Ngaba unesifo seswekile? Ngoko mhlawumbi sele uyazi ukuba kufuneka uzinyamekele kakuhle iinyawo zakho, njengalo naliphi na elinye ilungu lomzimba wakho. Kodwa ngamanye amaxesha, nokuba utshintsho oluncinci kunyawo lwakho, ukudumba okuncinci, okanye ubushushu obuncinci obuvakala bungangcono kunolunye unyawo, kunokuba sisiqalo sengxaki enkulu kunokuba ucinga. Namhlanje, siza kuthetha ngemeko ehambisana nesifo seswekile, kodwa abantu abaninzi kwilizwe lethu abangayaziyo, kodwa enokuba yingozi kakhulu ukuba ayinikwa ngqalelo ifanelekileyo. Siyibiza ngokuba yi-'Charcot Foot'.
Ngamafutshane, yintoni iCharcot Foot?
Cinga ngemithambo-luvo esemilenzeni yakho njengenkqubo yeengcingo zefowuni. Le nkqubo yeengcingo ithwala iimvakalelo ezisemilenzeni yakho, ezinje ngentlungu, ubushushu, kunye nokuchukumisa, ziye engqondweni yakho. Ngoku, xa isifo seswekile singalawulwa kakuhle ixesha elide, imithambo-luvo esemilenzeni yakho inokonakala ngenxa yamanqanaba aphezulu eswekile egazini. Kwizonyango, sibiza oku ngokuba yi-diabetesic neuropathy .
Kwenzeka ntoni xa imithambo-luvo yonakele ngolu hlobo? Imvakalelo emilenzeni iyancipha. Abanye abantu baziva ngathi imilenze yabo iyaqaqamba, ngelixa abanye beziva kungekho nto konke konke.
Khawuthelekelele ukuba ngelixa uhamba umlenze wakho ungenamvakalelo, ngempazamo ujije umlenze wakho kancinci, okanye uphuke kancinci emlenzeni wakho. Umntu oqhelekileyo ebeya kuva iintlungu ezinzima xa oko kusenzeka, ngoko ke ebeya kuphumla ngokukhawuleza aze afune unyango. Kodwa ekubeni imithambo-luvo yakho ibuthathaka kwaye ungenamvakalelo, awuziva ezi ntlungu. Ngoko ke uhamba, ubaleka, kwaye usebenze kuloo mlenze njengesiqhelo.
Kulapho ke ingxaki iqala khona. Njengoko amathambo namalungu asele onakele eqhubeka nokuxinezeleka, umonakalo uyanda. Amathambo aqala ukuphuka nokuqhekeka, kwaye amalungu aqala ukukhululeka. Ekuhambeni kwexesha, lonke unyawo lutshintsha imilo luze luqale ukuguguleka. Yiloo nto siyibiza ngokuba yiCharcot Foot .
Ngamafutshane, iCharcot Foot yingozi encinci kunyawo olulahlekelwe zimvakalelo kunye nomonakalo wemithambo-luvo ngenxa yesifo seswekile, kodwa ukuba uqhubeka uhamba phezu kwalo ngaphandle kokuziva iintlungu, amathambo kunye namalungu aya kuqhekeka kwaye unyawo luya kuba nokukhubazeka.
Zithini iimpawu zeCharcot Foot? Ungazibona njani kwangethuba?
Eyona nto ibalulekileyo kukufumanisa le meko kwangethuba. Kuba xa ifunyanwa ngokukhawuleza, iingxaki ezinkulu zinokuthintelwa. Makhe sibone ukuba zeziphi iimpawu. Ndiza kukubonisa oku kwitshathi elula ukuyiqonda.
| Imeko yeempawu | Oko uza kukubona |
|---|---|
| Iimpawu zokuqala (kufuneka zibonwe kwangethuba) |
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| Iimpawu ezenzeka xa imeko inzima |
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Kutheni abanye abantu beba nale meko? Zithini izinto ezibangela umngcipheko?
