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1. The first thing is to prevent infection.
Treatment of local wounds: clean the wound of the ulcerated part, and change the dressing with normal saline gauze after the secretion is reduced, until the ulcer part grows new granulation.
Use of antibiotics: Rational use of antibiotics to prevent aggravation of wound infection, and antibiotics need to be given as prescribed to control infection in patients with diabetes** ulceration with poor systemic resistance.
Improve the external environment: It is important to take care of the external environment of patients with diabetes** ulcers, and it is necessary to ensure the environment of the ward, pay attention to ventilation, and avoid being too dry or wet. Bed linen and the patient** should be washed frequently.
The area around the ulcer wound** can be gently washed with warm water, mild soap, and then dried with a cotton ball to avoid squeezing the wound and the affected area**.
2. Be sure to try to make the wound recover and heal as soon as possible.
What needs to be done in this regard is the following:
How to deal with diabetes ** ulcers.
Pay attention to the care of daily life, clean the ulcer with warm water every day**, then wipe it clean with a soft dry towel, choose soft clothes made of natural materials to wear, and avoid wearing too tight and breathable. Improve local blood circulation, and do some exercise appropriately. Reasonable diet to improve the nutritional status of the whole body.
3. What should I do if the wound of the urine patient does not heal.
The first thing that should be done is to control the patient's blood sugar and keep it normal and stable, which is very important for wound healing.
If the patient's wound does not develop a large ulcer but does not heal for a long time, the wound can be irrigated with normal saline and the dressing can be changed daily**.
If the patient's wound has a more serious ulcer and the wound cannot heal for a long time, it is necessary to do a good job in the debridement of the wound, remove the necrotic tissue of the wound in time, and use good drugs to promote wound healing such as Yu's Closing Prescription after debridement, dredge the qi and blood in the affected area, and promote the healing of the wound.
Diet**, which is the basis for treating diabetes, because the occurrence of diabetes is related to diet. Diabetic patients should have a light diet, but they should also ensure adequate nutrition, and must control their daily nutrients and calories.
How to deal with diabetes ** ulcers.
Exercise**, life lies in exercise, proper exercise is conducive to enhancing human immunity, and improving human resistance, proper exercise after meals can also lower blood sugar, consume excess calories in the human body, diabetes can do sports such as walking, climbing stairs, tai chi, etc. Exercise should not be intense.
Diabetes education, only by understanding a certain amount of diabetes knowledge, can we better control diabetes.
Do a good job of blood glucose monitoring regularly, detect blood glucose dynamics in time, control blood sugar in time, and minimize the danger.
Medications, which are essential for diabetes. But what is the best way to avoid hypoglycemic drugs? First of all, there should be no secondary damage to the body. Secondly, it is necessary to effectively reduce and stabilize sugar.
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In terms of diet, it is advisable to avoid spicy and hair products, and the range of hair products is larger, such as beef, mutton, fish and shrimp. Please refer to it.
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5. Diabetic ulcers are mostly lower limb ulcers and bedsores, and the local blood supply of ulcers is not good. The application of vasodilator herbs and hyperbaric oxygen** can improve the local blood of ulcers**, which can promote the initial healing of ulcers.
6. Diabetic patients do not have to control their diet too strictly, while controlling the total daily dietary energy intake, they should reasonably match the types of food to ensure adequate nutritional intake, and choose more foods rich in dietary fiber and diverse trace elements, which can not only control the rise in blood sugar after meals, but also effectively avoid malnutrition caused by a single nutrient phenomenon.
7. When patients have diabetic ulcers, they are mostly accompanied by lesions of vital organs such as the heart, kidneys, and a brain, accompanied by pathological changes such as infection, malnutrition, and hydroelectric biochemical disorders, which are prone to unstable conditions, which is not conducive to ulcers.
Therefore, it is necessary to carry out diabetes from the source, and try to make the high blood sugar standard through dietary control, exercise, blood sugar monitoring, drugs, insulin, etc., and delay the progression of complications.
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1. Once a diabetic patient has a **, the first thing that should be done is to debride the sores that have decayed, necrotic tissue, necrotic bone and branch fighting matter, and the hard cocoons around the ulcer until the edge of fresh and healthy tissue appears. Completely removing the necrotic tissue of the ulcer wound is an important measure to prevent and treat infection, improve the efficacy of topical drugs on the wound and shorten the course of the disease.
