What are the complications of diabetic foot amputation?

What are the complications of diabetic foot amputation?

What are the complications of diabetic foot amputation?

Overview
The patient has had diabetes for more than 20 years. In the first few years, the patient did not have obvious discomfort. Later, blood sugar control has been unstable, sometimes as high as 28, 29, and sometimes can be controlled to 4 A few or so, I have not seen it before going to the special diabetes hospital system. I have been controlling my diet. I found a wound on my foot a month ago. I didn’t care at the time. Later, it appeared to be rotten and smelly. After I went to the hospital for examination, I found out that it was suffering. With the disease of diabetic foot, what are the complications after the amputation of diabetic foot?

Step / Method:
1. Clinically, patients with diabetes amputation have a higher probability of infection after surgery than non-diabetic patients. Therefore, once the patient has an abscess after surgery, it must be promptly drained and nursed, otherwise it may even need to be severe. Amputation surgery is performed again.

Doctors remind: Diabetic people do not want to amputate their feet, we must keep in mind 4 "iron law"!

In recent years, diabetic foot has a relatively high incidence rate, because the incidence of diabetes is gradually increasing, and diabetic foot is a complication of diabetes. Therefore, people hope that people can understand the treatment of diabetic foot disease and diet care because of illness. Such diseases can only reduce some of the harms by doing active treatment and care.

Doctors remind: Diabetic people do not want to amputate their feet, we must keep in mind 4 "iron law"!

Sugar foot treatment depends on the condition of the lesion

1. The treatment of ulcers

According to the 6 grades of diabetic foot injury, if it is a grade 0 wound, the risk of ulceration in the foot can be treated with modified shoes, mold inner cushion or deepened shoes, and patient education, regular follow-up. Once skin cracking occurs, active intervention must be made to prevent further damage from developing. Ways to alleviate external stress on a grade 1 wound include wearing a post-shoe, using an ankle brace, wearing a prefabricated walking brace, or using a full-contact gypsum. In addition to proper decompression and compression sites, proper ulcer wound care is required to avoid tissue dehydration cell necrosis and accelerate wound healing.

Why is the mortality rate after amputation of diabetic foot high?

Before talking about mortality, it is first necessary to talk about the amputation rate of diabetic foot. Improper treatment of diabetic foot and patient treatment are not timely, resulting in high rates of amputation of diabetes. According to statistics, 70 amputation operations worldwide are related to diabetes. The amputation rate of diabetic foot patients is 25 times that of non-diabetics. Specifically, every 30 seconds in the world, a diabetic foot patient is amputated.

Why is the mortality rate after amputation of diabetic foot high?

If the amputation can cure the diabetic foot, it may be the best choice for some patients. However, according to the survey, the mortality rate of diabetic foot patients within 20 months after amputation is 20%, and the mortality rate within 5 years is even as high as 50-70%. This undoubtedly sounded the alarm for us.

In fact, the mortality rate after the amputation of diabetic foot is so high that it is foreseeable. The reasons can be analyzed from the following aspects:

1. There is no improvement in blood supply to the lower extremities. Diabetic foot is often accompanied by lower limb nerve and vascular disease, especially vascular disease, which is easy to cause blood circulation disorder in the lower limbs and insufficient blood supply. After amputation treatment, the vascular lesions of the lower extremities were not relieved, and the blood supply to the lower limbs was still insufficient, leading to further necrosis and life-threatening safety.

What is diabetic heart disease?

Diabetes heart disease refers to long-term diabetic patients, due to hyperglycemia caused by arteriosclerosis of the coronary arteries, and then developed into coronary heart disease, severe cases of angina, myocardial infarction, and even sudden death.

What is diabetic heart disease?

Diabetic heart disease refers to long-term diabetic patients, due to hyperglycemia caused by arteriosclerosis of the coronary arteries, and then we can say that coronary heart disease, severe cases can occur angina, myocardial infarction and even sudden death, these are diabetes heart disease category. When diabetes is associated with heart disease, the lighter patient may have no clinical manifestations. The first one may be that the patient's symptoms are mild and not manifested. Another possibility is that the patient with diabetes has obvious neuropathy, which leads to his feeling. Missing, there is no clinical manifestations, and there are general diabetes patients who can appear symptoms similar to our conventional coronary heart disease, such as chest tightness, chest pain, palpitations, and severe myocardial infarction.

Diabetes heart disease is also the first need to control blood sugar, control blood sugar in a normal range, and then we need our routine anti-platelet therapy, statin lipid-lowering treatment, depending on the patient's condition, if it is only a chronic coronary heart disease If you only need a medical treatment, if there is a sudden acute, such as angina, such as myocardial infarction, we need to take interventional therapy, or the need for bridging.

4 signs of early detection of diabetic heart disease

The symptoms of "diabetic heart disease" are often atypical. Even patients with myocardial infarction can not feel pain. It is easy to be ignored or missed. Patients are often unknowingly "killed by a blow", which is exactly what it is. Terrible.

4 signs of early detection of diabetic heart disease

Cardiovascular disease is one of the most common chronic complications in people with diabetes. About three-quarters of patients with type 2 diabetes have cardiovascular disease, and more than 80% of people with diabetes eventually die from cardiovascular complications.

Like all diseases, if diabetic heart disease (referred to as "glycemic heart disease") can be diagnosed early and treated early, the prognosis of patients will be greatly improved. However, because the symptoms of diabetic heart disease are hidden and atypical, they are often overlooked or missed. For this reason, we need to understand the atypical symptoms of diabetic heart disease. So, what are the "spirits" of diabetic heart disease?