In our daily life, it is inevitable that the skin and wounds will inevitably hurt. The small skin wounds of ordinary people are often treated with simply treatment. Even if a large wound is generally treated, it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine soon, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine, but it will be fine. It is different for people with diabetes.
Maybe a small wound also needs to heal longer, especially patients with poor blood sugar control. It seems to be simple skin trauma. If it is not handled, it may cause serious consequences. Ms. Li met.
Ms. Li, female, 58 years old, has a history of diabetes for 10 years, usually takes oral hypoglycemic drugs, two metformin and Grezett. The blood glucose control is not very good, about 7.5 mmol/L on an empty stomach, and accidentally accidentally go to the field a week ago. It was tied to a wooden thorn, the wound was not deep, and he didn’t bleed much. After returning home, he wiped it with alcohol and thought about it.
However, the situation continued to deteriorate. After three days of the stabbing of the foot, there was redness and swelling, and then pus infected. The surgery of the local hospital was cut and drained, and the medicine was changed twice. It is said that diabetic people’s feet are ulcerated and need amputation when they are severe!
Ms. Li was very scared, and finally decided to go to municipal hospitals to live in endocrinology. After admission, the doctor immediately put her insulin pump to actively control blood sugar and improve the cycle. Daily debridement changed medicine. After comprehensive treatment, the wound was gradually healed after more than 20 days of hospitalization.
After being discharged from the hospital, Ms. Li said: Who knows that a small stabbing is so powerful that she almost caused a big disaster, and she was afraid of it.
Indeed, clinically, diabetic patients are susceptible to infection and difficult to heal after skin trauma, especially the wounds in the foot of the lower limbs. Improper treatment is extremely harmful. It may cause the occurrence of diabetic feet, and even form purulent sepsis. Quality and survival quality have a great impact. So a small wound of patients with diabetic patients. So why isn’t skin trauma easily healed by diabetic patients? What should I do and care if the skin trauma occurs? The author refers to the literature to make a brief introduction to readers.
Why are diabetic patients infected and not healed?
Let’s first understand how the human wound was repaired?
For the repair of open wounds, our human body has a complete and fine repair mechanism to complete under the protection of immune function. In this mechanism, it is essential to be the new granulation tissue. The granulation tissue is mainly composed of fibroblasts and new capillaries. They slowly extend from the edge and bottom minister of wound defects, extend to the middle and surface, and finally fill the entire wound. Of course, this repair process is also carried out under the protection of human immune function. A large number of neutral granulocytes and macrophages are added. They swallow the bacteria that invades open wounds and remove some cells that die after completing the mission. The whole process is like a huge project. Under the command of the body repair and immune system, countless cells work hard around the wound, and finally complete the repair process to maintain the integrity of the skin and mucosa.
Diabetic patients are prone to infection and infection and infertility. It is mainly related to the following factors.
The body’s defense function of diabetic patients weakens
The normal defense mechanism of the human body is a complex and coordinated anti -infection system. Once the pathogen is through the skin and mucosal barrier, the non -specific immune response is formed between the phagocytes and the body fluid medium, and the anti -infective effect is quickly played. And diabetic people have been in a hyperglycemia environment for a long time after the illness. The immune function of cell media will become low, the white blood cells in high sugar environment will decrease, the phagocytosis will weaken High blood glucose is a well -developed medium. When the human immune function decreases, the bacterial virus will easily cause the wound infection and difficulty healing.
Diabetes patients’ tissue repair function is damaged
Because the adjustment function of the insulin secretion in the human body is abnormal, it will cause the sugar metabolism in the body to be disordered. The use of glucose is abnormal, and the utilization rate is reduced. It cannot be transformed into protein and other substances well. Tissue hyperglycemia causes high seepage of tissue cells and is not conducive to cell survival. These all cause damage to the regeneration repair function of the tissue, causing wound delay healing.
Neuromerical abnormalities of diabetic patients
Neuromerical abnormalities of diabetic patients are also one of the factors that hinder wound healing. Most patients with diabetes with long course of diabetes will lead to the increase in the end of the sugar -based product due to the rise in blood sugar levels, interference and damage to the normal structure and function of tissue protein, coupled with oxidation stress reactions, causing tissue damage and a large number of cell deaths Further induces diabetes large vascular lesions, microvascular lesions and neuropathy, vascular hardening obstruction, making local tissue blood circulation poor, microcirculation disorders, and insufficient skin tissue blood supply to wounds.
