How to defend the diabetic foot in winter

How to defend the diabetic foot in winter
Interview and write /staff reporter Chen Jun B

Letter from reader

My father has suffered from diabetes for many years, every winter, easy red swelling of his both feet, feel shouting pain often, can even fester sometimes. The doctor says the diabetes patient should especially take care of the diabetic foot. Could you tell me what respects should be paid attention to specifically, will you please treat? Ann Mr. Zhou on my route

The well-known doctor answers

The diabetic foot is that diabetes is the most serious with treating the highest chronic complications of expenses, its not merely health of threat diabetic's both legs, even cause the amputation and even jeopardize the risk of the life. The investigation finds, nearly 15% to 20% of the diabetics will present the diabetic foot, in that 33% of the patients will face the amputation because of ischemic necrosis of the lower extremities. Diabetic over 10 year such as course of disease, control fine or amalgamate, have hypertension, hyperlipemia, fat the elderly diabetic foot high to take place crowd by blood glucose.

Vascular disease of the lower extremities is one of the main reasons for ulcer of diabetic foot. It cold winter, diabetes patient appear the intersection of foot and fester, the intersection of limb and the intersection of end and red swelling easily, even darken, gangrene symptom, this because tip neuropathy become and the intersection of lower extremities and the intersection of artery and the intersection of blood supply and the intersection of enough, bacterial infection,etc. and many kinds of factors cause mainly. Pay special attention to the following several points this season:

First, control good blood glucose actively.

Second, whether check and there is bubble, wipe and hurt the skin damagedly among foot and toe every night, and keep the foot dry.

Third, at the foot if long clavus, callus, must not oneself deal with, must go hospital send for a doctor, deal with.

Unless fourth, is it soft to take shoes and socks,should not high strung, it is really up to the mark,it either should not walk remotely, in case that the foot is abraded.

Fifth, while getting warm for the lower extremities or foot with the hot-water bottle, electric blanket,etc., should avoid the temperature is too high, because the sensory nerve of diabetic's lower extremities is often number, it is very apt to scald.

Sixth, pay attention to raising and suffering from the limb at ordinary times, should pay attention to guaranteeing the blood of the lower extremities runs unblockedly even more during sleep especially.

Seventh, don't adopt and cross a leg or position of sitting that a lower extremities press on another lower extremities, otherwise apt to influence blood circulation of the lower extremities pressed.

Eighth, form good habits and customs, give up smoking wine of limit.

Ninth, if often feel that steps on cotton senses under numbness of lower extremities, shouting pain, foot, appear foot take place cool, skin shade and pigmentation, lower extremities walk intermittent pain, symptoms such as pain,etc. at night, should go to a doctor in time.

To diabetic foot patient with lighter condition, use medicines to resist infection, carry on somely and clearly and create. The intersection of pathological change and serious patient or can't lean drug therapy against with the intersection of lower extremities and the intersection of artery and narrow, patient that stop up. Creating getting involved to treat a little of diabetic foot, it is a new developing high-efficient therapeutic method firsted elect in the world at present. When foot pathological change just began, carry on the blood vessel and get involved and treat, can raise and protect limb rate effectively. Not merely achieve and get involved and treat a little security, curative effect are obvious and complication is few, success rate is high.

(Zhang JiWei)

The well-known doctor introduces

Zhang JiWei Shanghai Communications University medical college subsidiary head of the department of surgery Yan Chai Hospital blood vessel, Master degree candidate's tutor, Chinese Medical Association the intersection of surgery and the intersection of branch and the 15th the intersection of committee and the intersection of blood vessel and surgical speciality study the intersection of branch and department of general surgery, committee member of group and Shanghai of Chinese Medical Association, learn committee member. Good at atherosclerosis around narrow and stopping up, vasculitis, diabetic foot, the intersection of lower extremities and variceal chronic the intersection of limb and the intersection of ulcer,etc. and surgery and get involved, a little create and treat of disease, and Lou sets up and blocks and rebuilds the operation in chronic renal function not complete sound pulse.

The expert's consulting hour: A.m. on Thursday ' West Pu) ; P.m. on Thursday ' Pudong)

How to defend the diabetic foot in winter