Charcot tsoka

Charcot rutsoka chiitiko chinokanganisa mapfupa, majoini, uye zvinyoro nyoro mutsoka nemakumbo. Inogona kukura semhedzisiro yekukuvara kwetsinga mumakumbo nekuda kweshuga kana kumwe kukuvara kwetsinga.

Charcot tsoka isingawanzo uye inoremadza kusagadzikana. Imhedzisiro yekukuvara kwenzara mumakumbo (peripheral neuropathy).

Chirwere cheshuga ndicho chinonyanya kukonzera rudzi urwu rwekukuvara kwetsinga. Uku kukuvara kunowanzoitika kune vanhu vane chirwere cheshuga cheshuga. Kana huwandu hweshuga yeropa hwanyanya pamusoro penguva yakareba, kukanganiswa kwetsinga uye kweropa kunoitika mutsoka.

Kukuvara kwemitsipa kunoita kuti zviome kuona huwandu hwekumanikidza kwetsoka kana kana ichisimbiswa. Mhedzisiro yacho iri kuenderera mberi kukuvara kudiki kumabhonzo nemisungo inotsigira rutsoka.

• Unogona kukura pfupa kushushikana kutsemuka mutsoka dzako, asi usambozviziva.
• Kuenderera mberi nekufamba pamusoro pefupa rakatyoka kazhinji kunotungamira mukuwedzera kukuvara kwepfupa uye kwemajoini.

Zvimwe zvinhu zvinotungamira kukuvara kwetsoka zvinosanganisira:

• Ropa remidziyo kukuvara kubva kuchirwere cheshuga kunogona kuwedzera kana kushandura kuyerera kweropa kusvika kutsoka. Izvi zvinogona kutungamira kukundikana kwepfupa. Mapfupa asina kusimba mutsoka anowedzera njodzi yekutyoka.
• Kukuvadza kutsoka kunoratidzira muviri kuti ubudise makemikari anokonzera kuzvimba. Izvi zvinopa kuzvimba uye kurasikirwa nefupa.

Zviratidzo zvekutanga zvetsoka zvinogona kusanganisira:

• Huru kurwadziwa uye kusagadzikana
• Kutsvuka
• Kuzvimba
• Ushamwari murutsoka rwakakuvara (zvinonzwika kudziya kupfuura rumwe rutsoka)

Pamatanho ekupedzisira, mapfupa mutsoka anotsemuka obva abva panzvimbo, zvichikonzera tsoka kana gumbo kuti rive rakaremara.

• A classic chiratidzo cheCharcot idombo-repasi tsoka. Izvi zvinoitika apo mapfupa ari pakati petsoka anodonha. Izvi zvinokonzera arch yetsoka kudonha nekukotamira pasi.
• Zvigunwe zvinogona kukomberedza pasi.

Mabhonzo anonamira kunze pamakona asinganzwisisike anogona kutungamira kumaronda ekumanikidza uye maronda etsoka.

• Nekuti tsoka dzakabatwa nechiveve, maronda aya anogona kukura kana kudzika asati aonekwa.
• Shuga yakakwira muropa inoitawo kuti zviomere muviri kurwisa hutachiona. Nekuda kweizvozvo, maronda etsoka aya anotapukirwa.

Charcot tsoka haisi nyore nguva dzose kuongorora kwayedza. Inogona kukanganisa nehutachiona hutachiona, arthritis kana kuzvimba kwemajoini. Anokuchengetedza hutano anotora nhoroondo yako yezvokurapa uye ongorora tsoka yako nemakumbo.

Kuongororwa kweropa uye rimwe basa rebhu rinogona kuitwa kubatsira kubvisa zvimwe zvikonzero.

Wako mupi anogona kutarisa kukuvara kwetsinga nemiedzo iyi:

• Electromyography
• Tsinga conduction velocity bvunzo
• Tsinga biopsy

Iyi bvunzo inotevera inogona kuitwa kuti utarise kukuvara kwepfupa uye kwemajoini:

• Tsoka X-ray
• MRI
• Bone scan

Tsoka x-rays dzinogona kutaridzika zvakajairika pamatanho ekutanga emamiriro acho. Kuongororwa kazhinji kunouya pakuziva zviratidzo zvekutanga zveCharcot tsoka: kuzvimba, kutsvuka, uye kudziya kwetsoka rakabatwa.

Chinangwa chekurapa ndechekumisa kurasikirwa kwepfupa, kubvumira mapfupa kupora, uye kudzivirira mapfupa kubva mukubva panzvimbo (deformity).

Immobilization. Wako mupi anozoita kuti iwe ufuke iyo yakazara yekuonana cast. Izvi zvinobatsira kudzikamisa kufamba kwetsoka dzako nemakumbo. Iwe ungangobvunzwa kuti uremu hwako hubve patsoka dzako zvachose, saka uchafanirwa kushandisa madondoro, mudziyo wemabvi-kufamba, kana wiricheya.

