I ke zunthlum veiah hian heng thilte hi i hre ngai em? Charcot Foot chungchang hi han sawi ila!

Zunthlum i nei em? Tichuan i ke enkawl belh a ngai tih i hre mai thei. A châng chuan hliam tenau emaw, tlu leh tlu mai mai emaw pawh hi harsatna lian tak a ni thei. Vawiin hian zunthlum natnain i ke a thlen theih dan pawi ber, mahse ngaihthah fo thin pakhat chungchang kan sawi dawn a ni.

Charcot Foot hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, Charcot Foot hi zunthlum natna khirh tak a ni a, ke a nghawng a, neuropathy nen a inzawm fo thin. A natna hi a tlem hle a, mahse a chhiatna tur erawh a tlem lo hle.

Tunah chuan han ngaihtuah teh, zunthlum natnain i ke nerve, a bik takin i ke a tihchhiat hian chu lai hmunah chuan hriatna i hloh ta a ni. Natna, rilru hahna, lumna ang chi thilte chu i hre dik thei lo mai thei. Chutah chuan buaina chu a intan ta a ni. I keah hliam te tak te, i keah nail i nei emaw, ruh tliak te tak te i nei a nih pawhin i hre lo mai thei a, chuvangin a enkawl dan tur chu i tikhawtlai thei a ni. Chu hriat lohna avang chuan thil tenawm tak pawh hi natna khirh takah emaw, i ke pianzia tidanglam thei dinhmunah emaw a chang thei a ni.

Charcot Foot hi enkawl vat a nih loh chuan i ke ruh (joint) te a chhe thei a, i ke hi i hmang tha thei lo mai thei. Tin, i keah natna a awm chuan i taksa pum puiah a darh thei a, a nasat deuhah chuan ke tan pawh a tikehsawm thei a, chu chu nunna atana hlauhawm tak pawh a ni thei bawk.

Chuvang chuan zunthlum hi control a pawimawh hle a, i thisen sugar level (blood glucose) hi a control a pawimawh hle. Hei hi pumpelh dan tha ber chu doctor pan fo a, thurawn lak a, i ke a awm dan enfiah fo hi a ni.

Doctor-te’n Charcot Foot aiah hetiang hming an hman hi i hre tawh mai thei:

• Zunthlum kaihhnawih ke
• Charcot arthropathy natna a ni
• Charcot neuropathy natna a ni

Charcot Foot hi engtiang chiahin nge a awm?

Charcot Foot hi a takah chuan a awm lo hle . Zunthlum vei zawng zawngah a lo awm lo. Zunthlum vei zinga 1% aia tlem lo a vei a ni. Amaherawhchu, a tlem hle nachungin, a tihchhiat theih dan erawh a langsar hle.

Charcot Foot chhinchhiahna hmasa berte chu engte nge ni? Hengte hi hriat chian a pawimawh!

Hetiang dinhmun hi hriat hmasak a nih chuan chhiatna lian tham a thlen loh nan ven theih a ni. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

• Ke na: Mahse, nerve a chhiat avangin natna chu i hre chiang lo mai thei.
• Ke rawng danglam emaw, sen emaw:I ke chu a rawn sen nghal a, a rawng danglam ang maia a lan chuan.
• Swelling: Ke, a bik takin ke chu a hring nia a hriat chuan.
• Keah mak tak maia lumna hriat: A bik takin ke pakhat chu a dang aiin a lum zawk tih hriat theih a nih chuan.

I kea heng inthlak danglamna te hi i hmuh chuan doctor pan nghal rawh . Charcot Foot i hriat hma chuan harsatna lian tham i pumpelh theihna chance a sang zawk.

Charcot Foot hi a nasat chuan eng symptoms nge a neih?

