Ngaba wakha waziva ezi zinto kunyawo lwakho olunesifo seswekile? Masithethe ngeCharcot Foot!

Ngaba unesifo seswekile? Ngoko mhlawumbi uyazi ukuba kufuneka uzinyamekele ngakumbi iinyawo zakho. Ngamanye amaxesha, nokuba yingozi encinci okanye ukutyibilika nokuwa nje kunokuba yingxaki enkulu. Namhlanje, siza kuthetha ngenye yezona meko zinzima, kodwa ezihlala zinganakwa, ezibangelwa sisifo seswekile ezinyaweni zakho.

Yintoni uCharcot Foot? Ngamafutshane...

Ngamafutshane, iCharcot Foot yingxaki enkulu yesifo seswekile echaphazela iinyawo, edla ngokunxulunyaniswa ne -neuropathy . Yimeko engaqhelekanga, kodwa umonakalo enokubangelwa yiyo awungomncinane.

Khawucinge nje, xa isifo seswekile sonakalisa imithambo-luvo emilenzeni yakho, ingakumbi ezinyaweni zakho, ulahlekelwa yimvakalelo kuloo ndawo. Usenokungakwazi ukuziva izinto ezifana neentlungu, ukungaziva, okanye ubushushu ngokufanelekileyo. Kulapho ke ingxaki iqala khona. Nokuba unenxeba elincinci emlenzeni wakho, isikhonkwane ezinyaweni zakho, okanye ithambo elincinci elaphukileyo, usenokungaliva, ngoko unokulibazisa ukufumana unyango lwalo. Ngenxa yokungazi, nento encinci ingaguquka ibe lusulelo olukhulu okanye imeko etshintsha ukuma komlenze wakho.

Ukuba iCharcot Foot ayinyangwa ngokukhawuleza, amalungu onyawo lwakho anokonakala kwaye usenokungakwazi ukusebenzisa unyawo lwakho ngokufanelekileyo. Kwakhona, ukuba kukho usulelo oluvela enyaweni lwakho, lunokusasazeka emzimbeni wakho wonke kwaye, kwezinye iimeko ezinzima, lunokukhokelela ekunqunyulweni kwelungu, nto leyo enokuba yingozi ebomini.

Kungoko ke, kubaluleke kakhulu ukulawula isifo seswekile nokulawula amanqanaba eswekile egazini lakho (iglucose egazini). Eyona ndlela ingcono yokuphepha oku kukubona ugqirha rhoqo ukuze akunike iingcebiso kwaye ujonge rhoqo indlela ezivakalelwa ngayo imilenze yakho.

Usenokuba ukhe weva oogqirha besebenzisa amagama anje endaweni yeCharcot Foot:

• Unyawo olunxulumene nesifo seswekile
• I-Charcot arthropathy
• I-Charcot neuropathy

Ixhaphake kangakanani iCharcot Foot?

I-Charcot Foot yimeko engaqhelekanga kakhulu . Ayiveli kubo bonke abantu abanesifo seswekile. Ichaphazela abantu abangaphantsi kwe-1% abanesifo seswekile. Nangona kunjalo, nangona ingaqhelekanga, umonakalo enokuwubangela ubalulekile.

Zithini iimpawu zokuqala zeCharcot Foot? Kubalulekile ukuzazi ezi!

Ukuba le meko ibonwa kwangethuba, inokuthintelwa ekubangeni umonakalo omkhulu. Kungoko ke, kubaluleke kakhulu ukuzazi ezi mpawu.

• Intlungu yomlenze: Nangona kunjalo, usenokungayiva intlungu kuba imithambo-luvo yonakele.
• Ukutshintsha kombala okanye ukuba bomvu konyawo:Ukuba umlenze wakho ujika ube bomvu ngequbuliso kwaye ubonakala ngathi utshintshile umbala.
• Ukudumba: Ukuba umlenze, ingakumbi unyawo, uziva ngathi uvuvukile.
• Ukuziva ushushu ngendlela engaqhelekanga emlenzeni: Ingakumbi ukuba omnye umlenze uziva ushushu kakhulu kunomnye.

