Diabetes

Mental factors on the impact of diabetes mellitus

2010-01-23T00:00:00.000-08:00

With the development of psychosomatic medicine and pathophysiology of diabetes, genetic and treatment aspects of the accumulation of a large number of observations, there is growing emphasis on psychological factors and

social factors on the impact of diabetes.
Mental factors on the impact of diabetes mellitus

social factors on the impact of diabetes. Our clinical findings, diabetes is often due to mental stress, anxiety, worry, anger, fear, loneliness, despair, depression, frustration or emotion to make sicker, or even ketoacidosis, which is

due to emotional stress of adrenaline and adrenal cortex hormone secretion increases sympathetic excitement increased, and accelerated lipolysis, producing a large number of ketone bodies, and thus causing ketosis. On the

contrary, when the emotional stress to eliminate or to feel safe and satisfied with diabetes, the diabetes reduced insulin requirements are reduced, so patients with diabetes to keep thinking positive, emotional stability, and

diabetes control is beneficial.

Due to a toe, almost mourning the life

2010-01-22T23:59:00.002-08:00

Diabetic foot is a common complication of diabetes, treatment difficult, maiming and killing the high rate of health care is expensive, which will reduce mortality rates of diabetic foot disability, the key is early, the scientific

treatment. For risk factors of diabetic foot disease in patients with diabetic foot disease to enhance preventive education is also crucial.

My father was suffering from diabetes ten years, in May last year, one day, suddenly found that his left foot at the feet toe in black, which frightened us, and immediately sent his father to the hospital for treatment, diagnosis

of diabetes, gangrene, doctors at that time his father on the proposed black toes amputated.

Cut-off toe, which his father is far too difficult to accept, why treatment should do the toes amputated? "I Jiubu Xin, my feet cure!" As the fear of doing cut-off toe surgery, his father out of the hospital.

After returning home, his father heard that their feet or effect of Chinese herbal medicine quite good, but a three-month consecutive bubbles are ineffective. By August, due to hot weather, his father left foot developed

gangrene from a toe or two, three, four toes, and toes inflammation, redness, pain, and sometimes so painful that I could not sleep at night. Thus, we turn the father admitted to the hospital, although doctors and we are

strongly persuaded his father did not dare to do cut-off toe surgery, plus see the roommate of fellow patients for three years due to amputation, the wound is not healed, and a taxi ran back in fear of their own home after

home to their feet.

But not long before his father the entire foot all the black, but also with the stench, desperation, had surgery a week later. Originally thought to do the surgery, the father will be able to overcome the difficulties, Shuiliao his

father after a high fever, body swelling, severe coma, after a final rescue to save his life, but his left leg below the knee has been truncated.

Expert Comments

People's Liberation Army 306 Hospital, vice president of the Zhang-Rong Xu, director of diabetes

In fact, this patient's amputation is completely avoidable. If the diagnosis of diabetes, gangrene after actively improve lower limb blood supply, based on the time left in the toe amputated, while a good infection control and

other factors, the patient may avoid the parts of the amputated above the ankle. This will impact the quality of life in patients with less.

The story, the patient saw the sufferers amputation wound is not healed after three years, increasing the fear of amputation. In fact, the wounds difficult to heal, not the inevitable result of amputation. Although the diabetic

wounds compared to normal more difficult to heal, but as long as the lower limb blood supply is good, good blood glucose control, bearing in mind control or to prevent local infection, healing will be no problem.

If the foot to protect well, early detection of ulceration, the patient could also avoid the initial toe gangrene. All patients with diabetes should be to strengthen the foot protection awareness, old age, longer duration,

complications are many and serious, long-term smoking, foot abnormalities in patients with partial and even more so, once the signs of foot ulcers, etc., should be immediately to the diabetes specialist treatment.

treatment. For risk factors of diabetic foot disease in patients with diabetic foot disease to enhance preventive education is also crucial.

Grading diabetic gangrene

2010-01-22T23:59:00.001-08:00

Diabetic gangrene is a common complication of diabetes, the following description of its classification.
Grading diabetic gangrene

0: No open lesions, clearly insufficient blood supply.

Ⅰ grades: superficial ulcer. Blisters or other damage can be caused by, or arise spontaneously.

Ⅱ Class: ulcer depth of tendons, ligaments, bones and joints.

Ⅲ Class: deep ulcers, infection and abscess with osteomyelitis and sinus formation.

Ⅳ Level: There are toe and and (or) of the foot gangrene.

Ⅴ Level: All foot gangrene, which normally takes amputation.

Diabetic foot was actually caused by distressed

2010-01-22T23:58:00.004-08:00

Most patients with diabetes-induced peripheral neuropathy and other complications. If it is found in patients with diabetes, hands and feet numbness, hair cool, toe turned purple and black, should go to hospital.

Not long ago, Ms. Yang suddenly felt pain in the right ankle and foot pained, and she suspected he did not care sprain was not noticed until after the attack, thinking that after a period of time recuperating better on their

own. However, the two pain is increasing. As a result, she came to film city hospital of Chinese medicine orthopedic examination, the results are not sprain. In the doctor's advice, she went to medical examination, after a blood

glucose testing, Ms. Yang was diagnosed with diabetes, and soles of the feet and ankle pain is determined by its peripheral neuropathy caused by the merger.

This result gives Ms. Yang popular hit his only 40 years old, had no way other signs of diabetes. The doctors and nurses for their enlighten, counseling, diabetes prevention and treatment to explain to its knowledge, Ms. Yang

was calmed down. She handled hospitalized for treatment of diabetic subjects. Leng Ying Director to take the method of combining Chinese and Western medicine for Ms. Yang to adjust insulin therapy ketone acidosis. Pulse to

stimulate the body through the acupuncture points to treat the peripheral neuropathy. Treatment the next day, Ms. Yang feet symptoms improved after one week treatment, Ms. Yang has been discharged.

According to doctors, the summer high season is actually not diabetes, but the city of Chinese Medicine Hospital Diabetes Unit, 40 beds are filled, the majority of these patients the treatment of diabetes-induced peripheral

neuropathy and other complications. If it is found in patients with diabetes, hands and feet numbness, hair cool, toe turned purple and black, should go to hospital.

How do patients with diabetes foot care?

2010-01-22T23:58:00.003-08:00

Diabetes is caused by a variety of reasons to chronic high blood sugar is characterized by metabolic disorders. Clinically, the majority of patients with hyperglycemia can polydipsia, food, polyuria and weight loss symptoms. If it is

not a long-term blood sugar control, can easily lead to a variety of complications in patients. Among them, diabetic foot is more common in patients with clinical diabetic complications. So, how do patients with diabetes foot care

work?

Diabetic patients with diabetic foot is the because of peripheral nerve damage, lower extremity arterial insufficiency, as well as foot infections by bacteria such as the emergence of foot pain, skin ulcers and gangrene in deep and

other symptoms. Early stage of diabetic foot can be produced on the skin of patients with foot ulcers. When the bacteria invade the wound ulcers, may result in local tissue necrosis, and thus the formation of gangrene. Once

gangrene formation, bacteria invade the blood in patients with the whole body will be various organizations, so that you can give patients the serious consequences caused by amputation, while the event of sepsis, may also

lead to death of patients. Therefore, patients with diabetes should not only adopt comprehensive and effective measures to control blood sugar, also must pay attention to foot care, to prevent diabetic foot. So, how do

patients with diabetes foot care work?

First, do a good job foot self-examination

1. Patients to carefully check the foot before going to sleep every night to see whether the foot swelling, wounds or secretions. Patients with poor vision may request the check on behalf of family members.

2. Patients need to do before going to sleep every night foot palpation. Note that if there foot drop in temperature place. At the same time to check whether there is tenderness point of foot to prevent foot ulcers bone

protruding parts.

Second, do a good job of foot skin maintenance

1. Every night before going to sleep to use the feet soaked in warm water about 10 minutes. The water temperature should not be overheated. After the foot washing the feet should be dried and coated with skin care oils,

such as glycerol and other non-alcoholic components of skin care products.

2. To properly trim nails regularly. Cut toenails straight line when you make the cut, do not cut the nail too deeply, so as to avoid nail embedded in a trough, causing localized infections.

3. Foot if thick calluses or corns should be to the hospital for treatment, not to themselves.

3, adjusting the shoes and socks

1. Diabetic patients is best to wear white, cotton socks. This will not only conserve the foot skin, but also easier to make if the foot was found in patients with bleeding or exudate.

2. Patients should check their shoes before wearing shoes whether there is foreign matter. Do not wear a pair of shoes for too long.

3. Patients in both indoors or outdoors did not want it barefoot, nor the long-term standing, walking or running.

4. Do not wear Japanese-style slippers and high heels. Wear Japanese-style slippers, people tend to form in the interdigital ulcers. While wearing high heels who are likely to form at the bottom of the previous foot ulcers.

5. To select the appropriate shoes.

① patients with the best pair of shoes in the evening, because at this time the volume of the largest foot. If the left foot sample sizes should be subject to a larger one foot.

② In selecting the size of shoe size, the longest toe to make the front foot with the shoe in front there is a certain gap, the size of the gap should be based on the width of patients with suitable hand thumb nail.

Screte: How Maintenance of diabetic foot in winter?

2010-01-22T23:58:00.001-08:00

Diabetic patients with diabetic foot is a unique clinical manifestations of a serious vascular complications of diabetes, one of more than a long course of the disease occur in older patients with poor control of the disease. Diabetic

patients led to disability, death of the important reasons.

Winter, cold weather, dry climate and because of diabetes complicated by vascular and nerve lesions, so that artery stenosis, lower limb insufficiency, can easily induce foot dry skin, cracking and bacterial infections, and

sometimes even a minor injury, may also cause infection can cause severe lower limb inflammation, ulceration and even gangrene and amputation, medically known as diabetic foot. Diabetes, diabetic foot is a disability, death of

important reasons.

Typical manifestation of diabetic foot as follows: painful cramps at night, walking was intermittent claudication, dorsum pulse weak, neural edema and multiple chronic ulcers.

Therefore, the conservation of diabetic foot in winter of great importance, specific practices are:

1, no smoking, smoking makes small blood vessels spasm, increased lower extremity ischemia, hypoxia and increased symptoms of diabetic foot.

2, winter nights can be cold enough to keep warm multi-layer socks in order to improve local blood circulation, maintain a good supply of blood and nutrients. Hanged electric blanket, hot water bottle, etc. Wu feet! Because

diabetes often accompanied by peripheral neuropathy, pain in fingers and toes feel warm obstacles, insensitive to temperature change in the perception and pain before the hot legs, often have severe burns.

3, should be carefully handle small wounds with disinfectant (avoid using iodine and gentian violet) thoroughly clean the wound, and then sterile gauze covered by a few days unhealed timely medical treatment, to prevent "a

thousand miles of the dike break down in the ant hole."

4, per night with 40 ℃ warm their feet and often massage my limbs, to promote blood circulation and lower limbs and improve the local symptoms. In view of diabetic peripheral neuropathy and the pain often feel warm

obstacles, so wash their feet before, it is best to use the wrist, elbow or by family members first to feel the temperature, to prevent the water temperature is too high.

5, shoes should be soft, breathable, good, moderate size, toes large, should not go far way.

6, the sun is the best infrared therapy can promote blood circulation, help control blood sugar, reduce peripheral neuritis and the occurrence of foot lesions.

7, "action" is to accelerate blood circulation, "static" is slow blood flow deposition. Therefore, diabetes, sedentary bogey, bogey to sit cross-legged in order to avoid oppression of blood vessels and nerves, when sitting as I can

raise the foot to reduce foot pressure on local venous blood return. Winter may be appropriate in the indoor activities, such as taijiquan, pacing, etc., and often massage my limbs, to promote blood circulation.

Treatment of diabetic foot should be "five rings" closely!

2010-01-22T23:57:00.003-08:00

Diabetic foot, commonly known as the "old bad feet," is one of the serious complications of diabetes. For diabetic neuropathy, lower extremity macrovascular disease and infection, the modern scholars put forward the diabetic
patients with diabetic foot "rings therapy."
1st Ring: Control of sugar
Strict control of blood glucose in patients with diabetic foot is very important. Even if type 2 diabetes, insulin therapy had better use. Such as poor blood glucose control can switch to intensive insulin therapy. Commonly used
subcutaneous insulin 4 times a day program (early, middle and short-acting insulin injected before dinner, bedtime injections in effect), if necessary, intravenous infusion of insulin or continuous insulin infusion pump, while closely
monitoring blood glucose, blood glucose control in fasting 7 mmol / l below postprandial 8 mmol / l or so.
The second link: Huoxue
1. Intravenous vasodilator drugs: anisodamine (654-2) 20 ~ 40 mg dissolved in 250 ml of normal saline intravenously once daily for 10 consecutive days or two weeks for a course of treatment, or oral tablets 20 ~ 654-2 30 mg a
day three times to lift the capillary spasm, the activation Vasomotion, reduce leakage, reduce blood viscosity, but there are dry mouth, skin flushing, palpitation, abdominal distention, blurred vision and other side effects.
Prostaglandin E (PGE1): Kay clock by adding 20 micrograms in 100 ml of a slow intravenous infusion of saline or normal saline 20 ml intravenous injection, 10 ~ 14 days for a course of treatment, there are other similar drugs PGI2,
insurance and so on up to the new. Oral medicine have Peter Kam blood circulation (cilostazol): 50 ~ 100 mg / day; pentoxifylline (Pantone): 400 ~ 800 mg / day; 100 ~ 300 mg of aspirin a day 1; 50 ~ 100 mg of dipyridamole,
on the 1st three second-class.
2. Microcirculation of Chinese medicine: 250 ~ 500 ml of normal saline added the TMP 80 ~ 400 mg once a day, every 40 minutes following a slow intravenous drip infusion for 2 to 3 weeks for a course of treatment, changed
clothes after the sodium ferulate tablets; Salvia needle 20 ~ 30 ml or Danshen pin 8 ~ 16 milliliters in 250 ml normal saline intravenously once a day, two weeks a course of treatment; can also be used safflower needle 20 ~ 40
ml by adding 250 ml normal saline intravenous drip; ahylysantinfarctase 0.25 ~ 0.5 units by adding 250 ml normal saline intravenously two weeks, can reduce blood viscosity and reduce plasma fibrinogen, platelet adhesion and
aggregation and the blood circulation to play effect; Mailuoning needle 10 ~ 20 ml normal saline intravenous infusion of 2 weeks; Others include health network element, Xuesaitong so.
3. Ultraviolet irradiation of autologous blood.
4. Hyperbaric oxygen: In the 0. 15Mpa mask inhalation of pure oxygen under pressure from 1 to 2 hours a day, for 10 ~ 20 Tianyi course of treatment, can promote infection control and to accelerate wound healing.
3rd Ring: anti-inflammatory
Mild infection: common and effective antibiotics include: oral anti-inflammatory drugs such as amoxicillin / clavulanate potassium, dicloxacillin, cephalexin, etc.; intravenous infusion of anti-inflammatory drugs such as cefazolin,
ampicillin / sulbactam, chlorine Lin Lincomycin, etc.; often take medication 2 to 4 weeks.
Serious infections: Severe infection may lead to amputation, patients with life-threatening. Gan Ranzao early surgical treatment, removal of bad rot organization, cut with the soles of the feet compartment drainage. Secretion of
bacterial culture at the same time, it is best to use antibiotics according to culture results. However, pending the culture results, taking into account bad foot office Gram-positive cocci, negative bacilli and anaerobic bacteria and
other infections easily co-exist, use broad-spectrum antibiotics, supplemented by metronidazole resistant anaerobe. According to the recovery of ulcers and systemic conditions, application time should be up to 4 weeks.
Life-threatening infections: can be combined with ampicillin / sulbactam and aztreonam (Thailand can); piperacillin / tazobactam and vancomycin; vancomycin, ceftazidime, and metronidazole; imipenem and cilastatin;
fluoroquinolones, vancomycin and metronidazole and so on.
4th Ring: dressing
The principle of dressing can be summarized as follows:
A consumer: Anti-inflammatory and disinfectant. Topical application of tincture of iodine, alcohol disinfection, spraying antibiotics.
2 Less: reduce stress, try to wipe out local edema, drainage out of secretions, if necessary, surgical incision abscess drainage. Dressing the same time, do not pack too tightly, affecting blood supply.
3 Clear: Surgical debridement. As far as possible necrotic tissue, diaphragm, resection of sequestrum and so clean, clean up the local pus and other secretions out, exposing the fresh granulation tissue, can be used with the
biological activity of enzymes break down dressing to promote autolysis of necrotic tissue.
4 Extended resection and suturing: Treatment period of time, the bad foot skin temperature decreased, edema subsided, the wound dried, can be used in dressings with epidermal growth factor to medication, but also can be
partially sprayed 654-2, insulin, etc., while removal of dry scab and irregular bone protrusion, such as suturing the skin flap or graft.
The Fifth Ring: symptomatic and support
1. Fever, fever are available ice packs, alcohol, physical cooling sponge bath; necessary, applications antipyretic drugs (hormones or anti-inflammatory pain suppository, etc.).
2. Correcting ketosis, water, electrolyte disorders, timely potassium, rehydration, maintaining water and electrolyte balance.
3. Improve cardiac function, may be appropriate to apply the expansion of drugs and diuretics such as coronary artery.
4. Infection prevention and control of other organs, especially the lungs and urinary tract infections.
5. Nutritional supplements: such as nutrition nerve Methylcobalamin (Methycobal), neurotropin, vitamin B family such as intramuscular injection or oral, with anemia, hypoproteinemia, malnutrition can complement plasma, human
serum albumin.
More "rings" to focus on promoting blood circulation and anti-inflammatory, but interlocking, are indispensable.

Do you have suffered, "diabetic foot" and dangerous?

2010-01-22T23:57:00.001-08:00

Patients with diabetes mellitus complicated with lower limb and foot symptoms, such as foot pain, numbness, intermittent claudication, skin temperature changes, edema, and necrosis of the foot and other symptoms, can be

regarded as a "diabetic foot" areas. Sugar faithful, do you have a high risk of diabetic foot then?

At high risk of diabetic foot

Diabetic foot high-risk groups (such as smoking, hypertension, there are neurological or vascular disease, there is the corpus callosum, edema, and foot deformities) is characterized as follows: There ulcers, penetrating history of

foot ulcers and amputations persons; intermittent claudication who ; foot deformities, including pressure points, gelatinous layer of thick, claw-like toes, flatfoot; temperature to identify, pain and (or) vibration sensation

disappeared (at least two); have evidence of peripheral vascular disease.

The principle of self-management of high-risk groups

① daily foot inspection (could be invited to family assistance) if it is found damaged or suspected of any change in skin color should be timely treatment. ② prohibit barefoot walking (especially on the beach). ③ Do not handle

their own corns and blisters. ④ daily for socks, carefully choose the right shoes, at least two times a week to replace shoes, avoid wearing high heels and long wearing new shoes. ⑤ foot should avoid exposure to high

temperature or low office in order to avoid burns or frostbite. ⑥ taboo drug topical treatment of corns or corrosive chemicals.

Non-high-risk groups (non-nerve and blood vessel disease or other risk factors) and the principle of self-management

① regular foot checks. ② using FILE nail repair. ③ stop smoking. ④ blood glucose control in the best condition. ⑤ Select the appropriate foot wear. ⑥ checked daily feet, legs, whether the cracks, redness, rubrum infection,

and timely processing. ⑦ careful washing feet, dry, toes should not be crushed. Regular inspection, once problems are detected and timely treatment.

Plantar pressure anomaly is found in the formation of the common risk factors for foot ulcers, reducing stress is to prevent and deal with plantar foot ulcers key. The following method can achieve the purpose of reducing stress:

the insole plantar pressure can be dispersed; can avoid pressure on the foot-ischemic edge of the loose parts of shoes; help ischemic parts of removable braces; removable inflatable sex braces ; to reduce the pressure foot and

ankle brace; crutches, wheelchairs, etc.; heel protection, bed rest.

How early detection of diabetic foot?

2010-01-22T23:56:00.002-08:00

regarded as a "diabetic foot" areas. Early detection, early detection of diabetic foot can be, for the treatment and care have an important role.

Neuropathy examination: take off their shoes, carefully check the foot, including the pressure and protruding position (heel, metatarsal head), between the toes and feet and legs of the arterial pulse. The use of different

diameters of fine nylon filament to check the sense of touch, the 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 carried out.

Ischemic lesion check: When you appear pale or purple foot, rest pain, sometimes accompanied by abnormal perception of acupuncture, the skin often hair cool, there are changes, such as malnutrition, lack of vellus hair and nail

atrophy, dorsalis pedis artery and even leg arterial pulse weakened or disappeared. At this point should be further for lower limb and foot Doppler ultrasound of the arteries, measured ankle-brachial index. If you suspect a serious

ischemic or non-traumatic examination revealed abnormal, angiography should be performed.

Diabetic foot ulcer with infection in check: local infection can have redness, swelling, pain and tenderness, but these may be obvious or even non-existent, especially those with neuropathic foot lesions. The more obvious

manifestations of infection as purulent effusion, crepitus, or deep sinus. Probe can be used to check and to take samples for bacterial culture, you can also shoot X-ray film.

Three measures you away from the "Diabetic Foot"

2010-01-22T23:56:00.001-08:00

regarded as a "diabetic foot" areas. In life with diabetes should stick to do the following three points in order to effectively prevent the invasion of diabetic foot.

Changes in posture, appropriate exercise

Lower limbs often elevated to promote venous return, increased physical activity blood supply. Try to avoid prolonged sitting cross-legs, and avoid walking distance discreet. Should try to avoid standing for prolonged periods.

Bedridden with diabetes should pay special attention to protect the heel, heel pressure on the long-term contact with the bed, but also easily lead to blood circulation disorder and ulcers, should pay attention to changing the

foot position can also be added with a soft foot pads to protect. Appropriate exercise every day to improve lower limb blood circulation, but do not overwork, taking care to avoid injury.

Science footbath

After the application of feet clean, soft, absorbent towel, a good foot gently dry. If the quality of the hard rough towel, or forcefully too heavy, are easily lead to foot skin is not easy to detect trauma. Towels used to wipe

your feet the best white in order to be able to easily find out whether there are traces of blood or pus.

Adhere to diet therapy

According to patient's ideal body weight to calculate the daily total calories, diabetic foot infection in patients with necrosis of a large consumption and heat should be properly increased 10% to 20%, while according to patients

with eating habits, so that diverse recipes. To regularly quantitative meal insulin injections are even more so.

"New savior" of the Diabetic foot

2010-01-20T06:06:00.003-08:00

Diabetic foot ulcers effects topical medicine developed. Recently, the U.S. succeeded in developing an effective treatment of diabetic foot ulcers caused by

a new external medicine.

According to reports, American doctors through clinical trials found that, compared with the iodine and some antibiotics, these drugs more effectively to

cure water diabetic foot ulcers, treatment to be reduced from more than 50 days to 43 days. The role of this principle of medicine is that it contains

elements able to "recognize" a variety of bacteria invade the organization foot (Clostridium, E. coli, salmonella, tuberculosis, etc.) and through the cell

wall of these organisms "burrow" will kill them quickly, but the body's normal cells will not be new drug molecule attacks. Because sterilization faster,

damaged foot cells can be quickly repaired, thereby promoting greater blood flow to the ulcer site, so that the wounds can heal faster.

British researchers say, from the preliminary test results, the new ideal of syrup efficacy.

Diabetes have some taboo to foot spy!

2010-01-20T06:06:00.001-08:00

Patients with peripheral neuropathy, skin feeling often encountered a problem and should therefore avoid all kinds of undesirable external stimulation. Hot

feet or for the elderly, there is also a temperature grasp the problem. Most of the long-term diabetes have emerged neuropathy, peripheral nerve can not

normally perceive temperature, and that patients with this disease often I do not know. In this case, their feet will be all too easy to cause scalding.

Diabetes feet or when the water temperature should not be too high, to 37 ℃ is appropriate. Because the water temperature is too high, easy to damage the

surface of the foot skin sebum film, so that even chapped dry cuticle. Therefore, before their feet or try a good temperature, can be gentle fingers, and

then his feet into the water. In addition, cardiovascular and cerebrovascular diseases are not suitably hot water in their feet because the high temperatures

accelerate the blood flow, a short time increase of the heart, blood vessels of the burden and increase the risk of illness; cold feet when the hot bubble is

also undesirable, because At this point the skin, muscle stiffness in the state, with hot water hot legs, sudden temperature from cold to hot, huge

temperature difference is difficult to tolerate, thereby increasing the disease.

Inappropriate to their feet immediately after a meal, preferably after a meal 1 hour and then soak. Their feet time for the elderly should not be too long,

generally 15 to 30 minutes is appropriate, during which the water can be added, but to pay attention to maintaining the temperature does not exceed 37 ℃.

After the wash the feet with absorbent towels and thoroughly dry Qingrou keep feet warm and dry, can foot massage, but the movement must be gentle. For dry

skin, use vegetable oil evenly apply on the feet, and gently massage to make it fully absorbed, in order to soften the skin, eliminate scales and prevent

cracking. Toenail trimming should not be too short, so as to avoid damage caused by secondary infection of a ditch.

Disable the irritating syrup feet or their feet or if it is medicine, it is best to use tubs or enamel basins, in order to avoid the effect of drugs greatly

reduced; for ulcerated wounds do not have their feet or foot from the observation of skin color, temperature, and humidity changes start, check for broken

skin, athlete's foot, calluses, etc. and found that skin ulceration of the foot should be in time to the hospital for treatment.

Treatment of diabetic foot new way!

2010-01-20T06:05:00.001-08:00

Diabetic foot is a serious complication of diabetes is one of the lower extremity vascular disease, neuropathy and infection together the results,

performance for the foot pain, foot ulcers and foot gangrene and other diseases, the most common are ulcers, 15% of diabetes occur throughout life in

patients with foot ulcers. Diabetic foot according to their performance in clinical practice is divided into six:

0: No open lesions, but after checking the performance of a clear lack of blood supply, such as the dorsalis pedis artery pulse significantly decreased;

Level 1: superficial ulcers, blisters or other damage may be caused by, or spontaneous generation;

2: ulcer formation, deep tendon, ligament, bone and joint;

Level 3: deep ulcer infection and abscess with osteomyelitis and sinus formation;

4: There is toe and / or part of the foot gangrene;

5: full-leg gangrene, the general need for amputation.

Diabetic patients with diabetic foot is the most common cause of admission, diabetes among hospitalized patients, 20% were due to foot disease caused 89% of

the depth of foot ulcer patients required hospitalization for more than a month. In all patients required amputation, diabetic foot is the first reason. In

the United States each year 6.5% of the needs of the patients with diabetic foot amputation, non-diabetic patients more than 10 times.

Traditional treatment of diabetic foot is to control blood sugar, anti-inflammation, improve blood circulation, local dressing and so on, symptomatic

treatment, ulcer healing slowly, and treatment is not ideal.

In fact, most patients with diabetic foot there was a significant hardening of the lower extremity arterial occlusive disease, for these people, intervention

can keep the limb. In addition, a wide range of diabetic foot vascular disease, bilateral lesions involving the number of multi-branch arteries, and were

phased distribution of surgical difficult to deal with a broader range of lesions, and interventional treatment can deal with.

Interventional treatment, there are two principal means: right lower limb vascular segmental stenosis, the use of balloon catheter for expansion of blood

vessels; right to use stent stenosis, the blood vessel smooth. Intervention before and after treatment, combined with control of blood sugar, anti-

infectives, anticoagulation, improve microcirculation and local dressing such as symptomatic supportive care, diabetic foot ulcers heal faster, can greatly

reduce the morbidity of patients, short-term effect is satisfactory.

Nursing foot care is not difficult to well

2010-01-20T06:04:00.003-08:00

Diabetic foot disease is a peripheral neuropathy (including autonomic neuropathy), microvascular disease, macrovascular disease and poor health habits, and

many other complex interactions between factors caused. Once the disease because of its treatment of complex, difficult large, will face consequences such as

amputation. "When I first want to pay more attention will not be doing this again!" Uncle Zhang looked at his left foot still in septic seepage regret shook

his head. Zhang uncle is a three years of age patients with diabetes, he never imagined, just because a peddler in the street pick corns, has allowed him to

suffer from a serious foot complication of diabetes. To the hospital for Endocrinology, the entire left foot swelling, foot outside there is an apricot-like,

such as the size of ulcers, ulcer surface with purulent discharge. After active treatment hospital, an uncle and a half months out of post-tensioned the risk

of amputation, ulcer healing, also control blood sugar steady, Zhang Grandpa can walk, go out for a walk. Nearly two months of hospitalization time, not only

family members to set aside time for care, but also to pay high medical expenses.

Zhang uncle just in the hospital, doctors said with regret: "like a sheet of Grandpa that people with diabetes, as long as a good control of blood sugar,

usually play a good foot care, this situation is completely avoidable."

Diabetic foot disease is a peripheral neuropathy (including autonomic neuropathy), microvascular disease, macrovascular disease and poor health habits, and

many other complex interactions between factors caused. Once the disease because of its treatment of complex, difficult large, will face consequences such as

amputation. Foot problems can lead to diabetes were the most common cause of hospitalization. In every six people with diabetes who have to endure a lifetime

of foot ulcers caused by pain. Most of the cut-off enough to cause foot ulcers from the beginning, and throughout the world every 30 seconds a leg was

amputated because of diabetes. The vast majority of foot ulcers and the cut-off foot surgery is entirely preventable, of which nearly 85% of the cut-off foot

surgery can be avoided.

In order to reduce diabetic foot disease, diabetic patients in everyday life how to do foot care?

Through dietary adjustment, regular exercise, learning related to diabetes knowledge, if necessary, under the guidance of a doctor to use medication, so that

blood sugar control in the right range, the prevention of diabetic foot lesions prerequisites.

To do every day

1. Nightly feet with warm water once every 10 to 15 minutes, feet or hands or forearms when the Department first test the water temperature, so as not to

occur in patients with sensory disturbance due to burn their feet after going to the gap between the toes specifically at light rub dry.

2. Daily view the feet and toes whether or blisters, scratches or skin lesions, if necessary, can be a mirror view the foot.

3. Every day of their shoes worn by inspection, including the foreign body, nail debris, shoe lining of the formation conditions.

Can not do

1. Do not use chemicals to eliminate corns should consult an experienced doctor or a dermatologist adequate treatment, and describe their own diabetes.

2. If the visually impaired should be assisted by relatives checking feet and trim nails, do not personally operate.

3. Do not wear sandals or slippers entrained between the toes.

4. Do not cross legs, a long time in order to avoid oppression of blood vessels and nerves. If the foot blisters and pain, the need for timely treatment to

the relevant specialist.

To note

1. The skin is too dry can be painted a large oily skin care cream, 2 or 3 times a week.

2. In winter to keep warm, to promote wear cotton or wool socks, both the warmth, breathability and good enough to ease the cold night can wear socks, but

should not use hot water bottle or small water furnace warm feet.

3. The shoe worn by diabetic patients should be fit, it is best to wear flat shoes.

Diabetes: a thousand miles begins under the "foot"

2010-01-20T06:04:00.002-08:00

Complications of diabetes is like an ambush in the body of the "terrorists" at any time the formation of a threat to the body. To this end, we have

especially invited Liu Bei, Zhuge Liang's father to set up "anti-terrorism team" determined to eradicate diabetes the body's "terrorists", to people with

diabetes to create a harmonious living environment for the survival. Liu Bei, Zhuge Liang after the baptism of the war, sighed and said: "Both are doing

things and they all can not do without the feet." So, enough in everyday life plays a vital position. However, some diabetic patients with diabetic foot

complications is deeply troubled, Jiang Aunt is one of them. Since suffering from diabetes, has failed to exercise proper control of diet, until one day, her

feet because of labor and bumps, and since then has been infected, the wound can not heal and, after medical treatment, are unscrupulous effect, doctors

recommended amputation surgery. Jiang Aunt life and death did not agree. Day help medicine, Chinese medicine clinic, considered the poisoning caused by damp

bet to give four Miao Pills drink flavors disinfection, treatment in January and more.

Comments: Diabetic foot is one of the main complications of diabetes is peripheral neuropathy, microvascular disease, macrovascular disease and poor health

habits, and many other complex interactions between factors caused. There are two cases: one foot has an open lesions (ulcers, infections, gangrene); Second,

although not an open foot lesion, but there are risk factors for disease to occur, such as neuropathy, vascular disease (commonly known as risk of foot).

Once the disease because of its treatment of complex, difficult large, will face consequences such as amputation. Therefore, diabetic foot disease is a

severe complication of diabetes, one of the most horrible.

Diabetic foot is deplorable, but the diabetic foot is preventable and treatable, and anti-emphasis on governance. The first is the prevention of diabetic

foot over the basic strategy, good control of blood sugar, so that fasting blood glucose and postprandial blood glucose were maintained at near normal

levels, including prevention and treatment of diabetic foot complications, including all the fundamental. For patients with diabetic neuropathy, peripheral

nerve lesions occur after the lost sense of external stimuli can be manifested as numbness, pain disappeared or was "dead meat"-like feel. Although people do

not feel pain or even pain, but pain and temperature sense of the body has a protective effect. The risk of diabetic foot is the ability to diminish self-

protection, namely, the decline or loss of sensory function. Thus, with diabetic peripheral neuropathy, or diabetic foot patients, to avoid skin and foot

injuries, including hot water burns, sports crush injuries, soft wear comfortable shoes, as well as giving vitamin B1 and vitamin B12 therapy. If the

diabetic lower extremity arteries, and abnormal microcirculation, easy to form the arterial wall is not smooth, luminal stenosis, when developed to a certain

extent or lumen occlusion, they can rise to the corresponding region of ischemia, necrosis caused by diabetic foot is required application of some

vasodilator, anti-platelet aggregation drugs, such as prostaglandin E, propylene glycol alginate sodium treatment, and with the blood circulation, expelling

wind pain, heat detoxification function of Chinese medicine, such as the earthworm, leech, silkworm, centipedes, Scorpio, honeysuckle, Treats, wild

chrysanthemum, Chinese violet, day ambrette, dandelion, etc. in order to prevent the formation of diabetic foot.

