당뇨병성 족부병변의 관리

Abstract

The purposes of this article are to review the pathogenesis, prevention, andmanagement of amputation due to diabetes mellitus complications, and to report one casewho had lost his toes due to diabetes mellitus. A primary cause for hospital admissionof the patient was foot ulcer. Since many amputations in diabetic patients areprecipitated by such ulcers, a program for active prevention and optimal treatment ofdiabetic foot lesions might decrease the risk of amputation. Diabetic foot ulcers and,ultimately, amputation can stem from a variety of pathways. The combination ofperipheral neuropathy, peripheral vascular disease and infections is the harbinger of thefinal cataclysmic events of gangrene and amputation. As the physical therapist is ofteninvolved in the treatment of diabetic patients, the therapist should be aware of thefollowings: the patient's type of diabetes and the severity of the diabetes, thecomplications of the disease, the effects of exercise, the importance of wearing propershoes and education to patients about appropriate diabetic foot care.