Ciwon sukari mellitus cuta ce da ake fama da cututtukan jikin mutane da yawa. Rashin lafiya yana da syndromes da alamomi da yawa waɗanda ke nuna kasancewar rikice-rikice. Ofaya daga cikin alamun halayyar shine ƙafar Charcot.
A cikin ciwon sukari, tsarin na rigakafi baya motsa jiki akan tsarin garkuwar jiki mai lalacewa da gabobin jiki. Marasa lafiya sau da yawa suna ba da rahoto game da haɓakar haɓaka matsalolin kafafu.
Footafarin ciwon sukari cuta ne wanda zai iya haifar da rikice-rikice. Idan an gano cutar sankara, wajibi ne a lura da yanayin kafafu da canje-canje da suka faru.
Menene ƙafar Charcot
Ana bayyana ciwon osteoarthropathy na ƙafa a cikin ƙetarewar tsarin ƙananan ƙarshen wanda ya bayyana tare da haɓaka sukari na jini. Tare da rashin isasshen ikon kula da ciwon sukari, jijiya na jijiya yana raguwa kuma yana zub da jini a cikin tasoshin ƙafafunsa yana raguwa.
Don haka, akwai haɗarin rauni ga wata gabar jiki da bayyanar cututtuka.
Tare da ciwon sukari, tsarin mai juyayi yakan rinjayi mutum, kuma mutum ba zai iya jin cikakke ba. Hanyar sarrafa sebum, har da gumi, yana da damuwa. Wannan halin yana ba da gudummawa ga farawar:
- kasusuwa
- fata
- gidajen abinci da kafa.
Matsin lamba yana bayyana yayin motsin ƙafafu, wanda ke haifar da lahani na fata. Wani ciwo da cutar Charcot na iya bayyana. Isarshen yana bayyana a bayyanar raunuka a kafafu, lalacewar ƙasusuwa da gidajen abinci.
A lokaci guda, warkarwa yana faruwa a hankali, ƙananan ƙwayoyin cuta suna yaduwa sau da yawa. Tare da kararrakin guduwa, cutar kansar ta bayyana a cikin ciwan sukari, wanda aka yanke tare da yanke hannu. Kamuwa da cuta yana da barazanar rayuwa saboda zai iya shiga cikin jini.
Charcot's syndrome ana kiranta shan kashi dukkan tsokoki na ƙananan sassan.
Wannan na faruwa ne sakamakon tsawaitar tsawan matakan sukarin jini.
Abubuwan da ke haifar da cutar
Mutanen da ke fama da ciwon sukari da kuma rashin isasshen maganin cutar suna cikin haɗarin raunin ƙafa. Idan jijiyoyin kafafu sun lalace, to mai haƙuri ba zai iya jin ƙafar ba.
A wannan yanayin, mutum ba zai iya sanin inda yatsunsa da ƙafafunsa suke lokacin da yake motsawa ba. Idan jijiyoyin suna da lafiya, to a yayin motsi mutum yana jin ƙafafun suna cikin yanayin damuwa.
A cikin ciwon sukari mellitus, mai haƙuri ba zai iya jin raunin ƙafa ba, alal misali, ƙwanƙwasa, yanke da ƙyallen. Tare da sutturar ƙwayar cuta na jijiyoyin ƙafa, corns da corns sau da yawa suna bayyana.
Rashin kula da cutar yana haifar da yanayin tashin hankali da rashin atherosclerosis.
Raunin zuwa ƙafafu yana ƙara haɗarin manyan canje-canje a ƙafa. Cutar mara jijiyoyi ana ɗauka ɗayan matsalolin gama gari. Fitowar ta na iya tsokani:
- matsin lamba a kan kafafu
- na biyu lalacewa
- rauni ko huda
- baƙon abu wanda ya shiga cikin takalmin,
- bayyanar kamuwa da cuta.
