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It is not necessary to have an amputation, and diabetic foot patients will face the following problems after amputation.
First, it not only brings physical disability to patients, but also causes psychological pain to patients, and even some patients find it difficult to accept the facts for a long time, resulting in psychological depression.
Second, patients need to be taken care of after surgery, which brings a lot of psychological and economic burden to the family.
Third, even if the leg is amputated, there is still a high risk of non-healing wounds after surgery, or facing another amputation.
Fourth, the patient's vitality decreased sharply after amputation, and the survey results showed that the mortality rate was 30% in 1 year, 50% in 3 years, and 70% in 5 years. Let me ask you, what is the significance of this ** for patients and their families?
The key is to find the right method, at present, there are many methods of diabetic foot, and the key effect is not ideal, but the combination of traditional Chinese and Western medicine is a more effective method in my opinion, the most important thing is to avoid the pain of amputation, so that the wound can slowly heal and grow new granulation tissue. Once the diabetic foot ulcers occur, it means that it is already very serious, and it must not be delayed any longer, and if it is delayed at this time, it is likely to cause irreversible consequences.
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No amputation ** diabetic foot, Yuan Minqin foot disease. As long as you have been exposed to diabetes, it must be extremely painful as a patient, and it is extremely troublesome as a doctor. At present, there is still no effective method for diabetic foot in Western medicine, which is nothing more than interventional blood vessels, negative pressure or something, and the clinical verification of these effects is not ideal, so why use it?
Because there's no better way to do it. However, what I want to share here is the conservative ** of traditional Chinese medicine, which really needs to be vigorously popularized and carried forward, and the way out and hope of diabetic foot ** must be in traditional Chinese medicine. Diabetic foot has long been achieved in China without amputation, mainly through traditional Chinese medicine, of course, some Western medicine methods are also used, but the proportion is very small, that is, the combination of traditional Chinese and Western medicine is open**.
So how to deal with the ulcer noodles you asked, I suggest you learn about Dr. Yuan Minqin's open-ended **. Very professional questions are not made clear in one or two sentences.
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Diabetic foot is one of the complications of diabetes, once the patient's foot ulcers are difficult to heal, the following is the analysis of Jinan Diabetes Hospital diabetic foot wound ulceration and non-healing reasons. Causes of non-healing of diabetic foot wounds Occlusion of blood vessels in the feet, making it difficult for ordinary drugs to reach the feet through the blood Diabetic foot patients have occlusion of the vascular channels of the lower limbs, resulting in poor local blood circulation in the feet, which makes it difficult for the power of ordinary drugs to exert full effect through the vascular pathway. At the same time, experts remind you:
Patients should develop good eating habits, appropriate physical activity, and maintain a normal weight. Overly obese patients should appropriately restrict their diet to reduce their weight to the normal range, If the timing and scale of debridement are not well controlled, it will exacerbate the healing of ulcers The necrotic tissue of diabetic foot gangrene will harden or form a foreign body granuloma, which cannot be absorbed or removed from the body, and debridement is required. However, if the time for foot necrotic tissue debridement is too early, more normal tissue will be exposed, the wound will be deepened, and the bacterial invasion will be provided, thereby aggravating the wound infection and eventually leading to the wound being difficult to heal.
At the same time, if the debridement blindly pursues the "removal of necrotic tissue", it will also lose many epidermal stem cells, the main cells that repair the wound, which hinders the regeneration process. In short, the timing and scale of debridement have high requirements for first-class doctors and require rich clinical practice experience. The presence of other chronic complications affects diabetic foot gangrene** When patients develop diabetic foot or even foot gangrene, they usually have been suffering from the disease for many years, and in addition to podiatry, there are often other complications coexisting, such as hypertension and hyperlipidemia.
High blood pressure can further worsen vascular damage in the feet of diabetic patients; Hyperlipidemia can cause intravascular thrombosis, which aggravates the degree of vascular occlusion. If these influencing factors are not addressed, they will lead to the aggravation of podiatry. Dealing with these complications is the most important problem that diabetic foot must face, and it is also the most difficult problem of diabetic foot.
The first is to stabilize blood sugar, otherwise the next step is wasted, and only by solving the root cause of the ulceration and non-healing of the diabetic rotten foot wound - hyperglycemia, it is possible to avoid the further deterioration of the condition. At the same time, the wound is irradiated with a photon lamp to help disinfect the wound and keep it clean and dry. Professional and scientific debridement is the key to solving the problem of what to do if your diabetic wound is ulcerated and does not heal, the area of debridement is very important, and finally the external application of saprophytic muscle Chinese medicine to promote the regeneration of skin and epithelial tissue.
How long has it been since the wound appeared, and how big is it now? Once the wound ulceration occurs, it needs to be effectively controlled as soon as possible, not always blindly hanging the bottle, and the wound needs to be debrided to control the infection. Your current ulceration and pus flow is the most basic infection is not controlled, let alone the healing of muscles. >>>More
How to prevent diabetic foot: Take a look at these four tips from endocrinologists. >>>More
Early diabetic foot symptoms, also known as diabetic foot occult symptoms, because the blood vessels and nerves of the patient's feet are not seriously damaged at this stage, and the symptoms are not obvious. Some patients find that the pulse of the arteries in their feet is weakened and they feel cold, and a few patients have pain, especially at night. >>>More
It is directly related, diabetic foot is due to long-term hyperglycemia caused by the damage of blood vessels and peripheral nerves, this needs to dredge blood vessels, nourish nerves, improve blood circulation, Hebei Medical University Affiliated Ping An Hospital has a peripheral vascular specialty**, the effect is good.