Ingabe unesifo sikashukela? Khona-ke cishe usuvele wazi ukuthi udinga ukunakekela izinyawo zakho kahle, njenganoma iyiphi enye ingxenye yomzimba wakho. Kodwa ngezinye izikhathi, ngisho noshintsho oluncane onyaweni lwakho, ukuvuvukala okuncane, noma ukushisa okuncane okuzwakala kubi kakhulu kunolunye unyawo, kungaba ukuqala kwenkinga enkulu kunalokho ocabanga. Namuhla, sizokhuluma ngesimo esihambisana nesifo sikashukela, kodwa abantu abaningi ezweni lethu abangasazi, kodwa esingaba yingozi kakhulu uma singanakwa kahle. Lokhu sikubiza ngokuthi 'uCharcot Foot'.
Kalula nje, luyini unyawo lukaCharcot?
Cabanga ngemizwa esemilenzeni yakho njengohlelo lwezintambo zocingo. Lolu hlelo lwezintambo luthwala imizwa esemilenzeni yakho, njengobuhlungu, ukushisa, kanye nokuthinta, iye ebuchosheni bakho. Manje, lapho isifo sikashukela singalawulwa kahle isikhathi eside, imizwa esemilenzeni yakho ingonakaliswa amazinga aphezulu kashukela egazini. Kwezokwelapha, lokhu sikubiza ngokuthi i-diabetic neuropathy .
Kwenzekani uma imizwa yonakele kanje? Umuzwa emilenzeni uyancipha. Abanye abantu bazizwa sengathi imilenze yabo iyathuthumela, kanti abanye abazizwa lutho nhlobo.
Manje ake ucabange ukuthi ngenkathi uhamba nomlenze ongenamizwa, wajika umlenze wakho kancane ngephutha, noma waphuka kancane emlenzeni wakho. Umuntu ojwayelekile ubezozwa ubuhlungu obukhulu lapho lokho kwenzeka, ngakho-ke ubezophumula ngokushesha afune ukwelashwa. Kodwa njengoba imizwa yakho ibuthakathaka futhi ungenamizwa, awuzizwa lobu buhlungu. Ngakho-ke uhamba, ugijime, futhi usebenze kulowo mlenze njengenjwayelo.
Yilapho inkinga iqala khona. Njengoba amathambo namalunga awonakele kakade eqhubeka nokucindezeleka, umonakalo uyanda. Amathambo aqala ukuphuka nokuqhekeka, futhi amalunga aqala ukukhululeka. Ngokuhamba kwesikhathi, lonke unyawo lushintsha isimo futhi luqala ukukhubazeka. Yilokho esikubiza ngokuthi uCharcot Foot .
Kalula nje, i-Charcot Foot iwukulimala okuncane onyaweni olulahlekelwe umuzwa kanye nomonakalo wezinzwa ngenxa yesifo sikashukela, kodwa uma uqhubeka nokuhamba phezu kwalo ngaphandle kokuzwa ubuhlungu, amathambo namalunga azophuka futhi unyawo luzokhubazeka.
Ziyini izimpawu ze-Charcot Foot? Ungazibona kanjani kusenesikhathi?
Ukutholwa kwalesi simo kusenesikhathi kuyinto ebaluleke kakhulu. Ngoba uma sisheshe sitholakale, izinkinga ezinkulu kakhulu zingavinjelwa. Ake sibone ukuthi ziyini izimpawu. Ngizokukhombisa lokhu eshadini okulula ukuliqonda.
| Isimo sezimpawu | Lokho ozokubona |
|---|---|
| Izimpawu zokuqala (kufanele zibonwe kusenesikhathi) |
|
| Izimpawu ezenzeka lapho isimo sibi kakhulu |
|
Kungani abanye abantu beba nalesi simo? Yiziphi izinto ezibangela ingozi?
