Charcot wawae ma ka mimikō: he Hawaii photo a me ka lapaʻau

Mimikō mellitus ua ike i na mea he nui i ka luna 'maʻi me a mākou e ola nei. Akā, i loko o kekahi mau hihia a pau o ka olelo oiaio o ka pilikia ua huikau hou luku keʻano o ka hanaʻana. Kekahi ana hoʻohālike o ka Charcot wāwae. Kēiaʻike, He He nui a me ka weliweli.

hiʻona o ka maʻi

Charcot wāwae ma ka lāʻau lapaʻau like pono hoakakaia me diabetic osteoarthropathia. Mākou e kamaʻilio e pili ana i mea complication o mimikō, a ua wehewehe aku ma keʻano o ka iwi loli:

• Hyperostosis. Ka Uluwehi o cortical iwi.
• Osteoporosis. Mākou e kamaʻilio e pili ana i ka mea hoʻonāwaliwali maoli nō a me ka thinning o na iwi.
• Ostelioz. Iwi'aʻaʻa ua pau ke kemu.

E like me 'oe ke ike, Charcot wāwae i loko o mimikō mea fraught me ka mea io hopena. I loko o ka? Aieao o ka mau aoao o ke ola ka mea i ka maʻi hiki ke alakai i ka pinepine iwi fractures, e like me kā lākou hoʻohana kūpono 'ole coalescing. Ka mea hope, e hoike aku i kekahi manawa ke kumu deformation o ka wāwae.

Manaʻo i na Aey? Acaeoey e pono ai no ka poe i asthma diagnosed ano o mimikō. A ia mea nui no ka insulina-e kaukaʻi nā mea maʻi, a me ka poe e ole hāʻule i loko o kēia hui. Ma hope o kekahi kōā o ka manawa i na nā mea maʻi i pinepine paʻa neuropathic complications a i fractures ma ka wāwae, a me ka pinepine.

Ka luna pilikia hiki ke ukali no hoi ma ulcers o kaʻili, e huikau ka ua pilikia kulana. ʻO lalo laina mea i ka wā ma ke neuropathy ikeia ulcer ma ka wāwae, ka mea, i nui koko, flushes mai kalipuna, mai na iwi. Maoli ai, ma hope o ia ke kaʻina iwi lilo aku ka ikaika, a hiki mai hemo mai ma lalo o lōpū wahie.

He waiwai 'ana i kumumanaʻo o ka mea i Charcot wāwae hōʻike ka hapanui i loko o nā mea maʻi e noho' īnea me ka maʻi no ka oi mamua o 10 makahiki.

ano o ka maʻi

Aia nō kekahi kāʻei kua maʻi e alakai ai i ka nānā aku o ka diabetic wawae. Ua haawiia keia mea, ma laila i kekahi mau ano o ka maʻi.

• Neuroischemic. Kona hooulu ana i wahi e ku e ia i ke kāʻei kua o diabetic angiopathy, i kaheaia ma ka ka mea hōʻemi i loko o ka laloʻaoʻao koko pele. Ma keia wahi, i ka wāwae 'aʻole e hoʻololi i kona helehelena, a ua mālama' ia kona pā lonoaʻili. Pela ka mea, ua hoʻokano, ili i ke anu, a me ka nawaliwali ka lāʻau ikiʻai.
• Charcot wawae - neuropathic palapala. Ma keia hihia, ka maʻi e hoʻomōhala ana i loko o ke kāʻei kua o diabetic polyneuropathy, a hiki aku i ka pio ana o ke aʻalolo a hāʻule pahū wale i loko o na wawae. i hoemiia Symptoms o keia kulana a hiki i ka nui ka ho'ēmiʻana i loko o ka pā lonoaʻili o ka wāwae, he mea ma ka ia eha. Aie i ka mea i ka innervation ua ko lakou kupikipikio, no ka hoʻomanawanui incorrectly hāʻawi i ka haawe ana ma luna o ka uha ami, i mea no ke aha la he mea kekahi pilikia o deformation o na wawae.
• I hui pūʻia. Ma keia hihia, i ka mea ia manawa, na hoailona o nā ano o ka luna.

