Osteoarthropathy na ciwon sukari: haddasawa, alamu, ka'idodin kulawa

Ciwon sukari na iya haifar da wasu matsaloli daban-daban.

Ofaya daga cikin mummunan sakamako mai haɗari da wannan cuta ta endocrine ita ce ƙafar ciwon sukari na Charcot (osteoarthropathy, haɗin gwiwa na Charcot).

Za mu tattauna game da abin da ya sa ya faru, yadda za a bi da shi, kuma mafi mahimmanci, yadda za a hana faruwar hakan.

Sanadin cutar sankara

Guda ɗaya ne daga cikin masu ciwon sukari guda ɗari kawai ke da cuta kamar ƙafar masu ciwon sukari ta Charcot. Masana kimiyya har yanzu suna aiki don kafa tushen abubuwan da ke haifar da wannan hanyar.

A yau, an tabbatar da tasirin wasu manyan dalilai na kimiyya:

1. decompensated nau'i na ciwon sukari da kuma neuropathy ci gaba da asali. A wannan yanayin, hankalin mai kafafu ya rikice, wato, idan ka matsa a kafa, ka tsage shi, ko ma ka buge shi, da gangan mutumin ba zai ji komai ba. Marasa lafiya tare da ciwon sukari ba zai iya sanya ƙafafu ba lokacin da tafiya, irin wannan reshen "baya jin" ƙarar takalmi da sauran dalilai na waje - wannan yana haifar da mummunar lalata;
2. shan taba da shan giya. Ko da a cikin mutum mai lafiya, halaye marasa kyau suna haifar da raguwa a cikin lumen tasoshin jini, raguwa cikin kwararar jini, mutuwar capillaries da sauran sakamako mara kyau. A cikin masu ciwon sukari, wannan tsari yana faruwa har ma da sauri, saboda haka ƙafar ta sami ƙarancin abinci mai gina jiki da iskar oxygen;
3. takalmin da ba a zaɓa ba;
4. na jijiyoyin bugun zuciya, wanda ya zama ruwan dare gama gari;
5. rikicewar data kasance a cikin tsarin kewaya jini a cikin jiki. Rashin isashshen sunadarin oxygen a cikin gabobi daban-daban na haifar da karancin abinci mai gina jiki, tarin kayan lalata, necrosis nama (mutuwa).

Bayyanar cututtuka

Don haka, zamu lissafa manyan alamu:

• wahalar tafiya, lameness;
• mai kumburi mai zurfi na ƙananan hancin;
• raunin da ya faru a ƙafa: rauni, fashewar, kaswar;
• calluses na dindindin, fashe, bushewar fata;
• ja da ƙafa;
• a wuraren shan kashi hyperthermia za a iya lura;
• daga yatsunsu;
• kurma;
• kullun ciwo mai zafi a ƙafafu;
• doguwar raunuka marasa warkarwa, raunuka. Sau da yawa sukan zama raunuka masu yawa tare da ɓoye ɓarna;
• balaga a kan soles;
• ƙusa ta hanyar fitsari;
• Alkawari

Bayyanar cutar

An bambanta matakai guda hudu na cututtukan cututtukan ciwon sukari. Na farko ana kamanta da kasancewar kumbura da ƙafafunda masu launin ja, haɓaka zazzabi a wurin rauni. Idan an fara jiyya a matakin farko, to, tsinkayen ne tabbatacce. Daga baya mai haƙuri ya zo ga likita, ƙarancin damar cin nasara.

Charafan Charcot a cikin ciwon sukari mellitus, nau'i mai rikitarwa

A taƙaice ku faɗi game da alamun ragowar matakai na haɓakar cutar:

• a karo na biyu, an harba kibar ƙafa, nakasa ta zama sananne;
• yatsun sun lanƙwasa, ƙafar ba zata iya yin ayyukan ta ba, nakasar tana ƙaruwa. Cancantar bazata da fashewar jiki na iya faruwa;
• kamuwa da cututtukan cututtukan da ke aukuwa wadanda suke da wuyar magani.

Jiyya

Zaɓin hanyar dawo da ita ya dogara gaba ɗaya akan matakin da aka gano cutar.

Ana amfani da hanyoyi da yawa don bincika tsananin da yanayin cutar:

• suna yin x-haskoki ko MRIs don gano yadda kasusuwa suke karye, ko akwai fashewa, rarrabuwa, da sauransu.
• gudanar da bincike na musamman don gano saurin halaye da hawan jini, yanayin hanyoyin jini da jijiyoyin jini a jikin mai haƙuri.
• Tabbatar gano tsananin rashin lafiyar neuropathy don sanin nawa ƙashin ƙafa ya rasa hankali.

Idan akwai rauni da raunuka, to ana gano causative wakili na kamuwa da cuta a cikin lactopus sosai ga masu ciwon sukari mellitus domin a tsara daidai maganin kashe kwayoyin cuta.

