Unyawo lweCharcot

Unyawo lweCharcot yimeko echaphazela amathambo, amalunga, kunye nezicubu ezithambileyo ezinyaweni nasemaqatheni. Ingakhula ngenxa yomonakalo wemithambo yenyawo ezinyaweni ngenxa yeswekile okanye ukonzakala kwemithambo-luvo.

Unyawo lweCharcot yinto enqabileyo nenokukhubazeka. Sisiphumo somonakalo wemithambo yeenyawo ezinyaweni (peripheral neuropathy).

Isifo seswekile sesona sizathu siqhelekileyo solu hlobo lomonakalo wemithambo-luvo. Lo monakalo uxhaphake kakhulu kubantu abane-1 yeswekile. Xa amanqanaba eswekile esegazini aphakame ngaphezulu kwexesha elide, ukonakala kwembilini kunye nomthambo wegazi kwenzeka ezinyaweni.

Umonakalo wemithambo wenza kube nzima ukuqaphela ubungakanani boxinzelelo kunyawo okanye ukuba lukhona uxinzelelo. Isiphumo kukuqhubeka kokulimala okuncinci kumathambo kunye nemisipha exhasa unyawo.

• Unokuphucula uxinzelelo lwethambo ezinyaweni zakho, kodwa ungazi.
• Ukuqhubeka nokuhamba kwithambo eliqhekekileyo kuhlala kukhokelela ekonakaleni kwethambo kunye nokudibana.

Ezinye izinto ezikhokelela ekonakaleni kweenyawo zibandakanya:

• Umonakalo wenqanawa yegazi kwisifo seswekile unokunyusa okanye utshintshe ukuhamba kwegazi ukuya ezinyaweni. Oku kunokukhokelela ekuphelelweni kwethambo. Amathambo abuthathaka ezinyaweni andisa umngcipheko wokwaphuka.
• Ukonzakala kunyawo kubonisa ukuba umzimba uvelisa ngakumbi iikhemikhali ezibangela ukudumba. Oku kunegalelo ekudumbeni nasekuphulukeni kwethambo.

Iimpawu zonyawo lwangoko zinokubandakanya:

• Intlungu ethambileyo kunye nobunzima
• Ubomvu
• Ukudumba
• Ukufudumala kunyawo oluchaphazelekayo (ngokubonakalayo kushushu kunenye inyawo)

Kumanqanaba okugqibela, amathambo elunyaweni aphule kwaye aphume endaweni, abangele ukuba unyawo okanye iqatha likhubazeke.

• Uphawu oluqhelekileyo lweCharcot lunyawo olusezantsi. Oku kwenzeka xa amathambo aphakathi elunyaweni ewa. Oku kubangela ukuba i-arch yonyawo iwele kwaye iguqe phantsi.
• Iinzwane zinokugoba zijonge ezantsi.

Amathambo ancamathele kwii-engile ezingaqhelekanga anokukhokelela kwizilonda zoxinzelelo kunye nezilonda ezinyaweni.

• Ngenxa yokuba iinyawo zindindisholo, ezi zilonda zinokukhula zibanzi okanye nzulu ngaphambi kokuba zibonwe.
• Iswekile ephezulu yegazi nayo yenza kube nzima ukuba umzimba ulwe nosulelo. Ngenxa yoko, ezi zilonda zonyawo ziyosuleleka.

Unyawo lweCharcot akusoloko kulula ukufumanisa isifo kwangoko. Ingaphazama kusulelo lwethambo, isifo samathambo okanye ukudumba ngokudibeneyo. Umboneleli wakho wezempilo uya kuthatha imbali yakho yezonyango kwaye ahlole unyawo lwakho kunye neqatha.

Uvavanyo lwegazi kunye neminye imisebenzi yelebhu inokwenziwa ukunceda ngaphandle kwezinye izizathu.

Umboneleli wakho unokujonga ukonakala kwenzwa ngezi mvavanyo:

• Umbane wombane
• Uvavanyo lokuhamba kwesantya
• I-biopsy yamathambo

Olu vavanyo lulandelayo lunokwenziwa ukukhangela ukonakala kwethambo kunye nokudibana:

• Iinyawo zeX-reyi
• IMRI
• Ukuskena amathambo

Iinyawo ze-x-ray zinokubonakala ziqhelekileyo kwinqanaba lokuqala lemeko. Ukuxilongwa kuhlala kuhla ukuze kuqondwe iimpawu zonyawo lweCharcot: ukudumba, ukuba bomvu kunye nokufudumala konyawo oluchaphazelekayo.

Injongo yonyango kukumisa ukulahleka kwethambo, vumela amathambo ukuba aphilise, kunye nokukhusela amathambo ekuphumeni endaweni (ukukhubazeka).

