How to treat diabetic foot to avoid the fate of amputation?

  Many patients go to the hospital and without exception require amputation. People have a strong desire to preserve their limbs, but they also worry that not amputating the limb will further bring unpredictable consequences to the patient. I tell you that with timely and effective treatment of diabetic foot, it is entirely possible not to amputate the limb, and there will be no need to consider what the consequences of not amputating the limb will be. Let’s take a look at what you need to do to not amputate your limb.  First, comprehensive treatment of blood sugar, blood pressure, cardiovascular, lower limb vascular occlusion and other basic treatment. These problems can affect the patient’s health and also affect the wound healing, and the slightest carelessness will be more risky.  Second, it is necessary to do an assessment of the local wound. All treatment must know the root of the problem, otherwise it is a blind treatment. It is important to know the extent of the patient’s infection, whether it is superficial or accompanied by deep tissue necrosis, whether there is infection of blood vessels, tendons, bone, etc. If the infection is present, to what extent, all these should be clarified.  Third, the focus of the work is not just on controlling the infection. Many hospitals have gone into the misconception that the root cause of gangrene is infection and that if the infection is controlled, the patient will be fine. And it just so happens that the patient’s infection is so difficult to control that there is nothing anyone can do but choose to amputate the limb.  Fourth, choose the right time to clear the wound. It is important to know that the timing of debridement is different for different types of gangrene. For example, wet gangrene can be cleared immediately, while dry gangrene often has to wait for further improvement in circulation in the lower extremity before it can be cleared. It is difficult to achieve better results when debridement is done too early or too late.  Fifth, the treatment of the wound after debridement. Many hospitals often choose common anti-inflammatory water or some dressings to treat the wound after it is cleaned, and large trauma will also choose to implant the skin. According to the patients admitted to Shangqiu Five Hospital, the use of effective Chinese ointment can quickly control the infection, improve the healing ability of the wound, promote early healing of the wound, and ultimately achieve the purpose of not amputating the limb.  Therefore, when you encounter the case of amputation, you must learn more and consult more, after all, the recurrence rate and mortality rate after amputation is very high. What’s more, a large number of cases have confirmed that amputation is not the final choice, so I hope to pay attention to it.