In recent days, the Third People's Hospital of Changzhou City, Department of Endocrinology, admitted a number of patients with diabetic foot, which for some
patients because of delayed diagnosis and treatment of the timing had to undergo amputation surgery, to themselves and their families brought great
suffering. Diabetic patients with diabetic foot is a common form of the more serious chronic complications. As early as the Sung dynasty period, the ancient
Chinese medical scientist Zhu Rui in his chapter on "Health Po Kam," one wrote: "Diabetes patients with foot knee-fat Wu Chuang, death does not save." Modern
medicine was first proposed in 1956 by the Oakley " Diabetic Foot, "the term, pointing out that diabetes, lower extremity diabetic foot is due to vascular
disease, neurological disease and bacterial infection caused by various factors, foot pain, ulcers and gangrene and other diseases collectively.
At present the view that diabetic foot from a variety of factors such as local infection-induced, showing chronic, progressive development, and diseases
related to the size of capillaries, nerves, skin, muscles, tendons, bones and even organizations such as the late formation of gangrene are diabetes become
ill and die of the important reasons. The reasons why the incidence of diabetic foot can be summarized in four points:
1, diabetic macroangiopathy diabetic peripheral vascular disease is a systemic part of macrovascular disease, the main pathological changes are
atherosclerosis, arterial wall middle calcification, fibrous intimal hyperplasia, leading to vessel stenosis, lower limb and foot insufficiency, and even
acral necrosis.
2, diabetic microangiopathy and microcirculation in patients with diabetic microvascular disease, increased blood viscosity, micro-factors such as blood
disorders caused by diabetes, microcirculation, this is the cause of diabetic foot pathology is also attributed to the determinants of the prognosis of
diabetic foot.
3, diabetic peripheral neuropathy Diabetic peripheral neuropathy is diabetes, nutritional and metabolic disorders in patients with limb important cause, and
is closely related to the incidence of diabetic foot.
4, foot foot infection is a diabetic foot infection in the formation, development and deterioration of an important reason for the gangrene. Foot infections
are many reasons, both local factors, such as foot skin lesions, high-risk foot, dead space, poor drainage, etc., there are systemic factors, such as
metabolic disorders, malnutrition, weakened immunity and so on.
The treatment of diabetic foot is very difficult, especially the development of the gangrene stage, often require amputation, which is still one of the major
chronic medical field, a serious threat to human health, diabetes, longevity and quality of life, so the prevention of diabetic foot is particularly
important . Diabetic Foot effective preventive measures include:
● to strengthen education for diabetes and related complications, awareness of diabetic foot and its hazards.
● active control of blood glucose, blood pressure, blood lipid, lower blood viscosity.
● diabetic foot check at least once a year, there is a high risk of foot ulcers in patients with foot examination should be more frequent.
● identify the risk of foot ulcers factors, such as the history of foot ulcers, the lack of knowledge and education, diabetes and related complications,
impaired protective sensation, vibration sense impairment, absence of Achilles tendon reflex, corpus callosum, foot deformities, inappropriate footwear ,
dorsalis pedis arterial pulse disappeared.
● No smoking.
● to prevent and promptly get rid of various incentives, such as keeping feet clean and wear the appropriate footwear to prevent foot damage and burns to
prevent and timely treatment "beriberi", not their own hands feet when the corpus callosum, verrucose, blisters, blood blisters, a malformation.
● suspected or definite diagnosis of diabetic foot patients, and timely to the formal health sector endocrine therapy.
