Diabetic Foot Care 糖尿病足部護理
1. 每天檢查雙腳。如發現潰瘍,水疱,發紅,腫脹,或腳甲不正常等問題,應立即聯絡你的足科醫師。如果未能自理,請找家人代為檢。
2. 每天洗澡時應用暖水清洗雙腳(不可以用熱水)。清洗後應用軟面巾或海棉印乾或拍乾,並確保腳趾之間乾爽。
3. 每天可用潤滑油或潤膚膏防止足部皮膚乾燥及裂開。但不要塗於腳趾之間,避免發霉或真菌感染。
4. 正確的剪腳甲方法:沿著腳甲的形狀直剪,不可向腳甲兩旁的角位剪下去,適當地用指甲銼,磨滑兩旁的角位。腳甲不要剪得入, 因為這可能導致嵌甲及發炎。
5. 不要自行修剪厚繭及雞眼, 請約見你的足科醫師代為治理。
6. 每天換上清潔及乾爽的白色襪子。
7. 應避免穿著不適合的襪子(如:過緊 及 過厚)。它們會導致血液循環減弱及刺激皮膚。
8. 如果雙腳在夜間感到寒冷,可穿著襪子睡覺。不要使用加熱墊或熱水瓶。
9. 穿鞋前應先檢查鞋內有否異物。
10. 於冬季時穿著保暖的襪子和鞋,確保足部溫暖。
11. 任何時候都不應赤腳走路,即使在家亦必須穿著拖鞋。
12. 請遵照你的糖尿科醫生指示,讓你的血糖水平得到控制。
13. 不要吸煙,因吸煙會影響腳部的血液循環。
14. 必須到足科醫師處作定期檢查, 以便及早發現及處理糖尿病的足部併發症。
15. 如有任何疑問, 請與我們聯絡。
Diabetic Foot Care Guidelines:
1.Inspect your feet daily. Check for cuts, blisters, redness, swelling, or nail problems. Call your podiatrist if you notice anything.
(If your eyesight is less than optimal, have someone else do it for you.)
2. Wash your feet in lukewarm (not hot!) water. Keep your feet clean by washing them daily. But only use lukewarm water.
3. Be gentle when bathing your feet. Wash them using a soft washcloth or sponge. Dry by blotting or patting, and make sure to dry between the toes.
4. Moisturize your feet—but not between your toes. Use a moisturizer daily to keep dry skin from itching or cracking. But DON'T apply moisturizer between the toes—this may cause maceration or fungal infection.
5. Cut nails carefully—and straight across. Also, file the edges. Don't cut them too short, since this may lead to ingrown toenails and infection.
6. Never trim corns or calluses yourself—let your podiatrist do the job.
7. Wear clean, dry, white socks. Change them daily.
8. Avoid the wrong type of socks. Avoid tight elastic bands (they reduce circulation). Don’t wear thick or bulky socks (they can fit poorly and irritate the skin).
9. Wear socks to bed. If your feet get cold at night, wear socks. NEVER use a heating pad or hot water bottle.
10. Shake out your shoes and inspect the inside before wearing. Remember, you may not feel a pebble—so always shake out your shoes before putting them on.
11. Keep your feet warm and dry—Wear warm socks and shoes in winter.
12. Never walk barefoot. Not even at home! You could step on something and get a scratch or cut.
13. Take care of your diabetes. Keep your blood sugar levels under control.
14. Do not smoke. Smoking restricts blood flow in your feet.
15. Get periodic foot exams. See your podiatrist on a regular basis for an examination to help prevent the diabetic foot complications.