I-Dieoic osteoarthropathy: izimbangela, izimpawu, izimiso zokwelashwa

Isifo sikashukela singadala izinkinga eziningi ezahlukene.

Omunye wemiphumela emibi kakhulu futhi eyingozi yalokhu kuphazamiseka kwe-endocrine unyawo lukaCharcot lwesifo sikashukela (isifo sikashukela se-dieoicthropathy, ukuhlanganyela kukaCharcot).

Sizoxoxa kabanzi ukuthi kungani kwenzeka, ukuthi kufanele ukwelashwa kanjani, futhi okubaluleke kakhulu, ukuthi ungakuvimbela kanjani ukwenzeka kwaso.

Izimbangela ze-pathology

Munye kuphela kwabaneshukela abanesifo sikashukela esifana nonyawo lukaCharcot lwesifo sikashukela. Ososayensi basasebenza ukuthola ukuthi yini ebanga le nqubo.

Namuhla, ithonya lezizathu eziningi eziphambili selifakazelwe ngokwesayensi:

1. indlela ebunjiwe yesifo sikashukela ne-neuropathy ekhula ngokusemuva kwaso. Kulesi simo, imizwa yokuzwa kwemilenze iphazamiseka, okungukuthi, uma ucindezela ngonyawo, uyicindezela, noma usishaya, umuntu cishe ngeke ezwe lutho. Isiguli esinesifo sikashukela cishe asikwazi ukubeka unyawo olungazweli lapho sihamba, lelo lungu “alizizwa” ngokuqina kwezicathu kanye nezinye izinto ezingathandeki zangaphandle - lokhu kuholela ekuwohlokeni okukhulu;
2. ukubhema nokuphuza utshwala. Noma kumuntu ophile kahle, imikhuba emibi iholela ekunciphiseni kwe-lumen yemithambo yegazi, ukwehla kokugeleza kwegazi, ukufa kwama-capillaries neminye imiphumela emibi. Ku-diabetes, le nqubo yenzeka ngokushesha okukhulu, ngakho-ke unyawo lubhekana nokushoda okukhulu kwezakhamzimba nomoya-mpilo;
3. izicathulo ezikhethwe ngokungafanele;
4. isifo semithambo yegazi, okuvame kakhulu kuso ukuthi yi-atherosulinosis;
5. ukuphazamiseka okukhona ohlelweni lokujikeleza kwegazi emzimbeni. Ukuntuleka kwe-oksijini ezithweni ezahlukahlukene kuholela ekungondlekeni kokudla, ukuqoqwa kwemikhiqizo yokubola, izicubu ze-necrosis (ukufa).

Izimpawu eziyingozi

Ngakho-ke, sibala izimpawu eziphambili:

• ubunzima bokuhamba, i-lameness;
• ukudumba okukhulu kwemikhawulo engezansi;
• ukulimala njalo kwezinyawo: ama-dislocations, ama-fractures, ama-sprains;
• calluses unomphela, imifantu, isikhumba esomile;
• ubomvu bezinyawo;
• i-hyperthermia kungenzeka endaweni ethintekile;
• ukugoba kweminwe;
• ukulimala;
• ubuhlungu obukhulu nsuku zonke ezinyaweni;
• izilonda ezinde ezingapholi, amanxeba. Imvamisa baphenduka amanxeba we-purulent nge secretion ye-profuse;
• ukuphuma ezintanjeni;
• ukulimala kwezipikili ngesikhunta;
• ingrown toenail.

Ukuxilongwa kwalesi sifo

Kuhlukaniswa izigaba ezine zesifo sikashukela sikashukela. Owokuqala ubonakala ngokuba khona kwezinyawo ezivuvukele futhi zibomvu, ukukhuphuka kwezinga lokushisa esizeni lesion. Uma ukwelashwa kuqalwa esigabeni sokuqala, khona-ke i-primenosis imvamisa inesimo esihle. Ngokuhamba kwesikhathi isiguli size kudokotela, ithuba elincane lokuphumelela.

Unyawo lukaCharcot ku-mellitus yesifo sikashukela, ifomu eliyinkimbinkimbi

Khuluma kafushane ngezimpawu zezigaba ezisele zokukhula kwalesi sifo:

• kwesibili, imiphetho yonyawo ihlanganisiwe, ukuguquguquka kuyabonakala kakhulu;
• iminwe igobile, unyawo lungabe lusakwazi ukwenza imisebenzi yalo, ukujula kuyaqina. Ukudukiswa okuzenzakalelayo nokwaphuka kungenzeka;
• amanxeba we-purulent anegciwane avela okunzima ukuwelapha.

Ukwelashwa

Ukukhethwa kwendlela yokutakula kuncike ngokuphelele esigabeni lapho lesi sifo satholakala khona.

Izindlela eziningana zisetshenziselwa ukuthola ubukhulu kanye nobunjalo benkambo yesifo:

• enza ama-x-ray noma ama-MRI ukuthola ukuthi amathambo aphulwe kanjani, ngabe kukhona ama-fractures, dislocations, njll.
• yenza izifundo ezikhethekile ukuthola ijubane nezimpawu zokugeleza kwegazi, isimo semithambo yegazi nemithambo yegazi emzimbeni wesiguli.
• Qiniseka ukuthi uthola ubunzima be-neuropathy ukuthola ukuthi amalunga alahlekelwe umuzwa ongakanani.

