Wednesday, December 16, 2009

Diabetics should pay attention to foot care

Early stage of diabetic foot as "intermittent claudication", walk more after the calf the following, including leg pain, with a break away on its own, and then walk again pain. These patients usually cold feet, feeling numb, hot and cold pain stimulation on the slow or no sense. Diabetic patients with diabetic foot is the body size of the arteries, especially the lower limb artery thrombosis, the formation of blood vessels narrow, leading to insufficient blood supply to the foot due to diabetic neuropathy and foot sensory loss and damage caused by the foot lesions, common in diabetes, a history of long - , long-term glycemic control in middle-aged poor. Early stage of diabetic foot as "intermittent claudication", walk more after the calf the following, including leg pain, with a break away on its own, and then walk again pain. These patients usually cold feet, feeling numb, hot and cold pain stimulation on the slow or no sense. Once the foot of the skin lesions, wounds difficult to heal, infection rapidly expanding, which can cause purulent skin infection or even osteomyelitis, serious danger to human life. Therefore, the importance of diabetes foot care. Beijing Branch of Chinese Medical Association Diabetes Association, Vice Chairman of People's Liberation Army No. 304 Hospital, secretion of Professor Ma Xueyi, director of presentations, diabetes is necessarily the diabetic foot, in addition to the hospital outside inspection can be carried out self-examination.

Self-examination "Quadrilogy"

1, with cotton twist into a cutting-edge shape, gently across the instep and foot skin, to see whether they can feel, without feeling that it is said that the disappearance or diminished light touch;

2, with cold feet to touch the metal body of the skin, check whether the foot skin felt cold, with 37,5 ℃ to 37 ℃ warm water soaking feet, whether it felt warm, without feeling that pairs of temperature of foot has been a marked feeling of diminished or absent;

3, with the pin (or needle) blunt end of the foot touching the skin, to see if there is feeling, such as the tactile feel bad that diminish;

4 feet near the ankle with the touch of a finger at the skin, look for whether the instep arterial pulse and the pulse strength, the back foot with normal arterial pulse were compared. If unable to obtain or pulse is very thin and delicate touch that instep arterial insufficiency, this situation often prompted to feet arteries in the top of a large artery stenosis or obstruction.

Suffering from diabetic foot, the life of the four attention

1, each time before wearing shoes, must pay attention to double-check whether the hard foreign body inside the shoe to prevent wear and tear the skin lead to foot injuries;

2, per night with the 40 ℃ to 45 ℃, warm feet or 15-20 minutes after the feet dry with a dry cotton towel the whole foot to keep feet clean and blood circulation, avoid the use of electric blanket, hot-water bottle, Do not wash sauna, baking oven, hot bubble bath;

3, daily wear Sweat-absorbent cotton socks and loose nature of good comfortable shoes, do not walk barefoot in order to avoid accidental injury by the same time bear in mind not to do mountain climbing, running and other strenuous exercise;

4, cutting toenails, people should not cut too deeply, so as not to damage the skin, causing infection in a ditch.

Helpful to do exercise

1, dry legs.

The first with both hands, hug the side of the thigh, slightly forced from the thigh massage from top to bottom until the ankle, and then back massage from the ankle to the thigh. Massage the same way another one leg, in order to promote blood flow.

2, Lut legs.

One hand on the wall or a tree Rotary, first swinging leg forward, toes forward lifted upward, and then swinging back, the foot Bengzhi, legs straight, legs swinging rotation, each rejection 80-100 times, to improve muscle strength, promote blood circulation.

3, kneading calf.

Relying on a two-hand tight calf rotating Roudong, 20-30 times on each side, legs exchange 6 times to clear the blood vessels to increase leg muscle strength.

4, twisted knee.

Feet parallel to side, the knees slightly to squat with his hands on his knees, clockwise Roudong dozens of times, and then pulls the other direction Roudong, treat lower limb weakness, knee pain and clear the blood.

5, pull the toes.

Sitting, legs straight, bow, body bent forward to pull his hands toes 20-30 times, may exercise waist and legs, strengthen the pace of efforts to prevent foot weakness.

6, rubbing feet.

The two hand rub, and then use two hands rubbing soles of the feet of one hundred times, to prevent foot pain, weakness, numbness, promote blood circulation foot.

7, kick.

Before going to sleep lying down in bed, his hands clinging to back of the head, from slow to carry out urgent kick movement, every 3 minutes, then change to another leg, repeated eight times, allows the leg blood flow.

8, crumpled paper ball.

In a large basin into two waste paper, single-foot Cairu basin, with a single foot of paper bunched up into a paper ball, then change to paper, and then repeat the other foot rub. This method is applicable not only to patients with diabetes, poor exercise capacity is also very suitable for those who can improve the foot of joint flexibility, promote blood circulation foot.