Exp. Dr. Bengisu Ay made important statements about diabetic foot disease. Dr. Ay, indicating that diabetes, which affects a significant part of the world population, is a chronic disease characterized by high blood sugar, “The incidence of diabetes is increasing all over the world. Roughly, insulin deficiency can be called type 1, and the development of insulin resistance can be called type 2. The increase in the frequency of type 2 diabetes, especially in young and obese patients, is worrisome. The most important source of disability and hospitalization in this disease is foot problems. Depending on these problems; The development of foot ulcers, infection, gangrene, charcot foot and the need to cut the foot may occur. Diabetes can cause bad consequences by negatively affecting many of our vital organs, ”he said.
“INFECTION SPREADS TO DEEP TISSUES RAPIDLY”
Stating that many reasons can underlie diabetic foot disease, Dr. The moon continued as follows:
“Ulceration, which can be considered as the beginning of diabetic foot disease, is systemic (uncontrolled high sugar level, long-term diabetes, vascular diseases, visual disturbances, kidney failure, old age) and regional (nerve damage, foot deformities, trauma, improper shoe use, previous wound history, decreased joint movement) may be due to causes.
Disorders of the foot vessels and changes due to nerve damage play a primary role in ulcer formation. Long-lasting ulcers that do not heal can easily become infected, and subsequent infection may develop. Disturbances in the immune system caused by diabetes can cause this infection to worsen. Diabetic foot infections are a serious and costly complication that we encounter in diabetic patients. As a result of the damage to the protective layer of the skin, the infection spreads rapidly to the deep tissues. Without proper treatment, more than half of the patients may lose their feet or even their lives.
“WOUND CLEANING SHOULD BE DONE AT APPROPRIATE TIME”
Dr. Stating that approximately 25 percent of diabetic patients are hospitalized due to diabetic foot infection, Ay said, “Admission to the emergency room, insufficiency of blood flow and bone inflammation, presence of mild infection that does not improve within 7 days, moderate or severe infection, systemic infection, and signs of intoxication are among the hospitalization criteria. taking. In the team that will diagnose, treat and monitor patients with diabetic foot infection; endocrinology specialist for diabetes control, orthopedic and plastic surgery specialist to perform necessary wound cleaning and correct joint disorders, infectious diseases and clinical microbiology specialist for appropriate antibiotic treatment, cardiovascular surgeon to correct vascular problems, assistant health personnel to assist in foot care. he spoke.
Primary the wound should be cleansed. Early and timely wound cleaning speeds up healing. Afterwards, wound dressing and, if necessary, appropriate wound closure medical products are used under the supervision of a physician. The patient is given appropriate antibiotics for a suitable period of time, is called for regular control, and surgery is planned when necessary. In order for the patient to maintain a healthy life from now on, he / she must be under regular physician control. If the limb is protected after wound healing, appropriate shoe and foot care training should be given to the patient. If there is a loss of limb, the patient can continue his life with appropriate prostheses ”.