Ese diyabete itera ubumuga bw'ibirenge? Iyi ishobora kuba indwara iteje akaga yitwa Charcot Foot!

Ese urwaye diyabete? Noneho ushobora kuba uzi ko ugomba kwita ku birenge byawe cyane, kimwe n'ibindi bice by'umubiri wawe. Ariko rimwe na rimwe, ndetse n'impinduka nto mu kirenge cyawe, kubyimba gato, cyangwa ubushyuhe bukabije kurusha ikindi kirenge, bishobora kuba intangiriro y'ikibazo gikomeye kurusha uko ubitekereza. Uyu munsi, tugiye kuvuga ku ndwara iterwa na diyabete, ariko abantu benshi mu gihugu cyacu batazi, ariko ishobora guteza akaga cyane iyo ititaweho neza. Ibi tubyita 'Ikirenge cya Charcot'.

Mu magambo make, ikirenge cya Charcot ni iki?

Tekereza imitsi yo mu maguru yawe nk'uburyo bw'insinga za telefoni. Ubu buryo bw'insinga bujyana ibyiyumvo mu maguru yawe, nko kubabara, ubushyuhe, no gukorakora, mu bwonko bwawe. Ubu, iyo diyabete idacunzwe neza igihe kirekire, imitsi yo mu maguru yawe ishobora kwangirika bitewe n'isukari nyinshi mu maraso. Mu buvuzi, ibi tubyita indwara ya diyabete .

Bigenda bite iyo imitsi yangiritse gutya? Ukumva amaguru aragabanuka. Hari abantu bumva amaguru yabo arimo kubabara, abandi bakaba bumva ntacyo batekereza na gato.

Noneho tekereza ko mu gihe wagendaga ufite ukuguru kudafite icyo wumva, wagonze ukuguru kwawe gato ku bw'impanuka, cyangwa wavunitse gato mu kuguru kwawe. Umuntu usanzwe yumva ububabare bukomeye iyo bibaye, bityo akaruhuka vuba agashaka ubuvuzi. Ariko kubera ko imitsi yawe idakomeye kandi nta cyo wumva, ntabwo wumva ubu bubabare. Nuko ugenda, wiruka, kandi ugakora kuri uko kuguru nk'uko bisanzwe.

Icyo gihe ni bwo ikibazo gitangira. Uko amagufwa n'ingingo byangiritse bikomeza guhangayika, ni ko ibyangiritse byiyongera. Amagufwa atangira kuvunika no gusenyuka, kandi ingingo zitangira kurekura. Uko igihe kigenda gihita, ikirenge cyose gihinduka imiterere kigatangira guhindagurika. Ibyo ni byo twita Ikirenge cya Charcot .

Ni ibihe bimenyetso by'ikirenge cya Charcot? Ni gute wabimenya hakiri kare?

Kumenya iyi ndwara hakiri kare ni cyo kintu cy'ingenzi cyane. Kuko uko igaragaye vuba, niko ingorane zikomeye zishobora kwirindwa. Reka turebe ibimenyetso. Nzabikwereka mu mbonerahamwe yoroshye kumva.

Kuki hari abantu bamwe barwara iyi ndwara? Ni ibihe bintu bishobora gutera iyi ndwara?

Impamvu nyamukuru itera Charcot Foot ni ukwangirika kw'imitsi guterwa na diyabete (Diabetic Neuropathy) , twavuze mbere. Ariko, si abantu bose barwaye diyabete barwara iyi ndwara. Hari n'ibindi bintu byinshi byongera ibyago byo kurwara iyi ndwara.

• Kurwara diyabete igihe kirekire: Abantu bamaze imyaka irenga 7-10 barwaye diyabete bari mu kaga gakomeye.
• Diyabete idacungwa neza: Isukari nyinshi mu maraso (hyperglycemia) yangiza imitsi vuba.
• Kunywa itabi: Kunywa itabi bigabanya imiyoboro y'amaraso kandi bigabanya urujya n'uruza rw'amaraso rugera ku birenge. Ibi bigira ingaruka mbi ku mitsi no gukira kw'ibikomere.
• Kunywa inzoga: Kunywa inzoga nyinshi bishobora no kwangiza imitsi mu buryo butaziguye.
• Umuvuduko ukabije w'amaraso, cholesterol nyinshi, n'umubyibuho ukabije: Izi ndwara zishobora kandi kubangamira itembera ry'amaraso no kongera ibyago byo kurwara.
• Indwara z'impyiko: Iyi ngaruka iri hejuru no ku bantu bafite indwara z'impyiko ziterwa na diyabete.

