Unyawo lukaCharcot - isifo esibangelwa uhlobo lwesifo sikashukela esingajwayelekile futhi esinzima. Isifo sikashukela sikashukela sibonisa ukubhujiswa okungenabuhlungu kobuhlakani nejoyinti lonyawo. Lesi sifo sinemvelo yokutheleleka.
Ku-mellitus yesifo sikashukela, ukulimala ohlelweni lwe-musculoskeletal kwenzeka kaningi kakhulu. Ngokuphathelene nonyawo lukaCharcot, kwenzeka kuphela ku-1% yabanesifo sikashukela. Kaningi, lesi sifo siveza lezi ziguli isifo sikashukela eselukhula iminyaka engaphezu kweshumi. Ngaphezu kwalokho, isikhombisi esibalulekile lizinga le-glucose egazini, ukusetshenziswa okuhleliwe kwezidakamizwa ezinciphisa ushukela kanye nemijovo ye-insulin.
Nakani! Ngokulashwa okubambezelayo nokukhethwa kokungafundile kokwelashwa, isiguli singakhubazeka!
Imvamisa inqubo yokwenza lesi sifo ihlangane ngazwi linye. Ukuthuthukiswa kwe-osteoarthropathy cishe akunakwenzeka ukubikezela.
Izimbangela zesifo sikashukela sikashukela
Umuzwa oqhubekayo wezinhlungu kushukela ushukela ukhombisa ukuba khona kwesifo sikashukela sikashukela. Izici zalesi sifo zingabonakala kwizibonakaliso ezinjengokuthi: ukuguquguquka konyawo, i-sprain, ukugcwala ngokweqile, ukuba khona kokutheleleka, ukukhetha okungafanele kwezicucu noma ukuhudula kwegazi.
Isikhumba esibomvu futhi singakhombisa ukutheleleka. Ikakhulu, lokhu kuyabonakala uma ubomvu bebutholakala laphaya eduze kwamanxeba. Ngaphezu kwalokho, isikhumba esibucayi singafakwa ngezicubu ezingakhululeki.
Ukuvuvukala kwemikhawulo kungaba yinkomba yokuba khona kwenqubo yokuvuvukala. Ngisho nobufakazi obukhulu bokutheleleka, ukwehluleka kwenhliziyo, noma izicathulo ezikhethwe ngendlela engafanele.
Ukushisa kwesikhumba okukhuphukile kungakhombisa nokuvela kokuvuvukala okungatheleleki. Njengoba umzimba womuntu ube buthakathaka ngenxa yesifo esikhona (isifo sikashukela), ngeke sikwazi ukubhekana nokunye ukugula okubucayi.
Ukulimala namanxeba okuhlanza esikhunjeni esenzeka ngesikhathi sikashukela kungavusa nokwakheka kwezifo. Ngaphezu kwalokho, ukuthuthukiswa kwalesi sifo kufaka isandla emthwalweni wonyawo ngokweqile, kanye nasekwakheni kwamabele ngenxa yokugqoka izicathulo ezingakhululeki.
Ukuhamba okunzima, i-lameness - kudala umonakalo omkhulu noma kuvuse ukuqala kokutheleleka. Izifo ze-fungus, izipikili ezingenayo - zibonisa ukuba khona kokutheleleka.
Kubalulekile! Amanxeba asemaphethelweni aphansi, ahlanganiswe nomkhuhlane kanye nokubanda, akhombisa ukutheleleka okungathi sína, okuthi uma kungenakwelashwa kungaphumela ekuqunjweni noma ekufeni.
Ngaphezu kwalokho, izimpawu zonyawo ezikhulunywayo zivezwa kakhulu ngobuhlungu obukhulu emilenzeni kanye nokuqina kwemilenze (isifo sikashukela se-neuropathy).
Izimpawu ze-Osteoarthropathy
Izimpawu zezinyawo zibukhali kakhulu ezinkingeni ezijwayelekile ngamaphethelo aphansi:
- i-epidermophytosis yonyawo;
- ipuleti lesipikili se-ingrown;
- bursitis yezithupha;
- isando (ukuguqulwa kweminwe);
- warts on the wedwa;
- isikhumba esomile nesiqhekekile;
- ukhunta ezipikili.
Njengomthetho, amabele avela ezindaweni ezihlikihlwa ngezicathulo, ngenxa yalokho inyawo linikezela ekucindezelweni okuqinile. Ungasusa lezi zakhiwo usebenzisa i-pumice. Kodwa odokotela basaqhubeka batusa ukususa ama-corns kuphela nochwepheshe, ngoba ngokususwa okungafundile, isilonda singaphenduka isilonda.
