In what cases does gangrene occur in diabetes mellitus?
One of the most common diseases at the moment is diabetes mellitus. It appears as a result of not rational nutrition, overeating of sweet, congenital predisposition and other reasons.
One of the most common and dangerous complications is gangrene in diabetes mellitus or in other words necrosis of tissues. What happens as a result of damage to the peripheral nervous system and blockage of blood vessels?
Symptoms and signs of the disease
With gangrene, the lower extremities suffer more often than others, but there are cases when the upper limbs( mostly hands) also suffer. The main cause of gangrene development is the destruction of the arteries of the lower extremities. The most dangerous is the defeat of small vessels that are at the level of the shins. With such problems, a high amputation is carried out.
One of the options for development is lightning fast, with it there is a rapid thrombosis of the veins. Gradually develops gangrene occurs with acute ischemia. During the development of ischemia, there are symptoms such as redness, then cyanosis, after pallor, affected fingers or feet, loss of sensitivity, severe pain and loss of active movements. Gangrene is the dead body parts.
Unfortunately, statistics speak for itself - 80% of patients die as a result of gangrene. Many people ask themselves, what is the best treatment for gangrene in diabetes? What will bring the desired result?
Indeed, how to determine the signs of gangrene in diabetes mellitus?
Signs of gangrene in diabetes are:
- The appearance of edema.
- Frequent tingling sensation in the legs.
- Feet is always cold.
- Deformation of the foot, changes in its structure.
- In some areas, redness or pale skin.
- Change in the nail plate: the appearance of a fungal disease, thickening or diminishing size, discoloration.
Dry gangrene with diabetes occurs when there is a circulatory disturbance. Usually people who are dehydrated suffer from this disease. Since tissue damage occurs slowly enough, the skin manages to wrinkle and change its color mainly to dark brown or, sometimes, black color. Over time, they become dense.
At the beginning of the disease, severe pain appears, then a discoloration, on the affected area of the skin. After that, the skin starts to turn white and soon becomes "marbled", it becomes cold and a partial numbness of the foot is felt and sensitivity is lost. Usually during gangrene with the necrosis of tissues, the absorption of toxic substances into the blood occurs.
As a result, the body suffers. But with dry gangrene, absorption occurs, but not significant. It does not affect the body.
How to treat?
And so, the treatment of gangrene in diabetes requires:
- Keep the feet clean.
- Perform a foot massage and special gymnastics.
- Continuous glucose control is required.
- Implementation of special methods for the restoration of impaired blood circulation.
- Topical and timely treatment of ingrown nails, cracks, wounds, calluses, as well as fungal diseases.
The goal of the treatment of gangrene in diabetes mellitus is to improve the functions of the cardiovascular system and to confront and combat intoxication. To do this, injected intravenously, subcutaneously, intramuscularly, inside enough large volumes of liquid: antibiotics, glucose, cardiac agents, blood substitutes, conduct blood and plasma transfusions. Deadly tissue should be removed necessarily! With dry gangrene, the operation is tried to be postponed until the dead tissues are completely restrained, then the tissues that are dead are removed.
And so, we found out that gangrene is a dangerous enough complication of diabetes, it is very difficult to cure, but it can be prevented. To be healthy you need to monitor your health. But everything is not always possible to follow, so you must always control your health. That will help you to always be healthy. Sometimes we think about the value of our health, until we fall ill with something. But think what would have happened if we consulted a doctor not because of illness, but simply, for prevention. Then we will be healthy for a lot longer!