Charcot Arthropathy, Charcot Joint, a i ʻole Charcot Foot

Anter

• He aha ka wāwae Charcot?
• Nā ʻōuli o ka wāwae Charcot
• ʻO ke kahua ʻekahi: Fragmentation a me ka luku
• ʻOihana ʻelua: Coalescence
• Kahua ʻekolu: kūkulu hou
• Nā kumu wāwae Charcot
• ʻIke i ka wāwae Charcot
• Nā kiʻi wāwae Charcot
• Nā mālama wāwae Charcot
• ʻOki wāwae wāwae Charcot
• Q:
• A:
• Kāohi i ka hoʻomohala wāwae o Charcot
• ʻO ka lawe lawe ʻana

Nā ʻiwi, nā iwi, a me nā ami

ʻO ka Neuropathic osteoarthropathy, a i ʻole ka wāwae Charcot, kahi hana hoʻoweliweli e hoʻopili i nā mea palupalu, nā iwi, a me nā hono i ka wāwae a me nā kuʻekuʻe wāwae.

ʻO kahi kūlana palena palena hiki ke hele, hiki ke pale ʻia ka wāwae Charcot i kekahi mau hihia,

E heluhelu e hoʻomaopopo ai i kou makaʻu no ka wāwae Charcot, a me nā ʻōlelo aʻoaʻo no nā hana kūpono e hiki ke kōkua iā ʻoe e hōʻalo iā ia a i ʻole hoʻokū i kāna holomua.

He aha ka wāwae Charcot?

Hiki i ka wāwae Charcot ke hopena ma muli o ka helu piha a kokoke paha i hoʻokahi a ʻelua mau wāwae a i ʻole nā ​​kuʻekuʻe wāwae. ʻO kēia kūlana ke kumu o ka nāwaliwali o nā iwi i ka wāwae, e hana ana iā lākou i ka pōʻino e like me nā haki a me ka hemo.

Ma muli o ka piʻo o ka wāwae, ʻehaʻeha mai nā haki a i ʻole nā ​​traumas ʻē aʻe hiki ke ʻike ʻole ʻia, e alakaʻi ana i nā hōʻino hou aʻe mai ka hele a kū.

Ke hoʻomau nei ka nāwaliwali o nā iwi, hiki i nā hono o ka wāwae ke lilo i hakahaka a hāneʻe paha, e hoʻololi ana i ke ʻano o ka wāwae. Kuhi ʻia ke kinona ma ke ʻano he wāwae wāwae pōhaku, ʻoiai ke kīloha e hohola ana i lalo a i waho, e hana ana i kahi ʻano like pōhaku.

Hiki i ka wāwae Charcot ke alakaʻi i ka hanana o ka ʻeha, paʻakikī e hoʻōla.

Inā haʻalele ʻole ʻia, hiki i ka wāwae Charcot ke alakaʻi i ka deformity nui, kīnā ʻole, a i ʻole ka ʻoki ʻana.

Nā ʻōuli o ka wāwae Charcot

Kū ka wāwae Charcot i ʻekolu mau hanana:

ʻO ke kahua ʻekahi: Fragmentation a me ka luku

Kaha ʻia kēia pae mua e nā ʻōuli e like me ka ʻulaʻula a me ka pehu nui o ka wāwae a me ka kuʻekuʻe wāwae. E mahana a wela paha ka wahi i ka pā ke hoʻohālikelike ʻia me ka wāwae ʻē aʻe.

I loko, hoʻomaka ka hoʻomaka ʻana o nā pehu a me nā iwi liʻiliʻi. ʻO ka hopena he luku ʻia o nā hono a me nā iwi a puni. ʻO kēia ke kumu o ka nalowale o nā hono, i ka hopena i ka hemo ʻana. E lili pū paha nā iwi, palupalu loa.

I kēia wā, hiki i ka lalo o ka wāwae ke lawe i kahi hiʻohiʻona pālahalaha a i lalo paha. Pākuʻi ʻia nā iwi (nā mea kanu plantar) e ʻike ʻia ma lalo o ka wāwae. Inā mālama ʻole ʻia, hiki i kēia pae ke hala i hoʻokahi makahiki.

ʻOihana ʻelua: Coalescence

I kēia wā, hoʻāʻo ke kino e hoʻōla i ka poino i hana ʻia i ka wā mua. Lohi ka hoʻohiolo o nā hono a me nā iwi, a laila e emi ana ka pehu, ʻulaʻula, a mehana.

Kahua ʻekolu: kūkulu hou

I kēia kolu, ka pae hope loa, hoʻōla nā hono a me nā iwi o ka wāwae. Minamina, ʻaʻole lākou e hoʻi i ko lākou kūlana kumu a i ʻole ʻano i kā lākou iho. ʻOiai ʻaʻole e hana ʻia kahi hōʻino hou i ka wāwae, waiho mau ia ia i kahi ʻano kīnā ʻole.

