Foot ulcers are a common complication in diabetics. According to statistics, 15 out of every 100 people with diabetes have foot ulcers. If not detected and cared for properly, ulcers can become severe and increase the risk of amputation.
1. Manifestations of diabetic foot ulcers
One of the first signs of foot ulcers in people with diabetes is watery discharge from the feet. This fluid stains socks and causes an unpleasant odor. Leg swelling, irritation, and redness are also common early symptoms of ulcers.
However, the symptoms of a diabetic ulcer are not always obvious. Many patients do not see any symptoms until the ulcer is severe. The most visible sign of a serious foot ulcer is the black necrotic tissue surrounding the ulcer. This is due to a lack of blood flow to the area around the ulcer. Cells and tissues gradually die, creating a hard black necrotic area, hiding the ulcer inside.
Diabetics should see a doctor if skin discoloration is detected. In particular, when the tissues turn black, this area is painful and hard, you should see a doctor as soon as possible. Diabetic foot ulcers are classified into 5 grades from mild to severe using the Wagner ulcer classification system:
Grade 0: No open lesions; Maybe the wound has already appeared and healed on its own
Grade 1: Abraded ulcer on the outside, without penetrating deep tissue inside
Grade 2: Deeper sores, exposing tendons, bones, or joints
Grade 3: Deep ulcer with abscess, osteomyelitis or tendonitis
Grade 4: Gangrene of forefoot (parts including metatarsal and toe bones)
Grade 5: Gangrene of the entire foot
2. Diabetic foot ulcer care can use Multidex or not?
Multidex ulcer treatment drug with main ingredients Maltodextrin, 1% ascorbic acid (vitamin C) is suitable in the treatment of diabetic foot ulcers thanks to outstanding advantages such as:
- Maltodextrin is a hydrolyzed starchy polysaccharide and is widely used in pharmaceuticals for the following benefits: Wound healing due to its ability to promote the proliferation of fibroblasts. Maltodextrin has the ability to form a film, to adhere to the subcutaneous granulation tissue layer. This membrane has the effect of preventing water vapor from escaping into the environment. At the same time, it also creates a barrier against the invasion of pathogenic microorganisms. Besides, maltodextrin can be hydrolyzed into glucose, providing local nutrition, promoting natural healing.
- Vitamin C is present in ulcer medicine Multidex as an adjuvant to increase the healing effect. In this case, vitamin C has the role of promoting the synthesis of collagen fibers and increasing their strength. In addition, vitamin C is also an antioxidant, preventing the formation of free radicals and strengthening the body's immunity.
3. Care for diabetic foot ulcers
- Removal of pus, necrotic tissue: Apply to relatively severe ulcers, with necrotic tissues, and biofilm to cover the outside. At that time, it is necessary to apply a surgical procedure, completely exposing the internal ulcer to easily handle the inflammatory part.
- Daily hygiene and cleaning of ulcers: Daily washing of wounds with physiological saline or antiseptic solutions will help eliminate bacterial and fungal pathogens ... at the ulcer.
- Apply Multidex ulcer treatment cream:
+ For shallow ulcers: Apply a layer about 0.6cm thick over the entire ulcer.
+ With deep ulcers: fill the ulcer with the skin surface, taking care to let the medicine crept into all the nooks and crannies of the ulcer.
- Bandage: Usually, diabetic ulcers should be left open to allow ventilation and with continuous antibacterial cleaning. If the ulcer is subjected to friction or pressure, then a bandage is needed to cover and protect it. Do not cover the ulcer all day, but need to create conditions for the ulcer to "breathe".
- Skincare to restore and regenerate: When the ulcer is completely dry, prepare to pull the young skin; Combining with a moisturizer that provides nutrients and moisture is the best way to promote skin damage to recover quickly.