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Home Aakar Aesthetics डायबेटीस आणि तुमचे पाय

डायबेटीस आणि तुमचे पाय

Aakar Aesthetics

आपले शरीर दैनंदिन आहाराद्वारे जी “शुगर” ग्रहण करते , त्याचा   “इन्शुलिन ” नामक संप्रेरकाद्वारे शरीरात उपयोग केला जातो. मधुमेह असलेल्या व्यक्तींमध्ये इन्शुलिन चे पर्याप्त मात्रेमध्ये उत्पादन होत नाही. त्यामुळे रक्तात साखरेचे प्रमाण वाढते , त्याला आपण मधुमेह असे म्हणतो. जागतिक पातळीवर सुमारे ४१५ दशलक्ष लोकांना (म्हणजेच ११ मधील १ व्यक्तीला) मधुमेह आहे. मधुमेह असलेले  अंदाजे ६९ दशलक्ष लोक भारतात आहेत. (या बाबतीत आपण जगात दुसऱ्या क्रमांकावर आहोत )

डायबिटीस चा पायांशी काय संबंध आहे?

डायबिटीस मुळे रक्तवाहिन्या आकुंचन पावतात आणि मग पायाला पुरेसा रक्तपुरवठा होत नाही , तळपायाला संवेदना जाणवत नाहीत , पाय सारखे कोरडे पडतात, रक्तातील वाढलेल्या साखरेमुळे पायाच्या सांध्यांची जडणघडण बिघडते आणि मग चालतांना विशिष्ठ भागांवर जास्त दाब येऊन तिथे कॉर्न अथवा जखमा होतात. या सर्व कारणांमुळे पायाला झालेली इजा रुग्णाला लवकर समजत नाही, आणि त्याचबरोबर रक्तातील वाढलेल्या साखरेमुळे जंतुसंसर्ग होतो.   अश्या जखमांकडे दुर्लक्ष झाल्यास बऱ्याच वेळा पायाच्या बोटाचे किंवा पायाचे अंगच्छेदन (Amputation) करायची वेळ येते. मधुमेह असलेल्यांपैकी १५ %  लोकांना  त्यांच्या जीवनकाळात एकदा तरी पायाला जखम होते, आणि एक क्लिष्ट पायाची जखम हि  मधुमेह असलेल्या रुग्णांना रुग्णालयात दाखल करण्याच्या कारणांपैकी एक आहे.  जागतिक आरोग्य संघटनेच्या आकड्यांप्रमाणे , आपण मधुमेहामुळे दर ३० सेकंदाला १ पाय गमावत आहोत. पाय गमावण्याचे प्रमाण (Amputation) हे मधुमेह झालेल्या रुग्णांमध्ये सामान्य माणसांपेक्षा २२ पट जास्त आहे . आणि अश्या रुग्णांमधिल ८५% रुग्णांना आधी पायाला न सावळणारी जखम  झालेली असते. या जखमांवर वेळीच उपचार केले गेले किंवा पायांची प्रतिबंधात्मक काळजी घेतली तर पायाचे अंगछेदन (amputation) टाळता येवू शकते. वेळीच फूट सर्जनचा सल्ला घेतल्यास ह्या भयावह गोष्टी टाळल्या जाऊ शकतात.

अशी घ्याल पायाची प्रतिबंधात्मक काळजी (Preventive Foot Care):

१. रोज आपल्या पायांची तपासणी करा / करून घ्या: पायाला कुठल्याही प्रकारचं खरचटले, जखम, फोड, लाली अथवा सूज नाही याचा शहानिशा करून घ्या. आवश्यक असल्यास त्यासाठी भिंग वापरा. तळपाय तपासण्यासाठी आरसा वापरल्यास उत्तम. शंकास्पद गोष्ट आढळल्यास त्वरित प्लास्टिक सर्जनना दाखवा.

२. पाय रोज कोमट पाण्याने स्वच्छ धुवून घ्या, पुसतांना बोटांमधील जागा व्यवस्थित रित्या कोरडी करून घ्या. पायाला क्रीम लावतांना बोटांमधील जागेवर ते लावणे टाळा.

