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Every friend should take measures to prevent diabetes, do you have enough for related preventive health care? Come and learn with us.
Mastering the symptoms and manifestations of diabetic foot wet gangrene is the precursor and key to diabetic foot wet gangrene, in fact, any disease is the same, especially like this more sensitive peripheral vascular disease.
The symptoms of diabetic foot wet gangrene are in the early stage: the main clinical symptoms are blisters and blood blisters on the soles of the feet or the dorsum of the feet, and often there will be symptoms such as burns or frostbite, corns, etc., and will also lead to frequent superficial injuries or ulcers on the feet, and redness and swelling, and the discharge of the initial ulcers is less.
Symptoms of diabetic foot wet gangrene are in the middle stage: the clinical symptoms are that the foot will have repeated infections, and the degree of infection will further deepen, which has damaged the subcutaneous tissue of the foot and formed tissue inflammation. At this time, if the necessary control is not carried out immediately, the infection will spread along the intermuscular space, in the shape of an inverted triangle, and the purulent discharge will gradually increase, and the discharge will be foul.
Symptoms of diabetic foot wet gangrene: further aggravation of deep infection, fusion of cellulitis into a large abscess cavity, severe destruction of muscles, tendons and ligaments, and an increase in purulent discharge and necrotic tissue.
Symptoms of diabetic foot wet gangrene are severe: the main clinical symptoms are inflammation of deep tissues combined into a large abscess cavity, and a large area of damaged tissue will appear around, bones and joints will be damaged to varying degrees, and necrosis of the toes and toes will appear.
It only takes a little prevention in our lives to prevent diseases very well, and I hope the above content will help you.
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The early symptoms of diabetic foot are as follows:
1. First of all, the feet feel sluggish, there is a feeling of stepping on cotton wool, the patient's lower limbs are dry due to no sweat, and the fingers will be accompanied by tingling, burning, numbness, and even sluggishness or loss, which is characterized by sock-like changes, which is mainly due to lower limb malnutrition and even muscle atrophy caused by ischemia.
2. It will also produce deformities of the feet, dryness, pigmentation and muscle atrophy of the lower limbs. These are generally caused by ischemia of the lower limbs, mainly called dystrophic signs, due to malnutrition, muscle atrophy, become dry and poor elasticity, **temperature will also decrease, and there is **pigmentation, the arterial pulse of the lower limbs weakens or disappears, mainly refers to the dorsalis pedis artery or posterior carotid artery, and vascular bruits may be heard in the narrowing of the blood vessels.
3. It is inconvenient to walk, and there is intermittent claudication.
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The clinical manifestations of diabetic foot are mainly as follows:
1. Skin temperature decreases: the patient's ** temperature is cold to the touch;
2. Sensory numbness: because the patient's ** nerve has been necrotic, he feels numb, and he has the feeling of wearing sleeves;
3. Pain: It is easy to feel fatigue and is very painful, and you must sit down to rest, which is called intermittent claudication in medicine. Then, when you sit quietly, you will feel weakness and pain, which is called rest pain.
Further development, ulcers, aggravated pain, if infection, can cause fever, severe cases need to be amputated, if sepsis is caused, death, etc.
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Diabetic foot gangrene.
Clinical manifestations of diabetic foot.
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The early symptoms of diabetic foot mainly include: the patient's foot touch, pain, temperature sensation and other perceptions are gradually weakened, and the foot is itchy, desquamated, cracked, tingling, and cold in the lower limbs.
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Diabetic gangrene is severe nerve damage. The main symptoms are pain, ulceration, claudication, and necrosis at the end of the branch.
Diabetic gangrene is a complication of diabetes, it is severe nerve damage, patients with this disease will have obvious pain sensation, and local ** blisters will appear. The color of the subcutaneous tissue of some patients will also change to dark red or black, and in severe cases, there will be a variety of uncomfortable symptoms such as suppuration, infection and ulceration, necrosis and dryness.
There are many manifestations of diabetic gangrene, the main manifestation is pain, and there will be indirect claudication. When the patient first appears in this disease, the blood in the muscles is insufficient, and the limbs will feel that there is no strength at all when walking, and the symptoms of numbness and fatigue often appear, and there will be obvious pain after the aggravation of the disease, which is the patient's symptoms will be relieved after the conflict rest.
