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Diabetic foot generally has the occlusion of the lower limbs or dorsalis pedis artery, it is recommended to do a double lower limb arteriovenous color ultrasound, you can find out whether there is this phenomenon, if there is, you can do lower limb vascular balloon dilation or stent, which can make the diabetic foot as soon as possible, I hope it will help you.
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Diabetic foot ** good blood sugar control is the foundation, in addition to peripheral vascular disease should be done specialists**.
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Pay close attention to diet and exercise** to control blood sugar stability.
You can learn about the care of diabetic foot.
1. Every day before going to bed, diabetic foot patients should carefully check their feet to see if there are any injuries. At the same time, carefully observe the color, temperature, and humidity of **, and check whether there is edema, skin lesions, and pain.
2. After the examination, soak your feet in warm water for 10 to 15 minutes, and the water temperature should be almost the same as the human body temperature, between 35 and 40 degrees. The idea that you can't soak your feet for too long just because you're comfortable is wrong. When soaking your feet, you can wash your feet with some mild soap to keep them clean.
3. After soaking the feet, you should first gently dry them with a dry towel, including between the toes, do not rub them with a coarse cloth to cause abrasions, and then evenly apply some moisturizer on the instep, soles and heels.
4. Massage your feet before going to bed. Rub the left foot with the palm of the right hand and the right foot with the palm of the left hand, and press about 100 times each repeatedly until the center of the foot is hot.
5. In addition, the shoes and socks of diabetic foot patients should be suitable and loose, and the socks should be changed every day, and it is best to have two pairs of shoes to change so that the shoes can be kept dry. When wearing shoes, check that there are stones, nails and other debris inside the shoes to avoid injuries to the soles of your feet.
6. The weather is getting hotter, diabetic foot patients should not wear sandals that expose their toes and heels, and must not go out barefoot or wearing slippers.
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Diabetic foot needs to be treated comprehensively. In terms of surgery, it is necessary to change dressings, incision and drainage, and drain pus; In terms of endocrine**, it is necessary to use insulin to control blood sugar within the allowable range, adjust the dose of insulin according to blood sugar, and at the same time fight infection and provide support**.
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Diabetic foot refers to acral infection, ulceration and/or gangrene in diabetic patients due to acral ischemia combined with neuropathy, autonomic nerve damage and various degrees of vascular disease. Diabetic foot** is difficult and complex, with about 1% of diabetic patients requiring amputation**, accounting for about 50% of non-traumatic amputations. As a serious complication of diabetes, diabetic foot is highly disabling and fatal, with ulcers, amputation, and death ending in the event.
Diabetic foot** begins with mild symptoms in the early stages.
The reason why many patients with arterial disease of the lower extremities need to face the diabetic foot method of amputation (toe) is mainly because the early diagnosis and treatment are missed. Therefore, it is important to understand the clinical manifestations of lower extremity arterial lesions and be aware of them. In the early stage, you may feel weakness in your calves, muscle pain and soreness after walking, and after a little rest, the soreness will ease or disappear, but after walking a certain distance, the pain will worsen.
This is an early manifestation of diabetic lower extremity ischemia; As the lesion progresses, the intermittent claudication distance decreases until the pain occurs at rest, which is called resting pain. The pain is mostly confined to the toes or distal feet, especially at night, exacerbated in the recumbent position, and relieved after lower extremity drop, which is the middle of the disease; In advanced stages, severe ischemia of the lower extremities leads to ulcers or gangrene on the lower legs or toes of the feet. This stage faces amputation (toe).
Six environmental protection feet** are safe and reliable diabetic feet**.
Based on the advanced means of Western medicine to lower blood sugar and stabilize sugar, and at the same time using the technology of traditional Chinese medicine syndrome differentiation and internal regulation combined with external treatment, it can effectively treat early diabetic foot (black feet, cold feet, numbness of feet), severe diabetic foot gangrene (foot wounds do not heal, feet are rotten, and they are sentenced to amputation to save their lives), and after years of clinical practice, the ** has a definite foot-preserving effect and successfully saved tens of thousands of diabetic feet that have been sentenced to need amputation.
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Traditional Chinese Medicine**: According to the clinical syndrome differentiation and treatment, different drugs are taken for patients with yin and cold type, blood stasis type, damp heat betting type, heat poison type and spleen and kidney yang deficiency type**. In order to achieve the effect of invigorating blood and pulse, removing blood stasis and relieving pain.
