What ointment use with diabetes for healing of RAS diabetic foot? Treatment of purulent wounds with diabetes mellitus: how to handle an affectionant

29.06.2019 Complications

For sugar diabetes The first or second type of skin can undergo the most serious and even negative changes. In order to cope with the consequences presented, a variety of techniques can be applied: from special exercises Or baths to creams and other compositions. However, ointments and creams can be most convenient for diabetics, which can always be taken with them, but it is strongly recommended to apply exclusively according to certain rules.

Skin changes and types of ointments

The use of ointments in diabetes meas allows to achieve a significant improvement in skin. It should be borne in mind that diabetics it undergoes quite serious changes, which is why the use of such therapeutic compositions is not only an ideal prophylactic, but no less effective recovery event. Speaking about it, I would like to pay attention to the fact that treatment is ensured by the means such as, the compositions for hands and for the body.

Skin cover with such a pathological state as diabetes faces a variety of changes. Speaking about it, it is strongly recommended to pay attention to the rudeness of the skin or reduce its elasticity. In addition, experts note that in diabetes 2 types, the presented compositions may need due to:

  1. essential peeling;
  2. education in the region lower extremities Natopesh and non-healing cracks;
  3. acquisition of the skin of a yellowish shade.

In addition, ointments may need diabetics due to the formation of itching, frequent and not passing fungal lesions (due to significant aggravation of immunity). Besides, therapeutic compositions help and thickening nail platesboth on the upper and on the lower limbs.

Features of the effects of these ointments

Dehydration of the skin is formed due to a significant loss of fluid human organism. In the overwhelming majority of cases, skin covers in diabetics turns out to be dry and peeling. At the same time, the function of sweat secretion is essential.

Due to the possibility of education of injuries and the subsequent exacerbation of the process of their healing, it is highly recommended with maximum thoroughness to track everything that concerns personal hygiene.

Fight with microbes, not destabilizing the balance of the fluid, is quite possible with creams and such ointments that have a neutral pH balance. It will be extremely useful even with a diabetic foot.

Next, I would like to draw attention to the fact that the dry type of skin needs the use of sufficiently strong moisturizing compositions in diabetes. In particular, it is important to ensure moistening exactly the most affected areas, let's say legs or hands. As is well known, the upper or lower limbs are most exposed to significant dryness. In addition, I would like to draw attention to the fact that:

  • diabetic ulcers are a fairly frequent process for diabetics. At the same time, peptic lesions, mainly, are formed due to the lack of correct treatment of the Russian Academy of Sciences;
  • cream or balsam, which is not characterized by bactericidal parameters and does not contain alcohol solutions, Ideally cope with the present task;
  • inflammatory processes in the field of wounds, infiltrates in injection zones and other lesions can be considered a kind of feature of diabetes.

Similarly, infectious processes are quickly attached to such damage, because human immune background does not work as it usually occurs. It should be noted that the degree of susceptibility and sensitivity of tissues in diabetics is distorted, and therefore, even the most insignificant wound with ease can provoke the most complex inflammatory processes. In this case, Mazi will help for wound healing at 1 or 2 types of diabetes.

Disinfection and treatment fungus


To ensure the disinfection of injuries, it is recommended not to use such funds that include antiseptics. Antibacterial cream formulations in diabetes will be the most optimal composition.

Next, I would like to draw attention to the fact that the fungal defeat of the area of \u200b\u200bthe feet and nails is such a pathological condition with which almost every diabetics is familiar. Its feature can be considered ease of lesion even healthy people, not even speaking of those who have impaired immunity. As a result of such aggravation of the body's condition in the pathological condition, fungal pathogens are practically in an ideal reproduction environment.

Cope with this and other consequences will help exclusively special ointments from diabetic foot.

What components are undesirable

It is very important that the list of components of ointments and cream creams for patients with diabetes does not include such components as:

  1. alcohol, which has already been mentioned earlier;
  2. salicylic acid;
  3. various dyes.


In addition, any feet ointment should do without preservatives that can greatly aggravate the condition of the skin. Compositions that include in their composition glycerin are also not recommended for further application. This is due to the fact that they can provoke the subsequent blocking and the formation of a peculiar film on the skin. It is her who will not even give her the minimum ability to breathe.

