Author/Editor		Urbančič, Vilma
Title		Diabetično stopalo
Translated title		Diabetic foot
Type		članek
Source		In: Židanik S, Tušek-Bunc K, editors. Medicinsko tehnični pripomočki. Zbornik 3. mariborski kongres družinske medicine; 2004 nov 26-27; Maribor. Ljubljana: Združenje zdravnikov družinske medicine SZD,
Publication year		2004
Volume		str. 26-32
Language		slo
Abstract		Gangrene and amputation are grave complications of diabetes mellitus and the most frequent cause af hospital admission in diabetic patients. Approximately half af all nontraumatic lower limb amputations are performed on diabetic patients who represent only 47% of the general population. The most important etiopathogenetic factors for the diabetic foot are neuropathy and impaired blood supply. Amputation risk is increased by trauma, infection, poor foot care and improper chiropody. Diabetic foot can be classified as neuropathic, with leading signs and symptoms of nerve damage, or neuroischaemic with predominant signs and symptoms of impaired blood supply. The patients who are at risk for foot ulcer development can be detected with foot screening test, and then classified into four groups accarding to the risk status. Multidisciplinary team approach is mandatory in the management of the diabetic foot, with preventative activities taking the central role. The basic measures in foot ulcer treatment are off-loading, wound debridement and dressing, treatment of infection in prevention of ulcer recurrence. Special footwear is important both for foot ulcer prevention and for better wound treatment. According to the current legislative rules, special footwear can be prescribed to the high risk patients and partially reimbursed by national health insurance company. The same holds true for the classic wound dressing materails, while the modern dressings cannot be prescribed and reimbursed yet.
Descriptors		DIABETIC FOOT DIABETIC NEUROPATHIES DIABETIC ANGIOPATHIES FOOT ULCER PROTECTIVE DEVICES