JAKARTA - For diabetics, any wound on the foot area should not be considered trivial. Vascular surgery specialist, dr. Andrew Jackson Yang, Sp.B, Subs. BVE (K), MARS, emphasized that the feet are the most vulnerable part of the body to trauma because of its function as the main support of the body.
"The feet are more prone to injury because they are often pinched or bumped compared to other parts of the body. In diabetic patients, these wounds can be a serious problem if they are not treated immediately," explained Dr. Andrew as reported by ANTARA.
Wound healing in diabetic patients is often hampered by two main factors:
Blood Vessel Disorders: Diabetes attacks the blood flow, causing blockages that make it difficult for nutrients and oxygen to reach the injured tissues.
Immune & Blood Sugar System: Chronically high blood sugar levels damage the function of tissue repair cells and lower the immune system's ability to fight infections.
If the infection is already in a severe stage, amputation is often the last resort to stop the spread of infection throughout the body.
Dr. Andrew emphasized that treating diabetic feet is not just a skin problem. Blood flow examination is crucial to determine the next medical steps. Some common diagnostic methods include:
ABI (Ankle-Brachial Index) & Doppler Ultrasound: To measure pressure and see blood flow.
CT Angiography: To map the condition of the blood vessels in more detail.
Foot Rescue Technology: Angioplasty to Atherectomy The good news is that current medical technology allows for foot rescue efforts without having to go through major amputation. Some of the procedures that can be done include:
Angioplasty: A procedure to open narrowed blood vessels and place a stent if needed.
Atherectomy: The use of a special device to scrape away plaque (crust) that clogs the blood vessels.
Important Facts: About 85% of amputations in diabetics actually start with a small foot wound. Early evaluation of blood flow and revascularization (restoration of blood flow) measures have proven effective in preventing limb loss.
Dr. Andrew advised people with diabetes to regularly perform self-examination on their feet every day and immediately consult a vascular specialist if they find a wound, no matter how small it is.
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