A hmaa enkawl loh chuan Charcot Foot hian i ke pianzia a tidanglam thei (Charcot foot deformity). Chumi awmzia chu:

• Rocker-bottom foot: Hei hi i ke lairil ruhte a chhe a, a tlakbuak lai a ni. Hei hian i ke hnuai lama natural curve (arch) chu a bo a, i ke chu a laiah a round thla a, rocking chair hnuai lam ang maiin a round ta a ni. I hnuai lam arch chu a awmna hmunah a rawn chhuak niin a lang thei.
• Toe deformity: I ke ruhte chu a ben thei a, a hnuai lam a ben thei bawk. I ke ruh ruhte a tliak chuan lei a chelh tum laiin nail ang maiin a ben thei a ni.
• Ankle deformity: I ke ruh chu a sir khatah a hrual thei a, a ben thei a, a sir lehlamah a en chuan a danglamin a nghet lo tih hriat theih a ni.
• Foot ulcers: Charcot foot avanga i ke emaw i ke ruh emaw a tihchhiat chuan hmun thenkhat chu extra weight hnuaiah dah a ni. Hei hian chutiang hmuna vun chu a ti chhe thei a, open ulcer (פתוחים פצעים tia koh) a lo awm thei bawk. Heng hliamte pawh hi hri kai a tam zawk.

Engvangin nge Charcot Foot hi a lo thanglian? Eng nge a chhan?

Charcot Foot i neih chhan ber chu i keah hliam emaw, natna hrik emaw nei mah la, natna ang chi symptoms i nei lo. Hei hi zunthlum ke natna tia sawi a ni tlangpui.

• Zunthlum vei te hian an thisen glucose level tha taka an control loh chuan thisen sugar sang (hyperglycemia) an nei thei a ni.
• Hetianga thisen sugar level sang rei tak hian nerve tichhe thei (neuropathy), a bik takin ke hnuai leh ke hnuai lam a tichhe thei a ni.
• Chu nerve chhiatna avang chuan i ke leh keah sensation i hloh ta a ni.
• I ke natna chhinchhiahna emaw, thil dik lo emaw i hriat theih loh avangin damdawi lam pan a ngai lo mai thei. Tichuan, thil tenawm tak leh enkawl awlsam tak tak pawh hi a na tih i hriat meuh chuan harsatna lian tak a lo ni tawh mai thei.

Entirnan, Charcot Foot vei, a ke ruh, ligament emaw, tendon emaw a tliak a, mahse a na a hriat loh avangin a ke ruh tliak chungah chuan a kal chhunzawm thei tih hi han ngaihtuah teh. A tlangpuiin ke ruh hliam tenau emaw, ruh tliak emaw chuan i ke i hman chhunzawm chuan a na zual thei. Hun a kal zel a, extra pressure hian i ke leh ke ruh pianzia chu a tidanglam reng thei a ni.

Chutiang bawkin Charcot Foot i neih chuan natna emaw, lum emaw ang chi symptoms i nei lo mai thei a, chuvangin infection pakhat chu harsatna lian tham a thlen hma loh chuan i miss thei bawk.

Charcot Foot vei theihna chance sang zawk chu tute nge ni?

Charcot Foot hi zunthlum vei te tan a ni ber a . Kum sarih aia tam zunthlum vei tawh, zu in thin, zu in fo thinte chu nerve tihchhiat (neuropathy) an vei theihna a sang zawk.

Tin, zunthlum leh heng hriselna lama harsatna dangte i neih chuan nerve chhiatna i nei tam zawk bawk:

• Thisen sang (hypertension) 1.1.
• Thau lutuk emaw, taksa rihna sang emaw
• Thisenah cholesterol level sang tak a awm
• Kal natna

Charcot Foot avanga harsatna (complication) awm thei te chu engte nge ni?

Charcot foot hi zunthlum vanga nerve tihchhiatna (neuropathy) complication a ni. Mahse, i ke chu nasa taka a chhiat emaw, natna khirh tak i neih chuan harsatna lian zawk a thleng thei a ni. Chung zingah chuan:

• I ke pianzia chu a danglam reng thei , pheikhawk pangngai bun theih loh a ni.
• Kea taksa inthlak danglamna a nasat chuan a ke natna chu tan a ngai mai thei. Hei hi kea ulcer a awm chuan a awm thei bawk.
• Charcot foot hi taksaah natna a darh a nih chuan, emaw, zunthlum nena inzawm nunna atana hlauhawm dang harsatna a awm chuan a thihpui thei a ni .

Engtin nge doctor hian Charcot Foot hi dik taka a hriat theih ang?

Doctor chuan Charcot ke chu a enfiah ang che a, imaging test engemaw zat a ti ang. I keah na, a hring emaw, a lum emaw i neih emaw, i ke ruh, i ke emaw, i ke ruh emawa hriatna i hloh a nih chuan i doctor hnenah i hrilh tur a ni.