Charcot wāwae i loko o mimikō: ke kahua o ka? Acaeoey

Inā mākou e lawe i ka mooolelo o ka auhau ana o ka maʻi ma ka Dr. Wagner, ia e e hiki i ka līkaia 5 kahua o ka hoʻonaʻauao i hala ae i ka hoʻomanawanui i kaʻike, o "diabetic wawae". Eia mea he manawa pōkole hōʻike:

• Ka mua ke kahua. Ulcerʻilikaiʻano, ma a ka iʻa e wale ka luna papa o ka ili. E like me ka iapaau ana me ka hoʻohana 'Technology wehe calluses. Inā pono, antibiotics i hoʻohana.
• Lua. Ua mea e pili ana i ka hohonu ulcer, mai ku i ka iwi. Pela i kekahi ke hoʻoholo i ka hopena o ka maʻiʻaʻai ma na kēia mau hiʻona: he kiʻekiʻe ka mahana, pus a me redness puni i ka loli ana o kekahi hapa o ka wāwae. He topical antibiotics, aʻoki kino, e wehe i'aʻaʻa unproductive.
• Ekolu. Ma keia kahua, ka mea i hana i ka hohonu ulcer, iwi poho mākaukau kaua paha ma (ulu osteomyelitis). Luku keʻano o ka hanaʻana he aha ka mea i pahee'aʻaʻa i loko o ka wāwae. A like me ke ano ua pinepine pu ma suppuration. Lapaau ia ka mea like me ia ma ka hihia a me ka lua o ke kahua. Ma ka oi loa maʻi hiki amputation, akā, na hihia i pohihihi - ano o ka hoʻomanawanui iki mai ka pinepine hiki ke hoʻoikaika 'i ka ka lapaʻauʻia ma.

• Ha. Charcot wāwae ma keia pae ua wehewehe aku ma ka gangrene, i loli ai i kekahi hapa, ua manamana. Inā keiaʻike, ua lawe mai amputations unproductive māhele, a me ka loa hihia - nā wāwae ma lalo ke kuli.
• I ka lima o ke kahua. Ma keia ke kahua, ka mea i kā mākou e make ai: ulu ka nui gangrene o ka wawae, a hiki alakai i ka ona e hoʻokūkū. Ka mea wale nō ka hoʻokō ana mea e amputation, a me ka koke.

Ke kālailai ana i ka holo ana o Charcot o ke kumukuai i olelo ia i ka 'Aʻohe ke kahua, a ma mua o ho'ākāka' ia ma luna o nā mea a pau. I ka mea, ua e kamailio ana kanaka e noho ana ma kamepiula. Ka wā o kēia moku'āinaʻaʻohe ulceration, akā, i kekahi 'deformity o ka wāwae, he mau calluses a me ke kulina, akā, i lilo ia iho, ikeia hyperkeratosis.

lapaʻau '

Charcot wāwae i loko o mimikō, kahi kiʻi hoʻokūpaʻa i ke koʻikoʻio o ka maʻi, koi 'eleu lapaʻau, i ole oe e hoʻomōhala complications nui.

No laila, i kaʻike, o ka hoailona mua o ka maʻi Pono e pana aku au i me ke kōkua o ka palapala hōʻoia no 'Oihana. Ma ka hoʻohuoiʻia mua o diabetic osteoarthropathia loa ka aie i ka makaikai a hiki i ke kauka-endocrinologist. Inā hiki, e aho e hele i ka hana kūikawā 'inikua waena.

I mea e hana i ka pololeiʻike, Pono akahele study o ka lapaʻau a me ka radiological na hoailona mea e kuhikuhi ai i ka kekahi ke kahua. Ke ka manaʻo pohihihi o ke kaʻina hana o ka hoomaopopo ana i ka maʻi hēhē ia i ka mea i na symptoms e hoohalike ai i ka hoike ana mai o cellulitis o ka wāwae, thrombophlebitis, lymphostasis a me nā maʻi.

Ka loa paʻakikī o ka palena pauʻike, i loko o ka hihia kahi Charcot wāwae (diabetic) mea ma ka huʻi ke kahua. Ma keia hihia, no ka lohi ma ka iapaau ana ke loaʻa i ka hoʻomanawanui lala pohō.

Pehea o ka palena pauʻike, ma ka huʻi pae?

A hiki i ka hoʻomanawanui i loko o ia ke ano, kauka e ho'āʻo ana e kiʻi i ka pane i nā kī nīnau:

• Inā 'oe i ka mea kūpono radiographic hoailona o ka iwi a ka make, i ke ano o ke ano ka mea, e - infectious maʻi (osteomyelitis) ole noninfectious (chap)?
• Hiki e hooholo i ka hoʻoʻino loli i ka hopena o ka make o ka iwi hale paha ka mea, he mau hoailonaʻokoʻa o ka maʻi (rheumatic hui kāna hana, huʻi thrombophlebitis, phlegmon wāwae, gouty arthritis, etc.).?

