I-Charcot Arthropathy, i-Charcot Joint, noma i-Charcot Foot

-Delile

• Luyini unyawo lweCharcot?
• Izimpawu zonyawo lweCharcot
• Isigaba sokuqala: Ukuqhekeka nokubhujiswa
• Isigaba Sesibili: I-Coalescence
• Isigaba Sesithathu: Ukwakhiwa kabusha
• Unyawo lweCharcot lubanga
• Ukuhlonza unyawo lweCharcot
• Izithombe ezinyaweni zeCharcot
• Ukwelashwa kwezinyawo zeCharcot
• Ukuhlinzwa kwezinyawo zikaCharcot
• Q:
• A:
• Ukuvimbela ukuthuthukiswa kwezinyawo zeCharcot
• Ukuthatha

Imizwa, amathambo namalunga

I-Neuropathic osteoarthropathy, noma unyawo lweCharcot, inqubo yokuvuvukala ethinta izicubu ezithambile, amathambo namalunga onyawo noma eqakaleni.

Isimo esinomkhawulo wokuhamba, unyawo lweCharcot lungavinjelwa kwezinye izimo,

Funda ukuze uqonde ubungozi bakho ngonyawo lweCharcot, kanye namathiphu wokuziphatha okusebenzayo okungakusiza ukuyigweme noma umise ukuqhubeka kwayo.

Luyini unyawo lweCharcot?

Unyawo lweCharcot lungavela ekundikeni okuphelele noma okuseduze kokuqedwa kunyawo olulodwa noma zombili noma emaqakaleni. Lesi simo senza ukuthi amathambo onyawo abe buthakathaka, abenze bathambekele ekulimaleni njengokuqhekeka nokuqhekeka.

Ngoba unyawo lundikindiki, ubuhlungu bokuqhekeka noma okunye ukuhlukumezeka kungabonwa, okuholele ekulimaleni okwengeziwe ukuhamba nokuma.

Njengoba amathambo eqhubeka nokuba buthakathaka, amalunga onyawo angasuswa noma awe, kushintshe ukuma konyawo. Isimo esivelile saziwa njengezinyawo ezingezansi kwe-rocker, ngoba i-arch yehlela phansi nangaphandle, yakha ukubukeka okufana ne-rocker.

Unyawo lweCharcot lungaholela nasekwenzekeni kwezilonda, okunzima ukuziphilisa.

Uma ishiywe ingalashwa, unyawo lweCharcot lungaholela ekukhubazekeni okukhulu, ukukhubazeka noma ukunqunywa.

Izimpawu zonyawo lweCharcot

Unyawo lweCharcot lwenzeka ngezigaba ezintathu:

Isigaba sokuqala: Ukuqhekeka nokubhujiswa

Lesi sigaba esibi, sokuqala simakwe yizimpawu ezinjengokubomvu nokuvuvukala okukhulu konyawo neqakala. Indawo nayo ingazizwa ifudumele noma ishisa uma uyithinta uma uyiqhathanisa nolunye unyawo.

Ngaphakathi, ukuvuvukala kwezicubu ezithambile kanye nokwephuka kwamathambo amancane kuyaqala ukwenzeka. Umphumela uba ukubhujiswa kwamalunga namathambo azungezile. Lokhu kubangela ukuthi amalunga alahlekelwe ukuzinza, okuholele ekuhlukeni. Amathambo angaze ajellise, athambise ngokuphelele.

Ngalesi sigaba, phansi konyawo kungathatha ukubukeka okuyisicaba noma okwe-rocker. Ama-Bony protrusions (ama-plantar prominion) angavela nangaphansi konyawo. Uma ingalashwa, lesi sigaba singahlala unyaka owodwa.

Isigaba Sesibili: I-Coalescence

Ngalesi sigaba, umzimba uzama ukulungisa umonakalo owenziwe esigabeni sokuqala. Ukucekelwa phansi kwamalunga namathambo kunciphisa ijubane, okuholela ekunciphiseni okuncane, ubomvu, nokufudumala.

Isigaba Sesithathu: Ukwakhiwa kabusha

Ngalesi sigaba sesithathu, sokugcina, amalunga namathambo onyawo ayaphola. Ngeshwa, ababuyeli emuva esimweni sabo sakuqala noma ukwakheka ngokwabo. Ngenkathi kungekho monakalo owenziwayo enyaweni, uvame ukushiywa ukhubazekile, ungazinzile.