Jiyya koyaushe yana da hadaddun, ya haɗa da:

1. shan magunguna, maganin shafawa da mayuka;
2. dakatar da aiwatar da lalata kashi;
3. Maganin motsa jiki;
4. cin abinci. Likita an umurce shi da aminci gwargwadon nau'in cutar;
5. ilimin halittar jiki. An zaɓi shi dangane da tsananin yanayin haƙuri da kasancewar cututtukan haɗuwa.
6. zaɓi na takalma, insoles, orthosis. Inganci a kowane mataki. Irin waɗannan samfuran ana samar da su ta likitan orthopedic; Irin waɗannan kayan haɗi suna taimakawa wajen cire kaya daga ƙafa, wanda ke hana bayyanar scuffs da lalata.

Motsa jiki motsa jiki

A waje na m mataki na cutar, kazalika da rigakafin abin da ya faru na masu ciwon sukari osteoarthropathy, An bada shawarar yin wadannan darussan masu zuwa (maimaita sau goma kowanne):

1. muna gyara diddige a kasa, kuma tare da yatsun mu muna ƙoƙarin yin motsi. Muna maimaitawa, amma mun riga mun gyara safa.
2. ɗaga jikin zuwa diddige da safa a gefe;
3. lanƙwasa da cire cire yatsunsu;
4. tare da madaidaiciyar ƙafa muna yin motsi a cikin iska;
5. muna daidaita kafafu kuma mu ɗaga su, muna ƙoƙarin kawar da ƙafar daga gare mu, sannan kuma ga kanmu;
6. cire sock akan kanmu, a madadin ɗaga madaidaiciya kafafu daga ƙasa.

Sau uku a rana, wanda ya hada da kai tsaye bayan farkawa, ana bada shawara don aiwatar da darasi na gaba: a sanya ƙafafunku a kan matashin kai a kan kusurwar 30% na mintina biyu, a rataye shi na mintina uku, sanya ƙafafun a sararin samaniya na wani minti biyar.

Magungunan magani

Jiyya ya dogara da lafiyar lafiyar wani mai haƙuri.Babban rukuni na kwayoyi:

• diuretics, magungunan anti-inflammatory marasa steroidal - an wajabta su don ciwo mai tsauri;
• calcitonin subcutaneously ko intramuscularly, har ma da bisphosphonates, ana amfani da baki ta hanyar idan ya zama dole a dakatar da tsarin lalata kashi;
• magungunan anabolic steroid. Ayyukansu: don inganta motsawar jijiyoyin jijiya da sautin tsoka, ta daɗawar jan kalsiya, ƙara haɓaka motsi.

A matakin farko, ya halatta ayi amfani da wasu hanyoyin. Misali, wanka ko ruwan shafa mai hade da ruwan zuma-eucalyptus. Don dafa kamar wannan: niƙa 50 grams na eucalyptus (kowace gilashin ruwa) a cikin wanka na ruwa na kwata na awa daya. Cool, iri, ƙara tablespoons biyu na zuma, haɗawa.

Kuma wani zaɓi mai tasiri: haɗa wani ɓangare na Rosemary da sassan biyu na mustard tsaba da furanni chamomile. Zuba ruwan zãfi tare da rabin lita, nace don kwana ɗaya. Moisten ulu safa, sanya kafafu a cikinsu, ciyar awa ɗaya ko fiye a cikin wannan siffan.

Matakan hanawa

Hanyoyi mafi mahimmanci na rigakafin irin wannan cuta mai haɗari kamar haɗin gwiwa na Charcot a cikin ciwon sukari mellitus sun haɗa da masu zuwa:

1. cikakken yarda da shawarar likitan masu halarta;
2. dubawa na yau da kullun na kafafu. Idan fatar ta canza launi, kuma ƙafafu da kansu sun kumbura, corns, scuffs, ƙusoshin ingrown sun fara bayyana, to waɗannan su ne karrarawa na farko waɗanda ba za a iya yin watsi da su ba;
3. Ba za ku iya ƙoƙarin bi da ƙafafun Charcot da kanku ba;
4. Yana da mahimmanci a shiga cikin lafiyar jiki;
5. Wajibi ne a sa takalma na musamman, orthostalkes na mutum;
6. Kar a manta don karfafa tsarin garkuwar jiki;
7. nazari akai-akai ta hanyar endocrinologist;
8. cikakken abinci mai kyau, kulawa akai-akai na sukari na jini, da kuma ƙin yarda da kowane irin ɗabi'a mara kyau suna matuƙar mahimmanci.

Bidiyo masu alaƙa

Sharko mai kamuwa da kafafun kafa:

Charafarin ciwon sukari na Charcot wani rashin ƙarfi ne kuma mai rikitarwa ne na ciwon sukari. Zai yuwu a iya hana irin wannan matsalar idan duk shawarar da aka bayar a sama an kiyaye ta sosai.