ICharcot Arthropathy, idibeneyo yeCharcot, okanye iCharcot yeenyawo

Umxholo

• Yintoni unyawo lweCharcot?
• Iimpawu zonyawo lweCharcot
• Isigaba sokuqala: Ukuqhekeka kunye nentshabalalo
• Inqanaba lesibini: I-Coalescence
• Isigaba sesithathu: Ukwakhiwa kwakhona
• Unyawo lweCharcot lubangela
• Ukuchonga unyawo lweCharcot
• Imifanekiso yenyawo zecharcot
• Unyango lweenyawo lweCharcot
• Utyando lweenyawo lweCharcot
• Q:
• A:
• Ukuthintela ukukhula kweenyawo zeCharcot
• Ukuthatha

Imithambo, amathambo kunye namalungu

I-Neuropathic osteoarthropathy, okanye unyawo lweCharcot, yinkqubo yokuvuvukala echaphazela izicwili ezithambileyo, amathambo, kunye namalungu onyawo okanye amaqatha.

Imeko yokuthintela ukuhamba, unyawo lweCharcot lunokuthintelwa kwezinye iimeko,

Funda ukuze uqonde umngcipheko weenyawo zeCharcot, kunye neengcebiso malunga nokuziphatha okusebenzayo okunokukunceda ukuba uyiphephe okanye umise inkqubela phambili.

Yintoni unyawo lweCharcot?

Unyawo lweCharcot lunokubangelwa kukugqibezela okanye kufutshane-ukugqibezela kwelinye okanye zombini iinyawo okanye amaqatha. Le meko ibangela ukuba amathambo elunyaweni abe buthathaka, ebenza bathambekele ekonakaleni njengokuqhekeka kunye nokususwa.

Ngenxa yokuba unyawo lundindisholo, iintlungu eziqhekekileyo okanye ezinye izinto ezothusayo zinokungaqwalaselwa, zikhokelela kumonakalo owongezelelekileyo ekuhambeni nasekumi.

Njengoko amathambo eqhubeka nokuba buthathaka, amalungu onyawo angaphazamiseka okanye awe, atshintshe imilo yonyawo. Ubume obukhokelwayo bubizwa ngokuba lunyawo olusezantsi, kuba iarch iyaqhubeka iye ezantsi nangaphandle, idala ukubonakala okufana nerocker.

Unyawo lweCharcot lunokukhokelela nakwizilonda, ekunzima ukuzinyanga.

Ukuba ishiywe inganyangwa, unyawo lweCharcot lunokukhokelela kukukhubazeka okukhulu, ukukhubazeka, okanye ukunqunyulwa.

Iimpawu zonyawo lweCharcot

Unyawo lweCharcot lwenzeka ngokwamanqanaba amathathu:

Isigaba sokuqala: Ukuqhekeka kunye nentshabalalo

Eli nqanaba libukhali, lokuqala liphawulwe ziimpawu ezinje ngokubomvu kunye nokudumba okubonakalayo konyawo kunye neqatha. Indawo inokuziva ifudumele okanye ishushu xa uyibamba xa ithelekiswa nolunye unyawo.

Ngaphakathi, ukudumba kwezicwili kunye nokuqhekeka kwethambo elincinci kuyaqala ukwenzeka. Isiphumo kukutshatyalaliswa kwamalungu kunye nethambo elijikelezileyo. Oku kubangela ukuba amalungu aphulukane nozinzo, okukhokelela kukususwa. Amathambo anokude adibanise, athambise ngokupheleleyo.

Ngeli nqanaba, emazantsi onyawo angathatha ukubonakala okuthe tyaba okanye okurhexe emazantsi. I-Bony protrusions (i-plantar prominions) inokuvela emazantsi onyawo. Ukuba awunyangwa, eli nqanaba lingahlala ukuya kunyaka omnye.

Inqanaba lesibini: I-Coalescence

Ngeli nqanaba, umzimba uzama ukunyanga umonakalo owenziwe kwinqanaba lokuqala. Ukutshatyalaliswa kwamalungu kunye namathambo kunciphisa, okukhokelela ekunciphiseni okuncinci, ubomvu kunye nokufudumala.

Isigaba sesithathu: Ukwakhiwa kwakhona

Ngeli nqanaba lesithathu, lokugqibela, amalungu kunye namathambo onyawo ayaphola. Ngelishwa, ababuyeli kwimeko yabo yoqobo okanye imilo ngokwabo. Ngelixa kungekho monakalo wenziwayo enyaweni, ihlala ishiyeka ikhubazekile, ingazinzanga.