Imbangela eyinhloko ye-Charcot Foot ukulimala kwemizwa okubangelwa isifo sikashukela (Diabetic Neuropathy) , esixoxe ngakho ngaphambilini. Kodwa-ke, akuwona wonke umuntu onesifo sikashukela othola lesi simo. Kunezinye izici eziningana ezandisa ingozi yokuthola lesi simo.
- Ukuba nesifo sikashukela isikhathi eside: Abantu asebenesifo sikashukela iminyaka engaphezu kwengu-7-10 basengozini enkulu.
- Isifo sikashukela esingalawulwa kahle: Amazinga kashukela egazini aphakeme njalo (i-hyperglycemia) alimaza ngokushesha imizwa.
- Ukubhema: Ukubhema kunciphisa imithambo yegazi futhi kunciphisa ukugeleza kwegazi ezinyaweni. Lokhu kuthinta kabi imizwa kanye nokuphulukiswa kwamanxeba.
- Ukuphuza utshwala ngokweqile: Ukuphuza utshwala ngokweqile kungalimaza ngqo imizwa.
- Umfutho wegazi ophakeme, i-cholesterol ephezulu, kanye nokukhuluphala: Lezi zimo zingaphazamisa ukujikeleza kwegazi futhi zandise ingozi.
- Isifo sezinso: Le ngozi iphakeme nakubantu abanesifo sezinso esibangelwa isifo sikashukela.
Yiziphi izinkinga eziyingozi ezingabangelwa yilokhu?
Ungase uzizwe wesaba kancane uma uzwa la maqiniso. Kodwa kubaluleke kakhulu ukwazi lezi zinto, ngoba sizokulungisa lokhu. Uma uCharcot Foot ungelashwa ngesikhathi, kungaba nezinkinga ezinkulu.
1. Ukukhubazeka okuhlala njalo konyawo: Ukuma konyawo kungashintshwa unomphela. Lokhu kwenza kube nzima ukugqoka izicathulo ezivamile futhi kwenza kube nzima ukuhamba.
2. Amanxeba kanye nezifo ezingapholi: Izilonda zezinyawo zingatheleleka kalula ngamagciwane. Ngezinye izikhathi lezi zifo zingasakazekela emathanjeni.
3. Ukunqunywa kwemilenze: Uma ukutheleleka kungenakulawuleka, noma uma ukukhubazeka konyawo kukubi kakhulu , ngezinye izikhathi ingxenye noma lonke unyawo kungadingeka lususwe ngokuhlinzwa ukuze kusindiswe impilo.
4. Kusongela ukuphila: Uma ukutheleleka kwezinyawo kungena egazini futhi kusakazeke emzimbeni wonke (i-sepsis), kungaba yingozi ngisho nokuphila.
Indlela engcono kakhulu yokugwema lezi zimo ezibucayi ukubonana nodokotela ngokushesha lapho kuvela izimpawu zokuqala, njengobomvu, ukuvuvukala, kanye nemilenze eshisayo.
Udokotela uhlonza futhi aphathe kanjani lokhu?
Uma utshela udokotela wakho ngezimpawu zakho, into yokuqala azoyenza ukuhlola izinyawo zakho zombili. Uzoqhathanisa izinyawo zakho bese ebheka ukuvuvukala, izinguquko esimweni, ukubomvu, kanye nokufudumala. Uzohlola nokuthi izinyawo zakho zizizwa kanjani.
Ngemva kwalokho, ungathunyelwa ezivivinyweni ezinjengalezi ukuqinisekisa ukuxilongwa:
- Ama-X-ray ezinyawo: Hlola umonakalo, imifantu, noma ukuphuka kwamathambo.
- I-MRI scan (MRI): Ukubona ngokucacile umonakalo ezicutshini ezithambile kanye namalunga ngaphezu kwamathambo.
- Ukuhlolwa kwegazi: Hlola ukuthi awunalo yini ukutheleleka.
Izindlela zokwelapha
Ukwelashwa okuyinhloko kwe-Charcot Foot "ukukhipha umthwalo," okusho ukungabeki isisindo onyaweni oluthintekile. Lokhu kubalulekile ngoba ukuqhubeka uhamba phezu kwamathambo alimele kuzokwenza isimo sibe sibi kakhulu.
