MODERN METHODS OF PREVENTION AND TREATMENT OF DIABETIC FOOT SYNDROME IN PATIENTS WITH DIABETES IN ANDIJAN REGION
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Abstract
Diabetes mellitus (DM) is one of the leading causes of general morbidity, disability and mortality in the population, including those of working age. The social significance of DM is determined by its complications. Diabetic foot syndrome (DFS) occupies a special place among infectious and inflammatory diseases in patients with DM 2 (DM 2). According to the algorithms of specialized medical care for patients with diabetes, “The diabetic foot syndrome combines pathological changes in the peripheral nervous system, arterial and microcirculatory channels, and the osteoarticular apparatus of the foot, which pose an immediate threat or the development of ulcerative necrotic processes and gangrene of the foot.” SDS requires an integrated approach on the part of many specialists, since the lesion of the lower extremities is at the junction of several medical disciplines: therapeutic and surgical. With untimely diagnosis and the absence of correct pharmacotherapy at the very beginning of the development of complications, DFS progresses rapidly, gangrene of the lower limb develops, which can result in its amputation with subsequent disability of the patient - the most terrible consequence of DFS. According to statistics, up to 90% of patients are hospitalized in surgical hospitals on an emergency basis at the stage of irreversible clinical and morphological changes, about 85-90% of cases end in amputation of the lower limb.
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References
Algorithms for specialized medical care for patients with diabetes mellitus, 9th edition (amended): clinical guidelines / I.I. Dedov, M.V. Shestakova, A.Yu. Mayorov [and others]; edited by I.I. Dedova, M.V. Shestakova, A.Yu. Mayorova. - Moscow, 2019. - 212 p.
Antovich, J. Methods for monitoring therapy with direct oral anticoagulants: the state of the problem / J. Antovich, T.B. Kondratieva// Clinical med. - 2018. - N 96(2). – C. 101-105.
Antsiferov M.B. Diabetic foot syndrome: diagnosis, treatment and prevention / M.B. Antsiferov, E.Yu. Komelagin. - M .: LLC Publishing House "Medical Information Agency", 2013. - 304 p.
Astakhov, I.N. Treatment of patients with diabetes mellitus with necrotic lesions of the foot / I.N. Astakhov // Surgery. - 2001. - N 12. - S. 34-37.
Balabolkin, M.I. Pathogenesis and mechanisms of development of angiopathy in diabetes mellitus / M.I. Balabolkin // Cardiology. - 2000. - N 10. - S. 74-87.
Barkhatova, N.A. Dynamics of tissue perfusion after indirect limb revascularization and angitropic therapy in diabetic foot syndrome / N.A. Barkhatova // Bulletin of the Council of Young Scientists and Specialists of the Chelyabinsk Region. - 2017. - N 3 (18) V.1. – C. 15-18.
Bakharev, I.V. Diabetic foot syndrome: diagnosis, treatment, prevention, quality of life / I.V. Bakharev, Yu.A. Redkin // Medicine. - 2003. - N 1. - P.35-38.
Belskaya, G.N. Multidisciplinary management of patients with diabetic foot syndrome / G.N. Belskaya, D.A. Sergienko, Yu.I. Pavlov, I.V. Krochek // Medical Council. - 2018. - N 1. - C. 70-76.
Butranova, O.I. Pharmacoepidemiological analysis of antibacterial therapy of skin and soft tissue infections against the background of type 2 diabetes mellitus / O.I. Butranova, T.N. Razdrogin // Bulletin of the VolgGMU. - 2015 - N 2 (54). - S. 67 - 70.
Valieva, D.A. Psychoemotional characteristics of patients with diabetes mellitus / D.A. Valieva // Bulletin of modern clinical medicine. - 2014. - Volume 7, Appendix 1. - P.69-77.
Verbovoy A.F. Diabetic macroangiopathy / A.F. Verbova, A.V. Pashentseva, N.I. Willow // Therapeutic archive. - 2019. - N 91 (10). – C. 139-143.
Volkov, V.I. Diabetes mellitus and coronary atherosclerosis / V.I. Volkov, S.A. Serik // Atherosclerosis. - 2011. - N 7 (2). – C. 5-22.
Galstyan, G.R. Epidemiology of the diabetic foot syndrome and amputations of the lower extremities in the Russian Federation according to the Federal Register of Patients with Diabetes Mellitus (2013–2016) / G.R. Galstyan, O.K. Vikulova, M.A. Isakov [et al.]// Diabetes mellitus. - 2018. - T. 21. - N 3. - S. 170-177.
Galstyan, G. P. Estimation of the cost of treating patients with diabetic foot syndrome using a medical information system / G. R. Galstyan, S. V. Sergeeva, D. D. Dolotova, N. V. // Proceedings of the Scientific Congress " III Eurasian Congress on Pharmacoeconomics and Quality Management of Medical Care”. Astana. - 2010. - C. 46-50.
Galstyan, G.R. Clinical guidelines for the diagnosis and treatment of diabetic foot syndrome. Moscow, 2015 / G.R. Galstyan, A.Yu. Tokmakova, D.N. Egorova [et al.] // Wounds and wound infections. Journal them. Prof. Kostyuchenko B.M. - 2015. - Volume 2. C. 63-83.