Unyawo lunokuthambekela ngakumbi ekwakheni izilonda kunye nezilonda, ezinokuthi zikhokelele kukhubazeko olungaphezulu okanye kwezinye iimeko isidingo sokushunqulwa.

Unyawo lweCharcot lubangela

Unyawo lweCharcot lwenzeka kubantu abane-numbness kwiinyawo zabo nasemilenzeni. Oku kuphulukana nemvakalelo sisiphumo sohlobo lomonakalo wemithambo-luvo obizwa ngokuba yipheripheral neuropathy.

Unyawo lweCharcot lunxulunyaniswa kakhulu njengengxaki enqabileyo yesifo seswekile, kodwa i-peripheral neuropathy inxulunyaniswa neemeko ezininzi. Oku kubandakanya:

• isifo seswekile
• ingxaki yokusebenzisa utywala
• iziyobisi
• iqhenqa
• igcushuwa
• syringomyelia
• Ipoliyo
• usulelo, ukwenzakala, okanye ukonakala kwimithambo yoluvo
• Intsholongwane kaGawulayo
• Isifo sikaParkinson
• iimeko ezivuthayo, ezifana ne-sarcoidosis okanye i-psoriasis

Ukuchonga unyawo lweCharcot

Ngexesha lokuqala, inyawo likaCharcot lisenokungafunyanwa kuba iX-reyi isenokungabikho kumonakalo oqala ukwenzeka. Ngesi sizathu, kubalulekile ukuba ugqirha wakho azi ukuba unemeko yonyango enokubangela unyawo lweCharcot.

Kumanqanaba ayo okugqibela xa sele iqhubekile, itekhnoloji yokucinga efana nee-X-ray kunye nee-MRIs kunokuba luncedo.

Ukongeza kuhlalutyo lweempawu zakho, ugqirha wakho uya kujonga iimpawu ze-neuropathy ngovavanyo lomzimba, uphononongo lwembali yakho yezonyango, kunye novavanyo. Oku kunokubandakanya:

• I-Semmes-Weinstein 5.07 / 10 igrama yovavanyo lwe-monofilament, ehlalutya ubuntununtunu koxinzelelo kunye nokuchukumisa kwimicu emikhulu yemithambo-luvo
• uvavanyo lwepinprick, oluvavanya amandla okuva iintlungu
• uvavanyo lwe-neurometer, oluchaza ukungasebenzi kakuhle kwemithambo-luvo njengesifo seswekile seswekile

Ugqirha wakho uya kuvavanya i-tendon reflexes yakho kwaye ahlalutye ithoni yemisipha kunye namandla emlenzeni nasezinyaweni.

Imifanekiso yenyawo zecharcot

Unyango lweenyawo lweCharcot

Unyango lwonyawo lweCharcot kwinqanaba lalo lokuqala lwenzelwe ukunciphisa ukudumba kunye nobushushu kuloo ndawo, kunye nokuzinzisa unyawo ngokuligcina lingashukumi. Kubalulekile ukuphelisa nabuphi na ubunzima okanye uxinzelelo enyaweni ukunqanda umonakalo owongezelelweyo ukuba wenziwe. Ngamanye amaxesha kubhekiswa njengokukhuphela ngaphandle.

Unyango olusezantsi lobuchwephesha, unyango lwangaphandle lweenyawo zeCharcot lunokunceda ekubambeni ukuqhubela phambili. Oku kubandakanya:

• ukunxiba ukukhusela, ukuhamba nge-brace, okanye i-boot yokuhamba yesiqhelo
• ukunciphisa okanye ukuphelisa bonke ubunzima kunyawo oluchaphazelekayo ngokusebenzisa isitulo esinamavili, iintonga, okanye isithuthuthu esihambayo
• usebenzisa izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukulungisa ukungqinelana nonyawo
• unxibe isamente yokudibanisa efanelekileyo ngokufanelekileyo emlenzeni nasezinyaweni

Ezi nkxaso zinokufuneka kwiinyanga ezininzi okanye nangaphezulu. Ngelo xesha, kuya kufuneka udibane nogqirha rhoqo, oza kujonga inkqubela phambili yakho. Ukuba lunyawo olunye kuphela oluchaphazelekayo, olunye unyawo lwakho luya kujongwa ngeempawu ngeli xesha.