Ukuba ubona naluphi na utshintsho olunjalo ezinyaweni zakho, bonana nogqirha ngokukhawuleza . Okukhona uqaphela unyawo lweCharcot ngokukhawuleza, kokukhona amathuba akho okuphepha iingxaki ezinkulu ayanda.

Zithini iimpawu zeCharcot Foot xa iba qatha?

Ukuba ayinyangwa kwangethuba, iCharcot Foot inokubangela utshintsho kwimo yonyawo lwakho (ukukhubazeka kweenyawo zeCharcot). Oku kuthetha:

• Unyawo oluhamba ngeenyawo olufana nolwe-rocker: Kulapho amathambo aphakathi kwenyawo lakho ephuka aze awe. Oku kubangela ukuba igophe lendalo (i-arch) ezantsi kwenyawo lakho lilahleke, kwaye unyawo lwakho lujikeleze embindini, njengezantsi kwesitulo esihamba ngeenyawo. I-arch yakho esezantsi isenokubonakala ngathi ivele apho yayikhona ngaphambili.
• Ukukhubazeka kwenzwane: Iinzwane zakho zinokugoba zize zigobe ezantsi. Xa amathambo ezinzwaneni zakho ephukile, anokugoba njengezikhonkwane njengoko ezama ukubamba umhlaba.
• Ukukhubazeka kweqakala: Iqakala lakho linokutsalwa kwelinye icala, ligobe, kwaye lisenokubonakala lahlukile kwaye lingazinzile xa lijongwa kwelinye icala.
• Izilonda zeenyawo: Xa unyawo okanye iqatha lakho likhubazekile ngenxa yonyawo lukaCharcot, iindawo ezithile zifakwa ubunzima obungaphezulu. Oku kunokubangela ukuba ulusu kwezo ndawo lonakale, kwaye izilonda ezivulekileyo (ezibizwa ngokuba yi-פתוחים פצעים) zinokuvela. La manxeba anokuba yingozi ngakumbi.

Kutheni iCharcot Foot ikhula? Yintoni unobangela?

Eyona nto iphambili ebangela ukuba unyawo lweCharcot lube neenyawo kukuba awuziva zimpawu ezifana neentlungu nangona unesilonda okanye usulelo olusezinyaweni zakho. Oku kudla ngokubizwa ngokuba sisifo seenyawo seswekile.

• Abantu abanesifo seswekile banokuba neswekile ephezulu egazini (i-hyperglycemia) ukuba abawalawuli ngokufanelekileyo amanqanaba eswekile egazini labo.
• Eli nqanaba leswekile ephezulu egazini ixesha elide linokubangela umonakalo kwimithambo-luvo (i-neuropathy), ingakumbi kwimilenze esezantsi neenyawo.
• Ngenxa yomonakalo wemithambo-luvo, ulahlekelwa yimvakalelo emilenzeni nasezinyaweni zakho.
• Ngenxa yokuba usenokungakwazi ukubona iimpawu zentlungu okanye into engalunganga emlenzeni wakho, usenokungadingi ukuya kugqirha. Emva koko, nokuba yinto encinci kwaye enyangwa lula isenokuba yingxaki enkulu ngexesha oqonda ukuba iyabuhlungu.

Umzekelo, cinga ngomntu oneCharcot Foot, onethambo elaphukileyo, i-ligament, okanye i-tendon emlenzeni wakhe, kodwa angaqhubeka ehamba ngomlenze ophukileyo kuba engayiva intlungu. Ngokwesiqhelo, ukwenzakala okuncinci kweqakala okanye ithambo elaphukileyo kunokuba mandundu ukuba uqhubeka nokusebenzisa umlenze wakho ngaphandle kokuwuva. Ekuhambeni kwexesha, uxinzelelo olongezelelweyo lunokutshintsha ngokusisigxina imo yonyawo lwakho kunye neqakala.

Ngokufanayo, ukuba uneCharcot Foot, usenokungaziboni iimpawu ezifana neentlungu okanye ubushushu, ngoko ke usenokuphoswa lusulelo de lubangele iingxaki ezinkulu.

Ngubani osengozini enkulu yokuhlaselwa yiCharcot Foot?

