Wake wazizwa lezi zinto onyaweni lwakho olunesifo sikashukela? Ake sixoxe ngonyawo lukaCharcot!

Ingabe unesifo sikashukela? Khona-ke cishe uyazi ukuthi udinga ukunakekela izinyawo zakho kakhulu. Ngezinye izikhathi, ngisho nokulimala okuncane noma ukushelela nokuwa nje kungaba yinkinga enkulu. Namuhla, sizokhuluma ngesinye sezimo ezimbi kakhulu, kodwa ezivame ukunganakwa, isifo sikashukela esingazibangela ezinyaweni zakho.

Kuyini uCharcot Foot? Kalula nje...

Kalula nje, i-Charcot Foot iyinkinga enkulu yesifo sikashukela esithinta izinyawo, evame ukuhlotshaniswa ne -neuropathy . Kuyisimo esingavamile, kodwa umonakalo esingawubangela awubalulekile.

Manje cabanga, lapho isifo sikashukela silimaza imizwa emilenzeni yakho, ikakhulukazi ezinyaweni zakho, ulahlekelwa umuzwa kuleyo ndawo. Ungase ungakwazi ukuzwa izinto ezifana nobuhlungu, ukungazweli, noma ukushisa kahle. Yilapho inkinga iqala khona. Ngisho noma unenxeba elincane emlenzeni wakho, isipikili onyaweni lwakho, noma ithambo elincane eliphukile, ungase ungalizwa, ngakho ungase ulibale ukuthola ukwelashwa kwalo. Ngenxa yalokho kungazi, ngisho nento encane ingaphenduka isifo esibi noma ngisho nesimo esishintsha ukuma komlenze wakho.

Uma i-Charcot Foot ingelashwa ngokushesha, amalunga onyawo lwakho angonakala futhi ungase ungakwazi ukusebenzisa unyawo lwakho ngendlela efanele. Futhi, uma kuvela ukutheleleka onyaweni lwakho, kungasakazeka emzimbeni wakho wonke futhi, kwezinye izimo ezimbi kakhulu, kungaholela ekunqunyweni kwezicubu zomzimba, okungaba yingozi ngisho nokuphila.

Ngakho-ke, kubaluleke kakhulu ukulawula isifo sikashukela nokulawula amazinga kashukela egazini lakho (i-glucose egazini). Indlela engcono kakhulu yokugwema lokhu ukubona udokotela njalo ukuze uthole iseluleko nokuhlola njalo ukuthi imilenze yakho izizwa kanjani.

Kungenzeka ukuthi uke wezwa odokotela besebenzisa amagama anjengalawa esikhundleni se-Charcot Foot:

• Unyawo oluhlobene nesifo sikashukela
• I-Charcot arthropathy
• I-Charcot neuropathy

Ivame kangakanani i-Charcot Foot?

I-Charcot Foot empeleni iyisimo esingavamile kakhulu . Ayisiwo wonke umuntu onesifo sikashukela. Ithinta abantu abangaphansi kuka-1% abanesifo sikashukela. Kodwa-ke, yize ingavamile, umonakalo engayibangela ubalulekile.

Yiziphi izimpawu zokuqala ze-Charcot Foot? Kubalulekile ukuzazi lezi!

Uma lesi simo sibonakala kusenesikhathi, singavinjelwa ekudaleni umonakalo omkhulu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lezi zimpawu.

• Ubuhlungu bomlenze: Kodwa-ke, ungase ungazizwa ubuhlungu ngoba imizwa yonakele.
• Ukuguquka kombala noma ukubomvu konyawo:Uma umlenze wakho uphenduka obomvu ngokuzumayo futhi kubonakala sengathi ushintshile umbala.
• Ukuvuvukala: Uma umlenze, ikakhulukazi unyawo, uzizwa uvuvukile.
• Ukuzizwa ufudumele ngendlela engavamile emlenzeni: Ikakhulukazi uma umlenze owodwa uzizwa ufudumele kakhulu kunomunye.

