Kua pāngia koe e ēnei āhuatanga i roto i tō waewae mate huka? Me kōrero tātou mō te Waewae Charcot!

He mate huka tōu? Tērā pea e mōhio ana koe me tino tiaki koe i ō waewae. I ētahi wā, ahakoa he whara iti noa, he paheke noa rānei, he hinganga rānei, ka waiho hei raruraru nui. I tēnei rā, ka kōrero tātou mō tētahi o ngā āhuatanga tino kino, engari he maha ngā wā ka warewarehia, ka pā mai i te mate huka ki ō waewae.

He aha te waewae o Charcot? He māmā noa iho...

Ki te kī māmā noa, he raruraru nui te waewae o Charcot o te mate huka e pā ana ki ngā waewae, he maha ngā wā e hono ana ki te neuropathy . He mate onge noa iho, engari he kino te kino ka puta mai.

Whakaarohia, ina kino ngā io o ō waewae i te mate huka, inā koa ō waewae, ka ngaro te rongo i taua wāhi. Tērā pea kāore koe e rongo i ngā mea pēnei i te mamae, te ngoikore, te wera rānei. Koinei te wā ka tīmata ai te raruraru. Ahakoa he whara iti tō waewae, he whao i tō waewae, he wheua whati iti rānei, tērā pea kāore koe e rongo, nō reira ka whakaroa pea koe ki te tiki maimoatanga mōna. Nā taua mōhio kore, ahakoa he mea iti noa iho ka huri hei mate kino, hei mate rānei ka huri i te āhua o tō waewae.

Ki te kore e rongoatia wawetia te Waewae Charcot, ka pakaru pea ngā hononga o tō waewae, ā, kāore pea e taea e koe te whakamahi tika i tō waewae. Waihoki, ki te pā mai he mate ki tō waewae, ka horapa puta noa i tō tinana, ā, i ētahi wā kino, ka arahi pea ki te tapahi i te waewae, ka mate pea.

Nō reira, he mea tino nui te whakahaere i te mate huka me te pupuri i te taumata huka toto (te huka toto). Ko te huarahi pai ki te karo i tēnei ko te toro atu ki te tākuta i ia wā, mō ngā tohutohu, me te tirotiro i ia wā i te āhua o ō waewae.

Tērā pea kua rongo koe i ngā tākuta e whakamahi ana i ēnei ingoa hei utu mō te Charcot Foot:

• Waewae e pā ana ki te mate huka
• Te mate pukupuku o Charcot
• Te neuropathy Charcot

He pēhea te noa o te Charcot Foot?

He tino onge te mate o Charcot Foot. Kāore e pāngia te katoa e te mate huka. E pāngia ana e te iti iho i te 1% o te hunga mate huka. Heoi, ahakoa he onge, he nui te kino ka pā mai.

He aha ngā tohu tōmua o te waewae Charcot? He mea nui kia mōhio ki ēnei!

Ki te kitea wawetia tēnei āhuatanga, ka taea te ārai i te kino nui. Nō reira, he mea tino nui kia mōhio ki ēnei tohu.

• Mamae waewae: Heoi, kāore pea koe e tino rongo i te mamae nā te mea kua pakaru ngā io.
• Te rerekētanga o te tae, te whero rānei o te waewae:Ki te huri whero tō waewae, ā, te āhua nei kua rerekē te tae.
• Pupuhi: Mena ka pupuhi te waewae, ina koa te waewae.
• Te mahana rerekē o te waewae: Ina koa mēnā ka tino mahana ake tetahi waewae i tetahi atu.

Ki te kite koe i tētahi o ēnei huringa i ō waewae, me toro atu ki te tākuta tonu . Ko te wawe o tō kitenga i te waewae o Charcot, ka nui ake te tūponotanga ki te karo i ngā raruraru nui.

He aha ngā tohu o te waewae Charcot ina kaha haere?

Ki te kore e rongoatia wawe, ka taea e te Charcot Foot te whakaputa i ngā huringa ki te āhua o tō waewae (Charcot foot deformity). Ko te tikanga tēnei:

• Waewae piko-raro: Koinei te wā e whati ai, e hinga ai ngā wheua i waenganui o tō waewae. Mā tēnei ka ngaro te piko tūturu (āwhati) i te raro o tō waewae, ā, ka porotaka tō waewae ki waenganui, pērā i te raro o te tūru piko. Tērā pea ka puta te āhua o tō āwhati o raro ki tōna tūnga i mua.
• Te āhua rerekē o te māikuku: Ka piko pea ō māikuku, ka piko ki raro. Ina whati ngā wheua o ō māikuku, ka piko pea pērā i ngā whao i a rātou e ngana ana ki te pupuri i te whenua.
• Te hē o te pona waewae: Tērā pea ka kumea tō pona waewae ki tetahi taha, ka piko, ā, tera pea ka kitea he rerekē, he koretake hoki te āhua ina tirohia mai i tērā taha.
• Ngā mate pukupuku waewae: Ina he te āhua o tō waewae, o tō pona rānei nā te mate pukupuku Charcot, ka taumaha rawa ētahi wāhi. Ka pakaru pea te kiri o aua wāhi, ā, ka puta pea ngā mate pukupuku tuwhera (e kiia nei ko te פתוחים פצעים). He nui ake te tūponotanga ka pangia ēnei patunga.

