糖尿病足英文

演講人：日期：糖尿病足英文目錄IntroductionEpiologyofdiabetesfootPathophysiologyofdiabetesfootClinicalmanifestationsanddiagnosisofdiabetesfootTreatmentandmanagementofdiabetesfootComplicationsanddiagnosisofdiabetesfootResearchprogressandfuturedirections01IntroductionToprovideanoverviewofdiabetesfoot,includingitscauses,symptoms,prevention,andtreatmentoptionsPurposeDiabetesfootisacommonandseriousapplicationofdiabetesMellitus,affectingasignificantpromotionofindividualswiththediseaseBackgroundPurposeandbackgroundDefinitionandimportanceofdiamondsfootDiabetesfootreferstoarangeoffootproblemsthatcanoccurasaresultofnervedamageandpoorcirculationcausedbydiabetesDefinitionDiabetesfootcanleadtoseriouscomplicationssuchasulcers,infections,andevenadmissionsifnotproperlymanagedTherefore,itiscrucialforindividualswithdiabetestobeawareoftherisksandtakeproactivemeasurestoprotecttheirfeetImportance02EpiologyofdiabetesfootIncidentrateThenumberofnewcasesofdiabetesfootthatoccursinaspecificpopulationoveraperiodoftimeThisratevariesdependingonthepopulation'scharacteristics,suchasage,gender,andethicsPrevalenceTheproposalofthepopulationthathasdiabetesfootatagiventimePrevalenceistypicallyhigherinolderagegroupsandinpopulationswithahighervalenceofdiamondsIncidentrateandvalidityTheseincludepoorpsychologicalcontrol,peripheralarterialdisease,neuropathy,footdeformities,andahistoryofpreviousfootulcersorexaggerationRiskfactorsRegularfootcare,includingdailyinspection,properfootwear,andavoidinginjury,canhelppreventdiabetesfeetAdditionally,controllingbloodsugarlevels,managingbloodpressureandcholesterol,andquenchingsmokingcanalsoreducetheriskPreventivemeasuresRiskfactorsandproactivemeasuresRegionaldifferencesTheincidenceandpresenceofdiabetesfootcanvarysignificantlybetweendifferentregionsThismaybeduetodifferencesinhealthcareaccess,culturalpractices,andenvironmentalfactors0102DemographicdifferencesCertainDemographicgroups,suchasolderadults,ethicalminorities,andindividualswithlowersocialeconomicstatus,maybeathigherriskfordevelopingdiabetesfeetThesedifferencesmayberelatedtodivisionsinaccesstocare,healthliteracy,andotherfactorsRegionalanddigitaldifferences03PathophysiologyofdiabetesfootPeripheralneuropathyDuetolong-termhyperglycemia,nervefibersaredamaged,causingsensory,motor,andautonomicdysfunction.Patientsmayexperiencesymptomssuchasnumbness,pain,andabnormalsensationintheirfeet.AutonomicneuropathyItaffectstheautonomicnervousfunctionoftissuessuchastheskin,bloodvessels,andsweatglands,makingtheskindry,cracked,andpronetoinjuryandinfection.NeuropathyAtherosclerosisdiabetespatientsareoftenaccompaniedbyatherosclerosis,leadingtolowerlimbvascularstenosisorocclusion,footbloodcirculationdisorders,resultinginischemiculcersandgangrene.MicrovasculardiseaseHighbloodsugarcanalsodamagemicrovasculature,affectingthenutritionalsupplyoffoottissueandtheclearanceofmetabolites,exacerbatinglocaltissuedamage.VascularlesionsBacterialinfection01Footdamagecausedbynerveandvascularlesionscaneasilyleadtobacterialinfections,formingabscesses,cellulitis,andsoon.Fungalinfection02Thewetandwarmenvironmentofthefeetofdiabetespatientsisconducivetofungalgrowth,causingfungalinfectionssuchastineapedisandonychomycosis.Weakenedimmuneresponse03Longtermhyperglycemiacaninhibitthefunctionoftheimmunesystem,reducingthepatient'sresistancetoinfectionandmakingiteasierforinfectiontospreadandworsen.Infectionandimmuneresponse04ClinicalmanifestationsanddiagnosisofdiabetesfootFootulcerSkindamage,infection,andtheformationofdifficulttohealulcers.PainPersistentorintermittentpaininthefeet,whichmayworsenatnight.FootdeformityLongtermhyperglycemialeadstomuscleatrophyandbonedestructioninthefeet,resultingindeformities.Symptomsoflowerlimbischemiapaleskin,chills,soreness,fatigue,andabnormalsensation.signsandsymptomsMedicalhistoryinquiryunderstandthepatient'smedicalhistory,treatmentandbloodsugarcontrollevelofdiabetes.Laboratoryexaminationdetectbloodglucose,glycosylatedhemoglobinandotherindicators,andevaluatethecontrolofdiabetes.ImagingexaminationX-ray,CT,MRIandotherexaminationmethodsareusedtoevaluatethebonedestructionandvascularlesionsinthefoot.PhysicalexaminationObservethecolor,temperature,humidity,andulcerationofthefootskin,andexaminethearterialpulsationandnervoussystemfunctionofthefoot.DiagnosticcriteriaandproceduresNeuroelectrophysiologicalexaminationEvaluatethefunctionanddegreeofdamageofthenervoussystem,suchaselectromyography,nerveconductionvelocity,etc.SkintemperaturemeasurementUsinginfraredthermometersandotherdevicestodetectchangesinfootskintemperatureandevaluatevascularfunction.Woundbacterialcultureanddrugsensitivitytestguidetheuseofantibioticstopromoteulcerhealing.AuxiliaryinspectionmethodsHemorheologicalexaminationtestingbloodviscosityandotherindicatorstoevaluatebloodcirculation.Auxiliaryinspectionmethods05TreatmentandmanagementofdiabetesfootRemovalofnecroticissuesandforeignbodiestopromotewoundhealingDebridementApplicationofappropriatedressingtoprotecttheWoundandAbsorbexcludeWounddressingUseofdevicessuchascastings,boots,ororthoticstoredistributepressureandprotectthefootfromfurtherinjuryOffloadingLocalwontreatmentTotreatandpreventinfections,whicharecommonindiabeticfootulcersAntibioticsTocontrolbloodpressureandreducetheriskofcardiovascularcomplicationsAntihypertensivesTocontrolbloodsugarlevelsandimproveoveralldiabetesmanagementAntimicrobialagentsTorelievepainanddiscomfortassociatedwiththediabeticfootconditionAnalgesicsDrugtreatmentselectionNonpharmacologicaltreatmentmethodsSurgicalinterventionInmultiplecases,surgerymayberequiredtocorrectdeformities,removeaffectedissue,oramputatetheaffectedlimbHyperbaricoxygentherapyTopromotewoundhealingbyincreasingoxygenlevelsintheaffectedissueNegativepressurewontherapyAtypeofwondressingthatusessuctiontopromotehealingbyremovingfluidandstimulatingissuegrowthPhysicaltherapyToimprovecirculation,strengthenmuscles,andincreaserangeofmotionintheaffectedlimbFootcareeducationInstructiononproperfoothygiene,nailcare,andshoeselectiontopreventfutureulcersandinfectionsRegularfootinspectionsSelfexaminationofthefeedforsignsofredness,swinging,orblinkersthatcouldindicatetheearlystagesofadiabeticfootulcerSmokingprocessSmokingimportswon'thealandincreasestheriskofcomplications,soitisimportantforpatientstoquitsmokingPatientdailymanagementandeducationControlofbloodsugarlevelsTightglycomiccontroliscriticaltoreducingtheriskofdiabeticfootulcersandotherdiabetesrelatedcompositesPatientdailymanagementandeducation06ComplicationsanddiagnosisofdiabetesfootNeuropathyNervedamagecanleadtonumbness,tingling,andpaininthefeet,increasingtheriskofinjuryandulcerationPeripheralvasculardiseaseNarrowingorblockingofbloodvesselscanreducebloodflowtothefeed,causingpain,ulceration,andaggregationEffectsDuetopoorcirculationandnervedamage,diamondsaremorepronetofootinfections,whichcanleadtoseriouscomplicationssuchasosteoporosisandsepsisCommontypesofapplicationsFootdeformitiesLongtermdiabetescancausechangesinfootstructure,suchasbundles,hammertoes,andflatfeet,whichcanaffectwalkingandincreasetheriskofinfectionCommontypesofapplications

InfluencingfactorsandriskassessmentGlycemiccontrolPoorglycemiccontrolincreasestheriskofcomplicationsDurationofdiamondsThelongerapersonhasdiamonds,thehighertheriskofdevelopingfootcomplexesSmokingSmokingglassesbloodvesselsandreducingbloodflowtothefeed,increasingtheriskofperipheralvasculardiseaseObesityExcessweightcanincreasethepressureonthefeedandmakeitdifficulttocontrolbloodsugarlevelsPreviousfootulcersoramputationsHavinghadafootulcersoramputationsinthepastsignificantlyincreasedtheriskoffutureapplicationsInfluencingfactorsandriskassessmentRegularfootexamsDiabetesshouldinspecttheirfeetdailyforsignsofinjuryorinfectionandseekpromptmedicalattentionifanyproblemsaredetectedPropertyFootwearWearingshoesthatfitproperlyandprovideequalsupportcanhelppreventfootinjuriesandulcationsGlycemiccontrolMaintaininggoodglycemiccontrolthroughdie,exercise,andmedicinecanhelpreducetheriskofcomplicationsFootcareeducationDiabetesshouldreceiveeducationonproperfootcaretechniques,includinghowtocleanandinspecttheirfeet,howtoapplymoisturizers,andhowtotrimemailssafely01020304Strategiesforimprovingdiagnosis07ResearchprogressandfuturedirectionsAdvancedWoundDressingNewWoundDressing,suchashydrogels,collagenbaseddressing,andsilverintegrateddressing,arebeingdevelopedtopromotewoundhealingandreducetheriskofinfectionindiabeticfootulcersHyperbaricOxygenTherapyThisthermalinvestmentbreakspureoxygeninapressurizedchambertoenhancewoodhealingbyincreasingtheoxygencontentinthebloodandissuesStemCellTherapyResearchisongingtoinvesttheuseofstemcellstoregeneratedamagedissuesandimprovewoundhealingindiabeticfootulcersIntroductiontoNewTreatmentTechnologiesLimitedUnderstandingofPathophysiologyDescribesignificantprogressindiabetesresearch,theexactmechanismsunderlyingdiabeticfootulcersandtheirapplicationsarenotfullyunderstudiedInadequateOffloadingOffloading,