Ngokuphathelene namabhulukwe kashukela, avela ngenxa yokugqoka izicathulo ezilukhuni nemithwalo esindayo. Uma kunokwakheka okugcwele uketshezi, onesifo sikashukela kufanele afune usizo lukadokotela ngokushesha. Uma isiguli singakunaki lokhu, khona-ke endaweni yesishimane kunokuvela umdlavuza ongapheli, kuphenduke isilonda.
Izipikili zikhula ngenxa yesikhathi eside igqoke izicathulo eziqinile. Ukuvimbela le nqubo, azikwazi ukuncitshwa emakhoneni. Kuyadingeka ukunciphisa imiphetho yezikhonkwane ngokucophelela, usebenzisa ifayela lokuhlobisa. Uma inqubo yokusika nokubona izipikili yenziwa ngokunakekelwa, khona-ke ngenxa yokuvela kwamanxeba, ukutheleleka kungasakazeka, ukuthuthukiswa kwako kungaholela ekunqunyweni kwesitho.
I-Bursitis yizinhlamvu ezakha isithupha. Ngokuhamba kwesikhathi, ukwakheka kugcwaliswa uketshezi lwamathambo, okuholela ekuphambukeni komunwe. Kumele kuqashelwe ukuthi le nkinga ingaba nemvelo eyifa.
Ingozi yokuthola i-bursitis inyuka ngenxa yokugqoka izicathulo ezinezithende eziphakeme, kanye nezicathulo ezinenzwane ebukhali. Futhi, le nkinga ihambisana nobuhlungu obukhulu. Ungaqeda leyo nkinga ngosizo lokungenelela kokuhlinzwa.
Ukucwilisa isikhumba ukwakheka kwemifantu onyaweni. Kulokhu, umbala we-sole ungashintsha, kanti ilunga uqobo lilo ligudle kakhulu. Ukuvela kwenkinga kungenxa yobuningi bezinto ezahlukahlukene.
Izizathu ezinkulu zokubonakala kokuqhekeka onyaweni zifaka:
- ushukela omkhulu wegazi
- ukungena kwegazi okunganele emilenzeni,
- ukulimala kokuphela kwezinzwa.
Ukuvimbela le nkinga, udinga ukumanzisa isikhumba njalo, uqhubeke nokuqina kwawo.
Ama-warts on the kuphela ukukhula komzimba okucasulwa yi-papillomavirus yomuntu. Kwesinye isikhathi lezi zinhlaka azibangeli ukuphazamiseka kumuntu ohlelweni lokuhamba, kepha noma kungekho khona ukungaphatheki kahle, ama-warts asadinga ukulahlwa. Inqubo yokususa yenziwa ngendlela ye-laser ku-cosmetologist.
Ukubonakaliswa kwalesi sifo
Lapho kukhona isifo sikashukela i-mellitus, izinqubo ezithinta izinzwa ziyaqhubeka emzimbeni wesiguli. Ngenxa yalokhu, ukuzwela kuyaphazamiseka, okuholela ekufakweni kwezimoto. Ngakho-ke, izinga lokuzwela lincishiswa kakhulu, futhi nethuba lokulimala liyanda.
Isifo sikashukela siphinde sibe negalelo ekwehlelweni kwezidakamizwa zamathambo, ngenxa yokuthi lapho isifo sikashukela sikhula. Ngakho-ke, noma yikuphi ukulimala kwamathambo kufaka isandla ekuguqukeni kwamalunga nokulimazeka kwawo, kubangele isifo esihlangene.
Imvamisa nesifo sikashukela, kunokuntuleka okuphelele kokuzwa kokulimala kwamathambo. Ukuzwela okuphansi emilenzeni kudala izinguquko kwi-gait.
Ngakho-ke, imithwalo isatshalaliswa emalungeni, ibhubhise ngokuzayo. Ukunqoba le nkinga, kudingeka ukwelashwa okungathi sína.
Ukuvuvukala kwemikhawulo engezansi
Esikhathini sikashukela, ukubonakaliswa kokulimala kuhambisana nokulimala okuhlukahlukene nge-edema. Ukuqina kwamajoyina kuya buthaka, ukweluleke bese kubhidliza izinyembezi. Kuyavela ukuthi zikhubazekile, kubandakanya izitho ezinempilo kule nqubo.
Nakani! Ukulimala okuncane kuqala ukwakheka kwe-arthropathy kaCharcot.