Unyawo lungabuye lujwayele ukwakheka kwezilonda nezilonda, okungaholela ekukhubazekeni okuqhubekayo noma kwezinye izimo isidingo sokunqunywa.

Unyawo lweCharcot lubanga

Unyawo lweCharcot lwenzeka kubantu abanezinzwa ezinyaweni nasemilenzeni. Lokhu kulahlekelwa umuzwa kungumphumela wohlobo lomonakalo wezinzwa obizwa ngokuthi yi-peripheral neuropathy.

Unyawo lweCharcot luhlotshaniswa kakhulu njengenkinga engavamile yesifo sikashukela, kepha i-peripheral neuropathy ihlotshaniswa nezimo eziningana. Lokhu kufaka phakathi:

• isifo sikashukela
• ukuphazamiseka kokusebenzisa utshwala
• ukusetshenziswa kabi kwezidakamizwa
• uchoko
• ugcunsula
• syringomyelia
• uvendle
• ukutheleleka, ukuhlukumezeka, noma ukulimala emithanjeni yangaphakathi
• I-HIV
• Isifo sikaParkinson
• izimo zokuvuvukala, njenge-sarcoidosis noma i-psoriasis

Ukuhlonza unyawo lweCharcot

Ngesikhathi sesigaba sokuqala, unyawo lweCharcot lungase lungatholakali ngoba ama-X-ray kungenzeka angakatholi umonakalo oqala ukwenzeka. Ngalesi sizathu, kubalulekile ukwazisa udokotela wakho uma unesimo sempilo esingaholela ezinyaweni zeCharcot.

Ezigabeni zayo zakamuva lapho sekuthuthukile, ubuchwepheshe bezithombe ezinjenge-X-ray nama-MRIs bungaba wusizo.

Ngaphezu kokuhlaziya izimpawu zakho, udokotela wakho uzohlola izimpawu ze-neuropathy ngokuhlolwa komzimba, ukubuyekezwa komlando wakho wezokwelapha, nokuhlolwa. Lokhu kungafaka:

• I-Semmes-Weinstein 5.07 / 10 gram monofilament test, ehlaziya ukuzwela kwengcindezi nokuthinta emicimbini emikhulu yezinzwa
• i-pinprick test, ehlola ikhono lokuzwa ubuhlungu
• ukuhlolwa kwe-neurometer, okukhomba ukungasebenzi kahle kwemizwa yesifo sikashukela njenge-neuropathy yesifo sikashukela

Udokotela wakho uzophinde avivinye ukucabanga kwakho kwethenda futhi ahlaziye ithoni yemisipha namandla emlenzeni nasezinyaweni zakho.

Izithombe ezinyaweni zeCharcot

Ukwelashwa kwezinyawo zeCharcot

Ukwelashwa konyawo lweCharcot ekuqaleni kwalo kuhloselwe ukunciphisa ukuvuvukala nokushisa endaweni, kanye nokuqinisa unyawo ngokuligcina linganyakazi. Kubalulekile ukuqeda noma isiphi isisindo noma ingcindezi onyaweni ukumisa umonakalo owengeziwe ongenziwa. Lokhu kwesinye isikhathi kubizwa ngokuthi kulayishwa ngaphandle.

Ukwelashwa okuningana kobuchwepheshe obuphansi, okungasetshenziswanga konyawo lweCharcot kungasiza ekubambeni ukuqhubeka kwayo. Lokhu kufaka phakathi:

• ukugqoka isihlakala esivikelayo, ukuhamba ngezinsimbi zokuqina zokuqondisa izinyawo ezibhekene, noma ibhuthi yokuhamba eyenziwe ngokwezifiso
• ukunciphisa noma ukususa sonke isisindo onyaweni oluthintekile ngokusebenzisa isihlalo sabakhubazekile, izinduku, noma isithuthuthu esihambayo
• usebenzisa isibopho somzimba ukulungisa ukuqondana konyawo
• ukugqoka isigaxa soxhumana naye esifakwe ngqo emlenzeni nasezinyaweni zakho

Lezi zisekeli zingadingeka izinyanga ezimbalwa noma ngaphezulu. Ngaleso sikhathi, kufanele ubonane nodokotela njalo, ozobheka intuthuko yakho. Uma kuthinteka unyawo olulodwa kuphela, olunye unyawo lwakho luzobhekwa ngezimpawu ngalesi sikhathi.

