a chang chuan ke thenkhat emaw, a pum emaw chu nunna chhanhim nan surgery hmanga lak chhuah a ngai thei bawk.

4. Nunna atana hlauhawm: Ke natna chu thisenah a lut a, taksa pum puiah a darh (sepsis) chuan nunna atana hlauhawm hial a ni thei.

Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?

I doctor hnenah i natna lan chhuah dan i hrilh hian a tih hmasak ber tur chu i ke pahnih a enfiah hmasa phawt ang. I ke chu a khaikhin ang a, a hring, a pianzia inthlak danglam, a sen leh a lum zawng a zawng ang. I ke a awm dan pawh a enfiah bawk ang.

Chumi hnuah chuan, i natna hriat chian nan hetiang test atan hian refer i ni thei ang:

• Ke X-ray: Ruh a chhiat, a chhe emaw, a chhe emaw a awm leh awm loh enfiah thin ang che.
• MRI scan (MRI): Ruh bakah tissue nem leh ruhkawr chhiatna chiang taka hmuh theih nan.
• Thisen test: Infection a awm leh awm loh enfiah thin.

Enkawl dan tur

Charcot Foot enkawlna ber chu "off-loading" a ni a, chu chu ke natna chungah rit engmah dah loh tihna a ni. Hei hi a pawimawh hle a, a chhan chu ruh chhia chunga kal chhunzawm chuan a dinhmun a tichhe zual mai dawn a ni.

Chumi atan chuan doctor chuan hetiang hi a rawt thei ang:

• Plaster bik (cast) hnawih: Ke chu a che thei lo emaw, a rit phurh loh nan emaw, a bik taka siam cast hnawih a ni.
• Crutch emaw walker emaw hmangin .
• Wheelchair hman dan: A natna a nasat chuan rei lo te chhung chu wheelchair hman a ngai mai thei.
• Kekawr leh hmanrua bik (Orthotics leh Kekawrte): Ke ruh a dam hnuah chuan ke pianzia nena inmil tur leh a chungah pressure dang dah lo tur kekawr emaw insert (`Orthotics`) bik i hman a ngai dawn a ni.
• Physical Therapy: Physical therapist puihnain exercise i ti thei a, chu chuan ruhkawrte chetna a titha a, ke ruhte a tichak bawk.
• Surgery: Thil na tak tak thenkhatah chuan ruh tliak te set leh ke stabilize turin operation a ngai mai thei.

Zunthlum i vei a nih chuan i ke venna atana i tih tur thilte

Charcot Foot an tih natna khirh tak laka inven nan chuan zunthlum vei angin i ke i enkawl tha a ngai a ni. Heng tih dante hi i nitin nunah dah la.