People with diabetes, what should I do if the wound is not healed well, and what can I do to get bet

If you want to take a shortcut, it won't work at all, because the wounds of diabetics are very complex and much more difficult than common wounds. For example, patients not only have infections, but also lower limb vascular lesions, decreased blood oxygen saturation, and some patients also have high blood pressure and high blood lipids, myocardial infarction, cerebral infarction... These all affect the wound **. Tell everyone that in addition to the wound itself, all health problems on the patient's body need to be a**, which involves a multidisciplinary joint diagnosis model, and it is recommended to go to a professional diabetic foot hospital to find a professional doctor**, such as Shangqiu Yuan Minqin.

Finally, I wish you a good day**!

Soak the wound with warm water mixed with potassium permanganate for 50 minutes.

Health: Is it difficult for diabetic patients to heal wounds? One way to promote wound recovery is simple and practical.

Non-healing wounds are a symptom specific to diabetics because of the high blood sugar levels in diabetic patients for a long time, resulting in an increase in the osmotic pressure of extracellular fluid and water leaking out of the cells; Glucose, on the other hand, is excreted from the urine, forming an osmotic diuresis that excretes excess water and electrolytes through the urine. In this way, dehydration may occur both inside and outside the cells, affecting the healing of the wound. Poor blood sugar control in diabetes reduces the body's ability to destroy bacteria, and hyperglycemia reduces the ability of cells to transport oxygen to tissues, which also affects wound healing.

So it seems that it is just a problem of high blood sugar, so to make the wound heal, is it just a matter of lowering blood sugar? Of course, lowering blood sugar is necessary, but in cases where wound ulceration has already occurred, lowering blood sugar alone is not enough. Even if the blood sugar drops, the wound will not heal on its own.

In order for diabetic patients to heal wounds quickly, they need to carry out a systematic integration of traditional Chinese and Western medicine**. On the basis of stabilizing blood sugar, debridement, anti-infection, improving circulation, nourishing nerves, removing saprophytic muscles are indispensable, and only by improving the overall function of the patient's body can the wound heal quickly. Therefore, diabetic patients should never think that as long as they lower blood sugar or take hanging injections, or apply ointment, and some people even think that there are some home remedies and other wipes.

These are all incorrect, and we advise you not to blindly seek medical treatment or deal with it yourself, but to go to a regular specialist hospital for systematic synthesis**.

Case 1: A 60-year-old diabetic man did not pay attention to the water temperature when soaking his feet, resulting in burns and broken skin on his feet. It didn't heal for more than half a month, and then I had to seek medical treatment.

Case 2: Mr. Liu has been suffering from diabetes for more than 5 years, and recently when he was installing a circuit for his home, he was accidentally cut by a utility knife with a small wound. At that time, I used a band-aid to deal with Weiji. As a result, it took more than half a month for the wound to heal.

Case 3: Ms. Zhang has been suffering from diabetes for nearly 8 years, and one day while cooking, she accidentally cut her finger with a kitchen knife. After a simple bandage, it took more than a month for the wound to heal.

Usually, everyone will inevitably suffer a little injury in life, and they generally choose to deal with it at home. Often the wound does not take long, the fast 3-5 days, the slow half a month can be healed. However, if you have diabetes, the wound healing time may be doubled.

If the care is not good, it may also cause the wound to become more infected, or even not heal.

So why does diabetes make wounds difficult to heal?

Yangshengjun thinks there are four reasons:

1. Blood circulation is blocked.

High blood sugar in diabetic patients can cause a series of changes in the body: blood vessel damage and blood transport disorders. Resulting in ischemia, obstruction of blood circulation, insufficient nutrition, etc.; It is also difficult for the drug to reach the wound through the blood circulation, helping to reduce inflammation.

2. Bacteria are easy to grow.

The high-sugar environment makes it easy for bacteria to invade, and the local edema, hypoxia, and high-sugar environment of the tissue is suitable for bacterial growth. At the same time, pathological high glucose levels reduce the chemotaxis and phagocytosis of inflammatory cells, and bacteria are not easily eliminated.

3. Self-resistance decreases.

The phagocytosis of white blood cells in diabetic patients is weakened in the environment of high sugar, the killing ability is reduced, and the autoimmune effect is reduced.

Diabetic foot has always been the most common cause of amputation caused by non-traumatic injuries, and many diabetic patients will have foot problems, ranging from mild sensory numbness to amputation, and the main causes are common neurological disorders and vascular disorders.

1.Neurological disorders.

Diabetic patients with long-term poor control often have dull and numb sensory nerves in the feet, such as stepping on something as sharp as a thumbtack, without feeling pain, and some patients use hot water to compress in winter, which has not been hot enough, and the result is not yet known to be burned. Because of this, the patient's ability to avoid injury by relying on the body's natural reflexes has become poor, so diabetic patients often get injured unaware, causing the wound to worsen.

2.Vascular disorders.

Vascular circulatory disorders are common in most people with long-term diabetes, because diabetic people tend to have elevated blood fat, and blood vessels are prone to hardening and blockage, so that the blood flow to the lower limbs is insufficient. The function of blood is to transport nutrients to all tissues of the body, and at the same time, to transport the waste products produced by various tissues out of the body.

The initial symptoms of circulatory disorders in the feet are calf cramps that occur when walking, and if they continue to be severe, they will be cut or abrasions that will be difficult to heal. If the bacterial infection is added, the resistance and recovery ability of patients with poor diabetes control are already impaired, then the local wound becomes more and more unmanageable, and a small number of patients have to sacrifice the toes or other parts of the foot.