Lalacewa ga fata na ƙusoshin ko ƙafafun tare da kamuwa da fungal na iya haifar da mummunar yaduwar kamuwa da cuta. Ya kamata ku nemi shawarar likita nan da nan kuma ku fara magani.
Siffofin cutar
Ya danganta da dalilin cutar ciwon sukari, akwai wasu nau'o'in cutar.
Tsarin neuropathic shine mafi yawan gama gari. Jikin mara lafiyar yana da matukar damuwa ga wasu abubuwan da ke lalata shi. Saboda haka, yana da saukin kamuwa da cutar sankara. Lallai akwai keta alfarmar kyallen kafafu, sannan tsarinsu da ayyukansu sun lalace.
Sau da yawa akwai rauni a tsakanin yatsun da kafafu na ƙafa. A cikin waɗannan yankuna, ƙafar ƙafa tana fuskantar matsanancin matsin lamba. Haka nan akwai keta abubuwa na ƙirar kashi-ligamentous.
Ciwon sukari na cutar kansa zai iya kasancewa:
- zafi
- m.
Ba a bayyana hanyar cutar wannan nau'in ta hanyar bayyanar cututtuka. Mutumin baya jin bayyanar ulce, rashin jin daɗi da lalacewa. Sau da yawa mai ciwon sukari yana koka da ƙin ƙarewa a cikin kafafu. Ana nuna nau'in jin zafi ta hanyar waɗannan alamun:
- tingling na ƙananan ƙarshen,
- zazzabi a cikin kafafu
- goosebumps
- zafi a cikin wani kwantar da hankula jihar
- kasancewar bugun jini a kafafu tare da bayyanar neuropathy.
Haɓaka wannan nau'in cutar yana faruwa tare da rauni na atherosclerotic daga cikin hanyoyin da ƙafafun kafafu. Alamomin masu zuwa suna bayyana:
- fata mai sanyi a kafafu, yawanci kodadde da cyanotic,
- ruwan hoda mai launin ruwan hoda yana bayyana tare da fadada murza ido,
- fitowar harsuna a yatsunsu,
- ciwon diddige
- da rashin yiwuwar jin bugun jini a ƙafa,
- bayani idan akwai ciwo mai zafi a cikin kafa lokacin tafiya.
Tsarin hadewa ya ƙunshi siffofin neuropathic da ischemic. Cutar tana shafar matsakaiciya har zuwa 15% na mutanen da ke fama da ciwon sukari.
Bayyanar cutar
Cutar sankarar osteoarthropathy yana da ɓata yanayin rauni, raunin raunin da kuma lalacewar yanayin yanayin kafafu. An san ƙafafun Charcot ta hanyar ɓace cikakkiyar ayyukanta.
Tare da wannan ilimin, ana iya samun irin waɗannan alamun:
- zafi saboda shimfiɗa da ambatar ƙafafu,
- kamuwa da cuta
- jan fata, tabbatar da kasancewar kwayar,
- kafafu mai kumbura
- ƙara yawan zafin jiki na fata sakamakon kamuwa da cuta,
- nauyin ƙafafu, corns lokacin da suke sanye da takalman da ba su dace ba,
- yawan abin da ke gudana daga raunuka,
- lameness, wahalar tafiya,
- ƙarancin farantin ƙusa,
- gaban naman gwari
- sanyi da zazzabi sakamakon kamuwa da cuta,
- ciwo mai raɗaɗi a ƙafafu da ɗimbinsu.
Matsayi mai mulkin, a kan kafafu ya bayyana:
- blister da calluses
- ƙusa a cikin fata,
- fargaba a kan tafin sawun,
- bursitis a kan yatsan hannu
- fungal kamuwa da cuta
- fata mai fashewa
- jawo fata
- daga yatsunsu.
