Diabetic Foot Ulcer Definition
Ulcers are slow healing wounds on the skin. Diabetic foot ulcers occur on the feet of people with type 1 and type 2 diabetes. Up to 15% of people with diabetes are at risk for developing foot ulcers. Diabetic foot ulcers usually occur on the bottom of the foot.
The sooner a diabetic foot ulcer is treated, the better the outcome. Ulcers that do not heal or develop a severe infection may lead to amputation of the foot. About 80% of leg amputations in the US started off as diabetic foot ulcers.
কারণসমূহ
Diabetes can damage the nerves of the legs and feet. This may make it difficult to feel a ফোস্কা or sore. If you don’t care for a sore it may become larger and infected.
Diabetes also can causes problems with blood flow. Poor blood flow can make it difficult to heal.
The ulcer itself is usually caused by:
- Repetitive trauma or pressure on the foot
- Puncture wound on the foot
- Objects in the shoe that can damage the skin (such as a small rock)
ঝুঁকির কারণ
The following factors increase your chance of developing diabetic foot ulcers. If you have diabetes and any of these risk factors, tell your doctor:
- Neuropathy (numbness, tingling, or burning sensation in your feet)
- Peripheral vascular disease (poor circulation in your legs)
- Improperly fitted shoes
- A foot deformity
- Not wearing shoes
- A history of smoking
লক্ষণ
Tell your doctor if you have any of these symptoms:
- Sores, ulcers, or blisters on the foot or নিম্নতর পা
- ব্যাথা
- হাঁটতে অসুবিধা
- Discoloration in feet: black, blue, or red
- Fever, skin redness, swelling, or other signs of infection
রোগ নির্ণয়
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Your primary doctor may refer you to a foot specialist.
পরীক্ষায় নিম্নলিখিতগুলি অন্তর্ভুক্ত থাকতে পারে:
- Wound culture to determine if an infection is present
- X-ray —a test that uses radiation to take a picture of structures inside the body, especially bones; to determine if there is evidence of infection in the bones (osteomyelitis)
- CT scan —a type of x-ray that uses a computer to make pictures of structures inside the body; to evaluate a suspected pocket of pus called an abscess or to look for infections in the bone
- MRI scan —a test that uses magnetic waves to make pictures of structures inside the body; to evaluate a suspected pocket of pus called an abscess or to look for infections in the bone
- Ankle-brachial pressure—a test to determine if blood is flowing well to your feet
- Doppler or arteriographic studies —to assess for adequate blood flow to feet, which is necessary for healing
- Blood glucose and glycohemoglobin test
- Complete blood count to determine if there is an infection—A high white blood cell count may mean that there is an infection.
চিকিৎসা
আপনার জন্য সেরা চিকিত্সা পরিকল্পনা সম্পর্কে আপনার ডাক্তারের সাথে কথা বলুন। চিকিৎসার বিকল্প নিম্নলিখিত অন্তর্ভুক্ত:
Wound Care
Good wound care is important to help the ulcer heal and prevent infection. Follow your doctor’s instructions for wound care. Make sure to clean the wound regularly. Change the dressings often to prevent infection.
No Weight-bearing
Constant pressure on the ulcer can make it difficult to heal. Your doctor may ask you to take some pressure off of the ulcer area. You may be given a special cast or boot. These will take the pressure off of your foot but still allow you to walk.
Blood Sugar Control
Infected ulcers can raise high রক্তে শর্করার মাত্রা. High রক্তে শর্করা levels can then lower the body’s ability to fight infections. The high level also keeps the wound from healing.
Improved blood sugar control will help you fight any infections and heal your wounds. This control is often done with adjustments in your diet or medicine. Sometimes insulin shots are needed in the short-term until your are healthy again.
Healthy Habits
If you smoke, quit. Smoking can impair healing.
Wear proper footwear. Make sure it fits well.