The most important step to avoid neurological and vascular disorders is to control blood sugar, and if blood sugar control is poor, all further methods are useless. Therefore, good blood glucose control can not only avoid the occurrence of neurological and vascular disorders, but also avoid the deterioration of those that have already occurred, and even speed up the recovery, which also allows further treatment to be effective.

The wound can be changed daily to remove necrotic tissue, metronidazole and gentamicin can be changed, and then the wound can be infiltrated with a little diluted insulin solution and kept dry. Zinc intake can be increased in moderation (e.g., fungus, kelp, etc.) because zinc can improve fibroblast function. Eat some fish oil in moderation, fish oil is rich in fatty acids and has anti-inflammatory effects.

The second is to increase protein intake, which promotes wound healing and reduces the chance of infection. Protein-rich foods include various lean meats, milk, eggs, etc. At the same time, more vitamin A and C supplements can promote wound healing.

Foods such as roe meat, bean curd, green onions, and leeks should be abstained because they are easy to cause infections and are not conducive to wound healing.

If you are a diabetic patient, you need to adjust the insulin dosage before surgery, first you need to control your blood sugar so that the wound can heal, and if you take oral hypoglycemic drugs, it is recommended to change insulin. I hope it can help you and I wish you a happy life.

Blood sugar control is fundamental The reason why diabetic patients are not easy to heal is related to poor blood sugar control. In fact, if the blood sugar in the blood vessels is too high, it will have a very big impact on the local blood and nutritional status, so that it cannot be repaired in time when the trauma is received. Therefore, for diabetic patients, the most basic thing is to control blood sugar through medication or insulin.

Sugar friends should use band-aids with caution Because diabetic patients often have ischemia caused by thickening of the blood vessel wall of the small arteries in the lower limbs and narrowing of the vascular lumen, the blood circulation is not smooth, which is not conducive to the growth of fresh granulation; In addition, the sugar-rich wounds of diabetics are also more likely to breed bacterial infections, so that the wounds will get bigger and bigger, the infection will become more and more severe, and finally gangrene (i.e. blackening) may occur, leading to amputation. Band-aids applied to the wound will cause an increase in the local temperature, and the affected area will not be breathable due to the increase in temperature, which is easy for bacteria to multiply, and the wound is more difficult to heal. Therefore, diabetic patients must not use band-aids indiscriminately, and avoid using darker liquid medicine at the wound, such as purple syrup, so as not to cover the possible infection and non-healing of the wound with the color of the solution, and delay **.

If the blood sugar of diabetic patients is not controlled, it will definitely affect the healing of the wound, because high blood sugar will cause many changes in cytokines in the body. In addition, blood sugar rises, which can easily lead to bacterial infection and affect wound healing. Therefore, there are some situations that should be paid attention to if a diabetic patient has a wound:

The first is to control blood sugar, only by controlling blood sugar well, can the wound heal quickly.

The second is to look at the size and position of the wound, and it should be thoroughly debrided and the necrotic tissue should be removed so that the wound can heal faster.

The third is to look at the blood supply to the wound, if it is a foot wound, there will generally be ischemia, in this case, the blood supply to the foot needs to be improved, so that the wound can heal.

Diabetic wounds are not easy to 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**.

Diabetic patients have wounds that are not easy to heal, and because the blood sugar level is relatively high, they are very prone to infection, so there are two problems in treatment: 1. Strengthen blood sugar control. 2. The wound must be changed regularly every day, and if the wound is infected, debridement should be strengthened.

Diabetes wounds do not heal easily. The first thing that should be done is to control the patient's blood sugar and keep it normal and stable, which is important for wound healing. If the patient's wound does not have a large ulcer but does not heal for a long time, the wound is washed with saline and the dressing is changed daily.

If there is local infection in the wound, the debridement treatment should be strengthened, and the wound of diabetic patients can heal better under the specific effect of these two methods.

Diabetic patients have high blood sugar and wounds are not easy to heal, so patients with diabetes must control blood sugar locally and do a good job of debridement and suturing.

Diabetic patients have high blood sugar and the infection is not easy to heal, so the wound must be strictly disinfected and operated azimulantly to prevent the development of infection.

There are many reasons for the non-healing of wounds in diabetic patients, including the following: 1. Diabetic patients are susceptible to infection, first of all, the infection factors should be controlled, and the infection should be controlled through overall blood sugar control and comprehensive adjustment; 2. Diabetic foot patients have non-healing wounds, which are related to lower limb ischemia, and can be used to promote blood circulation and vasodilation drugs to improve blood circulation of lower limbs to improve wound healing; 3. Combined with the external use of traditional Chinese medicine, such as clearing heat and detoxifying, invigorating blood and removing blood stasis, invigorating blood and relieving pain and raw skin and growing meat drugs, to promote wound healing; 4. Moxibustion**, such as through thunder fire moxibustion and Baixiao moxibustion, Guan Yuan, Qi Hai, Zu Sanli, Sanyin Jiao and other parts to promote the improvement of blood vessels and blood vessels; 5. Regular**, pay attention to wound cleanliness, and change dressings regularly every day.

Wounds that are not well controlled can be difficult to heal and may worsen. It is recommended to control blood sugar first.

It is recommended to take traditional Chinese medicine to comprehensively regulate diabetes.