Akwai matakai guda hudu a cikin cigaban ciwon sukari:
- a farkon matakin, an lalata gidajen abinci. Hadin gwiwa, raunin kashi da fashewar abubuwa ke faruwa. Wannan halin ana shafar kumburin kafa, jan fata, karuwa a zazzabi. Mutum baya jin zafi a wannan lokacin,
- a mataki na biyu, an harba kibayoyi, kafaffun sun lalace,
- a mataki na uku, nakasa ya zama sananne. Za'a iya samun fashewar sannu da kwanciyar hankali. Yatsun ya fara lanƙwasa kuma aikin ƙafafun yana da damuwa,
- a mataki na uku, raunuka sun bayyana, wanda ke haifar da kamuwa da cuta.
Haɗin gwiwa na Sharko shine cututtukan ci gaba da ke faruwa tare da jijiyoyin rauni saboda cututtukan da yawa, galibi cutar sankarar mama. Sakamakon su shine:
- hadin gwiwa
- haɓakar articular,
- lalacewa
- rashin zaman lafiya.
Binciko
Idan ana zargin osteoarthropathy na ciwon sukari, yana da mahimmanci a nemi likita akan lokaci. Idan za ta yiwu, zai fi kyau ziyarci ƙwararrun likitancin likita.
Don yin ingantaccen ganewar asali, ya zama dole a hankali a duba hoton asibiti da gwajin x-ray, wanda zai nuna takamaiman matakin ci gaban cutar. Hadadden tsarin tantance cututtukan na faruwa har izuwa cewa cutar sankara na iya kama:
- phlegmon na kafa,
- thrombophlebitis
- lymphostasis da sauran cututtuka.
Mafi wahalarwa shine bambancin ganewar asali yayin da ƙafafun Charcot ke cikin matsananciyar mataki. A irin wannan yanayin, jinkirta magani na iya yiwa mutum asarar ƙashin kansa.
Kuna iya kula da ƙafar mai ciwon sukari tare da tiyata ko amfani da hanyoyin gargajiya. Harkokin Conservative therapy ya ƙunshi, da farko, magani na asali. A wannan matakin kana bukatar:
- rama ga ciwon sukari
- sarrafa matsa lamba
- daidaita al'ada matakan glucose na jini.
Idan likita ya tabbatar da kasancewar ƙafar Charcot a cikin ciwon sukari, to ya kamata magani ya haɗa da maganin rigakafi tare da maganin rigakafi. Don dakatar da ciwo, ana amfani da magunguna kamar Analgin ko Ibuprofen.
Bugu da kari, mai haƙuri yana buƙatar yin matakan da yawa na warkewa wanda aka yi niyya don dawo da jijiyoyin zuciya da inganta haɓakar jini a yankin ƙafafun. Hakanan, likita na iya ba da kwayoyi masu maganin rigakafi.
Baya ga daukar hoto, ana kuma amfani da hoton sauraran maganadisu. A wasu halaye, an nuna alamar asirin ƙasan ƙafafun kafa.
Duk waɗannan matakan ganewar asali suna taimaka wa ƙayyadaddun canje-canje na kumburi, kasancewar ƙwayar jijiyoyin jiki da kuma matakin hauhawar jini a cikin wuraren da abin ya shafa. Idan ya cancanta, ana kimanta alamun alamomi na lalata kasusuwa.
Hakanan ana yin la'akari da alamun alamun gyaran nama, saboda suna nuna aikin enzyme na ƙashi. Wannan bayanin zai iya zama da amfani a cikin aikin bayan aikin da ya biyo bayan katsewa wani tsattsauran ra'ayi.
Domin sanin dalilin lalata kasusuwa, kuna buƙatar yin gwajin jini don maganin osteomyelitis.
Jiyya
Da farko dai, ya zama dole a fahimci cewa lura zai samar da sakamako mafi girma idan mutum ya nemi likita a kan lokaci. Mutanen da ke da alamun cutar sankarau yakamata su kimanta ƙafafunsu a kai a kai.