ʻOi aku ka maʻalahi o ka wāwae i ka hoʻokumu ʻia ʻana o nā ʻeha a me nā maʻi puʻupuʻu, i alakaʻi ʻia ai i ka deformity hou a i ʻole i kekahi mau hihia i ka pono no ka ʻokiʻoki.

Nā kumu wāwae Charcot

Kū ka wāwae Charcot i ka poʻe i numbness i ko lākou mau wāwae a me nā wāwae. ʻO kēia nalo o ka sensation ka hopena o kahi ʻano o nā ʻino nerve i kapa ʻia ʻo neuropathy ākea.

Pili loa ka wāwae o Charcot ma ke ʻano he pilikia maʻalahi o ka maʻi kō, akā ʻo ka neuropathy ākea e pili pū me nā ʻano he nui. Pākuʻi ʻia kēia mau mea:

• diabetes
• hoʻohana maʻi ʻona
• hōʻino lāʻau
• lepera
• syphilis
• syringomyelia
• polio
• maʻi, trauma, a i ʻole nā ​​pōʻino i nā aʻa āpau
• HIV
• Maʻi ʻo Parkinson
• nā kūlana hoʻāla, e like me sarcoidosis a i ʻole psoriasis

ʻIke i ka wāwae Charcot

Ma ke kahua ʻekahi, hiki ke ʻike ʻole ʻia ka wāwae o Charcot ʻoiai ʻaʻole kiʻi ʻia nā kukuna X i ka hōʻino e hoʻomaka ana. No kēia kumu, he mea nui e hoʻomaopopo i kāu kauka inā loaʻa kāu maʻi olakino e hopena paha i ka wāwae Charcot.

I kona pae hope i ka wā e holomua ai, hiki ke kōkua i nā ʻenehana kiʻi e like me X-ray a me MRI.

Ma waho o ke kālailai ʻana i kāu mau hōʻailona, ​​e nānā kāu kauka no nā hōʻailona o ka neuropathy ma o kahi hoʻokolohua kino, kahi loiloi o kāu mōʻaukala olakino, a me nā hoʻokolohua. Pākuʻi ʻia kēia mau mea:

• Semmes-Weinstein 5.07 / 10 gram monofilament hoʻokolohua, kahi e kālailai ai i ka ʻike i ke kaomi a me ka hoʻopā ʻana i nā olonā nunui.
• hoʻāʻo pinprick, kahi e loiloi ai i ka hiki ke ʻeha
• hoʻokolohua neurometer, kahi e hōʻike ai i ke kīnā o ke aʻa āpau e like me ke neuropathy diabetic

E hoʻāʻo nō hoʻi kāu kauka i kāu reflexes tendon a kālailai i ka leo o ka mākala a me ka ikaika i kou wāwae a me kou wāwae.

Nā kiʻi wāwae Charcot

Nā mālama wāwae Charcot

Hoʻomākaukau ʻia ka mālama ʻana no ka wāwae Charcot i kona wā mua i ka hoʻoliʻiliʻi ʻana i ka pehu a me ka wela ma ia wahi, a me ka hoʻokūpaʻa ʻana i ka wāwae e ka neʻe ʻole ʻana. He mea nui e hoʻopau i kekahi kaumaha a i ʻole kaomi i ka wāwae e hōʻoki i nā hōʻino hou mai ka hana ʻia. Kuhi ʻia kēia i kekahi manawa ma ke ʻano he hoʻouka.

Hiki i kekahi mau hana ʻenehana haʻahaʻa, nonsurgical no ka wāwae Charcot ke kōkua i ka hopu ʻana i kona holomua. Pākuʻi ʻia kēia mau mea:

• komo i kahi pale pale pale, hele wāwae, a i ʻole ʻūlū hele wāwae i hoʻonohonoho ʻia
• hoʻohaʻahaʻa a hōʻemi paha i nā kaupaona a pau i ka wāwae i hoʻopili ʻia e ka hoʻohana ʻana i kahi noho huila, nā ʻauamo, a i kahi scooter hele wāwae paha
• me ka hoʻohana ʻana i ka brace orthotic e hoʻoponopono i ke kaulike o ka wāwae
• ke kau nei i nā mea hoʻopili i kau pono ʻia i kou wāwae a me kou wāwae

Koi ʻia paha kēia mau kākoʻo i mau mahina a ʻoi aku paha. I loko o kēlā manawa, pono ʻoe e ʻike mau i ke kauka, nāna e mālama i kāu holomua. Inā pili wale kekahi wāwae, e kiaʻi ʻia kou wāwae ʻē aʻe no nā ʻōuli i kēia manawa.

I ka manawa i ho'ōla ai kou wāwae, e kūpono pahaʻoe no nā kāmaʻa therapeutic a iʻole nā ​​kāmaʻa diabetic e hoʻemi a hoʻopau paha i kou manawa e loaʻa ai ka wāwae Charcot i ka wā e hiki mai ana.

