What is the diabetic gangrene?
Diabetic gangrene is a potential complication of long -term or poorly managed diabetes, which includes the death of skin, nerve and muscle tissue. Diabetes can damage the blood vessels and prevent tissues from receiving a permanent blood supply rich in oxygen and nutrients and eventually lead to their disintegration. When gangrene occurs in diabetic patients, it is almost always isolated on the feet. However, it is possible for the condition to affect the feet of legs, toes and other areas along the limbs. Diabetic gangrene is usually treatable if it is discovered in its early stages, although patients who do not receive quick care may have to have amputation surgery to prevent fatal complications.
Diabetes starts degeneration of blood vessels, which is most important in small blood vessels of limbs. When the cells on the legs or fingers are deprived of oxygen, they begin to die. There may be open lesions that are highly sensitive to infection and deteriorating gangrene complications. In addition to degeneration of blood vessels can diabetes ZPEffect nervous problems that further increase the likelihood of developing diabetic gangrene. Nerve damage can lead to numbness on the limbs, so patients do not have to be aware that they develop skin ulcers and infected lesions that are characteristic of early gangrene.
The ulcers can initially be very small and painless. When diabetic gangrene spreads, the larger area of the skin is dry, cold and heavier than usual to the touch. Within a few days to weeks, the skin begins to turn a dark blue or purple color because more tissue is destroyed. The untreated gangrene leaves a dead area that is completely black and extremely fragile. In the final stages, the toes can dry, detect the base with a dead bone and muscle tissue and possibly break away from the legs if the pressure exerts.It is usually easy to diagnose gangrene, even in a more precious phase. The doctor carefully examines the medicineAřská history of the patient to confirm that diabetes is the most likely cause. Blood tests can be carried out to check the symptoms of infection and display scan imaging to see how bad tissues under the skin have been damaged.
Once diabetic gangrene is confirmed, doctors may consider different treatment options. If the tissue damage is minimal and there are no signs of infection, the surgeon can only be removed by dead cells, while leaving healthy intact. In addition, it may be necessary to damage damaged blood vessels to restore normal blood flow. After surgery, medicines can be prescribed to further improve blood flow and help reduce the risk of future gangrene episodes.
If considerable areas of skin and bones have already disintegrated before treatment, amputation may be the best choice to prevent gangrene spread and reduce the risks of main infections. Modern amputationposts have a very high rate of success and patients can usually recover with minimalMi physical handicaps using prosthetic devices and physical therapy.