E kiʻi i ka pane ana i ka ninau lua, oe, e pono i nā pono, no ka mea, me ka mea makemake e paakiki e hoʻopaʻapaʻa ana i ka hoʻomanawanui o Charcot wāwae. X-kukuna like hapa o keia anamanaʻo o ka mea nui.

Ma waho aʻeo ia X-Ray, ia mea pono e hoʻohanaʻume mākenēki resonance kiʻi. Ole e hewa a me ka wāwae skeletal scintigraphy. A pau o kēia mau PalekanaEND_LINK ana, e kōkua i ka hōʻike hoʻoʻino loli, mahuahua koko i loko o ka hoʻohuli ai i nā wahi a me nā microfractures.

I Ina o ka nele hiki ke auhauia biochemical hōʻailona o ka iwi hālāwai hope. Hōʻailona o ka'aʻaʻa? Aeiino? I e lawe no hoi i ka mooolelo no ka mea, ka mea noonoo i ka ha awina o ka iwi isoenzyme.

E pili ana i ka ninau mua, ka mea, ua pili loa ma ahuwale na hoailona o trophic ulcers o ka wāwae. Kēia 'ike paha e pili, a i ka postoperative wā kēia amputation aʻoki kino e pili ana i ka wāwae. E kau i ke ano o ka iwi a ka make, he koko hoao no osteomyelitis.

Charcot wawae: lapaʻau

Mua o nā mea a pau, ua pono ike i ka hoola ana kaʻina hana, e hoohua mai i ka nui hopena ina ka hoʻomanawanui ike i ke kauka i loko o ka 'eleu kūpono. Akā, no kēia mea, e hiki mai, kanaka me ia i kaʻike, me mimikō, e e hiki ke kū kaʻawale Loiloi i ka moku'āina o ko lākou mau wāwae.

Kupono nana hiki a e aʻo, keia, e kōkua palapala hōʻoia no 'inikua'ōlelo aʻo. E like me ka hopena, i ka hoʻomanawanui e mahiʻai i ka maʻa a mau nānā i nā wāwae, a me ka pau o ka wāwae. Once ka mea i hoʻopaʻa i kekahi hoʻololi i loko o ka 'ole, he uuku, e pono i ka manaʻo i ka makaikai a hiki i ke kauka.

Ua mea i nui, e noonoo i ka keia mau mea, a ua hele pu me ia e Lou Gehrig ka maʻi - Marie: ua hoemiia kaʻeha ma ka wāwae me keia ano ku i ka atrophy o ke aʻalolo a hāʻule pahū wale, a me ka hoʻomanawanui i he i ke kūpono poho ka nīnūnē, oiai o ka poho o nae hoʻoponopono.

Inā wawae ulcers hou, ia mea e pono e nana ia me ka hohonu okoʻa no ka manawa. Me ka pili ana i ka pākōlea keia, ma lalo o kekahi mau ulcers hiki e hoihoi hou ia me ke kōkua o orthopedic insoles, e like me ka mea, me ka nui loa emi ka puʻe ka manawa e hele ana. Inā keia ana mea i lawa, hoʻohana immobilization, hikiʻole i ka ikaika ia ma luna o kaʻili.

ua kohoʻoki lāʻau lapaʻau lapaau i ka wa a ka ulcer kŰlń ao i ke kiʻekiʻe o nā dermis. Inā he ua he paʻa keia o ka maʻiʻaʻai, ke kauka e koi 'ia antibiotics.

I kekahi manawa, plantar ulcers hiki ana a hiki i ka pokou kūlana kiʻekiʻe. Ma keia hihia, he mea i pono ai no kaʻoki lāʻau lapaʻau ana o ka la mahope. Me lakou i mea hoike, he metatarsal iwi, e wehe i hiki ulcer, IIeEeAIEUIeXAIIUE ma ka forefoot.

No ka 'ike hou aku ma ka' inikua, aʻoki lāʻau lapaʻau ohe.

Kaua aku me ka diabetic wawae, a hiki e operative ma ka kumu o ka panina ki ina hana like.

Makeʻe kulana lapaʻau Ua hoʻomōhala i nā hana e hiki ke maheleia i mau hoailona ia mea:

• XIX. Lapaʻau. Ma keia nui o ka noonoo ana i ka mimikō ka uku, puʻe hooponopono a me ka normalization o ke koko kō pae. i ao mai ai i nā mea maʻi i ka mea e pono ai kaʻike, a me ka Hawaiʻi. Inā pono, kou kauka e noi, e hooki aku i ka uiki e, no ka mea, i ka hopena maikaʻi ia ma luna o na moku koko.