In addition, diabetic foot infections are caused by a major incentive, with high risk factors in patients with diabetic foot, in the event of foot infection

can easily lead to the formation of diabetic foot ulcers, so preventing diabetes foot trauma, foot Diabetic foot infections are cut off formed an important

part.

Who will save the diabetic friends "amputation" risk?

2010-01-20T06:04:00.001-08:00

Peking University First Hospital by endovascular stent placement and artificial blood vessels and other minimally invasive bypass surgery, opened the

stenosis and occlusion of the iliac and femoral artery improved leg and foot perfusion pressure and flow, successfully saved the diabetic foot body, so that

most patients resume a normal life and work. According to experts, diabetes is the world's highest prevalence and mortality of the five diseases. The

incidence of diabetes is currently at an alarming rate. China has 30 million people with diabetes, diabetes can cause a major hazard is a variety of serious

complications, including diabetic foot high morbidity. Diabetic foot in China in 1992 accounted for 12.4% of the number of diabetes patient, amputation rate

was 7.3%.

Diabetic lower limb arterial ischemic disease is the main reason leading to diabetic foot. The traditional view is that the main reason is the peripheral

circulation of diabetic foot obstacle, while ignoring the iliac and femoral artery stenosis. Once the severe ischemic disease, most patients have to accept

lower limb amputation, especially in high amputation and multiple amputation pain.

Interventional Vascular Surgery, Peking University First Hospital for the diabetic foot were combined iliac and femoral artery stenosis or occlusion of the

lesion, by endovascular stent placement and artificial blood vessels and other minimally invasive bypass surgery, such as stocks - femoral artery bypass,

lower extremity artery sequential bypass, Sequential lower extremity arterial bypass interchange and so on, opened the stenosis and occlusion of the iliac

and femoral artery improved leg and foot perfusion pressure and flow, the successful preservation of the patient's limbs. Toe gangrene have emerged in some

cases, hospitals use stents and bypass surgery are cured through debridement and successfully to preserve the patient's body, thereby increasing the

patient's quality of life.

Alert! Diabetic friends of a small injury prone stuffed calamity

2010-01-20T06:03:00.003-08:00

In daily life, for the knock foot injuries, bumps the majority of people do not care, but patients with diabetes should not overlook such a "minor injury",

otherwise it will lead to disaster. Last year we collected a ward due to lower limb hypoesthesia was frayed right foot insole lead to foot ulceration in

patients with the skin. Some people ask, how close subjects such as diabetic patients? In fact, the patient is the rate of diabetes, because they do not know

that the "small injury," the stakes, not timely medical treatment, as well as the development of the quick-fix difficult to walk, toe skin black, skin ulcer.

If the patient continues further delay, I am afraid have to amputated. The patient is lucky, after a variety of combination therapy in Western medicine

conditioning, and finally saved the limb. Clinically, one of many examples, but not all patients are so lucky, as the patient. It was because it could not be

found and to take effective treatment, as well as adversely affected by illness and ultimately amputations.

In order to avoid such tragedies. Diabetic patients should be aware of some of the reasons leading to diabetic foot, usually the foot how to self-observation

and how knowledge of diabetic foot protection for early detection of signs of diabetic foot away from the diabetic foot caused by痛苦.

Vascular disease the main cause of diabetic foot

Diabetic patients is mainly due to physical disability diabetic lower limb vascular disease. According to statistics, the rate of non-diabetic patients with

lower limb amputation with diabetes 15 to 17 times. Was hospitalized because of diabetic foot gangrene accounted for 20% of all diabetes inpatients, of which

3% was amputated. Diabetic foot is because of local vascular lesions caused by ischemia, so that the organization losing its vitality. Owing to neuropathy

caused by sensory loss, so that patients can become aware of friction and trauma, eventually leading to foot ulcers, gangrene.

Prevention is to avoid the best measures of diabetic foot amputation

As the saying goes, "ice three feet thick, cold day," the occurrence of diabetic foot, development, deterioration is a long process. We must be good at

observation, the timely detection of ischemic parts of the various issues and their containment in the bud. Unfortunately, some patients do not understand

the knowledge of prevention of diabetic foot until the foot ulcer has formed deep hole, toes have black only come to the hospital. Tend to have lost the best

opportunity for treatment. In fact, patients with diabetes as long as the understanding of some of this knowledge, you can avoid amputation.

Take a look! Do you have signs of diabetic foot?

2010-01-20T06:03:00.001-08:00

How can early detection of signs of diabetic foot then? Recommend that you always observe the ischemic area (mainly lower limb and foot) whether the

following changes: We have found signs of diabetic foot is the key to

① consciously legs, feet cold, or do not feel the hair starting cold, but the skin temperature decreases. ② abnormal skin color, foot elevation when the

pale. Droop when the purple. ③ with skin manifestations of malnutrition, such as dry skin, hyperkeratosis, brittle, often easy to rip, thinning and shiny,

elastic bad blisters and so on. ④ limb paresthesia, such as numbness, tingling, etc. limbs touch, pain, temperature sensation diminished or disappeared. ⑤

Local body hair, nails, muscle abnormalities, such as the affected area to reduce or body hair loss, nail thickening or Cuibo deformation, improper nail

trimming is easy to cause paronychia, some foot muscle, subcutaneous tissue atrophy, interdigital joints bend . form a claw-shaped toe, foot corns or

calluses, foot deformities and other changes. ⑥ touch instep and the posterior tibial artery pulse weakening or disappearance of venous filling longer. ⑦

limb vascular ultrasound and angiography and other objective examination of vascular lesions can be found in varying degrees of luminal plaques and narrow.

After the trigger the symptoms of lower limb ischemia

The above-mentioned problems are not treated in time, some patients with certain symptoms occur because of different degrees of ischemia can be manifested as

intermittent claudication (defined as patients with lower extremity after walking some distance away from weakness, numbness, pain, and even a limp to walk,

or simply can not walk, with a break to alleviate the symptoms can continue to walk). This is an early manifestation of lower extremity ischemia. Increase

the extent of lower limb ischemia presenting with rest pain (pain from the hip to the foot generally conducted at night, aggravated), this state. As the leg

and foot ischemia, experienced minor trauma led to skin ulcers and so on is easy. Condition further development, especially the feet and lower limb gangrene

can occur, unhealed wound a long time and even skin split open flesh, carrion erosion, toe gangrene.

Medicine according to the performance of the different parts of gangrene is divided into wet, dry and mixed gangrene of three. In severe cases, gangrene,

amputation would have to accept the treatment which led to permanent disability, serious impact on patient quality of life.

Diabetic friends: how to save my "foot"

2010-01-20T06:02:00.000-08:00

Treatment measures should first be strict control of blood glucose at the same time with Huoxuetongmai drugs and vasodilators to increase blood flow and

promote the establishment of collateral circulation, improve microcirculation, reducing blood hypercoagulability, prevent thrombosis, systemic or local

application of discretion antibiotics to control infection, if necessary, with the application of Chinese medicine. Once the diagnosis of diabetic foot

establishment, they must be dealt with immediately so as to avoid illness to expand and develop. Cause disability and even death. Treatment measures should

first be strict control of blood glucose at the same time with Huoxuetongmai drugs and vasodilators to increase blood flow and promote the establishment of

collateral circulation, improve microcirculation, reducing blood hypercoagulability, prevent thrombosis, systemic or local application of discretion

antibiotics to control infection, when necessary, with the application of traditional Chinese medicine, such as Kiyotoshi hot and humid, blood circulation

and pain relief, Huayu Tong Luo and warming yang and spleen, such as convergence sore myogenic law, due to the different symptoms were due to different

treatment programs, foot for with some modern drugs and surgical dressings is also a common method of dealing with the injured area. Clear case of lower

extremity arterial stenosis may consider interventional therapy or bypass surgery of vascular surgery to improve circulation. If the lower limb gangrene, a

serious, conservative treatment fails should be OK amputation. In short. Doctors according to patient's different circumstances, select the best treatment.

Prevention of diabetic foot six big move

1, once the feet when the abnormalities described above, do not think that tolerance and forbearance will be a delay of the last illness, the consequences of

the final result in amputation.

2, and strictly control high blood sugar, hypertension, dyslipidemia and high blood viscosity. Appropriate use of vasoactive drugs and enteric-coated

aspirin, CSDP, etc. to improve the circulation, lower blood viscosity drugs.

3, pay attention to foot hygiene and protection. To keep feet clean and dry. Night with warm water (not more than 40 C)'s feet. With a soft towel, pay

attention to dry toes sutural, pay attention to trim nails, not too short and too bald, right foot corns and any minor injuries or infections under the

guidance of a doctor should be given active treatment, so as to avoid the formation of ulcers or gangrene.

4, pay attention to the feet warm. Insist on the right leg and foot movement in order to improve lower limb blood circulation, so that to reduce the extent

of ischemia.

5, select the appropriate footwear. Shoes to fit, wide toe to. To toe in the shoes can be fully extended, without squeezing. To be a little activity is

better: Choose breathable and good shoes, in order to reduce Jiaohan skin irritation and fungal infections or other pathogens; do not wear high heels in

order to reduce the pressure on the toe; daily check whether the sand and other foreign matter inside the shoes, whether flat, etc. (If the patient hands and

feet are have been insensitive to the families should be to check). To choose a good absorbent socks cotton socks, texture should be soft. Do not loose is

not tight. Socks mouth of the elastic to the right, not too tight to affect blood circulation, socks should be washed every day.

6, pay attention to smoking cessation, weight loss. Smoking can further contraction in blood vessels, is a major reason for causing diabetic foot, "to smoke

should not feet," is undesirable. Obese to reduce weight to reduce foot pressure. To ensure an adequate blood supply to lower limbs. In addition, the weight

loss will help to improve blood pressure and blood lipid disorders, to reduce the extent of atherosclerosis.

Diabetic foot ulcers, "biomechanics" theory

2010-01-05T06:08:00.001-08:00

According to the American scholar reported that diabetic foot ulcers are usually associated with two kinds of structural abnormalities of foot (tight Achilles tendon and thumb activities restricted) closely related to correct the two kinds of exceptions can help reduce or even eliminate foot wounds and ulcers. St. Paul's Hospital, Dr. Troy Boffeli and colleagues noted that most patients with newly diagnosed diabetic ulcers are abnormal foot biomechanics. The researchers selected 26 patients (33 feet) thumb incipient ulcer patients studied. Ulcer was found in almost all patients are located in the joints between the toes toe midface, accompanied by gastrocnemius muscle movement and the limited outreach thumb.

The researchers believe that inspections should include the patient's biomechanical evaluation, treatment, including surgical or conservative ways to reduce abnormal pressure on the thumb. In addition, most due to ulcers in patients receiving the thumb amputation within a year had a second amputation, bio-mechanical anomalies are caused by the first time an important factor in ulcer, if not corrected, for the first time after an amputation can also cause ulcers.

The researchers noted that most patients with diabetes associated with the Charcot ankle nerve arthritis, joint instability and dislocation, so they use the foot pads of the 13 patients with Charcot ankle joints fixed, in order to avoid further bone and soft tissue degradation, The main method is the first line of the Achilles tendon lengthening the foot to ease tension, and then a stable joint with plantar pad.

Boffeli Dr. noted that the current treatment of patients occurred without a re-fracture, soft tissue injuries and ulcers. However, the effect of treatment still need to 5-year follow-up study to further confirm.

"Old Diabetic Foot" treatment all Gonglue

2010-01-05T06:06:00.000-08:00

Diabetic gangrene is a difficult disease interdisciplinary, in the event, treatment more difficult. Foreign scholars believe that diabetic foot amputation is the end result of sexual development. In recent years, we are using Chinese and Western Medicine for the diabetic gangrene amputation rate reduced to 6.67%, showing significant advantages, compared with 38.1% ~ 75% of the domestic and abroad, 48% ~ 49% of the level of amputation rate. Therefore, combining Chinese and Western medicine combined treatment of diabetic foot is to improve the cure rate and reduce amputation rate of the key.
The specific treatment of diabetic foot many ways, we will be divided into three areas.

1, Western medicine treatment

Including the treatment of peripheral neuropathy and peripheral vascular disease treatment.

1. The treatment of peripheral neuropathy

Very good control of blood glucose can reduce and mitigate the occurrence of peripheral neuropathy and development. However, Pirart that has happened, there is no reversal of the role of peripheral neuropathy, should be early prevention and treatment of peripheral nerve lesions and the protection of its functions.

At present the clinical improvement of neurological function of the drug are mainly aldose reductase inhibitors, myo-inositol, neurotrophic agents and nerve growth factor.

2. Peripheral Vascular Disease Treatment

Mainly to improve limb blood circulation and blood hypercoagulability. The effective treatment of diabetic foot a lot of chemical drugs, the clinical effects of commonly used and better drugs include expansion of the blood vessels of drugs such as prostaglandins, anti-platelet drugs such as cilostazol, anticoagulant drugs such as low molecular weight heparin and warfarin, and so on, fiber snake venom protein, dissolved substances such as various kind of product.

3. Surgical treatment of

Including various types of vascular bypass surgery and transluminal angioplasty. Conditional upon the implementation of clinically proven surgical intervention in patients with surgical treatment of peripheral vascular disease is still the preferred method.

① endovascular interventional therapy: Because of its trauma, surgery and rapid recovery features, combined with all kinds of balloon, stent development and application of rapid development in recent years, the clinical application of a gradual increase in a way replaces the part of the bypass surgery. It is suitable for the more limited occlusion of segmental vessels or vascular stenosis cases.

② a variety of vascular bypass surgery: the use of autologous or artificial blood vessel stenosis or occlusion of blood vessels at both ends of the establishment of additional flow channels to ease the ischemic limb. This approach from the 20th century began to use since the early 50s, more than 50 years of history, has accumulated many successful experiences, is a relatively mature surgical method. However, in order to obtain the best treatment to guarantee the effective pursuit of the patency rate is our purpose.

Second, Chinese medicine treatment

A large number of case report showed that: The Chinese medical treatment can effectively alleviate the patient's clinical symptoms and reduce amputation rates and morbidity and improve the lives of patients with diabetic foot and quality of life. According to TCM laws, we will be divided into three kinds of diabetic foot syndrome types.

1. Humid Yun-toxin

Limb pain, day night light weight, local swelling, purple skin, dark, steeped spreading ulceration rotting, flesh-colored do not fresh; body heat, dry mouth, red tongue, yellow greasy moss, pulse a few strings. Expelling heat Lishi detoxification. Side with four Miao Yong An Tang addition and subtraction.

2. Hanning Blocking Collateral Type

Limb warmth stand the cold, numbness, Suanzhang pain, pain go intensified, taking a rest pain reduction, skin pale, cold touch of the hair, dorsalis pedis pulse moving the decline; tongue pale, moss Baini, pulse Shen fine. Expelling Onyang Tongluo, Fang Yang and soup with the addition and subtraction.

3. Qi and Yin Deficiency type

Duration of the course of time, the skin dry, Haomao off, toe (referring to) A thickening of deformation, muscle atrophy, necrotic tissue eventually becoming detached surface after the sores heal, granulation dull red or pale instead of fresh; burnout fatigue, emaciation, dry mouth want drink, mamillata, less moss, pulse weak breakdown. Expelling Prostisol. Side-step decoction with care.

Third, local treatment

Local diabetic foot wounds, ulcers and gangrene treatment of diabetic foot treatment is an important means, but also the key to the preservation of limbs. Advantages of local treatment has been reflected in traditional Chinese medicine outside the governance. Practice has proved that for thousands of years, Chinese medicine has a unique external drug efficacy, proper use and selection of drugs for external use traditional Chinese medicine has contributed to save the limb effect.

The partial treatment of diabetic foot can be divided into three stages:

1. Basic stages of treatment

This phase must run through the multi-drug therapy, such as controlling high blood sugar, anti-infection, and then clear the large blood vessels, improve microcirculation and correct other complications, and supportive therapy. However, localized not only to maintain drainage gangrene smooth things, it should not deal with.

2. To the decay phase of

Patients generally improved, glucose and infection under control, improved microcirculation, complications to be corrected, on this basis, focusing on to rot, increase the depth of drainage, surgical debridement, the gradual removal of necrotic tissue.

3. Myogenic stage

Marked improvement in patients with systemic, local secretions significantly reduced, the gradual removal of necrotic tissue, treatment focuses on the use of a variety of myogenic means to promote local granulation neonatal gangrene, so that wound healing.

Diabetic foot ulcers is a complex of refractory disease, the occurrence of disease development and the healing process, the true, stasis, wet, heat, phlegm, drugs and other pathological factors interact and are constantly changing, in the course of treatment should seize the main card, and timely adjusted according to local and systemic changes in governance of the governing law and medicine, and should be a reasonable application of nutritional support, traditional Chinese medicine TCM can only be levied in full effect.

Diabetic foot is no longer trouble!

2010-01-05T06:05:00.001-08:00

The known cases of diabetes, and right foot department was formed after the hot water bottle burns ulcers, western conventional therapy unhealed sores surface. With a larger dose of Chinese medicine bubble washing, Fang Turkey Poria, Treats, Rhizoma Dioscoreae Hypoglaucae, Coix Seed, gardenia, Sophora flavescens, Kochia scoparia Shenshi heat; Bletilla myogenic convergence mouth; public and Britain, to D, Silver Flower, Forsythia Detoxification anti-inflammatory, compared with the various drugs until the disease which, specifically Lihong Gong, which received more desirable effect. Bi A, M, 67 years old, April 13, 2005 newly diagnosed. Known history of diabetes for 20 years, in December 2004 feet warm at night, with glass thermos flask on the quilt, the first two days awoke and found right foot back, foot scald, there are several sizes of small blisters, ulceration after The rub with a soul, potassium permanganate, saline, moist burn ointment, Beijing 10000 red topical has healed. Cha See dorsum there is 4cm � 3cm, there is 5cm � 4cm big foot ulcers. A depth of 2mm, there are yellow-white mucus leakage, sore face dark red.

Diagnosed as diabetic foot ulcers burns. Governance in order to heat dehumidification, myogenic convergence mouth. Prescription: earth Poria 30g, Treats 30g, Rhizoma Dioscoreae Hypoglaucae 30g, Gardenia 30g, Coix Seed 30g, Kochia scoparia 30g, Sophora flavescens 30g, Baiji 50g, the British public and 30g, in the small 30g, Silver Flower 30g, forsythia 30g, decoction amount of to be warm soak feet, 2 ~ 3 times a day, every 20 minutes, 3 1. Washed with calamine powder 10g, zinc oxide 10g, Baiji powder 10g, Vaseline 100g, mix thoroughly into a paste, high pressure sterilization, the night a second coating. The treatments share 35 days, all ulcers healed.

The known cases of diabetes, and right foot department was formed after the hot water bottle burns ulcers, western conventional therapy unhealed sores surface. With a larger dose of Chinese medicine bubble washing, Fang Turkey Poria, Treats, Rhizoma Dioscoreae Hypoglaucae, Coix Seed, gardenia, Sophora flavescens, Kochia scoparia Shenshi heat; Bletilla myogenic convergence mouth; public and Britain, to D, Silver Flower, Forsythia Detoxification anti-inflammatory, compared with the various drugs until the disease which, specifically Lihong Gong, which received more desirable effect.

Protection "Diabetic Foot" Eight Points

2010-01-05T06:04:00.001-08:00

For a diabetic, the cure of foot ulcers, and treatment of other organs, like disease, combined treatment should be taken. Medical nutrition therapy is a comprehensive treatment of an important part of diabetic foot, but it is often patients, and even doctors ignored. In fact, the importance of nutrition therapy for patients with diabetes. Through nutrition therapy to achieve, maintain or improve the overall health status:

1, through the use of insulin (endogenous or exogenous insulin), oral hypoglycemic agents and sports to make a balance of food intake, so as to achieve and maintain blood sugar control target range.

2, so that to achieve the desired level of blood lipids.

3, through the ingestion of a suitable heat to maintain the ideal weight for adults to meet children, young people of normal growth and development, diabetes, pregnancy and breast-feeding women, metabolic needs, illness or wound a variety of nutrients needed for recovery.

4, to eliminate, prevent, delay or control of nutrition-related risk factors and complications (such as low blood sugar, short-term illness), sports-related problems, kidney disease, autonomic neuropathy, hypertension, cardiovascular and peripheral vascular disease and skin ulceration and so on.

If you are currently suffering from diabetic foot disease, we must bear in mind the nutritional treatment of wounds, some of the basic principles:

1, the wound site must have an appropriate micro-circulation.

2, the wound must be kept clean, can not have contamination

3, wound necrosis organizations must be removed or reduced to a minimum

4, the wound must not be infected with

5, where skin diseases must be controlled or cured

6, the friction of the wound, or direct compression must be controlled to a minimum

7, wounds of the external environment can not be too dry and wet

8, the patient's nutrition, metabolism and drug must remain stable

"Old diabetic foot" necrosis can cure?

2010-01-05T06:03:00.001-08:00

The cases of diabetic toe necrosis persistent unhealed wound, using several kinds of antibiotics were still effective Eventually, the injured area was still

more mucopurulent secretions leakage, tickle Ju for, and distinguish the case of hot and humid Accumulation, chemical poisoning, Fa. Therefore, earth Poria,

Coix Seed, Phellodendron, Sophora, Rhizoma Dioscoreae Hypoglaucae, white fresh skin, Kochia scoparia heat Shenshi; public and Britain, to D, Silver Flower,

Andrographis paniculata detoxification anti-inflammatory; red sage root, red peony blood circulation swelling; Baiji, furnace Gan Stone myogenic convergence

mouth, so that the wound healed gradually. Medical Record Diabetes acral necrosis

Wu, male, 58 years old, June 17, 2006 newly diagnosed. Diabetes for 10 years, 3 months ago left big toe toe back showed dark brown lesions, touch the hair

hard, dorsal foot swelling, in a hospital diagnosed as diabetic foot necrosis, to be amputated, but after the operation had been spent several kinds of

antibiotics treatment, since the wound to heal. Cha still see the surface of the skin mucus and purulent secretions are more leakage, sores dull red surface,

a depth of 2mm, tickle Ju made. Diagnosed as diabetic toe necrosis wound unhealed. Governance in order to heat dehumidification, activating blood and

myogenic convergence mouth. Prescription: earth Poria 30g, Coix Seed 30g, Treats 30g, Sophora flavescens 30g, the British public and 30g, in the small 30g,

Silver Flower 30g, Rhizoma Dioscoreae Hypoglaucae 30g, Andrographis 30g, white fresh skin 30g, Kochia scoparia 30g, Baiji 30g, Salvia miltiorrhiza 30g,

Paeonia 30g, decoction sufficient amount of foam, each half-hour, daily 2 times, 3 1. After the granulation powder coated vesicle (white striata powder 50g,

calamine powder 50g), mixing high-pressure sterilization, the scatter in the affected area, Vaseline gauze covering. Share on drugs for 40 days, to be a

gradual healing of ulcers.

The cases of diabetic toe necrosis persistent unhealed wound, using several kinds of antibiotics were still effective Eventually, the injured area was still

more mucopurulent secretions leakage, tickle Ju for, and distinguish the case of hot and humid Accumulation, chemical poisoning, Fa. Therefore, earth Poria,

Coix Seed, Phellodendron, Sophora, Rhizoma Dioscoreae Hypoglaucae, white fresh skin, Kochia scoparia heat Shenshi; public and Britain, to D, Silver Flower,

Andrographis paniculata detoxification anti-inflammatory; red sage root, red peony blood circulation swelling; Baiji, furnace Gan Stone myogenic convergence

mouth, so that the wound healed gradually.

"Diabetic foot" living Governance

2009-12-29T22:46:00.001-08:00

Bo-year 72-year-old history of hypertension more than 20 years, a year ago, also found diabetes. The past six months, when there is calf muscle cramps at night, walk over time, there will be leg pain, claudication, rest a while to be improved. Winter because of cold-blooded, with hot-water bottle Wu feet, causing burns, although the dressing was changed several times, but it has not improved, the wound festering, surrounded by swelling, prolonged unhealed. "Diabetic Foot" is a common complication of diabetes.

Although diabetes is only found in Bo-year, as it has long been suffering from diabetes, and it has not yet discovered. The prevalence of diabetes increases with age, such as the Bo-old elderly, diabetes is quite prevalent in. According to the survey, China's urban diabetes prevalence rate of 1%, after 40 years of age increased linearly with age, and almost every increase of 10-year-old, the sick rate increased by 1%. These elderly people often do not have the typical diabetic polyuria, polydipsia, food, wasting so-called "little more than three a" phenomenon, but with body fat much more prevalent. This is because obese people often have defects in insulin receptor can cause a relative shortage of insulin. Diabetes is often associated with high blood pressure. According to statistics, in the diabetic patients, 40% to 80% with hypertension, for the general population of 4 ~ 5 times. The long-term diabetes can cause big arteriosclerosis, coronary heart disease cerebral arteriosclerosis. Diabetes can also be caused by microvascular disease affecting the kidneys, there diabetic nephropathy, this is another factor in the formation of high blood pressure. Hypertension exacerbated diabetic nephropathy, so that kidney damage is increasing. Diabetes can also affect the nervous system, there diabetic neuropathy, usually manifested peripheral neuropathy, there limb paresthesia, decreased. As the limb hypoesthesia, easily damage occurred, and because the nerve and blood vessel disease, lower extremity skin and nutritional bad, once the damage difficult to heal, easy to secondary infection and the formation of ulcers and permanently. Because peripheral neuropathy can lead to a small foot muscle atrophy, showing claw-shaped toe. Because the foot deformation, gait changes, the focus can change, easy to produce calluses, corns, friction prone to injury. Coupled with limb autonomic neuropathy, sweating to reduce foot dry skin, limb ischemia caused by atherosclerosis, is extremely vulnerable skin ulcers, infections. As the limb atherosclerosis, lower limb ischemia, can cause calf cramps easy to walk a long time when the lower limb pain, limp, have a rest before mitigation, this phenomenon is medically known as "intermittent claudication." Above neuropathy, vascular disease and infection constitute the three major factors that diabetic foot.

"Diabetic Foot" focus on prevention and treatment of personal protection, it is necessary to avoid foot injury, to prevent secondary infection. Diabetic people should quit smoking, because smoking can aggravate atherosclerosis. Diabetics should pay attention to footwear suitable, not too tight, perfect day, and whether the foreign body should check the shoes, nail cuttings, etc. insole is flat. Shoes should fit to wear new shoes for each not more than two hours, but not to walk long distances in order to avoid foot wear. Do not wear herringbone slippers; night to check whether the foot and toes blisters, scratches or skin lesions, if necessary, use a mirror view the foot and, if necessary to timely diagnosis and treatment. Their feet with warm water every night, every 10 to 15 minutes, in order to promote blood circulation and lower limbs. Feet or hand or elbow before measuring about water temperature, so as to avoid occurrence of foot burns sensory dysfunction. Bubble over, use a soft dry towel Kaigan, in particular the gap between the toes should gently Kaigan. Winter should pay attention enough to keep warm, shoes to keep dry, insole and often Xishai, suitably soft and warm insole, Yichuan wool socks or cotton socks to help keep warm moisture. Cool enough to ease the night to wear socks, but do not use hot-water bottle, soup Pozi, small stoves warm feet, in order to avoid scalding. The skin too dry, can be partially coated lanolin or urea cream to prevent skin cracking. To timely treatment of tinea pedis, to corns, calluses should be treated early, do not use corrosive ointment, such as corns. If foot pain, to seek early treatment, not to abuse tape affixed feet. Do not walk barefoot at any time (even on the beach), to avoid foot injuries. If visual impairment should be relatives or friends to help trim toenails, calluses, do not themselves operate so as to avoid damage. Do not cut nails too short, angle should be blunt and smooth so as to avoid stabbing. Do not cross legs, a long time in order to avoid oppression of blood vessels, nerves. In addition, the treatment of diabetes should actively strive to control the blood sugar at normal levels. The event of foot ulcers, wounds, to early treatment. Aspirin, dipyridamole and so on can reduce the platelet aggregation, relieve blood hypercoagulability, and clear the microcirculation. Chinese medicine has a similar role in promoting blood circulation. To take active conservative treatment will enable 70% of the "diabetic foot" freedom from amputation.

With the average life expectancy of people with diabetes, "Diabetic Foot" prevalence rate of increase, prevention and treatment of diabetic foot, the key is to draw attention to careful self-care, a preventive measure.

"Five carriages" reveal the mystery of diabetes mellitus

2009-12-29T22:44:00.000-08:00

Diabetes, Chinese medicine called Diabetes disease. Back in BC, the Chinese medicine literature, on the urine of patients with documented Diabetes is sweet, and have thirst, polydipsia, polyuria, polyphagia and other clinical characteristics, patients are frequently post-fatigue, weight loss, therefore called "Diabetes "and raised over nutrition and obesity and diabetes are closely related. However, the ancient understanding of the nature of the disease still has not a small gap, and this situation only until the 19th century, significant progress, in 1869 a German doctor found in the pancreas of human existence "islet" and can secrete insulin, the diabetes Modern research started. The other two German doctors in 1889, further evidence of the relationship between the pancreas and diabetes, doctors in Canada in 1921, Banting, who succeeded the first time, extracted from animal pancreas, insulin, thus many young lives have been saved with diabetes. Doctors Banting received the Nobel Prize, and his birthday - November 14 by the United Nations as World Diabetes Day.

The cause of diabetes is still not very clear, only to find that a number of diabetes-related factors. It is generally believed that diabetes is genetic factors and environmental factors (including excess calorie intake, lack of activity, obesity, mental stress too much, etc.) working together, due to a lack of insulin secretion and (or) insulin resistance caused by sugar , protein and lipid metabolic disorder a chronic, lifelong disease. Diabetes is usually divided into type 1 diabetes, type 2 diabetes, gestational diabetes and other special types of diabetes.

Type 1 diabetes is mainly due to immune factors have led to serious destruction of islet �-cell, so that absolute lack of insulin secretion; 2 diabetes is mainly relatively inadequate insulin secretion, reducing the body's insulin sensitivity (ie insulin resistance)-induced. The typical symptoms of diabetes as "more than three a little", that is, polydipsia, polyuria, polyphagia and weight loss, and fatigue associated with weakness. If the condition is not well controlled, the further development of the body caused by a variety of serious acute and chronic complications. There are acute complications of diabetic ketoacidosis, non-ketotic hyperosmolar coma, lactic acidosis and so on. With the extension of duration, metabolic disorders can also cause eye, kidney, nerves, blood vessels and heart and other organs of chronic damage, and eventually took place blind, uremia, lower limb gangrene, neuropathy, severe infection, stroke or myocardial infarction a serious threat to health, these complications are caused by patients with chronic disability, major cause of death.

Although scientists and doctors have always been committed to diabetes research, but has yet to find a method to tackle diabetes. Got diabetes, it means to be accompanied with life. For the diabetes treatment goals is to make the disease a long period of ideal or good control. Diabetes treatment is comprehensive, is a systematic project, the current clinical treatment of diabetes there are five recognized methods, known as "five carriages" - diabetes education, diet therapy, exercise therapy, drug therapy and disease monitoring.

Diabetes education refers to study in patients with diabetes prevention knowledge, only mastered the relevant knowledge, they can better meet the doctor for treatment, in order to become a master of controlling diabetes. Diet therapy and exercise therapy is the basis for the treatment of diabetes, on this basis, a reasonable use of drug therapy can effectively control blood glucose and a series of indicators. At the same time should also attach importance to disease surveillance, in particular, blood glucose self-monitoring, periodic inspection of the indicators, understand the disease and guide treatment.

Long-term practice that the "five horse-drawn vehicles" is the magic weapon against diabetes, the five, only five horses and riding Qi trend in order to achieve full control of diabetes, and ultimately achieving longevity and enjoy the good life goals.

Guard against diabetes, "corrosion" of your hand and foot

2009-12-29T22:43:00.001-08:00

Hands and feet suddenly appear to ulceration, pus, Liu aunt thought it was skin, everywhere a doctor, spent a few thousand dollars, but he is not seen well. Surprisingly, in a physical examination, doctors found the original hand-long treatment of the rotten rotten feet are the fault of diabetes. Who lives in mountainous Liberty Street, Liu Li-aunt, 72 years old. Last year, in February, Liu aunt found their hands and feet began to blister, Diaopi. At first, she thought it was hand, foot and ringworm, it at home on a number of drugs. Spent half a month, not only has not brought the matter to the symptoms, but more and more serious, hands and feet of the skin begins to fester, pus. Madame Liu dermatologist doctor rushed to the hospital, the doctor failed to give specific reasons, but opened a lot of her medicine. Liu aunt said that in order to see the disease, she ran several hospitals in dermatology, light money to buy medicine doctor spent several thousand dollars. However, rule-day more than six months, patients are not seen and finally even walking are subject to a lot of influence down the stairs by the arm had to his family.

Last year, in September, Liu aunt because the stomach for a few days hospital doing regular blood sugar checks, doctors found that the old lady of the fasting blood glucose has reached 11.8, it will be defined as diabetes, so she was quickly hospitalized. Finally, through the Department of Endocrinology, doctor, Liu aunt belongs to type Ⅱ diabetes mellitus, and should have been a very long time, just some of the symptoms of diabetes, by her neglected, while the hands of Madame Liu is also a part of ulceration as a complication of diabetes. Now, after several months of the treatment of diabetes, Liu aunt's blood sugar has been controlled, hands and feet ulceration of the symptoms improve anytime soon.

Anshan Central Hospital ward Li-Yan Han, director of stem attending a briefing, Liu aunt this case belongs to diabetic foot, also known as diabetic gangrene, is a common complication of diabetes. The main cause is due to peripheral neuropathy? Points, including autonomic neuropathy? Snow, big foot vascular disease and poor health habits, and many other factors, the result of complex interactions between, and in severe lower limb may occur ulcers, gangrene, need to amputation treatment. Therefore, there Mrs aunt of such symptoms should go to hospital for examination, so as not to delay the best time for treatment.