३. आपली नखे काळजीपूर्वक आणि आवश्यक तेवढेच कमी करा; अधिक  खोलवर नखे कापल्यास सभोवतालच्या त्वचेमध्ये त्यांची वाढ होते ( Ingrown Toe Nail) आणि मग त्यात जंतुसंसर्ग होऊ शकतो.

४. स्वच्छ आणि योग्य मापाचे मोजे वापरा.

५. घरात किंवा घराबाहेर अनवाणी चालणे टाळा. योग्य मापाचे बूट वापरा, आपले बूट नेहमी स्वच्छ ठेवा. त्यामधील दगड, कचरा इ. नियमितरित्या साफ करा.

६. रक्तातल्या साखरेवर नियंत्रण ठेवा: त्यासाठी आहारतज्ञांचा नियमित सल्ला, आपल्या फिजिशियन चा सल्ला आणि त्यांनी सुचविल्यानुसार व्यायाम व औषधे हे काटेकोरपणे पाळा .

७.आपल्या प्लास्टिक  सर्जनचा नियमित सल्ला घ्या.

 

ह्या प्रतिबंधात्मक गोष्टी पाळल्यास Amputation टळू शकते आणि आपण सामान्य जीवनाचा आनंद उपभोगू शकता.

 

कुठल्याही प्रकारची जखम झाल्यास सेल्फ मेडिकेशन्स टाळा. त्यासाठी प्लास्टिक सर्जनची भेट घ्या. जर पायाला खाली व्यवस्थित रक्तपुरवठा होत नसेल तर Peripheral Vascular Bypass च्या साहाय्याने तो सुरळीत केला जाऊ शकतो. काही जखमा ह्या ऑपरेशन न करता फक्त  फुटवेअर मॉडिफिकेशन करूनही बऱ्या केल्या जाऊ शकतात. Wound Care मधेही प्लास्टिक सर्जन पारंगत असतात. सगळ्या प्रकारच्या जखमांची शुश्रूषा करून त्या व्यवस्थित रित्या बंद करून रुग्णास पूर्ववत पाय  देण्याची किमया प्लास्टिक सर्जनच करू शकतात.

डायबिटीस असणाऱ्या व्यक्तींमध्ये हातांमध्ये हि काही प्रमाणात व्याधी आढळतात. पायाप्रमाणेच हातांच्या सुद्धा मांसपेशी आणि सांध्यांमधली जडणघडण बिघडते . हाताची बोटे पूर्णपणे सरळ न झाल्यामुळे हातांची कार्यक्षमता कमी होते (लिमिटेड जॉईंट मोबिलिटी). टाईप १ डायबिटीस असणाऱ्या रुग्णांमध्ये ह्याचे प्रमाण जास्त आढळते.

हाताच्या शिरा कठीण होऊन बोटं आखडणे (Dupuytrens Contracture) ,  हाताच्या नसांवर दाब येऊन बोटांमध्ये स्पर्शज्ञान कमी होणे / हातांना मुंग्या येणे ( Carpal Tunnel Syndrome ), बोटे पूर्णपणे सरळ करताना त्रास होऊन “खट” असा आवाज जाणवणे (Trigger Finger), हाताला कमकुवत पणा (Weakness) येणे, बोटांच्या त्वचेमध्ये / नखांमध्ये  जंतुसंसर्ग होणे