Ngenxa yokuvulwa kwama-shunts angama-venous and arterial sithuthukisa ukuhamba kwegazi kwizicubu zamathambo nezinto ezine-leach ezithambile, ithambo lingaba buthaka kakhulu. Udinga ukuthi ube nombono wokuthi yini okufanele uyenze uma imilenze yakho igcwala isifo sikashukela.
Kubalulekile! Zonke iziguli ezinesifo sikashukela se-polyneuropathy kamuva zigula ngonyawo lukaCharcot. Yilabo kuphela abanesifo sikashukela abanokuphazamiseka ekufakweni kwegazi emalungeni nasekukhuleni kwe-ischemic ekuhambeni kwegazi ngeke bakwazi ukuba nesifo i-osteoarthropathy.
Isiteji sikashukela Osteoarthropathy
Unyawo luhlukaniswe izigaba eziningana. Isigaba sokuqala ukubhujiswa kwamajoyina ane-microscopic acute bone fractures, ukunwetshwa kwamaphakethi ahlanganayo kanye nama-dislocations alandelayo. Kulokhu, ubomvu bubonakala esikhunjeni, ukuvuvukala konyawo futhi izinga lokushisa liyenyuka.
Isigaba sokuqala
Kuyaphawuleka ukuthi esigabeni sokuqala isiguli asizizwa izinhlungu. Ngeshwa, noma ngosizo lwama-X-ray, ama-pathologies awatholakali, ngoba zingama-microscopic fractures kanye nemithambo yethambo ekhishwe.
Isigaba sesibili
Kulesi sigaba, kwenzeka ukuhlukaniswa kwamathambo, i.e. ukuthopha kwama-arches, ukuguqulwa konyawo. Esigabeni sesibili, udinga ukwenza i-x-ray, ngosizo lwayo uyakwazi ukubona izingcezwana zethambo.
Isigaba sesithathu
Kulesi sigaba, ukuguqulwa kwamathambo kushiwo kakhulu. Futhi ukuba khona kwalesi sifo kungasungulwa ngakubona. Ukuqhekeka okuzenzakalelayo kanye nokusakazeka kungenzeka.
Ngokuphathelene neminwe, bagoba ukwakheka kwabo okufana noqhwaku, nomsebenzi wezinyawo wokwemvelo ucasukile. Lapho uqhuba i-x-ray, ungabona ukungahambi kahle okunzima. Kunzima ukwelapha isici esinjalo, kepha kungenzeka.
Isigaba sesine
Kulesi sigaba, izilonda ezingaphilisi zakha esikhumbeni semilensi. Amanxeba anjalo aholela ezinkingeni ezithathelwanayo futhi ekwakhekeni kwe-phlegmon kanye ne-gangrene. Ukubambezeleka ekwelashweni kwesigaba sokugcina se-osteoarthropathy kusongela impilo; i-gangrene yesifo sikashukela iholela ekunqunyweni komlenze.
Ukuxilongwa nokwelashwa kweCharcot unyawo
Kubaluleke kakhulu kubantu abanesifo sikashukela ukwenza ukuxilongwa okulungile ngesikhathi esifushane kakhulu ukuze ukwelashwa kuphumelele kakhulu. Ngakho-ke ungavimba izinguquko ezinzima nezingaphenduki onyaweni. Kepha ngeshwa, cishe akunakwenzeka ukusungula isifo ekuqaleni kwesifo.
Emazingeni okuqala e-osteoarthropathy, kuyadingeka ukusungula uhlobo lwesifo, i.e. kufanele kunqunywe ukuthi iyatheleleka noma cha. Indlela esemqoka ongakhomba ngayo ukugula futhi uthuthukise umphumela wezokwelapha ngumbono we-magnetic resonance imaging, kanye ne-scintigraphy yamathambo.
Nakani! Uma isifo sikashukela sakha i-edema yonyawo, khona-ke kuyadingeka ukukhipha i-osteoarthropathy Charcot.
Ukwelashwa
Izindlela nezindlela zokwelapha unyawo ziyahlukahluka ngokuya ngesigaba sesifo. Into ebalulekile lapha ukuzimisela kwentuthuko yesifo, ukucekelwa phansi kwamalunga, ukwakheka kwezilonda nemvelo yokutheleleka.
Lapho welapha isigaba sokuqala, udokotela uthatha ukunakekelwa okuphezulu. Ngemuva kwakho konke, kufanele akhiphe ubukhona be-dislocations kunokwenzeka kanye nama-microscopic fractures. Kulokhu, akunakwenzeka ukunquma ukwelashwa okuqondile ngaphandle kokuxilongwa ngokuphelele.