Treatment diabetic Foot hyperbaric oxygen have unique skill

2009-12-29T22:42:00.001-08:00

Hyperbaric oxygen therapy principles are not complicated, it is the use of higher than the atmospheric pressure of 2.5 ~ 3 times the high-pressure chamber, inhaled 100% oxygen, the concentration and pressure have increased in the case, not only red blood cell oxygen content increased, also allow oxygen dissolved into the plasma inside, so that oxygen diffusion into hypoxic organizations (such as diabetic wounds, osteomyelitis, severe infection of the wound, etc.), oxygen enrichment can stimulate the formation of collagen fibers, promoting angiogenesis, but also enhance the white blood cell phagocytosis, inhibit bacterial toxins, and thus control infection, promote wound healing. After just 50 years old, Liu mother's sister is 10 years of diabetes patients. As the regular out-patient medication, blood glucose control and stability, life has not been affected. But inadvertently came up with a small toe wound, a full two months she was hospitalized, and even lost nearly crippled the entire left palm, Liu mother's sister was a real understanding of diabetes, the body of the potential extent of harm, but also personally Experience of hyperbaric oxygen on the benefits of treating diabetic wounds.

In fact, Liu Aunt than the exception. Because every four people with diabetes have a doctor because of foot problems, 15% of patients had foot ulcers occur in life. More alarming is that 45% ~ 70% of amputations occurred in the misfortune of patients with diabetic foot ulcers. Once faced with amputation, not only an increase in medical expenditures, and the patient's physical, mental, family and even the economy will be affected.

Lightly: loss of a small toe

Most people foot bumps, at most 35 days to heal without problems, why the feet of diabetic patients are particularly vulnerable to injuries but no better?

Neuropathy and vascular disease is a common complication of diabetes. Reduced autonomic neuropathy makes the sweat and cause the skin dry and chapped easily, sensory nerve lesions give the feeling of pain in patients with slow change. Vascular lesions leading to the size of blood vessels are easily blocked, cyclic variation, the skin prone to "malnutrition."

Sensory change slow and easy to dry and chapped skin, bumps or a tear a little careless, it is easy to bacterial infection, coupled with poor blood circulation, tissue hypoxia, leukocytes can not completely kill the invading bacteria, antibiotics can not be through blood cycle time to kill bacteria, so bacteria can spread quickly, cause a large number of muscle tissue necrosis fester and become diabetic foot ulcers.

Aunt Liu is such a small wound all the way developed into major problems. She likes to wear sandals, one day found that his left little toe broken a small hole in, did not mind a delay of a week the wound is getting bigger, the muscles around the toes black, with blood leaking from inside. Liu aunt with her daughter rushed to large hospital for treatment, doctors removed her little toe. Liu aunt sad kept alive that she worried about is that the wound or the dark damp.

Hyperbaric oxygen joining "treatment Corps"

Liu Aunt accepted treatment is multi-faceted, and can be described as a "treatment Corps", including controlling blood pressure, blood sugar, blood lipids, hypercoagulable state as well as infections, large blood vessels, capillaries and nerve disease treatment. Later, the doctor suggested Aunt Liu comprehensive treatment of the above-mentioned basis, with hyperbaric oxygen therapy in order to promote wound healing. After a detailed explanation of some doctors, Liu Aunt understand this truth, so in the second debridement surgery (excision and cleaning the wound of necrotic tissue) before and after, received hyperbaric oxygen therapy.

After more than ten times of hyperbaric oxygen therapy (two courses), and comprehensive treatment, the wounds of Aunt Liu obvious improvement has been healing rapidly changing and new flesh, finally can be discharged to go home. She also learned to always view whether unusual or foot wounds, dry skin, rubbing lotion on the need lubrication, select the soft leather fit the Baoxie, wearing cotton, thick soft, loose socks to protect feet.

For diabetic foot wounds in patients with the problem, the traditional treatment is to give antibiotics to control infection, local debridement and dressing, if it continues to deteriorate only take the amputation of a passer-by, which patients and their families are a heavy blow. Diabetic foot lesions had the medical, economic and social ones. Hyperbaric oxygen by adding "treatment Corps", even if still amputation, but also have the opportunity to not remove too much range.

Promoting wound healing: the mechanism is simple

In general, hyperbaric oxygen therapy in wound healing and immune regulation have a role in such areas to help improve microcirculation, thus preventing and treating diabetic complications, while hyperbaric oxygen therapy reduces the organization because of congestion caused by ischemia and hypoxia edema, high blood sugar due to the long-term damage caused by tissue hypoxia and peripheral neuropathy have therapeutic effects. In addition, hyperbaric oxygen therapy can inhibit the growth of anaerobic and aerobic bacteria breeding, to enhance leukocyte phagocytosis and bactericidal ability to enhance the sterilization of certain antimicrobial agents or antimicrobial effect, thereby to control wound infection. Should be pointed out that, although the high-pressure oxygen therapy is widely used in clinical subjects, there are certain contraindications. In view of this, whether hyperbaric oxygen therapy, treatment pressure, time, treatment is required under the guidance of a doctor.

Treatment of diabetic foot ulcers cure for special efficacy medicine

2009-12-29T22:39:00.000-08:00

According to the British "Daily Post" recently reported that the U.S. state of Oregon physicians Cheryl clinical trials found that, compared with the iodine and some antibiotics, these drugs more effectively in water diabetic foot cure ulcers, treatment to be reduced from more than 50 days to 43 days. California researchers have recently developed a new type of topical medicines can effectively treat diabetes-induced foot ulcers.

Foot ulcers are one of the complications of diabetes, which may lead to infection in severe cases may result in amputation. According to British "Daily Post" recently reported that the U.S. state of Oregon physicians Cheryl found through clinical trials, as compared with the iodine and some antibiotics, these drugs more effectively to cure diabetes water in patients with foot ulcers, treatment to be reduced from more than 50 days to 43 days. Andrew Bolton, the United Kingdom, said the researchers, from the preliminary test results, the new ideal of syrup efficacy.

The role of this principle of medicine is that it contains elements able to "recognize" a variety of organizations, bacteria invade the feet, and through the cell wall of these organisms to "holes" will kill them quickly, but the body's normal cells do not be subject to new drug molecule attacks.

Reported that the medicine can kill Clostridium bacteria, E. coli, salmonella, tuberculosis and so on. Because sterilization faster, damaged foot cells can be quickly repaired, thereby promoting greater blood flow to the ulcer site, so that the wounds can heal faster.

Necrosis of the focus of diabetic foot care

2009-12-26T07:15:00.005-08:00

According to national data show that diabetic patients with foot necrosis occurred 17 times the non-diabetic patients, accounting for 66% of patients with

amputation, diabetes is a serious threat to the health of one of the serious complications. The treatment of diabetic foot necrosis alone is not enough to

improve the care that will make the treatment reaches the multiplier effect. Care for diabetic foot necrosis focus in the following areas.

Local treatment: First, pus should be collected and sent to bacterial culture and sensitivity test in order to select sensitive to antibiotics. For the foot

of necrotic tissue should be phased-graded removed and the incision wound drainage in order to maintain smooth. Infected wounds have to use 0.1%

chlorhexidine and 3% hydrogen peroxide scrub, daily dressing 1 for non-infectious small trauma is no exception. Topical application of 654-2

microcirculation. Peacetime should Taigaohuanzhi to facilitate blood return.

Keep feet clean: Diabetic foot acral necrosis occurs in patients with pain, temperature perception barriers, is appropriate to warm their feet every night

before bed (non-affected side), water temperature should not be high, every 10-15 minutes, after washing to toe clearance at soft dry. 1 times per week

should be nails to prevent scratching the skin infection.

Diet Care: According to the patient's ideal body weight to calculate the daily total calories, diabetic foot infection in patients with necrosis of a large

consumption and heat should be properly increased 10% -20%, while according to patients with eating habits, so that diverse recipes. To regularly

quantitative meal insulin injections are even more so.

Psychological Care: Diabetic patients with foot gangrene accompanied by stench, often inferiority In addition, some people were hospitalized longer, easy to

produce anxiety. Their families and doctors should be more comfort, encourage, timely dispersal, in which patients state of mind and stability, with the

treatment.

Anti-diabetic foot often touch instep

2009-12-26T07:15:00.003-08:00

Diabetic foot are a common complication of diabetes, but people tend to diet and drug therapy during a time when blood sugar at the expense of maintenance

and care of the foot, so that it will happen ulcers, gangrene, a serious need for amputations. Lower extremity diabetic patients responded very "obtuse," I

do not know hot and cold, there is no pain, is not easy to early detection of lesions, although angiography, magnetic resonance, ultrasound and so can detect

signs of disease, but these checks do have to spend a lot of "silver", there examination of both economical and convenient way to do that?

Third People's Hospital of Zhengzhou City, deputy director of Department of Endocrinology, Dr. Liu Long gave birth to a trick taught to patients, the

dorsalis pedis artery dorsal foot touch and feel whether the abnormal pulse. This is the Endocrine Section, Department of Neurology, etc. Through the past

few years in patients with type 2 diabetes screening through palpation summed up.

Dorsalis pedis artery in a good position to find, included, to connect the dorsal lateral malleolus, between the two tendons, the patient can use both hands

to exert the same pressure on the index finger, not too much vigor to find pulse after they look at the strength of feeling If the pulse significantly

decreased or disappeared, foot lesions more likely to occur, it is necessary and timely to the hospital in order to detect lesions.

From a clinical perspective, diabetes five to ten years, it started to occur in the foot lesions, so the "age of five," patients often use this method is

best to detect, early detection of abnormal dorsalis pedis artery.

Note that the lower extremity arterial disease atherosclerosis is the systemic performance, dorsalis pedis artery abnormalities in patients with diabetes,

very easy to merge cardio-cerebral vascular diseases.

Therefore, there dorsalis pedis artery abnormalities in patients can be under the guidance of a doctor taking lipid-lowering drugs, such as statins, and

vasodilators, such as Salvia and so on.

The doctor's advice: exercise can reduce insulin resistance, lower blood sugar, diabetic lower extremity lesions appeared on how people should choose

activities?

Open diabetic foot lesions, such as ulcers, infections, gangrene, is not suitable for sports, and weight-bearing foot lesions can increase the pressure.

Without open lesions, such as neuropathy, vascular disease and so on, carefully check the foot after exercise, whether the traces of swelling or compression

(if any note inappropriate shoes), once found to have skin ulceration, it is timely to the hospital for treatment .

The principles of diabetic foot wound care

2009-12-26T07:15:00.001-08:00

Diabetic foot are a common complication of diabetes, but people tend to diet and drug therapy during a time when blood sugar at the expense of maintenance

and care of the foot, so that it will happen ulcers, gangrene, a serious need for amputations. For a diabetic, the cure of foot ulcers, and treatment of

other organs, like disease, combined treatment should be taken. Medical nutrition therapy is a comprehensive treatment of an important part of diabetic foot,

but it is often patients, and even doctors ignored.

In fact, the importance of nutrition therapy for patients with diabetes. Through nutrition therapy to achieve, maintain or improve the overall health status:

1, through the use of insulin (endogenous or exogenous insulin), oral hypoglycemic agents and sports to make a balance of food intake, so as to achieve and

maintain blood sugar control target range.

2, so that to achieve the desired level of blood lipids.

3, through the ingestion of a suitable heat to maintain the ideal weight for adults to meet children, young people of normal growth and development,

diabetes, pregnancy and breast-feeding women, metabolic needs, illness or wound a variety of nutrients needed for recovery.

4, to eliminate, prevent, delay or control of nutrition-related risk factors and complications (such as low blood sugar, short-term illness), sports-related

problems, kidney disease, autonomic neuropathy, hypertension, cardiovascular and peripheral vascular disease and skin ulceration and so on.

If you are currently suffering from diabetic foot disease, we must bear in mind the nutritional treatment of wounds, some of the basic principles:

1, the wound site must have a suitable micro-circulation;

2, the wound must be kept clean, can not have pollution;

3, wound necrosis organizations must be removed or reduced to a minimum;

4, the wound must not be infected;

5, where skin diseases must be controlled or cured;

6, the friction of the wound, or direct compression must be controlled to a minimum;

7, wounds of the external environment can not be too dry and wet;

8, the patient's nutrition, metabolism and drug must remain stable.

The treatment of diabetic foot infection

2009-12-26T07:14:00.003-08:00

Diabetic patients with diabetic foot is the result of local nerve abnormalities and distal lower limb peripheral vascular disease occurred foot infections,

ulcers, and (or) deep tissue destruction. When the diabetic patients affected by cutaneous nerve injury, patients often do not feel squeezed or temperature

changes, making the skin's defense capabilities of various injuries reduced, it may cause repeated injuries to the skin. The treatment of diabetic foot can

be largely divided into the following aspects: surgical treatment: partial care; antidiabetic treatment: anti-infective treatment; vasodilative a

microcirculation regulation.

Local surgical treatment of the appropriate surgical treatment of the wound is very important, for deep infection has already occurred and the location for

the formation of abscess incision and drainage is very necessary, if the existence ulcer surgical treatment should be necessary. Effective way to include the

use of 3% hydrogen peroxide cleaning deep wound, can also be used iodophor gauze drainage. Ulcer should be based on ulcer size and depth, with 3% of the

pairs of ammonia or saline, after washing the wound with povidone-iodine gauze external application. Dry gangrene are available 75% alcohol or povidone-

iodine topical gauze, if necessary, resectability of necrotic toes. Specific circumstances should be based on the patient medication one time a day, at least

every other day dressing a times, a serious condition dressing two times a day. When gangrene occurs when the toe (usually dry gangrene), and sometimes can

lead to necrotizing fasciitis, causing the affected foot localized redness, swelling, fever, pain, skin a dark purple stain, etc. In severe cases, required

to cut the toe or limb amputation and mortality rate is more high. Therefore, according to the clinical circumstances of the removal of necrotic toes. Note

that: when the surgical dressing be sure to remove dead tissue and keep the wound clean, should keep the wound dry, well-defined, limited, pay attention to

maintaining environmental hygiene and to prevent the bedding contaminated wound, for subsequent surgery may be undertaken to prepare .

Local nursing care is a key step in treatment of diabetic foot is one of 10 million can not be ignored. Clinical nursing care generally includes: from the

overall understanding of the patient's basic physiological needs: appropriate health education; to patients and their families, introducing the basics of

diabetes and its complications prevention and treatment methods and experience; from the ideological stability in the patient mood; the same time, patience

and guidance patients self-regulation in order to alleviate or eliminate the psychological barrier of patients and their families to make it in the best

mental state and actively cooperate with the treatment. As soon as possible inform the patient of the following content: foot skin need to be carefully

protected against grasping, scratching, try to avoid abrasions, burns and so on, should not cut toenails too short, wear shoes and socks should loose,

comfortable, no ulcer or injury to per night with warm water (37 ~ 38 ℃) feet, and gently massage my limbs, in order to promote foot circulation cold feet

warm when you pay attention. This shows that surgical treatment of local care is mainly the need to always observe the affected foot local skin color,

temperature, feeling, and whether conditions such as edema and ulceration, abnormal should be dealt with promptly.

Hypoglycemic therapy is an important part of treatment of diabetic foot. Should first be an active treatment of diabetes, controlling blood sugar in the

ideal range, adjust, metabolic disorders, electrolyte imbalance, if necessary, complement proteins, in order to promote wound healing and skin growth.

Infected with more severe cases, oral hypoglycemic agents may be suspended and replaced by intensive insulin therapy, such as subcutaneous injection of

insulin or continuous subcutaneous insulin infusion pump to control blood sugar in an appropriate range. Bed rest during hospitalization as far as possible,

reasonable diet, avoiding foot trauma, burn, so that foot comfort, reduce the incidence of foot ulcers.

Anti-infective therapy as soon as possible the appropriate choice of specimen smears, bacterial culture and drug sensitivity test, etc., such as sputum,

blood, urine, purulent secretions, ulcers and other specimens, specimens of specimens from the best in the use of anti-infective drugs Prior to, and in

particular should be taken to avoid contamination in order to avoid misleading. To obtain reliable results of bacteriology. According to susceptibility test

results choose the appropriate antimicrobial agents according to the actual situation in individual patient administration. However, the clinical reality is

often too late to wait for etiological test results, the majority of cases are treated while checking side. When the mild diabetic foot infection, it can

oral antibiotics 1 ~ 2 weeks, the need to observe the changes in the condition, once the condition worse or continue to develop, it should be changed to

parenteral administration. For patients with more serious disease should be better joint use of antimicrobial agents and to the full dose, full course of

treatment. Is best administered intravenously, improved change after oral. There is a saying within the profession, "diabetes better to use two Su", the

former refers to a good insulin control of blood sugar levels, which is good to use antibiotics to control infection progress. Anti-infective treatment is

medical treatment of diabetic foot is one of the main measures, the main route of administration by intravenous infusion. Even the need for surgical

treatment of diabetic foot, it must first control the infection, and then on this basis, the purposes of surgical intervention, thus a timely and effective

control of symptoms of diabetic foot infection should give high priority clinical issues. The use of antimicrobial agents sterilization of β-lactam-based,

appropriate combination of anti-anaerobic drugs (specifically anti-or facultative anaerobes). Patients according to renal function and other related

parameters set out the administration of appropriate individualized programs to improve drug efficacy and reduce adverse reactions. More varieties of

clinical use at present are: cefoperazone / sulbactam, piperacillin / tazobactam, levofloxacin, cloxacillin, clindamycin, fosfomycin, metronidazole,

tinidazole and so on. Serious illness can be used imipenem / West Division statins, vancomycin and so on. Concurrent osteomyelitis, should continue to give

antibiotics more than 6 weeks.

Vasodilator - regulating microcirculation in the treatment of complications of diabetes, the vasodilator drugs, a micro-cycle regulation is an important

application of one of the measures aimed to achieve through the use of this class of drugs to improve peripheral vascular function of a micro-circulation to

enhance the body's tissues blood supply, reducing hypoxia is conducive to tissue repair and so on. Another important significance to improve the clinical

treatment of diabetic foot infection of local tissue blood circulation, improve anti-infective lesions in infected blood concentration, thereby increasing

the antibacterial effects of drugs.

Leading to the risk factors of diabetic foot

2009-12-26T07:14:00.001-08:00

Leading to the risk factors of diabetic foot and diabetic foot follow-up frequency should be based on the type and extent of disease determined.
What is the pathogenesis of diabetic foot?

1, neuropathy is caused by sensory impairment caused by diabetic foot basis

Limb blood vessels and autonomic neuropathy in blood vessels weakened movement, local organizations, lowered immunity, minor trauma can cause infection, but

due to local sensory disturbances, small lesions can not be timely treatment, resulting in the rapid expansion of the wound. At the same time due to physical

sensory dysfunction, but also easy to cause scalding. Neuropathy can cause a small foot muscle atrophy, due to the long stretch muscles non-confrontational

form a claw-like toe and specifically the third, fourth and Toe〕. This deformity to make weight-bearing plantar metatarsal head as the anchor, due to

friction, there is the formation of the corpus callosum, vulnerable to infection, and penetrating ulcers, severe cases, spread to the bone near the bone

caused by inflammation. As the joint movements of deep sense of loss and reflection obstacles, so that the patient is not conscious of the circumstances,

some joint overload, loss of repeated trauma on the protective effect, so that the joints and articular surface of the rules has become very easy to fracture

, joint dislocation and subluxation, especially the metatarsophalangeal joint.

2, lower extremity ischemia occurred atherosclerosis leading to the foot, prompting diabetic foot may occur

After the lower extremities caused by arteriosclerosis occurred foot ischemia, especially in the toes, coupled with the small blood vessels and microvascular

disease, so that toe blood pressure, systemic blood pressure down to half or less. Patients often asleep at night due to toe pain to get up and walk a few

steps in order to alleviate the need. In some cases requiring a rapid increase blood circulation situations (such as trauma, infection, cold and hot, etc.)

can not be a corresponding increase in blood flow can cause gangrene, particularly toes staggering.

3, diabetic foot infections are caused by the fuse

Neuropathy and ischemic easily lead to local trauma, secondary to severe infection. In the minor trauma such as the foot of the pressure sores, toenail

trimming too short, athlete's foot can be caused by improper treatment of secondary infection. Plantar pressure overload in the area of the skin and

subcutaneous adipose tissue may be fibrous thickening, once the heel has been infected, easy to spread quickly to four weeks, ligament injuries can the

spread of infection, causing metatarsal osteomyelitis. The degree of ischemia occurs under wet, dry and mixed gangrene.

Leading to the risk factors of diabetic foot

(1) The duration of diabetes more than 10 years;

(2) Long-term blood glucose control is poor;

(3), wearing inappropriate shoes, foot health is poor;

(4) foot ulcer's past history;

(5), neuropathy symptoms (foot numbness, feeling of touch or pain diminished or disappeared), and (or) of ischemic vascular disease (exercise-induced calf

pain or fat cool);

(6) signs of neuropathy (foot fever, the skin does not sweat, muscle atrophy, eagle claw-like toes, pressure points, skin thickening, a good pulse, blood

filling sound), and (or) signs of peripheral vascular disease (foot-fat cool, shiny skin, thinner, pulse loss and subcutaneous tissue atrophy);

(7), diabetes and other chronic complications (severe renal failure or kidney transplant, it is obvious retinopathy);

(8) neurological and (or) vascular disease is not serious and there is a serious foot deformity;

(9) other risk factors (decreased visual acuity, affected the function of the orthopedic foot problems such as knee, hip or spinal arthritis, inappropriate

footwear;

(10) personal factors (socio-economic conditions of poor, elderly or living alone, refused treatment and care; smoking, drinking, etc.);

(11) delayed diagnosis of diabetes.

The frequency of follow-up of diabetic foot disease should be based on the type and extent of. For example, the plantar ulcers in patients with referral

should be ground, we could have a ~ 3 weeks review once; foot sensory loss in patients can return visit once every 3 months.

Grading treatment of diabetic foot disease

2009-12-25T06:52:00.003-08:00

Diabetic foot is a peripheral neuropathy (including autonomic neuropathy), microvascular disease, macrovascular disease and bad health habits such as the

result of many factors. Diabetic foot lesions is based on the nerve and vascular disease, infection worse. Diabetic foot disease in a variety of reasons, in

order to facilitate the treatment and care, clinical diabetic foot disease will be divided into six:

0: Skin integrity, no open lesions. Foot ulcers occur mainly in high-risk groups, such as associated with peripheral neuropathy, autonomic neuropathy,

peripheral vascular lesions; elderly; those who live by themselves; blind or severely visually impaired and can not observe their own foot lesions; diabetes

lack of knowledge of persons; sense of missing persons; combined kidney lesions; associated with foot deformities, foot calluses were.

Treatment: regular follow-up, step up publicity and education, prevention of diabetic foot disease.

1: Foot skin ulcers, there is an open lesions, such as blisters, Xuepao, corns or calluses cause frostbite or skin burns and other superficial ulcer not

involving the deep tissue.

Treatment: debridement, removal of all necrotic tissue, preventing the development of ulcers to deep. Proper use of vasodilators, blood circulation drugs,

such as prostaglandin E1 agents, anti-platelet aggregation drugs, to improve microcirculation, reduce blood viscosity, reduce thrombosis and minor seepage;

application of B vitamins, nerve growth factor and other drugs, in order to improve peripheral nerve function.

Level 2: deep penetrating ulcers, often associated with skin and soft tissue infections, more bone-free inflammation.

Treatment: debridement to remove all living tissue loss and comprehensive exposure to the wound, full drainage of pus, antibiotics to control infection.

Large ulcers, severe infections, it is appropriate insulin controls blood sugar, diet appropriate increase in protein quality and attention to blood lipids

and blood pressure control.

Level 3: deep ulcer, often affect the bone tissue, there is deep abscess or osteomyelitis.

Treatment: wide debridement, incision, drainage of purulent organization, for bacteriological culture, the joint application of antibiotics. Hypoproteinemia,

malnutrition, patients should be strengthened to support treatment, if necessary, infusion of plasma, albumin or amino acid solution.

4: ischemic ulcer with gangrene (necrosis), the surface will have infection of necrotic tissue.

Treatment: lower limb vascular occlusion, the hyperbaric oxygen treatment helps to improve the oxygen situation and reduce the edema. Lumen occlusion greater

than 50% of patients, available methods of vascular reconstruction or replacement in order to improve or restore limb blood perfusion index. At present, use

of angioplasty plus autologous bone marrow stem cell transplantation for treatment of diabetic foot disease reported that the method can suffer from foot

grow new blood vessels to replace the already necrotic blood vessels, in order to avoid amputation.

Level 5: gangrene affects the entire foot, all of infection or ischemia, expressed as wet or dry necrosis, often affecting the ankle or leg.

Processing: This stage of serious foot lesions, usually amputation should be implemented. Post-amputation patients in need of rehabilitation as soon as

possible to resume the use of artificial limbs to walk. As the side of the amputation, the other side of the lower extremity ulceration or gangrene of the

possibilities, so patients need to enhance awareness of foot protection.

The performance of diabetic foot lesions varied, treatment and care, each using a different approach, but it is a preventable, treatable disease. I believe

that under the guidance of diabetes specialist in every one of the efforts of diabetes, diabetic foot disease must be able to minimize the harm.

Diabetic foot care and common sense

2009-12-25T06:52:00.001-08:00

A large number of survey data indicate that diabetic foot disease will not only greatly reduce the quality of life in patients with diabetes, but also

causing enormous economic and social burdens. In China, the incidence of diabetic foot patients with diabetes account for about 2.6% ~ 5.2%, amputation (toe)

rate of about 14%, the cost of their treatment in hospital for other reasons than the same period in diabetic patients is much higher. It can be said of

diabetic foot disease is a serious complication of diabetes, one of the most horrible. A day before going to bed with warm water (38 ℃ or so) soak your feet

15 to 20 minutes, check whether there feet blisters, wounds, scratches, etc., and check between the toes and carefully dry.

2, do not arbitrarily cut corns or scab, nails do not cut too short in order to avoid ingrown toenails.

3, the winter should pay attention to the feet warm, wearing cotton socks, cotton shoes, remember not to use hot-water bottle, electric heaters or direct

Kaohuo heating, so as not to burn.

4, buy new shoes, to loose, comfortable and suitable. Slightly wider than the foot, breathable and have a certain hardness of the square head soft leather

shoes, sport shoes the best, do not wear high-heeled, pointed, hard and plastic shoes. In addition, shoes should be out regular checks of the existence of

foreign body, so as not to injure his feet.

5, socks to cotton is better, do not wear a patch or a crevasse of the socks, to prevent uneven pressure on the feet and affect blood circulation.

6, if the feet drier can be coated thin layer of moisturizer to prevent skin cracking.

7, foot deformation in patients with diabetes can choose the protection of special shoes, such "tailored" to protect the fragile skin shoes can effectively

disperse the pressure point to prevent diabetic foot disease.

8, to avoid foot acupuncture treatment, to prevent accidental infection.

Signal treatment

1, numbness, swelling, pain.

2, foot skin temperature drop.

3, foot skin color red, to dark.

4, the foot has ingrown toenails, calluses.

5, foot trauma, such as broken skin bleeding, burns and so on.

When the above-mentioned abnormalities, they should promptly go to the hospital treatment, so as not to increase the development of diabetic foot lesions.

Pure skin irritation who can be properly reduced activity, changing the soft cloth shoes, and ring around to do massage, movement should be gentle, to avoid

pushing, rubbing, kneading and other skin damage action. If no improvement within a week, should be timely treatment.

Care of diabetic feet remember 16 tips

2009-12-25T06:51:00.002-08:00

Although the treatment of diabetic foot disease is still very difficult, but simple precautions can be effective. Only patients themselves, their families,

or status to the doctors the patient's shoes and socks off, check the patient's feet, they can exceed those of high-tech inspection project role in ensuring

that the feet of diabetic patients, "no worries." Diabetic foot prevention and care was particularly important, with particular emphasis on adequate

protection, which is also the slogan of this year's World Diabetes Day content. In fact, diabetic foot home care is very simple and very useful. If the stick

is fully capable of preventing diabetic foot tragedy.

Liwan Hospital of Guangzhou Medical College Department of Endocrinology, Professor Luo Hongbin, director of a group of specially produced vivid illustrations

painted foot care, according to diagrams, WANG Yu-Zhen, LUO Hong-bin two experts pointed out that nursing homes should be below 16 foot-pronged approach:

A day with warm water and non-irritating soap wash feet, soak 5 minutes, with white towel (with white towel is mainly to discover whether the damaged foot).

Xi Jiaoshui the temperature of 40 ℃, is the hand-Mo Shangqu will not burn. People often advocated scalding with hot water legs, that hot water can relieve

fatigue feet, but for diabetic patients is concerned, in order to avoid scalding, it is recommended to use warm water is better. Between the foot and toes to

keep dry, easy-out Jiaohan patients use non-irritant powder (such as talcum powder), dried after the application of foot.

2, foot dry skin care products are coated (such as Vaseline, silicon cream, etc.).

3 Check your feet every day. If patients with severely impaired vision, and the family should be helped; if patients are old, you can check with a mirror.

Note Check foot.

4, Paowan foot and nail trimming time. Toenail trimming should be flat, do not cut bleeding. Older patients may request to help their children. Some patients

are very thick nails can be serviced by a professional using a special flat toenail scissors toenail scissors.

5, when the corpus callosum occurs, the first careful not to cut their own, as is very likely to trim broken. Conditional treatment of patients can wear a

special shoe, shoes with uppers made of special elastic material, soft thick crust, accompanied by special insoles, plantar pressure can be dispersed to

reduce the formation of the corpus callosum. If you can not buy treatment of shoes, you can buy a loose, comfortable soft-soled shoes. Do not always wear

shoes, because shoes can cause the heel of the corpus callosum.

6, there corns must please the professional medical care, do not let the street people pedicure repair.

7, wearing a clean and comfortable cotton socks, socks, tight blood circulation will affect the feet. Can not wear socks with holes and patches, but also can

not wear non-absorbent nylon socks, cotton socks to choose to relent.

8, can not walk barefoot. Do not walk barefoot at all times to avoid foot skin damage. In particular, can not walk barefoot on the beach. The best at home,

wear soft bottom shoes. Choose sandals can not vote for plastic slippers.

9, shoes should lenient, permeability is better. The beginning of new shoes to wear shoes when you want to check whether the foreign body, old shoes have

regular inspections. Do not wear new shoes more than half an hour the first day of the next day, wearing no more than 1 hour and then gradually extend the

time for wearing new shoes. Do not barefoot shoes do not wear toe sandals sandwiched. Heel is not too high.

10, to avoid scalding. Mattress can not be electricity in winter and hot-water bottle, not washing sauna, do not warm-based home therapy instrument.

11, to avoid frostbite. Exercise wear warm winter shoes to go out, if the shoe was wet snow should be replaced on time.

12, to prevent bad behavior. The first is to quit. Smoking can cause vasoconstriction. Smoking serious likely to have peripheral vascular disease. Second,

not a long time Alice Erlang Tui, so as not to impede lower limb circulation.

13, due to the trauma caused by infection, even a small ulceration occurred also immediately after washing with saline, using sterile gauze bandage

(preferably to the hospital by a doctor processing).

14, after the blisters break easily cause a bacterial infection, ulceration, formation of cellular inflammation. Out the best way to prevent blisters is to

avoid burns, avoid excessive friction. If do not wear too tight shoes, the sun very strong in areas such as in the foot sunscreen.

15, medical treatment, the reminder doctor check your feet. Nails embedded in the meat, when a doctor to help. When paronychia (for nail around the swelling,

pus, etc.) immediately for medical treatment.

16, as far as possible blood glucose, blood pressure and lipid controDiabetic foot care and common sensel to the normal range.

Stem cell transplantation to deal with diabetic foot

2009-12-25T06:51:00.001-08:00

Diabetic foot is a common complication of diabetes, was seriously ill and even those who face the risk of amputation. Recently, Zhejiang Province, the first

Chinese medicine hospital in the province to adopt a stem cell transplant technology, so that patients with diabetic foot saw the hope of treatment.

71-year-old Town of Xiaoshan Puyan Kong Dabo suffering from diabetic foot, a manicure last year, when he accidentally torn right toes, ulcerated wounds

unhealed, after a week went so far as rotten to the bone, the entire right foot cold and black, allowing uncle suffered enough. Provincial Hospital of

Chinese experts in the diagnosis, which is typical of diabetic lower limb vascular disease caused by bad foot. In order to enable patients to relieve the

pain of amputation, diabetes experts, NI Hai-xiang Provincial Hospital of Chinese physicians using stem cell transplantation bold new technology.

This called "autologous peripheral blood stem cell transplantation," the new technology is to human bone marrow hematopoietic stem cell mobilization into the

peripheral blood, and then separating out the useful hematopoietic stem cells, and then re-enter into the affected area, stem cells in the "new posts" on the

be effective, the gradual formation of new blood vessels to replace the original lesion of the blood vessels, improving and restoring lower limb blood flow,

and then by 3 to 6 months of recovery, the new blood vessels can grow into, so let the diabetic foot, "old tree grows new branches "avoid the risk of

amputation.

At present, the original Kong Dabo sick have recovered the body temperature and blood, skin from black to red, the condition improved markedly. It is the

province the first use of autologous peripheral blood stem cell transplantation technology used successfully in the treatment of diabetic foot.

Prevention of diabetic foot must know 9 tips

2009-12-25T06:50:00.001-08:00

On the prevention of diabetic foot, the patient must clearly understand the nature of the disease, including neurological diseases and ulcer risk. Patients

must clearly understand the nature of the disease, including neurological diseases and ulcer risk. This is sometimes difficult to know, with understanding

and problem should do the following:

(1) regular checks your feet, including blisters, cuts, scratches, nail problems;

(2) regular checks of shoes, with or without foreign bodies and rough places;

(3) Keep feet clean;

(4) shoes and socks should be relaxed;

(5) Do not walk barefoot;

(6) Do not heat or foot;

(7) Do not over-prune foot calluses, or coated irritant drugs;

(8) to be careful when cutting nails;

(9) not to smoke.