In patients with diabetic foot, when limb ischemia is severe, ulcers and gangrene may develop on the extremities. What should I do if the patient's foot pain is unbearable, and the diabetic foot pain is severe? What kind of methods can be used to relieve pain in the limbs?
It can be taken to lower blood lipids, reduce viscosity, remove fiber, remove polymerization, and thrombolysis to promote the establishment of collateral circulation, improve the rheological state of blood, and dredge microcirculation, thereby reducing limb ischemia and preventing infection and gangrene caused by ischemia.
Patients often use fumigation**, that is, the use of traditional Chinese medicine decoction to fumigate and soak the affected limb, which has been widely used in the treatment of limb vascular lesions. However, patients with diabetic limb vascular disease are prone to scalding due to peripheral neuropathy, local sensory impairment, and high water temperature, so it is advisable to strictly control the water temperature and not burn their hands.
Drug arterial perfusion**: Injection of drugs from the femoral artery of the affected limb can increase the concentration of drugs in the blood of the limbs, and can play a more effective role in the drug, dilate blood vessels, relieve vasospasm, promote the establishment of collateral circulation and the formation of collateral blood vessels, improve limb blood circulation, and have a fast effect and good efficacy.
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At present, there are two main aspects of diabetic foot, one is basic, and the other is local.
Diabetic foot is a serious complication of diabetes, which can cause foot infection, amputation, and significantly increase the risk of death. At the same time, it's also very tricky.
Basic** includes control of blood sugar, blood pressure, and blood lipids. The most important thing is blood sugar control, and it is necessary to control the blood sugar of diabetic patients within a reasonable and good range. Generally, postprandial blood glucose is less than 10 mmol L and fasting blood glucose is less than 7 mmol L.
Only good glycemic control can lead to better infection control in diabetic foot patients. In addition, blood pressure, blood lipids, etc. also need to be controlled within a reasonable range, and at the same time, patients need to maintain mental health, do not be anxious and impatient, and quit smoking and limit alcohol, which is the basic.
Diabetic foot also includes local, and local foot requires a specialist doctor to clear sores and fight infection. The process of clearing the sores is very critical, and it is necessary to remove the necrotic tissue of the patient every day, and then apply medicine to fight infection**. Because diabetic foot is a complication caused by arterial occlusion or stenosis of the lower limbs, resulting in insufficient blood, poor blood circulation of the lower limbs is a very important factor.
Therefore, when surgeons are diabetic foot patients, it is also very important to carry out revascularization, including stent implantation and balloon dilation, so that the blood of the lower limbs can be unobstructed, so that the diabetic foot can recover better. If the diabetic patient's foot infection cannot be controlled, in order to save his life, he can only ask a surgeon to partially amputate the diabetic foot when necessary.
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How can this question be answered? Not knowing where to start, exactly, is a very complex question. To put it simply, I summarized the combination of diabetic foot as the combination of overall and local traditional Chinese medicine and Western medicine, the combination of internal and external treatment, which requires the cooperation of multiple departments, and the application of traditional Chinese medicine should be strengthened in the process.
Multidisciplinary cooperation is the standard, and traditional Chinese medicine is the key. It is necessary to aim at not amputation, so I personally think that all diabetic foot means must not be amputated as the premise, and any method that deviates from the premise of not amputation is a hooligan. Having said so much, it seems that there is nothing useful, the following is a list of several commonly used methods, although the effect is generally interventional (stent, balloon dilation, guidewire), bone transfer, skin grafting, flap transplantation, in order to cure diabetic foot, it is necessary to combine traditional Chinese and Western medicine, this is a consensus that has been formed in the industry, if it is the patient's family, it is recommended to look at the integration of traditional Chinese and Western medicine**.
There are also ** cases that will definitely be of great help to you.
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Diabetic foot** is a very complex issue, and it is estimated that it is difficult to explain it here, so I can only make a few suggestions.
First, it is timely** Second, it is not recommended to do traumatic surgeries such as stent and bone removal Third, it is recommended to choose a professional diabetic foot center**, the effect is much better than that of ordinary peripheral vascular surgery. Fourth, the integration of traditional Chinese and Western medicine is open**.
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Diabetic foot is caused by damage to multiple target organs, especially foot damage, ulcers, necrosis and ischemia due to unsatisfactory glycemic control. The patient's diabetic foot should be well performed**, otherwise it is prone to amputation.