Uma ubona noma yiluphi lwalezi zinguquko ezinyaweni zakho, bona udokotela ngokushesha . Uma usheshe uqaphele i-Charcot Foot, amathuba akho okugwema izinkinga ezinkulu ayanda.

Yiziphi izimpawu ze-Charcot Foot uma iba nzima?

Uma ingelashwa kusenesikhathi, i-Charcot Foot ingabangela izinguquko esimweni sonyawo lwakho (ukukhubazeka kwezinyawo ze-Charcot). Lokhu kusho ukuthi:

• Unyawo oluhamba phansi: Yilapho amathambo aphakathi konyawo lwakho ephuka futhi ewa. Lokhu kubangela ukuthi ijika lemvelo (i-arch) phansi konyawo lwakho lilahleke, bese unyawo lwakho luba yindilinga phakathi nendawo, njengephansi lesihlalo esinyakazayo. I-arch yakho engezansi ingase ibonakale sengathi ivele lapho yayikhona ngaphambili.
• Ukukhubazeka kwezinzwane: Izinzwane zakho zingase zigobe futhi zigobe phansi. Lapho amathambo ezinzwaneni zakho ephukile, angagoba njengezipikili njengoba ezama ukubamba umhlabathi.
• Ukukhubazeka kweqakala: Iqakala lakho lingadonswa ohlangothini olulodwa, ligobe, futhi lingase libukeke lihlukile futhi lingazinzile uma ulibuka kolunye uhlangothi.
• Izilonda zezinyawo: Uma unyawo noma iqakala lakho likhubazekile ngenxa yonyawo lukaCharcot, izindawo ezithile zifakwa isisindo esengeziwe. Lokhu kungabangela ukuthi isikhumba kulezo zindawo sonakale, futhi izilonda ezivulekile (ezibizwa ngokuthi i-פתוחים פצעים) zingavela. La manxeba nawo anamathuba amaningi okutheleleka.

Kungani i-Charcot Foot ikhula? Iyini imbangela?

Isizathu esiyinhloko sokuthola i-Charcot Foot ukuthi awuzizwa izimpawu ezifana nobuhlungu noma ngabe unokulimala noma ukutheleleka onyaweni lwakho. Lokhu kuvame ukubizwa ngokuthi isifo sezinyawo esinesifo sikashukela.

• Abantu abanesifo sikashukela bangaba noshukela ophezulu egazini (i-hyperglycemia) uma bengalawuli kahle amazinga abo kashukela egazini.
• Leli zinga likashukela egazini eliphakeme isikhathi eside lingabangela ukulimala kwemizwa (i-neuropathy), ikakhulukazi emilenzeni nasezinyaweni ezingezansi.
• Ngenxa yalowo monakalo wezinzwa, ulahlekelwa umuzwa emilenzeni nasezinyaweni zakho.
• Ngenxa yokuthi ungase ungakwazi ukubona izimpawu zobuhlungu noma okuthile okungahambi kahle emlenzeni wakho, ungase ungadingi ukufuna usizo lwezokwelapha. Khona-ke, ngisho nento evame ukuba yinto encane futhi elula ukuyelapha ingase ibe yinkinga enkulu ngesikhathi uqaphela ukuthi ibuhlungu.

Isibonelo, cabanga ngomuntu one-Charcot Foot, onethambo eliphukile, i-ligament, noma i-tendon emlenzeni wakhe, kodwa angaqhubeka nokuhamba ngomlenze ophukile ngoba engazizwa ubuhlungu. Ngokuvamile, ukulimala okuncane kweqakala noma ithambo eliphukile kungaba kubi kakhulu uma uqhubeka nokusebenzisa umlenze wakho ngaphandle kokuwuzwa. Ngokuhamba kwesikhathi, ingcindezi eyengeziwe ingashintsha unomphela isimo sonyawo lwakho neqakala.

Ngokufanayo, uma une-Charcot Foot, ungase ungaziboni izimpawu ezifana nobuhlungu noma ukushisa, ngakho-ke ungase uphuthelwe ukutheleleka kuze kube yilapho kubangela izinkinga ezinkulu.

