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糖尿足勿輕視
 

糖尿足勿輕視

60歲的周先生是「三高」(高血糖、高血壓及高膽固醇)患者,更曾因心臟病入院接受手術。正當他出院回家休養,覺得身體漸康復時,偶爾在街上逛逛,卻感到右腳麻痺痛楚。某天他剪腳甲時,不慎弄損右腳腳趾,但兩個月後,傷口仍未痊愈,甚至有惡化跡象,憂心下求醫,經檢查後發現其右腳正出現俗稱的「糖尿足」問題。

糖尿病患者受血糖指數高企所影響,下肢神經線的敏感度下降,容易令足部受傷而不自知,加上血管收窄導致供血不足,傷口難以愈合,若再有細菌感染,及缺乏適當護理下,有機會出現潰瘍或壞疽,臨床上更有患者需切除足部壞死部分,甚至要切除腳趾、腳掌或截肢保命。

周先生被轉介到血管外科醫生處檢查,發現其下肢血管堵塞狀況頗嚴重,需接受微創血管腔內手術,以「血管成形術」將收窄或閉塞的下肢血管「打通」後置入支架,改善血液流量。腳趾傷口於手術後個多月愈合,走路時腳痛無力情況亦消失,但周先生仍需控制「三高」,從根本改善問題。謝卓華醫生 DR. TSE CHEUK WA CHAD。

 

謝卓華醫生 DR. TSE CHEUK WA CHAD

資料來源: am730 08-06-2015

選文來自: 香港E大夫 / 醫大夫

 

 

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