Thursday, April 26, 2012

Gangrene of diabetic foot might not want the amputation

Gangrene of diabetic foot might not want the amputation
Gangrene of diabetic foot might not want the amputation
74 -year-old Li Bo has suffered from diabetes for 10 years, skin of his careless abrasion left foot halux of once, because is superficial, Li Bo has not taken notice of. However, after a while, the wound begins purulent ulcer, and turn black and send out the rancid smell. The doctor diagnoses as gangrene of diabetic foot, propose the amputation. What one hears wants the amputation, Li Bo is overwhelmed with sorrow, this agony that news brings to him is even far more than learning oneself was diagnosed as diabetes that year far. Diabetic foot appear gangrene want amputation? Endocrine head of the department Ji Bing of the hospital introduced to pray for blessings, diabetic's foot presented gangrene in the past, can only choose the amputation, with the development of three oxygen treatment technology, gangrene of diabetic foot does not need the amputation to cure too now. But daily self- nursing is still very important. Every 30 seconds Is the foot apt to fester why a diabetes patient lose the leg diabetes patient? Ji Bing explains, the diabetic is in the body supersession such as glucose, fat, protein are disorderly, can cause vascular pathological change, including trunk atherosclerosis is stopped up, and the capillary circulates the obstacle a little, lead to the fact the blood circulation of the limb tip becomes bad. Meanwhile, it is very bad that the blood glucose level in diabetic's body is too high to cause the wound to repair ability, once take place skin to be damaged, apt to take place infection, ulcer and suppurate, so rotten that bone reach. Some people incomplete end that leave will continue, present new wound behind the amputation, rotten to go down, cut first limb. Studies have suggested, about 15% of the diabetics will present ulcer of foot, among them 10% - 14.5% Patient know amputation,it is to be nondiabetic 25 times of patient. A diabetic loses a leg globally and averagely because of diabetic foot every 30 seconds. Three oxygen treatment can improve the blood flow of diabetic foot to it is introduced, gangrene of diabetic foot once progress gets to need stage of the amputation, life quality will drop by a wide margin, mortality rises by a wide margin. How to keep the diabetic foot patient's leg? It is reported, as to difficult curing ulcer, three oxygen treatments have already become new focuses that the domestic and foreign medical circle has studied. Three oxygen is commonly called as ozone, some application has strong sterilization ability, can clean the wound, promote and organize growing and healing with the wound surface; Employ and can reduce the patient's density of blood glucose all over, improve the erythrocyte and take oxygen ability, increase the elasticity of blood vessel, reduce the part and infect the probability that takes place, can avoid the amputation at the same time. Three oxygen centre director Wang Wei of this institute points out, the treatment of the diabetic foot is because of three points at present: 1. Control blood glucose actively; 2.Improve some blood circulation; 3.The wound surface is dealt with: Clean some wound, control is infected, increase some oxygen to utilize and reduce the blood vessel penetratingly. The expert reminds, the diabetic's both feet do not feel sensitive, in order to prevent the small wound from causing endangering big, you had better make both feet, check every day, find wound, should reach hospital go on, deal with in time. Attend to Tips diabetes patient How to attend to the foot? The expert points out, the diabetic foot will appear gradually 5- 10 years after suffering from diabetes, learn the foot to attend to, can reduce the diabetic foot and take place, reduce amputation rate. 1. Society's foot inspection, if foot skin color, temperature change, feel unusual, the toenail is out of shape,etc., seek medical advice in time. 2. Avoid wearing shoes and high-heeled shoes of the toe closely, emerging, let alone go out barefoot. Choose ventilative good socks and cotton shoe, and keep dry, fresh and cool. 3. Pay attention to the foot hygiene, steep the foot with the warm water which does not exceed the temperature of body surface every day, must guard against scalding the foot with the hot water. Wash the foot, dry completely with the soft towel with strong hydroscopicity. Don't use the hot-water bottle, electric heater or make a fire and get warm directly behind finishing washing the foot in winter. 4. Be careful while pruning the toenail, avoid pruning short so as not to damage the skin of first ditch. 5. If the foot is unusual wound, red swelling or suppuration,etc., should seek medical advice in time. 6. Give up smoking and stop drinking, otherwise will reduce some blood flow. 7. 2-3 times a day, it takes 5 minutes each time, raise both feet, move the toe. 8. Insist on making the sports (the sports substantially as crooking and stretching the shank on the bed) non- weighted of shank ,Improve the blood circulation of lower extremities. 9. Don't for a long time " Lift up the sitting posture with the legs crossed and one foot poised in the air " ,Otherwise strengthen it to the nerve, vascular pressure.


|

No comments:

Post a Comment