Doctor chuan i ke ruh leh ke a enfiah ang. A ke pahnih chu a en ang a, a danglamna eng pawh a awm chuan a khaikhin ang. I ke ruh, ke leh ke ruhte pawh a khawih ang a, i rilru natna engzat nge i neih tih a en ang.

Charcot Foot hi doctor-te hian eng test nge an hman?

Doctor chuan Charcot Foot hriat theihna turin test eng emaw zat a ti thei a:

• Ke X-ray neih a ni
• MRI (Magnetic Resonance Imaging - MRI) hmanga enfiah a ni
• Thisen test a, hri kai awm leh awm loh enfiah thin

Charcot Foot hi eng enkawlna nge ni?

Charcot Foot enkawlna atana pawimawh ber chu harsatna lian tham lo thleng tur ven hi a ni . Eng hliam emaw harsatna emaw a zual hmain i kea rit dah leh kal kha i bansan tur a ni. I doctor chuan i natna lan chhuah dan tihziaawmna tur leh Charcot Foot hian i ke hman theihna a nghawng nghet lo tur tihziaawmna tur enkawlna a rawt ang che.

Charcot Foot enkawl dan tlangpui chu:

I ke atanga rit lak chhuah

Ke natna chu a rihna leh pressure tihhniam hian a hring (swelling) a ti tlem thei a, hliam, a ke ruh tliak ang chi te chu a na zual loh nan a pui thei bawk. Chutiang ti tur chuan a hnuaia mite hi i mamawh mai thei:

• Cast emaw brace emaw hi a tha hle.
• Crutch a awm bawk.
• A kalna tur frame `(walker)`.
• Wheelchair a ni.

Orthotics leh pheikhawk inthlauhna

Orthotics chu i kekawr chhunga i ke thlawp tur leh i ke ruhte a hmuna awm reng tura puitu tur thil a ni. Custom-made insert emaw ankle brace emaw i mamawh mai thei. I doctor chuan i kea pressure tihziaawmna tur leh i kal awlsam zawk nan orthotics, a nih loh leh kekawr thuk bik nei chu a rawt thei ang.

Taksa lam enkawlna

Physics therapist chu healthcare professional a ni a, i taksa che vel tihchangtlun nan a pui che a ni. Natna, rilru hahna, emaw, lungawi lohna ang chi thil avanga che harsa i neih chuan i symptoms te enkawl turin a pui thei che a ni. I taksa tihchakna tur exercise program customized an siam thei bawk.

Charcot Kea Surgery neih a ni

I natna lan chhuah dan na tak (ruh tliak, ruh tliak, hliam ang chi), emaw, natna hrik darh thei i neih chuan Charcot Foot surgery i neih a ngai mai thei.

Surgeon chuan i ke leh ke ruh chhia chu a siam tha ang a, i ke chu a ti nghet ang. A tlem berah chuan Charcot Foot na tak nei te chu an ke tansak a ngai mai thei.

Surgeon chuan eng ang surgery nge i tih tur tih leh i dam chhung hian eng nge i beisei tur tih a hrilhfiah ang che.

Charcot Foot ven nan eng nge kan tih theih ang?

Charcot Foot laka invenna tha ber chu i zunthlum leh i hriselna zawng zawng uluk taka enkawl hi a ni.I thisen sugar level i control chuan thisen sugar sang (hyperglycemia) i veng thei a, nerve chhiatna (neuropathy) a ti tlem thei bawk.

Doctor hnenah engzat nge i ke enfiah tur tih zawt rawh. Tin, podiatrist emaw foot and ankle orthopedist emaw i hmuh tur nge tih zawt bawk ang che.

