Most of our people know a great deal about diabetes. Unfortunately, he often lacks sufficient knowledge about the complications of the patient’s quality of life and their disability.
One of the complications of diabetes is “diabetic foot” syndrome (“diabetic heel”, “diabetic foot”).
This complication occurs in 16-18% of patients with diabetes.
Summing up with the word “diabetic compensation”, all the changes that occur in a patient’s foot in diabetes (loss of legs, damage to the nails and hair in the legs, cold hardening, fractures, swelling, weakness, no pain); fracture cracks, long-lasting purulent wounds, flooding from the ulcer, necrosis, and in most cases, carcinoma). In most cases, these changes start with the toes, especially the first toe and silhouette, nails, and toes. These changes may include inflammation, swelling, redness, pain, local temperature, and more.
These changes include diabetic neuropathy (damage to the foot), micro- and macroangiopathy (damage to small and large blood vessels) caused by prolonged high blood sugar levels.
Diabetic neuropathy is the degeneration of the nerve fibers in the diabetes mellitus, malnutrition (atrophy), and degeneration of the structure. This group is manifested in patients with diabetic neuropathy at the onset of pain and fever in the legs, with nocturnal cramps and seizures. Diabetic polyneuropathy causes deformities of the foot, rearrangement of the body weight, and packing on the lower surface of the heel, resulting in pressure ulcers. These ulcers are decomposed as a result of infection (leakage).
Another group of patients present with vascular obstruction (diabetic angiopathy) with circulatory disorders. These patients have severe ulcers, pus and snowballs that can cause up to 28% of amputations and have necrosis. It begins with acrylic dry necrosis on the fingertips or on the thigh. Unlike a neuropathic wound, these wounds are painful. Infection can lead to complications, such as phlegmon, purulent-necrotic ulcers, and even hemorrhoids. Karasonic disease can be amputated if it is not properly treated by a narrow specialist, using modern equipment. According to international estimates, 70-75% of amputations are attributed to diabetes.
The most dangerous aspect of large purulent wounds is that the toxins in the human body become chronic, poisoning the kidneys, heart, lungs, brain, and other internal organs. This is manifested by the patient’s weakness, weakness, increased heart rate, shortness of breath, decreased urine, increased appetite, increased body temperature, and nervousness. The indemnity skin is cold, pale and, in some cases, blue. Vascular, subcutaneous, and even thoracic pulse may be reduced or undetectable. This is clearly illustrated by ultrasound dopplerography and computed tomography. If it is found that the trunk is obstructed, the patient will be able to open the vessel by means of a group of surgeries known by the vascular surgeon.