Some times you can see a notice of "before entering the examination room to take off his shoes and socks." out of the waiting room. Because the expert to examine every foot in diabetic patients.
Why is he so great importance to check the patient's feet do? Because of severe diabetes, can occur in patients with foot ulcers, foot necrosis, or even the need for amputation. This is one of serious complications of diabetes, called diabetic foot.
Nerve damage and more lesions
In patients with diabetic foot, there are three main reasons. First, patients with peripheral diabetic neuropathy, so that the foot sensory loss on the feet of cold, heat, do not feel pain. Although we do not make a good thing, but in reality the pain is normal, is aware of the warning issued by the body that there is need to avoid harm to people is good. Do not know the pain of diabetic patients, such as shoes, there are stars pebbles, because do not feel it will be sustained by the wear and tear injury. In addition, neuropathy may reduce foot sweating, caused by dry skin and cracks easily; toe neuropathy will allow bending, deformation or even adequate. Second, the vascular disease of diabetes, blood flow will reduce the foot. In this way, patients with diabetes of the injuries, the result of lack of sufficient oxygen and it is very difficult to heal. Third, in the above basis, the infection will be injured.
Numbness in hands and feet to prevent diabetic foot
If patients with diabetes over the age of 60, had foot ulcers, the eye has retinopathy, diabetic nephropathy or have vascular disease, especially hand-foot terminal patients feel numb, but should pay attention to the prevention of diabetic foot.
How can we do to prevent diabetic foot? There are three main points: first, to early detection and early treatment of diabetes, making blood glucose control to near normal, this can greatly reduce its incidence. The second is to quit smoking. In addition to the attention of foot inspection and care.
Patients with diabetes should check the feet daily, the soles of the feet and toes, not clear if the soles of the feet can put a mirror on the ground to check. Inspection of the feet and hands and eyes to see whether the rough skin of the foot, chapped, cut, blistering, whether or not to touch the foot throughout the cold, too hot and not feel part of. Should the above-mentioned circumstances, the doctor should be promptly dealt with, or a night on the possibility of change. Patients with feet a day, but the water temperature to adjust the best by their families. Because of numbness in the foot in patients with non-perception, if the bubble into the hot water without feeling blisters cause burns. In addition, if the dry skin can be rubbed on the moisturizer after washing. Patients should not walk barefoot to avoid injury, even in the room also must wear slippers, wear shoes and socks out. Shoes before in patients, but also check the inside of shoes, whether the injustice and processes, with particular attention to whether or not falling into the shoes of the buttons, pins, coins, keys, pebbles and so on. If it is found in patients with long feet corns or calluses pumice stone can be used up to gently rub a thin keratinized layer, the chicken will never be sold or medicine treatment of eye ointment, and the best way would be better to invite a doctor; At the same time, it is necessary to search a Richard shoes with corns or the corresponding part of the corpus callosum whether there are processes. Patients with normal, the feet warm blanket can not be used, if the feet can be really cold to wear thick wool socks soft; in order to increase blood flow, but also the activities of the foot properly.
To avoid the occurrence of diabetic foot amputation
If patients with diabetes have foot ulcers, is still not as usual activities, it is very dangerous as it can develop into a full necrosis, shall immediately request the specialist diagnosis and treatment. Control the treatment of diabetic foot basis, in addition to anti-infection, but also strict control of blood glucose. In addition, there are two commonly used methods. First, use of hyperbaric oxygen treatment in order to increase tissue oxygen levels, to combat the effects of ischemia and promote wound healing; and can improve the anti-leukocyte function, inhibit the propagation of anaerobic bacteria. Second, with the use of a recombinant human platelet-derived growth factor gel for external use, treatment of local injury. Combination of these treatments can be effective treatment of diabetic foot ulcers partial.
In order to prevent diabetes in patients with diabetic foot, to buy shoes, and socks will also contribute greatly to learning. Shoes must be elected loose fit, do not buy just the foot together; cotton socks to choose, stop being stubborn and comfortable, we just can not buy non-Sweat-absorbent nylon socks. Patients with diabetic foot as long as the attention to these problems, and blood glucose control to near normal levels, due to diabetic foot and amputation can be avoided.
April 16, 2009
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