Advised diabetic friends:take care foot from now

2009-12-23T06:21:00.001-08:00

Patients with diabetes prone to foot disease, seriously affecting the patient's quality of life. However, the diabetic foot can be prevented is also, in

addition to strict control of blood glucose, the most important thing is to develop good foot care habits.

1 day, clean feet with warm water and soap, then wipe with a soft clean dry towel, paying particular attention to whether dry between the toes. Feet, the

water temperature before you try their hands in order to avoid burns, do not soak in water for a long time will be your feet, if the dry skin should be

coated with lotion.

2, trimming toenails straight-time application clippers horizontal shear, not to cut toenails too short, do not cut deep to the corner position, so as not to

damage the skin.

3, choose natural materials soft socks, such as cotton or wool socks, to avoid through the tight nylon stockings.

4, choose the right shoes. Buy shoes should be valued the level of comfort, choose a solid heel, wide toe style; to avoid wearing leather material, too sharp

or too tight toe shoes; should choose leather or breathable cotton and good shoes.

5, do not wear new shoes for a long time as far as possible Qinhuan shoes, the feet the same location to avoid the long-term pressure to prevent foaming or

bruises.

6, do not use a heating pad or electric products warm feet, so as to avoid feeling sluggish and burns.

7, do not walk barefoot in the room, or walking on the carpet should also wear slippers.

Prevention and treatment of diabetic foot

2009-12-23T06:20:00.003-08:00

After the formation of diabetic foot ulcers often long treatment, foot gangrene has often had to cut plastic, resulting in permanent disability of patients,

it is extremely important to the prevention of diabetic foot. Weed control of blood every day to insist on weight, taboos tobacco, alcohol, pay attention to

foot health, is a fundamental measure for prevention of diabetic foot. The specific measures are as follows:

(1) wear loose, wide, soft, breathable cloth shoes or shoes, or high-heeled shoes to avoid wearing cool light. To keep shoes dry, shifts in the same time a

few pairs of shoes to wear. Wearing new shoes, especially the new shoes, began to be a short time try to make legs slowly adapt to the new shoes, and feet

should always double-check whether the skin red, swollen, bruised, even for minor injuries, but also the immediate replacement of shoes, while the wound be

treated accordingly. To select a fit of cotton socks or wool socks, to Qinhuan Xi Wazi, do not wear socks with elastic mouth, so as not to affect the blood

circulation of the foot.

(2) feet per day must carefully check whether there are minor injuries such as abrasions, laceration, water sore and so on, should pay special attention to

check the toe joints and the soles of the feet. A small laceration would give rise to infection, prolonged unhealed, minor injuries may also be the beginning

of a serious gangrene. Insensitive because of diabetic foot or lose, it is sometimes subject to damage that may not know, so it is necessary to stress that

to check every day again.

(3) Daily feet with warm water and neutral soap, water temperature should not exceed 40 ℃. Feet soak 5 to 10 minutes later, that is, wipe with a soft dry

towel to, toe crevices do not residual moisture.

(4) dry feet a little vegetable oil evenly after the application may be available in the feet, then gently massage a few times, remove the scales and

significant keratinization layer. If the Khan foot can be a little talcum powder on the withdrawal.

(5) pairs of socks to wear in winter can be given the use of care Socks or night, shall not use electric blanket and hot-water bottle, nor sunlight exposure.

(6) Do not use tincture of iodine and other potent disinfectant, non-detrimental to the skin of the tape posted. Trimming nails, calluses or corns and

prevent damage when.

(7) actively prevent and treat infections. There are athlete's foot must be completely cured. In addition, we must pay attention to prevent infection in a

ditch.

(8) the absolute prohibition of smoking, because smoking can cause vascular spasm and aggravate ischemia, and should avoid passive smoking, that is, family

members should also quit smoking.

The principle of treatment of diabetic foot are as follows:

① active control of diabetes. By regular diet control, oral drugs or insulin lowering bad treatment, allows blood glucose control in normal or near normal.

Foot gangrene should use insulin.

② active debridement of local trauma treatment. Day after local debridement may be deposited with antibiotics, insulin and improve the pride cycle of drugs.

③ The dipyridamole, enteric-coated aspirin, to lower blood viscosity, prevention of thrombosis.

④ applied to improve the emblem of the cycle of drugs, such as henbane alkali drugs, Salvia, prostaglandin E and low molecular weight dextran and so on.

⑤ antibiotic treatment, infection control.

⑥ hyperbaric oxygen therapy can help to improve the oxygen situation, the effect very well.

⑦ are deficient in zinc. Gangrene due to diabetes patients had a zinc deficiency, so that human cells can not play their normal function, delayed wound

healing. Zinc supplementation can improve the immune function of t to enhance tissue repair. Can be used for each 22 mg of zinc sulfate per day 2 ~ 3 day

service.

⑧ added a variety of neurotrophic agents.

⑨ the above method is invalid when feasible amputation (toe), or arterial reconstruction.

Winter to protect "second heart"

2009-12-23T06:20:00.001-08:00

Medical studies suggest that the feet are the body's "second heart", showing that foot in the human health in an important position. Once the feet are sick,

you can affect the whole body healthy, which is much more prominent diabetes. According to reports, the United States of all diabetes patients, 20% of the

patients due to foot infections and other complications hospitalized with diabetes foot infection due to an amputee, all non-traumatic amputations accounted

for 25% -50%, Therefore, people with diabetes should pay attention to foot health.

Patients with diabetes, mostly the elderly, the decline of its defense capabilities, and the pairs of the liver under the subcutaneous fat reduction in cold

diminished capacity, when the feet are cold stimulation, can cause local vasoconstriction. While the feet and the nasopharynx are closely linked, so the cold

feet, may cause the reverse manner nasopharynx vasoconstriction, so that the activities of the nasal cavity within the cilia slow down, the drop in disease

prevention, hidden bacteria in the nasopharynx are took the opportunity to active and susceptible to colds and upper respiratory tract infections, and may

thus complicated by bronchitis, pneumonia, myocarditis and so on. Those patients with chronic bronchitis, etc. See who can make chronic disease increase, or

even serious consequences.

With diabetes, multiple vascular dysfunction and neuropathy, resulting in local blood circulation foot barrier, nutrition disorder and partial insensitivity,

partial resistance to low. Daily activities, it is inevitable fall, collision injuries, lower extremity skin and therefore damage occurred; foot fungal

infection in the formation of tinea pedis, and often easy to secondary pyogenic bacterial infections; elderly patients unwieldy because of hands and feet,

nail scissors, when, incoordination, easy to damage the skin, they can often become a reason for diabetic foot infections, and easy to develop into chronic

ulcers, or even difficult to control severe infection or gangrene, and sometimes forced to amputation, or because of foot infection spread to the body growth

and reproduction of bacteria into the blood circulation produce toxins caused by sepsis, a direct threat to the patient's life.

It was observed that the foot temperature should generally be maintained at 28-33 ℃, when the body feels comfortable, if less than 22 ℃, due to local

vasoconstriction, affecting systemic blood circulation can occur from respiratory or cardiovascular side effects. Therefore, diabetes should not be a long

sit-in, according to physical and health conditions should be regular physical activity, such as walking, jogging, kicks, playing tai chi, sword, etc., can

improve lower limb blood circulation, enhance cold capacity, there are help lower blood sugar; another to elect to wear loose cotton-padded shoes or hair,

often for Xi Wazi to keep feet dry; bedtime of around 45 ℃ warm water with their feet or 10-15 minutes to warm and the cold will help improve local blood

circulation; wear a good non-slip shoes, walking carefully to guard against falls; suffering from athlete's foot for their active treatment, avoid using

Shousi feet itching skin and rub the toes to prevent skin damage caused by pyogenic bacterial infection.

Prevention of diabetic foot amputation should be treated as soon as possible

2009-12-23T06:19:00.004-08:00

After years of continuous improvement of methods of treatment of diabetic foot Despite the fatality rate decreased significantly, but morbidity remains high,

so that many quality of life in patients with diabetic foot declined significantly. Diabetic foot is a result of diabetic neuropathy and the microcirculation

and the loss or illness infected foot lesions. It is an important chronic complication of diabetes, despite the physical and mental health hazards for

patients with diabetic foot a huge serious amputation and even life-threatening, but as long as the patient as soon as possible, timely hospitalization,

doctors will be able to monitor a full course of the disease, we can adopt a scientific treatment and care programs. After treatment can often relieve the

symptoms of diabetic foot, slow down the development of diabetic foot disease, if proper care and can even prevent diabetic foot was amputated.

Early detection followed up inspection

After years of continuous improvement of methods of treatment of diabetic foot Despite the fatality rate decreased significantly, but morbidity remains high,

so that many quality of life in patients with diabetic foot declined significantly. Clinical evidence, if early detection of diabetic foot and to give

appropriate treatment is able to prevent its occurrence and development of. How can I do early detection of diabetic foot? The correct approach is: may occur

in patients with diabetic foot diabetic foot on a regular basis, strict, laws, to conduct focused inspections followed up. Diabetic Foot mostly occurs after

the age of 50, to 60-70 years of age is most prevalent. The new obesity diabetes, longer duration and poor control of blood sugar often cause blood sugar

fluctuations are often a good-risk population. Almost by the occurrence of diabetic foot ischemia, neuropathy, infection of these three major factors work

together. Thus, diabetic foot forecasting and early detection also should be these three aspects.

Guard against multi-pronged approach

Followed up for examination is only the first step in prevention and treatment of diabetic foot for a specialist hospital for diabetes, only the first step

is not enough, there should be set missionary, inspection, treatment and care of diabetic foot in one of the professional studio. Through advanced

monitoring, treatment, care and professional treatment equipment, health care practitioners, around the etiology of diabetic foot - ischemia, neuropathy and

infection, to provide timely medical services. Lu Wen-Yan reminder, in addition to a timely hospital treatment, diabetic foot wounds in patients with normal

foot should be avoided, for small lesions should also be disposed in time, efforts should be made to achieve the following prevention measures:

1, smoking cessation. In order to prevent vasospasm and increase the resultant tissue ischemia and hypoxia;

2, pay attention to maintaining foot health. Such as the feet with warm water every night, after a good wash with the soft towel, pay particular attention to

toe sutural clean, anti-fungal infection; right Jiaohan many patients can be enough to wipe the bottom and some talcum powder toe sutural; Qin nail scissors

to avoid damage caused by secondary infection of a ditch, shoes, elastic should be appropriate and in the winter to keep warm to prevent frostbite of foot;

3, to avoid all kinds of foot injury;

4, if found, including corns and other foot lesions, should promptly seek medical treatment; such as local infection, even for minor infections, should also

be under the guidance of a doctor as soon as possible the use of antibiotics, infection control, to prevent further deterioration;

5, such as severe gangrene, surgical treatment must be to prevent exacerbations, life-threatening.

The performance and treatment of diabetic foot

2009-12-23T06:19:00.003-08:00

Due to neuropathy, dry skin, no sweat limb; extremities tingling, burning, numbness, feeling sluggish or loss, showing sock-like change, foot batting sense

of belonging; due to acral malnutrition, muscle atrophy, flexor and extensor loss of normal balance of traction tension, so that subsidence caused by the

bone joints between the toes bending, forming arched feet, hammer toes, foot deformities such as chicken feet toe. The clinical manifestations of diabetic

foot:

(1) the general performance of the foot: Due to neuropathy, limb skin dry without sweat; extremities tingling, burning, numbness, feeling sluggish or loss,

showing sock-like change, foot batting sense of belonging; because acral malnutrition, muscle atrophy, loss of normal flexor and extensor balance of traction

tension, so that the bone joints between the toes of subsidence caused by bending, forming arched feet, hammer toes, chicken feet and other foot deformities

toe. When a patient's bone and joint and soft tissue strain occurs when the patient continues to walk prone to cause bone and joint and ligament damage,

causing multiple fractures and ligament rupture, the formation of Charcot joints (Charcot). X-ray bone destruction over there, and some small bone fragments

from the periosteum of gangrene caused by sequestrum affect healing.

(2) ischemia mainly: Common skin malnutrition muscular atrophy, dry skin elasticity is poor, relying on hair from the skin temperature decreased, there is

pigmentation, acral arterial pulse weakened or disappeared, vascular stenosis at vascular murmur can be heard. The most typical symptom is intermittent

claudication, rest pain, squatting difficult to stand. When patients have damaged or spontaneous limb skin blisters after infection, the formation of ulcers,

gangrene or necrosis.

(3), diabetic foot ulcers can be classified according to the nature of neurological disease ulcers, ischemic ulcers and mixed ulcers. Neurogenic ulcer:

Neuropathy played a major role in the etiology of the blood circulation good. This foot is usually warm, numb, dry, the pain is not obvious, the foot

arteries fluctuation good. And have enough nerve lesions can have two consequences: nervous ulcer (mainly occurred in the foot) and neural arthropathy

(Charcot joints). Ischemia-induced foot ulcers, non-neurological disease, is rare. Nerve - the same time, these patients with ischemic ulcers are peripheral

neuropathy and peripheral vascular disease. Dorsalis pedis artery fluctuations disappear. The foot is cool these patients, and may be accompanied by rest

pain, foot ulcers and gangrene the edge of the Department.

Foot ulcers more common in the former site of foot, and often repeated was caused by mechanical stress, due to peripheral neuropathy caused by the

disappearance of protective sensation, the patient can not feel the pressure of this abnormal change, can not take some protective measures in place after

the ulcer concurrent infection, difficult to heal ulcers and ultimately gangrene.

Treatment of diabetic foot:

(1) to focus on prevention, try to avoid foot injury, such as wearing loose fit of the shoes and socks so as to avoid wear and tear the skin; such as poor

eyesight, do not self-cut nails; feet with warm water to avoid burns and so on.

(2) General treatment: In addition to strict control of blood sugar, improve whole body health levels, to eliminate some known risk factors for vascular

disease, such as the treatment of high blood pressure, lower blood fat, quit smoking and so on.

(3) removal of edema: As long as there is edema, all of the ulcers are difficult to heal, this has nothing to do with the causes of ulcers. Can be used

diuretics or ACE-I treatment.

(4) infection in treatment: a foot infection patients, especially those with osteomyelitis and deep abscess, and they should in the monitoring of blood

glucose, based on intensive insulin therapy in order to reach or near-normal blood glucose level. According to the results of bacterial cultures and drug

susceptibility testing to choose suitable antibiotics. Superficial infection of the organization may be granted partial debridement and broad-spectrum

antibiotics, such as cephalosporin Gac Linda ADM (clindamycin can be a very good access to organizations, including the difficult to access the diabetic

foot); should not be singled Enzymes using cephalosporins or quinolones as antibacterial spectrum of these drugs does not include anaerobic bacteria and some

G + bacteria. Oral treatment can last for several weeks. Deep infection of these antibiotics are available, but it should begin from the intravenous

administration, but also require surgical drainage, including the removal of infected bone tissue, and amputation.

(5) surgical treatment: refractory ulcers can be surgically treated. When the diabetic foot infection or gangrene affecting the foot most of the post and the

central, the surgeon must choose to major amputation in patients with conservative treatment, or as much as possible.

Shock! Diabetic foot really so terrible

2009-12-23T06:19:00.001-08:00

Diabetic foot disease is a peripheral neuropathy (including autonomic neuropathy), large vascular disease, and poor foot health and many other complex

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!

Diabetic friends how to care enough to foot

2009-12-23T06:18:00.003-08:00

Got diabetes, we must pay attention to protect their feet, it will be very easily lead to serious consequences. 1, to a bright office on a regular basis to

check your feet, toes, and foot examination with the mirror. See if there is broken skin, blisters, swelling, discoloration, athlete's foot and corns.

Second, we should seriously and carefully take care of small wounds. Disinfectant should be used (avoid using iodine or gentian violet) thoroughly clean the

wound, and then covered with sterile gauze. After three days, if still no wound healing, medical treatment as soon as possible.

Third, to keep the skin lubricated and foot dry foot. Shuang foot powder can be sprinkled on the toe sutural, shoes and socks Lane; can use lotion or cream

to keep the foot nutritional soft skin moisture.

Fourth, we must Qinhuan Xi Wazi, kept clean. Socks should be a good absorbent, soft and warm and good air permeability. Especially in pure wool or cotton

products better. Socks should be elastic mouth moderate, does not affect the blood circulation of the foot.

Fifth, we should carefully selected and carefully check the shoes. Shoes should be the right size, toes large, the permeability is good. And the texture

soft. Shoes before the shoe should be checked if there were foreign objects or uneven areas. In particular, when you wear new shoes, the first day of no more

than half an hour, check the foot only when no compression or friction wear.

6, to the proper nail trim. Should generally be in the feet, the nail trim is as soft time. Pruning shears should be flat, do not cut too short, do not want

to nail edges rounded or acute angle than the Xiucheng to avoid skin damage a ditch.

7, do not use hot water hot feet. (Xi Jiaoshui temperature should be less than 40 degrees Celsius), general foot soaking time should not exceed 5-10 minutes,

and feet should be used before your hand, elbow or a thermometer measuring temperature.

8, do not use irritating soap. Foot of the Fei River suitably mild soap, and feet should be thoroughly dried after, especially the foot sutural position.

9, do not force the foot rub. Feet, a soft towel after suitably foot skin pairs of interdigital skin of highly absorbent towel is available gauze gently

suck.

10, do not use electric blanket, hot water bottle and the heater warm feet, because they may perceive pain before you, foot skin has been burned. Heating may

choose to wear a thick, soft socks, or foot care.

11, do not use corrosive chemicals arbitrarily remove limbs on the corns, calluses, or tinea pedis. External hard paste, the chicken eye ointment or

corrosive acidic acid drugs often cause skin ulcers.

12, do not walk barefoot. Whether indoors or outdoors, do not walk barefoot or wear sandals barefoot, slippers to prevent foreign body injury in the foot

skin.

Two possible of diabetic foot

2009-12-23T06:18:00.001-08:00

Sense of feeling pain in patients with diabetic lower limb should pay attention to the following two possibilities:

(1), diabetic lower limb vascular disease, mainly manifested as lower extremity pain, intermittent claudication, rest pain, lower limb and foot gangrene.

Early physical examination can be found insufficient blood supply to lower limbs, such as lower limb elevation when the foot skin pale, drooping was purple

by the foot cool hair, dorsalis pedis artery pulse weakened and even disappeared; intermittent forced to line refers to the patient is walking suddenly felt

lower limb feeling pain unbearable, and even limped to walk; rest pain, lower extremity vascular disease is the further development of the result, lower limb

is also pain when walking; illness occur the further development of gangrene. The prevention and treatment should pay attention to:

a, strict control of blood sugar and high blood pressure good.

b, note that the foot health, to protect the feet dry and clean, the water often doubt their feet to prevent foot injuries.

c, to improve lower limb circulation: Note the feet warm, smoking cessation, may be long-term application of vasoactive drugs and lower blood clayey nature

of the drug.

d, once the diagnosis of diabetes, lower extremity vascular disease was established, should be actively treated, so as to avoid illness caused by expansion

of disability and death.

Treatment measures include: anisodamine 654-2 Huoxuetongmai drugs, antibiotics, infection control, Chinese medicine treatment has some effect, vascular

bypass surgery can effectively improve lower limb circulation.

(2), diabetic peripheral neuropathy: such as diabetes, peripheral neuritis, mainly for the physical feeling pain, numbness, paresthesia, if burning, ant-line

sense, touch sensitive, there are patients out "at the foot did not root", "like a on cotton, "and easily fell. The prevention and treatment should pay

attention to:

a, good blood sugar control.

b, large doses of vitamin: If B family, vitamin C, vitamin E.

c, vasodilators:

d, inositol drugs.

e, aldose reductase inhibitors.

f, traditional Chinese medicine.

To be investigated lower extremity vascular color Doppler flow image or leg to see whether the blockage of blood vessels and blood flow of lower limb, but

also check to see lower limb EMG, or muscle pain is a nerve prototype prototype. And symptomatic treatment.

Diabetic cause gangrene very self assertive

2009-12-17T05:56:00.000-08:00

Most of diabetic gangrene occurred in the elderly; male than female, male to female ratio is 3:2; course of the disease an average of about 10 years, parts of lower limb gangrene more common. The characteristics of diabetic gangrene

Most of diabetic gangrene occurred in the elderly; male than female, male to female ratio is 3:2; Cho scorpion? / A> course of the disease an average of about 10 years, parts of lower limb gangrene more common, accounting for 92.5%, upper limb rare, about accounted for 7.5%; unilateral incidence of about 80%, bilateral disease at the same time about 20%; toe and gangrene of the foot at the same time more common, accounting for 77.5%; toe and calf at the same time, 5% gangrene, leg gangrene accounted for only a 5%; toes or fingers disease accounted for 12.5%.

Clinical types of dry gangrene, wet gangrene, gangrene three kinds of hybrid.

(1) wet gangrene. Acral surface erosion of local soft tissue to form a shallow ulcer, followed by ulceration in-depth muscle, rather then the rotten broken tendon, bone damage, a large number of tissue necrosis, the formation of large abscess, and expel more secretions. This type of gangrene more common, accounting for 72.5%, mainly based on pathological microvascular basement membrane thickening due to microcirculation.

(2) Dry gangrene. Peripheral involvement acral necrosis, withered and black, lesion boundaries clear, to a certain stage of development will be handled on their own without falling. This type of gangrene or about 7.5%, the main pathological basis of the medium and small artery occlusion caused by avascular necrosis.

(3) mixed gangrene. About 20%. Microcirculation and small-artery occlusion exist two types of lesions, both extremities of the ischemic necrosis of dry, another foot, and (or) of the wet gangrene leg.

Classification of diabetic gangrene

0: No open lesions, clearly insufficient blood supply.

Grade Ⅰ: superficial ulcer. Blisters or other damage can be caused by, or arise spontaneously.

Grade Ⅱ: ulcer depth of tendons, ligaments, bones and joints.

Grade Ⅲ: deep ulcer infection and abscess with osteomyelitis and sinus formation.

Grade Ⅳ: There are toe and and (or) of the foot gangrene.

Ⅴ grade: All foot gangrene, which normally takes amputation.

The treatment of diabetic gangrene

(1) using diet control and drug treatment, strict control of diabetes, so that near-normal blood glucose levels, and to avoid the occurrence of low blood sugar.

(2) local surgical treatment. Gangrene, debridement and wrap it with antibacterial drugs and improving microcirculation.

(3) anticoagulation therapy. Dipyridamole, aspirin, Chinese medicine blood stasis agent.

(4) improvement of microcirculation. Anisodamine applications.

(5) antibiotic therapy. According to the results of bacterial culture and drug susceptibility tests use the appropriate antibiotics.

(6) other therapies. Given neurotrophic agent, are deficient in zinc, high-pressure oxygen therapy.

(7) cut-off toe, and (or) amputation.

(8) arterial reconstruction surgery.

The new method to prevention and treatment of diabetic and foot ulcers

2009-12-17T05:55:00.001-08:00

The U.S. city of St. Louis, Washington University School of Medicine Professor of Physiotherapy, said foot Achilles tendon lengthening surgery can effectively solve the problem of diabetic foot ulcer relapse. Treatment of diabetic foot ulcers and the key issue is to reduce the recurrence of ulcers. If prolonged unhealed wound, the patient will have some or all of the risk of foot removed. J Bone Joint Surg published a study shows that use of Achilles tendon lengthening surgery can effectively reduce the recurrence rate of diabetic foot ulcers.

With diabetes, this is a big news. Diabetic foot ulcers are a major problem, minor inflammation may soon lead to foot ulcers. Foot diabetic neuropathy nerve damage caused by foot, so that diabetic patients can not become aware of the changes in the foot.

The U.S. city of St. Louis, Washington University School of Medicine Professor of Physiotherapy, said foot Achilles tendon lengthening surgery can effectively solve the problem of diabetic foot ulcer relapse. For ankle joint movement impairment, the method helps to walk in the patient's weight shift from foot to heel, to reduce the pressure on the front foot, reducing the risk of skin damage. Have a good heel fat pad, make the skin from stimulation, thereby reducing infection and ulcers.

The study, 64 patients were randomly assigned to two groups, one with the foot gypsum (foot cast) to protect the wound from oppression, to heal; the other group of gypsum increases with the foot Achilles tendon lengthening. Achilles tendon surgery would be extended to six weeks following a fixed can be cured.

Using only the foot in plaster group, 88% of patients with ulcer healing; while using foot gypsum plus surgery group, the ulcer healing rate was 100%.

The patient to resume walking within the first month of the peak period of recurrence of foot ulcers; 7 months after the surgery and foot ulcer recurrence rate of gypsum group was lower than 75% of foot gypsum; two years later, the low 53%.

The researchers pointed out that the Achilles tendon to extend to a certain extent, weakened the strength of calf muscles may cause unsteady gait, but can be enhanced through the gastrocnemius muscle exercises to improve. Patients with diabetic neuropathy, the treatment of chronic foot ulcers in order to reduce recurrence of hope.

Why is diabetes can result in skin necrosis

2009-12-17T05:53:00.001-08:00

The reason why diabetes occurs lipoid progressive skin necrosis, caused mainly due to diabetic microangiopathy, sugar, protein deposition in the small vessel wall and gradually cause vascular occlusion, tissue necrosis. A rural women have often been in double-leg skin erythema, papules, and easy to ulcers, symptomatic treatment, have not ceased. After the hospital to conduct a comprehensive inspection, found to have diabetes, treatment, blood glucose control, the local symptomatic treatment, skin lesions subsided and so far no recurrence. The rural women with diabetes had skin disease - a progressive skin necrosis lipoidica.

Lipoid progressive skin necrosis of the clinical manifestations are mainly two before the lower leg, thigh, ankle, foot appeared irregular round or oval scleroderma-like plaques, clear edge, the surface was smooth glaze-like, central depression was sulfur color, composition hard yellow plaque, the external was purple or light red. In the yellow area there are numerous telangiectasias and small dark spots, often scaling or crusting. About 1 / 3 of cases of erythema may occur on the basis of ulcers.

Lipoid progressive skin necrosis in patients with diabetes need for effective control of diabetes, but even if diabetes is controlled, the lesions can not be completely dissipated, only varying degrees of improvement. On the skin lesions are mainly taken by symptomatic treatment, while serving a number of blood circulation increases, improve microcirculation of the drugs, such as oral compound Danshen tablets and vitamin e. Need to be taken to avoid a calf injury and prolonged standing, the best qualified person raise both lower extremities, and pay attention to warm cold.

Diabetic friends foot was "wounded"

2009-12-17T05:51:00.000-08:00

The clinical types of gangrene dry gangrene, wet gangrene, gangrene three kinds of hybrid. The characteristics of diabetic gangrene

Most of diabetic gangrene occurred in the elderly; male than female, male to female ratio is 3:2; course of the disease an average of about 10 years, parts of lower limb gangrene more common, accounting for 92.5%, upper limb rare, accounting for 7.5%; unilateral incidence of about 80%, bilateral disease at the same time about 20%; toe and gangrene of the foot at the same time more common, accounting for 77.5%; toe and lower leg gangrene while 5%, only 5% of leg gangrene; toe or finger disease accounted for 12.5%.

Clinical types of dry gangrene, wet gangrene, gangrene three kinds of hybrid.

(1) wet gangrene. Acral surface erosion of local soft tissue to form a shallow ulcer, followed by ulceration in-depth muscle, rather then the rotten broken tendon, bone damage, a large number of tissue necrosis, the formation of large abscess, and expel more secretions. This type of gangrene more common, accounting for 72.5%, mainly based on pathological microvascular basement membrane thickening due to microcirculation.

(2) Dry gangrene. Peripheral involvement acral necrosis, withered and black, lesion boundaries clear, to a certain stage of development will be handled on their own without falling. This type of gangrene or about 7.5%, the main pathological basis of the medium and small artery occlusion caused by avascular necrosis.

(3) mixed gangrene. About 20%. Microcirculation and small-artery occlusion exist two types of lesions, both extremities of the ischemic necrosis of dry, another foot, and (or) of the wet gangrene leg.

Classification of diabetic gangrene

0: No open lesions, clearly insufficient blood supply.

Grade Ⅰ: superficial ulcer. Blisters or other damage can be caused by, or arise spontaneously.

Grade Ⅱ: ulcer depth of tendons, ligaments, bones and joints.

Grade Ⅲ: deep ulcer infection and abscess with osteomyelitis and sinus formation.

Grade Ⅳ: There are toe and and (or) of the foot gangrene.

Ⅴ grade: All foot gangrene, which normally takes amputation.

The treatment of diabetic gangrene

(1) using diet control and drug treatment, strict control of diabetes, so that near-normal blood glucose levels, and to avoid the occurrence of low blood sugar.

(2) local surgical treatment. Gangrene, debridement and wrap it with antibacterial drugs and improving microcirculation.

(3) anticoagulation therapy. Dipyridamole, aspirin, Chinese medicine blood stasis agent.

(4) improvement of microcirculation. Anisodamine applications.

(5) antibiotic therapy. According to the results of bacterial culture and drug susceptibility tests use the appropriate antibiotics.

(6) other therapies. Given neurotrophic agent, are deficient in zinc, high-pressure oxygen therapy.

(7) cut-off toe, and (or) amputation.

(8) arterial reconstruction surgery.

Prevention is better than the treatment of diabetic foot

2009-12-17T05:50:00.001-08:00

In China, population aging has become a trend, while the incidence of diabetes, often increases with age, so the number of elderly diabetic patients increased year by year. Many elderly people are aware that diabetes can cause heart, brain and blood vessel disease, kidney disease, arteriosclerosis, etc., and most of the diabetic patients with diabetic foot unfamiliar. Prevention: hard, but not simple

One, his mind taut 5 "Strings children"

Active prevention of diabetic foot from the occurrence of thought every one should pay attention to diabetes, the patients mind to tighten the 5 "Strings children":

The first is control of blood glucose. Mainly due to diabetes, diabetic foot caused by limb peripheral vascular, neuropathy due to secondary infection, while controlling blood sugar is a slow peripheral vascular, neuropathy occurred effective means. And that high blood sugar are also prone to infection, so strict control of blood sugar is a crucial step. Second, is due to peripheral neuropathy is an important factor in occurrence of diabetic foot, so proper nutrition and proper nerve medicine foot massage is also beneficial. Again is to protect the feet. Do not pass through tight shoes and socks, do not walk barefoot, but also to avoid a pedicure in order to reduce the risk of foot injury. Finally, active treatment athlete's foot. General patients have varying degrees of foot fungal infections, fungal infections are also one of the factors impaired wound healing.

In addition, the legs do the non-weight-bearing exercise (such as in bed to do flexion and extension movement of the legs) can be improved to some extent, lower limb circulation.

Second, be doubly cautious Mo hot feet

Before going to sleep at night, a pot of scalding hot water the effect of foot indeed recover from fatigue, but also a certain degree of health protection. However, not all of them very suitable for hot feet, especially with diabetes should be particularly careful. When the body's skin and experience a more high-temperature hot water when the local blood vessels would expand, blood flow will speed up, so the blood will take away excess heat, so that part will not hurt, but patients with diabetes would significantly decrease this feature . According to statistics, diabetic patients with diabetic foot gangrene caused by burns accounted for 14.5%, which is caused by accidental amputation diabetic foot disease an important reason. Patients with diabetes high blood sugar can cause the body due to peripheral neuropathy, micro-circulation and blood vessels. This change will inevitably occur in the foot. Peripheral neuropathy can cause the skin of the foot paresthesia, muscle atrophy, skin dryness and abnormal sweat secretion, so that the defensive function of the foot drop. Vascular lesions leading to microcirculation of blood supply to the foot to reduce foot nutritional deterioration of the organizations to restore capacity is low.

As a diabetic, you know: When you are hot foot on the one hand foot skin paresthesia could not be judged because of the high and low water temperature, so that I do not know enough to profit and avoid loss, on the other hand the skin microcirculation and vascular lesions of vascular can not be a normal expansion, reduction of blood supply to the skin also does not have enough blood to the heat away, so that gathering took place in local burn calories. Patients with severe burns when not in their own self-knowledge, so that further aggravate the burn. Diabetic foot risk of infection after burn significantly increased for patients great suffering and loss. So, is strongly recommended that patients with diabetes must be careful when washing one's feet. Diabetic patients feet, it is recommended not to exceed the surface temperature of the water temperature. Small to care about in life, sometimes you will be replacing a lot of body, time and economic losses. Patients with diabetes should be concerned about the details of life.

Third, elderly patients to lose weight

Vigilance diabetic foot three-signal

2009-12-16T21:44:00.001-08:00

Diabetes is peripheral neuropathy, micro-vascular disease, large vessel disease and poor health among the many factors that caused by complex interactions. Often due to infection in diabetic foot gangrene caused by foot and the next technology, known as "diabetic foot." Expressed as foot numbness, feeling numb, chills, pain. Once the disease because of its treatment of complex, difficult large, will face consequences such as amputation. Therefore, diabetic foot disease is a severe complication of diabetes, one of the most horrible. On the Diabetic Foot, the main reason for including the three surfaces,

The first is that patients with diabetes mellitus, chronic peripheral vascular complications, the peripheral vascular complications at an early stage due to the gradual stenosis of vascular lumen, arising from a series of clinical manifestations,: including the patient's lower limb numbness, pain, walking distance of more and more short, we are called intermittent claudication, or pain the patient is seated and immobile when the pain will appear, these are the patients with peripheral vascular diabetic complications;

The second aspect is the diabetic patients with chronic peripheral nerve complications, especially in diabetic patients the feeling of complications arising from loss of sensation or abnormal. For example the end of the limbs, especially the feeling of anomalies arising from the foot of the numbness, the feeling of walking seemed to tread, like cotton, or have pins and needles, and so a range of performance, these are patients with peripheral nerve complications of diabetes.

