中英文字幕：糖尿病足

      糖尿病足是指糖尿病患者足部由于神经病变使下肢保护功能减退，大血管和微血管病变使动脉灌注不足致微循环障碍而发生溃疡和坏疽的疾病状态。糖尿病足是糖尿病一种严重的并发症，是糖尿病患者致残，甚至致死的重要原因之一，不但给患者造成痛苦，而且使其增添了巨大的经济负担。

      本病重点在于保好足部卫生，预防足部损伤、早发现、早治疗。对于多饮、多食，多尿、消瘦者要能想到糖尿病。对于糖尿病患者，应认真控制血糖。

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Diabetic Foot 

糖尿病足

Overview（概述）

This term is used to describe foot problems that stem from diabetes. These problems can be difficult to treat.

　　糖尿病足这个术语用于描述由糖尿病继发的足部疾病。这种疾病治疗较困难。

Causes（病因）

Diabetes changes your body in ways that can cause diabetic foot. It can damage your nervous system, which can cause you to lose feeling in your feet. You may not feel hot, cold or painful sensations. You could injure your foot without realizing it. Diabetes can also damage your circulatory system. This results in poor blood flow to your feet. It makes it harder for your body to fight off disease. With diabetes, you may not notice a small cut or sore on your foot, and it can become severely infected.

　　糖尿病从多方面影响身体导致糖尿病足。它会损害神经系统，由此使足部感觉缺失，病人会失去对热、冷或痛的感觉，因此会在不知不觉中造成足部损伤。糖尿病还会损害循环系统，造成足部血流减少，并使身体抵抗力下降。当患有糖尿病时，病人可能不会觉察到脚上小的切割伤或溃疡，这会变成严重的感染。

Symptoms（症状）

Symptoms associated with nerve and circulation problems may include sensations of pain or new or lasting numbness. Your skin may become hard and shiny. Hair may stop growing on your legs and feet. You may have trouble walking. If you have a foot infection, you may have swelling, redness and warm skin. You may develop open sores. You may have fever and chills. You may notice red streaks on your skin that spread away from the infection.

　　与神经和循环相关的问题包括疼痛的感觉以及新出现的或持久的麻木；皮肤会变硬及磨损；脚上或脚上的毛皮会停止生长；可能会有行走困难。如果脚上有感染，则会肿胀、发红，皮温升高；开放的溃疡会发展增大；还会有发热和寒战；还能发现感染扩散在皮肤有红色的条纹。

Treatment（治疗）

Treatment options depend on the severity of your problems. A healthier lifestyle can help keep your diabetes in control. You may benefit from a change in footwear and from better foot hygiene. Inspect your feet daily, and have regular foot exams to take care of minor problems before they become major ones. Your healthcare provider can create a care plan that is right for your needs.

　　治疗措施取决于病情的严重程度。健康的生活方式有助于控制糖尿病。改变鞋子的类型和养成良好的足部卫生是有益的。每天检查双脚，规律地进行足部检查，注意小的病变，不要等病变加重。您的私人医生会为您制定合适的护理计划。

（胡佰文　译）

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