Heng thilte hi i tih hian Charcot Foot leh zunthlum nena inzawm ke lama harsatna dangte i neih theihna a ti tlem thei bawk:

• Nitin i ke enfiah thin ang che. Hrilhfiahna a awm chuan zawng rawh. I ke ruh inkar chu en theihnghilh suh. Mi tu emaw hnenah tanpuina dil la, a nih loh leh darthlalang hmang rawh.
• Doctor appointment apiangin i ke enfiah tir thin ang che.
• I ke ruhte chu uluk takin trim la, file rawh. Toenails ingrown lo turin a sir zawng zawngah cut nghal rawh.
• I ke chu a circulate tha hle ang. I thut laiin i ke chu sang deuhin dah la, i ke ruhte chu tikehsawm fo ang che.
• Nitin socks leh pheikhawk (or slippers) ha thin ang che. I socks kha a tight lo tur a ni a, i kekawrte pawh a fit tha tur a ni. (Sri Lanka ramah hian in lamah pheikhawk kan bun tam lo hle nachungin, hei hi zunthlum i neih chuan i ke venna atan a pawimawh hle).
• Nitin i ke sil thin ang che. A bik takin ke ruh inkar ah uluk takin vawt rawh. I ke chung leh hnuai lamah lotion hmang la, ke ruh inkarah erawh hnawih suh.

Charcot Foot nei hian eng ang hmalam hun nge a beisei theih ang?

Doctor-in Charcot Foot a hmuhchhuah hma chuan harsatna lian tham i pumpelh thei tur a ni .

I doctor nen hian follow-up appointment i nei fo ang. I keah hian danglamna emaw, symptom thar emaw a awm leh awm loh enfiah turin X-ray tam zawk a la ang.

Charcot Foot avanga natna lanchhuahna na tak emaw, harsatna emaw i neih chuan i kal dan tur i thlak a ngai mai thei, i kal kual a ngai mai thei, a nih loh leh mobility aids hman i zir a ngai mai thei. I doctor chuan i beisei tur a hrilhfiah ang che. I dam lehna kawngah a kaihruai ang che a, zawhna i neih apiang a chhang ang che.

Engtik hunah nge doctor ka hmuh ang?

I keah symptom thar i hmuh chuan emaw, symptom awm tawh chu a na zual ang tih a hriat chuan doctor pan nghal rawh.

Zunthlum i vei chuan heng thilte hi i hriat chuan doctor hnenah hrilh nghal rawh:

• I ke pianzia a inthlak danglam thin .
• I ke vun inthlak danglamna (a natna, rawng danglam, lum, emaw rim mak tak tak ang chi).
• I kut zungtang, ke ruh leh ke sam chu a tla chhuak ang maiin a lang .
• I ke, ke ruh, ke, ke ruh ahKa hriatna a hloh tawh ang mai a ni.
• I ke leh ke (a bik takin zan lamah) na, rilru hah, kang, emaw tingling emaw .

Doctor hnenah eng zawhna nge i zawh tur?

• Charcot Foot, emaw, zunthlum nena inzawm ke natna dang emaw ka nei em?
• Eng ang enkawlna nge ka mamawh?
• Surgery ka mamawh dawn em?
• Engzat nge ka ke ka check tur?

Charcot Foot nen hian i kal thei ang em?

Charcot Foot hmasa berah chuan kea kal leh che thei tur a ni . Mahse, a hring emaw, a rawng a danglam emaw i hmuh chuan i ke chu nawr luih suh . I hre lo a nih pawhin i ke a hliam tihna a ni thei.

Active takin awm la, mahse i keah harsatna lian lutuk siam lo tur thil nêm tak tak thlang rawh. Swimming leh cycling ang chi thil hi a tha hle. I doctor hnenah eng thiltih nge i tan a him ber tih zawt rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Charcot Foot hi zunthlum natna hlauhawm tak a ni a, ke hnuai lam leh ke hnuai lam nerve a chhiat chuan a thleng thin. Harsatna lian tham lo thleng tur venna tha ber chu a hma thei ang bera hriat hi a ni.

Zunthlum vei i neih chuan doctor pan fo la, checkup leh ke endik tur a ni. I doctor chuan i ke chu risk factor tilang thei tur danglamna a awm leh awm loh a enfiah ang.

I zunthlum enkawl dan tur chu i doctor nen sawiho rawh. I thisen sugar level enkawl dan tur leh diabetic neuropathy leh Charcot foot i vei theihna tur tihtlem nan resources a rawn rawt thei che a ni. I ke hian nunah hla takah a phur dawn che a, chuvangin enkawl that chu i mawhphurhna a ni!

` Charcot Ke, Zunthlum, Ke natna, Nerve chhiatna, Ke hliam, Zunthlum harsatna, Ke enkawl dan