#YukPahami CIRI, PENYEBAB, DAN CARA MENGOBATI LUKA DIABETES

Summary

In this informative discussion, Aditya Prayuda interviews Dr. Widya Ayu Graha, a cardiac thoracic surgeon, to explore the causes, symptoms, and treatment of diabetic wounds. The conversation highlights how diabetes can lead to foot ulcers that are difficult to heal due to poor circulation and neuropathy. Dr. Graha emphasizes the importance of maintaining proper blood sugar levels, improving blood flow, and preventing foot injuries to avoid complications like infection and amputation. The video also covers preventive measures and treatment options for managing diabetic wounds effectively.

Takeaways

• 😀 Diabetic wounds are common among people with uncontrolled blood sugar levels, often affecting the feet, and can be difficult to heal.
• 😀 A diabetic wound may take longer to heal than a normal wound, often taking months rather than weeks.
• 😀 Diabetic wounds often start with discoloration, such as turning black or cold, especially at the tips of the feet or fingers.
• 😀 Neuropathy (loss of feeling) and poor blood circulation are the primary causes making diabetic wounds difficult to heal.
• 😀 If blood flow to the feet is compromised, healing is slow, and the wound may worsen or not heal at all.
• 😀 If left untreated, diabetic wounds can lead to severe complications, such as infections, gangrene, and potentially death.
• 😀 Amputation is one of the worst outcomes of untreated diabetic wounds, often necessitated by severe infection or poor circulation.
• 😀 Treatment to prevent amputation includes improving blood flow, either through surgical procedures like balloon angioplasty or installing stents.
• 😀 Preventing diabetic wounds is crucial: maintain proper blood sugar levels, be mindful of foot injuries, and protect feet from tight shoes or tripping.
• 😀 Signs to watch for in diabetic patients include pain after walking a short distance, colder feet on one side, and pale or discolored skin.
• 😀 Early detection of blood flow issues through simple tests like Doppler ultrasound can help prevent serious complications like amputations.

Q & A

What are diabetic wounds and where do they typically appear?

Diabetic wounds are sores or ulcers that occur due to uncontrolled blood sugar levels in people with diabetes. These wounds often appear on the feet, especially the tips of the toes, heels, or the sole of the foot.

Why are diabetic wounds difficult to heal?

Diabetic wounds are difficult to heal due to two main factors: neuropathy, which causes a loss of feeling in the feet, and poor blood flow to the extremities, particularly the feet, which hampers the delivery of oxygen and nutrients required for healing.

What are the visible signs of diabetic wounds?

Common signs of diabetic wounds include longer healing times (more than 2-3 weeks), a blackened appearance on the feet or toes, and colder feet, often indicating poor blood circulation.

How can a diabetic wound be distinguished from an ordinary wound?

An ordinary wound typically heals within 1 to 3 weeks, while a diabetic wound takes much longer to heal. Additionally, diabetic wounds may appear blackened or have cold, pale feet due to inadequate blood flow.

What are the primary causes that make diabetic wounds hard to heal?

The primary causes are neuropathy (loss of sensation in the feet) and blood vessel disorders (poor blood flow to the extremities), which prevent proper healing of wounds.

What could happen if a diabetic wound is not treated properly?

If left untreated, diabetic wounds can become severely infected, leading to the need for amputation or, in extreme cases, even death due to systemic infection.

What measures can be taken to prevent amputation in diabetic patients with wounds?

To prevent amputation, it is crucial to improve blood circulation to the feet through medical interventions like balloon angioplasty or stent placement, as well as regular cleaning and care of the wound to promote healing.

What are the treatment options for improving blood flow in diabetic patients?

Treatment options include balloon angioplasty to open blocked blood vessels, stent insertion to maintain proper blood flow, and, in severe cases, surgical interventions like drilling to bypass blockages and restore circulation.

How can diabetic patients prevent diabetic wounds from occurring?

Prevention involves controlling blood sugar levels, being cautious with foot injuries, wearing properly fitting shoes, and moisturizing the feet to prevent dryness and cracks.

What are the early warning signs of blood flow issues in diabetic patients?

Early warning signs include pain or discomfort in the feet while walking, especially when walking for long periods; colder feet; paleness in one foot compared to the other; or noticeable differences in foot size.