It is in this connection that it is so extremely important to choose such cosmetic creams or ointments that will not harm and, on the contrary, will be allowed to use with diabetes. They will provide perfect prevention and recovery course, and about the features of the first need to learn a little more.

For the feet in diabetes, it is permissible to apply not only ointments and other special means, but also some exercises that will be maximally useful. In addition, diabetics recommended massage and other manipulations, because they optimize the process of blood circulation, allow you to fight damage. However, with serious injuries or injuries in the limbs area, massage is unacceptable.

In addition, the healing effect can have vitamin and mineral complexes. Their use should be carried out exclusively in connection with the recommendation of a specialist and not be an independent decision of diabetics. It is in this case that the development of complications and critical consequences can be avoided.

Thus, with diabetes mellitus, especially when the treatment of damaged lower extremities (diabetic foot and other pathologies) is required, special ointments and other compositions are applied.

They make it possible to ensure the healing of damage, getting rid of the fungus or other effects that are necessary in this particular case.

Of course, such therapy must first discuss with a specialist and not apply independently.

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Sugar diabetes of both types is accompanied by severe negative changes in the skin of the patient. To effectively solve this problem, doctors apply various methodswhich range from therapeutic baths to a complex of exercise. One of these methods is the use of special ointments and creams that will help patients cope with damage to any nature. In order to figure out in more detail in this matter, it is worth examining the etiology of the emergence of wounds, as well as the use of which ointment for wound healing during diabetes is most effectively.

Various disorders of metabolic processes entail adverse changes in structures blood system. The capillaries lose their strength, and on the inner walls of larger vessels appear thrombus and plaques of cholesterol nature.

As a result of these pathological changes, the trophic supply of tissues is significantly deteriorated, the skin cover becomes dry, pale, they are significantly thinned, which provokes the formation of wounds, which are very prone to inflammation. This is especially pronous to the patient's lower limbs.

Due to the fact that treatment of wounds during diabetes is happening with great difficulty, and the work of the immune system in this case is strongly suffering, infectious processes are often developing. The lack of adequate therapy in this situation can lead to the appearance of gangrenes and the complete limb loss. It is also possible to observe phlegmon and osteomyelitis.

The diagnosis is aggravated due to the presence of neuropathy in people with diabetes. Innervation disorders in peripheral departments leads to atrophy of some skin sections.

They become subtle and easily damaged to different etiology. Traumism itself can actually be unnoticed, since pain sensitivity in this case is significantly reduced. If in this situation does not start using antiseptic and wound-healing ointments, then after a few days, the processes of development of trophic ulcers are activated.

At the same time, bacteria and viruses are often joined. This may entail the development of heavy complications, up to septic infection of blood and patient death.

Changes in skin



The use of funds for the treatment of wounds during diabetes mellitus allows you to achieve great success and improve the overall situation. It is worth remembering that ointments and creams can also become an excellent method of preventing the development of necrotic processes in the patient tissues.

Appointment like medicinal preparations occurs after the diagnosis, which is based on a subjective inspection and laboratory methods Research puts residual diagnosis. Also, in the presence of diabetes insulin-dependent type, ointments are used to eliminate:

  • peeling and cracks;
  • natopyshi on the feet;
  • damage to the skin in the patient.

Also, creams and ointments can be used in the presence of redness, strong itching, fungal lesions and inflammation. In addition, these tools will help to cope with the seal of the patient's nails and with the detachment of individual plates.

Advantages and features of therapy with ointments



The dryness of the skin appears as a result of the loss of a large amount of liquid by the human body. So occur in the case of a second type diabetes, when polyuria is observed in patients, which leads to dehydration. There is also a violation of sweat selection.

As a result, the chance of the emergence of wounds and their further complications increases significantly, therefore it is necessary to treat their health and condition of the skin during the reception of the soul or bath.

Antibacterial therapy, which does not imply a pathabilization of the balance of fluid in the patient's body, is quite possible with ointments and creams that have neutral acidity indicators. This treatment will be very useful in diabetic foot.

It should also be remembered that with dry skin necessarily the use of special moisturizers. Especially important is the moistening of the most amazed areas, which are usually the upper and lower limbs. This is due to the fact that they are most vulnerable to blood violations. The consequences of this are trophic signs. Also worth paying their attention to other points.

