What is involved in the treatment of diabetic ulcers?
Léčba diabetických vředů nohou začíná lékařem určujícím příčinu. Lékař pak pečlivě zkoumá vřed a zaznamenává jeho umístění na noze, velikosti a možné přítomnosti infekce. Léčba diabetických vředů nohou zcela závisí na tom, co lékař určuje z jeho vyšetření. Možnosti se pohybují od blízkého sledování vředů a předpisu antibiotik po chirurgii nebo amputaci nohy. Regardless of the form of treatment the patient receives, the patient's responsibility will become the patient's responsibility after returning home to monitor the ulcer, rest, and immediately consult a doctor if the tissue should be further damage.
Prvním krokem v léčbě diabetických nožních vředů je určení, proč se vřed vyvinul. Tento krok je důležitý, protože poznámky pacienta mohou naznačovat základní problém. Although individuals with diabetes are more susceptible to the normal population for the development of foot ulcers, the appearance of an ulcer without a physical cause, such as the intense walking or the long period of status suggests that the patient is poorly managed by his diabetes. Tato podEziation can be easily confirmed using blood glucose tests. High blood glucose indicates that the ulcer has developed due to a combination of arterial hardening and neuropathy inside the foot.
whether the cause was physical injury or bad diabetes control, treatment of diabetic foot ulcers depends on the results of physical examination. The width and depth of the ulcer are particularly important because the deep ulcer can reveal fat tissue and muscles. Patients with large ulcers should expect more invasive treatment and longer recovery. During the examination, doctors also look for signs of infection. He or she could take a swab of ulcer to test the presence of viral, fungal or bacterial infection.
If the tests show the presence ofinfection, the doctor prescribes the patient medication when he begins to treat the ulcer. Smaller ulcers only require cleaning and bandages. The physician may wrap the gauze in the cavity of the ulcer; He or she will remove it during the subsequentVisits. Slightly larger ulcers may require less surgery to remove sick or dead tissue. The patient should expect short hospitalization so that the doctor can monitor the process of immediate healing.
Treatment of diabetic foot ulcers complicates when the patient represents more large ulcers that are large and deep. These ulcers require more extensive surgery. The patient's diabetes also extends the recovery period, which increases the chances of postoperative complications such as infection. Amputation of the fingers and the leg itself is essential when ulcers cause extensive neuropathy and arterial damage. In these cases, amputation is beneficial because the patient can restore normal life faster.
Although many forms of treaxis, responsibility for postoperative care is mainly a patient. After returning home, the patient becomes responsible for changing bandages and, if necessary, continue to take medication to fight ulcers infection. If the ulcer has been formed due to poor diabetes management, life changes is requiredtulle to avoid future ulcers and other complications of diabetes. Although the patient follows the instructions of his doctor, the complications are still common. The patient must seek medical care if the same or new ulcer reappears.