Charcot ko taw

Charcot ko taw yog qhov mob uas cuam tshuam rau cov pob txha, pob qij txha, thiab cov nqaij mos hauv lub taw thiab pob taws. Nws tuaj yeem tsim kho qhov mob ntawm cov hlab ntsha hauv tus taw vim mob ntshav qab zib lossis lwm yam paj hlwb.

Charcot ko taw yog qhov tsis tshua muaj thiab tsis zoo. Nws yog qhov tshwm sim ntawm cov hlab ntsha hauv tus taw (peripheral neuropathy).

Ntshav qab zib yog qhov tshwm sim tshaj plaws ntawm hom kev puas ntsoog no. Qhov kev puas tsuaj no muaj ntau rau cov neeg muaj ntshav qab zib hom 1. Thaum cov ntshav qab zib cov ntshav muaj ntshav siab ntev ntev, kev puas tsuaj rau cov hlab ntshav hlab ntshav thiab ntshav.

Kev puas ntsoog hauv lub hauv siab ua rau nws tsis nco qab tus lej ntawm ko taw lossis yog tias nws ntxhov siab. Qhov tshwm sim yog qhov kev raug mob me me rau cov pob txha thiab pob qij txha uas txhawb nqa ko taw.

• Koj tuaj yeem txhim kho pob txha nyuab siab hauv koj txhais taw, tseem tsis tau paub dua.
• Txuas ntxiv taug kev ntawm pob txha tawg feem ntau ua rau cov pob txha txuas ntxiv thiab pob txha puas.

Lwm yam ua rau ko taw puas xws li:

• Kev mob ntshav hauv ntshav qab zib tuaj yeem ntxiv lossis hloov ntshav ntws mus rau ko taw. Qhov no tuaj yeem ua rau pob txha poob. Lub cev tsis muaj zog hauv cov taw yuav ua rau kev pheej hmoo ntawm pob txha lov.
• Kev raug mob rau ko taw taw ua rau lub cev tsim ntau cov tshuaj lom neeg. Qhov no pab txhawb kom o thiab pob txha poob.

Cov tsos mob thaum xub thawj muaj xws li:

• Mob me thiab tsis xis nyob
• Liab
• O o
• Ua kom sov rau hauv qhov cuam tshuam (ko taw ntau dua li lwm tus taw)

Tom qab cov theem tom qab, cov pob txha hauv ko taw tawg thiab txav tawm ntawm qhov chaw, ua rau txhais ko taw lossis pob taws tsis zoo li qub.

• Ib daim paib classic ntawm Charcot yog rocker-hauv qab taw. Qhov no tshwm sim thaum cov pob txha nyob nruab nrab ntawm ko taw sib tsoo. Qhov no ua rau lub koov ntawm ko taw tawg thiab nyo hauv qab.
• Cov ntiv taw yuav caws qis hauv qab.

Cov pob txha uas tawm ntawm cov ces kaum khib yuav ua rau lub qhov txhab thiab mob rwj.

• Vim tias txhais taw loog, cov leeg no yuav loj zuj zus los yog tob dua ua ntej lawv pom.
• Mob ntshav qab zib siab tseem ua rau nws lub cev tsis tuaj yeem tiv thaiv kev kis mob. Vim li ntawd, cov kab mob ko taw no thiaj li kis rau.

Charcot ko taw tsis yooj yim rau kev kuaj mob thaum ntxov. Nws tuaj yeem yuam kev rau kev mob pob txha, mob caj dab lossis pob txha o. Koj tus kws kho mob yuav siv koj li keeb kwm kho mob thiab kuaj koj ko taw thiab pob taws.

Kev kuaj ntshav thiab lwm yam kev ua haujlwm hauv chaw kuaj mob yuav ua tau los pab txiav tawm lwm qhov laj thawj.

Koj tus kws khomob yuav kuaj xyuas puas cov hlab ntsha nrog rau cov kev sim no:

• Electromyography
• Kev soj ntsuam ntawm lub cev tso pa tawm
• Hlab rub me

Cov kev ntsuam xyuas hauv qab no tuaj yeem ua kom tiav txhawm rau txhawm rau txha pob txha thiab pob txha:

• Ko Taw Duab X-rays
• MRI
• Cov pob txha scan

Xoo hluav taws xob tua duab yuav zoo li cas nyob rau thaum nyuam qhuav pib mob. Kev kuaj mob feem ntau nqis los paub txog thaum ntxov ntawm Charcot ko taw: o, liab, thiab sov ntawm txhais ko taw cuam tshuam.

Lub hom phiaj ntawm txoj kev kho yog txwv kom tsis txhob muaj pob txha pob txha, ua kom pob txha zoo, thiab tiv thaiv cov pob txha los ntawm kev txav chaw (tsis txawv txav).

Immobilization. Koj tus kws kho mob yuav kom koj hnav tag nrho cov cam khwb cia. Qhov no yuav pab txwv txoj kev txav ntawm koj ko taw thiab pob taws. Koj yuav raug hais kom koj qhov hnyav tawm ntawm koj txhais ko taw tag nrho, yog li koj yuav tau siv cov pas txheem, lub hauv caug-taug kev lossis lub rooj muaj log.

