TREATMENT OF HAND FOOT WOUNDS IN SUGAR PATIENTS
Diabetes is a disease that affects all body systems (such as circulatory, hormonal, nervous, muscular systems). Therefore, multiple systems such as circulatory system, nervous system are affected. However, both wound and circulation need to be healthy for wound healing. Therefore, in diabetic patients, both the fingers and toes are easily wound and these wounds are not easily healed.
Patients should be aware of the following: this is not a disease to be passed on, it is a disease that must be kept under control for life; furthermore, if a complication occurs in this disease (eg infection of the toes), it may rapidly deteriorate the general condition of the patient. 15% of diabetic patients have an outpatient wound and these foot ulcers are the leading cause of hospitalization. The patient's sugar rises due to wound and infection, the wounds do not close due to the height of sugar, the infection does not pass. Patients can easily enter this vicious circle. Therefore, the patient should be awake, pay attention to hand and foot care, keep the sugar level under control (pay attention to the diet, take regular medication).
The most important point in this disease is the constant control of blood sugar and protection from complications. Perhaps the most feared disease of complications is diabetes; because in this disease, the development of complications is inevitable if the blood sugar goes high for a long time; If the wound is opened on the fingers and toes, it leads to this infection, wound healing is already impaired by high blood sugar, the blood sugar does not fall because of the infection, the infection cannot be prevented unless the blood sugar falls; blood circulation in the fingers and toes is also problematic, making the wound more difficult to heal. If the patient enters a vicious cycle of high sugar-infection, his general condition may deteriorate rapidly. Therefore, what is more important than treatment in diabetes is proper monitoring and prevention of wound formation before these problems occur.
How is it possible to avoid possible complications? The first rule is that the patient should use his medication regularly, pay attention to his diet, follow the sugar level regularly, and perform hand-foot care carefully. Patients with the most impaired wound healing are those with high sugar levels for many years; therefore, when any wound is opened in such patients, it is attempted to be treated as much as possible without surgery, with follow-up and dressings. In these patients, incisions and sutures made for surgery will hardly heal. So there is the possibility to enlarge the wound when we say close. Therefore, such old diabetics are treated as much as possible with non-surgical care and dressing. Surgery is the last resort.
There are special shoes and boots for diabetics. The patient can use these shoes and boots in daily life. The special feature of these shoes is that there is nothing on the inside of the shoes that can make foot presses, sinks and bumps. These shoes are introduced as seamless production, because of the way of production there is no additional or seam. In our country, there are companies that produce and import such shoes.
Diabetics also need to be very careful when cutting their toenails. The nails should not be cut from the bottom and should not lead to something like sinking. Infections such as ingrown toenails in the toes may cause gangrene in the toes, in some cases it may be necessary to remove the toes. Another important point are calluses. The patient should not play with calluses, callus drugs that burn the callus and peel the skin should not be used.
Diabetes care, especially foot care, is so detailed that many books have been published abroad to guide patients.
There are many care products for diabetic patients (of course, the first thing to take is a sugar meter that can look for sugar from a drop of blood from the fingertip). For example, special mirrors are sold abroad (they may be sold in our country, but I have never seen them). The patient can control the underfoot with this mirror. In patients with diabetes, the sensation of the feet may be reduced in advanced stages. Therefore, they may not feel if there is a wound under the foot. Mirror control is useful in this respect. In addition, as I mentioned above, special shoes and insoles can protect the feet against wound opening.
If you take any precaution, you may get a scar on your foot. The first thing to do in this case is to clean the area where infection and necrosis occurs. Your doctor will remove dead tissues from that area. Sterile dressings are started and sometimes medicated foot baths may be necessary. Some special medicines and ointments may be required for dressing. This treatment must be performed under the supervision of a surgeon. The treatment of diabetic foot wounds called diabetic foot can take months, or even years; Requires long follow-up.
19AXX
Neosporin + Pain Relief Dual Action Cream, 1 Oz
