Diyabetik ayak ülserlerinin tanı ve tedavisi

Diyabetik ayak ülserleri diyabetin sık görülen ve ciddi bir kronik komplikasyonudur. Diyabetik ayak ülserleri diyabetik hastalarda önemli bir morbidite ve mortalite nedenidir. Diyabetik ayak ülserlerinin izlem ve tedavisi periferik arter hastalığı, nöropati, travma ve enfeksiyon gibi ilişkili nedenler doğrultusunda bireyselleştirilmelidir. Cerrahi ve cerrahi dışı temel yara bakımı prensipleri bu yaraların etkin bir şekilde iyileşmesinde vazgeçilmez bir unsurdur. Ayak ülseri oluşumunun önlenmesi de tedavisi kadar önemlidir ve diyabetin bu ciddi komplikasyonuna karşı en ekonomik yaklaşımıdır. Bu yazıda diyabetik ayak ülserleri nedenleri ve patofizyolojisi birlikte incelenmiş, klinik değerlendirme ve tedavi seçenekleri gözden geçirilmiştir.

Diagnosis and treatment of diabetic foot ulcers

Diabetic foot ulcers are common and serious chronic complications of diabetes. They are an important cause of mortality and morbidity. The management of diabetic foot ulcers should be individualized according to the causes of the ulcer such as peripheral arterial disease, neuropathy, pressure trauma, and infection. Basic principles of wound care, including surgical and nonsurgical components, are essential to effective healing of these wounds. Prevention of foot ulceration is also important, and the most cost-effective strategy for managing this serious complication of diabetes. In this article, we performed a review of diabetic foot ulcers in terms of its causes, pathophysiology, clinical approach and management

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