  1. Ulcerative manifestations are considered common among people who are sick diabetes. Most frequent cause This is considered the lack of timely adequate treatment.
  2. Preparations for external use that do not have alcohol in their composition and its derivatives are perfect for therapy skin damage.
  3. The development of the processes of suppuration and inflammation in the wounds, as well as around them it is considered to be a characteristic feature of the underlying disease.

Such complications often affect infection. Such a situation is observed due to the fact that the immunity of a person in this pathology will significantly weaken and cannot actively protect it from external factors. No need to forget that tissue sensitivity in such patients is very distorted.

Therefore, small damage can cause complex processes Inflammation. In such situations, universal ointments will help, which can be used in diabetes of both types.

Mazi for wound healing



The classification of means of external use of healing effect depends on the nature of the wound itself. The main types of external skin damage can be attributed:

  • trophic ulcers;
  • open wounds;
  • purulent wounds.

Among the ointions for the treatment of trophic ulcers are the most common are those.

  1. Salcossuril. This tool contributes to acceleration. exchange processesAnd also has a regenerating effect on external damage.
  2. Dampsin. The main thing active component This drug is a tannin. It eliminates inflammatory processes, as well as regenerates damaged cellular structures.
  3. Fusichane. This ointment is made on the basis of the acid fusidinic and has a pronounced antibacterial effect.

Open wounds in the presence of diabetes are treated with the use of the following drugs.

  1. Zinc ointment. It sunsites the skin and prevents the wound suppuration.
  2. Levomecol. This drug actively promotes tissue regeneration as soon as possible. Analogue of this ointment can be called a means of dioxisol.
  3. Baneocin. The main thing active substance Funds is Bacitracin. It is a very strong antibiotic. It is possible to use Baneocin even with superficial burns.

Among the ointments that are used by experts in the treatment of purulent wounds are most often used by such.

  1. Vishnevsky ointment. It has an active antibacterial effect, which allows the preparation for compresses.
  2. Ichthyolic ointment. This tool helps to anesthetize and displaced a purulent wound. They apply it several times a day depending on the severity of the defeat. Based on this ointment, mark and compresses are made.
  3. Streptocidal ointment. It eliminates bacteria in the wound, and also contributes to the stretching of it in Pus.

Calculate drugs can exclusively doctor. It is important to remember that self-treatment in the case of diabetes mellitus is dangerous and can harm the patient's health.

Therapy of fungal lesions in diabetes



In order to ensure disinfection of skin damage, doctors recommend not to use antiseptic drugs. The most effective option for the treatment of diabetes mellitus are antibacterial action creams.

The damage to the fungi of the upper and lower extremities is a pathology that can be found in most diabetics. Fungal is able to develop even in completely healthy people, not to mention those whose the immune system Highly weakened. This applies to people who have diabetes. They are at the top of the risk of the disease.

After entering the body, the fungus is trying to find the most favorable place for breeding. It is usually the patient's limbs. This occurs if there is all the conditions due to the violation of their blood supply.

In this case, only special external use drugs can help. Before using them, it is worth consulting from specialists. They will help choose the most effective drug In a concrete case.

The most common creams and ointments during the damage to the fungus as a result of the presence of diabetes can be attributed.

  1. Deaderm tool, which is produced in the form of ointments and cream. This drug is recommended to use not only for the treatment of fungus, but for its prevention. Dieders dry skin covers and has an antibacterial effect. It is necessary to apply it three times a day, causing a thin layer on the affected surface.
  2. Treatment of Ureta. It produces in the forms of ointment, cream and lotion for all parts of the body. The presence in its composition of urea allows the means to actively feed the skin, as well as eliminate fungal irritations. Out of the amazed area of \u200b\u200bthe skin is needed every day, in the morning and in the evening.
  3. Virta ointment is an analogue of the means of uretis, but has more wide spectrum actions. It can eliminate dryness of the skin, peeling and inflammation as a result of the damage to the fungus. Apply the ointment three times a day, while capturing the adjacent healthy areas.

Before using these drugs, it is necessary to discuss this with the attending physician. He must eliminate the presence of all contraindications to use antifungal drugs external use.

What should not be in teasers in diabetes



Funds for external use that contain some forbidden components in themselves are not allowed to use with diabetes mellitus. Among the components, specialists allocate:

  • ethanol;
  • salicyyl acid;
  • synthetic components using dyes.

