Sunday, June 12, 2011

Diabetic Foot Three-step Diagnostic And Preventive Methods

Diabetic patients complicated with lower limb and foot symptoms such as foot pain, numbness, intermittent claudication, skin temperature changes, edema, and necrosis and other symptoms of foot, can be regarded as "diabetic foot" category. In life, diabetic patients should adhere to be fit in order to effectively prevent the invasion of diabetic foot.
Changes in body position, proper motion
Often raise the lower limbs, and promote venous return, increase exercise blood supply. Try to avoid prolonged sitting legs crossed, to avoid walking distance discreet. Should avoid prolonged standing. Bedridden with diabetes special attention to protect the heel, heel and bed long-term exposure to pressure, but also easily lead to blood circulation disorders and ulcers, foot position should be noted that transformation can also be added with a soft foot pad protection. Appropriate daily exercises to improve lower limb blood circulation, but do not overwork to avoid injuries.
Science feet
Feet after the application of clean, soft, absorbent towel and gently wipe your feet. If the quality of the hard rough towel or excessive force, are prone to foot the skin can not aware of the trauma. Towels used to wipe your feet the best is white, so can easily find out if there is blood or pus tracks.
Adhere to the dietary treatment
According to the patient's ideal body weight to calculate the total daily calories, necrosis in patients with diabetic foot infection due to consumption, should be appropriately increased 10% to 20% of calories, while eating habits according to the patients, the recipes varied. Regular meals to the quantitative injection of insulin and even more so. Diabetic patients complicated with lower limb and foot symptoms such as foot pain, numbness, intermittent claudication, skin temperature changes, edema, and necrosis and other symptoms of foot, can be regarded as "diabetic foot" category. Early detection, early detection of diabetic foot, for the treatment and care have an important role.
Examination of nerve lesions: shoes, carefully check the foot, including protruding parts under pressure (heel, metatarsal head), between the toes, feet and legs of the arterial pulse. The use of fine nylon filaments of different diameter to check the sense of touch, lack of tactile foot ulcers in patients with a great possibility. Check whether the foreign body inside the shoe, from which we can see whether your foot pressure abnormalities or other problems. Obviously abnormal X-ray examination should be.
Ischemic lesions Check: When you appear pale or purple foot, rest pain, sometimes accompanied by abnormal pinprick sensation, the skin often cold, malnutrition and lack of vellus hair changes, such as nail atrophy, or dorsal artery leg arterial pulse weakened or disappeared. At this point further for lower extremity Doppler ultrasound and foot arteries, determination of ankle-brachial index. If you suspect a severe ischemic or non-invasive examination abnormal, angiography should be performed.
Diabetic foot ulcer infections check: local infection can have swelling, pain and tenderness, but these can be obvious or even non-existent, especially those with neuropathic foot lesions. Showed obvious purulent exudate of infection, crepitus or deep sinus. Probe can be used to take samples for bacteriological examination and culture can take X-ray film.

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