Waewae Charcot i roto i te mate huka: he whakaahua me te maimoatanga

mohiotia huka mellitus te ki te hunga i te mate matatini ki nei ora tatou. Otiia i roto i ētahi wā faingataa te meka mere o te raruraru e tukanga atu haamou. Ko tētahi tauira a Tūrongo ko te waewae Charcot. Ko te taumaha, me te mōrearea tēnei tātaritanga.

āhuatanga o te mate

Charcot waewae i roto i te rongoa me tāutuhia rite osteoarthropathia huka. Kei te korero tatou e pā ana ki pōauautanga nui o te mate huka, te āhuatanga nei i te momo o ngā huringa wheua:

• Hyperostosis. Whakatipu wheua cortical.
• Osteoporosis. Kei te korero tatou e pā ana ki te vaivai me thinning o nga wheua.
• Ostelioz. Kei te tino whenumi wheua kiko.

Ka rite ki a koutou e taea te kite, he mahi wehe ki hopearaa kino mamafa Charcot waewae i roto i te mate huka. I roto i te anga o te ara mua o te ora ko te mate taua e taea arahi ki piere wheua auau, me te ratou coalescing hē. Te meka whakamutunga ētahi wā ai deformation o te waewae.

Titau taua whanaketanga e tika ana mo te hunga e whai huangō pāngia puka o te mate huka. Na he nui hoki tūroro taiāki-ti'aturi reira, me te hunga e kore e nei hinga i roto i tenei rōpū. I muri i te tetahi wā o te wā e maha pera tūroro pūmau pōauautanga neuropathic e meinga piere i te waewae, a auau.

Ka taea hoki te raruraru i runga kia haere tahi e tuwhenua o te kiri, i whakaritea mai faingataa te āhuatanga kua uaua. Ko te rārangi raro e ka i te neuropathy puta whewhe i runga i te waewae, meinga ratou rere toto nui, flushes atu konupūmā i te wheua. Noatia, i muri i te tukanga taua ngaro wheua kaha me te taea e i te pikaunga āhua.

E tano ia tapao i te meka e puta te nuinga Charcot waewae i roto i tūroro o te aro nei ki te mate mo te neke atu i te 10 tau.

momo o te mate

Vai nei te tahi mate whakamārama e arahi ki te ahua o te waewae mate huka. Homai tenei meka, i reira e rave rahi mau huru o te mate:

• Neuroischemic. Ko tōna whanaketanga e wahi ki te papamuri o angiopathy mate huka, faaite nei e te ino i roto i te raro topito rere toto. I roto i tenei ahua, e kore e te waewae te huri tona āhua, ka tonu tona tūtohutanga te. Ko te kupu i reira te puku, riro matao kiri, me he pini ngoikore.
• waewae Charcot - puka neuropathic. I roto i tenei take, whakawhanake te mate i roto i te papamuri o te polyneuropathy mate huka, me te arata'i ki te hinga o te hopearaa karere i roto i te waewae. E heke tohu o tenei huru ki te whakaiti nui i roto i te tūtohutanga o te waewae, i reira he i te mamae kotahi. Nā ki te meka i ohorere te innervation te, te manawanui hē tohatoha te kawenga i runga i te hononga waewae, i te mea he aha i reira ko te mōrea o deformation o nga waewae.
• Konatunatua. I roto i tenei take, i te wa ano, tohu o ngā momo e rua o te runga ake.

waewae Charcot i roto i te mate huka: te wāhanga o te whanaketanga

Ki te tangohia e tatou ki pūkete te aromatawai o te mate e Dr. Wagner, ka waiho reira taea ki te tohatoha 5 wāhanga e haere te manawanui ki te tātaritanga o "waewae mate huka". Tenei ko te whakamārama poto:

• Ko te wāhanga tuatahi. Whewhe momo mata, i roto i nei te pānga e anake nga papa o runga o te kiri. Ka rite ki te maimoatanga te whakamahi i Technology tango i kotia. Ki te tika, kei te whakamahia paturopi.
• Tuarua. Ko reira e pā ana ki te whewhe hohonu, e kore e patua te wheua. Ko te kupu e taea tetahi whakatau i te pānga o te mate i te āhuatanga e whai ake nei: he pāmahana tiketike, pirau, me te whero huri noa te wahi i pangia o te waewae. Ko paturopi wā, me te pokanga ki te tango kiko huakore.
• Tuatoru. I tenei wā, kua hanga e te reira i te whewhe hohonu, e tupu wheua mate (whakawhanake te tapû-). pā hoki ngā tukanga kino kiko ngohengohe i roto i te waewae. Kei te maha haere tahi te huru rite i te suppuration. whakaritea Treatment te taua rite i roto i te take ki te atamira tuarua. I roto i te mate rawa nui e taea tapuhia, engari he onge take pērā - he maha taea huru o te tūroro ki te whakapai ake i te rongoā i roto i.

• A maha. āhuatanga waewae Charcot i tenei taumata e kaikai, e pā he wahi ngā, taua maihao. Ki te kawea tenei tātaritanga te i amputations wahi huakore me i roto i ngā take kino - nga waewae i raro i te turi.
• tuarima i te atamira. I tenei wā, te whakangaromanga mōrahi: te whakawhanake i te kikohangatia whānui o te waewae, e taea arahi ki te putanga mate. Ko te mehua whai hua anake he ki tapuhia, me tonu.

Tātari i roto i te e te mutu ko utu te whakahua i te atamira kore a Charcot, e mua whakaahuatia katoa i runga. I roto i te meka, e korero tatou e pā ana ki te iwi nei e noho mōrearea. A, no te kahore he ulceration tenei ahua, engari riro hira kitea o te waewae, i reira he i kotia taihoa ranei, engari hanga ano hoki ite iho hyperkeratosis.

tātaringa

Charcot waewae i roto i te mate huka, te wahi whakau whakaahua te mafatukituki 'o te mate, titau maimoatanga wā, te kore ai te whakawhanake koe pōauautanga nui.

Na reira, Me te tātaritanga o te tohu tuatahi o te mate ki te noho ki te āwhina o ngaio tohu. I te whakapae tuatahi o te osteoarthropathia mate huka kia utu i te haerenga ki te tākuta-tafe'anga. Ki te taea, he pai ki te haere ki te pokapū hauora motuhake.

I roto i te tikanga ki te hanga i te tātaritanga tika, Me ako tupato o nga tohu haumanu me te radiological e ka tohu ki etahi he atamira. Ko te matatini o te tukanga o te whakatau i te mate whewhe ki raro ki te meka e kia rite te tohu i te faaiteraa o te cellulitis o te waewae, thrombophlebitis, lymphostasis me ētahi atu mate.

Ko te uaua tino ko te tātaritanga pārōnaki i roto i te take i reira Charcot waewae (huka) he i te wā whakapeka. I roto i tenei take, te roa i roto i te maimoatanga e taea te utu i te mate alangá manawanui.

Kia pehea te ko te tātaritanga pārōnaki i roto i te wāhanga whakapeka?

A, no te Ko te manawanui i roto i te huru taua, e ngana ana ngā tākuta ki te tiki i te whakahoki ki ngā pātai matua e rua:

• Ki te whai koe i te tohu radiographic tika o te whakangaromanga wheua, he aha te ahua o te āhua e ratou - mate hopuhopu (te tapû-) noninfectious (CAP) ranei?
• Pea ki te whakatau i te huringa inflammatory rite ki te hua o te whakangaromanga o ngā hanganga wheua ranei he tohu rerekē o te mate ratou (disorders tahi rūmātiki, thrombophlebitis whakapeka, phlegmon waewae, rumati gouty, me ētahi atu).?

Ki te tiki i te kupu whakahoki ki te pātai tuarua, ka hiahia koe taputapu atu, no te mea kahore e mea fifi ki tautohe e te manawanui ko Charcot waewae. X-hihi hei wāhanga o tenei rangahau ko te nui tino.