In addition to them, drugs should not have preservatives in their composition, which in one or another worsen the state of the Russian Academy of Sciences on the skin of the patient. The use of glycerol for the manufacture of ointments from diabetes is also undesirable, since this substance can clog the pores of the skin. This contributes to the difficulty of selection of sweat, which provokes various inflammatory processes.

For this and many other reasons, it is important to choose such funds that will not harm a person who suffers from diabetes. They will help ensure not only safe and effective treatment Skin damage, and still have a strong prophylactic action.



There are a number of procedures that can enhance the beneficial effect of ointments and creams during diabetes. One of these can be attributed to the performance of special exercise. They will help to greatly improve blood circulation in the limbs, which will reduce the manifestation of skin symptoms.

You can also perform massage manipulations. They actually have the same effect that receives a patient from exercise, but massage can be done in case of seriously ill people.

But in the presence of serious physical damage, it is impossible to use this procedure, since it can only worsen the overall situation.

In addition, together with ointments, you can use complexes of vitamins and minerals. This should not be a decision of the patient himself, to assign funds exclusively the doctor. This nuance will help prevent a large number of complications that will be associated not only with skin, but also other patient systems.

Walking outdoors should also help a person when healing wounds during the use of special ointments. This procedure Not only will improve blood circulation in the limbs, but will allow the skin to breathe and refresh.

If a specific drug does not act properly, it is worth consulting from specialists about its replacement. At the same time, you need to repeat the diagnosis, during which the doctor will take into account all the nuances when choosing a new drug.

Preventive use of masses

In order to use medicines External application for the purpose of prevention was as efficient as possible, certain rules should be followed that will help reduce the risk of wounds on the skin. It should be attributed to them:

  • careful skin care, the use of quality hygiene;
  • daily use of foot baths that must be accompanied by good drying to avoid fungal lesions;
  • use of clothing, which is not made on the basis of synthetic materials;
  • wearing convenient shoes that should not have a high heel or all sole;
  • it is worth wearing socks and stockings from high-quality and soft materials;
  • additional moisturizing creams can only be used after consulting from specialists who will help choose the best option;
  • it is impossible to do pedicure and manicure, because in the process it is possible to form new RAS as a result of using a nail file or when cleaning the cuticle.

It is important to remember that wounds, like diabetes itself, are not a sentence for modern medicine. In order to avoid heavy complications of these pathologies, it is worth following all the recommendations of the doctors, because only he knows how to preserve the main treasure of man - his health!

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The frequency of suppuration, the timing and pace of regeneration of postoperative aseptic and infected wounds was studied in 310 patients with diabetes.

Surgical interventions were carried out in emergency and planned procedure about surgical pathology - organs of organs abdominal cavity, thyrotoxic goiter, diabetic gangrene, etc.

Women were 2 times more than men, and the majority (72.6%) of patients were aged 51 to 70 years. As a rule, these patients looked older than their years. We have already noted that, according to EjoSlin, the biological age of such patients is calculated by the calendar age plus years of diabetes mellitus. Therefore, their operational risk is as high as those in the senior age groups.

Before entering the hospital, 43% of patients were regularly injected with insulin or they took sugarpponent drugs. 28.4% of patients were treated periodically and were not treated - 1.8%. For the first time, diabetes mellitus was diagnosed in 26.2% of patients.

The slight form of diabetes is diagnosed in 27.7% of patients, middle severity - 52.3% and severe form - in 20%. In a state of precomes or coma delivered 6% of patients, which demanded immediate conduct of intensive insulin therapy and infusion disinfectant therapy. In addition, 56 (21%) patients received with decomptionation of diabetes diabetes (aceturia) also needed urgent therapeutic measures.

On the day of receipts, blood glucose content was heated from 9.9 to 35 mmol / l, in the urine from 55.5 to 388.5 mmol / l.

We studied the influence of adequate insulin therapy on the process of healing the wounds of patients treated in our clinic and in the hospitals of urban and district hospitals.

Established significant differences in the outcomes of the healing of aseptic wounds in patients of both groups.

