Diabetic foot ulcer (original) (raw)
Un mal perforant plantaire est une atteinte du pied caractérisée par une ulcération de la face plantaire, dont le caractère indolore favorise l'aggravation. Dans le cas du diabète, « il témoigne de l’ancienneté du diabète et souvent du mauvais contrôle glycémique » et nécessite une prise en charge appropriée et si nécessaire multidisciplinaire.
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| dbo:abstract | تُعد قرحة القدم السكرية (بالإنجليزية Diabetic foot ulcer) من المضاعفات الكبرى للداء السكري، وقد تكون العنصر الأهم في مرض القدم السكرية. إن التئام الجروح آلية غرائزية تعمل بشكل صحيح معظم الوقت، ويميزها الإصلاح التدريجي للنسيج البيني خارج الخلوي الذي يشكل المكون الأكبر في طبقة الأدمة الجلدية. لكن تتعطل هذه العملية في بعض الحالات نتيجة بعض الاضطرابات والمشاكل الفسيولوجية. يمثل الداء السكري أحد الاضطرابات الاستقلابية التي تعيق الخطوات الطبيعية في عملية التئام الجروح. تُظهر العديد من الدراسات تطاول العملية الالتهابية في الجروح السكرية، ما يؤخر تشكل النسيج الحبيبي الناضج، وبالتالي تضعف مقاومة شد الجرح. يجب أن تتضمن معالجة قرحة القدم السكرية ضبط سكر الدم وإزالة النسيج المتموت من الجرح (الإنضار) وتضميد الجرح وإزالة الضغط عنه عبر تقنيات معينة مثل جبائر التماس الكاملة. قد تحسن الجراحة نتائج بعض الحالات، وقد تفيد المعالجة بالأوكسجين عالي الضغط بعض المرضى، لكنها مكلفة. تحدث القرحة عند 15% من المرضى السكريين، وتسبق 84% من جميع حالات بتر الطرف السفلي المتعلقة بالداء السكري. (ar) Diabetic foot ulcer is a major complication of diabetes mellitus, and probably the major component of the diabetic foot. Wound healing is an innate mechanism of action that works reliably most of the time. A key feature of wound healing is stepwise repair of lost extracellular matrix (ECM) that forms the largest component of the dermal skin layer. But in some cases, certain disorders or physiological insult disturbs the wound healing process. Diabetes mellitus is one such metabolic disorder that impedes the normal steps of the wound healing process. Many studies show a prolonged inflammatory phase in diabetic wounds, which causes a delay in the formation of mature granulation tissue and a parallel reduction in wound tensile strength. Treatment of diabetic foot ulcers should include: blood sugar control, removal of dead tissue from the wound, wound dressings, and removing pressure from the wound through techniques such as total contact casting. Surgery in some cases may improve outcomes. Hyperbaric oxygen therapy may also help but is expensive. It occurs in 15% of people with diabetes, and precedes 84% of all diabetes-related lower-leg amputations. (en) Un mal perforant plantaire est une atteinte du pied caractérisée par une ulcération de la face plantaire, dont le caractère indolore favorise l'aggravation. Dans le cas du diabète, « il témoigne de l’ancienneté du diabète et souvent du mauvais contrôle glycémique » et nécessite une prise en charge appropriée et si nécessaire multidisciplinaire. (fr) Con ulcera diabetica si intende una lesione di continuo di difficile guarigione spontanea che può interessare, in relazione alla sua importanza e gravità, i tessuti cutanei, sottocutanei ed ossei. La sua localizzazione distrettuale più comune è nel piede coinvolgendo in senso disto-prossimale le regioni apicali delle dita, le giunture articolari delle interfalangee, le teste metatarsali (regione plantare), il tallone, le prominenze ossee del mortaio tibio-peroneo-astragalico (caviglia), e la gamba. Il coinvolgimento del piede è molto pericoloso per il protrarsi della patologia in quanto spesso si presentano coinvolgimenti dei tessuti sottocutanei ed ossei con infezioni e fistole che possono far sviluppare necrosi settica e relativa amputazione della regione interessata, anche se la ricerca e la tecnologia consentono la realizzazione del trapianto dei tessuti. (it) Fotsår är sår på fötterna som framförallt drabbar personer med diabetes och med bristande och är en vanlig orsak till amputation. Fotkomplikationer hos personer med diabetes utgör ett allvarligt hot, såväl mot fötter och ben som mot individens överlevnad. Den så kallade ”” inkluderar sår, infektioner och förstörelse av djupare vävnadslager associerade med neuropati och i benen. I västvärlden är fotkomplikationer den vanligaste orsaken till sjukhusvistelse vid diabetes. (sv) |