Ubani osengozini enkulu yokuthola unyawo lweCharcot?

I-Charcot Foot yisimo esivame ukuthinta abantu abanesifo sikashukela . Abantu asebenesifo sikashukela iminyaka engaphezu kweyisikhombisa, ababhemayo, futhi abaphuza utshwala njalo basengozini enkulu yokuthola ukulimala kwemizwa (i-neuropathy).

Futhi, uma unesifo sikashukela kanye nalezi ezinye izimo zempilo, kungenzeka kakhulu ukuthi uhlaselwe yizinzwa:

• Umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• Ukukhuluphala noma ukuzuza isisindo
• Izinga le-cholesterol ephezulu egazini
• `(kidney disease)`

Yiziphi izimo eziyingozi (izinkinga) ezingase zivele ngenxa ye-Charcot Foot?

Unyawo lweCharcot luyinkinga yokulimala kwemizwa (i-neuropathy) okubangelwa isifo sikashukela. Kodwa-ke, uma unyawo lwakho lonakele kakhulu noma uthola ukutheleleka okukhulu, kungavela izinkinga ezinkulu kakhulu. Lezi zinkinga zifaka:

• Ukuma konyawo lwakho kungashintsha unomphela , okwenza kube nzima ukugqoka izicathulo ezivamile.
• Uma izinguquko zomzimba emlenzeni zinkulu, kungadingeka ukunqunywa komlenze othintekile . Lokhu kungaba njalo futhi uma isilonda emlenzeni sitheleleka.
• Unyawo lweCharcot lungabulala uma ukutheleleka kusakazeka emzimbeni wonke, noma uma kuvela ezinye izinkinga ezisongela ukuphila ezihlobene nesifo sikashukela.

Udokotela uhlonza kanjani ngokunembile unyawo lukaCharcot?

Udokotela uzoxilonga unyawo lweCharcot ngokukuhlola nokwenza izivivinyo ezithile zezithombe. Uma uzwa ubuhlungu, ukuvuvukala, noma ukufudumala emlenzeni wakho, noma uma ulahlekelwe umuzwa eqakaleni lakho, onyaweni, noma ezinzwaneni, kufanele utshele udokotela wakho.

Udokotela uzohlola amaqakala nezinyawo zakho. Uzobheka imilenze yomibili bese eyiqhathanisa nanoma yiziphi izinguquko. Uzothinta namaqakala, izinyawo, nezinzwane zakho ukuze abone ukuthi uzizwa kangakanani.

Yiziphi izivivinyo ezisetshenziswa odokotela ukuxilonga unyawo lukaCharcot?

Udokotela angenza izivivinyo eziningana ukuze axilonge uCharcot Foot:

• Ama-X-ray ezinyawo
• Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging - MRI)
• Ukuhlolwa kwegazi ukuhlola izifo

Yiziphi izindlela zokwelapha unyawo lweCharcot?

Into ebaluleke kakhulu lapho welapha i-Charcot Foot ukuvimbela izinkinga ezinkulu . Ngaphambi kokuba noma yikuphi ukulimala noma inkinga ibe yimbi kakhulu, kufanele uyeke ukufaka isisindo onyaweni lwakho nokuhamba. Udokotela wakho uzoncoma ukwelashwa ukunciphisa izimpawu zakho nokunciphisa umthelela ohlala njalo we-Charcot Foot ekhonweni lakho lokusebenzisa unyawo lwakho.

Izindlela zokwelapha ezivame kakhulu ze-Charcot Foot yilezi:

Ukususa isisindo onyaweni lwakho

Ukunciphisa isisindo kanye nokucindezela emlenzeni othintekile kungasiza ekunciphiseni ukuvuvukala nokuvimbela ukulimala, njengokuphuka kwamathambo, ukuthi kungabi kubi kakhulu. Ungadinga okulandelayo ukuze wenze lokhu:

• Ukufaka insimbi noma i-brace kuyisinqumo esihle.
• Izinduku zokusibekela.
• Uhlaka lokuhamba `(i-walker)`.
• Isihlalo sabakhubazekile.