When diabetic gangrene progresses to the middle stage, the symptoms of ischemia in the affected area will be more severe, even if there is no walking or moving, the symptoms of pain will occur, and it will mostly appear at the distal end of the foot, and they will feel more pain at night, and if the foot is put down vertically, the symptoms will be reduced, so they will have worse symptoms when they lie down and sleep at night. If the condition is not controlled, water will accumulate, and the bubble will suppurate and infect, so that the affected area will ulcerate, and it is difficult to pass this situation, and many patients will eventually not escape the fate of amputation.
Diabetic gangrene is divided into wet and dry two, wet diabetic gangrene ulceration will be more serious, after reaching the muscle layer, the bones inside will also be damaged, and many tissues will die, will form a large amount of pus secretion is extremely common, need to be cleaned and disinfected in time and professional**. The dry gangrene of diabetic gangrene will cause ischemic necrosis at the end of the affected limb, the affected area will be dry and black, the boundary of the affected area is clear, and some lesion tissues will fall off on their own as the disease progresses.
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Diabetic gangrene refers to the diabetic foot, which is generally caused by trauma; Symptoms are generally redness, swelling, ischemia, blackening, suppuration, necrosis.
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This is a complication of diabetes, and some people with diabetes experience severe ulcers in their bodies. Sometimes there will be redness and swelling of the lower limbs, sometimes ischemia, and some blackening and necrosis may occur.
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It is a condition in which peripheral blood vessels and neuropathy are infected and formed; Symptoms of diabetic gangrene include local tissue ischemia and necrosis, vascular stenosis, pain in the lower extremities, and hallucinations.
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The main manifestation of diabetic foot dry foot gangrene is dry hair on the feet. If the disease is not urgent, it will result in amputation. Diabetic foot** It is recommended to use "Jiesheng" to protect the foot from diarrhea without amputation.
The appearance of diabetic foot is a relatively long process, diabetic atherosclerosis and microcirculation disorders caused by vascular diseases and peripheral neuropathy caused by vascular diseases. Therefore, the ** of the diabetic foot must be combined with the whole and the local, combined with the external ** and the internal **. The basic steps include:
Controls blood sugar, nourishes nerves, dilates blood vessels, controls infections and removes saprophytic muscle.
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Diabetic foot dry gangrene is a complication of diabetes.
It is ischemic gangrene of the lower extremities caused by vascular lesions of the lower extremities.
For diabetic dry foot gangrene, it is necessary to professionally and systematically **: professional removal of the body that has been necrotic, necrosis of 1 or more toes, only the necrotic toes need to be removed, and excessive ** (amputation**, amputation of the entire foot or further limbs). Comprehensive is the combination of traditional Chinese and Western medicine, open and conservative**.
I am a clinician at the Podiatry Center of Shangqiu Fifth Hospital, and I can ask if I don't understand.
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Diabetic patients may experience a series of complications due to long-term chronic elevated blood sugar, which leads to peripheral vascular and neuropathy. For example, acral complications, due to peripheral nerve dysfunction and microvascular dysfunction, patients may have symptoms such as leg ulcers, foot infections, and neuroarthritis. Once diabetic foot occurs, it is more difficult**, and more severe patients even have the manifestations of black toe hair, necrosis, and gangrene, and many patients are accompanied by more severe neuroarthritis.
Therefore, it is important to control blood sugar stability. The latest research shows that the harm of blood sugar fluctuations is greater than the harm of persistent hyperglycemia, and the patient's blood sugar status is monitored every day through a portable blood glucose meter, so as to regulate the diet and whether to choose drug control.
What are the care methods for diabetic foot:
1. Keep your feet fresh and clean, and wash your feet with warm water every night. Do not overheat the water to avoid burns**.
2. Systemic protection, diabetic patients should also pay attention to some systemic protection. It's important to control your blood sugar! Actively control blood sugar to ensure that blood sugar is stable. At the same time, maintain a positive attitude so that foot ulcers can be healed faster.
