糖尿病引发的足溃疡怎么办?及时采取外科干预很关键

zhuweiping、wangyan

2020年11月20日08:09  来源:人民网-科普中国
 

tangniaobingdefabinglvzaibuduanzengzhang,bingdadaoquanqiuliuxingdechengdu,tangniaobingzukuiyangshitangniaobingzuichangjian、zuiyanzhongdebingfazheng。zhouweishenjingbingbian、zhouweidongmaijibinghechuangshangshidaozhizubukuiyangfashengdezhuyaoyinsu,erchuangmianyuhebuliangyoukeyinqimanxingchuangmiandefasheng,changdaozhijiezhi。suiranduoxuekezhiliaoyichengweiguangfandegongshi,danjishicaiquyouxiaodewaikeganyu,keyikongzhichuangmianganran,cujinchuangmianyuhe,jianshaojiezhifashenglv。

tangniaobingzukuiyangyueyouyibanfashengzaizudibiaomian,lingyibanzaizudeqitabuwei,qizhuyaoweixielaiziyuzhouweishenjingbingbian、waizhoudongmaijibing、yundongshenjingbingbianxiangguandezubujixing,yijiqingweidezubuchuangshang、ganranhegusuiyan。yinqitangniaobingzukuiyangdeweixianyinsuyou:xingbie(nanxing)、tangniaobingchixushijianchaoguo10nian、gaolinghuanzhe、gaotizhongzhishuheqitabingfazheng,rutangniaobingshiwangmobingbian、zhouweishenjingbingbian、zhouweixueguanbingbian、tanghuaxuehongdanbaishuipinggao、zubujixing、zudiyaligao、ganranhebushidangdezuziwobaojianxiguan。zheixieweixianyinsukeyidaozhizubupifuhe(huo)pixiazuzhidejubusunshang,daozhizubukuiyangdefasheng,zengjialejiezhihesiwangdefengxian。

jieruzhiliaoshigaishanxiazhixueyundejiaohaofangfazhiyi。yinqichuangshangxiao,liaoxiaoqueqie,shuhouhuanzhehuifukuai、bingfazhengshaodengyoudian,zaitangniaobingzudezhiliaofangshizhongjuyouzhongyaodediwei。youqishiduiyunianlingjiaoda,shentitiaojianjiaochadehuanzhe。jieruzhiliaotongguojubuchuancijishu,yunyongteshudedaoguandaosiheqiunang,jiangbingbianduanxueguanjinxingkuozhang,zhiruhuobuzhiruzhijia,yidadaozhongxinkaitongxiazhaihuobisaidexueguandemude,congergaishanzhitidexuegong。

tangniaobingzudechuangmianzhiliao:

1、qiangdiaokangshengsuzhiliaodeyuanzeshijiyuxijunpeiyangheyaowuminganshiyanbaogao。

2、kendinghanyinfuliaohefufangcaoyaozhijizaizhiliaotangniaobingzubuchuangmianfangmianyoulianghaodexiaoguo。lixiangdefuliaoyingbaochishuifenpingheng,danbaimeigeli,shengzhangyinziciji,kangjunhuodongxing、touyangxinghecujinnenglizirongqingchuangshu,youzhuyurouyazuzhihezaishangpihuaguocheng。ciwai,tadezuoyongshijianyingzugouzhang,nengchixushifangyaowujinxingzhiliao,xiaolvgao。jinguanshengwugongchengpifujuyouyoushi,danbunengdanduyongyuzhiliaotangniaobingzukuiyang。

3、gaoyayangzhiliaokegaishanchuangmianzuzhiqueyang、zengqiangxueliuguanzhu、jianqingshuizhong、xiadiaoyanxingyinzi,cujinchengxianweixibaozengzhi、jiaoyuandanbaishengchenghexueguanshengcheng。ciwai,gaoyayangzhiliaohaikecijigusuizaoxueganxibaodongyuanbingjiangqizhaomudaopifuchuangmianzhong。

4、diancijishiyizhongyouxiaodetangniaobingzukuiyangfuzhuzhiliaofangfa,zheizhongliaofashiyizhonganquan、lianjia、jiandandeganyucuoshi,keyigaishantangniaobingzukuiyanghuanzhedechuangmianyuhe。

5、waikeqingchuangzaitangniaobingzukuiyangzhiliaozhongzuiweiyouxiao。qingchuangdezhuyaomudeshibamanxingchuangmianbianchengjixingchuangmian。ruguoxindehuaisizuzhijixuxingcheng,yingjinkenengduodizhongfushoushuqingchuang。shoushufangshidexuanze:jinkenengyouxianxuanzejiandan、jifasunshangxiaodeshoushufangan,yijiandanfangfajiejuefuzawenti。

6、waizhouquexueshitangniaobingzukuiyangdebinglitezhengzhiyi,shiyingxiangshengwugongchengpifuyizhideguanjianyinsu。yinci,shoushuxueyunzhongjianhejianyayijichuangmianchuangdezhunbeibeirenweishishengwugongchengpifuyingyongdebiyaoqianti。

7,fuyachuangmianzhiliaokeyixiaochushuizhonghemanxingshenchu,jianshaoxijundingzhi,cujinxinshengxueguandexingcheng,zengjiaxibaozengzhi,tongguoshijiajixieligaishanchuangmianyanghe。fuyachuangmianzhiliaozuoweiyizhonganquanyouxiaodefuzhuzhiliaotangniaobingzuchuangmiandefangfayibeizhongduosuijiduizhaoshiyansuotuijian。

8、shengzhangyinzizaitangniaobingzukuiyangzhiliaozhongyouyidingzuoyong,ruxuexiaobanyuanxingshengzhangyinzi、suanxingchengxianweixibaoshengzhangyinzi、jianxingchengxianweixibaoshengzhangyinzi、xueguanneipishengzhangyinzi、yidaosuyangshengzhangyinzi-1、yidaosuyangshengzhangyinzi-2、biaopishengzhangyinzi、zhuanhuashengzhangyinzi-β。

tangniaobingzukuiyanghebingnanyuhechuangmianhenchangjian,erqiejingchangdaozhixiazhijiezhi,caiqulixingde、duoxuekezhiliaoyichengweiguangfandegongshi。tangniaobingzuchuangmianchulichulejubufuzhuzhiliaowai,haiyingbaokuojieruzhiliao、xueguanzhongjian、qingchuangheshoushuzhiliaodeng,jishikongzhichuangmianganran,cujinchuangmianyuhe,jiangditangniaobingzukuiyanggaofabinglvhegaofengxianxingyijiyouciyinqideyanzhongbingfazheng。

本文由上海电力医院烧伤整形外科主任医师朱维平、汪妍进行科学性把关

“达医晓护”供稿

(责编:刘子若、李慧博)
 

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