Emva kokuba unyawo lwakho luphilile, unokufakelwa izihlangu zonyango okanye izihlangu zeswekile ukunciphisa okanye ukuphelisa amathuba akho okufumana unyawo lweCharcot kwixesha elizayo.

Utyando lweenyawo lweCharcot

Ugqirha wakho unokucebisa ukuba utyando ukuba unyawo lwakho luye lwazinza kakhulu okanye alunakulungiswa okanye luxhaswe nangayiphi na indlela. Unokufuna utyando ukuba unesifo okanye isilonda esingapholiyo. Iindlela zokuhlinzwa zibandakanya:

• Ukuhlaziya i-osteotomy. Ikwabizwa ngokuba kukuphinda kwenziwe utyando lwethambo, le nkqubo iyanciphisa okanye yandise ithambo elunyaweni okanye eqatha ukuguqula ulungelelwaniso kunye namandla okuxhasa amalungu. Ugqirha ulifinyeza ithambo ngokulisika okanye alolule ithambo ngokongeza isinqanda mathambo kulo.
• Ukudityaniswa kweqatha. Le nkqubo isebenzisa izikrufu, iintonga, okanye iipleyiti ukutshixa ilunga leqatha, ukuthintela ukunyakaza.
• Exostectomy. Oku kukususwa kwezityalo ezibalaseleyo, ezinokubangela ukuba izilonda zenze.
• Ukukhutshwa kwamalungu kunye nokufakelwa kokufakelwa. Unyawo okanye isahlulo seenyawo ziyasuswa, zilandelwe zilungele isixhobo sokufakelwa.

Q:

Luluphi utyando oluyimfuneko kwiimpawu zonyawo lweCharcot?

Isigulana esingaziwayo

A:

Ugqirha lwenziwa rhoqo xa izilonda zisenzeka ngenxa yokuqaqamba kwamathambo. Izicubu ezifileyo ziyasuswa kwaye ithambo elingaphantsi elibangele ukuba isilonda lisuswe ukuze lingaphindi.

Ukwenziwa ngokutsha kotyando kwenziwa ukuzinzisa ukudibana, okufana nokuqina kweqatha.

Okokugqibela, abanye abantu abaphenduli kunyango oluqhelekileyo kwaye baphela bekhubazeka kakhulu kwaye beqhubeka nokusuleleka. Oku kunokunyanzelwa ukuba unqunyulwe inxenye yonyawo okanye unyawo lonke kunye neqatha ukuze isiguli sifakelwe iprosthesis ukuphucula umgangatho wobomi kunye nokukhusela ukulaliswa esibhedlele kunye notyando.

UWilliam Morrison, iimpendulo ze-MDA zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

Ukuthintela ukukhula kweenyawo zeCharcot

Kuyenzeka ukuba uthintele unyawo lweCharcot kwezinye iimeko:

• Ukuba unesifo seswekile, ukugcina amanqanaba eswekile yegazi phantsi kolawulo kunokunceda ukunciphisa ukonakala kwemithambo-luvo.
• Abantu abanesifo seswekile okanye abasemngciphekweni we-neuropathy kufuneka baphephe ukonakala okanye ukwenzakala kwiinyawo zabo nanini na kunokwenzeka: Gwema imidlalo okanye imithambo enokuthi ichaphazele iinyawo zakho, ezinje ngebhola ekhatywayo okanye ibhola ekhatywayo.
• Yenza iimviwo zokuzihlola yonke imihla ukukhangela iimpawu zokuqala.
• Ukuba ubusebenzisa kakubi utywala okanye ezinye izinto, inkqubo yamanyathelo ali-12 okanye olunye ungenelelo, njengokulungiswa kwimeko yesiqhelo, kunokunceda ukumisa isimilo esikubeka emngciphekweni wonyawo lweCharcot.
• Landela imiyalelo kagqirha wakho kwaye ufumane uvavanyo lobuchwephesha rhoqo.

Ukuthatha

Unyawo lweCharcot yimeko enokubangela umonakalo, kodwa inokuthintelwa kwezinye iimeko. Ukufumanisa kwangoko kubalulekile ukuthintela umonakalo kunye nokususwa okunokubakho.

Xa ubanjwe kwangoko, inyawo likaCharcot ngamanye amaxesha linokulungiswa okanye libanjwe ngonyango olusezantsi kunye nonyango olulondolozayo. Ngamanye amaxesha, utyando lunokuba yimfuneko.