Eyona nto ibangela iCharcot Foot kukonakala kwemithambo-luvo okubangelwa sisifo seswekile (Diabetic Neuropathy) , esixoxe ngayo ngaphambili. Nangona kunjalo, ayinguye wonke umntu onesifo seswekile ofumana esi sifo. Kukho ezinye izinto ezininzi ezibangela umngcipheko wokufumana esi sifo.
- Ukuba nesifo seswekile ixesha elide: Abantu abanesifo seswekile iminyaka engaphezu kwe-7-10 basengozini enkulu.
- Isifo seswekile esingalawulwa kakuhle: Amanqanaba aphezulu eswekile egazini (i-hyperglycemia) ayonakalisa ngokukhawuleza imithambo-luvo.
- Ukutshaya: Ukutshaya kunciphisa imithambo yegazi kwaye kunciphisa ukuhamba kwegazi ezinyaweni. Oku kuchaphazela kakubi imithambo-luvo kunye nokuphiliswa kwamanxeba.
- Ukusela utywala: Ukusela utywala kakhulu kunokonakalisa ngqo imithambo-luvo.
- Uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, kunye nokutyeba kakhulu: Ezi meko zinokuphazamisana nokuhamba kwegazi kwaye zonyuse umngcipheko.
- Isifo sezintso: Lo mngcipheko uphezulu nakubantu abanesifo sezintso esibangelwa sisifo seswekile.
Zeziphi iingxaki eziyingozi ezinokubangela oku?
Usenokuziva usoyika kancinci xa usiva ezi nyaniso. Kodwa kubaluleke kakhulu ukwazi ezi zinto, kuba ke ngoko siza kuyilungisa le nto. Ukuba unyawo lukaCharcot alunyangwa ngexesha elifanelekileyo, kunokubakho iingxaki ezinkulu.
1. Ukukhubazeka okungapheliyo konyawo: Ukuma konyawo kunokutshintshwa ngokusisigxina. Oku kwenza kube nzima ukunxiba izihlangu eziqhelekileyo kwaye kwenza kube nzima ukuhamba.
2. Amanxeba kunye nosulelo olungapholiyo: Izilonda zeenyawo zinokosulelwa lula yibhaktheriya. Ngamanye amaxesha, ezi zifo zinokusasazeka ziye emathanjeni.
3. Ukunqunyulwa kwemilenze: Ukuba usulelo alunakulawulwa, okanye ukuba unyawo lukhubazekile kakhulu , ngamanye amaxesha inxalenye okanye lonke unyawo kunokufuneka lususwe ngotyando ukuze kusindiswe ubomi.
4. Ibeka ubomi esichengeni: Ukuba usulelo lweenyawo lungena egazini luze lusasazeke emzimbeni wonke (i-sepsis), lunokuba yingozi nakubomi.
Eyona ndlela ingcono yokuphepha ezi meko zinzima kukubona ugqirha ngoko nangoko xa kuvela iimpawu zokuqala, ezinje ngemilenze ebomvu, evuvukileyo, neshushu.
Ugqirha uyixilonga aze ayinyange njani le nto?
Xa uxelela ugqirha wakho ngeempawu zakho, into yokuqala aza kuyenza kukuhlola iinyawo zakho zombini. Uza kuthelekisa iinyawo zakho aze ajonge ukudumba, utshintsho kwimilo, ubomvu, kunye nobushushu. Uza kujonga nendlela ezivakalelwa ngayo iinyawo zakho.
Emva koko, ungathunyelwa kwiimvavanyo ezifana nezi ukuqinisekisa ukuxilongwa:
- Ii-X-ray zeenyawo: Jonga umonakalo, imifantu, okanye ukwaphuka kwamathambo.
- I-MRI scan (MRI): Ukubona ngokucacileyo umonakalo kwizicwili ezithambileyo kunye namalungu ukongeza kumathambo.
- Uvavanyo lwegazi: Jonga ukuba kukho usulelo na.
Iindlela zonyango
Unyango oluphambili lweCharcot Foot "kukuyikhupha imithwalo," oko kuthetha ukungabeki bunzima kunyawo oluchaphazelekileyo. Oku kubalulekile kuba ukuqhubeka uhamba phezu kwamathambo awonakeleyo kuya kuyenza imeko ibe mandundu ngakumbi.