Umehluko phakathi kwe-orthotics nezicathulo

Ama-orthotics yizinto ezifakwa ngaphakathi kwezicathulo zakho ukuze zisekele izinyawo zakho futhi zisize ukugcina izinzwane zakho zisendaweni yazo. Ungadinga ama-inserts enziwe ngokwezifiso noma i-brace yeqakala. Udokotela wakho angancoma ama-orthotics, noma izicathulo ezijule ngokukhethekile, ukuze kuncishiswe ingcindezi ezinyaweni zakho futhi kube lula ngawe ukuhamba.

Ukwelashwa ngokomzimba

Udokotela wezokwelapha ngokomzimba uchwepheshe wezempilo okusiza ukuthi uthuthukise indlela umzimba wakho ohamba ngayo. Uma unenkinga yokunyakaza ngenxa yezinto ezifana nobuhlungu, ukuqina, noma ukungakhululeki, angakusiza ukuthi uphathe izimpawu zakho. Bangakha nohlelo lokuzivocavoca oluqondene nawe ukuze lukusize ushukumise umzimba wakho.

Ukuhlinzwa Kwezinyawo eCharcot

Uma unezimpawu ezimbi kakhulu (njengamathambo aphukile, amalunga, amanxeba), noma uma unesifo esingasakazeka, kungadingeka ukuthi uhlinzwe iCharcot Foot.

Udokotela ohlinzayo uzolungisa umonakalo onyaweni lwakho kanye naseqakaleni lakho futhi aqinise unyawo lwakho. Akuvamile ukuthi abantu abane-Charcot Foot enzima badinge ukunqunywa umlenze wabo.

Udokotela ohlinzayo uzochaza ukuthi hlobo luni lokuhlinzwa okudingeka ulwenze nokuthi yini ongayilindela ngesikhathi sokululama.

Yini esingayenza ukuze sivimbele unyawo lukaCharcot?

Indlela engcono kakhulu yokuvimbela i-Charcot Foot ukuphatha kahle isifo sikashukela sakho kanye nempilo yakho iyonke.Uma ulawula amazinga kashukela egazini lakho, ungavimbela ushukela ophezulu egazini (i-hyperglycemia) futhi unciphise ingozi yokulimala kwemizwa (i-neuropathy).

Buza udokotela wakho ukuthi kufanele uhlolwe izinyawo zakho kangaki. Buza futhi ukuthi kufanele yini ubonane nodokotela wezinyawo noma udokotela wamathambo onyawo neqakala.

Ukwenza lezi zinto kunganciphisa nengozi yakho ye-Charcot Foot nezinye izinkinga zezinyawo ezihlobene nesifo sikashukela:

• Hlola izinyawo zakho nsuku zonke. Bheka noma yiziphi izinguquko. Ungakhohlwa ukubuka phakathi kwezinzwane zakho. Cela usizo kothile, noma sebenzisa isibuko.
• Hlola izinyawo zakho njalo lapho udokotela ekubonana nodokotela.
• Gcina izinzipho zakho zezinyawo zilungiswe kahle futhi zifakwe kahle. Zinqume ziqonde ngqo ukuze uvimbele izinzipho ezikhula ngaphakathi.
• Gcina imilenze yakho ijikeleza kahle. Gcina imilenze yakho iphakeme kancane uma uhleli, futhi unyakazise izinzwane zakho njalo.
• Gqoka amasokisi nezicathulo (noma ama-slippers) usuku lonke. Qiniseka ukuthi amasokisi akho awaqinile futhi izicathulo zakho azikulingani kahle. (Nakuba singavamile ukugqoka izicathulo ekhaya eSri Lanka, lokhu kubalulekile ukuvikela izinyawo zakho uma unesifo sikashukela).
• Geza izinyawo zakho nsuku zonke. Zomise kahle, ikakhulukazi phakathi kwezinzwane. Faka iloshini phezulu nangaphansi kwezinyawo zakho, kodwa hhayi phakathi kwezinzwane.

Hlobo luni lwekusasa umuntu one-Charcot Foot angalulindela?