Ni izihe ngorane zikomeye ibi bishobora gutera?

Ushobora kumva ufite ubwoba gato iyo wumvise ibi bintu. Ariko ni ingenzi cyane kumenya ibi bintu, kuko icyo gihe tuzabyigaho. Iyo Charcot Foot itavuwe ku gihe, hashobora kubaho ingorane zikomeye.

1. Ubumuga buhoraho bw'ikirenge: Imiterere y'ikirenge ishobora guhinduka burundu. Ibi bituma bidashoboka kwambara inkweto zisanzwe kandi bigatuma kugenda bigorana.

2. Ibikomere n'indwara zidakira: Ibisebe byo mu birenge bishobora kwanduzwa na bagiteri byoroshye. Hari igihe izi ndwara zishobora gukwirakwira mu magufwa.

3. Gucibwamo ibice: Iyo ubwandu budashobora gukemurwa, cyangwa niba ubumuga bw'ikirenge bukabije , rimwe na rimwe igice cy'ikirenge cyangwa igice cyose cy'ikirenge gishobora kubagwa kugira ngo ubuzima burokoke.

4. Bishobora gushyira ubuzima mu kaga: Iyo indwara y'ikirenge igeze mu maraso igakwirakwira mu mubiri wose (sepsis), ishobora no gushyira ubuzima mu kaga.

Ni gute umuganga asuzuma ibi kandi akabivura?

Iyo ubwiye muganga wawe ibimenyetso byawe, ikintu cya mbere azakora ni ugusuzuma ibirenge byawe byombi. Azagereranya ibirenge byawe maze arebe niba hari ibibyimba, impinduka mu miterere, umutuku, n'ubushyuhe. Azasuzuma kandi uko ibirenge byawe byifashe.

Nyuma y'ibyo, ushobora koherezwa gukorerwa ibizamini nk'ibi kugira ngo wemeze ko wanduye:

• Imirasire ya X-ray y'ibirenge: Reba niba amagufwa yangiritse, yacitsemo ibice, cyangwa yavunitse.
• MRI scan (MRI): Kugira ngo harebwe neza ibyangiritse ku ngingo zoroshye n'ingingo ndetse n'amagufwa.
• Gupima amaraso: Kureba niba nta bwandu bwandujwe.

Uburyo bwo kuvura

Uburyo bw'ingenzi bwo kuvura ikirenge cya Charcot ni "gushyiramo ibintu biremereye," bivuze kudashyira uburemere ku kirenge cyangiritse. Ibi ni ingenzi kuko gukomeza kugenda ku magufwa yangiritse bizatuma ikibazo kirushaho gukomera.

Kuri ibi, muganga ashobora kukugira inama y'ibintu nk'ibi:

• Gushyiramo sima yihariye (cast): Hashyirwaho icyuma cyabugenewe kugira ngo ikirenge kidakora cyangwa ngo gikore uburemere.
• Gukoresha inkoni cyangwa akamashini gafasha mu kugenda .
• Gukoresha intebe y'abamugaye: Iyo indwara ikomeye, ushobora gukoresha intebe y'abamugaye igihe runaka.
• Inkweto n'ibikoresho byihariye (Orthotics and Leather): Nyuma yuko amagufwa y'ikirenge amaze gukira, uzakenera gukoresha inkweto cyangwa udukoresho twihariye (`Orthotics`) duhuye n'imiterere y'ikirenge kandi ntugishyireho igitutu cyinshi.
• Ubuvuzi bw'umubiri: Ubifashijwemo n'umuvuzi w'umubiri, ushobora gukora imyitozo ngororamubiri kugira ngo urusheho kunoza imitsi y'ingingo no gukomeza imitsi y'ikirenge.
• Kubagwa: Mu bihe bimwe na bimwe bikomeye, kubagwa bishobora kuba ngombwa kugira ngo amagufwa yavunitse akomere kandi ikirenge gikomeze.

Ibintu ugomba gukora kugira ngo urinde ibirenge byawe niba urwaye diyabete

Kugira ngo wirinde indwara ikomeye yitwa Charcot Foot, ugomba kwita ku birenge byawe nk'umuntu urwaye diyabete. Izi ngeso uzigire igice cy'ubuzima bwawe bwa buri munsi.