2. Diabetic patients should also carry out routine dressing change after debridement** to promote the healing of the patient's ulcer area, generally using iodophor gauze, or insulin gauze for dressing, if the conventional dressing change has no healing effect, it is necessary to use other good drugs in time to change the dressing**.
3. In the process, it is necessary to frequently carry out bacterial culture on the ulcer site, and select antibiotic drugs according to the culture results to control the inflammation of the ulcer site.
4. Pay attention to the protection of the ulcerated parts when having a banquet with the same mold, avoid scratching and rubbing, prevent or reduce the pressure on the ulcer parts, avoid the wound from coming into contact with water, and speed up the recovery of the wound.
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Problem analysis: Diabetic patients will have blockage of peripheral blood vessels in the later stage, and diabetic foot will appear. Ulceration is due to the fact that the blood of a diabetic person favors the growth of bacteria, and the clotting mechanism of a diabetic person is also disrupted, and the wound cannot heal.
Guidance: It is recommended that you pay attention to your diet and calculate your daily calorie intake: low calorie supply for obese patients and high calorie supply for thin patients to maintain a normal weight.
The ratio of the three major nutrients is good; In general, the proportion of the three major nutrients in the daily diet of diabetic patients is about 15 protein. Fat 20 . Control your blood sugar and go to the hospital in time after your ulcer appears.
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If this condition occurs even though the blood sugar is well controlled, and it does not heal, I think there are several reasons:
1.Diabetes mellitus complicated by ** disease, which is not well controlled, is not just a problem of infection with various pathogens. **Specialist, surgical identification is recommended.
2.Inadequate care. It is not only the prevention of bumps and burns, but also the prevention and treatment of pressure ulcers, and the correct care of ulcers that have been ulcerated (it is not right for someone to wash with water or buy anti-inflammatory plasters to change dressings, etc.).
3.Long-term illness, the general condition is getting worse. It is recommended to control blood sugar and infection at the same time, and strengthen nutrition.
In addition, it is doubtful that glycemic control is good, and blood glucose monitoring should include fasting, postprandial and other periods.
In view of the fact that the condition is no longer only a problem of endocrinology, it is recommended to go to a general hospital for multidisciplinary cooperation**.
If sepsis is developed, the prognosis is poor.
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Hurry to the hospital and see how the doctor handles it.
It is said that if the blood sugar is well controlled, there will be no ulceration.
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Hurry up and deal with it, the ulcers on the body must be cleaned up, gas gangrene starts from the feet, and severe limbs may be amputated.
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It is mainly related to distal nerve abnormalities of the lower limbs, foot ulcers and infections caused by peripheral vascular lesions, and deep tissue destruction, which are more serious complications of diabetes, and severe cases require amputation.
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1.Clean your feet daily with warm water and soap, then wipe them off with a soft, dry towel, paying special attention to whether they dry between your toes. Test the temperature of the water with your hands before washing your feet to avoid burns, do not soak your feet in water for a long time, and if they are dry, you should apply emollient.
2.When trimming the toenails, you should cut them horizontally with a nail clipper, never cut the toenails too short, and do not cut them deep into the corners to avoid damage**.
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Apply comfrey ointment once a day! The effect is better! It's up to you to get the drug!
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The main reason for the occurrence of ulceration in diabetic patients is that the blood viscosity is caused by high blood sugar, and then the capillaries and microcirculation are impaired, and the blood supply and oxygen supply are insufficient, and they are prone to infection and cannot heal.
Therefore, the key to solving this problem is to bring the blood sugar down smoothly as soon as possible and promote blood circulation. Pay attention to keeping the wound clean and hygienic. It is advisable to use herbs**.
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Disease analysis: due to the hardening of the arteries and plaques in diabetic patients, the damage of the branch nerves, the blood vessels are easy to occlude, and the microcirculation is disrupted, the metabolites of necrotic tissues cannot be discharged, and the diseased tissues are formed after a long period of accumulation, and the lesions are seriously decomposed and infected with bacteria, resulting in local tissue swelling. Severe development leads to ulceration and necrosis.
Suggestions: Ulceration and necrosis are generally not easy to heal and difficult to heal, so diabetics must control blood sugar and infection.
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