Uma udokotela ebona unyawo lweCharcot kusenesikhathi, kufanele ukwazi ukugwema izinkinga ezinkulu .

Uzoba nokuhlolwa njalo nodokotela wakho. Uzothatha ama-X-ray amaningi ukuze ahlole noma yiziphi izinguquko noma izimpawu ezintsha emilenzeni yakho.

Uma unezimpawu noma izinkinga ezinkulu ezivela ku-Charcot Foot, kungadingeka ushintshe indlela yakho yokuhamba, uzulazule, noma ufunde ukusebenzisa izinsiza zokuhamba. Udokotela wakho uzochaza ukuthi yini ongayilindela. Uzokuqondisa ohambweni lwakho lokululama futhi aphendule noma yimiphi imibuzo ongase ube nayo.

Ngingayibona nini udokotela?

Uma ubona noma yiziphi izimpawu ezintsha emilenzeni yakho, noma uma uphawu olukhona lubonakala luba lubi kakhulu, xhumana nodokotela ngokushesha.

Uma unesifo sikashukela, tshela udokotela wakho ngokushesha uma ubona noma iyiphi yalezi zinto:

• Izinguquko esimweni semilenze yakho.
• Izinguquko esikhumbeni emilenzeni yakho (njengobuhlungu, ukushintsha kombala, ukufudumala, noma iphunga elingavamile).
• Kuzwakala sengathi izinwele zeminwe yakho, izinzwane, kanye nemilenze ziyawa .
• Emilenzeni yakho, emaqakaleni, ezinyaweni, ezinzwaneniKufana nokuthi ngilahlekelwe yimizwa.
• Ubuhlungu, ukungazweli, ukusha, noma ukuqaqamba emilenzeni nasezinyaweni zakho (ikakhulukazi ebusuku).

Yimiphi imibuzo okufanele uyibuze udokotela?

• Ingabe ngine-Charcot Foot, noma esinye isifo sonyawo esihlobene nesifo sikashukela?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngizodinga ukuhlinzwa?
• Kufanele ngihlole izinyawo zami kangaki?

Ungakwazi yini ukuhamba ngeCharcot Foot?

Ezigabeni zokuqala ze-Charcot Foot, kufanele ukwazi ukuhambahamba . Kodwa-ke, uma ubona noma yikuphi ukuvuvukala noma ukushintsha kombala, ungaphoqi unyawo lwakho . Ngisho noma ungaluzwa, kungaba uphawu lokuthi unyawo lwakho lulimele.

Hlala umatasa, kodwa khetha imisebenzi emnene engafaki ingcindezi enkulu emilenzeni yakho. Izinto ezifana nokubhukuda nokugibela ibhayisikili zinhle. Buza udokotela wakho ukuthi yimiphi imisebenzi ephephile kuwe.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Charcot Foot iyinkinga engavamile yesifo sikashukela eyenzeka lapho imizwa emilenzeni nasezinyaweni ezilimele incipha. Indlela engcono kakhulu yokuvimbela izinkinga ezinkulu ukuyibona ngokushesha ngangokunokwenzeka.

Uma unesifo sikashukela, bona udokotela njalo ukuze ahlolwe futhi ahlolwe izinyawo. Udokotela wakho uzoqapha izinyawo zakho ukuze abone noma yiziphi izinguquko ezingase zibonise ingozi.

Khuluma nodokotela wakho mayelana nokuphatha isifo sikashukela sakho. Angancoma izinsiza ezizokusiza ukuphatha amazinga kashukela egazini lakho futhi anciphise ingozi yakho yesifo sikashukela se-neuropathy kanye ne-Charcot foot. Izinyawo zakho zizokuthwala ibanga elide empilweni, ngakho-ke kungumthwalo wakho ukuzinakekela kahle!

Unyawo lweCharcot , Isifo Sikashukela, Isifo Sezinyawo, Ukulimala Kwezinzwa, Ukulimala Kwezinyawo, Izinkinga Zesifo Sikashukela, Ukunakekelwa Kwezinyawo