حاله طبيه مشهوره ومزمنه وقد تؤذي ب تر ل ساق المريض اذا تم اهمالها والتعامل بشكل غير صحيح معها

مرضي السكري من النوع الثاني كثيرا ما يعانون من اعراض مزمنه تشمل ضعف فالبصر و امراض بالكليه وامراض بالاعصاب الطرفيه

في هذه الحاله يعاني  المريض من ارتفاع ضغط الدم والسكر وارتفاع نستويات الكوليسترول وسيقوم الطبيب المعالج باستخدام فحص مشهور جدا وهو ال 

monofilament testing 

في الفيديو شرحت الاجابات الصحيحه والاجابات الخاظئه بهدف التعلم بصفه عامه 

*Diabetic foot ulcers** are a common complication in individuals with diabetes. :

1. **Causes**:

   - **Poor circulation**: Reduced blood flow to the feet can lead to tissue breakdown and ulcers.

   - **High blood sugar (hyperglycemia)**: Elevated glucose levels hinder the healing process.

   - **Nerve damage**: Long-term nerve damage can cause loss of sensation in the feet.

   - **Irritated or wounded feet**: Any injury or irritation can contribute to ulcer formation.

2. **Symptoms and Diagnosis**:

   - Early signs include **drainage**, **swelling**, **redness**, and **odors** from one or both feet.

   - **Black tissue (eschar)** around the ulcer indicates poor blood flow.

   - **Gangrene** (tissue death) may occur if the ulcer becomes infected.

3. **Severity Classification** (Wagner Ulcer Classification System):

   - **Grade 0**: No open lesions or healed lesions.

   - **Grade 1**: Superficial ulcer without penetration to deeper layers.

   - **Grade 2**: Deeper ulcer reaching tendon, bone, or joint capsule.

   - **Grade 3**: Deeper tissues involved with abscess, osteomyelitis, or tendonitis.

   - **Grade 4**: Gangrene in a portion of forefoot or heel.

   - **Grade 5**: Extensive gangrenous involvement of the entire foot.

4. **Treatment**:

   - **Offloading**: Using a plaster cast to relieve pressure on the ulcer.

   - **Antibiotics** for treating foot infections.

   - Ensuring good **blood supply** to the foot.

5. **Prevention**:

   - Proper **foot care** is crucial for preventing ulcers.

   - Regular check-ups with a doctor are essential.