The diabetes could give rise to the appearance of cutaneous lesions and ulcerates in the 30% of the patients This is due to the affectation of the diabetic illness on glasses, nerves and fabric epithelial. On the other hand, they are patient that they for their own pathology of base have a high risk of infection, causing important general or local complications.

The diabetic ulcer and the diabetic foot are a clinical alteration of base etiopathlogy neuropathy and induced by the maintained hyperglucemia, in which with or without coexistence of ischemia, and previous traumatism, it produce lesion and/ or ulceration of the foot."

The illness arterial occlusive is four times old in the diabetic population that in which they don't suffer this illness. Although the vascular outlying illness in the diabetics is the result of a atherosclerosis accelerated in whose pathology intervenes different factors, it is similar to which they present the people not diabetics.


The factors of risk associated with the development of vascular outlying illness is:

arterial hypertension, micro-albuminuria, hyperglucemia, hyperinsulinism and obesity. These factors of risk should be controlled appropriately.

To level of the microcirculation a augmenting of the basal capillary membrane exists. This augmenting is not oclusive and is the structural dominant change in the retinopathy and in the nephopathy. The consequence is an increase from the capillary permeability and a deterioration in the self-regulation of the flow that the kidney show for micro-albuminuria and in the eye for the formation of oozing (detachment of retina).

In the diabetic ulcer these changes could hinder the migration leukotakis as well as the answer hyperemia that takes place after a lesion. This would facilitate the infection as well as the progression of the same.

The diabetic nephopathy is complex and heterogeneous disorder that involve a wide range of abnormalities that they affect so much to the system nervous peripheral like to the nervous autonomous.

The diabetic patients due to the vascular inadequacy and to the nephopathy, they present a greater risk of presenting lesions that the individuals not diabetics and, that once the infection has settled down, it present an old graveness. The extremity [isquémica] doesn't respond to the infection with increment of the local perfusion, formation of edema and infiltration leukotakis of the same form that the extremity well vascularization. Neither the antibiotics arrive to the place of the infection in an appropriate concentration due to the inadequate tissular perfusión.

Typically, the segmental lesions have a preference for the arteries infra-geniculum and it is accustomed to respect the arteries of the foot. The factors of risk associated with the development of vascular outlying illness is: tobacco, arterial hypertension, hyperglucemia, hyperinsulinism, obesity and micro-albuminuria. These factors of risk should be controlled of appropriate form, since for example the arterial hypertension associates with an increment in the risk of amputation.

To level of the microcirculation a augmenting of the basal capillary membrane exists. This augmenting is not oclusive and is the structural dominant change in the retinopathy and in the nephropathy. The consequence is an increase from the capillary permeability and a deterioration in the self-regulation of the flow that in the kidney show for micro-albuminuria and in the eye for the formation of exudate.
In the diabetic foot are speculated that these changes could hinder the migration eukocitoclasis as well as the hyperemical answer that takes place after a lesion. This would facilitate the infection as well as the progression of the same.

The ulcerate it owe [desbridarse] regularly, with the elimination of the whole callus and of the tissue not viable formed around her ulcerates. This facilitates the formation of a wound with knitting of healthy granulation that cure starting from the base and not starting from the borders.
In the face of the existence of infection, antibiotics of wide spectrum with covering are required aerobic and anaerobe, including streptococcus and staphilococcus.

The sphere of action of this therapeutic system, it has a proven answer, benefitting the patient for the obtained results and avoiding in many cases have to appeal methods invalidating and bloody like the surgery.
The evolution of the affected member, he/she/it/you goes accompanied by an improvement of the pathology of base.

 

Anti-inflamatory, Analgesic and Regenerativa; It improve the sanguine circulation, especially the micro-circulation; The saturation increases of oxygen; It stimulate the metabolism to cellular level; The edematization diminishes; it favor the formation of antibodies; Active the Immunológic system; it favor the synthesis of the colagen; It increase the revascularization; it doesn't produce adverse or secondary effects, neither it begin no process [iatrogénico]. It is 100% sure.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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