Wāwae Charcot

ʻO ka wāwae Charcot kahi ʻano e hoʻopili i nā iwi, nā hono, a me nā mea palupalu i nā wāwae a me nā kuʻekuʻe wāwae. Hiki iā ia ke ulu ma muli o ka hopena o ke aʻalolo i nā wāwae ma muli o ka maʻi diabetes a me nā ʻeha nerve ʻē aʻe.

ʻO ka wāwae Charcot kahi maʻi laha ʻole a disabling hoʻi. He hopena ia o ka hōʻino nerve i nā wāwae (neuropathy ākea).

ʻO ka maʻi diabetes ke kumu maʻamau o kēia ʻano ʻino o ke aʻalolo. ʻOi aku ka nui o kēia pōʻino i ka poʻe me ka maʻi diabetes type 1. Ke kiʻekiʻe ke kiʻekiʻe o ke kō kō ma mua o ka manawa lōʻihi, hōʻino ʻia nā aʻa a me nā kīʻaha koko i nā wāwae.

Hiki i ka hōʻino ʻana o ke aʻa ke paʻakikī i ka nānā ʻana i ka nui o ke kaomi i ka wāwae a i ʻole ke koʻikoʻi ʻia. ʻO ka hopena ke hoʻomau nei i nā hōʻeha liʻiliʻi i nā iwi a me nā liga e kākoʻo i ka wāwae.

• Hiki iā ʻoe ke hoʻomohala i nā haʻi haʻihaʻi iwi i kou mau wāwae, ʻaʻole naʻe ʻoe e ʻike.
• Ke hoʻomau nei e hele ma ka iwi haʻi i alakaʻi pinepine ʻia i ka iwi a me nā hui pū ʻino.

ʻO nā kumu ʻē aʻe e alakaʻi i ka hōʻino wāwae he:

• Hiki ke hoʻonui a hoʻololi paha i ke kahe o ke kīʻaha koko i nā wāwae. Hiki i kēia ke alakaʻi i ka nalo o ka iwi. ʻO nā iwi nāwaliwali i nā wāwae e hoʻonui i ka makaʻi o ka haki.
• ʻO ka ʻeha i ka wāwae ka hōʻailona o ke kino e hoʻohua i nā kemikena hou. Hāʻawi kēia i ka pehu a me ka nalo ʻana o ka iwi.

Hiki i nā ʻōuli o ka wāwae mua ke komo pū:

• ʻEha haʻahaʻa a me ka hōʻoluʻolu ʻole
• ʻUlaʻula
• ʻŌhū
• Mahana i ka wāwae e pili ana (ʻoi aku ka mahana ma mua o ka wāwae ʻē aʻe)

Ma nā wā ma hope, haki nā iwi i ka wāwae a neʻe i waho o kahi, e hoʻoliʻiliʻi ai ka wāwae a i ʻole ka kuʻekuʻe wāwae.

• ʻO kahi hōʻailona maʻamau o Charcot ka wāwae wāwae pōhaku. Kū kēia ke hāʻule nā ​​iwi i waenakonu o ka wāwae. ʻO kēia ke kumu o ka hina ʻana o ka paʻa o ka wāwae a kūlou i lalo.
• E wili paha nā manamana wāwae i lalo.

Hiki i nā iwi ke kū ma nā ʻaoʻao ʻokoʻa ke alakaʻi i nā ʻeha puʻe a me nā ulcer wāwae.

• Ma muli o ka piʻo o ka wāwae, ulu a māhuahua paha kēia mau ʻeha ma mua o ka ʻike ʻia.
• Hana ke kō i ke koko kiʻekiʻe i mea paʻakikī i ke kino e hakakā i ka maʻi. A ʻo kahi hopena, hele a maʻi nā ulcer wāwae kēia.

ʻAʻole maʻalahi ka wāwae o Charcot i ka diagnose mua. Hiki ke kuhihewa ʻia no ka maʻi o ka iwi, ka maʻi pākī a i ʻole ka huʻi pū. E lawe kāu mea mālama ola i kāu mōʻaukala olakino a nānā i kou wāwae a me kou kuʻekuʻe wāwae.

Hiki ke hana i nā hoʻokolohua koko a me nā hana ʻē aʻe e kōkua ai i ka pale ʻana i nā kumu ʻē aʻe.

E nānā paha kāu mea lawelawe no ka hōʻino nerve me kēia mau hoʻāʻo.

• Uila uila
• Nā hoʻāʻo wikiwiki conduction nerve
• ʻO ka biopsy nerve

E hana ʻia paha nā hoʻokolohua e nānā ai no ka iwi a me nā ʻino pū.

• Wāwae X-kukuna
• MRI
• ʻImi iwi

Hiki ke nānā maʻamau nā kukuna wāwae i nā wā mua o ke ʻano. Iho pinepine mai ka hōʻoia ʻana e ʻike i nā ʻōuli mua o ka wāwae Charcot: ka pehu ʻana, ka ʻulaʻula, a me ka mehana o ka wāwae i pili.

ʻO ka pahuhopu o ka mālama ʻana e hōʻoki i ka nalo ʻana o ka iwi, e ʻae i nā iwi e hoʻōla, a pale i nā iwi mai ka neʻe ʻana i waho o kahi.