It should be noted that in patients with diabetes mellitus, urgently operated on under the clinic and during the comprehensive pathogenetic therapyAfter the planned operations of the suppuration of the Russian Academy of Sciences did not notice. At the same time, in patients with diabetes, operated on with district or city hospitals, the suppuration of the Russian Academy of Sciences was equally often both at planned and emergency surgical interventions.

Noting a relatively high frequency of wound suppuration in patients with diabetes mellitus with acute purulent-inflammatory diseases operated on in our clinic (13.3%), and especially in district hospitals (62.5%), it should be emphasized that according to the literature the incident rate after Pure and potentially infected operations in patients with similar surgical diseases, but without diabetes, in various years ranged from 1.8 to 2.1%, and from 2.5 to 4.1%.

Analysis of the lifestylation of ventilated postoperative wounds has shown that the longest (up to 70 days) was healing the amputation of the lower limbs in connection with the discrepancy between the skin flaps after removing the seams and the wound after the disclosure of deep phlegm.

For a long time (35-50 days), purulent wounds formed after the disclosure of extensive abscesses, appendecrogomy (with acute destructive appendicitis), extirpation of the rectum, etc.

If you compare the duration of the healing of purulent wounds in people and children with diabetes patients who were treated in district hospitals with these diseases, then the deadlines of the RAS regeneration were 2-3 times more than 80 to 180 days) than the streets treated in Our clinic.

The number of bacteria in 1 g of the wound tissue increased from 103-104 to 10S-106, i.e. reached critical levelthat created a threat to the development of sepsis. From purulent discharged RAS patients with diabetes mellitus, plasmoagulant staphylococcus (in 38.7% of patients), an intestinal wand (in 15.2%), less often - protein and a sysegna wand (in 6.1%), not sensitive to penicillin, Tetracycline, little sensitive to streptomycin and cephalosporins of the 1st and 2nd generations (in 72% of patients). The appearance and development of microflora antibiotic resistant, as is known, is associated with uncontrollable and frequent use. Therefore, you should avoid the "template" destination of antibiotics with patients with diabetes. It is necessary to take into account the fact that these drugs are long use A vasotoxic effect on granulation, slowing down the healing process of wounds.

As in the experiment, the course of the regeneration process of postoperative wounds has slowed down metabolic acidosiswhich is detected in patients with diabetes in 1-2 days after surgery. Indicators characterizing braids amounted to: pH 7.28-7.31, buffer bases (explosives) - (39.1 ± 0.5) mmol / l, standard bicarbonates (SB) - (19.3 ± 1,6) mmol / l and buffer base shift (BE) - accumulation of acid radicals to (3.6 ± 0.4) mmol / l. Bad influence Acidoza for healing RAS confirm not only the results of our research, but also data of literature. So, V.A.Alekseenko et al., Studying the pp purulent wound, found that the than pronounced acidosis (pH 5.6 ± 0.2) of the wound discharge, the longer healing process was proceeded. R.REGSHA et al., Showed that the longer in the exudate of purulent wounds with diabetes mellitus, ketone bodies were found (acidosis), the slower the granulation tissue was formed.

Regeneration of wounds In diabetes mellitus slowed down not only insulinant insufficiency, acidosis and infection, but also the age of patients (over the age of 60 there were about 50% of patients), as well as the presence of obesity. So, in 23 (21.3%) of 108 fat patients after surgery marked the wound suppuration. At the same time, with a normal or somewhat reduced mass of the body, this complication was noted in 3 (5.7%) of 52 patients with diabetes. In the literature, there is evidence that insulin activity in obesity is sharply reduced, causing a relative deficit of this hormone. The perverse immunological responses of the body in patients with diabetes adversely affect the regeneration process. This is evidenced by the signs of T-cell immunodeficiency and increasing the number of in lymphocytes. So, A.S.Efimov et al., Studying the indicators of humoral and cellular immunity in people with diabetes mellitus during the period of decompensation of the disease, discovered a decrease in the relative and absolute number of T-lymphocytes - respectively, to 39.4 ± 0.37 (normally 52.7 ± 6.13) and 759.7 ± 144.7 (normally 1052.9 ± 169.56). At the same time, an increase in the relative and absolute number of B-lymphocytes is also detected - respectively, up to 25.5 + 4.3 (normally 17.0 ± 1.96) and 535.2 ± 13.4 (normally 318.0 ± 61, 47). The level of serum euglobulin increased to 972.7 ± 77.1 (at a rate of 224.3 ± 88.65), a serum complement - up to 275.5 ± 35.5 Γ (at a rate of 179.2 ± 12.9). More significant changes in immunity were observed in patients with insulin resistance.

