What is diabetic stop? What can this disease lead. Can this disease lead to gangrene? What are the diagnosis and treatment of this disease? Answers you will find in the article.
Content
Diabetic stop
Diabetic stop - one of the most common and heavy
Complications of diabetes. Long elevated glucose content
In the blood leads to the defeat of the vessels and nerves of the lower extremities,
Innervation disorder occurs - neuropathy and / or blood supply -
angiopathy. Against the background of the modified protective forces of the patient's body
With diabetes, minor foot injury (corn, crack,
injection, non-acceptable nail haircut, bruised and t.D.) may result
To different manifestations of diabetic foot syndrome.
Arise:
- trophic ulcers;
- chronic, long-lasting purulent wounds;
- Felmons of the foot; osteomyelitis of the bones of the foot;
- gangrene one, several
fingers, parts or all foot.
All this increases the likelihood of high
Lower limb amputation.
Diagnosis of diabetic foot
First, the surgeon reveals
The disease determines the degree and assign the necessary examination
To determine the immediate cause of complications (neuropathy, ischemia
or neuroecemia):
- Blood analysis Common and biochemical, urine analysis.
- Glycemic and glucosuric profiles (in patients during the day several times the level of blood sugar and urine is determined).
- Radiography of the feet in 2 projections (to identify bone damage).
- Bacteriological research (the microbe determined by inflammation) to assign an appropriate antibiotic.
- Ultrasonic examination of the main limbs trunk arteries.
- Neurologist determines the nature of neuropathy (definition of tactile,
Temperature, pain sensitivity, reflexes and degree of violation
Conducting nerve impulses on the lower limb - electromyography).
Treatment of diabetic foot
Based on the results of blood tests and urine, an endocrinologist conducts
Correction of blood sugar levels. As a rule, for the period of stationary
Treatment of the diabetic foot, all patients are transferred to the introduction
adequate doses of simple insulin.
Depending on the manifestation of the diabetic foot and the degree of neuropathy, alpha-lipoic acid preparations are prescribed.
If the trunk vessels are amazed at the diabetic foot
(macroangiopathy), consult a vascular surgeon
For the possibility of conducting surgical correction of ischemia. At
There is no such possibility conservative treatment
Diabetic foot with prostanoids (Vaison, Alprostadil),
Heparinoids (Sulodekside), disagrement (thromboas).
Depending on the manifestation of the diabetic foot is carried out
Complex treatment comprising surgical (one or more
Stages) and conservative (dressing using antiseptics
and therapeutic wound coatings). Patients with a diabetic stop pass
course of hyperbaric oxigenotherapy (in the barocamera the patient is breathing clean
oxygen at elevated pressure).