চামড়া কলম
Some large skin ulcers may have a hard time fully healing even with treatments above. They may need a patch of skin to help close the wound. This process is called a skin graft. Bioengineered skin graft or human skin graft may be used.
ঔষধ
If the ulcer is infected, your doctor may recommend antibiotics. You may need to take the medicine for 4-6 weeks. Do not skip doses. Finish the medication as directed.
Your doctor may also recommend a medication to place on the ulcer. These medicine may help speed up healing.
সার্জারি
Dead tissue can build up inside and around the wound. This tissue will slow or prevent healing. You may need a অপসারণের জন্য অস্ত্রোপচার the dead tissue and clean the wound. This surgery is called debridement.
Bypass surgery may be needed to improve blood flow to the legs. This surgery uses healthy blood vessels to carry blood past areas of unhealthy blood vessels. The improved blood flow may help with wound healing.
Sometimes an infection is too severe or does not respond to treatment. As a last resort, amputation surgery may be needed. This is the removal a body part to stop the infection from spreading to the rest of the body.
অন্যান্য চিকিত্সা
Hyperbaric oxygen therapy may help with healing. This therapy is delivered in a chamber. Pure oxygen is pumped into the chamber. This helps to increase the amount of oxygen in the blood. The extra oxygen can improve healing.
Another option to help accelerate healing is using negative pressure wound therapy. A vacuum device and dressing are used to create negative pressure on the wound. This can help the wound heal faster.
If you are diagnosed with a diabetic foot ulcer, follow your doctor’s instructions .
প্রতিরোধ
To help reduce your chance of getting diabetic foot ulcers, take the following steps:
- Clean your feet daily. Dry them thoroughly, especially between the toes, before putting shoes and socks on.
- Do not wear garters and tight stockings around the legs.
- You may want to use petroleum jelly or an unscented lotion to moisturize dry, leathery feet. Do not put lotion between the toes. The extra moisture may attract bacteria.
- Inspect your feet daily. Look for sores that you may not be able to feel. Use a mirror or the assistance of another person to see all parts of your feet.
- Your doctor should look at your feet and test the feeling in them at least once a year. If you find a sore at any time, make an appointment to see your doctor right away.
- People with diabetes may have toenails that are brittle and difficult to cut. You may also want to have a foot specialist trim your toenails regularly.
- Buy properly fitted shoes. Some insurance companies will pay for custom-made shoes with inserts. A doctor can give you a prescription for the shoes.
- ধূমপান এড়িয়ে চলুন।
- Talk to your doctor about exercise. Daily exercise will help to improve blood flow and blood sugar levels.
- Calluses can increase the pressure on the foot and lead to foot ulcers. Have your foot doctor remove any calluses. This could ঝুঁকি কমাতে of developing a foot ulcer.
- Ask your doctor if you should use a special infrared thermometer. It can check the temperature of your feet.
কীওয়ার্ড:
Diabetic Foot Ulcer Definition, Diabetic Foot Ulcer Causes, Diabetic Foot Ulcer Symptoms, Diabetic Foot Ulcer Complications, Diabetic Foot Ulcer Surgery Cost in India, Diabetic Foot Ulcer Treatment Hospital in India, Diabetic Foot Ulcer Treatment in India, Diabetic Foot Ulcer Doctors in India, Diabetic Foot Ulcer Meaning in Hindi, Diabetic Foot Ulcer Meaning in Bengali, Diabetic Foot Ulcer Meaning in Arabic, Diabetic Foot Ulcer Treatment cost in 2024, Diabetic Foot Ulcer Hospital in India, Diabetic Foot Ulcer Treatment Near Me, diabetic foot ulcer treatment medication, prevalence of diabetic foot ulcer in india, diagnostic evaluation of diabetic foot ulcer, diabetic foot ulcer symptoms, prevention of diabetic foot ulcer, causes of diabetic foot ulcer, investigation of diabetic foot ulcer, diabetic foot ulcer prevalence