The process of peripheral blood circulation has a significant effect on the process of regeneration of wounds in patients with diabetes mellitus. It is mainly due to patients with clinical manifestations of microangiopathy, in which, according to a number of researchers, it is first observed a narrowing, and then thrombosis and obliteration of the microcirculatory bed, leading to dystrophic changes in the tissues.

Indeed, with decompensated diabetes, it is noted an increase in the function of the hypophysic system - the caps of the adrenal glands. As sugar diabetes compensation, the excretion of 17-COP and 17-ocox decreases. During this period, RAS regeneration is improving. The wound healing slows down other reasons (hypovitaminosis, hypoxia, etc.).

These literature and the results of the clinical and experimental studies made by us make it possible to revise the displacement of postoperative seams in patients with diabetes. The seams should be removed on the 10-12 days and even in a later date, especially with severe forms of the disease and gangrenes of the lower extremities. At the same time, all the efforts of the doctor in the postoperative period should be aimed at restoring the homeostasis system and normalization of the process of regeneration of the Russian Academy of Sciences in patient with diabetes mellitus.

Due to the fact that the frequency of wound suppuration is constantly growing and the number of diabetes patients is increasing, the question of predicting the flow of the wound process is very relevant. It is known that existing methods of monitoring over the entire wound process are not always informative and accurate.

We first are proposed to use the methodology for determining regional blood flow. In pre- I. postoperative period Regional blood flow of a laparothy wound was determined by hydrogen clearance. Registration of local blood flow was made by the PA-9-01 polyanalyzer in the skin and subcutaneous basis to surgical interventions and within five days after planned and emergency operations. Data analysis was performed using the fic principle.

As a result of the studies, it turned out that regional blood flow in healthy persons (15 people) on the front abdominal wall is (83.58 + 5.21) ml / min / 100 g of tissue.

To determine the critical magnitude of regional blood flow, 5 patients with incorporated postoperative wounds were examined.

Before disclosure of the glance, the blood supply in the purulent wound region and around it (at a distance of 5-6 cm) was reduced almost 4 times and was (21.96 + 1.05) ml / min / 100 g of tissue.

It has been established that the rates of regional blood flow depend on the severity of the operational injury and character inflammatory process in soft tissues "The front abdominal wall" and the abdominal organs. The decrease in regional blood flow in the wound up to 23 ml / min / 100 g of tissue and below for 3 days after the operation, as well as the absence of a tendency to increase it in the following day indicate the likelihood of the development of purulent inflammation in the postoperative wound. Such a level of regional blood flow is considered critical, below which the complications of the wound healing process are almost always observed.

The results we obtained allow not only to judge the flow of postoperative wound healing, but also to predict the outcome of the wound process when there is no clinical manifestations His complications. The specified method of research is highly informative and small-scale.

For many years of diabetics suffer from how the disease is restless. Naturally, the manifestations of new symptoms or scratches cause hardly a panic, moreover, the healing of wounds in diabetes is very problematic. After all, even the most small rank Heals a long time and brings a lot of negative emotions. Endocrinologists believe that such a slow healing is one of the symptoms of diabetes.

Note that in medical practice there is a separation of damage to the skin. The most dangerous is injured by the feet of diabetics. After all, ulcers appear over time. How to speed up the healing of wounds during diabetes mellitus?

Integrated method of treating scratches

To avoid any complications, immediately begin treatment. Admit, you do not want the usual scratch to heal for the month and more? And therefore medicia treatment It should be complemented by other methods that contribute to the acceleration of healing of wounds.

Probably, you already guessed that we are talking about the grassure or so-called phytotherapy. With the help of a row, it is possible to competently treat RAS with diabetes.

Fitotherapy when healing wounds

First of all, you can use sunflower. To do this, in the summer, when the plant blooms, dig a root. We carry out this action after the rain. Those hairs that are on the root and are beautiful tool For wound healing.

Rinse the roots well from the soil and dried. Now we boldly begin to break the hairs. When all the healing parts are ready, make a decoction. Diabetics will have to drink the resulting decoction constantly and in unlimited quantities. A similar tool heals wounds and influences the reduction of sucrose levels.