• Additional pākōlea ana. Inā diagnosed Charcot wāwae i loko o mimikō, lapaʻau e komo antimicrobial Inc ka hoʻohana 'ana antibiotics. No ka eha'ōnaehana hoʻohana anesthetics e like me "Ibuprofen", "Analgin" listen'ōlelo, hoʻi, i ka hoʻomanawanui undergoes i ka moʻo o ka lapaau ana nā aʻalolo conduction e hoihoi a me ka hoʻoikaika 'ana i ke koko kahe ana ma ka wawae. Mai Mai hana me ka kūloko hopena o ka hoʻohana 'ana antiseptics.

Like no kaʻoki kino, ka mea, ua hoʻohana 'ia i loko o ka hihia ma laila mea he pono ke wehe i na abscesses a me ulcers. ʻoki lāʻau lapaʻau lapaʻau i e pili ana i ka hoʻoikaika 'ana i ke koko pele. Inā ka hoʻomanawanui ua hoʻokomo i kekahi ola Hoʻonaʻauao i loko o nā kuʻina hope o ka maʻi, ka mea maoli i ka likelihood o amputation o na wawae, a malalo lala.

Loaa o ka wāwae iwi

I ka wā o ka diabetic wawae Charcot lapaʻau kuhikuhi hoʻomōhala i wehe ulcers a me abscesses, akā,ʻoki kino i ke hoʻohana like me ka hoemi hana. Mākou e kamaʻilio e pili ana i? Iaea o ka wawae deformity.

Maoli hana neutralize resection o ka iwi hale a me arthrodesis, a i ka mahuahua ma ka puʻe ma luna o ka plantar luna, i hiki aku ai i ke kahua o ka ole-hoola aku ana hoi ulcers. I mea e pili i na i kūpono, ia mea mua e pono e hōʻoia 'ia ka pauku o ka hoʻoʻino kaʻina, a hoopau, a uaʻaʻohe osteolysis. Inā mau hana hea i halawai, he mea he kamepiula mea e alakaʻi i kaʻoki kino a hiki i ka muli o hou ioauoa o ka make.

Nō hoʻi, ma mua o ka hana ua makemake e hooikaika i ka iwi ma ka mea ana i kūpono ai '.

Ka luna-i ho'ākāka 'iaʻoki lāʻau lapaʻau? Aiiio o ka wāwae mea e pono ai ka wā ikaika deformation, e inefficient hoʻohana o ka kūikawā orthopedic kamaa.

kāohi ana

Ahuwale o ka nui o ka 'ike ma luna pehea e ole ia i ka pilikia, Charcot wāwae. Hawaii photo nā mea maʻi Ua mau hiʻohiʻona nō mākou e maopopo pehea nui keia mea he luku kaʻina. A hiki ina ka mea, ua i ka ai a me ka mea i lawe mai i ka iapaau ana, keia aʻole i manaʻo 'ia ka ulcer e e hōʻike hou.

No laila, e pale aku a me ka pale aku i ka hou-hanana o Charcot wāwae ma ka hahai ana i ka ai loina i loko o ka? Aieao o Kāohiʻana. Mua o nā mea a pau e pono ai ma ka papa 'aelike, e nānā i ko lakou mau wawae, a ma na hoailona mua o ka ili ino a me ke kanana nei, e hele koke i e hookolokolo aku la ia ma ka endocrinologist.

No hoi i ka haawi aku i'ūpā kui clippers, a kui waihona e hoʻohana. Ololi kamaa, hoi, e noho i loko o ka hala, no ka mea, he mama, e hamo i kona mau wawae, a laila, kiʻi i ka palaoa. Eia hou kekahi, ia mea nui e hoomalu i ka wāwae, mai kiʻekiʻe a me ka haahaa mahana.

Inā ka eha make i 'akomi i, ia mea e pono ai i ke kō i ka 3% pāʻoihana o ka hydrogen peroxide, "Chlorhexidine" a me ka "miramistinom" ukali ma ka noi o sterile dressings. Ma keia kulana, ka mea i ee lapaʻauʻia i i ka tanning kanawai. O nā iodine,''he'ōmaʻomaʻo, a me ka potasiuma permanganate. He nui ke lawe mālama ana i ka mea i ka ili, aole ia i kiʻiʻino. Kēia e kōkua moisturizers ( "Kallyuzan", "Balzamed" listen'ōlelo.).

hualoaʻa

Diabetic wawae - he maʻi e hiki ke alakai i ka mea complications ina mea ua holo. No laila, i kaʻike, o ka mimikō Pono, e ke aʻo a me ka pono kanaka hoʻoponopono i keʻano o ko lākou mau wāwae.