The third aspect is in the peripheral vascular and neurological complications on the basis, due to protection measures are not effective, due to wearing shoes, socks, clipping the nails, and so inappropriate, there has been broken the skin, followed by skin damage arising from a series of symptoms, eventually becoming ulcer healing, rapid deterioration, odor ... ... ... then this series of questions known as diabetic foot.

The so-called diabetic foot, especially in the early diabetic foot ulcers, mainly around the blood vessels and peripheral nerve complications basis.

Comprehensive analysis of the etiology of diabetic foot

2009-12-16T21:35:00.001-08:00

Mainly due to diabetic foot disease caused by acral arteries and microvascular ischemia, hypoxia, organizations lose their vitality, coupled with neuropathy partial loss of consciousness, easy to damage, caused by infection. The disease pathology is mainly arteries and small arteries atherosclerosis, microcirculation disorder, affecting the absorption of nutrients and metabolic products of exclusion, resulting in acral ischemia, hypoxia, nutrition barriers, partial loss of vitality. Coupled with decreased resistance neuropathy, pain, temperature sense obstacles or disappeared, resulting in serious injury, ulcers, gangrene and infection, Shenzhe need amputation. In short, the disease was mainly due to arterial and microvascular disease caused by acral ischemia, hypoxia, organizations lose their vitality, coupled with neuropathy partial loss of consciousness, easy to damage, caused by infection.

1, arterial blood vessel blockage: Diabetes prone to atherosclerosis, so that the lumen of blood vessels arteries blocked, resulting in acral ischemia and hypoxia, diabetes gangrene. The reasons are: (1) hyperinsulinemia, in particular Type II diabetes, obesity, physical person, often tend to hyperinsulinemia. Cause fat metabolism disorders, induction and activation of fatty synthase, so that an increase in fat synthesis, very low density lipoprotein increased significantly, resulting in hyperlipoproteinemia and promote lipid deposition and smooth muscle cell proliferation, thereby causing atherosclerosis.

(2), platelet dysfunction, txa2 synthesis increased arterial intima damaged office pgl2 synthase is a lack of, pgl2 synthesis reduced enhanced platelet aggregation, blood vessels tend to spasm, contributed to the occurrence of arterial disease and partial blockage of blood vessels.

(3) endothelial cell injury due to genetic defects, easy to damage and necrosis. Hyperglycemia lead to damage and necrosis, arterial endothelial cell damage, the generation and destruction of clotting factors often out of balance, resulting in hardening of arteries and blocking blood vessels.

2, microvascular basement membrane thickening

Diabetic gangrene and microvascular lesions, basement membrane thickening are closely related. Microangiopathy in human weight-bearing area is particularly notable. As the capillary basement membrane thickening, causing fluid and protein leakage, resulting in swollen feet and prevent white blood cells into the cell, reducing the ability of local organizations, anti-infective, white energy increased fibrin activity reduced the formation of micro-thrombosis increase the local tissue ischemia necrosis, resulting in ulceration gangrene, wound long treatment.

Microvascular basement membrane thickening in diabetes, it is also accompanied by changes in the chemical structure of basement membrane thickening, sugar increased significantly, protein and fat reduced, with the exception of people with diabetes, age, duration, and the lack of insulin and other factors, the partial tissue hypoxia leading to the direct cause of diabetic microangiopathy, leading to local tissue hypoxia of the following factors:

(1) abnormal hemorheology and plasma fibrinogen in acute stress, beads globulin, a, acid glycoprotein was significantly higher and so on to promote the increased whole blood viscosity and erythrocyte aggregation, microvascular perfusion disorders.

(2) The mechanism of blood coagulation disorders, diabetes patients from Ⅷ, the first Ⅹ coagulation factors and fibrinogen were higher, fibrin activity to reduce the influence local tissue oxygen supply. Enhanced platelet aggregation, microcirculation blocked, increased local tissue hypoxia.

(3) an increase in glycated hemoglobin, glycated hemoglobin, or fast normal hemoglobin 7% of total hemoglobin, diabetes, glycosylated hemoglobin synthesis increased about 2-3 times the normal. Very difficult to break down, resulting in separation of oxygen reduction in tissue hypoxia.

(4) angiotensin-converting enzyme activity increased serum angiotensin-converting enzyme was significantly increased, microvascular disease, angiotensin-converting enzyme values higher, suggesting that diabetes in the blood vessels leading to tissue hypoxia spasticity.

3, diabetic neuropathy: diabetes mellitus complicated by vascular disease when associated with peripheral neuropathy and nerve of plant diseases, peripheral nerves leading to sensory and motor neurological disorders, muscle atrophy, skeletal deformities, pain, temperature sense weakened or disappeared, is trauma or self - organization to undermine the infected wound. Autonomic neuropathy leading to reduced sweating, dry skin vasomotor dysfunction, tissue ischemia and embrittlement infected necrosis. The presence of neuropathy the body of local organizations often exposed to danger, experienced trauma can lead to gangrene, diabetic neuropathy and diabetic vascular disease interaction, mutual influence of the gangrene infection increase the local tissue.

4, infection factors: a good diabetic patients uncontrolled host defense mechanism weakened response to the invasion of micro-organisms were inhibited at all stages, including the role and chemical toxins, phagocytic white blood cells, bactericidal effect of serum coherent factors and the role of cellular immunity , easy to infection, once infected, sicker. Due to neuropathy, acral sensory dysfunction, were infected with injuries. Diabetic microangiopathy to local tissue hypoxia is conducive to the growth of anaerobic bacteria to change the white blood oxygen dependent bactericidal effect, once infected, the ability to enhance platelet adhesion, fibrin activity increased, soluble fibrin activity reduced the formation of micro-thrombosis and increase the local tissue ischemic necrosis.

Diabetic gangrene is a traditional Chinese medicine, "Diabetes", "Pulse Bi", "anthrax" and other areas. Chinese medicine treatment of this disease has a long history and accumulated a lot of valuable experience in medicine that the pathogenesis of this disease is mainly Diabetes drag on, Qi and Yin Deficiency, meridians Stagnation, blood lines impeded, acral dystrophy, combined with hot and humid the next Note, heat sera stasis, made pulse weakness, anthrax. Elements found in modern medical research, diabetes, human memory, there is the unusual lack of zinc, zinc deficiency after wound healing is slow, prone to infection and organizations, liquefaction, is the main reason for diabetes, ulcers implemented. A large number of clinical studies have shown that zinc treatment can significantly speed up the wound healing. So we used the treatment of qi Yin, clearing away heat dampness, activating blood detoxification methods such as, dialectical therapy, family medicine recipe "sugar more side" with the elements of special hypoglycemic hypoglycemic agents plus zinc therapy received a significant effect, generally 30 days, significantly effective, basically cured within 90 days. Not only the wound can be healed, and physical body condition were significantly improved, showing a great advantage, particularly in wet lower extremity ulcer was unique, an average of 30 days can be healed by the medical profession of today's great concern.

Diabetics should pay attention to foot care

2009-12-16T21:30:00.000-08:00

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.

Four points to prevention and treatment of diabetic foot

2009-12-16T21:09:00.001-08:00

Diabetic foot is caused by diabetes, vascular disease in patients with insufficient blood supply to be due to neuropathy accompanied by sensory disturbances caused by infection of the foot.

The main symptoms of diabetic foot lower extremities feeling pain and skin ulcers, gangrene, amputations caused severe disability.

Prevention and treatment of diabetic foot include:

(1) strict control of a good diabetes, including high blood pressure control.

(2) Note Foot health: To protect the feet clean and dry, often warm their feet to avoid through the tight, sub-foot shoes, right foot corns and any minor injury or infection should be actively treated.

(3) to improve lower limb circulation: Note the feet warm and smoking cessation could be a long-term use of aspirin, Danshen and lower blood viscosity drugs.

(4) The treatment of diabetic foot: Once the diagnosis of diabetic foot establishment should actively deal with in order to avoid their disability or death. Treatment measures include expansion of blood vessels and the use of drugs to improve lower limb circulation Huoxuetongmai the same time, the use of antibiotics, infection control, foot dressing and surgical treatment. Vascular bypass surgery can effectively improve lower limb circulation.

Simple to prevent diabetic foot

2009-12-16T21:02:00.001-08:00

January 2007 issue of "Diabetes Care" magazine, the United States, Texas and Chicago, the clinical doctors published an article said that in the standard treatment of diabetic foot, based on an additional, that is, infra-red skin, every day Detection of foot thermometer temperature, can significantly reduce the recurrence of foot ulcers.

Texas A & M University Health Science Center, Dr. Lawrence A � Lavery and colleagues pointed out that the skin temperature is related to inflammatory tissue injury marks, but the signs are too small, and are not easily detected.

In order to observe whether the routine skin temperature monitoring will help detect early signs of damage, and prompted an immediate patient care, the researchers conducted a multi-center randomized trial. Object of study is 18 to 80 years of age are diabetic foot ulcers, and sensory loss in diabetic patients. 58 patients were randomly divided into the standard treatment groups, including physicians every eight weeks to accept a foot assessment, use of therapeutic insoles and footwear, as well as patient education programs. The second group of 56 patients to receive the same treatment, coupled with observation of foot with a mirror twice a day. Enhance the treatment group, 59 patients who were church everyday use of digital infrared thermometer test sites each foot, six temperature. Detection logs are recorded in all patients, the researchers asked them to notify the nurse should abnormal. Scientists have also proposed to strengthen the treatment group of patients, if they are symmetrical feet skin temperature differences between sites more than 4 degrees Fahrenheit, it is necessary to inform nurses. Until the temperature returned to normal, it can stop active intervention. The results showed that the first two patients treated in 15-month study period, a new hair similar to the frequency of foot ulcers were 29.3 ~ 30.4%, while the enhanced treatment group, only 8.5% of patients emerging ulcers.

R & D who said that since last year, the U.S. Food and Drug Administration (FDA) approved the use of foot health of the skin test thermometer has sold more than ten thousand branches. The device takes about 150 U.S. dollars, while dealing with foot ulcers for 12 months to spend 1400 U.S. dollars, a single arthropods to 38,000 U.S. dollars, it is a social and economic benefits compared to a high way.

Foot atrophy and neurological disease

2009-12-16T04:54:00.003-08:00

The researchers said patients with diabetic neuropathy, foot muscle volume only controls and the diabetics without neuropathy half. Foot muscle atrophy and

the severity of neuropathy and reflects the movement disorders in these patients.

"Diabetic neuropathy and the duration of the relevant, and some patients can lead to muscle weakness and leg muscle atrophy," Anderson, University Hospital

Aarhus, Denmark (Henning Andersen) and his colleagues in October, "Journal of Diabetes Care" (Diabetes Care 2004; 27:2382-2385) wrote. The team has inspected

the foot in patients with diabetic neuropathy, whether within the muscle atrophy, and measurements can be used to indicate whether the extent of atrophy and

nerve lesions related to the process of movement disorders.

A total of 23 included a long-term diabetic patients - a (n = 15) or without (n = 8) chronic neuropathy - and 23 controls. The researchers received a

continuous foot muscle cross-sectional MRI image data in order to assess the total volume of muscles within the foot (VFM), the extent of neuropathy by a

basis of clinical examination, nerve conduction studies and quantitative sensory testing to determine the rank and points to evaluate.

Neuropathy in patients with a total VFM for the 86cm, non-neurological disease patients and healthy subjects were 165cm and 168cm. Neuropathy rank and sub-

inverse correlation with the VFM, but it has nothing to do with the duration of diabetes.

"Based on the clinical, electrophysiological and quantitative sensory testing, shrinking the extent and degree of neuropathy is closely related to that

support for our muscle atrophy within a foot can be well reflected in diabetic neuropathy dyskinesia assumptions."

FDA: Johnson diabetic foot drug may be carcinogenic

2009-12-16T04:54:00.001-08:00

U.S. Food and Drug Administration (FDA) officials in the investigation report said Johnson & Johnson to promote healing of diabetic foot ulcers with Regranex

gel drug increased the risk of cancer and death.

FDA believes there is some evidence to show that repeated three times with Regranex than in patients treated with increased risk of cancer death.

FDA announced that, for an insurance plan database of adult patients with diabetes study found that, in January 1998 to 2003, three months, the patient's

cancer mortality has increased, but have not yet identified specific types of cancer, but also did not say how much of this study included patients, FDA

spokeswoman declined to comment on. But they added that, as early as in the 2001 study, found patients who used Regranex than in patients without the use of

such drugs a high proportion of cancer.

However, FDA also add that, in fact, diabetes itself does not cure the leg and foot ulcers there are also dangerous, so patients with diabetic foot for each

one, they should first weigh the use of

Regranex the pros and cons and then decide whether to use.

Johnson & Johnson in the Regranex spokeswoman said the manufacturing sector, in accordance with guidance in the use Regranex

Is safe, the company is working with the FDA to actively deal with the incident. However, when asked to provide more detailed information, the spokeswoman

did not immediately respond.

As a result, Johnson & Johnson in New York, the stock market fell 8 cents.

Diabetes blood sugar content exceeding, their sense of the foot due to nerve damage and diminished, it can easily lead to leg and foot wounds. The Regranex

was approved in 1997 by the United States for the treatment of diabetic foot ulcers

Diabetic Foot north more than south

2009-12-16T04:53:00.004-08:00

1 pairs of 14 3 A more than 600 cases of hospital patients found that patients with diabetes in northern China may be more vulnerable than the southern

region of diabetic foot disease, and age of onset of light, duration of diabetes long enough to illness severe illness.

Experts remind that the appropriate changes in diet and living habits of northerners, effective control of blood glucose, blood lipids, thus preventing

diabetic peripheral and large blood vessels

Disease, is the key to prevention of diabetic foot disease.

People's Liberation Army Hospital No. 3 Ling Liu and others written by Dr. Yu-Chen Wang, entitled "China's southern and northern analysis of risk factors for

diabetic foot disease," a research report published in "Chinese Medicine" in 2007 at No. 26.

Diabetic foot disease is a common chronic complication of diabetes, diabetes, metabolic disorders have long-term will lead to peripheral vascular,

neuropathy, foot ulcers triggered, intermittent claudication, etc. In severe cases, patients need to diabetic foot amputation, which is characterized by the

incidence of high - way more than 10 years diabetes, and 40% would be the risk of diabetic foot disease, the required high medical bills can be maimed,

killed. Survey data show that patients with diabetic foot in China, the average length of hospital stay was 26 days, the average hospitalization cost was 1.5

million yuan, with the same period in diabetic patients hospitalized for other reasons compared to the cost higher than 26%.

It is understood that the northern region a high incidence of diabetic foot disease may be related to diet and living habits on northerners, such as the

colder climate in the north, eating high-sugar, more fat, dietary fiber is relatively small, hi alcohol and tobacco, etc.; also with poor living conditions,

inadequate medical care related to nutrition can be difficult not only to ensure better regulation and controlling their diet.

Experts point out that prevention and treatment of diabetic foot disease in northern areas, people with diabetes, low economic level, long-term blood sugar,

blood lipids and other control is poor, need special attention, in order to effectively throughout the country to prevent the occurrence of diabetic foot

disease.

"Five interlocking" treatment of diabetic foot

2009-12-16T04:53:00.003-08:00

Diabetic foot, commonly known as the "old bad feet," is one of the serious complications of diabetes. For diabetic neuropathy, lower extremity macrovascular

disease and infection, the modern scholars put forward the diabetic patients with diabetic foot "rings therapy."

1st Ring: Control of sugar

Strict control of blood glucose in patients with diabetic foot is very important. Even if type 2 diabetes, insulin therapy had better use. Such as poor blood

glucose control can switch to intensive insulin therapy. Commonly used subcutaneous insulin 4 times a day program (early, middle and short-acting insulin

injected before dinner, bedtime injections in effect), if necessary, intravenous infusion of insulin or continuous insulin infusion pump, while closely

monitoring blood glucose, blood glucose control in fasting 7 mmol / l below postprandial 8 mmol / l or so.

The second link: Huoxue

1, pulse application of vasodilator drugs: anisodamine (654-2) 20 ~ 40 mg dissolved in 250 ml of normal saline intravenously once daily for 10 consecutive

days or two weeks for a course of treatment, or oral tablets 654-2 20 ~ 30 mg a day three times to lift the capillary spasm, the activation Vasomotion,

reduce leakage, reduce blood viscosity, but there are dry mouth, skin flushing, palpitation, abdominal distention, blurred vision and other side effects.

Prostaglandin E (PGE1): Kay clock by adding 20 micrograms in 100 ml of a slow intravenous infusion of saline or normal saline 20 ml intravenous injection, 10

~ 14 days for a course of treatment, there are other similar drugs PGI2, insurance and so on up to the new. Oral medicine have Peter Kam blood circulation

(cilostazol): 50 ~ 100 mg / day; pentoxifylline (Pantone): 400 ~ 800 mg / day; 100 ~ 300 mg of aspirin a day 1; 50 ~ 100 mg of dipyridamole, on the 1st three

second-class.

2, improvement of microcirculation of the traditional Chinese medicine: 250 ~ 500 ml of normal saline added the TMP 80 ~ 400 mg once a day, every 40 minutes

following a slow intravenous drip infusion for 2 to 3 weeks for a course of treatment, after the change service Chuanxiong Tablets; Salvia needle 20 ~ 30 ml

or Danshen pin 8 ~ 16 milliliters in 250 ml normal saline intravenously once a day, two weeks a course of treatment; can also be used safflower needle 20 ~

40 ml normal saline 250 ml intravenous drip; ahylysantinfarctase 0.25 ~ 0.5 units by adding 250 ml normal saline intravenously two weeks, can reduce blood

viscosity and reduce plasma fibrinogen, platelet adhesion and aggregation and play a blood circulation Huayu effect; Mailuoning needle 10 ~ 20 ml normal

saline intravenous infusion of 2 weeks; Others include health network element, Xuesaitong so.

3, autologous blood ultraviolet irradiation.

4, high-pressure oxygen: in 0. 15Mpa mask inhalation of pure oxygen under pressure from 1 to 2 hours a day, for 10 ~ 20 Tianyi course of treatment, can

promote infection control and to accelerate wound healing.

3rd Ring: anti-inflammatory
Mild infection: common and effective antibiotics include: oral anti-inflammatory drugs such as amoxicillin / clavulanate potassium, dicloxacillin,

cephalexin, etc.; intravenous infusion of anti-inflammatory drugs such as cefazolin, ampicillin / sulbactam, chlorine Lin Lincomycin, etc.; often take

medication 2 to 4 weeks.

Serious infections: Severe infection may lead to amputation, patients with life-threatening. Gan Ranzao early surgical treatment, removal of bad rot

organization, cut with the soles of the feet compartment drainage. Secretion of bacterial culture at the same time, it is best to use antibiotics according

to culture results. However, pending the culture results, taking into account bad foot office Gram-positive cocci, negative bacilli and anaerobic bacteria

and other infections easily co-exist, use broad-spectrum antibiotics, supplemented by metronidazole resistant anaerobe. According to the recovery of ulcers

and systemic conditions, application time should be up to 4 weeks.

Life-threatening infections: can be combined with ampicillin / sulbactam and aztreonam (Thailand can); piperacillin / tazobactam and vancomycin; vancomycin,

ceftazidime, and metronidazole; imipenem and cilastatin; fluoroquinolones, vancomycin and metronidazole and so on.

4th Ring: dressing

The principle of dressing can be summarized as follows:

1, elimination: anti-inflammatory disinfection. Topical application of tincture of iodine, alcohol disinfection, spraying antibiotics.

2 Less: reduce stress, try to wipe out local edema, drainage out of secretions, if necessary, surgical incision abscess drainage. Dressing the same time, do

not pack too tightly, affecting blood supply.

3, clear: Surgical debridement. As far as possible necrotic tissue, diaphragm, resection of sequestrum and so clean, clean up the local pus and other

secretions out, exposing the fresh granulation tissue, can be used with the biological activity of enzymes break down dressing to promote autolysis of

necrotic tissue.

4, extended resection and suturing: Treatment period of time, the bad foot skin temperature decreased, edema subsided, the wound dried, can be used in

dressings with epidermal growth factor to medication, but also can be partially sprayed 654-2, insulin, etc., and removal of stem callus and irregular bone

protrusion, such as suturing the skin flap or graft.

The Fifth Ring: symptomatic and support

1, fever, fever who used ice packs, alcohol, physical cooling sponge bath; necessary, applications antipyretic drugs (hormones or anti-inflammatory pain

suppository, etc.).

2, correcting ketosis, water, electrolyte disorders, timely potassium, rehydration, maintaining water and electrolyte balance.

3, improve cardiac function, may be appropriate to apply the expansion of drugs and diuretics such as coronary artery.

4, control infection in other organs, especially the lungs and urinary tract infections.

5, supplementary nutrition: such as nutrition nerve Methylcobalamin (Methycobal), neurotropin, vitamin B family such as intramuscular injection or oral, with

anemia, hypoproteinemia, malnutrition can complement plasma, human serum albumin and so on.

More "rings" to focus on promoting blood circulation and anti-inflammatory, but interlocking, are indispensable.

Thermos bottle hot rotten feet, they are not perceived

2009-12-16T04:53:00.001-08:00

Days at low temperature, so that heater, hot water bottle, blanket and other heating equipment, one after another battle, however, the reporter learned

yesterday from major hospitals in Nanjing, the recent Gejia have admitted a number of cases of a continuous heating improper lead to both lower extremities

due to diabetes in patients with burns . Doctors warned diabetics the most suitable air-conditioning heating, but not their feet in winter, or can easily be

burned, and even lead to the old rotten legs.

65-year-old Lee uncle with diabetes has been 10 years, most recently family members found Lee uncle both lower extremities were burned was immediately

transferred to Zhongshan University Hospital, Department of Endocrinology treatment. Doctors asked about the history knows, Li uncle was recently cold, think

of the feet with a warm hot-water bottle, because patients with lower extremity sensory nerve paralysis, although the high temperature hot water bottle, but

did not feel that, until the family members found Lee uncle foot ulceration occurred immediately before rushed to hospital. Similarly, to the Provincial

People's Hospital, Department of Endocrinology, Liu Aunt treatment, but also lead to foot ulcers because of improper heating. Recent large cooling, so that

Aunt Liu feet feel cold at night, family members have suggested that she go to bed with hot water before their feet, which as expected, is very effective,

but a few days off, Liu found Aunt hot feet, is now being broken, while the 1:00 was not aware that her own pain, to the hospital for a check, because she is

suffering from diabetes, but their knowledge of.

It is understood that diabetic foot is a chronic complication of diabetes is defined as peripheral vascular disease and nerve disease caused by dystrophy and

distal lower limb insufficiency. In the cold winter, due to vasoconstriction, easy to add to foot ischemia and nerve damage, if not pay attention to foot

health and prevention of the disease, it is likely to cause skin damage. In addition, the winter due to patients wearing tight shoes and socks, but also

easily lead to a variety of foot disease, that require attention.

Department of Endocrinology, Zhongda Hospital, according to statistical data show that more than 1000 cases of diabetes, about 80% of patients in

neurological disease, they feel the temperature decreased, it is easy to burn a number of heating products are still unaware. Yang Bing fully Director

reminded feet or with diabetes can not use hot water in winter, the most suitable air-conditioning heating, while the infrared heater, electric blanket, hot

water bottle and so should not be used, or prone to foot lesions, light those infected ulcers, difficulty walking , re-need to amputation.

Season with sugar can cause diabetes medication

2009-12-16T04:52:00.003-08:00

Some people, when Chinese herb decoction (especially children) like to take sugar taste correction.

In fact, the medication is not excessive sugar, the reasons, first, because sugar can inhibit the efficacy of certain antipyretic drugs interfere with trace

elements and vitamins in the human body absorption.

Second, is to make use of certain drugs because of its bitter taste, odor, or other treatment to stimulate the role of the sky. , As some stomach medicine is

to stimulate the digestive tract by its bitter taste, promote the secretion of digestive juice to achieve the therapeutic purpose. If the sugar, the bitter

medicine into a sweet, they lose efficacy.

3 is due to the chemical composition of traditional Chinese medicine is very complex, in which protein, tannic acid and other ingredients with sugar,

especially with iron, calcium and other impurities from a chemical reaction more brown sugar, so that some of the effective liquid ingredient solidified,

degeneration and then turbidity and sedimentation. This will not only affect the efficacy, but also is harmful to health. Fourth, because the sugar breaks

down the ingredients of certain drugs, such as sugar can be very hard to lift the drugs part of Strychnos efficacy. Fifth, because some patients should not

be sugar, such as diabetes, high blood lipids, suppurative disease patients, as well as Chinese medicine, there are hot and humid patients.

Modern medicine also believes that the oral administration of paracetamol and other drugs can not be sugar. Because sugar can inhibit the absorption of the

impact of drug efficacy. Taking hormones such as cortisone type drugs are not candy, because these drugs themselves can increase liver glycogen, elevated

blood sugar, such as sugar at the same time, there will be blood sugar soared, prone to diabetes. Therefore, whether serving traditional Chinese medicine or

Western medicine, are prohibited because of its bitter taste, and sugar free.

Diabetic patients suffering from athlete's foot can not be arbitrary torsion

2009-12-16T04:52:00.001-08:00

Summer season is tinea pedis with multiple times, especially with diabetes is also high risk group of tinea pedis. When the onset of athlete's foot, toes,

foot edge, foot itchy, it really could not help but scratch the lesion is necessary to hand-itch solution. As everyone knows, in diabetic patients, this time

scratch by hand is very dangerous.

Many patients with diabetes have peripheral neuropathy, lower extremity arterial insufficiency, prone to serious complications, "diabetic foot." Foot skin of

diabetic patients may be due to any small damage caused by prolonged bacterial infection in chronic unhealed ulcer, or even leading to limb amputation for

gangrene, therefore, suffering from athlete's foot when the solution must not be hand-scratched surface of the skin itch. Patients should develop good health

habits, every day, feet, frequently changes the socks, do not share with the people suffering from tinea pedis Foot bathtub to avoid infection. Once

suffering from tinea pedis, should go to regular hospital dermatology treatment solution can not scratch his hands itch, not to arbitrarily medication.

Diabetes Remember, foot injury and infection leading to diabetic foot risk factors.

New method treatment of diabetic foot

2009-12-16T04:51:00.001-08:00

Xuanwu Hospital, Capital Medical University, Professor of Vascular Surgery Fountain Valley for the past year, more than a dozen patients with diabetic foot

lower extremity arterial bypass to implement the new method significantly improves the long-term patency of vascular bypass rates, in order to effectively

preserve the patient's body and its functions .

Ms. Zhu in patients with long-term with diabetes and hypertension, in recent years lower extremity symptoms of intermittent claudication, walking 50 meters

or so that I am lower extremity pain, weakness, numbness. Line MRI examination at the hospital found that the left superficial femoral artery, � peroneal

artery and tibial artery occlusion dry. Lower extremity arterial bypass the traditional method is to artificial blood vessels distal anastomosis done in the

� artery, using the "bridge" to clear the blood supply. This use of large and medium artery bypass methods or interventional therapy for treating diabetic

foot although a precise effect, however, such as Ms. Zhu distal lower extremities (� arteries below, including the tibiofibular stem artery, anterior tibial

artery) artery without outflow tract or a case of poor outflow tract, these treatments are unable to adopt, and only in the maintenance of the slow process

of conservative treatment to be high after lower limb amputation gangrene.

Gu Yong-quan, Professor in the domestic first application of the radial artery dorsalis pedis artery bypass surgery. He applied this method for these

patients may wish to save the limb, Ms.. This method innovations are: first tibiofibular stem artery endarterectomy, femoral artery to the tibiofibular do

stem artery bypass graft, because in patients with posterior tibial artery occlusion, this method ensures peroneal artery patency; Then, the application of

autologous saphenous vein in patients with artificial blood vessels from the distal to the anterior tibial artery bypass, the formation of multiple

anastomosis, improved lower extremity arterial bypass of the outflow tract, reducing arterial resistance bridge, thus ensuring long after bypass surgery

period of patency, avoiding amputation.

How do campaign when diabetic foot disease

2009-12-16T04:50:00.003-08:00

Movement therapy is the treatment of diabetes, one of the three, through the campaign to control weight, reduce insulin resistance, lower blood sugar.

Exercise therapy has many forms, such as: walking, running, playing, swimming, mountain climbing and so on, but the choice of exercise therapy varies, in

some cases, particularly those with a serious foot lesions (diabetic foot), the Patients not suitable for exercise therapy. Is there any diabetic foot

patients can not exercise?

Diabetic foot is the most common complication of diabetes. There are two cases: First, an open lesions (ulcers, infections, gangrene) of the foot; Second,

although not an open foot lesion, but there are risk factors for disease to occur, such as neuropathy, vascular disease (commonly known as risk of foot). In

principle, an open foot lesion is not suitable for exercise therapy. Because weight-bearing pressure foot lesions can be further accentuated. So there is no

danger of an open foot lesion how to exercise therapy?

Diabetic foot risk mainly in the following four conditions: neuropathy foot, vascular disease foot, clubfoot, had past history of foot ulcers. Risk foot in

patients with diabetes can be the movement, because the appropriate exercise can also improve the blood circulation of lower limb and foot. It should be

noted the following:

1. Foot neuropathy, the most common sensory neuropathy were caused by senseless foot. Foot because of sensory neuropathy and can not perceive all kinds of

discomfort, can not be perceived by the trauma or disease has occurred, so the problem can not have enough timely care or treatment, that is, the lack of

adequate protective sensation. Motor neuron lesions can lead to foot deformities, abnormal protrusion of part of the foot vulnerable to oppression, autonomic

neuropathy to foot swelling, discomfort wearing shoes can also be subject to oppression. Neuropathy is the main reason for foot ulcers. Therefore, there is

foot neuropathy in patients with exercise should pay special attention to the protection and care of the foot.

First, select the appropriate shoes, sports shoes or leather shoes optional, the size should be appropriate, there is foot deformity or swelling of feet,

especially when attention must not be barefoot or wear sandals movement. Every time before exercise should pay attention to check whether the foreign body

inside the shoe, shoes, and whether the damage (not wearing shoes or damaged through the repair of shoes); after exercise should be carefully examined

whether the swelling of foot or the pressure traces (if any Note inappropriate shoes), once found to have skin ulceration should go to hospital. There is

sufficient deformity or foot swelling is appropriate for patients to walk, not to do a more intense exercise.

2. Vascular disease, also should pay attention to the foot protection. Because vascular resistance to reduce foot ulcers, but the event is difficult to heal

ulcers. If the lower extremity pain after exercise, suggesting that vascular disease are serious, at this time should go to hospital for treatment, the

patient not to insist on sports.

3. If you have an open foot lesion, with gangrene, acute ulcer with infection, severe neuropathy leading to Charcot's joints, the patient should be in bed,

unable to walk. If you have chronic ulcers and there is no infection, the use of special shoes or insoles to ensure Ulcer cases are not subject to oppression

in order to appropriate physical activity.

From more than 50% in patients amputation because of diabetic foot

2009-12-16T04:50:00.001-08:00

Danger lies not only in diabetes, diabetes itself, more importantly, other parts of the body the human impact of complications such as retinopathy leading to

blindness, heart and kidney dysfunction caused by vascular diseases, neurological and vascular lesions caused by foot ulcers, infection and necrosis .

For the foot of this disease is also known as diabetic foot. In diabetic patients more than 15% will at some time in their lives of foot ulcers or necrosis.

A result of diabetic foot amputations due to non-diabetic patients were 15 times more than all the amputations each year about 50% of patients are diabetic.

The early diabetic foot may be just a certain part of foot ulceration, if not treated early, ulcers may be expanded, or even co-infection, causing

osteomyelitis.

And different from normal wounds, diabetic foot due to damage to nerves and blood vessels, organize and very inadequate nutrition, decreased healing

capacity, so that the long-term non-healing wounds. Even if a doctor active treatment, treatment time was longer than normal wounds, many patients need more

than 3 months or half a year time for wound dressing, debridement and other processing. Even so, some people are still unable to control due to wound

infection, leading to inflammation expanded amputations. Thus, diabetic foot great harm on people. Recently, in China for the first time the introduction of

extracorporeal shock wave treatment of diabetic foot ulcers, in order to bring the Gospel in patients with diabetic foot.

What Diabetic care foot must notice in winter!

2009-12-15T05:07:00.001-08:00

Diabetic foot (DF) is a common complication of diabetes is also a major reason for disability. Between winter, cold weather, bad peripheral blood supply,

coupled with measures for the patient warm misconduct, easily leading to DF. In order to reduce the incidence of DF with diabetes should follow the right

foot protection, "6 6 should not" principle.

1. Foot should not warm cold

When winter rolls around, diabetic foot patients should pay attention to warm, a variety of appropriate heating methods can be used to improve local blood

circulation, maintain a good supply of blood and nutrients to accelerate the excretion of acidic metabolites. However, heating should be anti-scald.

2. Foot should not lower the high

Often raise the foot can reduce the foot pressure on local venous return to prevent the accumulation of metabolites.

3. Foot should move should not be static

Action is to increase blood circulation, calm the blood circulation is slow. Regular foot massage or an appropriate activity, can promote blood circulation,

improve nerve function. But not too much activity, so as not to increase the foot load.

4. Foot light-weight-bearing should not re -

Foot must bear the load should not be too large, such as body obesity, excessive labor, walking and standing had to wait too long may increase the foot load,

resulting in venous return poor, acidic metabolites and the accumulation of excessive damage produced.

5. Wear appropriate shoes and socks should not be too loose too tight

Because of gravity, lower extremity venous obstruction in upper limb than in the trunk, if the footwear too loose can cause local venous capacity increased,

affecting venous flow and speed; but tight shoes and socks are oppressed blood vessels, causing increased blood flow resistance of arterio-venous blood were

negative, is not conducive to the blood supply is not conducive to the excretion of metabolites.