Iwe unenge uine matsva matsva akaiswa patsoka dzako sezvo iko kuzvimba kunodzika. Kurapa kunogona kutora mwedzi yakati wandei kana kudarika.

Dziviriro shangu. Kana tsoka yako yapora, mupi wako anogona kupa shangu kuti ubatsire kutsigira rutsoka rwako uye kudzivirira kukuvara zvakare. Izvi zvinogona kusanganisira:

• Zvipenga
• Zvishongo
• Orthotic insoles
• Charcot inodzora orthotic walker, bhutsu yakakosha iyo inopa kunyangwe kumanikidza kwetsoka yese

Chiitiko chinoshanduka. Iwe unogara uri panjodzi yekuti tsoka yeCharcot idzoke kana kukura mune rimwe rutsoka rwako. Saka mupi wako anogona kukurudzira shanduko yechiitiko, senge kudzora kumira kwako kana kufamba, kuchengetedza tsoka dzako.

Kuvhiya. Iwe ungangoda kuvhiyiwa kana uine maronda etsoka anoramba achidzoka kana rakasimba tsoka kana tsoka kuremara. Kuvhiya kunogona kubatsira kudzikamisa tsoka dzako nemaoko emakumbo uye kubvisa nzvimbo dzemabhonzo kudzivirira maronda etsoka.

Kuenderera mberi kwekutarisa. Iwe unozofanirwa kuwona wako mupi wekutarisa uye kutora matanho ekudzivirira tsoka dzako kweupenyu hwako hwese.

Kufungidzira kunoenderana nekuomarara kwetsoka uye kuti unopora sei. Vanhu vazhinji vanoita zvakanaka ne brace, zviitiko zvekuchinja, uye kuenderera mberi kwekutarisa.

Kuremara kwakanyanya kwetsoka kunowedzera njodzi yezvironda zvetsoka. Kana maronda akatapukirwa uye akaoma kurapwa, zvingangoda kudimburwa.

Bata wako anopa iwe ane chirwere cheshuga uye tsoka yako inodziya, tsvuku, kana kuzvimba.

Hutano hunhu hunogona kubatsira kudzivirira kana kunonoka tsoka yeCharcot:

• Chengetedza kudzora kwakanaka kweropa rako reropa glucose kuti ubatsire kudzivirira kana kunonoka tsoka yeCharcot. Asi zvinogona kuitika, kunyangwe mune vanhu vane yakanaka chirwere cheshuga.
• Chengetedza tsoka dzako. Tarisa ivo mazuva ese.
• Ona chiremba wako wenguva dzose.
• Tarisa tsoka dzako nguva nenguva kuti utarise kucheka, kutsvuka uye maronda.
• Dzivisa kukuvadza tsoka dzako.

Charcot mubatanidzwa; Neuropathic arthropathy; Charcot neuropathic osteoarthropathy; Charcot arthropathy; Charcot osteoarthropathy; Chirwere cheshuga Charcot tsoka

• Tsinga kuitisa bvunzo
• Chirwere cheshuga uye kukuvara kwetsinga
• Kuchengeta tsoka dzechirwere cheshuga

American Chirwere cheshuga Association. 10. Microvascular matambudziko uye tsoka tsoka: zviyero zvekurapwa mune cheshuga - 2018. Chirwere cheshuga. 2018; 41 (Chikwata 1): S105-S118. PMID: 29222381 www.ncbi.nlm.nih.gov/pubmed/29222381.

Baxi O, Yeranosian M, Lin A, Munoz M, Lin S. Orthotic manejimendi yetsinga dzetsinga uye tsoka dzevasvu. Mune: Webster JB, Murphy DP, eds. Atlas of Orthoses uye Anobatsira Midziyo. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 26.

Brownleee M, Aiello LP, Cooper ME, Vinik AI, Plutzky J, Boulton AJM. Matambudziko eshuga mellitus. Mune: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Chinyorwa cheEndocrinology. 13 ed. Philadelphia, PA: Elsevier; 2016: chits. 33.

Kimble B. Charcot akabatana. Muna: Ferri FF, rakanyorwa. Ferri's Clinical Mupi wezano 2019. Philadelphia, PA: Elsevier; 2019: chap307.

Rogers LC, Armstrong DG, et al. Kuchengetwa kwevana. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 116.

Rogers LC, Frykberg RG, Armstrong DG, et al. Rutsoka rweCharcot mune chirwere cheshuga. Chirwere cheshuga. 2011; 34 (9): 2123-2129. PMID: www.ncbi.nlm.nih.gov/pubmed/21868781.