ʻOki wāwae wāwae Charcot

Paipai paha kāu kauka i ke ʻoki ʻana inā ua paʻa ʻole kou wāwae a inā ʻaʻole hiki ke hoʻopaʻa ʻia a kākoʻo ʻia i kekahi ʻano. Koi paha ʻoe i ke ʻoki inā loaʻa ʻoe i kahi ʻeha a ulcer paha e hōʻola ʻole ai. ʻO nā ʻenehana ʻoki pū kekahi:

• Osteotomy hana hou. ʻIke ʻia hoʻi ʻo ke kau ʻana o ka iwi maoli, hoʻoponopono kēia hana a hoʻolōʻihi paha i ka iwi i ka wāwae a i ʻole ka kuʻekuʻe wāwae e hoʻololi ai i kāna kaulike a me ka hiki ke kākoʻo i nā hono. Hoʻopōkole kahi kauka lapaʻau i ka iwi ma ka ʻoki ʻana a hoʻolōʻihi paha i ka iwi ma ka hoʻohui ʻana i kahi iwi o ka iwi iā ia.
• Hoʻohui kuʻekuʻe wāwae. Hoʻohana kēia kaʻina hana i nā wili, koʻokoʻo, a i ʻole nā ​​pā e laka ai ke kuʻekuʻe wāwae, pāpā i ka neʻe.
• ʻO Exostectomy. ʻO kēia ka hemo ʻana o nā hanana plantar, kahi e hoʻokumu ai i nā ulcer.
• Hoʻohui a me nā pono hoʻokamakama. Wehe ʻia ka wāwae a ʻāpana paha o ka wāwae, a ukali ʻia e ka hoʻopili ʻana no kahi mea hoʻokamakama.

Q:

I ka manawa hea ka pono o ke kaha ʻana no nā ʻōuli o ka wāwae Charcot?

A:

Hana pinepine ʻia ke ʻoki kino ke hana ʻia nā ulcerations ma muli o nā hanana bony. Lawe ʻia ka mea make a hoʻoneʻe ʻia ka iwi kumu nāna i hana ka maʻi kō i mea ʻole ia e hoʻi hou.

Hana ʻia ka hana ʻokiʻoki e hoʻopaʻa i kahi hui, e like me ka kuʻekuʻe wāwae.

ʻO ka mea hope loa, ʻaʻole pane kekahi poʻe i nā ʻano maʻamau maʻamau a hoʻopau me ka deformity nui a hoʻomau i ka maʻi. Hiki i kēia ke koi i kahi ʻoki o kēlā me kēia ʻāpana o ka wāwae a i ʻole ka wāwae a me ka kuʻekuʻe wāwae i hiki i ka mea maʻi ke hoʻokau ʻia me kahi prostesis e hoʻomaikaʻi ai i ko lākou ola a pale i nā haukapila hou a me nā ʻoki.

Kāohi i ka hoʻomohala wāwae o Charcot

Hiki ke pale aku i ka wāwae Charcot i kekahi mau hihia:

• Inā loaʻa ʻoe i ka maʻi diabetes, ʻo ka mālama ʻana i kāu kiʻekiʻe o ke kō i ke kō e hiki ke kōkua i ka hōʻemi ʻana i nā aʻalolo.
• ʻO ka poʻe i loaʻa i ka maʻi diabetes a i ʻole ka makaʻu no ka neuropathy, pono lākou e hōʻalo i ka hōʻino a hōʻeha paha i ko lākou mau wāwae i nā manawa a pau e hiki ai: Hōʻalo i nā haʻuki a i ʻole nā ​​haʻuki e hiki ke hopena i kou mau wāwae, e like me ke kinipōpō peku.
• E hana i nā hoʻokolokolo ponoʻī ʻana i kēlā me kēia lā e nānā no nā ʻōuli mua.
• Inā hoʻohana hewa ʻole ʻoe i ka waiʻona a i ʻole nā ​​mea ʻē aʻe, kahi papahana 12-ʻāpana a i ʻole nā ​​hana ʻē aʻe, e like me kahi hoʻonohonoho hou ʻana, hiki ke kōkua i ka hōʻoki ʻana i ka hana e hoʻoweliweli iā ʻoe no ka wāwae Charcot.
• E hāhai i nā ʻōkuhi a kāu kauka a loaʻa i nā loiloi ʻoihana i kēlā me kēia manawa.

ʻO ka lawe lawe ʻana

ʻO ka wāwae Charcot kahi ʻano luku loa, akā hiki ke pale ʻia i kekahi mau hihia. He mea koʻikoʻi ka ʻike mua ʻana no ka pale ʻana i ka hōʻino a me ka hiki ke hōʻoki ʻia.

Ke hopu wawe ʻia, hiki i ka wāwae Charcot ke hoʻoponopono a hopu ʻia paha ma o nā hana ʻenehana haʻahaʻa a me nā conservative. I nā hanana ʻē aʻe, pono paha ke ʻoki.