Leoto la Charcot

Leoto la Charcot ke boemo bo amang masapo, manonyeletso le lisele tse bonolo maotong le maqaqailaneng. E ka hlaha ka lebaka la tšenyo ea methapo maotong ka lebaka la lefu la tsoekere kapa likotsi tse ling tsa methapo.

Leoto la Charcot ke boloetse bo sa tloaelehang le bo holofatsang. Ke ka lebaka la tšenyo ea methapo maotong (peripheral neuropathy).

Lefu la tsoekere ke sesosa se tloaelehileng haholo sa mofuta ona oa tšenyo ea methapo. Tšenyo ena e atile haholo ho batho ba nang le lefu la tsoekere la mofuta oa 1. Ha tsoekere ea mali e phahame ka nako e telele, tšenyo ea methapo le methapo ea mali e etsahala maotong.

Tšenyo ea methapo e thatafalletsa ho hlokomela bongata ba khatello leotong kapa haeba e hatelloa. Phello ke likotsi tse nyane tse tsoelang pele masapong le mesifa e tšehetsang leoto.

• U ka ba le khatello ea masapo maotong a hao, empa u se ke ua e tseba.
• Ho tsoela pele ho tsamaea ka lesapo le robehileng hangata ho lebisa ho senyeheng ha masapo le manonyeletso.

Lintho tse ling tse lebisang ho senyeheng ha maoto li kenyelletsa:

• Tšenyo ea methapo ea mali ea lefu la tsoekere e ka eketsa kapa ea fetola phallo ea mali maotong. Sena se ka lebisa ho senyeha ha masapo. Masapo a fokolang maotong a eketsa menyetla ea ho robeha.
• Kotsi leotong e supa 'mele ho hlahisa lik'hemik'hale tse ngata tse bakang ho ruruha. Sena se thusa ho ruruha le ho lahleheloa ke masapo.

Matšoao a maoto a pele a ka kenyelletsa:

• Bohloko bo bonolo le ho se utloise bohloko
• Bofubelu
• Ho ruruha
• Mofuthu maotong a amehileng (o futhumetse ho feta leoto le leng)

Mekhahlelo ea morao-rao, masapo leotong a robeha ebe a tloha sebakeng, a etsa hore leoto kapa leqaqailane le holofale.

• Letšoao la khale la Charcot ke leoto le tlase-tlase. Sena se etsahala ha masapo a bohareng ba leoto a putlama. Sena se etsa hore leoto la leoto le oe 'me le iname fatše.
• Menwana ya maoto e ka kobeha tlase.

Masapo a tsoang ka maqhubu a sa tloaelehang a ka lebisa ho liso tsa khatello le liso tsa maoto.

• Hobane maoto a felloa ke matla, liso tsena li ka hola ho pharalla kapa ho teba pele li ka hlokomeloa.
• Tsoekere e phahameng maling le eona e thatafalletsa 'mele ho loantša tšoaetso. Ka lebaka leo, liso tsa maoto tsena lia tšoaetsoa.

Leoto la Charcot ha se kamehla ho leng bonolo ho le tseba kapele. E ka fosahetse ka tšoaetso ea masapo, ramatiki kapa ho ruruha ho kopaneng. Mofani oa hao oa tlhokomelo ea bophelo o tla nka nalane ea hau ea bongaka mme a u hlahlobe leoto le leqaqailana.

Liteko tsa mali le mosebetsi o mong oa labor li ka etsoa ho thusa ho hlakola lisosa tse ling.

Mofani oa hau a ka sheba ts'enyo ea methapo ka liteko tsena:

• Electromyography
• Liteko tsa khatello ea methapo ea methapo
• Boitšoaro ba methapo

Liteko tse latelang li ka etsoa ho hlahloba tšenyo ea masapo le manonyeletso:

• Maoto X-ray
• MRI
• Ho hlahloba lesapo

Maoto x-ray a ka shebahala a tloaelehile maemong a pele a boemo boo. Ho lemoha hangata ho theohela tlase ho lemoha matšoao a pele a leoto la Charcot: ho ruruha, bofubelu le mofuthu oa leoto le amehileng.

Morero oa kalafo ke ho emisa ho senyeha ha masapo, ho lumella masapo ho fola, le ho thibela masapo ho tsoa sebakeng (ho holofala).

Ho thibela mmele. Mofani oa hau o tla etsa hore u apare kakaretso ea mabitso. Sena se tla thusa ho lekanyetsa motsamao oa leoto leqaqailana. Mohlomong u tla kopuoa hore o theole boima ba 'mele maotong a hau, kahoo o tla hloka ho sebelisa lithupa, sesebelisoa sa ho tsamaea ka mangole kapa setulo sa likooa.