He aha te take e puta ai te waewae o Charcot? He aha te take?

Ko te take matua mō te whanaketanga o te Waewae Charcot he kore koe e rongo i tētahi tohu pēnei i te mamae ahakoa he whara, he mate rānei tō waewae. E kiia ana tēnei he mate waewae mate huka.

• Tērā pea ka nui te huka toto (hyperglycemia) o te hunga mate huka mena kāore e taea e rātou te whakahaere tika i ngā taumata huka toto.
• Ka taea e tēnei taumata huka toto tiketike mō te wā roa te whakararu i ngā io (neuropathy), inā koa ki ngā waewae me ngā waewae o raro.
• Nā te kino o taua io, ka ngaro te rongo o ō waewae me ō waewae.
• Nā te mea kāore pea koe e kite i ngā tohu o te mamae, i tētahi mea rānei e hē ana ki tō waewae, kāore pea koe e hiahia ki te rapu awhina hauora. Ahakoa he iti noa iho, he ngāwari hoki te rongoā, kua huri pea hei raruraru nui i te wā e mōhio ana koe kei te mamae.

Hei tauira, whakaarohia he tangata e pāngia ana e te Waewae Charcot, he wheua whati, he hononga, he uaua rānei i roto i tōna waewae, engari ka taea tonu te hikoi i runga i te waewae whati nā te mea kāore ia e rongo i te mamae. I te nuinga o te wā, ka kino haere te whara iti o te pona waewae, te wheua whati rānei mēnā ka whakamahia tonutia tō waewae me te kore e rongo. I roto i te wā, ka taea e te pēhanga tāpiri te whakarerekē tuturu i te āhua o tō waewae me tō pona waewae.

Waihoki, ki te mea he waewae Charcot tōu, tērā pea kāore koe e rongo i ngā tohu pēnei i te mamae, i te wera rānei, nō reira tērā pea ka ngaro i a koe te mate kia puta rā anō he raruraru nui.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te waewae Charcot?

Ko te waewae o Charcot he mate e pāngia ana e te mate huka . Ko te hunga kua pāngia e te mate huka mō ngā tau neke atu i te whitu, e momi hikareti ana, e inu waipiro ana hoki, he nui ake te tūponotanga ki te pāngia e te kino o ngā io (neuropathy).

Waihoki, ki te mea he mate huka tōu me ēnei atu āhuatanga hauora, ka nui ake te tūponotanga ka pāngia koe e te kino o ngā io:

• Te toto toto tiketike (te toto toto tiketike)
• Te momona, te pikinga taumaha rānei
• Te taumata cholesterol teitei i roto i te toto
• mate whatukuhu

He aha ngā āhuatanga (ngā raruraru) mōrearea ka puta mai i te waewae o Charcot?

Ko te waewae Charcot he raruraru o te kino o ngā io (neuropathy) i puta mai i te mate huka. Heoi, ki te tino pakaru tō waewae, ki te pāngia rānei koe e te mate kino, ka puta pea ētahi atu raruraru kino. Kei roto i ēnei ko:

• Tērā pea ka huri tonu te āhua o tō waewae , ā, kāore e taea te mau hu noa.
• Mena he nui ngā panonitanga ā-tinana o te waewae, me tapahi pea te waewae e pāngia ana . Tērā pea ka pērā anō hoki mena ka pangia te waewae e te mate pukupuku.
• Ka mate pea te waewae Charcot mēnā ka horapa te mate puta noa i te tinana, mēnā rānei ka puta mai ētahi atu raruraru morearea e pā ana ki te mate huka.

Me pēhea te tātaritanga tika a te tākuta i te waewae o Charcot?

Mā te tākuta koe e tātari i te waewae Charcot mā te tirotiro i a koe me te mahi i ētahi whakamātautau whakaahua. Mēnā ka pāngia koe e te mamae, te pupuhi, te mahana rānei i roto i tō waewae, mēnā rānei kua ngaro te rongo i roto i tō pona, tō waewae, ō matimati rānei, me kōrero koe ki tō tākuta.