6. Foot should not sewage net

Especially in the winter, warm water a day should Tuizu, diligence and clean replacement of shoes and socks to keep feet clean; timely clean-up shoes and

socks foreign body, to prevent the occurrence of foot Mishap; attention to cleanliness foot focal points keratosis organizations, so as not to impede blood

supply Erzhi hyperkeratotic skin to form vesicles, infection precipitate ulcers.

7 Notice to Care Diabetic Foot

2009-12-15T05:06:00.001-08:00

According to statistics, amputation rate in diabetic patients than non-diabetic patients for more than 10 times higher, and in all non-traumatic amputations

in diabetic foot caused by more than 50%. In addition, according to the information recorded in China there are about more than 5000 million diabetics, of

which 20% will develop diabetic foot syndrome, while 40% of the diabetic foot patients need for amputation surgery, 10% of patients will be within 30 days

after amputation death, 50% of patients after amputation die within 5 years.

Frankly speaking, as long as diabetes, there is the possibility of suffering from diabetic foot Among them, the long-term poor blood glucose control,

duration of diabetes more than 10 years, pay no attention to foot health care and footwear is inappropriate, there is foot deformity or ulceration history,

there are bad habits such as smoking and drinking is more common in patients. Diabetic foot is not a concurrent start is usually the first following some

discomfort, as usual, no sweat, lower limbs appeared pigmentation, especially the end of the lower limb paresthesia, was duck walking steps, squatting

difficult to stand up enough hair cool, foot skin shiny thin, subcutaneous tissue atrophy, dorsalis pedis artery pulse weakened and even disappeared. Once

the foot skin blisters, blood blisters, or calluses, etc. Whatever the causes, but also appeared to be whether large or small, if an inattentive when the

skin is damaged, it will lead to foot ulcers. If time does not attach importance to, ulcers will be gradually deep into the skin subcutaneous tissue, muscle,

tendon, ligament until the bones, eventually leading to gangrene.

As the saying goes: "seven parts treatment, one-third of care." This shows that the diabetes treatment important, but the importance of foot care can not be

ignored, especially personal care.

(1) foot protection. In addition to daily foot, but also pay attention toenails clean and trimmed. When trimming toenails straight shear, not bending shear

in order to avoid shear Hollow-bed cause infection; toenails do not dig around the soft tissue to avoid infection.

Trim toenails, it should be filed flat sharp edges or protruding parts, so as not to stab the adjacent toe. Long into the muscles of the nail may cause

infection, if the nail is very tough, and have deformity or thickening should go to a doctor to help deal with.

(2) the choice of shoes. Should be careful selection of shoes, so comfortable, the size and the toes are not suitable for extrusion. Hiking shoes or shoes

with good, should not wear high heels. If you squeeze the toes together, walk each other the friction between the toes can be packing some cotton or wool, to

prevent scratches; if feet are shoes and wear should first check whether the swollen feet, blisters, or abrasions, and then check the shoes The corresponding

parts, and try to deal with shoes protruding or uneven parts. Wearing new shoes, especially the new shoes, should be gradual and the first day of wearing the

best 1 hour, after 1 hour every day.

(3) Khan feet of diabetic patients may be spreading more neutral, non-irritant powder or starch in between the toes can also be scattered inside the shoes or

socks. Qinhuan shoes, socks are one of the means, preferably once every day at noon for shoes and socks.

(4) feet with corns or calluses who can Sticking chicken eye ointment, preferably a specialist treatment, do not tear themselves, or with a knife cutting,

digging, and do not casually invited non-medical staff cutting, digging corns and calluses. Built-in a soft shoe insoles, can help prevent corns and

calluses.

(5) suffering from onychomycosis or tinea pedis, easily cause skin laceration. Onychomycosis and tinea pedis should be invited to a specialist treatment he

will not seek to medication, as some commercial drugs have a greater irritant to the skin.

(6) foot swelling or infection, it is timely to rest until fully recovered. If you continue to walk, could prompt sicker and development. Often in the

horizontal position Taigaohuanzhi can improve blood circulation and promote healing.

(7) feet in patients with poor circulation, you can always short period of time to raise the lower limbs, such as raising a few minutes every hour or so,

insist on feet and legs daily exercise can also improve local circulation. If the illness does not adhere to campaign activities can be in bed feet and toes,

as up and down left or ring circling activity, you can also try to stand on tip-toes with Hing Wah Street West. Seat, do not be a leg down on the other a

leg, or knee to knee pressure, so that is not conducive to the blood circulation.

Finally, to remind that if, unfortunately, suffered from a foot ulcer, it is necessary to seize the last chance to specialists at the earliest possible

diagnosis and treatment, actively cooperate with the treatment. If for a moment to consider the costs too much and "lenient" and once into the stage of

diabetic gangrene, the consequences serious. Because diabetes is a systemic disease, can affect various organs, when there is gangrene, it is usually a lot

of capillaries has been blocked, so the site of amputation gangrene diabetes is generally higher, and poorer treatment outcomes.

In short, prevention is more important than cure. In order to prevent the tragedy of amputation reproduction, please diabetes lot of attention!

The treatment of diabetic foot

2009-12-15T05:05:00.003-08:00

The treatment of diabetic foot a good blood sugar control is the foundation, while peripheral vascular disease should be done for specialist treatment,

mainly Chinese and Western medicine route one with 6 treatment, oral medicine Huoxuetongmai, improve microcirculation and intravenous infusion nutrition

nerves, dilation of blood vessels to correct metabolic disorders, with the intravascular perfusion, foot bath fumigation and other treatment. Prevention and

treatment of diabetic foot goal is to focus on prevention, early diagnosis, early treatment, not only can significantly improve the quality of life of

patients with diabetes, but also greatly reduce the medical expenses associated with important social and economic benefits.

A general treatment

(1) Support symptomatic treatment, including restrictions on activity, weight loss, Taigaohuanzhi to facilitate the return of lower extremity blood, reducing

edema.

(2) strict control of blood glucose, insulin is better to apply the limbs, and actively correct the ketoacidosis, hypoalbuminemia, heart, brain and kidney

complications and the healing of the impact of various negative factors gangrene.

(3) debridement: removal of necrotic tissue, placing drainage, regular disinfection of dressing and so on.

(4) strengthening of patient education, foot care and reasonable and to prevent damage from outside.

2 Anti-infective

Diabetic foot infection pathogens in order to Staphylococcus aureus common, followed by Streptococcus, Enterococcus, Enterobacter, and anaerobes such as.

Taken as soon as possible after admission focal secretion of bacterial culture, first with the commonly used antibiotics until culture results after the use

of effective antibiotics, in addition to need to increase with anti-anaerobe drugs.

3 the treatment of ischemic foot ulcers

(1) for vascular surgery is not very serious or there is no indication who can use a conservative medical treatment, the use of vasodilator drugs such as

prostaglandin E ,654-2, and blood circulation of Chinese medicine, such as breviscapine, reference pulse and so on.

(2) For severe cases of vascular lesions in the conservative treatment, based on the vessel revascularization should be performed. The methods are: vascular

bypass surgery, endarterectomy, pedicled omental graft, percutaneous endovascular angioplasty and so on.

(3) for gangrene when at rest in patients with pain and a wide range of vascular lesions can not be with vascular reconstruction, should be bold and

amputation, amputation before the best line of angiography to determine the amputation plane.

(4) hyperbaric oxygen therapy (HBD): high-pressure oxygen can improve the organization of new blood vessels metaplasia, increased collagen synthesis, enhance

neutrophil bactericidal effect, but can also promote the synthesis of platelet-derived factor, the factor can promote wound healing. If the pulmonary

infection is not suitably hyperbaric oxygen therapy.

(5) UV irradiation and oxygenation of blood transfusion therapy (UBID): has anti-bacterial inflammation, improve immunity in increasing tissue oxygen supply,

lower blood viscosity and blood lipids, improve blood circulation and so on.

4 the treatment of neuropathic foot ulcers

(1) change of foot 90% of the neurological abnormalities of stress ulcers can be reasonably conservative treatment and healing. The key is to reduce the

incidence of the original deal with the pressure created by the pressure distribution through the foot gauge understanding, and then use a special orthopedic

shoes or foot orthoses in patients with pressure to change.

(2) to improve neurological function can be used B vitamins, such as nerve growth factor can promote nerve cell nucleic acid and protein synthesis, promote

axonal regeneration of myelin-forming.

(3) The dressing covering the wound dressing to prevent further damage and reduce the risk of infection, maintaining wound healing, an ideal environment.

Diluent choice of antibiotics, vitamin mixture, bFGF temperature deposited.

5 Amputation

An active conservative treatment still occurs gangrene, amputation should be timely, amputation site to be an accurate estimate, the local loop should be to

make a choice, to ensure a good cycle of a high degree.

In short, the treatment of diabetic foot than in the past has seen much progress, especially in high-pressure oxygen therapy and ultraviolet blood

irradiation and oxygenation transfusion therapy has some efficacy, but there is still no single method can be completely cured, which requires us to

establish and improve the prevention and control system.

But now there are autologous stem cell transplantation - vascular regeneration therapy, vascular lesions can be a rich collateral circulation around the

building, from the fundamental issue of improving the ischemic extremities.

Autologous stem cell transplantation advantages:

1, there is no immune rejection

2 do not involve the ethical problems of embryonic stem cells

3, surgical risk-free, long-term effects evident for middle-aged patients with chronic limb ischemia

4, with a repeatable, can be repeated several times in order to achieve the best results using the

Stem cell transplantation for treatment of arterial ischemic mechanism:

1, bone marrow contains mesenchymal stem cells in ischemic conditions can be transformed into endothelial progenitor cells

2, bone marrow also contains endothelial progenitor cells and bone marrow precursor cells in the common progenitor cells in ischemic conditions can be

transformed into endothelial precursor cells

3, mesenchymal stem cells in ischemic conditions may be a large number of cells secrete VEGF and other factors, including the promotion of angiogenesis

4, mesenchymal stem cells inhibit anti-apoptotic role in progression

Bypass treatment of diabetic foot

2009-12-15T05:05:00.001-08:00

For more than a dozen doctors over the past year to implement a new diabetic foot patients with lower extremity arterial bypass method, significantly

improved the long-term patency of vascular bypass rates, in order to effectively preserve the patient's body and its functions.

Ms. Zhu in patients with long-term with diabetes and hypertension, in recent years lower extremity symptoms of intermittent claudication, walking 50 meters

or so that I am lower extremity pain, weakness, numbness. Line MRI examination at the hospital found that the left superficial femoral artery, � peroneal

artery and tibial artery occlusion dry. Lower extremity arterial bypass the traditional method is to artificial blood vessels distal anastomosis done in the

� artery, using the "bridge" to clear the blood supply. This use of large and medium artery bypass methods or interventional therapy for treating diabetic

foot although a precise effect, however, such as Ms. Zhu distal lower extremities (� arteries below, including the tibiofibular stem artery, anterior tibial

artery) artery without outflow tract or a case of poor outflow tract, these treatments are unable to adopt, and only in the maintenance of the slow process

of conservative treatment to be high after lower limb amputation gangrene.

Experts in the country's first application of the radial artery dorsalis pedis artery bypass surgery. He applied this method for these patients may wish to

save the limb, Ms.. This method innovations are: first tibiofibular stem artery endarterectomy, femoral artery to the tibiofibular do stem artery bypass

graft, because in patients with posterior tibial artery occlusion, this method ensures peroneal artery patency; Then, the application of autologous saphenous

vein in patients with artificial blood vessels from the distal to the anterior tibial artery bypass, the formation of multiple anastomosis, improved lower

extremity arterial bypass of the outflow tract, reducing arterial resistance bridge, thus ensuring long after bypass surgery period of patency, avoiding

amputation.

Nine tips to prevention of diabetic foot

2009-12-15T05:04:00.001-08:00

A daily check of foot conditions

Every day before going to sleep, in patients with diabetic foot foot must check to see if there is no hurt. Find the best help of their families to see if

there are no bruises, small injuries must not be let go. If the patient is living alone, it is necessary to prepare a mirror, day care, including the instep

foot Jiaoya should check clear. The same time, careful observation of skin color, temperature, humidity, check there is no edema, skin lesions, pain and

blood vessels throb, feeling, movement, reflection as well as blistering, skin cracking, grinding wounds, corns, calluses, athlete's foot, paronychia , etc.

If it is found to be timely processing and treatment.

2, maintaining foot health

Feet, is as important as the same face every night with warm water (39 ℃ ~ 40 ℃), and soft soap feet, water temperature can not be too high, so as not to

scald the skin. Feet or time should not be too long, not to exceed 10 minutes. After washing with a soft absorbent towel dry toes strong sutural.

3, to keep the skin moist

Patients with smear suet daily moisturizing oils lubricants feet and gently massage the skin and full. Khan, if the patients feet, excessive sweating, also

easily lead to fungal infections, it is recommended that they use medical alcohol wipe feet toes when you sew, you can also add a small amount of vinegar in

Xijiao Shui because the acidic environment is not conducive to fungal growth.

4, the choice of footwear

Shoes should be spacious, comfortable fit, so that the toes in the shoes completely straight, and Shao Ke activities, shoes, breathe better, to leather shoes

to be good. Should not be wearing Jiantou Xie, high heels, exposed toes exposed heel sandals, avoid walking barefoot or wear slippers to go out, do not

barefoot shoes. Promote wear cotton socks, socks should be soft, fit, socks, tip not too tight, do not wear elastic stockings mouth, not wearing socks holes

or uneven patches. Do not take the air should not wear nylon polyester socks. Khan, who should be more prepared more than a few pairs of shoes and socks to

replace in order to keep shoes dry, absorbent powder should not be used to prevent pore blockage of infection. Shoes before the shoe should be checked and

whether the sand grains, nails and other debris to prevent foot ulceration occurs.

5, weight control, blood glucose, blood pressure and blood lipids

Active treatment of diabetes, strict control of high blood sugar; reasonable distribution of diet, strict control of high blood lipids and various leads to

early atherosclerosis factors.

6, to avoid the acral skin damage, even minor injuries can also lead to severe gangrene. Detrimental to the skin of the tape is not posted, prohibited the

use of strong disinfectants such as iodine, phenol, etc. should not cut toenails too short, should be compared with the toes Qi. When removing the old skin

with a soft brush or a fine of pumice, sponge, scrub gently. To avoid burns, do not use hot water or feet or other foot warm device.

7, adhere to a daily exercise, such as the daily lower leg and foot movement persist in 30-60 minutes.

8, gently massage the feet and legs can improve local blood circulation.

9, the absolute prohibition of smoking, drinking, to prevent the blood vessels and nerve lesions beneficial.

What checks help to diagnose diabetic foot

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Diagnosis of diabetic foot addition to the basis of clinical manifestation, and need to do some other tests:

1, diabetes, laboratory for various tests such as glucose, blood glucose, oral glucose tolerance testing.

2, ischemic inspection

(1) lower limb postural test in patients with diabetic foot elevation lower extremities in 30-60 seconds after the foot can be seen clearly pale skin, body

sagging purple was seen after the middle. If the venous filling time (by the foot skin turn pale ruddy time) in 15 seconds or more, indicating that the lower

limb blood supply is clearly insufficient.

(2) lower extremity arterial palpation in the country fossa (knee behind the nest) and the dorsalis pedis artery and dorsal foot at palpation States arteries

in patients with diabetic foot movement may have weakened artery Bo even disappear.

(3) limb limb blood flow image can understand the situation and vascular elasticity, but its poor accuracy.

(4) ultrasound is commonly used color Doppler (Dappler) Check femoral artery and vein, the country and the dorsalis pedis artery and vein. Can be directly

observed and be able to locate quantitative analysis of each of its sensibility and accuracy of the opposite sex who are good, is a non-invasive examination

methods.

(5) angiography can understand the scope of lower extremity vascular disease, blood flow distribution and the availability of collateral circulation.

However, this method is invasive examination, will increase the arterial blood supply insufficiency spasm so that limbs are generally only used to carry pre

-operative limb positioning checks.

3, microcirculation inspection is usually through direct observation in vivo microscopy diabetic patients fingernail fold microcirculation changes in

microcirculation abnormalities often prompted with microangiopathy.

4, electrophysiological examination applications EMG nerve conduction velocity may be the early detection of diabetic peripheral neuropathy. Diabetic

peripheral neuropathy is a diabetic foot disease is an important factor.

5, X-ray examination can be found in arterial wall calcification, osteoporosis and destruction, osteomyelitis, and bone and joint disease, usually as a

routine examination.

Diabetic Foot serious threat to health, early detection, prompt treatment is very important. Diabetes occurs when the patient's local skin blisters, sensory

loss, skin ulcers and other diseases should be timely to the hospital, the doctor will select the appropriate under the specific circumstances of the

inspection procedure for the corresponding treatment.

Stem cell treatment for diabetic foot assessments

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Diabetic patients with diabetic foot is a unique clinical manifestations, is a serious vascular complication of diabetes is diabetic patients become ill and

die of the important reasons.

Lee, one patient because of foot chapped lead to ulcers, pain and seek stem cell therapy. Transplant a month later, the ulcers were forming scar. After six

months follow-up of patients with lower limbs returned to normal, without recurrence.

At present, the clinical use of stem cells in treatment of lower extremity arterial ischemic disease patients have more than 300 cases, by postoperative

follow-up statistics, lower extremity fat in patients with cold symptoms such as pain and foot ulceration to be improved, with a total effective rate was

87%, some patients have been restored to be able to walk normal state.

After stem cell transplantation into the body has its good "immediate effect", but some patients with serious condition, ischemic serious, still can not

reach therapeutic purposes in the short term. Stem cells transplanted into the body into a blood vessel will take some time, and this time is about 2-3

months, with the gradual improvement in the cycle, clinical symptoms can disappear, so this patient in about two and a half months, when fully healed, and is

in compliance with the law .

Diabetic Friends is cautious to wear new shoes maybe lead to amputation

2009-12-15T04:49:00.001-08:00

Filial daughter, enjoying the cool shade expected that before the Chinese New Year to the old and the father bought a new pair of shoes has become a "killer"

- the elderly two toes decayed! February 15, reporters at the 7th People's Hospital of Shenyang City interview that, since the Spring Festival, "diabetic

foot" patients crowding together.

67-year-old Zou Grandpa diabetes, usually very attentive to three meals a day, quite in a stable condition control. Before the Spring Festival, filial

daughter bought a new pair of shoes as a gift to his father. A week ago, the elderly came to visit relatives at home, felt his right foot two toes,

especially pain thought it was a walk go for a long time, hastened to hot blisters. Unexpectedly, these two toes are getting redness, pain. Old people

thought it was caused by new shoes pinch, rest a few days yet to alleviate the symptoms.

"Elderly people suffer from diabetes, simply do not fit through the tight narrow shoes, narrow shoes easy Jishang because the skin, causing diabetic foot."

The day 7th People's Hospital of Shenyang City Department of Endocrinology, Chang-Zheng, director of presentations, the Spring Festival after suffering

"Diabetic Foot" and increasing patient. She explained that because of vascular and diabetic neuropathy, lower extremity sensory diminish or disappear, local

resistance weakened, small wounds, such as the sub-shoes squeeze the foot, partial emergence calluses corns not handled properly, the skin can be a minor

trauma cause an infection. As the pain diminished or disappeared, patients are often unable to detect lesions, and diabetic patients sweat for the bacteria

in the glucose provided a good living environment, so that the rapid expansion of the wound, resulting in foot infection, foot ulcers, gangrene and other toe

heel the occurrence of diabetic foot, often had to face a serious amputation outcome.

Interventional treatment,diabetic foot no amputation

2009-12-15T04:48:00.003-08:00

With "balloon" will be expanded blood vessels foot lesions, and with drug treatment, so that diabetic vascular lesions smooth resumption of blood flow to

achieve the purpose of treatment of diabetic foot. Recently, there more than 30 patients with diabetic foot Xinqiao Hospital, Third Military Medical

University, Department of Endocrinology, Diabetes foot vessel receiving intervention was discharged after treatment.

According to Xu Zi-hui, director of the hospital post-doctoral endocrine, China's incidence of diabetes around 5%, Chongqing, the more one million have

diabetes. In diabetic patients, the "diabetic foot" is a serious complication of diabetes, the Town of diabetic foot patients hospitalized with diabetes

accounts for about 6%, of which there are 20-40% of patients would be due to various reasons accept the cruel amputations.

According to Xu Zi-Hui postdoctoral presentations, diabetic foot is due to the long-term blood glucose in patients with poorly controlled diabetes, nerve and

vascular lesions appear on the basis of foot injury and infection. Due to loss of sensory neuropathy to foot, vascular disease to ischemia, hypoxia, often

suffering from serious foot injury or Ganran Zao, ulcers, gangrene, a serious need amputation. The conventional medical treatment, mainly as an anti-

infection and anti-inflammatory role, for the healing of diabetic foot wounds with little success.

In their first carried out by interventional therapy in patients with diabetic foot Zheng Fen (a pseudonym) 15 years ago was diagnosed with diabetes. In the

long-term medication therapy, high blood glucose control the situation more and more to be desired. One month before the surgery, she found that his left

palm skin about 3 cm in diameter, ulcerated, conventional medicine can not heal after treatment, and with obvious pain in the left lower limb at rest, the

latter went to Xinqiao hospital.

Experts Zheng Fen double the lower limb vascular screening found that Zheng Fen due to prolonged diabetes, its vascular lesions have been severe, bilateral

iliac artery, femoral artery, deep femoral artery, popliteal artery atherosclerotic plaque formation of a broad, irregular stenosis of the lumen. Initial

segment of the left posterior tibial artery 95 percent blocked, the blood is almost can not.

Surgery, the doctor from the Zheng Fen right femoral artery puncture in angiography under the guidance of the contraction state of the "balloon" slowly into

the lesion was thrombus blocked, and then to make "balloon" expansion, expansion of blood vessels , it will remove blood clots blocking blood vessels. After

two hours of meticulous surgery to clear the vascular smooth for Zheng Fen, for lifting the risk of amputation.

Department of Endocrinology, Xinqiao Hospital, the southwest region in the first use of minimally invasive interventional technologies for diabetes caused by

vascular stenosis and occlusion of lower extremity peripheral vascular diseases such as treatment, and success, has now completed more than 30 cases of

treatment, the success rate of 90 % or more. This method can achieve the re-opening of stenosis or occlusion of blood vessels purposes can significantly

improve the diabetic foot numbness, pain, swelling, hair and other cold symptoms, significantly reduced the rate of diabetic foot amputation due to

mortality, and surgical safety, efficacy good less side-effects.

Xu Zi-hui postdoctoral description: general as an early manifestation of diabetic foot foot dry skin, sweat less than or pain, temperature sense disappear,

and then developed into a toe ulceration, infection or necrosis, and quickly spread to healthy feet organizations, lesions may be in a week as they affect

the bones, eventually leading to amputation.

Therefore, the diabetic foot is not to wait until tissue necrosis occurs after the need for interventional therapy, especially for elderly patients with

major trauma vascular reconstructive surgery, wound healing is not easy. Therefore, vascular reconstruction should be as long as possible before surgery to

achieve minimally invasive interventional vascular recanalization.

Diabetic Friends of the risk of amputation at random against the small wound

2009-12-15T04:48:00.001-08:00

A diabetic patients from Britain and Germany thumb right foot was scratched, but he did not as one thing, but painted a number of random drug for skin

diseases, leading to more and more serious wounds and was judged to be a number of hospitals should be " amputation "! Fortunately, after the South Hospital,

Endocrine Metabolism several consultations, the patient Xu saved only feet.

Patients with diabetes how to protect the feet?

Already suffering from diabetes, may occur in patients with diabetic foot, Diabetes Prevention and Research Center of Guangdong Province, Director of

Endocrinology, Nanfang Hospital, Southern Medical University, Professor Xue Yaoming, director of metabolism is given the following recommendations:

1 day, check again the feet, including between the toes and nails, pay attention to the color changes in toenail, you will probably find some small lesions

to be treated or mycosis.

2, neutral warm soapy water every day and feet, do not join the right organization irritating substances, water temperature should not exceed 30 ℃ ~ 35 ℃.

3, to prohibit or to join with others feet, spices, dry feet must be washed.

4, or a blanket at night Do not use Nuanshui Dai warm enough to prevent burns.

5, wear socks to be comfortable, and to be replaced every day.

6, do not walk barefoot to avoid injury.

7, pay attention to shoes, followed by the wear and tear must be repaired promptly.

8, beach vacation, especially when feet were careful not to let the sun burn.

9, to avoid contact with any skin irritation or damage to the foot of material, if the damage has already occurred, and we should as soon as possible to the

hospital for treatment.

It is understood that 45-year-old Xu Guangdong Province YINGDE JIULONG springs village, he is suffering from diabetes, has been up to 5 years. From three

years ago, he began to hand, foot and numbness in extremities obviously, intermittent claudication, blurred vision and so on. Two months ago, he, as usual,

Shimoji farming, careless pierced the thumb of the right foot, and cause skin ulceration. However, Xu did not seriously, go home to find the point of casual

home before putting the rest of the skin and drugs. Unexpectedly, a week later, the wounds not only failed to heal, but growing, Lao Gao swollen skin around

the wound, yet it keeps leaking fluid. Xu Only a little alarmed, went to several local hospitals, doctor's conclusions that should be amputated.

Not long ago, Xu came to the South Hospital. Although his injury is very serious, but, after taking into account the amputation would seriously affect the

life of patients, doctors have done a lot of efforts. Endocrine Metabolism, Nanfang Hospital, after a number of experts in consultation and research, the

last use of vacuum suction, ultrasonic debridement, configuration dressing techniques for patients treated two weeks later, Xu lucky foot ulcers healed,

replacing the amputation a hard time.

Endocrine Metabolism, Nanfang Hospital, Professor Gao Fang warned that diabetes can cause enough long-term metabolic abnormalities peripheral vascular,

neurological diseases, human pain and temperature sensitivity will be reduced or even paresthesia, triggered foot ulcers, intermittent claudication, etc.

symptoms such as inattention, then, once the wound worse, there will be danger of amputation.

Friends of 7% of sugar will occur 15 years after the onset of foot gangrene

It is reported that in Western countries each year more than 30,000 patients with diabetes due to diabetic vascular complications had to be amputated, and

the prevalence of diabetes in the future will increase considerably. Relevant data show that about 7% of diabetic patients will occur 15 years after the

onset of foot gangrene, amputation means that diabetic patients were forced to the number of cases is about the same age group of non-diabetic patients 15 to

45 times. In China, the current average length of stay in patients with diabetic foot number of days for 26 days, the average hospitalization cost of 1.5

million yuan. Diabetes has become a severe hazard to human health, one of the three, only the South diabetic patients admitted to hospital each year reached

more than a thousand cases, therefore, actively carry out their own diabetes screening is particularly important.

Surprise! Diabetic foot cure

2009-12-14T07:18:00.003-08:00

According to Chinese medicine reported hearing news reports of Jiujiang Yasushi February 19, 2009, from Scottish Development International Bureau and Fudan

University organized by the Shanghai New biogenic Medical Research Ltd., and Shandong Green Leaf Pharmaceutical Co., Ltd. in association with China -

Scottish Diabetes Research Cooperation Forum held in Shanghai. From China and Scotland, diabetes experts in this forum to discuss embryonic stem cells in

diabetes treatment in the application of genome science and the support of the application of the International Diabetes is currently the most cutting-edge

research topics.

World Health Organization statistics show the world there are more than 240 million patients with diabetes mellitus. By 2025, diabetes prevalence worldwide

number will more than 380 million. As a non-communicable diseases, diabetes mellitus on human health and socio-economic threats to the largest epidemic of

AIDS has quite. By the International Diabetes Federation (IDF) released another data point out that China currently has 50 million people suffer from

diabetes, and an annual growth rate of 10%. Click here to speed, is expected during the period from 2025 to 2050, China's diabetes prevalence rate of more

than 10%, reaching the same level as developed countries.

Protein transduction domain (PTD) is a class of transmembrane activity, rich in basic amino acid residues of the peptide. PTDs as a carrier capable of

carrying exogenous macromolecules into cells and live animals organizations. Therefore, regardless of research areas in basic molecular biology, or in the

development of new, high efficiency, specificity and treatment of drug and vaccine research, PTDs have a compelling application.

, Vice president of Life Sciences, Fudan University, Dr. Lu Daru to carry out the related basic research, has aroused the concern of the participants. He

reported that in the development of pancreatic islet cell differentiation and proliferation of mature play an important role in the process of transcription

factor Pdx1, Ngn3, NeuroD, Pax4, and MafA study, he found that these transcription factors have access to a variety of cell lines. He then transduction

domain of these proteins was analyzed, and the basis of known structural information of protein transduction, Construction, Expression, Purification of a

series of transcription factor mutant with EGFP fusion protein. Into the cell results revealed a specific protein transduction domain (PTD), which contain

PTD-EGFP fusion protein efficiently access, including a variety of rat pancreatic islet cells, including cells. In the study of the mechanism into the cell,

he found that the adhesion at the cell surface PTD first and then drink through the role of giant cell into the cell. EMSA and luciferase reporter gene

experiments showed that transmembrane transcription factors after the pancreas can still exercise the function of transcription factors, namely, binding to

its specific binding sequences, competitive inhibit or activate the role of related genes, such as Pax4 can inhibit Pax6 in transcriptional activation,

exogenous purified Pax4 protein accession Min6 cells, it can protect cells from TNF-a induced apoptosis. Transduction into rat islet cells in Pax4 protein

through the promotion of bcl-xL and c-myc gene expression, increase cell survival rate, extend the time of islet cells in vitro. MafA protein transfected

into rat intestinal epithelial cell line IEC6 cells can contribute to its Insulin 2 gene transcription. The use of immunofluorescence technique to detect

MafA They also experimental group cells expressed insulin. Blood glucose in diabetic mice in the tail vein injection of MafA protein 24 hours reduced to

normal levels. RT-PCR, Real-time fluorescence quantitative PCR results showed that, MafA could be induced increase in intestinal tissue insulin gene

transcription. Immunohistochemistry results showed that injection of MafA protein fluorescence after the small intestine villus epithelial cells between the

presence of insulin-positive cells.

His research was first introduced NeuroD, MafA and Pax family of proteins with protein transduction function, and reveals its transmembrane PTD transduction

mechanism for the future treatment of islet cell transplantation and diabetes proteins provides a new treatment ideas.

Scotland, with its world-class research base and the top research team in the world leader in medical research plays a role in innovation, its cell

transplantation research and genomics research is currently the world's most cutting-edge diabetes research.

"Islet transplantation was considered a potential cure for diabetes, approach. However, the donated tissue available and the limitations of the clinical

application of this treatment - only 0.5 percent of people with diabetes can benefit from islet transplants." Aberdeen University of Medical Sciences,

Professor Kevin Docherty said. He led the research team, the main research study of islet biology and focus on transcription factors for pancreatic islet

gene expression and development control. In recent years, his dedication to the study of embryonic stem cells and embryonic stem cells for treating diabetes

and its use as a model system to study the human endocrine pancreas development. He pointed out that with the skin and other body cells is different from

that found in pancreatic islet cells on the base, not in cell culture dishes in culture (hyperplasia proliferation). On the other hand, stem cells can in a

relatively short time, the rapid spread and to maintain the secretion of insulin can be transformed into cells. Stem cells were divided into two major

categories: one category is embryonic stem cells, which can increase the body of all tissue. The other is adult stem cells, which in many of the small number

of cells and tissues that can replace those who wear and tear and loss of cells. "We know that a lot of information on the embryonic stem cells, but also to

understand how they can enter the body and form insulin-secreting cells. But we tend to judge the pancreas little is known about adult stem cells." Said

Professor Kevin Docherty, according to projections , for embryonic stem cell research can also be applied to a rare type of adult cell purification,

proliferation and differentiation of the study to go. One promising approach is the use of Ips technology, adult cells to differentiate into islet cells,

Hes.

Scottish Diabetes Group Chairman, Professor of Diabetic Medicine, University of Dundee Professor Mo Lisi Andrew introduced in Scotland in the prevention and

management of diabetes has accumulated considerable experience, through the promotion of universities, medical schools and a variety of life science research

institutions, the Scottish Diabetes research in the past few decades has been significant development. As the world's leading diabetes research base, Dundee

University, the first to discover how to regulate glucose metabolism of insulin, and diabetes with a number of innovative research results received numerous

research grants, attracting top researchers from around the world, creating innovative research benign development model.

Dr. Lu Daru said after the meeting, diabetes is a worldwide health problem, Scotland and China are faced with enormous challenges of the epidemic, the forum

for the parties to create a good communication and exchange platform.

10 Tips for protect Diabetic Friends food

2009-12-14T07:18:00.001-08:00

Of diabetes on your feet may mean the two major problems. First, diabetes is associated with reduced blood flow to the feet, resulting in a lack of oxygen

and nutrients your feet. This will make the leg edema, pain and lacerations, etc. is more difficult to restore. Secondly, diabetes caused by nerve damage,

neuropathy that is whole body will make your feet numb. When you can not feel when the cuts and blisters, ulcers and infection is more likely to happen in

your feet.

If you did not notice or do not treat leg ulcers, they will become the depth of infection, then that time you have to amputated. It is a cruel fact: diabetes

occurs toes, feet, legs, low risk of amputation is ten times normal.

Diabetic neuropathy may also cause whole body of severe foot pain. You may have a slight contact with all their sensitivity, such as contact with the bed

sheets.

Fortunately, a little warm and caring will greatly help you avoid foot problems caused by diabetes.

10 Tips to protect your feet

Tips 1: Check your feet every day

Carefully check your feet every day, but must remember to check all the part between the toes. Edema and infection in the toe area between the start, but

because of diabetic neuropathy, you may have to wait until they deteriorated to a very serious extent only way you can find. If you check the patient makes

that you can not bend over, you can call your family to help.