I tua atu ki X-ray, he mea e tika ana ki te whakamahi i atahanga te kōwarotanga autō. Kore kia kino, me te waewae scintigraphy kōhiwi. e tauturu i te katoa o enei mehua tātaritanga ki te tautuhi i ngā rerekētanga inflammatory, nui haere rere toto i roto i te wahi pāngia me microfractures.

I roto i te take o te hiahia e taea te aromatawai tohu matüora o wheua rärangi. kia hoki kia tangohia Tautohu o kiko anō ki pūkete no te mea whakaata ratou te mahi o te isoenzyme wheua.

No nia i te pātai tuatahi, he mea tino hāngai i tohu kitea o tuwhenua arataukai o te waewae. kia hāngai tenei mōhiohio, me i roto i te wā postoperative e whai ake nei ia tapuhia tafa ranei e pā ana ki te waewae. Hei whakatau i te āhua o te whakangaromanga wheua, he whakamātautau toto mo te tapû.

waewae Charcot: maimoatanga

Tuatahi o te katoa e ti'a ia tatou ia maramarama e, e tukua mai i te tukanga whakaora te hua nui ki te kite i te manawanui he tākuta i roto i te wā. Ko ki hoki tenei pa, te iwi ki te tātaritanga pērā i te mate huka, kia taea ki te aromatawai takitahi te āhua o ratou waewae.

tirohanga mātau taea a kia ako, ka āwhina i tenei tohutohu takuta. Ka rite ki te hua, kia faatupu i te manawanui te peu o tirotiro tonu nga waewae, a i roto i ngā te waewae. Kia te tuhia tetahi huringa i roto i te hanganga, ara iti, e hiahia ana koe ki te whakamahere i te haerenga ki te tākuta.

Ko reira ano hoki nui ki te whakaaro i te meka e whai ake nei, haere tahi nei i mate Lou Gehrig o - Marie: heke mamae i roto i te waewae ki tenei huru te tika ki atrophy o nga hopearaa karere, a kia mea i te manawanui e he iti te kino hua, i te mea kei mau nui te kino.

Ki te puta tuwhenua waewae, he mea e tika ana ki te titiro a ratou ki te tautuhinga hohonu. Ki te whakaaro ki te pānga haumanu, i raro i etahi tuwhenua taea te faaho'ihia mai ki te awhina o insoles orthopedic, rite ratou tino whakaiti i te pēhanga i roto i haere ana. Ki te kore te mea ranea tenei mehua, te whakamahi i immobilization, te ārai i te pānga kaha i runga i te kiri.

whakaritea maimoatanga hāparapara te ka atu i te whewhe ki te taumata o te kiri. Ki te reira ko tetahi meka pūmau o mate, ka whakahau i te tākuta paturopi.

I te tahi taime e taea tuwhenua plantar whakawhānui noa ki te prominences Ihakara. I roto i tenei take, i reira te mea he hiahia hoki tango hāparapara o te whakamutunga. Ka rite ki te tauira, he wheua metatarsal, ki te tango e taea whewhe, paetata i te forefoot.

Mō ētahi atu mōhiohio i runga i maimoatanga hauora me te hāparapara

Whawhai ki te waewae huka, me te taea e operative i te tikanga o ngā tikanga puāwaitanga.

arotahi maimoatanga tūpato kei i runga i ngā mahi e taea te wehea ki e rua momo:

• maimoatanga Basic. I tenei taumata o te whakarongo ki te mate huka utu, mana pēhanga me te māori o ngā taumata huka toto. E whakaako tūroro te matauranga me ngā pūkenga e tika ana. Ki te tika, kia ui tō tākuta ki te mutu kai paipa no te mea he pānga kino i runga i oko toto.

