Treatment of the diabetic foot should be comprehensive, only in this case, it is possible to achieve full healing and avoid amputation. The main activities are aimed at normalizing metabolic processes, restoration of immunity and blood flow.
Content
The main directions in the treatment of diabetic foot
Diabetic foot is called sacrifice or suppuration of soft fabrics of the foot and fingers on the background of vascular and nerve lesions associated with diabetes mellitus. Diabetes causes specific damage to arteries and peripheral nerves. In addition, against the background of diabetes, the development of oblicing atherosclerosis is often accelerated.
The main problem with diabetes mellitus is poor wound healing and reduced immunity. Tissue with diabetes is very sensitive to injury, so they require careful relationship.
Targets of the treatment of the diabetic foot:
- Compensation of diabetes and imminent disorders
- Elimination of blood circulation deficiency
- Proper treatment for diabetic ulcers and gangrene
Events on the normalization of metabolic processes and immunity
Normalization of diabetes and immunity disorders is insulin, regardless of the form of the main disease. Prescribed drugs that contribute to the absorption of glucose (Berlition, Tiocutacid), group vitamins in. Correction of all metabolic disorders (urea, albumin, etc.). Blood flow rate correction, coagulation system. The study of infection in trophic ulcers is carried out, fungal lesions are excluded. Stimulation of the immune system with powerful immunomodulators, narrow-controlled antibacterial drugs are prescribed.
Methods of blood flow
Restoration of blood flow in diabetic vessel damage is mandatory. For this purpose, powerful vascular drugs are used. In the ischemic form of the diabetic foot, comprehensive treatment of critical ischemia. If arterial lesions are very significant, surgical and microsurgical methods of blood flow recovery. Methods «Malaya» Surgery, such as stenting and balloral angioplasty of the shini arteries, unfortunately not justified, despite their popularity recently. The metallic stent in the enlightenment of the artery-affected diabetes is often thrombulated in the next 2-5 days after installation. High prices for these procedures and bad result do not allow them to recommend to patients with diabetic stop. The main and efficient method of correction of arterial blood flow remains autosenotic micrunctivation, in which new vessels created from their own veins of the patient are carried out bypassing the affected arteries.
Proper treatment for diabetic ulcers and gangrene
Local treatment of diabetic ulcers and gangrene is a complex problem. Tissue with diabetic angiopathy is very sensitive to injury. On the fitting and fingertips and foot and foot are removed only dead fabrics. Then, after cleansing the wents, methods of plastic surgery are used to close the skin defects. Today, plastic surgeons have developed unique gentle methods for closing diabetic wounds. Depending on their localization, economical resection, plastic free skin flap, microsurgical movement or transplanting of skin flaps.
The use of a comprehensive approach to the treatment of the diabetic foot allows you to keep your leg and heal ulcers in most patients.