Ka tirohia e te tākuta ō pona me ō waewae. Ka tirohia e ia ngā waewae e rua, ka whakataurite i a rātou mō ngā huringa. Ka pā atu hoki ia ki ō pona, ō waewae, me ō matimati kia kite ai i te nui o te mamae e pā ana ki a koe.

He aha ngā whakamātautau e whakamahia ana e ngā tākuta hei tautuhi i te waewae o Charcot?

Ka whakahaerehia pea e te tākuta ētahi whakamātautau hei tautuhi i te waewae o Charcot:

• Ngā hihi-X o te waewae
• Ngā whakamātautau MRI (Atahanga Āhua Aukume - MRI)
• Ngā whakamātautau toto hei tirotiro mō ngā mate pāwera

He aha ngā maimoatanga mō te waewae o Charcot?

Ko te mea nui rawa atu i te rongoā i te Waewae Charcot ko te ārai i ngā raruraru nui . I mua i te kino haere o tētahi whara, raruraru rānei, me mutu te whakatakoto taumaha ki tō waewae me te hikoi. Ka tūtohu tō tākuta i ngā maimoatanga hei whakaiti i ō tohu me te whakaiti i te pānga tuturu o te Waewae Charcot ki tō kaha ki te whakamahi i tō waewae.

Ko ngā maimoatanga tino rongonui mō te waewae o Charcot ko:

Te tango i te taumaha mai i tō waewae

Mā te whakaiti i te taumaha me te pēhanga ki te waewae e pāngia ana ka āwhina i te whakaiti i te pupuhi me te ārai i ngā whara, pērā i te whatiwhatinga, kei kino haere. Tērā pea ka hiahiatia ēnei hei mahi i tēnei:

• He whakaaro pai te whakamahi i te whakapiripiri, i te whitiki rānei.
• Ngā tokotoko.
• He anga hīkoi `(kaihāereere)`.
• He tūru wīra.

Ngā rerekētanga i waenga i ngā hu orthotics me ngā hu

Ko ngā orthotics he mea e whakanohoia ana ki roto i ō hu hei tautoko i ō waewae, hei āwhina hoki kia mau tonu ō matimati. Tērā pea me whakauru he mea hanga motuhake, he mea tautoko rānei i te pona waewae. Tērā pea ka tūtohu tō tākuta i ngā orthotics, i ngā hu rānei he hōhonutanga motuhake, hei whakaiti i te pēhanga ki ō waewae, hei whakangāwari hoki i te hikoi.

Te whakaora tinana

He tohunga hauora te kaiwhakaora tinana e āwhina ana i a koe ki te whakapai ake i te nekehanga o tō tinana. Mena he uaua ki a koe te neke nā te mamae, te pakari, te kore whakamarie rānei, ka taea e ia te āwhina i a koe ki te whakahaere i ō tohumate. Ka taea hoki e rātou te whakawhanake i tētahi kaupapa whakakori tinana ritenga hei āwhina i a koe ki te neke i tō tinana.

Te Pokanga Waewae o Charcot

Mena he nui ngā tohu kino kei a koe (pēnei i te whati wheua, ngā hononga, ngā patunga), he mate pāwera rānei kei a koe ka horapa pea, me mahi pea koe i te pokanga waewae o Charcot.

Mā te taote pokanga e whakatika te kino o tō waewae me tō hononga pona, ā, ka whakau anō hoki i tō waewae. He onge noa iho, me tapahi te waewae o te hunga e pāngia ana e te Charcot Foot kino.

Mā te taote pokanga koe e whakamārama he aha te momo pokanga e tika ana kia mahia māu, me ngā mea hei tumanako māu i te wā e ora ana koe.

He aha tā tātou e taea ai te ārai i te waewae o Charcot?

Ko te huarahi pai ki te ārai i te waewae o Charcot ko te whakahaere pai i tō mate huka me tō hauora whānui.Mā te whakahaere i te taumata huka o tō toto, ka taea e koe te ārai i te huka toto tiketike (hyperglycemia) me te whakaiti i te mōrearea o te kino o ngā io (neuropathy).

Pātai atu ki tō tākuta kia hia te auau o tō tirotiro i ō waewae. Pātai atu hoki mēnā me toro atu koe ki tētahi tākuta waewae, ki tētahi tākuta wheua rānei.