Ngenxa yesi sizathu, ugqirha unokucebisa izinto ezifana nezi:
- Ukufaka iplasta ekhethekileyo (i-cast): Kufakwa i-cast eyenzelwe ngokukodwa ukuthintela unyawo ekushukumeni okanye ekuthwaleni ubunzima.
- Ukusebenzisa iintonga okanye isixhobo sokuhamba .
- Ukusebenzisa isitulo esinamavili: Ukuba imeko imbi kakhulu, kusenokufuneka usebenzise isitulo esinamavili okwethutyana.
- Izihlangu ezikhethekileyo kunye nezixhobo (ii-Orthotics kunye neeZihlangu): Emva kokuba amathambo eenyawo epholile, kuya kufuneka usebenzise izihlangu ezikhethekileyo okanye izinto zokufaka (`ii-Orthotics`) ezifanelana nomongo wonyawo kwaye zingayifaki uxinzelelo olongezelelweyo kulo.
- Unyango Lomzimba: Ngoncedo lonyango lomzimba, ungenza umthambo wokuphucula intshukumo yamalungu kunye nokuqinisa izihlunu zonyawo.
- Utyando: Kwezinye iimeko ezinzima, kunokufuneka utyando ukuze kulungiswe amathambo aphukileyo kwaye kuzinziswe unyawo.
Izinto omele uzenze ukukhusela iinyawo zakho ukuba unesifo seswekile
Ukuze uzikhusele kwisifo esibi esibizwa ngokuba yiCharcot Foot, kufuneka uzinyamekele kakuhle iinyawo zakho njengomntu onesifo seswekile. Le mikhwa mayibe yinxalenye yobomi bakho bemihla ngemihla.
| Kwenziwe ntoni | Inkcazo |
|---|---|
| Ukuhlolwa kweenyawo imihla ngemihla | Yonke imihla ngaphambi kokuba ulale, sebenzisa isipili okanye ucele umntu ekhaya ukuba ajonge iintende zeenyawo zakho, phakathi kweenzwane zakho, kunye neenxa zonke zeenzipho zakho. Jonga ukuba akukho mikrwelo mincinci, ukubomvu, ukudumba, okanye amadyungudyungu. |
| Ucoceko | Hlamba iinyawo zakho yonke imihla ngamanzi afudumeleyo kunye nesepha ethambileyo. Emva koko, zomise kakuhle, ingakumbi phakathi kweenzwane, uze uzibambe zome. |
| Izihlangu ezifanelekileyo | Nxiba izihlangu ezilingana kakuhle nezithambileyo ngaphakathi. Ungaze uhambe ngaphandle ungenazihlangu. Nxiba neeslipper ezithambileyo ngaphakathi. |
| Ulawulo lwesifo seswekile | Landela imiyalelo kagqirha wakho kwaye ugcine amanqanaba eswekile egazini lakho ekwinqanaba elifanelekileyo. Le sisiseko sayo yonke into. |
| Uvavanyo lwezonyango | Ngalo lonke ixesha usiya kwikliniki yesifo seswekile, cela ugqirha wakho ukuba ahlole iinyawo zombini. |
Umyalezo Wokuya Ekhaya
- I-Charcot Foot yingxaki enkulu ebangelwa kukonakala kwemithambo-luvo ngenxa yesifo seswekile.
- Ukuba unesifo seswekile, musa ukungayihoyi into yokudumba, ukuba bomvu, okanye ukufudumala okungaqhelekanga emlenzeni wakho . Bonana nogqirha ngoko nangoko, nokuba akukho ntlungu.
- Ukubhaqwa kwangethuba yeyona ndlela ilungileyo yokuphepha iimeko ezinje ngokukhubazeka okukhulu kunye nokunqunyulwa kwamalungu omzimba.
- Ziqhelise ukujonga iinyawo zakho yonke imihla. Xelela ugqirha wakho ukuba ubona naluphi na utshintsho.
- Okukhona ulawula ngcono isifo sakho seswekile, kokukhona umngcipheko wakho wokuba nezi ngxaki uyancipha.
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