Important: If the wound appears with diabetes, then take measures immediately. Did not be sunflower root at hand? In this case, endocrinologists advise to replace it with carrot oil. It is an excellent tool for purulent wounds. Naturally, it will take time on its preparation. However, we strongly recommend that you store a small stock of this oil.

So, we rub the carrots and, by placing in a small dishes, pour a glass of vegetable oil. Naturally, now you should slaughter in a water bath, withstanding time to boil. When the decoction cools, it can be strain. The finished agent is applied to the wound several times a day. It is also good to lubricate cracks.

Complications for diabetes

If wound healing with diabetes is extremely slow, then you should contact the endocrinologist. After all, in the absence or illiterate treatment, the impuration and development of more serious diseases. We are talking about a diabetic foot.

Remember, the vessels in diabetes are amazed, the nerves also undergo changes. As a result, immunity is reduced. If you notice that a pus appeared in the wound or began the process of color of soft tissues on the legs - immediately contact the endocrinologist.

After all, wounds with diabetes mellitus appear much more often. This is explained by doctors in the fact that the fabrics are due to high level Sugarozes are sensitive to injury. So, it is not categorically not worth refusing treatment.

Diabetic neuropathy is also a consequence of the lack of competent treatment of the Russian Academy of Sciences. After all, in almost 50% of cases, after receiving scratches, the suppuration occurs and an ulcer appears. The development of diabetic neuropathy leads to the destruction of nerve endings. This is lost sensitivity of the skin.

What wounds can cause complications:



As soon as you noticed that the change appeared on the skin - spend therapy of wound healing during diabetes mellitus. In this case, infection will not occur and will be able to avoid serious problems.

Rules for processing Ran.

Any wound before the start of treatment should be processed by an antiseptic. This is not a very pleasant procedure, but inevitable. Endocrinologists recommend using:

  1. furacilin,
  2. potassium permanganate.

If the temperature rises, redness or swelling appears on the place of injury, then in addition to pretreatment, an ointment should be applied. The appearance of scratches may be accompanied by pain or suppuration. Then for healing of wounds during diabetes, there will have to buy ointments with an antibiotic content. It can be:

  1. levomikol,
  2. levosin.

At the same time, the endocrinologist assigns a whole course of antibiotics. Of course, it is complemented by vitamin therapy (C and B). After the first signs of wound healing with diabetes are noted, trophodermine can be used. Also can assign a solcossurile or methyluracyl ointment.

Prevention of the development of complications

Avoid diabetic angiopathies, neuropathy can be if you will support immunity every day. Therefore, in the complex method of treating diabetes, antioxidants preparations are prescribed by endocrinologist.



Remember, any minor wound becomes a serious complication and can lead to the development of other diseases. There is only the only way - immediately appeal to consult an endocrinologist and clearly fulfill the instructions. In this case, treatment of wounds in diabetes mellitus will be held without negative consequences.

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Questions and answers on: wounds with diabetes mellitus

2010-05-05 12:08:28

Asks Alina:

How to heal the wound with diabetes mellitus? My grandmother dropped the regiment on himself and now he says that her Vienna burst and a foot swollen and hesitated .... How can she help?

Replies:

Hello, Alina!
Sugar diabetes complicates all other diseases present in humans. In particular, the wounds obtained on his background are healing longer and often caught up, so they require antibacterial treatment. The situation is complicated even more in the case of varicose expansion veins. Trophic ulcersarising from spontaneously or as a result of injury is extremely difficult to treat. Launched ulcers can spread to extensive areas and move in necrosis (tissue homes). In order to prevent this, you need to use drugs that accelerate the healing of tissues (for example, solk sector ointment and jelly). Not proper treatment It may cause a significant distribution of the pathological process, lead to irreversible consequences and even threaten the lives of your grandmother.
You should consult as soon as possible at the surgeon to establish the diagnosis and the choice of tactics of treatment.
Get well soon!

2012-09-29 12:31:24

Asks Natalia:

What needs to be done if the wound does not heal on the foot after the operation, with diabetes mellitus?

2012-07-19 17:36:01

Tatyana asks:

Doak treat wet wounds on legs with type 2 diabetes mellitus?

