AMPUTASYONDAN KURTARILAN DİYABETİK AYAKLAR


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Özkurt Z., Çınar Tanrıverdi E.

Palandöken Uluslararası yara bakım kongresi, Erzurum, Türkiye, 11 Kasım 2021

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Erzurum
  • Basıldığı Ülke: Türkiye
  • Atatürk Üniversitesi Adresli: Evet

Özet

Diabetic foot ulcers are one of the most serious complications of diabetes. It has dire consequences for the

patient and the healthcare system. Wound nutrition and immune functions are impaired. Wound healing

process due to polyneuropathy is quite long compared to normal patients. Despite effective treatments, it can

cause tissue or limb loss, even sepsis and death. For deep wounds with necrotic appearance, surgical branches

may decide on amputation in the first evaluation. However, amputation can be prevented with patience and

holistic treatment. In our clinic, many patients who were previously recommended amputation were carefully

treated with a multidisciplinary and holistic treatment approach, and the results were satisfactory. The patients

were evaluated holistically; diet was arranged with patient education, and nutritional support was provided for

blood sugar regulation and wound healing. Protein, vitamins and trace elements, which are the elements of

wound healing, have been replaced; albumin and zinc values were replaced. In order to increase wound

oxygenation, erythrocyte suspension was given to patients with low hemoglobin levels. Patients eligible for

hyperbaric oxygen therapy have been supported by this therapy. Appropriate antimicrobial treatment based on

culture antibiogram was given, and after the wound infection was corrected with wound care, the patient's

transition to the home care process was accelerated with auxiliary treatments that accelerate epithelialization,

vacuum application and grafting. Limb loss is a significant loss for the patient, family and society and should

be the last option whenever possible. Diabetic toenails should be treated patiently and holistically.

Keywords: Diabetic foot, hyperbaric oxygen, nutrition, holistic approach, amputation