I-Charcot Foot yimeko edla ngokuchaphazela abantu abanesifo seswekile . Abantu abanesifo seswekile iminyaka engaphezu kwesixhenxe, abatshayayo, nabasela utywala rhoqo basengozini enkulu yokulimala kwemithambo-luvo (neuropathy).

Kwakhona, ukuba unesifo seswekile kunye nezinye izifo, unamathuba amaninzi okufumana umonakalo kwimithambo-luvo:

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Ukutyeba kakhulu okanye ukuzuza ubunzima
• Inqanaba eliphezulu le-cholesterol egazini
• Isifo sezintso

Ziziphi iimeko eziyingozi (iingxaki) ezinokubakho ngenxa yeCharcot Foot?

Unyawo lweCharcot luyingxaki yomonakalo wemithambo-luvo (i-neuropathy) ebangelwa sisifo seswekile. Nangona kunjalo, ukuba unyawo lwakho lonakele kakhulu okanye unesifo esibi kakhulu, iingxaki ezingakumbi zinokubakho. Ezi ziquka:

• Indlela olumile ngayo unyawo lwakho inokutshintsha ngonaphakade , nto leyo enokwenza kube nzima ukunxiba izihlangu eziqhelekileyo.
• Ukuba utshintsho olukhulu emzimbeni emlenzeni, kusenokufuneka ukuba kunqunyulwe umlenze ochaphazelekayo . Oku kusenokuba njalo naxa isilonda emlenzeni sisulelekile.
• Unyawo lweCharcot lunokuba yingozi ukuba usulelo lusasazeka emzimbeni wonke, okanye ukuba kukho ezinye iingxaki ezisongela ubomi ezinxulumene nesifo seswekile.

Ugqirha uxilonga njani ngokuchanekileyo unyawo lukaCharcot?

Ugqirha uza kuxilonga unyawo lwaseCharcot ngokukuxilonga aze enze uvavanyo oluthile lwemifanekiso. Ukuba ufumana iintlungu, ukudumba, okanye ukufudumala emlenzeni wakho, okanye ukuba ulahlekelwe yimvakalelo eqakaleni lakho, ezinyaweni, okanye ezinzwaneni, kufuneka uxelele ugqirha wakho.

Ugqirha uza kuhlola amaqatha akho neenyawo zakho. Uza kujonga imilenze yomibini aze ayithelekise naluphi na utshintsho. Uza kuchukumisa namaqatha akho, iinyawo zakho, neenyawo zakho ukuze abone ukuba uziva kangakanani.

Zeziphi iimvavanyo ezisetyenziswa ngoogqirha ukuxilonga unyawo lukaCharcot?

Ugqirha unokwenza iimvavanyo ezininzi ukuze axilonge unyawo lukaCharcot:

• Ii-X-reyi zeenyawo
• Uvavanyo lwe-MRI (Magnetic Resonance Imaging - MRI)
• Uvavanyo lwegazi ukujonga usulelo

Ziziphi iindlela zonyango lweCharcot Foot?

Eyona nto ibalulekileyo xa unyanga iCharcot Foot kukuthintela iingxaki ezinkulu . Ngaphambi kokuba nayiphi na ingozi okanye ingxaki ibe mandundu, kufuneka uyeke ukubeka ubunzima enyaweni yakho nokuhamba. Ugqirha wakho uya kucebisa unyango lokunciphisa iimpawu zakho kunye nokunciphisa impembelelo engapheliyo yeCharcot Foot kwindlela osebenzisa ngayo unyawo lwakho.

Iindlela zonyango eziqhelekileyo zeCharcot Foot zezi:

Ukususa ubunzima ezinyaweni zakho

Ukunciphisa ubunzima kunye noxinzelelo kumlenze ochaphazelekayo kunokunceda ukunciphisa ukudumba kunye nokuthintela ukwenzakala, okufana nokuqhekeka, ukuba kungenzeki mandundu. Ungadinga oku kulandelayo ukuze wenze oku:

• I-cast okanye i-brace yingcamango elungileyo.
• Iintonga.
• Isakhelo sokuhamba `(umhambi)`.
• Isitulo esinamavili.