Ngenxa yalokhu, udokotela angase ancome izinto ezifana nalezi:
- Ukusebenzisa iplasta ekhethekile (i-cast): Kufakwa i-cast eklanyelwe ngokukhethekile ukuvimbela unyawo ukuthi lunganyakazi noma luthwale isisindo.
- Ukusebenzisa izinduku zokusibekela noma i- walker .
- Ukusebenzisa isihlalo sabakhubazekile: Uma isimo sibi kakhulu, kungase kudingeke usebenzise isihlalo sabakhubazekile isikhashana.
- Izicathulo ezikhethekile namadivayisi (Ama-Orthotics kanye Nezicathulo): Ngemva kokuba amathambo onyawo esepholile, kuzodingeka usebenzise izicathulo ezikhethekile noma izinto zokufaka (`Ama-Orthotics`) ezifanela ukuma konyawo futhi ezingalucindezeli kakhulu.
- Ukwelashwa Komzimba: Ngosizo lochwepheshe bezokwelapha ngokomzimba, ungenza izivivinyo zokuthuthukisa ukunyakaza kwamalunga nokuqinisa imisipha yonyawo.
- Ukuhlinzwa: Kwezinye izimo ezinzima, kungase kudingeke ukuhlinzwa ukuze kulungiswe amathambo aphukile futhi kuqiniswe unyawo.
Izinto okufanele uzenze ukuze uvikele izinyawo zakho uma unesifo sikashukela
Ukuze uzivikele esimeni esibi esibizwa ngokuthi i-Charcot Foot, udinga ukunakekela izinyawo zakho njengomuntu onesifo sikashukela. Yenza le mikhuba ibe yingxenye yempilo yakho yansuku zonke.
| Okufanele ngikwenze | Incazelo |
|---|---|
| Ukuhlolwa kwezinyawo kwansuku zonke | Njalo ebusuku ngaphambi kokuba ulale, sebenzisa isibuko noma ucele othile ekhaya ukuthi ahlole izithende zezinyawo zakho, phakathi kwezinzwane zakho, kanye nezizungeze izinzipho zakho. Hlola ukuthi azikho yini izibazi ezincane, ukubomvu, ukuvuvukala, noma amabhamuza. |
| Ukuhlanzeka | Geza izinyawo zakho nsuku zonke ngamanzi afudumele kanye nensipho ethambile. Bese uzisula kahle, ikakhulukazi phakathi kwezinzwane, bese uzisula. |
| Izicathulo ezifanele | Gqoka izicathulo ezilingana kahle futhi ezithambile ngaphakathi. Ungalokothi uhambe ngaphandle ungenazicathulo. Gqoka nezicathulo ezithambile ngaphakathi. |
| Ukulawulwa kwesifo sikashukela | Landela imiyalelo kadokotela wakho futhi ugcine amazinga kashukela egazini lakho esezingeni elifanele. Lesi yisisekelo sakho konke. |
| Ukuhlolwa kwezokwelapha | Njalo uma uya emtholampilo wesifo sikashukela, cela udokotela wakho ukuthi ahlole izinyawo zombili. |
Umlayezo Wokuya Nawe Ekhaya
- I-Charcot Foot iyinkinga enkulu ebangelwa ukulimala kwemizwa ngenxa yesifo sikashukela.
- Uma unesifo sikashukela, ungakunaki ukuvuvukala, ukubomvu, noma ukufudumala okungavamile emlenzeni wakho . Bonana nodokotela ngokushesha, noma ngabe akukho buhlungu.
- Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokugwema izimo ezinjengokukhubazeka okukhulu kanye nokunqunywa kwezicubu.
- Zenze umkhuba ukuhlola izinyawo zakho nsuku zonke. Tshela udokotela wakho uma ubona noma yiziphi izinguquko.
- Uma ulawula kangcono isifo sikashukela sakho, ingozi yakho yokuthola lezi zinkinga iyancipha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho