Unyawo lweCharcot

Unyawo lweCharcot yisimo esithinta amathambo, amalunga, nezicubu ezithambile ezinyaweni nasemaqakaleni. Ingakhula njengomphumela wokulimala kwemizwa ezinyaweni ngenxa yesifo sikashukela noma okunye ukulimala kwezinzwa.

Unyawo lweCharcot yisifo esingajwayelekile nesikhubazayo. Kungumphumela wokulimala kwemizwa ezinyaweni (i-peripheral neuropathy).

Isifo sikashukela yisona sizathu esivame kakhulu salolu hlobo lokulimala kwemizwa. Lo monakalo uvame kakhulu kubantu abanesifo sikashukela sohlobo 1. Lapho amazinga kashukela egazi ephezulu ngaphezu kwesikhathi eside, ukulimala kwemithambo yegazi kanye nomthambo wegazi kwenzeka ezinyaweni.

Ukulimala kwemithambo kwenza kube nzima ukubona inani lengcindezi onyaweni noma uma icindezelekile. Umphumela uba ukulimala okuncane okuqhubekayo emathanjeni nasemigudwini esekela unyawo.

• Ungahle ube nezingcindezi zokucindezelwa kwamathambo ezinyaweni zakho, kepha ungazi.
• Ukuqhubeka nokuhamba phezu kwethambo eliqhekekile kuvame ukuholela ekulimaleni kwamathambo nokuhlangana.

Ezinye izinto eziholela ekulimaleni kwezinyawo zifaka:

• Ukulimala komthambo wegazi ophethwe yisifo sikashukela kungakhuphula noma kushintshe ukugeleza kwegazi kuye ezinyaweni. Lokhu kungaholela ekulahlekelweni amathambo. Amathambo abuthakathaka ezinyaweni andisa amathuba okuphuka.
• Ukulimala onyaweni kukhombisa umzimba ukuthi ukhiqize amakhemikhali amaningi abangela ukuvuvukala. Lokhu kufaka isandla ekuvuvukeni nasekulahlekelweni kwethambo.

Izimpawu zezinyawo zakuqala zingabandakanya:

• Ubuhlungu obuphansi nokungakhululeki
• Ububomvu
• Ukuvuvukala
• Imfudumalo onyaweni oluthintekile (olufudumele ngokuphawulekayo kunolunye unyawo)

Ezinyangeni ezizayo, amathambo onyawo ayaphuka futhi asuke endaweni, okwenza unyawo noma iqakala likhubazeke.

• Uphawu lwakudala lweCharcot luyi-rocker-bottom foot. Lokhu kwenzeka lapho amathambo aphakathi nonyawo ewa. Lokhu kubangela ukuthi intambo yonyawo iwe futhi ikhothame phansi.
• Izinzwani zingagobeka zibheke phansi.

Amathambo ahlangana ngama-engeli angajwayelekile angaholela ezilondeni zokucindezela nasezilondeni zonyawo.

• Ngenxa yokuthi izinyawo ziyindikindiki, lezi zilonda zingakhula zibe banzi noma zijule ngaphambi kokuba zibonwe.
• Ushukela wegazi ophakeme nawo wenza kube nzima ngomzimba ukulwa nokutheleleka. Ngenxa yalokhu, lezi zilonda ezinyaweni ziyatheleleka.

Unyawo lweCharcot akulula ngaso sonke isikhathi ukuxilonga kusenesikhathi. Kungaphutha ngokutheleleka kwamathambo, isifo samathambo noma ukuvuvukala kwamalunga. Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando wakho wezokwelapha futhi ahlole unyawo lwakho neqakala.

Ukuhlolwa kwegazi kanye neminye imisebenzi yelebhu kungenziwa ukusiza ukukhipha ezinye izimbangela.

Umhlinzeki wakho angahlola ukulimala kwezinzwa ngalezi zivivinyo:

• I-Electromyography
• Ukuhlolwa kwe-velocity velocity
• I-biopsy yezinzwa

Ukuhlolwa okulandelayo kungenziwa ukubheka ukulimala kwethambo nokuhlangana:

• Ama-X-ray ezinyawo
• I-MRI
• Ukuskena kwamathambo

Ama-x-ray ezinyawo angabukeka ejwayelekile ezigabeni zokuqala zalesi simo. Ukuxilongwa kuvame ukwehla ekuboneni izimpawu zokuqala zonyawo lweCharcot: ukuvuvukala, ukubomvu, nokufudumala konyawo oluthintekile.

Inhloso yokwelashwa ukuyeka ukulahleka kwethambo, ukuvumela amathambo aphole, nokuvimbela amathambo ukuthi angahambi endaweni (ukukhubazeka).

Ukungasebenzi. Umhlinzeki wakho uzokufaka isamba esiphelele soxhumana naye. Lokhu kuzosiza ukukhawulela ukunyakaza konyawo lwakho neqakala. Cishe uzocelwa ukuthi ugcine isisindo sakho onyaweni ngokuphelele, ngakho-ke kuzodingeka usebenzise izinduku, idivaysi ehamba ngamadolo, noma isihlalo sabakhubazekile.

Uzoba nokufakwa okusha okufakwa onyaweni lwakho njengoba ukuvuvukala kwehla. Ukuphulukisa kungathatha izinyanga ezimbalwa noma ngaphezulu.

Izicathulo zokuvikela. Lapho unyawo lwakho seluphilile, umhlinzeki wakho angaphakamisa izicathulo ukusiza ukusekela unyawo lwakho nokuvimbela ukulimala kabusha. Lokhu kungafaka:

• Izinhlamvu
• Izinsimbi
• Ama-insoles we-Orthotic
• I-Charcot restraint orthotic walker, ibhuthi ekhethekile enikeza ngisho nengcindezi kulo lonke unyawo

Izinguquko zomsebenzi. Uzohlala usengozini yokuthi unyawo lweCharcot lubuye noma lukhule kolunye unyawo lwakho. Ngakho-ke umhlinzeki wakho angancoma ushintsho lomsebenzi, njengokunciphisa ukuma noma ukuhamba kwakho, ukuvikela izinyawo zakho.

Ukuhlinzwa. Ungadinga ukuhlinzwa uma unezilonda ezinyaweni eziqhubeka zibuya noma unyawo olunzima noma ukukhubazeka kweqakala. Ukuhlinzwa kungasiza ekuqiniseni amalunga ezinyawo zakho namaqakala nokususa izindawo ezinamathambo ukuvimbela izilonda ezinyaweni.

Ukuqapha okuqhubekayo. Uzodinga ukubona umhlinzeki wakho ukuze ahlolwe futhi uthathe izinyathelo zokuvikela izinyawo zakho impilo yakho yonke.

Isibikezelo sincike ebukhulwini bokukhubazeka kwezinyawo nokuthi uphulukisa kanjani. Abantu abaningi benza kahle ngama-brace, ushintsho lomsebenzi, kanye nokuqapha okuqhubekayo.

Ukukhubazeka okukhulu konyawo kwandisa ingozi yezilonda ezinyaweni. Uma izilonda zitheleleka futhi kunzima ukuzelapha, kungadinga ukunqunywa.

Xhumana nomhlinzeki wakho onesifo sikashukela futhi unyawo lwakho lufudumele, lubomvu, noma luvuvukile.

Imikhuba enempilo ingasiza ukuvimbela noma ukubambezela unyawo lweCharcot:

• Gcina ukulawula okuhle kwamazinga eglucose egazini lakho ukusiza ukuvimbela noma ukubambezela unyawo lweCharcot. Kepha kusengenzeka, ngisho nakubantu abalawulwa kahle isifo sikashukela.
• Nakekela izinyawo zakho. Zihlole nsuku zonke.
• Bheka udokotela wakho wezinyawo njalo.
• Hlola izinyawo zakho njalo ukubheka ukusikeka, ububomvu nezilonda.
• Gwema ukulimaza izinyawo zakho.

Ilunga leCharcot; I-neuropathic arthropathy; I-Charcot neuropathic osteoarthropathy; I-Charcot arthropathy; I-Charcot osteoarthropathy; Unyawo Lwesifo Sikashukela

• Isivivinyo sokuqhuba imizwa
• Isifo sikashukela nokulimala kwemizwa
• Ukunakekelwa kwezinyawo zesifo sikashukela

I-American Diabetes Association. 10. Izinkinga ze-Microvascular nokunakekelwa kwezinyawo: izindinganiso zokunakekelwa kwezokwelapha kwisifo sikashukela - 2018. Ukunakekelwa yisifo sikashukela. 2018; 41 (Suppl 1): S105-S118. I-PMID: 29222381 www.ncbi.nlm.nih.gov/pubmed/29222381.

I-Baxi O, i-Yeranosian M, i-Lin A, i-Munoz M, i-Lin S. Ukuphathwa kwe-Orthotic yezinyawo ze-neuropathic ne-dysvascular. Ku: Webster JB, Murphy DP, ama-eds. I-Atlas of Orthoses namadivayisi okusiza. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 26.

UBrownleee M, Aiello LP, Cooper ME, Vinik AI, Plutzky J, Boulton AJM. Izinkinga zesifo sikashukela. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2016: isahluko 33.

UKimble B. Charcot ngokuhlanganyela. Ku: Ferri FF, ed. Umeluleki Wemitholampilo kaFerri 2019. IPhiladelphia, PA: Elsevier; 2019: isahluko307.

URogers LC, u-Armstrong DG, et al. Ukunakekelwa kwezingane. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 116.

URogers LC, uFrykberg RG, u-Armstrong DG, et al. Unyawo lukaCharcot olunesifo sikashukela. Ukunakekelwa yisifo sikashukela. 2011; 34 (9): 2123-2129. PMID: www.ncbi.nlm.nih.gov/pubmed/21868781.