Umahluko phakathi kwe-orthotics kunye nezihlangu

Ii-Orthotics zizinto ezifakwa ngaphakathi kwezihlangu zakho ukuze zixhase iinyawo zakho kwaye zincede ukugcina iinzwane zakho zisendaweni yazo. Ungadinga ii-inserts ezenziwe ngokwezifiso okanye i-brace yeqakala. Ugqirha wakho unokucebisa ii-orthotics, okanye izihlangu ezinobunzulu obukhethekileyo, ukunciphisa uxinzelelo ezinyaweni zakho nokwenza kube lula kuwe ukuhamba.

Ulungiso lwenyama

Ingcali yezonyango yingcali yezempilo ekuncedayo ukuphucula indlela umzimba wakho oshukuma ngayo. Ukuba unengxaki yokushukuma ngenxa yezinto ezifana neentlungu, ukuqina, okanye ukungonwabi, inokukunceda ukulawula iimpawu zakho. Banokwenza nenkqubo yokuzilolonga eyenzelwe wena ukukunceda ushukumise umzimba wakho.

Utyando lweenyawo lwaseCharcot

Ukuba uneempawu eziqatha (ezifana namathambo aphukileyo, amalungu, amanxeba), okanye ukuba unosulelo olunokusasazeka, kunokufuneka wenze utyando lweCharcot Foot.

Ugqirha uza kulungisa umonakalo osezinyaweni zakho nakwiqakala lakho aze azinzise unyawo lwakho. Amaxesha amaninzi, abantu abaneCharcot Foot enzima banokufuna ukunqunyulwa umlenze wabo.

Ugqirha uza kukuchazela ukuba loluphi uhlobo lotyando ekufuneka ulwenze kunye noko ukulindeleyo ngexesha lokuchacha.

Singenza ntoni ukuthintela iCharcot Foot?

Eyona ndlela ilungileyo yokuthintela iCharcot Foot kukulawula isifo sakho seswekile kunye nempilo yakho iyonke kakuhle.Xa ulawula amanqanaba eswekile egazini lakho, unokuthintela iswekile ephezulu egazini (i-hyperglycemia) kwaye unciphise umngcipheko wokonakala kwemithambo-luvo (i-neuropathy).

Buza ugqirha wakho ukuba kufuneka uhlolwe iinyawo zakho kangaphi. Buza nokuba kufuneka ubone ugqirha weenyawo okanye ugqirha wamathambo onyawo neqakala.

Ukwenza ezi zinto kunokunciphisa umngcipheko wakho weCharcot Foot kunye nezinye iingxaki zeenyawo ezinxulumene nesifo seswekile:

• Jonga iinyawo zakho yonke imihla. Khangela naluphi na utshintsho. Ungalibali ukujonga phakathi kweenzwane zakho. Cela uncedo komnye umntu, okanye sebenzisa isipili.
• Hlola iinyawo zakho rhoqo xa ugqirha ethetha nawe.
• Gcina iinzipho zakho zeenyawo zichetyiwe kakuhle kwaye zibekwe kakuhle. Zinqumle ngqo ukuze zingakhuli iinzipho zeenyawo.
• Gcina imilenze yakho ijikeleza kakuhle. Gcina imilenze yakho iphakanyisiwe kancinci xa uhleli, kwaye ushukumise iinzwane zakho rhoqo.
• Nxiba iikawusi nezihlangu (okanye izihlangu ezirhuqwayo) imini yonke. Qinisekisa ukuba iikawusi zakho aziqini kwaye izihlangu zakho azikulingani kakuhle. (Nangona singanxibi izihlangu ekhaya eSri Lanka, oku kubalulekile ukukhusela iinyawo zakho ukuba unesifo seswekile).
• Hlamba iinyawo zakho yonke imihla. Zomise kakuhle, ingakumbi phakathi kweenzwane. Faka iloshini phezulu nasezantsi kweenyawo zakho, kodwa ungafaki phakathi kweenzwane.

Luhlobo luni lwekamva umntu oneCharcot Foot anokulilindela?

