Gangrene in diabetes mellitus, treatment, symptoms, dry gangrene of lower body limbs and feet

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Gangrene in diabetes mellitus It's no secret that this is a threatening disease, such as diabetes mellitus. One of the complications of this disease is gangrene or in other words necrosis of the foot or toes. Unfortunately, sad statistic says that about 80% of individuals with insulin-dependent diabetes died of gangrene of the lower body limbs. Cause of gangrene appearance and development in diabetes mellitus is poor circulation of blood in the legs, which causes the development of pathological processes in the tissues and blood vessels of feet.

Insufficient blood supply is called critical ischemia. Its symptoms are sore feet and fingers, with such force that she always makes a person to lower leg down. Then the process develops further, then appear some changes of skin and then gangrene appears.

Damage of tissues leads to necrosis, the lack of blood flow causes appearance of black necrosis. This disease is called ischemic or dry gangrene.

Symptoms of gangrene

What is an ischemic gangrene? The remaining dead tissue without blood supply can lead to self-amputation of body limb or affected tissues. This outcome is the most favorable, but it happens rarely. There are times when a small blood supply to tissues of feet still remains. Then the decay products of dead tissues enter the bloodstream and cause poisoning the whole body. In this case eenal failure may occur, leading to the death of a patient with diabetes mellitus.

Dry gangrene infection may be complicated by the accession and then begins a rapid decay or wet gangrene. The only way to save the patient's life is immediate amputation of infected tissues or of entire body limb or death can occur from blood poisoning or sepsis. This type of pathological process with gangrene is characteristic of diabetes and is usually called a diabetic.

Leading causes of gangrene appearance are destruction of the lower limb arteries in diabetes and atherosclerosis. The most dangerous is destruction or dysfunction of small vessels located at the lower part of patientís leg. In such situations, vascular surgeons refuse to do surgery. Held high amputation, as in vascular surgery cannot remove the pain and stop the development of gangrene.

One of the other way of developing of the disease is lightning fast when acute thrombosis or embolism of the arteries are presented. Acute ischemia can develop, which is manifested by several symptoms like cyanosis or pallor of the foot or the affected fingers, sharp pain, loss of sensivity and of ability to do active movements.

Gradually developing gangrene occurs in case of critical ischemia. It is manifested by a strong night pain, sores on the legs or feet and necrosis of the toes.

Treatment of gangrene in diabetes mellitus

Treatment of gangrene in diabetes mellitusDiagnostics of states under which gangrene of the lower limbs is developed is based on a careful inquiry and examination of the patient at the beginning of treatment. There are a number of factors that stand at the basis of this diagnosis:

If there syndrome of critical ischemia is presented, which precedes gangrene, symptomatic treatment should be completed: