Unwound Surgical Wounds In Diabetics?
Hello .. my father suffered foot injuries and has diabetes and complications of lung “and liver. Finally the operation of the foot is quite large and the stitches are not sewn, why is that?
Sores on the feet of diabetics are called diabeticum ulcers or diabetic foot. This condition is often found in diabetics whose blood sugar levels are not well controlled. The following are some of the factors that cause diabetic ulcers:
interference with blood circulation
high blood sugar levels (hyperglycemia) so that wound healing takes a long time. especially if the wound has been infected
disorders of the peripheral nerves. sufferers become more insensitive to touch, so if there are injuries to the feet, sufferers tend to be insensitive.
plantar pressure or pressure factors on the sole of the foot. this incident is most often found in patients with excess weight and even obesity
In overcoming these conditions the doctor will carry out treatments ranging from providing drugs and education that aims to control blood sugar levels, cholesterol and blood pressure. In addition, wound care in cases of diabetic ulcers is adjusted to the condition of the wound. Even though the wound is extensive, not all wounds need to be stitched. In cases of diabetic ulcers, wound care that is often done includes:
cover the wound with sterile gauze and bandages. the goal is to keep the wound from being easily contaminated with dust and dirt. so that wound healing can run optimally
debridement or remove dead tissue around the wound. The existence of dead tissue will inhibit the wound healing process, therefore some cases of diabetic ulcers are debrided.
amputation. if the wound is classified as broad and deep (especially with regard to bone tissue) the doctor will consider that some of the infected muscle and bone tissue should be amputated. The aim is nothing but to prevent widespread infections and cause more severe side effects
administration of drugs such as antibiotics (to kill germs that cause infection), anti-platelets and anticoagulants (to prevent blood clots)
so you don't need to worry. the doctor who treats your father must have considered everything before taking any action. but if you are in doubt, you and your family have the right to cross the conditional opinion to another doctor.
besides consuming drugs given by doctors, obey the diet and control the doctor according to a predetermined schedule.
Hopefully this answer is useful