Koj yuav muaj cov phiaj tshiab tso rau ntawm koj txhais ko taw thaum qhov o o tuaj. Kho zoo tuaj yeem siv ob peb lub hlis lossis ntau dua.

Cov khau tiv thaiv. Thaum koj txhais ko taw zoo lawm, koj tus kws khomob yuav hais kom cov khau tuaj pab koj txhais ko taw thiab tiv thaiv tsis raug mob ntxiv. Cov no suav nrog:

• Daws lus
• Kev zawm hniav
• Lub cev orthotic
• Charcot khi orthotic yamntxwv, khau khiab tshwj xeeb uas muab siab rau tag nrho ko taw

Kev hloov pauv kev ua. Koj yuav ib txwm muaj qhov pheej hmoo rau Charcot ko taw rov qab los yog tsim hauv koj txhais taw. Yog li koj tus kws kho mob yuav pom zoo kom hloov pauv kev ua ub ua no, xws li txwv koj txoj kev sawv ntsug lossis taug kev, kom tiv thaiv koj txhais taw.

Kev phais mob. Koj yuav tsum tau phais yog tias koj muaj kab mob taw uas ua rau rov qab los lossis ko taw loj lossis pob taws tsis zoo. Kev phais mob tuaj yeem pab tswj koj ob txhais taw thiab pob taws pob qij txha thiab tshem thaj chaw ib puag ncig kom tiv thaiv mob ko taw.

Tseem niaj hnub saib xyuas. Koj yuav tsum ntsib koj tus kws kho mob rau kev kuaj mob thiab muaj kev los tiv thaiv koj txhais taw mus tas koj lub neej.

Qhov raug raws ntawm qhov mob hnyav ntawm ko taw deformity thiab zoo li cas koj kho. Coob tus neeg ua tau zoo nrog kev zawm hniav, hloov pauv kev ua ub ua no, thiab kev soj ntsuam tas li.

Kev puas tsuaj tiag tiag ntawm lub taw ua rau muaj kev pheej hmoo ntawm mob taw. Yog tias qhov mob txhab ua rau kis mob thiab nyuaj kho, nws yuav xav txiav tes taw.

Hu rau koj tus kws kho mob koj muaj ntshav qab zib thiab koj txhais taw sov, liab, lossis o.

Kev noj qab haus huv rau lub cev tuaj yeem pab tiv thaiv los yog qeeb taw Charcot:

• Ua kom tswj tau koj cov ntshav qabzib kom ntau los pab tiv thaiv lossis qeeb taw. Tab sis nws tseem tuaj yeem tshwm sim, txawm tias cov neeg muaj ntshav qab zib tswj tau zoo.
• Tu koj txhais taw. Kuaj lawv txhua hnub.
• Mus ntsib koj tus kws kho mob ko taw tsis tu ncua.
• Kuaj koj ob txhais taw tsis tu ncua txhawm rau txhawm rau nrhiav kev txiav, liab thiab mob.
• Zam kev ua mob rau koj txhais taw.

Daim ntawv sib koom; Neuropathic kev mob caj dab; Cov leeg neuropathic osteoarthropathy; Charcot arthropathy; Charcot osteoarthropathy; Ntshav Qab Zib Noj Qab Zib Ko Taw

• Kev soj ntsuam leeg
• Mob ntshav qab zib thiab hlab
• Mob ko taw

Koom Haum Asmeskas Mob Ntshav Qab Zib. 10. Microvascular cov teeb meem thiab kev saib xyuas ko taw: cov qauv kev kho mob hauv ntshav qab zib - 2018. Ntshav Qab Zib Kho MobCov. 2018; 41 (Cov Khoom Siv 1): S105-S118. PMID: 29222381 www.ncbi.nlm.nih.gov/pubmed/29222381.

Baxi O, Yeranosian M, Lin A, Munoz M, Lin S. Kev tswj hwm ntawm neuropathic thiab dysvascular taw. Hauv: Webster JB, Murphy DP, eds. Atlas ntawm Orthoses thiab Cov Kev Pab CuamCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 26.

Brownleee M, Aiello LP, Cooper ME, Vinik AI, Plutzky J, Boulton AJM. Teeb meem ntawm ntshav qab zib mellitus. Hauv: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Phau Ntawv ntawm EndocrinologyCov. 13th ed. Philadelphia, PA: Elsevier; 2016: chap 33.

Kimble B. Charcot sib koom ua ke. Hauv: Ferri FF, ed. Ferri Tus Kws Pab Tswv Yim Rau Xyoo 2019Cov. Philadelphia, PA: Elsevier; 2019: chap307.

Rogers LC, Armstrong DG, li al. Kev saib xyuas mob hlwb. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 116.

Rogers LC, Frykberg RG, Armstrong DG, li al. Lub Charcot ko taw hauv ntshav qab zib. Ntshav Qab Zib Kho MobCov. Xyoo 2011; 34 (9): 2123-2129. PMID: www.ncbi.nlm.nih.gov/pubmed/21868781.