Ukungasebenzi. Umboneleli wakho uya kuthi unxibe iselfowni iyonke. Oku kuya kunceda ukunciphisa umda wonyawo lwakho kunye neqatha. Uya kucelwa ukuba ugcine ubunzima bakho unyawo ngokupheleleyo, ke kuyakufuneka usebenzise iintonga, isixhobo esihamba ngamadolo, okanye isitulo esinamavili.

Uya kuba nezinto ezintsha ekubekwa ezinyaweni zakho njengoko ukudumba kusihla. Ukuphilisa kunokuthatha iinyanga ezimbalwa okanye nangaphezulu.

Izihlangu ezikhuselayo. Nje ukuba unyawo lwakho luphile, umboneleli wakho unokucebisa ngezihlangu ukunceda ukuxhasa unyawo lwakho kunye nokuthintela ukwenzakala kwakhona. Oku kunokubandakanya:

• Amacwecwe
• Iibhonsi
• I-Orthotic insoles
• Ukuthintela ukuhamba kweCharcot orthotic walker, ibhutsi ekhethekileyo ebonelela noxinzelelo kunyawo lonke

Utshintsho lomsebenzi. Uya kuhlala usengozini yokuba unyawo lweCharcot lubuye okanye luphuhle kolunye unyawo lwakho. Ke umboneleli wakho unokucebisa utshintsho lomsebenzi, njengokuthintela ukuma kwakho okanye ukuhamba, ukukhusela iinyawo zakho.

Ugqirha. Unokufuna utyando ukuba unezilonda ezinyaweni ezihlala zibuya okanye unyawo olunzima okanye ukukhubazeka kweqatha. Utyando lunokunceda ukuzinzisa unyawo kunye namaqatha kunye nokususa iindawo ezinamathambo ukukhusela izilonda ezinyaweni.

Ukubeka iliso okokoko. Uya kudinga ukubona umboneleli wakho akuvavanye kwaye uthathe amanyathelo okukhusela iinyawo zakho ubomi bakho bonke.

Ukuxela kwangaphambili kuxhomekeke kubukhali bokhubazeko lweenyawo kunye nokuba uphilisa njani. Abantu abaninzi benza kakuhle nge-brace, utshintsho lomsebenzi, kunye nokubeka esweni okuqhubekayo.

Ukukhubazeka okukhulu kweenyawo kukonyusa umngcipheko wezilonda ezinyaweni. Ukuba izilonda zisulelekile kwaye kunzima ukunyanga, kunokufuna ukushunqulwa.

Nxibelelana nomboneleli wakho onesifo seswekile kwaye iinyawo zakho zifudumele, zibomvu, okanye zidumbile.

Imikhwa esempilweni inokunceda ukuthintela okanye ukulibazisa unyawo lweCharcot:

• Gcina ulawulo olufanelekileyo kumanqanaba eglucose egazini ukukunceda ukunqanda okanye ukulibazisa unyawo lweCharcot. Kodwa kusenokwenzeka, nakubantu abanesifo seswekile.
• Khathalela iinyawo zakho. Zijonge yonke imihla.
• Jonga ugqirha wakho wonyawo rhoqo.
• Jonga iinyawo zakho rhoqo ukukhangela ukusikeka, ukuba bomvu kunye nezilonda.
• Kuphephe ukwenzakalisa iinyawo zakho.

Ukudibana kweCharcot; I-neuropathic arthropathy; I-Charcot neuropathic osteoarthropathy; Charcot ubugcisa; I-Charcot osteoarthropathy; Unyawo lweswekile lweCharcot

• Uvavanyo lokuqhutywa kwemithambo
• Isifo seswekile kunye nomonakalo wemithambo-luvo
• Ukunyamekelwa kweenyawo zeswekile

Umbutho weSwekile yaseMelika. 10. Iingxaki zeMicrovascular kunye nokhathalelo lweenyawo: imigangatho yokhathalelo lonyango kwisifo seswekile-2018. Unonophelo lweSwekile. 2018; 41 (iSuppl 1): S105-S118. IINKCUKACHA: 29222381 www.ncbi.nlm.nih.gov/pubmed/29222381.

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UBrownleee M, uAiello LP, Cooper ME, uVinik AI, uPlutzky J, uBoulton AJM. Iingxaki zesifo seswekile. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-13. IPhiladelphia, PA: Elsevier; I-2016: isahluko 33.

Kimble B. Charcot ngokudibeneyo. Ku: Ferri FF, ed. Umcebisi weKlinikhi kaFerri 2019. IPhiladelphia, PA: Elsevier; 2019: isahluko 307.

Rogers LC, Armstrong DG, okqhubekayo. Unonophelo lwabantwana. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 116.

URogers LC, uFrykberg RG, uArmstrong DG, et al. Unyawo lweCharcot kwisifo seswekile. Unonophelo lweSwekile. Ngo-2011; 34 (9): 2123-2129. IINKCUKACHA: www.ncbi.nlm.nih.gov/pubmed/21868781.