Diabetic foot, chronic complication of diabetes

- skin lesions - traumas - infections - delayed healing - delayed diagnosis of the disease. Diabetic foot detection aims at identifying the factors mentioned above, but the main role remains in the care of the doctor and the investigations performed. This identification starts at 5 years after the diagnosis and diagnosis of type 2 diabetes, the type 2 is the most common in adults and presents the most complications, that is why annual checks are carried out at different specialties. - Pain that appears on the move and disappears within 10 minutes of stopping the effort - Burning pain / - Decreasing the sensation of cold / warm - Decreasing the sensation to the painful stimuli - Changing the color of the skin on . Diabetic foot treatment consists of simple but rigorous rules that the patient must follow • Leg inspection • Rigorous hygiene of the legs • As close to normal as possible • Balanced regimen • Treatment of the wound with antiseptic . Another important element that leads to the appearance of the diabetic foot is also the delayed scarring of the lesion (the wound).

If the first event that occurs after a trauma is (coagulation) in a diabetic patient, this coagulation is delayed due to the loss of some skin properties and the healing is \. In the vast majority of cases, infection is a consequence of ulceration and not a cause of it, thus acting as a factor of aggravation and is sometimes maintained by the patient. • Colonization is the presence of microbes in the wound, which can multiply by forming several colonies. They can represent our healthy bacterial flora, composed of several bacterial species that protect against pathogenic bacteria (bad bacteria), without the need for eradication, by applying local treatments. • Infection consists in the presence of harmful microbes, which multiply in excess, invading the tissues and generating an inflammatory response.

As a result, it will be disturbed by the occurrence of pain, swelling, stinging or skin color change. The species of harmful bacteria, the most common in patients with diabetes, are the most aggressive and resistant to treatment, beta-hemolytic streptococci and bacteria that develop in the absence of air (anaerobes). To prevent amputation, all the rules presented by the treating physician should be followed and a control should be performed whenever a change occurs in the affected foot, without deferring or preferring home treatment. Amputation is a staged operation in two categories - minor amputations, which are only related to the toes, and depending on the fingers, the surgeon decides how much he keeps and how to resect, - the major amputations that interest the large legs, like . Amputation occurs when the patient does not follow the rules when the hygiene of the legs is neglected and the stage of the disease progresses, the only beneficial solution remaining to prevent the spread of infection throughout the body.

After the intervention, the patient follows a period of accommodation, is informed about the motor deficit with which he has left and starts social integration, preferably with the help of special prostheses to ease the suffering. Conclusions It is never too late to prevent and delay the onset of diabetic foot, and sometimes such situations can change the life of the patient, so monitoring disease is extremely important. .