Immobilization. E hāʻawi kāu mea lawelawe iā ʻoe e ʻaʻa i kahi hui hoʻokaʻaʻike holoʻokoʻa. E kōkua kēia i ka palena o ka neʻe ʻana o kou wāwae a me kou kuʻekuʻe wāwae. E noi ʻia paha ʻoe e kāpae i kou kaupaona ma mua o kou wāwae, no laila pono ʻoe e hoʻohana i nā ʻauamo, kahi mea hele wāwae kukuli, a i ʻole noho kaʻa huila.

E kau ʻoe i nā pahu hou ma kou wāwae i ka iho ʻana o ka pehu. Hiki i ka hoʻōla ke hala i ʻelua mau mahina a ʻoi.

Lole wāwae pale. I ka manawa i ho'ōla ai kou wāwae, hiki i kāu mea hoʻolako ke kuhikuhi i ka lole komo no ke kōkuaʻana i kou wāwae a pale i ka hōʻeha hou. Pākuʻi ʻia kēia mau mea:

• Pākuʻi
• Kukui
• ʻO insole Orthotic
• ʻO Charcot kaohi i ka mea hele wāwae orthotic, kahi kīʻaha kūikawā e hāʻawi i ke kaomi i ka wāwae āpau

Hoʻololi nā hana. E makaʻu mau paha ʻoe i ka hele mai o Charcot wāwae a i ʻole ke hoʻomohala ʻana i kāu wāwae ʻē aʻe. No laila e koi paha kāu mea hāʻawi i nā loli hana, e like me ka palena ʻana i kou kū ʻana a i ʻole ka hele wāwae ʻana, e pale ai i kou mau wāwae.

ʻOki kino. Hiki paha iā ʻoe ke ʻoki inā loaʻa iā ʻoe nā ulcer wāwae e hoʻi hou ana a i ʻole ʻānō koʻikoʻi hoʻi ka wāwae a me nā kuʻekuʻe wāwae. Hiki i ke kīpoki ke kōkua i ke kūpaʻa i kou mau wāwae a me nā kuʻekuʻe wāwae a hemo i nā wahi iwi e pale ai i nā ulcer wāwae.

Ke hoʻomau nei ka nānā ʻana. Pono ʻoe e ʻike i kāu mea hoʻolako no ka nānā ʻana a hana i nā kaʻina e pale ai i kou mau wāwae no ke koena o kou ola.

Pili ka wānana i ka paʻakikī o ka deformity wāwae a me ke ʻano o kou hoʻōla. Hana maikaʻi nā poʻe he nui me nā pale, nā loli o ka hana, a me ka nānā mau ʻana.

Hoʻonui ka hemahema nui o ka wāwae i ka pilikia o ka ulcer wāwae. Inā maʻi a maʻi nā ulcer e mālama, koi ʻia ka ʻoki ʻana.

Kāhea aku i kāu mea hāʻawi iā ʻoe he maʻi diabetes a me kou wāwae mehana, ʻulaʻula, a pehu paha.

Hiki i ke olakino olakino ke pale aku a lohi paha i ka wāwae Charcot:

• Mālama maikaʻi i kāu mau pae glucose i ke koko e kōkua i ka pale ʻana a hoʻolohi paha i ka wāwae Charcot. Akā hiki nō ke hana, ʻoiai i ka poʻe me ke kaohi diabetes maikaʻi.
• E mālama i kou mau wāwae. E hōʻoia iā lākou i kēlā me kēia lā.
• E ʻike pinepine i kāu kauka wāwae.
• E nānā mau i kou mau wāwae e nānā i nā ʻoki, ʻulaʻula a me nā ʻeha.
• Hōʻalo i ka hōʻeha ʻana i kou mau wāwae.

Ami Charcot; ʻO ke neuropathic arthropathy; ʻO Charcot neuropathic osteoarthropathy; Kāleka ʻo Charcot; ʻO Charcot osteoarthropathy; Wāwae Diabetic Charcot

• Hōʻaʻo conduction nerve
• ʻO ka maʻi diabetes a me nā nerve
• Mālama wāwae diabetic

ʻAhahui Diabetes ʻAmelika. 10. Nā pilikia Microvascular a me ka mālama wāwae: nā kūlana o ka mālama olakino i ka maʻi kō - 2018. Mālama Diabetes. 2018; 41 (Pākuʻi 1): S105-S118. PMID: 29222381 www.ncbi.nlm.nih.gov/pubmed/29222381.

Baxi O, Yeranosian M, Lin A, Munoz M, Lin S. Hoʻokele orthotic o nā wāwae neuropathic a me nā dysvascular. I: Webster JB, Murphy DP, nā huahana. Nā Atlas o nā Orthoses a me nā Pūnaewele Kōkua. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 26.

Brownleee M, Aiello LP, Cooper ME, Vinik AI, Plutzky J, Boulton AJM. Nā pilikia o ka maʻi diabetes. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 33.

Hoʻohui ʻo Kimble B. Charcot. I: Ferri FF, hoʻoponopono. ʻO Ferri's Clinical Advisor 2019. Piladelapia, PA: Elsevier; 2019: chap307.

Rogers LC, Armstrong DG, et al. Mālama Podiatric. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 116.

Rogers LC, Frykberg RG, Armstrong DG, a me al. ʻO ka wāwae Charcot i ka maʻi kō. Mālama Diabetes. 2011; 34 (9): 2123-2129. PMID: www.ncbi.nlm.nih.gov/pubmed/21868781.