Mā te mahi i ēnei mea ka taea hoki te whakaiti i tō tupono ki te pāngia e te Charcot Foot me ētahi atu raruraru waewae e pā ana ki te mate huka:

• Tirohia ō waewae i ia rā. Tirohia mēnā he rerekētanga. Kaua e wareware ki te titiro i waenganui i ō matimati. Pātai atu ki tētahi mō te āwhina, whakamahia rānei he whakaata.
• Me tirotiro ō waewae i ia wā tirotiro a te tākuta.
• Kia āta tapahia, kia tika hoki te whakakoi o ō waewae. Tapahia kia tika kia kore ai e tipu ngā waewae ki roto.
• Kia pai te rere o te toto i ō waewae. Kia teitei ake ō waewae i a koe e noho ana, ā, kia nekenekehia ō matimati i ngā wā katoa.
• Kia mau tōkena me ō hu (ngā hū rānei) i te roanga o te rā. Kia tino piri ō tōkena, kia tika hoki te uru o ō hu. (Ahakoa he onge te mau hū i te kāinga i Sri Lanka, he mea nui tēnei hei tiaki i ō waewae mēnā he mate huka tōu).
• Horoia ō waewae i ia rā. Whakamaroketia kia pai, inā koa i waenganui i ngā mātao. Pania he hinu ki te tihi me te raro o ō waewae, engari kaua i waenganui i ngā mātao.

He aha te momo heke mai ka taea e te tangata whai waewae Charcot te tumanako?

Ki te kitea wawetia e te tākuta te Charcot Foot, tērā pea ka taea e koe te karo i ngā raruraru nui .

Ka whai wā tirotiro auau koe me tō tākuta. Ka tangohia e ia ētahi atu hihi-X hei tirotiro i ngā huringa, i ngā tohu hou rānei o ō waewae.

Mena he nui ngā tohu, he uaua rānei ōu uauatanga mai i te Charcot Foot, me whakarerekē pea tō momo hikoi, me neke haere, me ako rānei ki te whakamahi i ngā taputapu nekeneke. Mā tō tākuta koe e whakamārama. Māna koe e ārahi i roto i tō haerenga whakaora, ā, māna anō hoki koe e whakautu i ō pātai katoa.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Ki te kite koe i ētahi tohu hou i ō waewae, ki te mea rānei kei te kino haere tētahi tohu o nāianei, me toro atu ki te tākuta tonu.

Mena he mate huka tōu, me kōrero tonu ki tō tākuta mēnā ka kite koe i tētahi o ēnei mea:

• Ngā huringa o te āhua o ō waewae.
• Ngā panonitanga o te kiri o ō waewae (pēnei i te mate pāwera, te rerekētanga o te tae, te mahana, te kakara rerekē rānei).
• Me te mea kei te marere ngā huruhuru o ō matimati, o ō waewae, me ō waewae .
• I roto i ō waewae, i ō pona, i ō waewae, i ō māikukuMe te mea kua ngaro ōku māramatanga.
• Mamae, ngoikore, wera, ngenge rānei i ō waewae me ō waewae (ina koa i te pō).

He aha ngā pātai me pātai atu koe ki te tākuta?

• He waewae Charcot tōku, he mate waewae rānei e pā ana ki te mate huka?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Me pokanga ahau?
• Kia pēhea te auau o taku tirotiro i ōku waewae?

Ka taea e koe te hikoi me te waewae Charcot?

I ngā wāhanga tōmua o te Waewae Charcot, me taea e koe te hikoi me te neke haere . Heoi, ki te kite koe i tētahi pupuhi, i tētahi rerekētanga rānei o te tae o te kiri, kaua e akiaki i tō waewae . Ahakoa kāore koe e rongo, he tohu pea kua whara tō waewae.

Kia kaha tonu te mahi, engari whiriwhiria ngā mahi ngāwari kāore e tino taumaha ki ō waewae. He pai ngā mahi pēnei i te kaukau me te eke pahikara. Pātai atu ki tō tākuta he aha ngā mahi haumaru mōu.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He raruraru onge te waewae o Charcot o te mate huka e puta ana ina pakaru ngā io o ngā waewae me ngā waewae o raro. Ko te huarahi pai ki te ārai i ngā raruraru nui ko te kite wawe i te mate.

Mena he mate huka tōu, me toro atu ki te tākuta i ia wā, i ia wā, mō ngā tirotiro me ngā whakamātautau waewae. Ka tirotirohia ō waewae e tō tākuta mō ngā huringa katoa e tohu ana i tētahi āhuatanga mōrearea.

Kōrero ki tō tākuta mō te whakahaere i tō mate huka. Ka taea e ia te tūtohu rauemi hei āwhina i a koe ki te whakahaere i ō taumata huka toto me te whakaiti i tō tupono ki te mate neuropathy mate huka me te waewae Charcot. Ka haria koe e ō waewae ki tawhiti i te ao, nō reira ko tō kawenga te tiaki pai i a rātou!

` Waewae Charcot, Mate Huka, Mate Waewae, Pakaru Io, Whara Waewae, Ngā Whakararuraru o te Mate Huka, Tiaki Waewae