3. Local debridement: The key to diabetic foot ** is to treat infection and ulceration at the same time, first disinfect the affected area with medical iodine, remove necrotic tissue, and then spray Yao Skinkang 3-5 times a day to help the wound collect water and heal, usually wear loose cotton socks, try not to have strenuous exercise.
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No amputation**Diabetic foot. There is no standard for how life-threatening gangrene is, and it should be controlled as soon as possible. Some patients have their calves darkened for a week.
Director Yuan Minqin does not amputate ** diabetic gangrene. Long March Podiatry is also a professional institution for this aspect of the disease.
This patient has both dry gangrene and wet ulceration, and severe gangrene can lead to an increase in inflammation, causing blood disorders or fluid accumulation in the lungs, and finally organ failure and death. Just as cold weather can freeze people to death, it is not the extent to which frostbite of the limbs can be life-threatening. A truth.
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The first is to actively ** diabetes and control blood sugar. The first thing to do is to control your blood sugar. Improves local blood circulation, local ** care.
Keep your feet clean and dry. Proper foot exercise. Surgical management can be performed if necessary
Debridement and sutures, anti-infection, and good blood sugar control. Be sure to go to a regular hospital**, don't believe in home remedies.
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How to deal with diabetic foot gangrene.
How to deal with diabetic foot gangrene1In principle, tissues that have undergone necrosis and will not be restored to the same viability as before should be surgically removed2Only a very small number of dry gangrene toes are able to fall off on their own like dead branches after the blood flow is fully restored, and the necrotic toes are conservative** (i.e., self-amputation, usually taking several months); There is a risk of infection in the wound left after self-amputation3
In cases of severe threat, amputation of the toe (limb) can help prevent systemic poisoning.
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There are three main causes of diabetic foot gangrene: first, chronic hyperglycemia, long-term chronic hyperglycemia will produce a lot of metabolic wastes, leading to the occurrence of diabetic foot. Clause.
2. Nerve or vascular problems, especially diabetic peripheral neuropathy and diabetic lower extremity vascular disease, can lead to the occurrence of diabetic foot. Third, external injuries, such as wear and tear, burn feet, etc., are some of the causes of diabetic foot gangrene.
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Causes of diabetic foot:
1) The blood sugar is too high for a long time, and there are no external factors to ulcerate on its own;
2) improper management of beriberi infection;
3) Improper treatment of calluses, corns, and cracks;
4) Trimming the toenail is too short, and the nail bed is damaged and secondary infection;
5)**Itching, mosquito bite caused by infection;
6) Accidental scalding and burns during heating in winter;
7) Traumatic infection;
8) post-operative infection;
9) Infection caused by improper treatment of dry and cracked feet;
10) Infection caused by friction of unsuitable shoes and socks. Diabetic ulcers can also appear in other areas.
Common symptoms of diabetic foot: early sensation of itching, sensitivity to cold, pale or purple in the feet, tingling in the extremities, numbness, dullness or loss of sensation. Sudden pain in the lower limbs when walking, and pain when resting later and even sleepless nights.
After co-infection, the foot ulcerated, necrosis, wounds did not heal for a long time, tendons, ligaments and bones necrosis, and had to be amputated and disabled.
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Diabetic foot refers to foot infection, ulcers, and destruction of deep tissues in diabetic patients due to abnormalities in the distal nerve opening system of the lower extremities and vascular lesions of varying degrees of noise. In addition to smoking, drinking, high blood pressure, hyperlipidemia, foot deformity and other high-risk factors, if diabetic patients have poor long-term blood sugar control, it will cause arteriosclerosis and occlusion of lower limbs, poor blood supply to the lower limbs, dryness, and obvious pigmentation. Sidbuche.
At the same time, diabetes can cause peripheral neuropathy of the lower limbs, poor nutritional status of the lower limbs, and decreased sensation of pain and temperature after nerve damage.
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
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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 first thing is to have good blood sugar control. In addition, all risk factors should be prevented, including quitting smoking, limiting alcohol, lowering blood lipids to normal, and lowering blood pressure to normal. Once diabetes, neuropathy, and vascular disease are found, it is necessary to apply corresponding drugs for early treatment, which can fundamentally reduce the occurrence of diabetic foot.