How to properly handle and care for skin wounds in diabetic patients?
If you are accidentally injured, the wound is smaller and superficial, you need to keep the wound clean as much as possible. After washing the wound with sterile physiological saline, the iodine is applied locally. But be careful not to use the colorful disinfectant solution, such as purple potion (nor purple), so as not to cover the changes in the wound and delay treatment; nor can it be pasted on the wound and can be pasted on the wound, which will cause local temperature to increase. It is prone to bacterial reproduction, which is not conducive to wound healing. 02
If it is a relatively serious wound, especially the trauma or the wounds is relatively large, you should go to the hospital immediately to ask the doctor to deal with it, completely debride the wound, do strict surgical treatment, comply with the doctor’s treatment plan, and pay close attention to observing the wound healing. In the case, the problems are found in time, and the drug prevention drugs are used if necessary.
If the wound occurs in infection, or even severe ulcers, it cannot heal for a long time. Those with rotten pus must be cut and drained, and the necrotic tissues should be removed in time. In the process, the following important links are required:
Create must be thorough;
Sterile operation must be strict;
When using a syringe to clean the wound foreign body residue, pay attention to uniform force to avoid damage to the wound, and the flushing liquid uses a physiological saline with a temperature of about 37 ~ 38 ° C. It is also conducive to wound healing.
You can try an appropriate amount of insulin, which can stimulate the growth effect of granulation and promote wound healing.
Severe infection of the whole body to use sufficient sensitive antibiotics to prevent the occurrence of sepsis.
Careful care Wound: Wound care is not a simple process, especially for patients with diabetes. Diabetes patients have poor immunity, so the wound healing ability is poor, so the nursing of wounds needs to be careful and thoughtful. Nursing staff should carefully observe whether the wound has exposure to ligaments, muscles, bones, etc., whether the wound is swollen, whether the skin color and temperature around the wound are normal, etc., and accurately record the observation situation. When dealing with the wound, the movement is gentle, keeping the wound and the dryness and cleaning of the surrounding skin, and replace the dressing in time to facilitate the growth of granulation. Tell patients to avoid the humid and cold environment and keep warm. As much as possible to ensure the living environment and personal hygiene, to avoid cross -infection as much as possible.
Effective control of blood glucose: For patients with diabetic trauma, they must not be limited to local nursing of wounds, but also guide patients to control blood sugar in accordance with the doctor’s advice. According to the usual blood glucose control, timely adjusting the hypoglycemic plan, those with poor blood glucose control, and early use of insulin therapy or insulin add oral sugar, strictly controlling blood sugar can help enhance the body’s ability to promote the wound as soon as possible. Prevent infection.
Strengthen nutrition: Eat more protein and vitamins in the diet to improve the nutritional level of the body and enhance the ability to repair tissue cells, which is conducive to wound healing.
Psychological guidance: Patients often have nervousness and anxiety after being traumatized. Psychological fluctuations are often large. Medical staff should communicate with patients and family members in time to give patients’ care and psychological guidance in life, so that they can establish confidence in defeating the disease to the disease. Cooperate with treatment, recover soon.
About foot skin trauma and diabetes foot
In the clinical practice, many patients with diabetic feet are the first foot ulcers of the foot. They are mostly due to small wounds, or scratching skin ulceration, blister rupture, or collision injury, foot repair damage, new shoes grinding tetanus and other small range of skin injury. These small wounds are these small wounds. It is often not valued by patients, and believes that simple treatment or even without treatment can heal quickly. Some patients may have sensitive nerve injury sensory disorders in the lower limbs due to poor long -term blood glucose control. The pain is not sensitive. Only pay attention.
This often loses the best time to treat diabetes foot, and can increase the range of lesions, deepen ulcers, and increase infection. Some patients change their own medicines after being traumatized, and the injuries will develop rapidly. The disease has deteriorated sharply. The light of the light increases the difficulty of treatment, extend the rehabilitation time.
In order to prevent the occurrence of diabetic foot, it is recommended to guide patients with diabetes to conduct foot inspections and self -care. If the patient’s foot has infection, chicken eye, blisters, bruises, and injuries, you must not deal with themselves. The nurse is dealt with.
<!-2586: Diabetic terminal page
All in all, people with diabetes must be attracted high attention. They must go to the hospital in time. They should be treated under the correct guidance of the doctor. Choose a scientific and reasonable way of changing the drug care method in order to maximize the various factors that hinder the healing of the wound heal , Make the wounds of diabetic patients healing early to avoid severe complications.