Uma kunezilonda namanxeba, khona-ke i-ejenti ye-causative yokutheleleka itholakala ngqo ku-lactopus kakhulu i-mellitus yesifo sikashukela ukuze unikeze ukwelashwa okulungile kwe-antibacterial.

Ukwelashwa kuhlale kuyinkimbinkimbi, kufaka:

1. ukuthatha imishanguzo, okokugcoba kanye nokhilimu;
2. ukuvimba inqubo yokubhujiswa kwamathambo;
3. Ukwelapha ukuzivocavoca;
4. ekudleni. Inqunywe ngudokotela ngokuqinile ngokuya ngohlobo lwesifo;
5. ukwelashwa ngomzimba. Kukhethwa kuye ngokuthi bunjani besimo sesiguli nokuba khona kwezifo ezikhona.
6. Ukukhetha izicathulo, ama-insoles, noma i-orthosis. Isebenza kunoma yisiphi isigaba. Imikhiqizo enjalo yenziwa udokotela ohlinzayo wamathambo; Izesekeli ezinjalo zisiza ukususa umthwalo onyaweni, ovimba ukubukeka kwama-scuffs nokuwohloka.

Ukwelapha ukuzivocavoca

Ngaphandle kwesigaba esibi sesifo, kanye nokuvinjwa kokuvela kwesifo sikashukela sikashukela, kunconyelwa ukwenza izivivinyo ezilandelayo (phinda izikhathi eziyishumi lilinye):

1. silungisa isithende phansi, futhi ngeminwe yethu sizama ukwenza ukunyakaza okuyindilinga. Siyaphinda, kepha sesivele siwalungisile amasokisi;
2. phakamisela umzimba izithende namasokisi ngokulandelana;
3. ukugoba nokungavimbisi iminwe;
4. ngonyawo oluqondile senza iziyingi eziyindilinga emoyeni;
5. siqonde imilenze siyiphakamise, sizama ukuthatha unyawo kude nathi, bese sizenzela thina;
6. donsa sock ngokwethu, ngokuhlukile ukuphakamisa imilenze eqondile kusuka phansi.

Kathathu ngosuku, kufaka phakathi masinyane ngemuva kokuvuka, kunconywa ukwenza lokhu okulandelayo kokuzivivinya: beka izinyawo zakho phezu komcamelo nge-30% imizuzu emibili, ulengise imizuzu emithathu, ubeke izitho ngokuqinile ngokulinganayo eminye imizuzu emihlanu.

Ukwelashwa ngezidakamizwa

Ukwelashwa kuya ngesimo sempilo sesiguli esithile.Amaqembu amakhulu wezidakamizwa:

• ama-diuretics, izidakamizwa ezingezona ze-steroidal ezilwa nokuvuvukala - zibekelwe i-edema enzima;
• i-calcitonin ngokweqile noma nge-intramuscularly, kanye ne-bisphosphonates, asetshenziswa ngomlomo uma kudingeka ukumisa inqubo yokubhujiswa kwamathambo;
• Ama-anabolic steroid. Imisebenzi yabo: ukwenza ngcono i-neuromuscular conduction kanye nethoni yemisipha, ukukhuthaza ukumuncwa kwe-calcium, kwandise ukubambisana kokunyakaza.

Esigabeni sokuqala, kuvunyelwe ukusebenzisa ezinye izindlela. Isibonelo, amabhati noma i-lotion enokwakheka kwe-honey-eucalyptus. Ukupheka ngale ndlela: gaya amagremu angama-50 we-eucalyptus (ingilazi yamanzi) kubhavu wamanzi ingxenye yesine yehora. Ipholile, ubunzima, engeza wezipuni ezimbili uju, hlanganisa.

Futhi enye inketho esebenzayo: hlanganisa ingxenye eyodwa ye-rosemary kanye nezingxenye ezimbili zembewu yesinaphi nezimbali ze-chamomile. Thela amanzi abilayo nengxenye yelitha, faka usuku. Amasokisi ama-Moisten socks, abeke imilenze kuzo, achitha ihora noma ngaphezulu ngale ndlela.

Izindlela zokuvimbela

Izindlela ezibaluleke kakhulu zokuvimbela izifo ezinobungozi ezifana nokuhlangana kukaCharcot ku-mellitus yesifo sikashukela zifaka okulandelayo:

1. ukuhambisana ngokuphelele nezincomo zikadokotela oholayo;
2. ukuhlolwa njalo kwemilenze. Uma isikhumba sishintshe umbala, nezinyawo ngokwazo zidumbile, amabele, izikhafu, izipikili ezifakiwe ziqala ukuvela, khona-ke lezi yizinsimbi zokuqala ezingeke zanakwa;
3. Ungazama ukwelapha unyawo lukaCharcot;
4. Kubalulekile ukubandakanyeka ekwelashweni ngokomzimba;
5. kuyadingeka ukugqoka izicathulo ezikhethekile, ama-orthostalkes ngamanye;
6. Ungakhohlwa ukuqinisa amasosha omzimba;
7. ihlolwe njalo ngudokotela we-endocrinologist;
8. ukondliwa okufanele, ukubhekwa njalo koshukela wegazi, nokwenqaba ngokuphelele noma yiluphi uhlobo lwemikhuba emibi kubaluleke kakhulu.

Amavidiyo ahlobene

Izimo zezinyawo zikaSharko zesifo sikashukela:

Unyawo lukaCarcot lwesifo sikashukela luyinkinga ebangelwa ushukela. Kungenzeka ukuvikela leyo nkinga uma zonke izincomo ezinikezwe ngenhla zibhekwa ngokuqinile.