Friday, June 4, 2010

People with diabetes should pay attention to foot care

Early diabetic foot with "intermittent claudication", walk more after the following leg, including foot pain, go away after resting, then walking again pain. These patients usually cold feet, numbness, cold and heat pain stimulation on the slow or no sense.

Diabetic patients with diabetic foot is the body size of the arteries, particularly lower limb artery thrombosis, the formation of blood vessels narrow, leading to insufficient blood supply to the foot, caused by diabetic neuropathy and foot sensory loss and damage of foot lesions, long common in diabetes mellitus long-term poor blood glucose control middle-aged. Early diabetic foot with "intermittent claudication", walk more after the following leg, including foot pain, go away after resting, then walking again pain. These patients usually cold feet, numbness, cold and heat pain stimulation on the slow or no sense. Once the foot of the skin lesions, wounds difficult to heal, the rapid expansion of infection can cause skin infections and pyogenic osteomyelitis, severe danger to human life. Therefore, the importance of diabetic foot care. Beijing Branch of Chinese Medical Association, vice chairman of the Diabetes Association, People's Liberation Army No. 304 Hospital, Division Director, Professor Ma Xueyi secretion description whether diabetes patients with diabetic foot must, in addition to the hospital for examination but also to carry out self-examination.

Self-examination "novels"

1, with a cotton tip twist into shape, gently across the instep and foot skin, to see whether they can feel, without feeling the light touch that disappear or diminish;

2, metal body with cold feet to touch the skin, check whether the skin feel cold feet, with 37,5 ℃ 37 ℃ warm water to soak your feet, it felt warm, without feeling that double foot has clearly diminished or absent sense of temperature;

3, with a pin (or needle) blunt end of the foot touching the skin, to see if there is feeling, such as tactile feel bad that decline;

4 feet with your fingers touch the skin near the ankle, instep to find whether the degree of arterial pulse and pulse, the back foot with normal arterial pulse were compared. Such as intangible or pulse is very thin, said instep arterial insufficiency, this situation often prompts the top of a main artery in the foot artery stenosis or obstruction.

Diabetic foot, the life of the four attention

1, each time before wearing shoes, be sure to pay attention to double-check whether the hard foreign body inside the shoe, so as not to wear the skin caused foot injury;

2, per night with 40 ℃ to 45 ℃ warm water foot bath 15-20 minutes after washing the feet with a dry cotton towel on the whole foot to keep feet clean and the blood circulation, avoid using electric blankets, hot-water bottle, Do not wash sauna, grill stove, hot bubble bath;

3, daily wear absorbent cotton socks and loose with good comfortable shoes, do not walk barefoot to avoid injury by accident, at the same time remember not to do mountain climbing, running and other strenuous exercise;

4, when cutting nails and not cut too deeply, so as not to damage the skin, causing infection in a ditch.

Do to help the campaign

1, dry legs.

Side with both hands, thigh, first hug, a little hard from the thigh down to ankle massage from top to bottom, then back massage from the ankle to thigh. Massage the other leg with the same method to promote blood flow.

2 voleos.

One hand on the wall or supporting the tree, before lashing the lower leg forward, toes up to move up, and then lashes back, the foot Bengzhi, legs straight, rotate the legs lashes, each rejection 80-100 times to improve muscle strength, promote blood circulation.

3, kneading calves.

Two-hand tight embrace calf rotation Roudong, 20-30 times on each side, legs exchange 6 times to clear the blood vessels to increase leg muscle strength.

4, twisted knee.

Feet parallel to the side, the knees to squat micro, hands on his knees, clockwise Roudong dozens of times, and then pulls the other direction Roudong, treat lower limb weakness, knee pain and clear the blood.

5, pull the toes.

Upright, legs straight, bend, bend the body forward, to pull the toes hands 20-30 times, can exercise waist and legs, increase the pace of efforts to prevent leg weakness.

6, rubbing feet.

Rub the two hands, two hands and then rub the soles of the feet 100 to prevent foot pain, weakness, numbness, and promote blood circulation foot.

7, kick.

Lying in bed before falling asleep, his hands hug back of the head, from slow to rapid movement to carry out kick, every 3 minutes, and then for the other leg, repeated eight times, make the leg blood flow.

8, crumpled paper ball.

In a large basin into two paper, one foot Cairu basin, with one foot to paper into a paper ball, then for paper, and then repeat with another foot rub. This method is applicable not only to patients with diabetes, poor exercise capacity is also very suitable for those who can increase the flexibility of the foot joints, and promote blood circulation foot.

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