糖尿腳 | Diabetic Foot

糖尿病足

糖尿病足常常是一種可怕的殘疾，住院時間很長，而且不可能，費用越來越高，最終的結果是截肢。幻影肢體對已經士氣低落的心靈開了自己殘酷的玩笑。難怪糖尿病足是糖尿病最可怕的併發症之一。

糖尿病足的特點是典型的三聯神經病變，缺血和感染。預防糖尿病足應是首要任務。這可以通過識別高危人群來實現，比如周圍神經病變、周圍血管疾病、足部畸形和骨痂。

流行病學: 糖尿病足潰瘍很常見，估計影響15%的糖尿病患者一生。現在，有15-20%的足部潰瘍患者需要截肢。幾乎85%的截肢術前有糖尿病足潰瘍。[1–3]已經提出了許多導致足部潰瘍的危險因素，其中最重要的是周圍感覺神經病變，其次是周圍血管疾病。糖尿病患者中神經病變、神經缺血和單純缺血病變的比例分別為54%、34%和10%。[3]在印度，估計每年約有40000條腿被截肢，其中75%是繼發感染的神經病變，這可能是可以預防的。某些因素，如赤脚行走、文盲、社會經濟地位低、患者就診時間晚、初級保健醫生對糖尿病足部護理的無知以及對替代醫療體系的信仰，導致了這種高患病率。

Diabetic foot is often quite a dreaded disability, with long stretches of hospitalization, and impossible, mounting expenses, with the ever dangling end result of an amputated limb. The phantom limb plays its own cruel joke on the already demoralized psyche. The diabetic foot, no wonder, is one of the most feared complications of diabetes.

Diabetic foot is characterized by a classical triad of neuropathy, ischemia, and infection.

Preventing the diabetic foot should be the first priority. This can be achieved by identifying the high-risk individuals, like those with peripheral neuropathy, peripheral vascular disease, foot deformities, and presence of callus.
Epidemiology: Diabetic foot ulcers are common and estimated to affect 15% of all diabetic individuals during their lifetime. It is now appreciated that 15 – 20% of patients with such foot ulcers go on to need an amputation. Almost 85% of the amputations are preceded by diabetic foot ulcers. Numerous risk factors for the development of foot ulcers have been suggested, the most important being peripheral sensory neuropathy followed by peripheral vascular disease. The proportion of neuropathic, neuroischemic, and purely ischemic lesions in diabetics is 54, 34, and 10%, respectively.[3] In India, it is estimated that approximately 40,000 legs are being amputated every year, of which 75% are neuropathic with secondary infection, which is potentially preventable. Certain factors, such as, barefoot walking, illiteracy, low socioeconomic status, late presentation by patients, ignorance about diabetic foot care among primary care physicians, and belief in the alternative systems of medicine contribute to this high prevalence.

If you have this disease, please follow your doctor's complete medical plan. You must consult the attending doctor before using the multidisciplinary rehabilitation plan. If your attending doctor does not recommend you to join the supplement conditioning combination, please do not use it. If you need to seek second opinion from other doctors, you can contact our online "Doctors Without Borders", or another professional doctor in your own city.