Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
odpověď na Vaše otázky o diabetes
 
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Marie Viktorová



Založen: 8.8.2011
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PříspěvekZaslal: po srpen 08, 2011 7:59 am    Předmět: nehojící se vředy Citovat

Dobrý den,
dovoluji si zde napsat o radu ohledně nehojících se vředů na noze u mojí maminky.Mamince je 77 let, má 20 let diabetes, posledních 5 let je na inzulinu 2x denně si píché s.c. Bude to rok, co se jí objevily puchýře na nohou a následně veliké rány, ze kterých vytékala tekutina, samozřejmě veliké bolesti celou tuto záležitost doprovázaly. Byla léčená na kožním odd. v nemocnici, potom doma převazy ob den. Mírně se rány zmenšily, ale stále není vidět hojení. Vystrídala různé mastě a krémy, jodové preparáty, tzv. "stříbro" , zkrátka stále bez efektu. Prosím vás o radu, jestli má někdo stejný problém a mohl by poradit. Děkuji všem za odpověď. M.Viktorová
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: po srpen 08, 2011 9:54 pm    Předmět: Re: nehojící se vředy Citovat

Dobrý den,
v tomto věku má Vaše maminka jistě nárok na defekty končetin.
Jednak ve smyslu diabetických komplikací / diabetická neuropatie a angiopatie/,dále nelze vyloučit i podíl žilní nedostatečnosti,lymfedemu.Nutno myslet i na pravostrannou srdeční nedostatečnost.
Provedla bych cévní vyšetření končetin,ultrazvuk srdíčka k vyšetření jeho funkce,kožní vyšetření.
Defekt může být kombinované etiologie,je dobře,že má cukrovku léčenou insulinem,ten zlepšuje hojení ran.
I tak je možné,že defekty budou chronického rázu a bude nutno vytitrovat léčbu.
S pozdravem D.Málková
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honzanov



Založen: 22.11.2012
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PříspěvekZaslal: čt listopad 22, 2012 10:28 pm    Předmět: Citovat

Dobrý den, zkoušeli jste i nějaké prostředky vlhkého hojení, z vlastní zkušenosti mohu potvrdit, že fungují. Je to sice na předpis, ale když o tom řeknete doktorovi, tak by neměl být problém. Pár tipů na konkrétní věci jsem nedávno našel na www.modernihojeni.cz, je tam zdarma ke stažení i brožurka o prevenci.
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