[건강한 가족] "Diabetes is a widespread disease," he said.



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Interview Shin Dong-hyuk Professor of Plastic Surgery at Konkuk University Hospital
If a diabetic patient becomes involved, he or she may cut the foot. Two out of three people die within five years. It is a diabetic foot known as a fatal complication of diabetes. If a wound on the foot of a diabetic patient is actively controlled, infection can be avoided. However, diabetic foot awareness is not high and the patient's treatment environment is poor. I met Professor Shin, Dong-hyuk of the Plastic Surgery Clinic of Konkuk University Hospital to discuss problems and preventive measures of the environment of Korean diabetic foot care.

Professor Shin Dong-hyuk emphasized that the diabetic foot should be checked every day using shoes that fit well to prevent diabetes. Freelance Lee Nam-young

Professor Shin Dong-hyuk emphasized that the diabetic foot should be checked every day using shoes that fit well to prevent diabetes. Freelance Lee Nam-young

– The reason why diabetic foot is dangerous.
"Diabetic patients often do not know enough to break sensory nerves, so it's not easy to feel uncomfortable, even if the skin is swollen and hot due to the infection. People are usually sick because they are sick enough to walk , must have gone to the emergency room, diabetic patients have little pain because their nerves are weak and their senses are falling. In Korea, there are no accurate statistics, but it is estimated that more than 100,000 patients a year cut their feet because of diabetes.It has been reported that the mortality rate of the diabetic foot is about 68% in 5 years. Overall, the social costs associated with diabetes are increasing dramatically, the main cause being diabetes. "

– Is there an effective method of infection control to prevent cleavage?
"It is important to control the infection of the wound at the beginning to avoid cuts in the feet.It is useful to use a dressing that can remove the abnormal tissue and improve the infection.However, there are many obstacles in the use of effective dressing formulations in Korea. is not receiving proper treatment benefits.Typical is "silver dressing." Silver dressings are highly sterilizing agents.Silver penetrates directly into bacteria and kills bacteria.It is effective for the control of infections.In Korea, however, only a dressing that has low sterilization power, because it is not licensed for diabetic patients, is used.Today silver dressings can be used for burn patients, but it is illegal to use them in diabetic patients.This part is absurd. As the diabetic foot is infected and can be cut by cutting, effective dressings should be used. that can be used not only for burns but also for infected wounds. "

– Overseas dressings, containing silver, are widely used.
"There are thousands of articles on the effects of silver-containing dressings on infectivity. In 80-90% of articles, silver-containing dressings are excellent for reducing bacteria numbers. There are many other dressings, such as dressings containing honey and dressings containing alcohol, which are not introduced in Korea. Home use licenses are overly complex and inflexible. "

– If there is a suggestion to improve the home environment of diabetic foot care.
"The goal of diabetic foot care is to prevent serious infections or to control infections so quickly that they do not go away.To reach this goal, physicians should be able to choose good treatments first.It is also important how often doctors go and touch their wounds. that the environment for multidisciplinary treatment is created Diabetic foot is a disease that several medical departments have to see patients together.To analyze the procedure and the gait pattern of the blood vessels of patients with insufficient blood flow to prescribe correct pressure distribution in the soles of the feet.To treat the wounds when the diabetic foot has any problem, plastic surgery, orthopedics, rehabilitation The role of medical staff, such as the radiology department, medicine department of infection is necessary.

– It is not familiar to deal with diabetic foot in plastic surgery.
"The biggest prejudice about plastic surgery is knowing it's just a plastic surgery." Plastic Surgery covers a variety of areas. Microsurgery to join hands and feet, which were cut by accident, and lacrimal surgery are fields of plastic surgery. Treatment of diabetic foot, pressure ulcers, and radiation-induced wounds is also an important area of ​​plastic surgery. If there is a problem with the soft tissue around the bones and joints, it should be rebuilt into a suitable and well-shaped tissue to improve functionally. In particular, the soles of the feet are difficult to handle due to the complexity of the tissues and microvessels that bind the skin. For subcutaneous tissues and wounds, plastic surgeons are experts. "

– To prevent diabetic foot.
"A person whose nerves have been broken for a long time and whose senses of the foot are falling only arrives at the hospital when his feet are injured." If you have a cancer, it comes after the middle of the year. First, you should wear shoes that fit your feet.I think it is good to wear loose shoes or shoes with a lot of cushion.If you let go, your feet get into the shoe, causing more friction.If the cushion is too soft , the soles of the soles will have a more frequent impact on the hard floor.It is better to wear socks in the house and to dry the feet every day.Before going to sleep, you and your family should always check your soles.If you have scars, hard or calluses, you should find a hospital immediately. "

Lee Minyoung reporter [email protected]


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