Can diabetic foot be a**? What are the symptoms of diabetic foot? How to prevent the occurrence of diabetic foot?
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Diabetic foot is hard**. Diabetic foot refers to foot ulcers, infections, and/or destruction of deep tissues associated with nerve abnormalities and varying degrees of peripheral vascular lesions in the dismal lower extremities, and is one of the most serious and costly chronic complications of diabetes.
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OK. You can choose to be conservative**, you can do it through surgery**, you can do it with drugs**, and you can also improve it through dietary therapy, so that you can achieve a good ** effect and relieve the pain.
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Yes, and after such a situation, you must pay attention to a light diet, do not eat high-sugar and high-oil foods, often pay attention to drinking more water, and at the same time should pay attention to adequate sleep, and should also take some insulin.
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Diabetic foot is OK. We effectively control blood sugar and open up occluded blood vessels, whether it is through endoluminal stent implantation, bulb dilation or plaque atherectomy, drug-coated balloon or this surgical incision.
We call it by-pass. Using your own blood vessels or artificial blood vessels, the ulcer surface can be effectively healed by changing the dressing after the blood vessels are opened.
Therefore, diabetic foot is not terrible. With our effective early diagnosis and treatment, it is possible to heal completely. Therefore, diabetic foot needs to be synthetic.
On the one hand, it can effectively control blood sugar through endocrine, and on the other hand, it can open up blood vessels through vascular surgery and effectively change dressings after wound treatment and necrotic tissue cleaning.
The addition of gel dressings or growth factors can promote scar healing.
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Diabetic foot View answer analysis [Correct answer] Diabetic foot: Diabetic patients are collectively referred to as diabetic foot pain due to peripheral neuropathy, peripheral vascular disease, bacterial infection and other lesions such as foot pain, ulcers and acral gangrene.
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Check your feet every day to keep your feet clean, keep them dry after washing your feet, and check whether you have redness and swelling, athlete's foot, ulcers, etc., when trimming your nails, don't get too close to ** The water temperature of washing your feet should not exceed 39 degrees to prevent burns, don't scrub your shoes hard, and pay attention to keeping them warm and breathable
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Usually pay attention to the dietary structure, eat more light food, do not eat food with higher sugar content and higher calorie content, and at the same time carry out physical exercise and exercise, keep your body in a normal physical condition, and regularly go to relevant regular hospitals for physical examination to prevent diabetes.
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Wash your feet every day to maintain the hygiene of your feet, pay attention to keeping warm, trim your toenails properly, rub them evenly on your legs with some skin care products, and massage them appropriately to promote blood circulation.
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Diabetic foot can be divided into two steps:
1. Strictly control blood sugar. Hyperglycemia is the root cause of diabetic foot, and long-term hyperglycemia will further aggravate the damage of diabetic foot, resulting in infection that is difficult to control and ulcers that are difficult to heal. Therefore, it is important to keep your blood sugar within the normal range.
2. Target body fluid penetration**. The plaster with transdermal extraction, pus extraction, and fluid renewal directly acts on the affected area, and through the cavity and surface of the ulcer, the pathological body fluid that does not have physiology and constitutes damage to the patient part is continuously introduced to the outside of the body. Physiological body fluids allow the tissues of the case environment to grow and resuscitate as soon as possible.
Under the condition of improved blood circulation, the residual necrotic tissue in the ulcer surface and ulcer tract will be enzymatically hydrolyzed, acidified, hydrated, saponified, etc., as well as the rejection function of the body, so as to promote the separation of natural liquefaction and normal tissue rejection. This is the foundation of its ability to purify cavities, tracts and surfaces in a warm and moist environment.
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Come to me, Integrative Medicine System**. Search for the first three words of the account name.
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Hello, diabetic foot, must be a peripheral nerve nutrition caused by an increase in blood sugar, ** insufficient caused by one, complications, this complication, some particularly serious will be easy, leading to diabetes, foot necrosis, severe cases, need amputation. In terms of prevention, the first thing is to avoid drinking and smoking as much as possible, and not to eat too greasy in your diet.
1) Medical history taking.
It is necessary to understand the duration, mode and other complications of diabetic patients, and identify the cause, duration, degree and progression of foot ulcers; >>>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.
The main reason is that after the burn, an ulcer is formed, which is not easy to heal in the case of high blood sugar, and it is easy to become infected, further expanding the wound.