If the diabetic patient is complicated, he may be able to separate the leg. Two in three people will die within five years. It is a "diabetic foot" known as a fatal complication of diabetes. If the wound on the foot of the diabetic patient is actively controlled, the infection can be prevented. However, diabetic foot awareness is not high and the patient's treatment environment is poor. I met Professor Shin, Dong-hyuk of the Plastic Surgery Clinic at the Konkuk University Hospital, to discuss the problems and preventive measures of the Korean diabetic foot care environment.
– The reason why diabetic foot is dangerous.
“Diabetic patients often don't know enough to break sensory nerves. It is not easy to feel uncomfortable even when the skin is swollen and feels hot due to infection. Municipal people are sick because they are sick enough to go to the emergency room, patients with diabetes have little pain because their nerves are weak and their senses fall. There is no accurate statistics in Korea, but it is estimated that over 100,000 patients lose their feet due to diabetes every year. Diabetic foot mortality has been reported to be about 68% within 5 years. Worldwide, social costs associated with diabetes are rising sharply, with diabetes being the leading cause.
– Is there an effective method of controlling infection that prevents cleavage?
"It is important to control wound infection in time to avoid leg cuts." It is useful to use a dressing that can remove abnormal tissue and improve infection. However, there are many obstacles to using effective formulations for dressings in Korea. The patient does not receive proper doses of treatment. Typical is a silver bandage. Silver-containing dressings are highly sterilizing agents. Silver directly penetrates bacteria and kills bacteria. It is effective in controlling infection. However, in Korea, only a dressing product is used that has a low sterilizing power since it is not approved for diabetic patients. Currently, silver-containing dressings can be used for burn patients, but it is illegal to use them for diabetic patients. This part is absurd. Since the diabetic foot is infected and can be separated by cutting, effective dressings should be used. We have to change the criteria so that they can be used not only for burns but also for infected wounds.
– Overseas dressings containing silver are widely used.
“There are thousands of papers on the effects of a silver bandage on infectivity. In 80% to 90% of the products, it is said that silver-containing dressings are excellent for reducing bacteria. The astounding result is that full recovery of the infection takes less time. There are many other dressings such as honey dressings and alcohol-containing dressings that are not introduced in Korea. Domestic use permits are too complex and inflexible.
– If there is a proposal to improve the home environment for diabetes.
“The goal of care for a diabetic foot is to prevent serious infections or to control infections so quickly that they don't go away. To achieve this, doctors should be able to choose a good treatment first. It is also important how often doctors walk and touch their wounds. We hope to create an environment for multidisciplinary treatment. A diabetic foot is a disease that several medical departments must see together. Analyze the procedure and method of walking the blood vessels of patients with poor blood flow to prescribe the correct distribution of pressure on the feet, to treat wounds with diabetic foot and skeletal problems and to treat plastic surgery, orthopedics, rehabilitation medicine The role of medical staff, such as radiology, department for the treatment of infections.
– It is impossible to treat a diabetic foot in plastic surgery.
"The biggest prejudice about plastic surgery is that it's just cosmetic surgery." Plastic surgery covers a wide range of areas. Microsurgery combine hands and feet that have been beaten by an accident, and tear surgery are plastic surgery. Treatment of diabetic foot, pressure ulcers, and radiation-induced wounds is also a major area of plastic surgery. If there is a problem with the soft tissue surrounding the bones and joints, it should be converted into a suitable tissue and well formed to functionally improve. In particular, it is difficult to manipulate the soles of the soles due to the complexity of the tissues and microfibers that hold the skin. For subcutaneous tissues and wounds, plastic surgeons are experts.
– Prevent diabetic foot.
“A person whose nerves have been broken for a long time and whose sensory legs are falling comes to the hospital only when the legs are injured. If you run into cancer, it comes after mid-year. Caring for a diabetic foot is important before it occurs. First, you should wear shoes that suit your feet. I think it's good to wear loose shoes or shoes with lots of pillows. If you relax, your feet will rotate in the shoe and cause more friction. If the cushion is too soft, the soles of the soles have a more frequent impact on the hard floor. It is better to wear socks indoors and dry feet every day. Before you go to sleep, you and your family should always check the soles. If you have scars, hard meat or corn, you should find a hospital right away.
Lee Minyoung reporter firstname.lastname@example.org