Kowa zai iya yin nazarin daidai idan ya nemi taimako daga ƙwararren likita. Sakamakon haka, dole ne mutum ya samar da wata al'ada ta bincika ƙananan ƙafafunsa, musamman, ƙafafunsa.
Da zaran an gano kowane, ko da ƙananan, canje-canje a cikin tsarin, dole ne a nemi likita nan da nan. Bugu da kari, yana da mahimmanci a yi la’akari da abin da yake yawan haɗuwa da cutar Charcot-Marie, wato jin zafi a ƙafa sakamakon atrophy na jijiya ƙarewa. Zai iya ɗauka ga mutum cewa waɗannan raunin suna ƙanana, duk da haka, lahani yana da nauyi.
Idan raunuka sun bayyana a kan kafa, to lallai suna buƙatar ayi nazari tare da kafa zurfin. Ga wasu raunuka, murmurewa tare da insoles orthopedic Wadannan insoles suna rage darajar matsin lamba yayin tafiya. Idan wannan ma'aunin bai isa ba, to ana amfani da rashin ƙarfi, wanda ke hana tasiri mai ƙarfi akan fatar.
Za a iya yin odar tiyata idan ƙasan ta yaɗu zuwa matakin ƙwaƙwalwar. Lokacin gyara gaskiyar kamuwa da cuta, likita ya ba da izinin amfani da maganin rigakafi. A cikin wasu halayen, raunin plantar ya kai har zuwa ƙananan jijiyoyin jini. A wannan yanayin, akwai buƙatar yin aikin tiyata don kawar da waɗannan cututtukan.
Misali shine kashin kashin, wanda za'a iya cire shi tare da wani ciwo wanda yake a cikin kafafun kafa.
Mayar da kashin ƙafafun ƙafa
Lokacin da ciwon sukari ya bayyana, jiyya yana mai da hankali ga kawar da ƙonewa da ƙurji. Za'a iya ba da magani na tiyata azaman madogara mai sake idan ana buƙatar gyaran nakasar ƙafa.
Rashin daidaituwa na tsarin arthrodesis da tsarin kasusuwa ne, wanda ke haifar da karuwar matsin lamba a saman farjin. Don haka, raunin da ba ya warkarwa ya bayyana.
Don amfani da irin waɗannan dabaru, ya zama dole don cimma wani tsari na kumburi da kuma rashin osteolysis. Idan ba'a lura da waɗannan sharuɗɗan ba, wataƙila aikin yana haifar da sabon lalacewa.
Kafin tiyata, kuna buƙatar ƙarfafa ƙasusuwa ta amfani da wasu hanyoyi. Mayar da ƙafar ya zama dole lokacin da aka lalata shi, wanda ke sa amfanin yin amfani da takalmin orthopedic marasa amfani.
Yin rigakafin
Da farko dai, kuna buƙatar bincika ƙafafun kullun akan nasu. A bayyanannun farko na lalacewar fata ko lalacewarsa, ya kamata ku nemi shawarar endocrinologist.
Wajibi ne a bar almakashi da ke yanke ƙusoshin. Zai fi kyau a yi amfani da fayil ɗin ƙusa. Ya kamata a zubar da takalmin ƙyalli yayin da suke shafa a ƙafafunsu kuma suna da tsari.
Yana da mahimmanci don kare ƙafafu daga sakamakon yanayin zafi daban-daban. Idan an sami rauni, ya kamata a kula dashi tare da maganin 3% na hydrogen peroxide ko chlorhexidine tare da bandeji. A wannan yanayin, ba za ku iya amfani da samfuran da ke da tasirin tanning ba. Wadannan kudade sun hada da:
- kore
- aidin
- potassium permanganate.
Wajibi ne a tabbatar da cewa fata ta bushe. Kuna iya amfani da mayukan shafawa, misali, Balzamed ko Callusan. Bidiyo a cikin wannan labarin yayi magana game da siffofin ƙafafun ciwon sukari.