U tla fuoa samente tse ncha maotong a hau ha ho ruruha ho theoha. Pholiso e ka nka likhoeli tse 'maloa kapa ho feta.

Lieta tse sireletsang. Hang ha leoto la hau le folile, mofani oa hau a ka fana ka maikutlo a lieta ho thusa ho tšehetsa leoto la hau le ho thibela ho tsoa kotsi hape. Tsena li ka kenyelletsa:

• Matlakala
• Li-braces
• Li-insoles tsa Orthotic
• Charcot restraint orthotic walker, boot bo khethehileng bo fanang ka khatello le leoto lohle

Liphetoho tsa mosebetsi. U tla lula u le kotsing ea hore leoto la Charcot le khutle kapa le hola ka leoto le leng. Kahoo mofani oa hau a ka khothaletsa liphetoho tsa mesebetsi, joalo ka ho emisa ho ema kapa ho tsamaea, ho sireletsa maoto a hau.

Phekolo. U kanna oa hloka ho buuoa haeba u na le liso tsa maoto tse lulang li khutla kapa leoto le boima kapa bofokoli ba maqaqailana. Ho buoa ho ka thusa ho tsitsisa leoto le manonyeletso a leqaqailaneng le ho tlosa libaka tse nang le masapo ho thibela liso tsa maoto.

Tlhokomelo e tsoelang pele. U tla hloka ho bona mofani oa hau bakeng sa ho hlahlojoa le ho nka mehato ea ho sireletsa maoto a hau bophelo bohle ba hau.

Phatlalatso e latela matla a ho holofala ha leoto le hore na u fola hakae. Batho ba bangata ba sebetsa hantle ka li-brace, liphetoho tsa mesebetsi le tlhahlobo e tsoelang pele.

Ho holofala ho hoholo ha leoto ho eketsa menyetla ea liso tsa maoto. Haeba liso li tšoaetsoa 'me ho le thata ho li phekola, li ka hloka ho khaoloa.

Ikopanye le mofani oa hau oa lefu la tsoekere mme leoto la hau le futhumetse, le khubelu kapa le ruruhile.

Mekhoa e metle e ka thusa ho thibela kapa ho liehisa leoto la Charcot:

• Boloka taolo e ntle ea maemo a tsoekere ea mali ho thusa ho thibela kapa ho liehisa leoto la Charcot. Empa e ntse e ka etsahala, le ho batho ba nang le taolo e ntle ea lefu la tsoekere.
• Hlokomela maoto a hao. Li hlahlobe letsatsi le letsatsi.
• Bona ngaka ea maoto ea hau khafetsa.
• Lekola maoto a hau khafetsa ho sheba ho seha, bofubelu le liso.
• Qoba ho lematsa maoto.

Kopanetsoeng Charcot; Neuropathic arthropathy; Charcot lefu la ho fokola ha masapo; Charcot arthropathy; Charcot osteoarthropathy; Leoto la lefu la tsoekere Charcot

• Teko ea ho khanna methapo
• Lefu la tsoekere le tšenyo ea methapo
• Tlhokomelo ea maoto a lefu la tsoekere

Mokhatlo oa Amerika oa lefu la tsoekere. 10. Mathata a Microvascular le tlhokomelo ea maoto: litekanyetso tsa kalafo ea lefu la tsoekere - 2018. Tlhokomelo ea lefu la tsoekere. 2018; 41 (Tlatsetso ea 1): S105-S118. PMID: 29222381 www.ncbi.nlm.nih.gov/pubmed/29222381.

Baxi O, Yeranosian M, Lin A, Munoz M, Lin S. Tsamaiso ea maiketsetso ea maoto a methapo le methapo. Ka: Webster JB, Murphy DP, bangoli. Atlas of Orthoses le Lisebelisoa tsa Thuso. La 5th. Philadelphia, PA: Elsevier; 2019: khaolo ea 26.

Brownleee M, Aiello LP, Cooper ME, Vinik AI, Plutzky J, Boulton AJM. Mathata a lefu la tsoekere. Ka: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, bahlophisi. Buka ea Williams ea Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 33.

Kimble B. Charcot e kopane. Ka: Ferri FF, e hlophisitsoeng. Moeletsi oa Bongaka oa Ferri oa 2019. Philadelphia, PA: Elsevier; 2019: khaolo ea 307.

Rogers LC, Armstrong DG, le al. Tlhokomelo ea bana. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 116.

Rogers LC, Frykberg RG, Armstrong DG, le al. Leoto la Charcot le tšoeroeng ke lefu la tsoekere. Tlhokomelo ea lefu la tsoekere. 2011; EA-34 (9): 2123-2129. PMID: www.ncbi.nlm.nih.gov/pubmed/21868781.