ply to tissues.
The third type of treatment is the most difficult because it concerns the forms of ulcers with necrosis:
- Surgical intervention;
- If there is no effect, amputation.
Treatment carried out under the close supervision of a physician is not the only required attribute on the path to healing. A huge role is played by the patient’s personal attitude, as well as his responsible attitude to the subsequent care of his own health.
Diabetes mellitus is a chronic disease, so patients need to pay attention to the condition of their own legs daily. The most important problem that is ignored by diabetics is the correct selection of shoes for daily wear:
- It should be made of genuine, high-quality leather and have no seams inside, which can be easily checked by hand;
- You cannot buy tight shoes, the thing should sit freely on the foot, not rub it or pinch it;
- The nose is wide so that the fingers are not in constant tightness;
- The maximum permissible heel size is 4 cm;
- It is advisable to select models according to the cardboard blank of the outlined leg;
- To find the optimal pair, it is better to visit the store in the evening and try things on a swollen tired leg. Be sure to wear cotton socks to reduce friction on your skin. They need to be changed 1-2 times a day. It will also require regular changes of shoes to provide general physical relief from joints, bones and muscles.
The next tip concerns hygiene care. You need to wash your feet daily, with special care. After each shower, the skin is thoroughly dried with a towel. Any scratch you see should be shown to your doctor to prevent SDS in time. Before each going outside, it is necessary to check the shoes for foreign bodies inside, so as not to injure the leg again. It is also not recommended to walk barefoot on sandy beaches, as well as on the grass outside the city. Even micro-trauma to the skin can lead to the formation of minor wounds that can develop into gaping ulcers.
Treatment of wounds
An independent method of treating a diabetic foot includes antibacterial treatment of an open lesion. Rehabilitation therapy does not work without home care. There are several basic guidelines on this topic:
- “Aggressive” antiseptics like brilliant green, alcohol, potassium permanganate, Vishnevsky’s ointment cannot be used. The skin will become oak and begin to crack even more, only aggravating the situation;
- Clean abrasions are treated with furacilin solution. If dirt and foreign bodies are visible, use classic hydrogen peroxide. Chlorhexidine or Miramistin are ideal options for wound treatment;
- Sterile gauze dressings should always be in the medicine cabinet of a diabetic with SDS. After each treatment, they are applied to the injured surface. It is not necessary to press the material strongly to avoid additional trauma and pain. Do not use softening and ordinary plasters, as they almost do not allow oxygen to pass through, and bacteria can actively multiply in the formed favorable environment;
- An additional effect will be provided by Actovegin and Iruksol ointments . The best option for healing is Solcoseryl gel ;
- You can not use the methods of traditional medicine. Most of the recipes have no effect, some can completely harm the patient’s condition. Give up compresses, herbal ointments, buying obscure medicines on the Internet.