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Abstract(s)
A incidência e prevalência da Diabetes Mellitus tem vindo a aumentar nas últimas décadas e prevê-se que a tendência se mantenha. Esta doença tem um impacto importante na saúde dos portugueses, originando perda da qualidade de vida, morbilidade e mortalidade relevantes. Também implica custos elevados, com consequências socioeconómicas não só para os pacientes e suas famílias mas, para toda a sociedade. Estes efeitos da doença devem-se principalmente às suas complicações. O pé diabético consiste numa das complicações mais graves e dispendiosas da Diabetes Mellitus, tratando-se do principal motivo de hospitalização destes doentes, sendo responsável por cerca de metade das amputações do membro inferior por causas não traumáticas. Neste estudo, descreve-se a problemática do pé diabético bem como a sua fisiopatologia, apresentação clínica e diagnóstico. Refere-se também a forma como se deve proceder à avaliação do pé dos diabéticos e com que frequência, de acordo com o risco de ulceração que apresentam. Pretende-se assim, incentivar a correcta abordagem desta complicação da diabetes de forma a evitar-se os seus efeitos directos e indirectos. Para a redacção desta tese foi utilizada uma bibliografia variada. Para a selecção dos artigos a consultar fez-se uma pesquisa no PubMed, na secção MeSH Database, pelas palavras “diabetic foot”, “diabetic neuropathy” e “diabetic angiopathy”. Posteriormente, foram consultados todos os artigos cujos título ou resumo se mostraram relevantes para a revisão em causa. Foram também consultadas obras de referência como orientações da Direcção-Geral da Saúde, artigos do site da Sociedade Portuguesa de Diabetologia e o livro intitulado “O Pé Diabético e a Prevenção da Catástrofe” do autor Luís M. Alvim Serra. Como forma de complementar a informação obtida, procedeu-se ainda à pesquisa no GoogleTM sobre “pé diabético” e “inquérito nacional de saúde”, tendo-se obtido assim, acesso a um artigo português acerca do primeiro tema bem como alguns sites relacionados com os assuntos.
The incidence and prevalence of Diabetes Mellitus has been increasing in the last decades and we can foreshadow the tendency for it to continue as such. This disease has a great impact in the health of the portuguese people, diminishing the standard of living and causing relevant morbidity and mortality. It also implies high costs, with socio-economic consequences, not only to the patients and their families, but also for society as a whole. These effects of the disease are mainly due to the complication of the disease itself. The diabetic foot is the most complicated and most expensive complication of Diabetes Mellitus, which consists of the main reason for patients to go into hospital. It is also responsible for about half of the amputations of the inferior member for nontraumatic causes. In this study is described the issue of the diabetic foot as well as its physiopathology, clinical presentation and diagnosis. It is also indicated the way the foot of a diabetic patient should be analysed and with what frequency it should be done, according to the ulceration risk he/she presents. The correct approach to this complication of Diabetes in a way to avoid its direct and indirect effects is the desired purpose. For the writing of this thesis a varied bibliography was used. For the selection of the article to be read a search was made in PubMed, in the section MeSH Database through the words “diabetic foot”, “diabetic neuropathy” and “diabetic angiopathy”. Later were selected all articles whose titles or respective summaries showed to be relevant for the revision at stake. Reference material as guidance form Direcção Geral de Saúde (General Health Administration), articles from the site of Portuguese Society of Diabetes and the book “O Pé Diabético e a Prevenção da Catástrofe” by Luis M. Alvim Serra were also consulted. As a way to complement the information obtained, it was searched at GoogleTM about “pé diabético” and “inquérito nacional de saúde”. Having done this, a portuguese article about the first theme and some sites related to both themes were found.
The incidence and prevalence of Diabetes Mellitus has been increasing in the last decades and we can foreshadow the tendency for it to continue as such. This disease has a great impact in the health of the portuguese people, diminishing the standard of living and causing relevant morbidity and mortality. It also implies high costs, with socio-economic consequences, not only to the patients and their families, but also for society as a whole. These effects of the disease are mainly due to the complication of the disease itself. The diabetic foot is the most complicated and most expensive complication of Diabetes Mellitus, which consists of the main reason for patients to go into hospital. It is also responsible for about half of the amputations of the inferior member for nontraumatic causes. In this study is described the issue of the diabetic foot as well as its physiopathology, clinical presentation and diagnosis. It is also indicated the way the foot of a diabetic patient should be analysed and with what frequency it should be done, according to the ulceration risk he/she presents. The correct approach to this complication of Diabetes in a way to avoid its direct and indirect effects is the desired purpose. For the writing of this thesis a varied bibliography was used. For the selection of the article to be read a search was made in PubMed, in the section MeSH Database through the words “diabetic foot”, “diabetic neuropathy” and “diabetic angiopathy”. Later were selected all articles whose titles or respective summaries showed to be relevant for the revision at stake. Reference material as guidance form Direcção Geral de Saúde (General Health Administration), articles from the site of Portuguese Society of Diabetes and the book “O Pé Diabético e a Prevenção da Catástrofe” by Luis M. Alvim Serra were also consulted. As a way to complement the information obtained, it was searched at GoogleTM about “pé diabético” and “inquérito nacional de saúde”. Having done this, a portuguese article about the first theme and some sites related to both themes were found.
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Keywords
Pé diabético - Fisiopatologia Pé diabético - Diagnóstico Pé diabético - Rastreio Pé diabético - Prevenção Diabetes Mellitus Neuroartropatia de Charcot
Citation
Publisher
Universidade da Beira Interior