洗糖尿病長輩腳 盡孝兼防截肢

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 2krqr.html
更新日期:2011/01/13 19:03
（中央社記者陳清芳台北13日電）10年以上的糖尿病人，每100人就有1人截肢，常常是剪腳趾甲的傷口難以癒合，最後釀成遺憾，晚輩幫罹患糖尿病的長輩洗腳、剪趾甲，順便檢查腳部，盡孝還能預防截肢。


慈濟醫院台北分院心臟內科主治醫師黃玄禮今天指出，台灣大約有100萬名糖尿病患，健保資料顯示，每年大約有1%的糖尿病患、6000到8000人截肢，第1次截肢後的3到5年，有3到6成患者會再度截肢。


黃玄禮解釋，糖尿病引發全身血管病變，當發生在足部時，稱為「糖尿病足」，患者下肢動脈血管阻塞變窄，血液循環不良，腿部缺氧，一個小傷口就很難癒合，進而導致足部潰爛壞死。


糖尿病足是非外傷截肢的頭號原因，這種情形特別容易發生在10年以上的病人身上，在門診中，常常見到老病號老眼昏花，又彎不下腰，勉強剪趾甲時，不小心剪破腳，但是看不清楚又感覺遲鈍，等到發現時，腳部發爛又發黑。


任職出版社的林先生說，他的媽媽罹患糖尿病10多年，日前送到醫院時，一隻腳發黑發涼，這才發覺前陣子母親走路怪怪的，誰也沒到老人家怕冷而整天穿著的毛襪底下，有個傷口愈爛愈大。


有關糖尿病足的治療方式，黃玄禮說，過去是截肢保命，近年來發展出帶刀片的氣球擴張術、冷凍療法、雷射療法、血管繞道術、置放血管支架，最近還出現新型藥物塗層支架減少下肢動脈再度狹窄，設法讓患者保命且保肢，但是健保給付很有限。


心臟內科、新陳代謝科的醫師可經由足背動脈、後脛骨動脈、膝窩動脈的觸診，將患肢上舉以觀察雙腳色澤，以及每年1次測量手腳血壓差異，評估下肢周邊動脈阻塞是否潛藏截肢危機。


糖尿病長輩在剪腳趾甲、洗腳、泡腳、腳底按摩，需要從旁協助時，黃玄禮建議，兒孫輩不妨摸摸長輩腳踝內側的脈搏，觀察手足在動作變換時顏色改變，預防長輩成為截肢患者。1000113

[好大]

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[truelovecoco]

拜託別再亂搞了 在美國足療制度建立久矣 足療師英文叫 PODIATRIST 類似復健師須考Licence並依法專業處理DM病患的足部治療
http://www.bls.gov/oco/ocos075.htm
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