2013-07-17 19:29:08

Lisane asks:

Hello! Mom has insulin-dependent diabetes. Sugar diabetes fell ill 5 years ago. Insulin began to prick about a month 3 years ago. Last week began to hurt the stop closer to fingers. Two days later, the leg began to swell. Abloved temperatures. Between the big and middle finger of burgundy skin. Under the fingers on the wall of the wound, when pressed out of the wound, a small iron chop with pus and blood came out. Yesterday they turned to the surgeon, nasamed antibiotic injections, vodka compress, Ichitol ointment and baths with salt and iodine 3-4 times a day. After the launch, the leg even more swollen and hurts. Middle finger from above as if buried. Does the Treatment right prescribed a surgeon? What treatment is better to start? Will the ointment of Salkosryl help?

Replies Lirnik Sergey Villenovich:

Good afternoon, dear lesan.
What you describe is the lack of blood flow in the limb, the defeat of the nerve endings, infection and, as a result, the suppuration. In the case of running diabetes, this is an ordinary story. Only after evaluating the blood flow by ultrasound of the limb vessels and, if necessary, x-ray of contrast angiography, you can make a forecast for the treatment and viability of the limb. Also, to eliminate osteomyelitis, it is necessary to make the X-ray of the foot and begin the correct treatment. There are treatment techniques that allow you to save the limbs, but how launched the situation is, I do not know.
According to the description of the patient, I think there is still chances. This problem is not Nova, if the patient does not follow sugar, does not accept preventive treatment courses, then with the age of the vessels do not become better. If not to treat, then you can lose limb.
Salcossurian ointment will not help !!!
It is not necessary to treat from the outside, but to improve the bloodstream (if there is still there). Surgical processing of the wound is also needed. Describing the techniques does not make sense, you can take and read several hundred monographs on the treatment of sugar diabetes complications.
Is it possible to cure, I have to see the patient.

2013-04-07 14:49:50

Asks Victoria:

Hello. My grandfather has diabetes. He recently amputated left leg. Almost a month already. The wound is not delayed at all. The seam is constantly diverged. Already sewed times. In this very much, the right foot began to swell. Can you explain for what reason and what to do? thanks in advance

Replies Lirnik Sergey Villenovich:

Good afternoon, dear Victoria. Consult in absentia is very difficult, and often it is impossible, especially in such heavy and complex patients.
Sugar diabetes is a very heavy and complex disease, giving many complications, including kidney damage, the defeat of the blood vessels and brain, view (retinal vessels), nervous system and blood vessels lower limbs.
What you describe is the absence of blood flow in limbs and damage to nerve endings and infection, and, as a result, gangrene and limb amputation.
It is possible that it is necessary to make amputation above where there is blood flow and there is a possibility of wound healing. It is possible that this infection and proper treatment will lead to the rapid healing of the wound and recovery.
The swelling of the second leg can be for many reasons. This should deal with the attending physician. The list of causes may take several pages.
Good luck. Sincerely, Vascular Surgeon Lirnik S.V.

2012-04-02 13:44:56

Olga asks:

Good day. Help me please! My grandmother has been sickly diabetes for a long time, as a result, very serious complications appeared. Initially, "Diabetic Stop" appeared on his left leg (after which it was transferred to insulin), long treatment in the regional clinic did not give any results, as a result, the limb amputation. Now she has a dark color wound at the second leg, similar to death skin, very dry. Complaints on the swelling of legs and fingers, can't stand on it. But, while it categorically refuses to show a doctor, it is afraid that the second leg will need to be amputate ... (neither reacts to any threats). Help, please, maybe there are some ointments that can be applied to improve its condition.

Replies Agababov Ernest Danielovich:

2011-02-03 13:54:44

Asks Galina:

I am 60 years old. Movement back Pledged to the leg of boilingkom. She was treated, after which he walked without pain. The daughter decided to "help" with treatment: washed with Furacilin's wound and cut the old, dried skin. Drinks are terrible, I can't sleep for a week. With all this, I have diabetes, high pressure, high weight. what to do?

Replies Medical consultant portal "Site":

Hello, Galina! You can only make one thing - until the trouble happened, just show a surgeon, only a qualified specialist should be engaged in diabetes, do not joke with your own health, further self-medication can only aggravate the situation.