Ukuba ugqirha ufumanisa unyawo lukaCharcot kwangethuba, kufuneka ukwazi ukunqanda iingxaki ezinkulu .

Uza kuba nentlanganiso rhoqo nogqirha wakho. Uza kuthatha ii-X-ray ezininzi ukujonga naluphi na utshintsho okanye iimpawu ezintsha emilenzeni yakho.

Ukuba uneempawu okanye iingxaki ezinzulu ezivela kwiCharcot Foot, kunokufuneka utshintshe indlela ohamba ngayo, ujikeleze, okanye ufunde ukusebenzisa izixhobo zokuncedisa ukuhamba. Ugqirha wakho uza kukuchazela into omawuyilindele. Uza kukukhokela kuhambo lwakho lokuchacha aze aphendule nayiphi na imibuzo onokuba nayo.

Ndifanele ndibonane nogqirha nini?

Ukuba ubona naziphi na iimpawu ezintsha emilenzeni yakho, okanye ukuba uphawu olukhoyo lubonakala lusiba mandundu, bonana nogqirha ngokukhawuleza.

Ukuba unesifo seswekile, xelela ugqirha wakho ngoko nangoko ukuba ubona nayiphi na kwezi zinto:

• Utshintsho kwimilo yemilenze yakho.
• Utshintsho kulusu kwimilenze yakho (njengokuqaqamba, ukutshintsha kombala, ubushushu, okanye ivumba elingaqhelekanga).
• Kuvakala ngathi iinwele eziseminweni yakho, ezinzwaneni, nasemilenzeni ziyawa .
• Emilenzeni yakho, emaqatheni, ezinyaweni, ezinzwaneniKungathi ndilahlekelwe zingqondo.
• Intlungu, ukuba ndindisholo, ukutsha, okanye ukurhawuzelela emilenzeni nasezinyaweni zakho (ingakumbi ebusuku).

Yeyiphi imibuzo omele uyibuze ugqirha?

• Ngaba ndineCharcot Foot, okanye esinye isifo seenyawo esinxulumene nesifo seswekile?
• Luhlobo luni lonyango endiludingayo?
• Ngaba ndiza kufuna utyando?
• Ndifanele ndizijonge kangaphi iinyawo zam?

Ngaba ungakwazi ukuhamba ngeCharcot Foot?

Kwinqanaba lokuqala leCharcot Foot, kufuneka ukwazi ukuhambahamba . Nangona kunjalo, ukuba ubona ukudumba okanye ukutshintsha kombala, musa ukunyanzela unyawo lwakho . Nokuba awuziva, oko kungaba luphawu lokuba unyawo lwakho lonzakele.

Hlala ukhuthele, kodwa khetha imisebenzi ethambileyo engayifaki uxinzelelo olukhulu emilenzeni yakho. Izinto ezinje ngokudada nokukhwela ibhayisekile zilungile. Buza ugqirha wakho ukuba zeziphi izinto ezikhuselekileyo kuwe.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Charcot Foot yingxaki engaqhelekanga yesifo seswekile eyenzeka xa imithambo-luvo esezantsi kwemilenze nasezinyaweni yonakele. Eyona ndlela ilungileyo yokuthintela iingxaki ezinkulu kukuzibona kwangoko.

Ukuba unesifo seswekile, bona ugqirha rhoqo ukuze uhlolwe kwaye uhlolwe iinyawo. Ugqirha wakho uza kujonga iinyawo zakho ukuba kukho naluphi na utshintsho olunokubonisa umngcipheko.

Thetha nogqirha wakho malunga nokulawula isifo sakho seswekile. Angacebisa izixhobo zokukunceda ulawule amanqanaba eswekile egazini lakho kwaye anciphise umngcipheko wakho wesifo seswekile kunye ne-Charcot foot. Iinyawo zakho ziya kukuthwala ubomi bakho bonke, ngoko ke luxanduva lwakho ukuzinyamekela kakuhle!

UCharcot Unyawo, Isifo Seswekile, Isifo Seenyawo, Umonakalo Wemithambo-luvo, Ukulimala Kweenyawo, Iingxaki Zeswekile, Ukhathalelo Lweenyawo