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| dbp:caption | Neuropathic diabetic foot ulcer (en) |
| dbp:causes | dbr:Diabetes |
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| rdfs:comment | Un mal perforant plantaire est une atteinte du pied caractérisée par une ulcération de la face plantaire, dont le caractère indolore favorise l'aggravation. Dans le cas du diabète, « il témoigne de l’ancienneté du diabète et souvent du mauvais contrôle glycémique » et nécessite une prise en charge appropriée et si nécessaire multidisciplinaire. (fr) Fotsår är sår på fötterna som framförallt drabbar personer med diabetes och med bristande och är en vanlig orsak till amputation. Fotkomplikationer hos personer med diabetes utgör ett allvarligt hot, såväl mot fötter och ben som mot individens överlevnad. Den så kallade ”” inkluderar sår, infektioner och förstörelse av djupare vävnadslager associerade med neuropati och i benen. I västvärlden är fotkomplikationer den vanligaste orsaken till sjukhusvistelse vid diabetes. (sv) تُعد قرحة القدم السكرية (بالإنجليزية Diabetic foot ulcer) من المضاعفات الكبرى للداء السكري، وقد تكون العنصر الأهم في مرض القدم السكرية. إن التئام الجروح آلية غرائزية تعمل بشكل صحيح معظم الوقت، ويميزها الإصلاح التدريجي للنسيج البيني خارج الخلوي الذي يشكل المكون الأكبر في طبقة الأدمة الجلدية. لكن تتعطل هذه العملية في بعض الحالات نتيجة بعض الاضطرابات والمشاكل الفسيولوجية. تحدث القرحة عند 15% من المرضى السكريين، وتسبق 84% من جميع حالات بتر الطرف السفلي المتعلقة بالداء السكري. (ar) Diabetic foot ulcer is a major complication of diabetes mellitus, and probably the major component of the diabetic foot. Wound healing is an innate mechanism of action that works reliably most of the time. A key feature of wound healing is stepwise repair of lost extracellular matrix (ECM) that forms the largest component of the dermal skin layer. But in some cases, certain disorders or physiological insult disturbs the wound healing process. Diabetes mellitus is one such metabolic disorder that impedes the normal steps of the wound healing process. Many studies show a prolonged inflammatory phase in diabetic wounds, which causes a delay in the formation of mature granulation tissue and a parallel reduction in wound tensile strength. (en) Con ulcera diabetica si intende una lesione di continuo di difficile guarigione spontanea che può interessare, in relazione alla sua importanza e gravità, i tessuti cutanei, sottocutanei ed ossei. La sua localizzazione distrettuale più comune è nel piede coinvolgendo in senso disto-prossimale le regioni apicali delle dita, le giunture articolari delle interfalangee, le teste metatarsali (regione plantare), il tallone, le prominenze ossee del mortaio tibio-peroneo-astragalico (caviglia), e la gamba. Il coinvolgimento del piede è molto pericoloso per il protrarsi della patologia in quanto spesso si presentano coinvolgimenti dei tessuti sottocutanei ed ossei con infezioni e fistole che possono far sviluppare necrosi settica e relativa amputazione della regione interessata, anche se la ricerca (it) |
| rdfs:label | قرحة القدم السكرية (ar) Diabetic foot ulcer (en) Mal perforant plantaire (fr) Ulcera diabetica (it) Fotsår (sv) |
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