• mehua haumanu atu. Ki te pāngia Charcot waewae i roto i te mate huka, kia ngā maimoatanga therapy antimicrobial te whakamahi i paturopi. Hoki whakamahia whakahaere mamae anesthetics pērā i "Ibuprofen", "Analgin" et al. Ano, te whakamamaetia te manawanui he raupapa o mehua maimoatanga ki te whakahoki karere āriponga, me te whakapai ake i te rere toto i roto i te waewae. Kaua e mahi i waho o te pānga rohe o te whakamahi i antiseptics.

Ka rite ki hoki pokanga, kua whakamahia te reira i roto i te take i reira i reira he he hiahia ki te tango i nga abscesses me mariao. kia maimoatanga hāparapara mehua e hāngai ana ki te whakapai ake i te rere toto. Ki te uru te manawanui e ki te wāhi hauora i roto i te wāhanga whakamutunga o te mate, e faarahi te reira i te tūponotanga o ia tapuhia o nga waewae, me wahi o raro.

Whakaora o te kōhiwi waewae

A, no te he Charcot maimoatanga waewae huka matua e hāngai ana ki te tango i tuwhenua me abscesses, engari kia whakamahia ai pokanga rite te mahi whakaiti. Kei te korero tatou e pā ana ki te ako o te hira waewae.

Mau whakamana e haamou i resection o ngā hanganga wheua, me te arthrodesis, e meinga he hua i roto i te pēhanga ki runga i te mata plantar, e arata'i ki te hanganga o keha kore-te whakaora. I roto i te tikanga ki te tono i taua tikanga, ko reira te tuatahi tika ki te whakarite i te irava ko he tukanga inflammatory, a tino, a kahore he osteolysis. Ki te kahore e tutaki i enei tikanga, i reira ko te mōrea e ka arahi i te pokanga ki te putanga o pokapū hou o te whakangaromanga.

Hoki, i mua i hiahiatia te mahi kei te ki te whakapakari i te wheua e te tikanga o taero e tika ana.

He tika, ka kaha deformation te hanga hāparapara i runga-whakaahuatia o te waewae, te whakamahi hauarea o te hu orthopedic motuhake.

āraihia

Kitea ko te faufaa o te mōhiohio i runga i te āhua o ki te ārai i te raruraru taua, Charcot waewae. tūroro photo E tauturu te reira ia tatou ki te mārama me pēhea te nui, ko te tukanga haamou tenei. A tae noa ki te kua i ia he pānga me kawea te maimoatanga i waho, e kore e tenei tikanga e kore e puta ano te whewhe.

Na, ki te karo me te ārai i te re-takanga o Charcot waewae i te whai i te mau parau tumu tamatahia i roto i te anga o te ārai. Tuatahi o te katoa e hiahia ana koe i runga i te wā ki te tirotiro i to ratou ake waewae, me i te tohu tuatahi o te whara kiri riaka ranei ki te haere tonu ki te kia te uiui e te tafe'anga.

Hoki i ki te hoatu ake kutikuti Clippers titi me te kōnae titi ki te whakamahi i. hu Narrow, rawa, me noho i roto i te mua, no te mea e mea ohie ki te mirimiri ona waewae, me te ka whiwhi i te witi. I tua atu, he mea nui ki te tiaki i te waewae i pāmahana tiketike, me te iti.

Ki te i kitea te motu, he mea e tika ana ki te tukatuka i te 3% otinga o te hauwai, "Chlorhexidine" me "miramistinom" aru e te tono o dressings horomata. I roto i tenei āhuatanga, he ratou rongoā counter e whai i te pānga tanning. Ko ētahi o ēnei iodine, matomato ngingila, me te pāhare pāporo. He mea nui ki te tiaki o te meka e kore e te kiri tiki paru. Te reira e tauturu moisturizers ( "Kallyuzan", "Balzamed" et al.).

hua

waewae mate huka - he mate e taea arahi ki pōauautanga nui ki te te rere reira. Na reira, Me ki kia whakaakona a āta aroturuki i te huru o to ratou waewae te tātaritanga o te mate huka.