Tips 2: Use warm water instead of hot water footbath

Daily with warm water (not hot!!!)'s Feet. Your feet may not feel the heat of water, so the first try using your hands. Remember not to dip too long, because

the soaking water is more difficult to heal ulcers. Dried immediately after washing feet, remember to gently wipe away all of the site between the toes.

Tips 3: Make sure your shoes just right

This is a value investment. Even the slightest friction, or did not fit the shoe will cause a swelling and then began to infection has evolved into a cure

for ulcers. Therefore, even if only felt a little bit of red, you have to be more for a pair of shoes, or try other socks, because when that erythema become

serious, you feel for. In a pair of shoes, or tried before, to double-check pair of shoes, see if there is rough seams, sharp edges or other shoes to your

feet will hurt things. Pair of shoes could have been used to wear a bad ending.

Tips 4: Do not bare feet

Should always wear shoes, slippers, is required. To wear socks when wearing shoes, as leather, plastics and synthetic materials, which can irritate the skin

and shoes quickly lead to edema. When you want to select stockings, nylon knee socks, thin socks, you will find that they do not give your feet adequate

protection. Point to wear thick socks, overshadowed your knees.

Tips 5: speak out with impunity

Nerve damage is unpredictable. If your toes, feet or legs, the feeling has changed and quickly with your doctor. Feel pain, tingling, numbness, or there is

something else unusual signal, hurry with your doctor, even if you think it is only a small problem like to say. Low potential amputation how small things

can not be negligent.

Tips 6: Keep the skin dry soft

High blood sugar levels can cause your skin dry. Skin split means that bacteria grow more easily under the skin, the infection more difficult to cure later.

Smear a small amount of lotion every day to ensure that your feet dry - not wet non-stick - but do not put lotion between toes get the site. After using the

lotion you will find it easy to trim toenails, as lotion to soften your skin. Foot stone bath with Cuo feet away corns and cocoon.

Tips 7: do non-impact athletes

Swimming, cycling, yoga and tai chi is a very popular sport, and for your feet would not have a huge impact. Movement at the beginning of the implementation

of the program before you to ask your doctor.

Tips 8: cure your Beam bursitis, corns and hammer-shaped toes

If your big toe tilt very powerful, but there is still swelling in the toe section, then you have bursitis of the toe. Corn is a thick, rough skin friction

extruded continuous formation of small round lumps. Mallet toes, it is because of diabetes, muscle atrophy caused by nerve damage caused. All of these are

very difficult to make you comfortable shoes. Fortunately, podiatry doctors will be able to help you treat these diseases, so that your feet get better care.

Tips 9: Consider the appropriate appliance

If you have diabetic nerve pain or your muscles due to nerve damage and atrophy, foot disease you can find a doctor to give you with a suitable appliance. If

the pain or atrophy is very serious so you will not even find it difficult to walk, you should consider retaining Socks or appliance of. These devices

podiatry doctors most familiar with.

10 Tips: Control your blood sugar

Finally, the best treatment for neuropathic pain is to handle your diabetes. In fact, the American Diabetes Association did in 2006, studies have shown that

intensive insulin therapy with blood glucose control can reduce the 64% likelihood of occurring whole body neuropathy. Although you can not control the

occurrence of diabetic neuropathy whole body or not, but you pass control diet, increasing exercise, if necessary medical treatment can also be used to

control your blood sugar levels.

Feet are the source of mankind's self-reliance - at least is the foundation. Therefore, the daily care of your feet every day gave them love, care, health

check call a doctor to help you check the feet to avoid missing any details of their own.

You have to be careful Diabetic Foot Care

2009-12-14T07:17:00.003-08:00

Scalding with hot water foot can improve foot circulation. If only because no fat to keep warm the feet caused by cold, then hot foot feet or indeed to

improve the blood circulation can play a role. The diabetic foot is often the result of lower extremity fat cold blood vessels and nerve diseases caused by

their feet and can not improve water circulation. In order to avoid burns and infection, it is recommended Xijiao Shui water temperature in the normal skin

temperature (37 ℃ or so) is better, foot-time control of 5 ~ 10 minutes.

Foot hair with hot-water bottle when cold, heating, etc. warm feet. Diabetic patients with peripheral circulatory disturbance occurred at the same time,

there are different degrees of loss of protective sensation, often cold, heat, pain is not sensitive to the foot caused by heating equipment, those who burn

a lot of people admitted to hospital. Austria suggest that you adopt more children walking exercise each day, completing 30 to 60 minutes of medium-speed

walking is appropriate.

Iodine can not be used on broken skin irritation such as a strong disinfectant. Patients with diabetes resistance is weak, vulnerable, while the iodine is

the most effective skin disinfectant. Therefore, the first time that breaks the skin with tincture of iodine disinfection sterilization is best. Of course,

the wound granulation tissue is not available within the iodine can be used such as sterile saline solution, scrub.

Reflexology can be done to prevent diabetic foot. In fact, the non-professional division of the Foot in general is subject to the power to regulate those who

feel the intensity of peripheral nerve in patients with diabetes mellitus and some thick-skinned, and sometimes too much power to cause skin damage and the

patient has no pain. Therefore, diabetic patients should be away from the foot bath center, legs and feet every day to do some of the Ministry of sports,

such as the heel raise exercise mat toe movement, bend the knee exercise.

There are some Methods for Minimally invasive trentment diabetic foot

2009-12-14T07:17:00.001-08:00

Qing-Yi Meng, Shandong University, Jinan Central Hospital affiliated director of Vascular Surgery, chief physician, professor. City professional and

technical elite talent, the young experts with outstanding contributions. Under the tutelage of Vascular Surgery at the internationally renowned experts,

Chinese Academy of Sciences Professor Wang Zhonggao. Since 1981, has been engaged in vascular surgery. Who went to the United States, Japan, Korea, India,

Malaysia, Germany, Italy, to study the exchange.

� main diagnosis and treatment of diseases

Arteries Disease Series: thoracic and abdominal aortic aneurysm, carotid artery (body) aneurysm, subclavian artery aneurysm, hepatic artery, splenic artery

aneurysm, superior mesenteric artery aneurysm, iliac artery aneurysm, popliteal aneurysms.

Series of arterial occlusive disease: lack of carotid atherosclerosis stenosis hyperinsulinemia, hyperlipidemia lack of vertebral atherosclerosis stenosis,

subclavian stenosis lack of arteriosclerosis hyperlipidemia, abdominal aortic stenosis - occlusive disease, renal artery stenosis with ischemic hypertension,

mesenteric artery narrow lack of hyperlipidemia, iliac - femoral artery stenosis lack of hyperinsulinemia, hyperlipidemia lack of popliteal artery stenosis,

Takayasu arteritis, thromboangiitis obliterans, various parts of arterial thrombosis and / or embolization, each part of traumatic arteriovenous fistula and

pseudoaneurysm.

Veno-occlusive disease series: acute and chronic deep vein thrombosis, Budd-Chiari syndrome, superior vena cava syndrome, splenomegaly, portal hypertension.

Venous reflux disease series: lower extremity varicose veins, lower extremity deep venous valve insufficiency.

Other: various parts of hemangioma, lymphatic edema.

� Subject Characteristics

Thoracic and abdominal aortic aneurysm endovascular graft exclusion; diabetic foot, vasculitis, arteriosclerosis obliterans in interventional and surgical

treatment; minimally invasive treatment of varicose veins; interventional and surgical treatment of Budd-Chiari syndrome; carotid artery stent angioplasty or

endarterectomy; renal artery stenosis stenting Deng Jun reached the international advanced level.

Diabetic foot is a serious complication of diabetes is lower extremity vascular disease, neuropathy and infection together the results often appear in

patients with foot numbness, swelling, pain, ulcers and even gangrene, diabetes foot pain caused by a combination of factors , skin deep ulcers, gangrene and

other diseases collectively. Traditional treatment of diabetic foot is amputated, which not only affects the patient's quality of life, but also to the

society and the increased burden on the patient's household, the majority of patients and their families are reluctant to accept.

With advances in technology, a new type of vessel suitable for small legs balloon and guide wire in the international community was born, so that diabetic

foot such as peripheral vascular disease, interventional treatment become a reality. But due to technical conditions and other factors limit the ability of

domestic clinical hospital to carry out this technology are still rather scarce. Jinan Central Hospital, Qing-Yi Meng, director of Vascular Surgery, is the

early study of this new technology, experts in the field, in the three-year exploration, is now a very mature manner with the treatment of diabetic foot and

lower limb arteriosclerosis obliterans, and to achieve better results. To this end, the author interviewed Jinan Central Hospital, Qing-Yi Meng, director of

vascular surgery.

Four symptoms to arouse your attention

Diabetes is a chronic disease in the modern top three killers. Diabetes itself is the most horrible complications, including diabetic foot is a more serious

complication of diabetes, is one of leading causes of disability in patients with diabetes mellitus.

According to Director Meng introduced a very high incidence of diabetic foot, gangrene chance occurrence much higher than the common people. As a long-term

high glucose status, and other factors, such as obesity, high blood lipids, hypertension, smoking, etc., leading to the body's large and small blood vessels,

nerves, tendons, fascia and other organizations lesions, the organization of metabolic disorders foot, cycle , nutrition disorder, feeling sluggish or lose,

easy to injury or bacterial, fungal and other infections, the formation of diabetic foot gangrene. It is also prone to diabetes foot damage and gangrene of

the main reasons.

Director Meng reminded diabetes, four symptoms must be brought to your attention: First, feeling cold lower extremity fat, numbness, leg muscle spasms occur,

that is, we say that the cramps, the symptoms are often mistaken calcium deficiency and the elderly ignored; 2 after exercise, there is pain, such as walking

distance resulting from spastic pain and had to take a break, and then walk some distance from the recurrence of pain, pain in lower legs, followed by the

buttocks, thighs, back, foot, etc. parts; 3, skin color changes, especially the night in pain, falls or minor physical activity, reducing pain may have

occurred more serious blood vessel disease, should be timely medical treatment, or the further development will enter a period of necrosis; 4, tissue

ischemia and necrosis, common skin, malnutrition, muscle atrophy, rough skin, worse, sparse fine hair, or expulsion; toe (referring to) A slow-growing,

thicker and less shiny, has a slight broken foot is not easy to heal seriously ill, the will appear black limbs infected necrosis.

Diabetic foot disease is a peripheral neuropathy (including autonomic neuropathy), major vascular disease and poor foot health and many other complex

interactions between factors caused. The size of the role of each factor varies, because of its consequences lead to lower limb amputation, and therefore one

of the most feared complication of diabetes.

Compared with the general population, diabetic patients with lower limb amputation than 15-40 times more likely to be. In the elderly at higher risk.

However, if the active treatment, the majority of amputations can be avoided.

Minimally invasive treatment of diabetic foot to open up new ways of

According to Qing-Yi Meng, director of introduction, the incidence of diabetic foot is due to the accumulation of the inner walls of blood vessels of many

different sizes of lipid plaque, allowing blood vessels to small cavity through a small quantity of blood, limbs, especially the end of the toe or a leg

because of a lack of blood the supply of metabolic disorder arising from a gradual degeneration, necrosis, has always been one of the diseases clinically

difficult, the traditional medicine to use more conservative treatment methods, advanced surgical amputation, patients often need to give patients a huge

mental and physical suffering.

With the continuous deepening of medical research, especially in recent years, the rapid development of interventional therapy, so that the treatment of this

chronic disease breakthrough has been made. Jinan Central Hospital vascular surgery using interventional arterial angioplasty is the treatment of diabetic

foot international advanced technology, one of the basic principles of percutaneous minimally invasive technique is used on a dedicated guide wire under the

guidance will be a tiny balloon into a special stenosis or occlusion of blood vessels within the lesion, paragraph by paragraph exploration, dredging, and

repeatedly expanding, which causes blood vessels to re-open and restore blood flow, improve the blood supply to the remote limb. Simply put, that is the root

of the thigh puncture, puncture point from this into a special hair-thin guide wire and catheter, the guidewire along the femoral artery in the imaging

device under the control of in-depth of the lesion had been narrow or even block blood vessels, and then use imaging agent so that the full balloon

expansion, softened lesions, vascular lesion expansion stereotypes in order to restore normal blood flow.

This therapeutic use of local anesthesia, surgery, the patient remains awake state, compared with other anesthesia, local anesthesia side effects is

relatively small. Therefore, not only for interventional approach in patients with relatively good physical condition, more adapted to the elderly, the

infirm, and other organ disorders.

This treatment method is invasive, quick, high rate of limb salvage in patients with obvious advantages for the treatment of diabetic foot has opened a new

way.

According to Director Meng introduction, the blood vessels of diabetic foot disease is characterized by wide range of bilateral lesions involving more than

the number of branch arteries, and were more seasonal distribution, bypass surgery and other difficult to deal with a broader range of lesions, but is more

suitable for interventional therapy in patients with . Under normal circumstances, viable suitable percutaneous endovascular thrombolysis, endovascular

balloon angioplasty, vascular stent implantation, laser angioplasty, plaque excision, lower extremity brachytherapy, after Paper mechanical thrombectomy, so

as to maintain the patency of blood vessels, essentially for therapeutic purposes.

Interventional treatment of diabetic foot, from the causes to resolve the lower extremities caused by diabetes, vascular disease, rapid resumption of blood

supply, to address the neurological disease, treatment of infections, so that ulcer healing, and create a foundation, thus unable to completely get rid of

the traditional treatment of the situation. At present, the Jinan Central Hospital vascular surgery through minimally invasive interventional treatment

professional can be the entire lower extremity, including the most remote of the foot of the small blood vessels open up, so that lower limb blood flow from

top to bottom completely. Limb salvage rate than in the past has greatly improved with advanced diabetic foot to bring the gospel.

According to Director Meng say, in addition to diabetic foot, the result from atherosclerosis of the iliac artery, femoral artery, renal artery, lower

extremity arterial stenosis, peripheral vascular disease, can also be obtained through the satisfactory efficacy of interventional therapy.

Prevention of diabetic foot larger than the rule

According to Director Meng said that diabetes patients need to take some precautionary measures to avoid the complicated diabetic foot, in particular, to

note the following points:

Eat less fatty and sugar foods that are high. Strict control of blood sugar, blood sugar is too high to avoid the prevention and treatment of diabetic foot a

very important part, which helps prevent and delay diabetes complications.

Prohibition of smoking, more moderate campaign to improve microcirculation. To promote blood circulation to the feet to do more exercise, the best is a

moderate movement, such as walking or leg exercise. Appropriate exercise can improve microcirculation, promote metabolism, enhance the body's insulin

sensitivity, increase muscle glucose utilization and organizations to achieve the purpose of prevention of diabetic foot.

Active steps to prevent foot injuries is to prevent the occurrence of foot ulcers are the most fundamental way, diabetes patients must be taken to avoid any

slight foot injury. Do not walk barefoot to prevent the stabbing; do not wear footwear sub-feet should be soft, comfortable, breathable and good; do not have

hot water their feet or their feet or 10-15 minutes a day with warm water, using hot water bottle or a foot note of this when physical therapy temperature

and time; all but cut toenails; without losing sight of tinea pedis infection, prompt treatment of tinea pedis paronychia; if injured foot, and early

treatment to avoid amputation priority.

Maintenance foot skin integrity and clean, also to protect the diabetic patients, diabetic foot away from the points. Diabetic patients should be self-

examination and soles of the feet before going to sleep every night, if the elderly due to physical reasons, difficult to see the soles of the feet of

musicians, you can put a mirror placed at the feet, observing the mirror reflects the feet, such as the patient was found feet have any problems, such as

ulceration, corpus callosum (cocoon the child), corns, skin dry, damp and cool, edema, skin darkening, sensory loss, nail deformation, localized swelling and

pain, fever and so on, must be as soon as possible to the hospital for treatment, not to dispose of their own. Any diabetic foot problems should be cautious,

otherwise serious consequences.

Finally, the Director Meng reminded the event of a diabetic lower limb weakness, foot back significantly decreased arterial pulse and other symptoms, its

lower extremity blood vessels occurred at least 70% stenosis; when there is pain, numbness and other symptoms Suanzhang narrow even more weight; When foot

ulceration, the amputees will face consequences. Thus, diabetic patients should insist on rational use of medicines control the disease at the same time, pay

close attention to lower extremity, particularly the feet, once the abnormal early detection, the sooner the better receiving interventional treatment.

Diabetic Friends Please "Injection" foot

2009-12-14T07:16:00.001-08:00

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.

Smoking was more diabetic foot?

2009-12-13T07:38:00.003-08:00

Smoking prone to foot lesions

The main reason for occurrence of diabetic foot from the three areas, namely, peripheral neuropathy, vascular disease and infection. Peripheral neuropathy to

make sense of diminished or disappeared in patients with foot, foot muscle atrophy, leading to foot deformity occurs susceptible to injury, sensory impaired

will make the foot a number of factors, not suited to a reduced ability to feel, such as socks and shoes too tight or too small, foot - Water too hot and so

on.

In particular, smokers with diabetes are prone to foot lesions. Incomplete combustion of tobacco will produce toxic and hazardous substances, mainly

nicotine, carbon monoxide, tar, etc., these substances on human health greatly. There is also a natural ingredient in tobacco - to A nicotine, cause

vasoconstriction, spasm, reducing blood supply, ischemia, hypoxia. Foot ulcer healing requires adequate oxygen and nutrients, tobacco in these components

would make bad blood circulation, leaving a lesion of the foot, "worse", and will also increase cardiovascular disease, neurological diseases.

Smoking can lead to dyslipidemia. High-density lipoprotein cholesterol, expansion of blood vessels, inhibit platelet aggregation, protection of blood

vessels, blood vessels have a protective effect against the "good cholesterol." The smoking will reduce the high-density lipoprotein cholesterol; smoking

also make low-density lipoprotein cholesterol, but also make it susceptible to oxidation, oxidized low-density lipoprotein is the major material damage blood

vessels. Long-term smokers easy to make on vascular damage caused by "bad cholesterol" rise, such as blood cholesterol, triglycerides, low-density

lipoprotein cholesterol, and diabetes itself is likely to have lower high-density lipoprotein cholesterol, smoking will increase the This anomaly, so that

the blood vessels, wall thickening, stenosis, slow blood flow, blood circulation not good enough to make it disease, "worse."

Smoking produces carbon monoxide combines with hemoglobin, forming carboxyhemoglobin would affect the oxygen carrying capacity of red blood cells, resulting

in tissue ischemia, hypoxia, while the blood viscosity increase; smoking may also be induced by elevated levels of plasma fibrinogen, easy for the blood

coagulation and thrombosis.

The right stop smoking, harm reduction

Smoking addiction, especially diabetes, should recognize the health hazards of smoking on health. Quitting smoking can not only reduce the lung cancer,

pancreatic cancer and other malignant tumors occurred, but also help to reduce cardiovascular morbidity and mortality.

However, quitting smoking will make people have a hunger, appetite increased, if left unchecked, can lead to weight gain. Some patients have quit smoking

when the cravings attack like eating candy, melon seeds and other snacks, a long time will lead to increased body fat reserves to increase the metabolic

burden of making up sicker. After quitting the body balance was broken, because it may cause other diseases. As smoking has become a habit and addiction, so

patients have to start would be unwise to completely quit smoking, and, as a strong physiological reactions and psychological dependence would make the

anxiety, abnormal pain, once the smoke overcame the desire to quit smoking determination will not be successful.

Never in the psychological preparation is not sufficient to quit the case. Determined to quit smoking, we must be careful consideration, select the

appropriate target, fully estimated the difficulties of quitting and do the appropriate preparatory work, in conjunction with acupuncture, drugs, and

tempered his own willpower to stop smoking become a reality.

Misunderstanding of diabetic foot care

2009-12-13T07:38:00.001-08:00

To avoid the amputation of diabetic foot

2009-12-13T07:37:00.003-08:00

In other countries, there is a diabetes expert waiting room stuck a notice, "Please enter the examination room before the take off shoes and socks." Because

the expert to examine the feet of every diabetic.

Why is he such a great importance to check the patient's feet? Because of severe diabetes, the patient will occur foot ulcers, foot necrosis, or even require

amputation. This is a serious complication of diabetes, called diabetic foot. Abroad, while in non-traumatic amputation of the people, accounting for half of

the patients with diabetes; China, though a small number, but we need to take preventive measures.

Lesion damage to many nerve endings

Occurred in patients with diabetic foot there are three main reasons. First, diabetic peripheral neuropathy, so that the foot sensory loss, right foot cold,

heat, pain, all feel. Although it is not painful is a good thing, but in fact normal people feel pain, we know that the body issued a warning, indicating

there are injuries should be avoided for human benefit. The patients with diabetes do not know pain, such as shoes, there are stars gravel, because it will

not feel the wear and tear damage sustained by it. In addition, neuropathy cause feet to reduce sweating, which leads to dry skin and easy to rip; neuropathy

also make the toes bend, even deformed foot. Second, diabetes, vascular disease, blood flow will reduce the foot. In this way, the Department diabetes

injured, they do not get enough oxygen because of the difficult healing. The third is based on the above, the injury would be infection.

Numbness in hands and feet to prevent diabetic foot

If patients with diabetes at 60 years of age, had foot ulcers, eye have retinopathy, diabetic nephropathy or have vascular disease, especially in patients

with hand, foot and end of the feel numb, but also should pay attention to the prevention of diabetic foot.

How can I do to prevent diabetic foot? There are three main points: first, to early detection and early treatment of diabetes, making blood glucose control

to near normal, which can greatly reduce its incidence. The second is to quit smoking. Moreover, examination of the feet is to pay attention and care.

Diabetic patients should be checked daily feet, soles of the feet and toes, soles of the feet to see if unclear, you can put a mirror to check the ground.

Examination of the foot to hand-eye and used to see whether the foot skin rough, chapped, cut, blistering, touching the foot of the availability throughout

the cold, too hot and non-sensory parts. If the above situation, it should promptly deal with a doctor, or may be an overnight changes. Patients with feet

every day, but by their families to adjust the water temperature is best. Because patients with foot numbness no perception, if the bubble into the hot water

without feeling, will cause burn blisters. In addition, if dry skin may rub on the feet after the Cream. Patients should not walk barefoot in order not to

damage, even in the interior must also wear slippers, wear shoes and socks out. Shoes before patients should also check inside shoes, with or without

injustice, and processes, with particular attention to whether the shoes fall into the buttons, pins, coins, keys, pebbles and so on. If it is found in

patients with long feet, corns or calluses are available at most pumice gently rub a thin layer of keratinized, must not use commercially available chicken

eye ointment or medicine treatment, and the best way to be better to invite a doctor; the same time, we must check one Cha Shoes with corns or calluses

whether the site of the corresponding processes. In patients with normal times, the feet warm blanket or hot-water bottle can not be used, if the feet can be

really cool to wear thick soft wool socks; in order to increase blood flow, but also appropriate activities legs.

To avoid the occurrence of diabetic foot amputation

If it has occurred in patients with diabetic foot ulcers, still disagree, usual activities, it is very dangerous, as it can develop into a full necrosis,

shall immediately request for treatment by specialists. Control of the basis for the treatment of diabetic foot, in addition to anti-infection, but also the

strict control of blood glucose. In addition, there are two commonly used methods. First, hyperbaric oxygen therapy can be used to increase tissue oxygen

levels, to combat the impact of ischemia and promote wound healing; and can improve the anti-leukocyte function, inhibit the propagation of anaerobic

bacteria. Second, the use of a recombinant human platelet-derived growth factor containing the topical gel to treat localized damage. Combination of these

treatments can be effectively localized treatment of diabetic foot ulcers.

In order to prevent diabetic foot patients with diabetes to purchase shoes, socks are also very demanding. Shoes must be selected loose fit, do not buy it

just fit in; socks to elect cotton, relent, comfortable, and can not buy non-absorbent nylon stockings. In patients with diabetic foot as long as the

attention to these issues, and to blood glucose control to near normal levels, due to diabetic foot and amputation can be avoided.

What means to save you? Diabetic Foot

2009-12-13T07:37:00.001-08:00

Patients with diabetes how to protect the feet?

Already suffering from diabetes, may occur in patients with diabetic foot, Diabetes Prevention and Research Center of Guangdong Province, Director of

Endocrinology, Nanfang Hospital, Southern Medical University, Professor Xue Yaoming, director of metabolism is given the following recommendations:

1. Daily check again foot, including between the toes and nails, pay attention to the color changes in toenail, you will probably find some small lesions to

be treated or mycosis.

2. Daily with warm soapy water neutral feet, do not join the right organization irritating substances, water temperature should not exceed 30 ℃ ~ 35 ℃.

3. To prohibit and feet, or to join with others, spices, dry feet must be washed.

4. Nuanshui Dai or a blanket at night Do not use warm enough to prevent burns.

5. Wear socks to be comfortable, and to be replaced every day.

6. Do not walk barefoot to avoid injury.

7. Note shoes, followed by the wear and tear must be repaired promptly.

8. Beach vacation, especially when feet were careful not to let the sun burn.

9. To avoid contact with any skin irritation or damage to the foot of material, if the damage has already occurred, and we should as soon as possible to the

hospital for treatment.

45-year-old Xu Guangdong Province YINGDE JIULONG springs village, he is suffering from diabetes, has been up to 5 years. From three years ago, he began to

hand, foot and numbness in extremities obviously, intermittent claudication, blurred vision and so on. Two months ago, he, as usual, Shimoji farming,

careless pierced the thumb of the right foot, and cause skin ulceration. However, Xu did not seriously, go home to find the point of casual home before

putting the rest of the skin and drugs. Unexpectedly, a week later, the wounds not only failed to heal, but growing, Lao Gao swollen skin around the wound,

yet it keeps leaking fluid. Xu Only a little alarmed, went to several local hospitals, doctor's conclusions that should be amputated.

Not long ago, Xu came to the South Hospital. Although his injury is very serious, but, after taking into account the amputation would seriously affect the

life of patients, doctors have done a lot of efforts. Endocrine Metabolism, Nanfang Hospital, after a number of experts in consultation and research, the

last use of vacuum suction, ultrasonic debridement, configuration dressing techniques for patients treated two weeks later, Xu lucky foot ulcers healed,

replacing the amputation a hard time.

Endocrine Metabolism, Nanfang Hospital, Professor Gao Fang warned that diabetes can cause enough long-term metabolic abnormalities peripheral vascular,

neurological diseases, human pain and temperature sensitivity will be reduced or even paresthesia, triggered foot ulcers, intermittent claudication, etc.

symptoms such as inattention, then, once the wound worse, there will be danger of amputation.

Friends of 7% of sugar will occur 15 years after the onset of foot gangrene

It is reported that in Western countries each year more than 30,000 patients with diabetes due to diabetic vascular complications had to be amputated, and

the prevalence of diabetes in the future will increase considerably. Relevant data show that about 7% of diabetic patients will occur 15 years after the

onset of foot gangrene, amputation means that diabetic patients were forced to the number of cases is about the same age group of non-diabetic patients 15 to

45 times. In China, the current average length of stay in patients with diabetic foot number of days for 26 days, the average hospitalization cost of 1.5

million yuan. Diabetes has become a severe hazard to human health, one of the three, only the South diabetic patients admitted to hospital each year reached

more than a thousand cases, therefore, actively carry out their own diabetes screening is particularly important.

4-step treatment of diabetic foot ulceration!

2009-12-13T07:36:00.001-08:00

Diabetic foot patients with small blisters, small burns, cut wounds, chapped small mouth, athlete's foot, itching, small scratches and other foot infections

are often fuse. Due to high blood sugar inhibits phagocytic ability of bacteria and make antibodies to reduce high blood sugar itself is a source of energy

of bacteria, bacteria grow rapidly in such environments, coupled with the blood vessels narrow, poor blood flow, endogenous guard ( granulocyte cells,

antibodies) can not be timely reinforcements, bacteria in the local formation of a superior force, the spread of infection and other disorders continue to

eventually eroded limbs. According to my hospital for more than 420 cases in patients with diabetic gangrene localized secretion culture revealed

Staphylococcus aureus and other bacteria accounted for 25%, Escherichia coli, Pseudomonas aeruginosa, Klebsiella about 50%, anaerobic bacteria accounted for

25 %. Prevention of infection, active treatment infections, can be achieved to save limbs and heal ulcers goals.

1, identifying infection: lower limb infection are often red, swollen, hot (local skin temperature rise), pain and dysfunction such as performance, we should

not spread the infection very early, when treatment, a better result. As early as possible to take samples of bacteria culture, specifically what kind of

bacterial infection.

Two clinical types: a failure to limb threatening infections (mild infections): <2cm of the inflammatory infiltration, superficial ulcers, not involving the

bone and joints, no severe ischemia and systemic toxicity performance; limb and life threatening infections (in the severe infection): ≥ 2cm inflammatory

infiltration, lymphatic vessel inflammation, deep ulcers, infiltration of bone and joints, accompanied by ischemia and systemic symptoms of poisoning.

Diabetic foot infections are often not accompanied by increased white blood cells, pain and fever and so on, should be carefully identified.

3, anti-bacterial treatment: ① the use of broad-spectrum antibiotics known pathogens; ② bacterial infections: alternative intravenous drip penicillin,

cephalosporin class Jiashu Bartin; ③ Staphylococcus aureus infections: the choice of vancomycin, take the test Laning, Moxifloxacin hydrochloride,

ampicillin Jia Kelin ADM, etc.; ④ gram-negative bacillus infections: Selected third-generation cephalosporins, and cefotaxime, and so on; ⑤ anaerobic

infection: metronidazole and ornidazole using intravenous drip Tinidazole injection or oral treatment; ⑥ deep fungal infections: use of amphotericin B,

ketoconazole, fluconazole, itraconazole and so on.

4, silver treatment: silver as antimicrobial therapy has a long history. The release of silver ions in the external contact with the bacterial cell wall to

prevent bacterial respiration, kill bacteria, fungi. Silver ion antimicrobial spectrum, a wide range of Gram-positive and-negative bacteria, drug-resistant

S. aureus, fungi are killing effect, rather than drug resistance and resistance, safe, non-allergic reaction, along with anti-inflammatory and promote

healing the role of silver ions through the metal protein inactivation, wound healing, wound epithelization. Sulfadiazine silver coated with currently

available to affected area twice daily.

In short, the wound healing of diabetic foot infection depends on the understanding of bacterial wound infections, an effective systemic and topical

antibiotic therapy, adequate debridement and removal of necrotic tissue, application of silver-containing materials, moist environment for wound dressings

and partial appropriate negative pressure to attract, the only way to effectively control the infection, to avoid the stumps.

With diabetes every day inspection "feet"

2009-12-12T08:27:00.001-08:00

Early diagnosis and early treatment of diabetes, blood glucose, blood pressure, blood lipid levels in the normal long-term control, prevent or delay the

occurrence of diabetic neuropathy and development. In addition, patients with diabetes in their daily lives, if more attention, but also to minimize the

damage to the body neuropathy.

Found that sensory nerve damage, we should note the following:

1. To keep feet clean and dry. Feet daily with warm water, do not soak. Foot dry skin people, prone to chapped, skin cream should be used. Jiaohan many

people may wipe some talcum powder between the toes. Feet, bathing, please others, to determine the suitability of the water temperature to avoid scalding.

2. The cold season, should pay attention to warm, especially when they go out. This is because of the cold, feeling pain receded, hands and feet prone to

frostbite.

3. Wear loose, comfortable shoes, avoid wearing high-heeled, hardground and grinding feet shoes. Toenails to Shuhei, prompt treatment for foot calluses,

corns. Checked daily foot and body to prevent bumps and found that skin lesions should be disposed in time, to avoid infection.

4. Engaged in smelting, welding, chemical, woodworking and other workers, pay attention to self-protection, to avoid the hurt and not knowing.

5. Neuralgia in patients with diabetes, partial can be painted capsaicin ointment; some quick-fix redness, immersed in ice-cold water may be alleviated, but

not frequent long-term immersion, due to the cold itself is a stimulus. Pain who do not abuse the painkillers, in particular, stay away from drugs, should

ask the doctor to give proper disposal.

Autonomic nerve damage, we should note:

1. Orthostatic hypotension who wish to slow changes in posture when wearing tights pants have some preventive effect, and can avoid the pain caused by skin

friction and clothing.

2. Some patients who have early satiety, abdominal distention, postprandial discomfort, nausea and vomiting, heartburn and other symptoms, known as "diabetic

gastroparesis" can be under the guidance of a doctor to take some of the increases gastrointestinal motility drugs, such as do D morpholine, etc..

3. Some of the patients showed urine endless urination weakness, until urine retention, called "Neurogenic Bladder." Mild symptoms should urinate regularly

,2-3 hours time, to train the bladder muscle. Urination, lower abdominal pressure by hand to help empty the bladder, can minimize the residual urine.

Patients with refractory urinary retention or bladder catheterization Zexu fistula.

Purify the blood to fight diabetic foot!

2009-12-12T08:26:00.001-08:00

Diabetes itself is a stubborn disease, is also a high incidence of other diseases caused diseases. The major complications of diabetes determined to cerebral

vascular complications, dental diseases, skin diseases, loss of libido, menstrual abnormalities. Guangxi Nanning Tongji Hospital, to take a new approach -the use of a powerful purifying effect of hirudin in the blood, to treat cardiovascular and cerebrovascular complications, and achieved noticeable results.

Now, we hirudin treatment of diabetic foot, for example, for medical analysis.

Diabetic foot is caused by a combination of factors diabetes, foot pain, skin deep ulcers, gangrene and other diseases, collectively, one of the chronic

complications of diabetes, but also lead to diabetic limb amputation the main reason for disability.

Diabetic vascular disease and neuropathy is caused by the underlying causes of diabetic foot complications, diabetic patients because of neuropathy foot pain

often leads to the disappearance or reduction in vulnerability to injury, minor trauma can quickly lead to ulcers, infections and gangrene, and eventually

not be no amputation, amputation rate as high as 40%.