Lapho unyawo lwakho selupholile, ungalungiselelwa izicathulo zokwelapha noma izicathulo zesifo sikashukela ukunciphisa noma ukuqeda amathuba akho okuthola unyawo lweCharcot ngokuzayo.

Ukuhlinzwa kwezinyawo zikaCharcot

Udokotela wakho angancoma ukuhlinzwa uma unyawo lwakho selungazinzile kakhulu noma lungeke luboshwe noma lusekelwa nganoma iyiphi indlela. Ungadinga nokuhlinzwa uma unesilonda noma isilonda esingapholi. Izindlela zokuhlinza zifaka:

• Ukuvuselela i-osteotomy. Eyaziwa nangokuthi ukuguqulwa kwamathambo kabusha, le nqubo ifushanisa noma yandise ithambo onyaweni noma eqakaleni ukuguqula ukuqondana kwayo namandla okuxhasa amalunga. Udokotela ohlinzayo ufinyeza ithambo ngokulisika noma alule ithambo ngokunezela isigaxa samathambo kulo.
• Ukuhlanganiswa kweqakala. Le nqubo isebenzisa izikulufu, izinduku, noma amapuleti ukukhiya inhlanganisela yamaqakala, enqabela ukunyakaza.
• I-Exostectomy. Lokhu ukususwa kokuvelela kwezitshalo, okungadala izilonda.
• Ukunqunywa kanye nokufakelwa kokufakelwa. Unyawo noma ingxenye yonyawo iyasuswa, ilandelwe ukulungela okokufakelwa.

Q:

Ngabe ukuhlinzwa kudingekile nini ngezimpawu zonyawo lweCharcot?

Isiguli esingaziwa

A:

Ukuhlinzwa kwenziwa ngokujwayelekile lapho izilonda zivela ngenxa yokuvelela kwamathambo. Isicubu esifile siyasuswa bese kukhishwa ithambo elingaphansi elibangele isilonda ukuze lingaphindi.

Ukwakhiwa kabusha kokuhlinzwa kwenziwa ukuzinzisa ukuhlangana, okufana nokuhlangana kweqakala.

Okokugcina, abanye abantu abaziphenduli izindlela ezijwayelekile zokwelashwa futhi bagcina benokukhubazeka okukhulu nokutheleleka okuqhubekayo. Lokhu kungadinga ukunqunywa kwengxenye yonyawo noma lonke unyawo neqakala ukuze isiguli sikwazi ukufakelwa isitho sokufakelwa ukuze sithuthukise impilo yaso futhi sivimbele ukwelashwa nokuhlinzwa okwengeziwe.

UWilliam Morrison, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.

Ukuvimbela ukuthuthukiswa kwezinyawo zeCharcot

Kungenzeka ukuvimbela unyawo lweCharcot kwezinye izimo:

• Uma unesifo sikashukela, ukugcina amazinga kashukela egazini lakho elawulwa kungasiza ukunciphisa ukulimala kwezinzwa.
• Abantu abanesifo sikashukela noma abasengozini ye-neuropathy kufanele bagweme ukulimala noma ukuhlukumezeka ezinyaweni zabo lapho kungenzeka khona: Gwema ezemidlalo noma izivivinyo ezingathinta izinyawo zakho, njenge-kickball noma ibhola.
• Zihlole nsuku zonke ukuze uhlole izimpawu zokuqala.
• Uma usebenzisa kabi utshwala noma ezinye izinto, uhlelo lwezinyathelo eziyi-12 noma okunye ukungenelela, njengokusetha ukuvuselelwa, kungasiza ukumisa isimilo esikubeka engcupheni yonyawo lweCharcot.
• Landela imiyalo kadokotela wakho bese uthola ukuhlolwa kobuchwepheshe njalo.

Ukuthatha

Unyawo lweCharcot yisimo esingahle silimaze, kepha lungagwemeka kwezinye izimo. Ukutholwa kwangaphambi kwesikhathi kubalulekile ekuvikeleni umonakalo nokunqunywa okungenzeka kube khona.

Lapho ibanjwa kusenesikhathi, unyawo lweCharcot kwesinye isikhathi lungalungiswa noma luboshwe ngezindlela zokwelapha ezisezingeni eliphansi nezilondolozayo. Kwezinye izimo, ukuhlinzwa kungadingeka.