Diabetes
Diabetes

Diarrhea ulcers

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For people with diabetes, it is not a secret that, in the absence of proper competent treatment, they can face serious complications that appear against the background of diabetes.

One of the serious complications caused by diabetes is the appearance of trophic ulcers on the legs, which often lead to limb amputation without proper treatment.

Causes of leg ulcers with diabetes

Legs

The higher the age of the sick person, the higher the risk of finding such ulcers in diabetes mellitus, which cause numerous troubles for both doctors and patients.

A number of reasons for the appearance of trophic ulcers on the legs:

  • by gender( men are more susceptible);
  • tissue integrity disorder( cracks, cuts, abrasions);
  • vascular pathology;
  • atherosclerosis;
  • strong vascular lesions;
  • damage to the nervous system;
  • household burns;
  • corns
  • alignment of several features.

A diabetic patient should carefully monitor the blood sugar, general condition of the body and skin condition. The timely detection of complications in the future will help to avoid a lot of problems and greatly facilitate the treatment. The appearance of an ulcer is a consequence of long-standing complications, which, as a rule, take place not one year.

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Symptoms of

Signs of trophic ulcer development:

  • decreased sensitivity;
  • slight burning, itching and edema;
  • darkening of individual skin areas;
  • violation of the integrity of the surface, the appearance of scabs;
  • discharge with presence of blood, suppuration, tumor appearance
  • weakness, chills, fever;
  • pain.

Kinds of ulcers

Legs

For competent selection of effective therapy it is necessary to find out its appearance, because each of them has its own specificity of development and course.

Trophic ulcers appearing on the legs have several species:

  1. Capillary ulcers appear as a result of the defeat of small capillaries( blood vessels).It is the most common type of trophic ulcer in diabetes;
  2. Venous trophic ulcers are the result of a malfunction in the functioning of the venous apparatus. As a rule, it is observed in patients who have started their condition. In addition to the ulcer, shank necrosis may develop.
  3. Arterial ulcers are the result of blockage of the artery, which leads to rapid necrosis of any type of tissue located beneath the site of injury.
  4. Piogenic trophic lesions develop against a background of other factors. The result of infection of soft tissues with various microbes.

Treatment of diabetic ulcers

Treatment of trophic ulcers is one of the most difficult tasks and requires the adoption of comprehensive measures to prevent infection of tissues. Treatment with folk remedies is inappropriate here and can be considered in consultation with the doctor only as an adjunct to the basic therapy of
. The doctor conducts a mandatory examination of the affected leg to assess the depth of the ulcer and the degree of tissue damage.

Stages of treatment:

  • In order to ensure that there is no infection of the ulcer, a scraping of the plaque formed on the surface is taken. Cleaning is carried out and a bandage is applied.
  • The next stage is the normalization of blood sugar level with the use of vascular drugs that improve blood supply in the tissues of the affected leg. The prescribed medicines are directed primarily at feeding the gradually dead tissue.
  • The ligation of the ulcer with the mandatory application of a sterile instrument must be done in the morning and in the evening. Washing with a solution of furacilin, peroxide or a weak solution of potassium permanganate. The edges of the affected area are invariably treated with iodine, alcohol or a solution of brilliant green.
  • To stimulate tissue regeneration processes, drugs are applied on a gel-like basis. They are put deep into the pre-treated wound and covered with a film, excluding the absorption of the drug in the bandage. Upon completion of cleaning the wound from the plaque, 15 minutes of foot baths in warm water are added to all the procedures listed, with the addition of a solution of potassium permanganate once every 24 hours.
  • After detection of signs of regeneration, dressing can be reduced to one time, with continuous monitoring of

processes Prevention of trophic ulcers in

Diarrhea ulcers

People with diabetes are at the greatest risk of complications of leg ulcers. This is due to the low sensitivity of the limbs, which does not allow timely detection of damage and a decrease in blood flow, which slows down the healing of minor injuries.

To maintain the health of your feet with diabetic patients, several basic recommendations should be observed:

  • Limb condition monitoring. Daily inspect your feet, carefully wash with warm water and soap. After the washing procedure, they must be wiped dry. The moisture remaining between the fingers can subsequently cause skin problems.
  • Caution in pedicure. Many specialists do not recommend visiting the pedicure salons, but there are those who do not forbid it, advising only to exercise extreme caution. To visit it is necessary only the checked up masters of a pedicure with presence at them the obligatory certificate. The instrument required for the procedure must be properly disinfected. If you want, you can bring your tools to the master.
  • Careful attitude to the feet is expressed in preventing them from drying out and the appearance of cracks by the systematic use of a moisturizing foot cream. For such care is not necessarily the presence of any special cream, any moisturizing, purchased in the pharmacy network.
  • Protection against fungus is the use of an antifungal cream in the presence of an infection that contributes to the appearance of cracks in the skin, which in turn risk becoming a trophic ulcer. You should be very careful when you find a nail fungus. When a fungus appears, the nail becomes thick, darkens, a feeling of heaviness appears on the finger. At the first signs of a fungal infection, it is necessary to immediately seek professional advice and help from an orthopedist or a therapist who will prescribe a certain treatment.
  • Choosing the right shoes. This suggests that shoes worn by a diabetic should not be very stiff or too tight, a large heel is absolutely excluded. Shoes are one of the most difficult tests for diabetics. The best and safest options for diabetics will be a well-worn soft sports shoes. Perhaps it will not be such a stylish and elegant image, but this shoe model will guarantee no injuries, calluses and rubbing, which can subsequently cause trophic ulcers and as a consequence of limb amputation.
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