The pathogenesis of diabetic foot

1-induced sensory neuropathy caused by diabetic foot obstacle is the basis of

Limb blood vessels and autonomic neuropathy in blood vessels weakened movement, local organizations, lowered immunity, minor trauma can cause infection, but

due to local sensory disturbances, small lesions can not be timely treatment, resulting in the rapid expansion of the wound. At the same time due to physical

sensory dysfunction, but also easy to cause scalding. Neuropathy can cause a small foot muscle atrophy, due to the long stretch muscles non-confrontational

form a claw-like toes [especially the third, fourth and Toe]. This deformity to make weight-bearing plantar metatarsal head as the anchor, due to friction,

there is the formation of the corpus callosum, vulnerable to infection, and penetrating ulcers, severe cases, spread to the nearby bones caused by

osteomyelitis. As the joint movements of deep sense of loss and reflection obstacles, so that the patient is not conscious of the circumstances, some joint

overload, loss of repeated trauma on the protective effect, so that the joints and articular surface of the rules has become very easy to fracture , joint

dislocation and subluxation, especially the metatarsophalangeal joint.

2 lower extremity ischemia occurred atherosclerosis leading to the foot, prompting the occurrence of diabetic foot

Lower extremity arteriosclerosis lead to foot ischemia occurred, prompting the occurrence of lower extremity diabetic foot place. After the foot caused by

arteriosclerotic ischemia, especially in the toes, coupled with the small blood vessels and microvascular disease, so that toe blood pressure, systemic blood

pressure down to half or less. Patients often asleep at night due to toe pain to get up and walk a few steps in order to alleviate the need. In some cases

requiring a rapid increase blood circulation situations (such as trauma, infection, cold and hot, etc.) can not be a corresponding increase in blood flow can

cause gangrene, particularly toes staggering.

3 diabetic foot infections are caused by the fuse

Neuropathy and ischemic easily lead to local trauma, secondary to severe infection. In the minor trauma such as the foot of the pressure sores, toenail

trimming too short, athlete's foot can be caused by improper treatment of secondary infection. Plantar pressure overload in the area of the skin and

subcutaneous adipose tissue may be fibrous thickening, once the heel has been infected, easy to spread quickly to four weeks, ligament injuries can the

spread of infection, causing metatarsal osteomyelitis. The degree of ischemia occurs under wet, dry and mixed gangrene.

Got diabetic foot disease, the toes and extremities will lose some or all of the features of the method of last resort to preserve the lives of amputees.

Of hirudin on the role of diabetic foot

Sun Yuhua clinical cases, male, 62 years old, somewhere in the Guangxi Zhuang Autonomous Region Director of Press and Publication Bureau. The long-term high

blood pressure, diabetes, leading to the right lower limb vascular occlusion. Body-fat cold, toes ulceration, generalized weakness. Check urine uric acid,

glucose and other serious exceeded. In a typical case in 2005, into the Tongji Hospital after complications have been very serious.

Previously, Sun Yu Hua in several other hospital, the hospital adopted with six integrated Chinese and Western medicine route treatment, oral medicine

Huoxuetongmai, improve microcirculation and intravenous infusion nutrition nerves, blood vessels expand, correct metabolic disorders, with intravascular

infusion , foot bath fumigation and other treatment. Effects are not obvious, the patient faces the risk of amputation.

Tongji Hospital, for its treatment of foot needed to improve the characteristics of the blood microcirculation, using a multi-peptide protein (hirudin) to

clear the blood products, adjusting nutrition, tissue necrosis phasing out its foot and began regained consciousness. After several cycles of internal and

external combination therapy and, ultimately, the health and discharged by the end of 2005. Patient's feet saved successfully. Even more surprising is that

its symptoms of diabetes has been greatly improved, high blood pressure, heart palpitations, chest tightness and other symptoms gradually improved.

Social reflect this clinical cases, indicating a multi-peptide protein products in the prevention and treatment of complications of diabetes on the effect

of, "Nanning Daily" to give special report, "Southern Science and Technology News," "Medicine on Wednesday," and other media have also follow-up reports.

Now, Tongji Hospital, every year a lot of diabetic foot patients come for medical treatment, most have been significantly improved or even cured, a lot of

people, thereby avoiding the pain of amputation.

Recipe for blood purification

Tongji Hospital, a large number of diabetes complications in the analysis of clinical cases and found a common feature, the occurrence and development of

these diseases are the body's blood of our great relationship, whether it is diabetes, uremia, or bone necrosis , coronary heart disease, are and systemic or

local tissue blood supply, long-term lack of a relationship. In other words, improved blood circulation, improve blood transmission capacity, for most

diseases can play an indirect or direct treatment effect.

While improving the blood circulation and awareness of Chinese and Western medicine differ. Traditional Chinese medicine for the blood to improve the stress

strengthening the foundation of Chinese medicinal herbs such as saffron, Salvia, Millettia, real dragon and so has a good blood circulation effect, focusing

on traditional Chinese medicine therapies for the systemic blood circulation to adjust and improve, try to right the basic disease control, relying on the

body's own immune and regulate to achieve the purpose of treating disease that is often said that the "governance without government": and Western medicine

to improve blood circulation and more emphasis on the right medicine, mainly through the removal thrombosis and platelet deposition, inhibit blood

coagulation, dilation of blood vessels and so on local medication, such as common aspirin, heparin and other anticoagulant thrombolytic class medicine. These

also reflected the importance to the characterization of Chinese and Western medicine, that is quick to Western medicine, the drug is stronger, targeted, but

the indications for a single, toxic side effects, and the body susceptible to antibodies, etc.; and Chinese medicine to cure the contrary, drugs bear fruit

Time longer, pharmacodynamic steady, focused not strong enough to meet the wide toxic side effects are minor.

Produced for the differences between Chinese and Western medicine in TCM-WM therapy to improve blood circulation is undoubtedly a major breakthrough in the

use of traditional Chinese medicine for strengthening the foundation, western medicine to prescribe the right medicine, treatment can be optimized. Hirudin

is a traditional Chinese herbal medicines for promoting blood circulation class, with very strong Poxue, Zhuyu efficiency, modern analysis has demonstrated

the effectiveness of its main body from the leech contains hirudin and the leech of natural substances such as plasminogen . Leech extract through a

scientific process, the maximum strengthening the foundation needed to retain their active ingredients, while natural hirudin, leeches etc. targeted

plasminogen enrichment and processing, it has a fast onset of action, drug strength rapid and similar nature of Western medicine, to the effect of integrated

Chinese and Western therapy.

Tongji hospital patients according to the different pathogenesis and stage, to determine the destination of hirudin products (protein, peptide chip) timing

of the intervention received very good results. For example, for coronary heart disease early in order to take the initiative to preventive treatment for

mainly by the peptide protein chips and other drugs Food and Drug Administration set up the body, very good condition to prevent the expansion and

deterioration of patients with advanced coronary heart disease, in the of their surgery treatment, a multi-peptide protein chip in conjunction with other

drugs, the consolidation of a passive treatment, prevention and treatment of postoperative complications and recurrence occurred, Tongji Hospital, also

through a multi-peptide binding protein-chip sub-healthy diet groups on preventive control, so that in the the more serious cases occurred in early get

attention and treatment, many patients and their families have been recognized.

Expert opinion: from the above-mentioned cases and related knowledge, we can draw the following results - we have lot of interest in daily life blood of

their own, because most diseases are caused by contamination of blood has been generated. The blood Zhifang Li, cholesterol, sugar, uric acid and other

impurities removed from the body to maintain blood flow and vascular flow, you can prevent many diseases, while diseases of development has occurred with

good help. To maintain the blood's health, have a healthy body.

Perennial high blood sugar "immersion" lead to serious consequences

2009-12-12T08:23:00.001-08:00

The diagnosis and treatment of diabetes there are many such examples: diabetes mellitus patients, especially those over 10 years history, the elderly living

alone, because no attention to some details of their lives, leading to become a bad foot, amputation or even killed the final spawn consequences.

Diabetic foot disease caused by four common causes: high blood sugar caused by neuropathy, vascular disease, foot deformation / malformation and infection of

bacteria and other pathogens. Diabetes after long-term high blood sugar, "soaking", the body can cause peripheral nerve damage and thus secondary skeletal

deformities, muscle atrophy.

The most common form of diabetic nerve damage, "Multiple symmetric peripheral neuropathy," reflected in the two legs weakening and loss of sensory nerve,

lower limb emphasis on the upper, often start with toe numbness started gradually upwards. Limb peripheral neuropathy in the feet and lower legs of patients

insensitive to pain and even the ability to stimulate the perception that no, this is called "painless peripheral neuropathy", leads patients to cold, heat,

pain, trauma and other stimuli Protection reduced capacity. Thus, patients often minor burns, minor skin abrasions, etc., and the injury is not easy to

detect, resulting in injury and bacteria take advantage of the expansion, triggering inflammation. On the other hand, long-term high blood sugar limb

peripheral vascular conditions may change, and wall thickening, lumen thinning, will eventually lead to a result of inadequate blood supply, physically do

not receive adequate supply of nutrients to the bacteria have entered the blood after the guardian of leukocyte can not arrive in time to kill bacteria

infected areas, which led to the spread and increase inflammation, will ultimately become ulcers, infection and even necrosis. Also, because the organization

with poor nutrition and, once the formation of ulcerated skin ulcers, unhealed will be durable, light causing localized infection, in serious cases is to

cause the development of deep toe or limb necrosis. This is the diabetic foot. Such as the emergence of concurrent infection or limb necrosis, bacteria or

carrion and other toxins released by necrotic material and a large number of Xishouruxue, causing sepsis, patients are frequently combined with heart, brain,

lung, kidney and other important life-organ function were already poor, the worse, it may endanger the patient's life.

Many diabetic patients the incidence of diabetic foot, often the result of life in some small damage. Common reasons for inducing the old rotten feet are:

■ Xi Jiaoshui too hot lead to burn: Diabetic patients with lesions due to nerve endings to heat pain can not be perceived, a so-called "hot feet or" health

behavior can lead to local burns, blister formation is a wound blisters ruined.

■ foreign body punctured foot: pay no attention to elderly patients check their shoes before wearing shoes, and some foreign bodies such as thumbtacks,

needles, melon seeds shell or other more sharp things into the soles of the feet will be rolling the skin, causing damage and inflammation.

■ improper shoes: Long-term wearing narrow high-heeled shoes can cause increased pressure before the soles of the feet, toes by squeezing, squeezing of the

toes, foot, or by the formation of long-corns or calluses, or even enough to undermine the formation of bone deformation or malformation; these place easily

frayed, there lesions; and sometimes through the small, new shoes the day you can frazzle the skin of the heel toe, etc., with the wound, bacteria Chengxi

Entering.

■ shear caused by improper toenail paronychia: Some patients who used very bare feet nail scissors, cut the one hand, too short or cut Hollow-edge skin, and

nail the other hand, the edge cut too deep to provide a gateway to invasive bacteria.

■ pedicure caused by inflammation of the wound: It is now popular beach, and many people are used to find the master bathroom repair pedicure, but did not

undergo strict disinfection of knives and multi-user, increasing the chance of cross infection; there are still many patients at their feet after her Take a

knife or scissors dig soles of the feet of calluses or corns on the toes, landing on the dig too deeply, causing the wound and cause infection.

■ hot-water bottle, thermos, or blanket burns: the winter the glass thermos flask with hot-water bottle, especially warm feet, often the temperature is too

high, but they do not feel the patient, resulting in skin contact with hot into blisters, blisters ruined is a wound.

■ Kaohuo and electrical stimulation, no sense of overheating caused by burns.

■ there is a hard object the so-called health-care shoes soles foot wear themselves out: the market selling the so-called "magnetic shoes," "massage shoes,"

and other therapeutic footwear, diabetic patients not only does not care for the role, and the soles of the tiles and other skin damage will Some patients

have a large area, therefore causing plantar ulcers.

■ Wear shoes toe toe injury exposed: in the summer exposed a lot of people like to wear toe sandals, cool sandals, these two years has become popular to

wear "sandals," all five toes exposed, easy to hit, stepped on, or foreign body smacked chances of getting hurt greatly increased.

■ walking barefoot or wearing shoes, barefoot foot injury in the skin: When traveling to tropical areas that some people like to walk barefoot on the beach

sand, rocks, hot sand, gravel and sand stones, foreign bodies, or rock bump angle can cause skin damage directly . Still others like the bare feet in the

summer to wear shoes, if shoes is not smooth, easily torn skin.

■ foot dry skin, rip: diabetic patients control exists as a number of sweat glands of the autonomic nervous system lesions, sweat secretion reduced or even

lost, resulting in the heel of the foot, especially dry skin, chapped and even more pronounced in winter. Without attention to points in time for the foot

rub Cream, rip is that it is the gateway to bacterial invasion.

■ Smoking: a long-term addiction is not only a threat to the lungs, smoke the salt will shrink blood vessels, increasing vascular neurological complications

of diabetes. Studies have confirmed that smoking is caused by the foot of the old rotten independent risk factor.

Thus, for the prevention of diabetic foot, diabetic patients should pay attention to the details to start a preventive measure. Grasp the details and careful

observation through the protection of more than 80% of the bad feet can be prevented.

"Collusion" leads to diabetic foot

2009-12-11T07:01:00.001-08:00

1999 WHO definition of the diabetic foot: neuropathy in diabetic patients due to the merger and all kinds of varying degrees of lower extremity peripheral vascular disease caused by infection, ulcer formation and (or) deep tissue damage.

Internal

Sustained high blood sugar is too high blood sugar easily lead to hypercoagulability, promoting the formation of lower limb atherosclerosis, is diabetic foot occurred in an extremely important factor. As a long-term blood glucose control are not satisfied, abnormal glucose metabolism caused by lipid metabolism disorders, body parts prone to major blood vessels and capillaries of the pathological changes leading to diabetic foot.

Diabetic patients with chronic vascular disease because the body continues to remain high blood sugar and protein non-enzymatic glycosylation status, lipid metabolism disorders, high blood viscosity, hypercoagulability, as well as age-related arteriosclerosis and many other factors that diabetic patients with lower extremity arterial vascular disease-prone , wall thickening, stenosis, and capillary and micro-circulation are also different levels of obstacles to the patient's lower extremities caused by hardening of the arteries and block blood vessel thrombosis, while micro-vascular occlusion foot, so that lower limb perfusion flow reduction in acral blood circulation disorder, local tissue hypoxia and inadequate supply of nutrients appeared lower extremity pain, paresthesia, and intermittent claudication, severe ulcers caused by insufficient blood supply can, limb gangrene.

Diabetic Neuropathy Diabetic peripheral neuropathy can cause limb of the weakening or loss of protective sensation, and changes in foot biomechanics, so that the lack of foot protection against harmful stimuli and thus vulnerable to damage caused by mechanical or temperature; autonomic neuropathy also the formation of diabetic foot related to autonomic neuropathy caused by sweat secretion of obstacles, can reduce the flexibility of skin, leading to dry skin, chapped and infection. Once the lower limb or foot skin damaged, the above-mentioned pathophysiological changes also difficult to repair the wound, infection difficult to control and finally the development of foot ulceration and even amputation.

Age of diabetic foot to occur in "40-year-old patient, and increased with age while the increase. Some studies reported that age was an independent occurrence of diabetic foot risk factors. Its possible causes: ① elderly patients with diabetes longer duration, higher incidence of atherosclerosis, hormone levels change; ② organizations of older persons metabolic rate, repair a reduced ability to extend the healing time after injury; ③ diabetic neuropathy increased with age.

The occurrence of diabetic foot sex and gender have a certain relationship. Internal documents suggest that the incidence of diabetic foot more men than women, analysis of the reasons may be estrogen to protect the role of blood vessels and thus opportunities for physical size of the vascular lesions were reduced in women with diabetes.

External

Infection in diabetic foot gangrene infection is an important predisposing factor. The main reason is the low capacity of anti-infection in patients with diabetes, in the case of limb ischemia and hypoxia, bacteria can easily invade, resulting in severe infection organization.

Physical injury to any minor injury can cause foot ulcers or infection, and sometimes even require amputation. Most patients with diabetic foot have different forms of tissue damage, such as burns, frostbite, scratches, abrasions, grinding damage, repair a broken foot, bumps, manicure injury after injury leading to diabetic foot infections is undoubtedly a risk factor can not be ignored.

In patients with diabetic foot with a male majority, old age, longer duration, low level of education, low income and the complications of diabetes, and cardiovascular risk factors, many features. Should be pointed out that in the survey years, resulting in the incentives of diabetic foot ulcers account for physical factors "3 / 4. These factors, in particular, burns and wearing inappropriate footwear, as well as the damage caused by improper nail trimming is entirely avoidable.

Snake Huang Zhi Diabetic Foot Powder Fumigation

2009-12-11T07:00:00.002-08:00

Osthol, Kochia scoparia, Treats, double flowers, Polygalaceae each 10 grams, saffron, myrrh, Sophora 6 grams each, plus 3000 milliliters of water, boil 5 to 6 minutes into the pot, first smoked, until the time of temperature about 40 ℃ when you wash the affected foot 15 to 20 minutes. Day 1, wash 2 or 3 times, generally 3 to 5 days that is markedly effective.

I had been to relatives and friends using this prescription treatment, they are either suffering from diabetic foot, and some patients suffering from peripheral neuritis, have all been satisfactory outcome.

Water Chestnut rule urolithiasis

According to traditional Chinese medicine book records, water chestnuts with a heat Sheng Jin, Huashi expectorant, cooling blood detoxification effect, governance urolithiasis has a good effect. I verify that (4 cases, kidney 1 case, 2 cases of ureteral stones, bladder stones 1 case), after treatment with this Act, of which 1 See, for example urine discharge the stones. Four cases reviewed by the B-are not seen stones. This side security no side effects. Specific methods are as follows:

Wash the water chestnuts every 4 to 5, with skin or peel raw, as long as 3 to 4 times. Usually ate 7 to 10 days, can be cured.

Eggplant skin honey good results with Toothache

November 29, 2007, I suddenly toothache and can not sleep. Think of your magazine in 2007 No. 11, "may wish to try a" column published in the "tomato skin honey with Toothache," a small prescription, then press square administering treatment. About 30 minutes later, I have a toothache had disappeared. This side is simple, economical.

Mouth dry mouth with Zaohe effective governance

My father had a dry mouth defects, multi-doctor treatment ineffective. To read your magazine in 2007 No. 8, "may wish to try a" column published in a "dry mouth, mouth-containing Zaohe rule" prescriptions later, his father bought back will be at home eating jujube jujube meat, to remain in the mouth with the nuclear about 30 minutes, and then there were his father's mouth moist feeling. Then they eat a red dates, this time Zaohe with 40 minutes remaining in the mouth around the mouth is more moist. About three days later, the father of xerostomia was well.

Diabetic Foot "full control"

2009-12-11T07:00:00.001-08:00

Glycosuria pain is a chronic, progressive, systemic disease. It is not only diabetes, clinical medicine, another local ulceration, infection, surgical symptoms and signs often occur before or accompanied by gangrene, vascular disease, neuropathy, local infection and other related heart, brain, kidney, retinal disease, lung infections, ketoacidosis and other acute and chronic complications. Therefore, involving multi-disciplinary examination, diagnosis and treatment. First, in the course of treatment should pay attention to the following questions.

The basis of treatment needs throughout the entire process from beginning to end treatment of the main contents include control of diabetes, improve microcirculation and blood vessels re-dredge, anti-infective and correct all relevant acute and chronic complications, and supportive therapy. At this stage of treatment medication, require treatment throughout the entire process from beginning to end. Properly handle the relationship between the part and the whole, bogey saw local wounds, ignoring the practice of the state body.

Local wound debridement should not rush to the acute phase in the diabetic foot, local swelling and heat pain is more obvious, but with the exception of acute purulent incision and drainage, the surgical debridement should not be over-treatment, in order to prevent gangrene from gaining ground.

Removal of necrotic tissue, the preferable way to erode significantly in the basic treatment effect, patients generally improved, adverse metabolic state can be corrected, diabetes, and systemic and local infection under control, recycling and micro-circulation can be improved. At this point the part and the healthy tissue foot gangrene relatively clear boundaries can be cured into the rot phase. Qu rot at this stage focused on a gradual removal of necrotic tissue, to take "eating away" approach; the same time increase the drainage efforts to create conditions for wound healing.

Medical and surgical treatment of lower extremity revascularization should not be neglected, and endovascular interventional treatment of diabetic foot is one of the means in recent years, the new, mainly to solve the diabetic vascular disease caused by dry gangrene of the foot. But since the majority of diabetic foot gangrene is due to microvascular disease and nerve disease caused by, therefore, want to emphasize that comprehensive surgical treatment. According to lesion extent and location, select the appropriate method of treatment.

Diabetic peripheral vascular disease treatment

Diabetic peripheral vascular disease mainly include two aspects: ① mean arterial blood vessels and lower limb atherosclerosis (AS) caused by stenosis or occlusion: ② As the limb peripheral capillaries, microcirculatory disturbance caused by peripheral tissue ischemia.

Diabetes mellitus treatment of peripheral vascular disease risk factors, including the treatment and the disease treatment.

From the mechanism of drug therapy, at present used in clinical anticoagulant, defibrase, thrombolysis, anti-platelet therapy, dilation of blood vessels and blood circulation drugs such as traditional Chinese medicine, have the role to improve the peripheral circulation, both can be applied to diabetic peripheral vascular disease treatment. However, as diabetic peripheral vascular disease is a chronic, progressive nature of the occurrence and development of the disease, except in the event of acute peripheral vascular disease, such as acute thrombosis and other outside, and many anti-platelet, expand blood vessels and blood circulation of Chinese medicine and other drugs to combat diabetes, peripheral vascular disease.

The first generation of thrombolytic drug thrombolytic drugs streptokinase (SK) and urokinase (UK) as the representative. SK and UK thrombolytic strong, but the thrombolytic specificity is not strong, the short half-life, in turn dissolves fibrin, while the blood fibrinogen degradation, which led to bleeding and other serious adverse events.

In order to overcome the shortcomings of first-generation thrombolytic drugs, developed a second generation thrombolytic drug, tissue-type plasminogen activator (t-PA) as the representatives, including recombinant tissue-type plasminogen activator (M-TPA or rt-PA), methoxy benzoyl plasminogen activator chain enzyme complexes (AP-SAC) and so on. These drugs have a certain degree of thrombolysis specificity, half-life increased significantly, but also with anticoagulant, anti-platelet drugs such as the treatment of thrombosis, but more adverse reactions. The third-generation thrombolytic drugs is the use of genetic engineering and monoclonal antibody technology to transform the second-generation product made of a new PA products. Third-generation thrombolytic drugs and the first and second comparison, in specificity, efficiency and adverse effects in thrombolytic therapy has greatly improved, but still at an experimental stage.

Second-generation thrombolytic drugs compared with the first generation of major breakthrough, but the ideal still a certain gap between thrombolytic drugs. Developed in recent years, the third-generation thrombolytic drugs at the same time, people have gradually come looking for a good safety and adverse reactions is small, a good natural sources of drug efficacy, while its converted products of genetic engineering. The natural medicine has been developed mainly staphylokinase, fibrinolytic enzyme, Nattokinase and so on.

Anticoagulant

① heparin unfractionated heparin (UFH). UFH on coagulation inhibition in three stages, but the insoluble thrombus has been formed. UFH in the digestive tract can not be absorbed orally, subcutaneous injection of 5 000 IU/12 hours, bioavailability 20% ~ 30%, the dose increased, bioavailability will also increase. Intravenous anticoagulation can instantly play a role. Plasma half-life of 15 hours, anticoagulation sustainable 4 to 6 hours with a variety of plasma protein binding and inactivation by renal excretion. The placenta can not be used during pregnancy. Application of UFH anticoagulation should pay attention to the existence of contraindications, dosage should individual to enable the activated partial thromboplastin time (APPT) extended to the normal value of 1.5 ~ 2.5 times as declared. PTE and DVT commonly used intravenous infusion conditions were preferable to use continuous intravenous pump micro pump to start 1 000 IU / hour, after further adjustment according to APTT, duration 7 to 10 days. UFH major adverse reaction was bleeding due to multiple by the excessive light by mucocutaneous bleeding and in serious cases can cause gastrointestinal or intracranial bleeding, should stop using UFH, while giving the antagonist, and protamine, the dose with the last meeting UFH dosage. In acute allergic reactions seen in application of heparin UFH 5 ~ 10 minutes, patients with sudden chills, fever, heart palpitations, nausea, decreased blood pressure, also can occur from asthma, urticaria and respiratory distress, and should immediately stop using UFH, and to the anti-allergy treatment. Others still have heparin-induced thrombocytopenia (HIT), osteoporosis, increase in the number of eosinophils. ② low molecular weight heparin (LMWH): with UFH compared, LMWH with a hypodermic full absorption, bioavailability high ( "80%), longer half-life, adverse reaction to small and does not require laboratory monitoring of coagulation indicators in general, etc., effect of at least similar to UFH. Application of LMWH should pay attention to whether the anticoagulant contraindications, pregnant women should be used with caution. Because different manufacturers use different units of low molecular weight heparin in the system, but have different specifications, it is advised to carefully read the instructions before use. The main adverse reactions LMWH bleeding, injection site petechia petechiae, thrombocytopenia, usually do not need special treatment, LMWH reduction can be more seriously, antagonist, protamine can be used in and. ③ Arixtra (fon-daparinux): In acute coronary syndrome (ACS) and percutaneous coronary angioplasty (PCI) in terms of efficacy and safety, a large multi-center study found that, fondaparinux excellent result on enoxaparin, while the bleeding and a lower incidence of adverse reactions.

Vitamin K antagonist present, the clinically most commonly used is warfarin (warfarin), occasional use of new anticoagulant. After oral administration of warfarin, make the blood showed a transient hypercoagulable state, it began to warfarin can not be used alone, does not recommend the use of the amount of the initial shock. Soon after oral administration of warfarin from the intestinal absorption of 90% and plasma protein binding, free-type have biological activity. In liver metabolism by cytochrome P450 enzymes, metabolites and glucuronic acid binding by the urine and feces. Half-life of 35 ~ 45 hours, 20 ~ 30 hours after treatment markedly, 5 days up to the maximum anticoagulant effect. After stopping anticoagulant effects of sustainable 4 to 5 days. Teratogenic effects produced by the placenta, it is not appropriate for pregnant women. Since the onset of warfarin slowly, and there is a transient procoagulant effect, so clinically for the treatment of PTE and DVT in general, when LMWH or UFH in the application the day after beginning oral warfarin, 3 Ⅲ g, 1 times / day, for at least two overlapping applications 5 days. In the application of warfarin 3 days later blood inspected the international normalized ratio (INR), such as the INR ≤ 2 can continue to take, such as the INR> 2 should be an appropriate reduction of warfarin. In the application of warfarin 6 days after the re-taking of blood investigations INR, such as the INR <2, should the appropriate amount, 1 week after review

Diabetes abuse of antibiotics maybe maimed

2009-12-10T05:34:00.000-08:00

Most of my friends know that in patients with diabetic foot patient's own will bring tremendous harm. Therefore, some diabetic foot ulceration, once found himself immediately thought may be infected, so do not indiscriminately use of high doses of antibiotics, does not know that the abuse of antibiotics may lead to diabetic foot amputation is the most direct cause.

Guo uncle, 69-year-old has been suffering from diabetes for some years. A month ago, when he accidentally hit a walk over sharp stones, broken thumb right foot skin was also out of something blood. At first, Guo uncle and did not make something "small" heart. But did not wanted a few days after the start where the Tang Shui purulent become a lifelong affliction, and so Zhexia Ke Guo uncle family became alarmed, hastened to the nearest clinic on the anti-inflammatory drugs, and intravenous antibiotics pioneer. Over the past one week later, Guo uncle wounds not only failed to heal the wounds but growing, and the surrounding muscles have completely decomposed and emit a strong foul smell.

A large number of clinical admissions among patients with severe diabetic foot, there are a large part of patients were the same as Guo uncle had been treated in other medical institutions, the use of antibiotics from a few days to several months. When people with diabetes due to trim nails, repair floor mats, heat blisters washing, insect bites, trauma and other causes of skin ulceration of the foot occurs, the first thought is to use antibiotics for treatment. In actual fact, due to their special circumstances with diabetes will be mixed with many other moment can not determine the pathogenic factors (peripheral neuropathy, ischemic ulcers, etc.), then must not be treated as ordinary superficial infection to deal with. Because of ulceration in patients with diabetes, it is a danger signal, not be underestimated.

For diabetic patients, in the event of foot ulceration, based on the extent of infection in the use of antibiotics is permitted, but not abused. Because simply relying on large doses of antibiotics to anti-inflammatory therapy and other specialized treatments failed to timely intervention, the condition is not only can not be controlled, but may be further accentuated. In order to avoid diabetic foot ulceration governed by a superficial infection gradually developed into a deep infection, decay and even gangrene, become ill and die, in the use of anti-inflammatory drugs must pay attention to the following areas:

First, the choice of antibiotic varieties, must balance the safety and effectiveness of two aspects, in particular the relatively long duration of diabetes, often have different degrees of kidney damage, drug selection should be cautious. In addition, it is best to the hospital by a doctor to take a small amount of secretion in the ulcerated Department for bacteriological culture and drug susceptibility test, according to susceptibility results of selecting the appropriate antibiotics, their effectiveness is guaranteed.

Second, ulceration and other factors, such as ischemia, neurotrophic disorders, choose the appropriate medication and physical therapy, including traditional Chinese medicine.

Third, ulceration Office to carry out disinfection, dressing, debridement, drainage and other surgical treatment of local and foreign drug use is the key to the importance of these surgical instruments treated with antibiotics alone can not be substituted.

Do you have the risk of diabetic foot?

2009-12-09T07:21:00.000-08:00

Patients with diabetes mellitus complicated with lower limb and foot symptoms, such as foot pain, numbness, intermittent claudication, skin temperature changes, edema, and necrosis of the foot and other symptoms, can be regarded as a "diabetic foot" areas. Sugar faithful, do you have a high risk of diabetic foot then?

At high risk of diabetic foot

Diabetic foot high-risk groups (such as smoking, hypertension, there are neurological or vascular disease, there is the corpus callosum, edema, and foot deformities) is characterized as follows: There ulcers, penetrating history of foot ulcers and amputations persons; intermittent claudication who ; foot deformities, including pressure points, gelatinous layer of thick, claw-like toes, flatfoot; temperature to identify, pain and (or) vibration sensation disappeared (at least two); have evidence of peripheral vascular disease.

The principle of self-management of high-risk groups

① daily foot inspection (could be invited to family assistance) if it is found damaged or suspected of any change in skin color should be timely treatment. ② prohibit barefoot walking (especially on the beach). ③ Do not handle their own corns and blisters. ④ daily for socks, carefully choose the right shoes, at least two times a week to replace shoes, avoid wearing high heels and long wearing new shoes. ⑤ foot should avoid exposure to high temperature or low office in order to avoid burns or frostbite. ⑥ taboo drug topical treatment of corns or corrosive chemicals.

Non-high-risk groups (non-nerve and blood vessel disease or other risk factors) and the principle of self-management

① regular foot checks. ② using FILE nail repair. ③ stop smoking. ④ blood glucose control in the best condition. ⑤ Select the appropriate foot wear. ⑥ checked daily feet, legs, whether the cracks, redness, rubrum infection, and timely processing. ⑦ careful washing feet, dry, toes should not be crushed. Regular inspection, once problems are detected and timely treatment.

Plantar pressure anomaly is found in the formation of the common risk factors for foot ulcers, reducing stress is to prevent and deal with plantar foot ulcers key. The following method can achieve the purpose of reducing stress: the insole plantar pressure can be dispersed; can avoid pressure on the foot-ischemic edge of the loose parts of shoes; help ischemic parts of removable braces; removable inflatable sex braces ; to reduce the pressure foot and ankle brace; crutches, wheelchairs, etc.; heel protection, bed rest.

Winter, "Diabetic Foot" How to care?

2009-12-08T06:23:00.000-08:00

Disease Review: Li Dabo 65-year-old, suffering from diabetes 10 years. Foot washing is said to have health care role of filial sons and daughters of the elderly in order to buy a stack of tickets to the father of the foot bath. As a result, Li Taibo Gesanchaiwu to nothing went to wash feet. One week down, Lida Bo find themselves appeared swollen right foot, toes a little skin break, they posted a bit with the Band-Aid. However, after a few days, not seen better, but found signs of right foot ulcers. Last week, Li Dabo in hospital for an examination, doctors diagnosed his right foot is a result of infected diabetic foot.

Expert analysis: patients with diabetes is usually only pay attention to dietary control of blood sugar, but neglected the maintenance of the foot. Li Taibo suffer from diabetic foot is a common complication of diabetes. On the one hand, diabetic patients with high blood sugar caused by the body due to peripheral neuropathy, micro-circulation and vascular lesions, resulting in skin microcirculation and vascular lesions can not be a normal expansion of blood vessels, reduction in blood supply makes the skin does not have enough blood to the heat away, so that calories burned in the local gathering place. On the other hand, because people with diabetes, foot sensory nerve abnormalities occur, wash foot bath is unable to determine the level of the water temperature. Therefore, even if sometimes the water temperature is high, the patient himself still do not know, easy to burn.

Strengthen the control of blood glucose in patients with diabetes, once again control blood sugar well. The body's resistance would be worse, vulnerable to infection. Foot washing Li Taibo trim toenails when broken toes caused by bacterial infection of the skin, but also increased the disease. Winter is the season of predilection of diabetic foot, diabetic foot cold makes the blood circulation disorder occurs, resulting in decreased feeling, numbness, retardation.

Winter health care should pay attention to the following: keep warm, to ensure blood circulation foot; to maintain the foot moisture to prevent skin cracking; foot note of this when the temperature of the water to prevent scalding; Revised toes to be careful not to cause injury; cold weather Deposited feet with hot water bottle should pay attention to water temperature, so as to avoid burns. Once patients with diabetes foot ulceration and other symptoms should be immediately to the hospital for treatment, once the delay may lead to amputation illness.