interactions between factors caused. The size of the role of each factor varies, and may also vary by race; For example, in some Asian populations,
surrounded the role of vascular lesions may be lighter. Consequence of this is due to its lower extremity amputations, and therefore one of the most feared
complication of diabetes.
Compared with the general population, diabetic patients with lower limb amputation and opportunities must be 15-40 times higher. In the elderly at higher
risk. However, if the active treatment, the majority of amputations can be avoided. Disappearance of peripheral neuropathy with pain is the most common
causes of foot ulcers. The foot is followed by poor sanitation reasons. This type of nerve lesions and ulcers can be without pain.
Peripheral vascular disease can also cause foot ulcers. This ulcer prone to pain. Peripheral vascular disease of the nervous nature of the main difficulties
in ulcer healing. Nervous increasing pressure ulcers occurred at the site, usually the plantar surface. Reported the occurrence of most part of it is caused
by inappropriate shoes, toes on the back of the nerve occurred in the ulcers, the formation of the corpus callosum is also a result of this pressure.
In order to ulcer healing, the need to reduce local pressure (to remove calluses, wearing the right shoes, or vacuum pads). Vascular ulcers occur in the toe
and heel.
In order to ulcer healing, the need to improve the blood supply. Should be actively control the infection. Antibiotic treatment often require a sustained
multi-weeks or months. Attention should be paid to the infection and debridement of necrotic tissue in a timely manner. Refractory ulcer that eventually led
to the most common cause of amputation.
Routine examination feelings or dorsalis pedis artery pulse was found to foot ulcers occur at the most risk to health methods. In the community, it is best
to use a single 5.07/10 g Semmes Weinstein nylon determination of feeling. Single nylon filament detection method is a simple and inexpensive sense detection
method. When the imposed 10 cracker when it will bend.
If the patient does not feel this pressure could be that there is only foot sensory loss. Right has made it clear in patients at risk for foot care education
should be higher than for other sensory and circulation of diabetic patients with good education more detailed and practical.
At present, not yet satisfied with the treatment of painful neuropathy approach. Useful way of including the strengthening of metabolic control and the use
of simple analgesics, tricyclic class of antidepressants or anti-seizure drugs to relieve pain. Will enable the patients believe that pain is not the reason
leading to limb amputation.
Such as very poor blood glucose control, foot infections and ulcers can be in the absence of nerves and peripheral vascular disease cases occur due to poor
foot health. In this case, in addition to strengthening the control of blood sugar, but also asked the patients to wear shoes in order to reduce the chance
of foot injuries. Such as shoes, must wear clean socks!
