Diabetes Mein Pair Ki Care Ke 5 Rules — Gangrene Se Bachne Ke Liye Zaruri

Ek baat yaad rakhiye — gangrene ka sabse acha ilaj yahi hai ki woh kabhi ho hi nahi. Yeh 5 rules follow karenge toh diabetic foot wound, infection aur amputation ka risk dramatically kam ho jayega.

Rule 1: Har Din Apne Pair Check Karo

Diabetes mein neuropathy hoti hai — matlab aapko pair mein dard ya wound feel hi nahi hota. Isliye roz raat ko dono pair properly check karo — talwa, heel, ungliyon ke beech — har jagah. Mirror use karo sole dekhne ke liye ya ghar mein kisi se help lo. Koi bhi cut, chhala, laal spot, sujan ya skin ka colour change dikhe toh foran doctor ko dikhao. 24 ghante mein theek nahi hua toh wait mat karo.

Rule 2: Kabhi Bhi Nange Pair Mat Chalo

Ghar ke andar ho ya bahar — kabhi nange pair mat chalo. Ek chhota pathar, keel ya rough tile pair mein wound kar sakta hai jo aapko feel hi nahi hoga. Hamesha soft, wide diabetic footwear ya comfortable shoes pehno. Tight shoes, pointed shoes ya hard seam wale shoes avoid karo. Aur shoes pehnne se pehle andar haath daal ke check karo ki koi cheez toh nahi hai.

Rule 3: Blood Sugar Control Mein Rakho

High blood sugar seedha blood vessels ko damage karta hai (PAD badhti hai) aur nerves ko bhi (neuropathy hoti hai). Research kehti hai — HbA1c mein sirf 1% ki kami se vascular complications ka risk lagbhag 25% kam hota hai. HbA1c 7% se neeche rakhne ki koshish karo. Apne diabetologist ke saath milke medicines aur lifestyle optimize karo.

Rule 4: Smoking Chhodo — Koi Samjhauta Nahi

Smoking se peripheral artery disease ka risk double ho jata hai aur diabetics mein amputation ka risk 4 guna badh jata hai. Nicotine pair ki chhoti blood vessels ko continuously damage karta hai. Agar aap diabetes ke saath smoking bhi karte ho toh aap gangrene ke sabse zyada risk mein ho. Blood sugar control ke baad smoking chhorna sabse impactful step hai.

Rule 5: Har Saal ABI Test Karao

Ankle-Brachial Index (ABI) ek simple, painless 15-minute test hai jo ankle aur arm ka blood pressure compare karta hai — PAD ko symptoms aane se pehle hi detect kar leta hai. ABI 0.9 se neeche aaye toh significant PAD hai. Early detection se ilaj wound aane se pehle ho sakta hai. 50 saal se upar ke har diabetic patient ko — aur smoking ya BP wale diabetics ko — yeh test har saal karana chahiye.

Wound Ho Jaye Toh Kya Kare?

Best foot care ke baad bhi agar pair mein koi wound bane jo theek na ho raha ho toh turant vascular specialist ko dikhao. Sahi time par gangrene ka specialist ilaj Lucknow mein lena pair bachane aur kho dene ke beech ka farak hai.