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Google Reviews

Aakar Hospital for Plastic & Cosmetic Surgery
Aakar Hospital for Plastic & Cosmetic Surgery
4.9
Based on 75 reviews
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Prakash Musale
Prakash Musale
07:23 11 Oct 21
I was suffering from varicose veins in both legs since 8 years, I underwent treatment with LASERs twice and sclerotherapy twice, problem did not get solved. I developed wounds over inner side of my legs , then we were suggested to consult Dr Kiran Nerkar, at Aakar Hospital . I underwent surgery by him around 6 months back, ulcers also were treated with skin grafting. Now I am disease free, and would definitely recommend to consult Dr Nerkar for complete treatment of varicose veins as well as other vascular disorders.
Sushil Aher
Sushil Aher
06:43 11 Oct 21
My right thumb was damaged in an accident. Wound was just sutures elsewhere. Because of inability to move my thumb, I contacted Dr Kiran Nerkar from Aakar Hospital. I was told on examination that one of my tendons of thumb is cut in injury. It was repaired by Dr Nerkar. Surgery went on smoothly, I got constant guidance regarding physiotherapy following surgery. Now it is more than 2 months after surgery, I am able to do all my activities without any pain & restrictions. Thank you Dr Nerkar !
TEME A 12 Pranav Bhadane
TEME A 12 Pranav Bhadane
18:23 24 Sep 21
Really happy with my results. Having treatment from Dr. Kiran Nerkar was a life changing moment for me. The Dr. Himself with the staff are really good, they took my care really nice when i was in the hospital. I recommend if you also have gynecomastia do visit Dr. Nerkar once..👍
Vinay Siram
Vinay Siram
11:14 19 Sep 21
I underwent a surgery here. Dr. Kiran Nerkar is a quite humble and empathetic person. I had some fears and lot of doubts regarding the surgery. But, he patiently explained the procedure, clarified all my doubts and made me confident and comfortable with the surgery. Guidance post surgery is also very good and I used to get regular calls from the hospital enquiring whether I was fine and facing any problems. I used to call and message him if I had some doubts or problems and he used to respond immediately. I am a non Marathi, but still I was quite comfortable with him. The hospital staff are also quite decent and good natured. The hospital in general is well maintained. Overall, had a great experience and Dr. Kiran Nerkar is a quite professional doctor.
Ankush Potdar
Ankush Potdar
08:00 23 Aug 21
Excellent doctor. Very friendly staff. Doctor cleared all the doubts I had both pre and post op. Post op recovery was also smooth. Overall very good experience and results.
Hemal Shah
Hemal Shah
14:56 05 Jan 20
I was in Nashik for visiting my family when my 16 month old fell and hurt his upper lip. We had a return flight to US in the next 24 hours. We visited Dr Kiran on the recommendation of our pediatrician. We found him extremely friendly and a thorough professional with a humane approach. Post surgery, he set us up for the travel with SOS medicines and information as to what to expect. He was available on phone for the next few days to answer any questions, and was also kind enough to call and inquire about the progress. Would highly recommend his services, if you are looking for a surgeon
abhishek shah
abhishek shah
06:44 14 Dec 19
We went in a emergency case for a small 16 mnths baby and the doctor took our case immediately and we are very much satisfied with his treatment . Recommend u all to visit him whenever required.
Gurujant Sohal
Gurujant Sohal
13:56 22 Oct 19
The doctor treats he's patient very well...He is excellent in he's field
Mahendra Ware
Mahendra Ware
10:05 20 Oct 19
I remember one of my nephews had an accident when he was hardly a year old. He was injured during Diwali cleaning, as a rack fell upon him. Around that time all the family members were worried if the wound would leave a lifetime mark. You had performed surgery on his forehead wound. He is doing completely fine now and the mark can only be spotted by a person who knows the incident happened! Such a perfection!🙌🏼 🕴#respect
amey deshmukh
amey deshmukh
17:03 02 Feb 19
Easily the best doctor for treatment with guaranteed results. Makes the patient feel very comfortable and is always open to questions. Very good post op follow up and treatment too. You just can’t go wrong with Dr. Kiran nerkar
AMOL BHALERAO
AMOL BHALERAO
19:20 18 Jan 19
Hospital and complex are both better. Every treatment is available. Aakar hospital is best in nashik for surgeries.
Vinay Kothawade
Vinay Kothawade
09:25 26 Dec 18
Recently went for hand surgery. I got a proper advice and accurate treatment from Dr.Nerkar. Very nice doctor,well equipped operation theatre and polite staff makes the aakar hospital best for hand surgery. Aakar hospital gives a new life for hand.
nitin nerkar
nitin nerkar
07:51 02 Dec 18
Best facility is available in Akkar Hospital for cosmetic surgery & plastic surgery. Dr Kiran Nerkar is very efficient doctor and he always give proper advice to every petient.
NC spares Hal
NC spares Hal
13:30 26 Nov 18
I suffered from gynecomestia since 23 years. I lost self confidence .i consulted aakar hospital.Dr. assaured me there will no side effect from operation.behaviour of Dr Kiran sir is very nice.hospitality is very good.recently Dr operated my both Brest .operation was successful .in 1 day I was discharged.Now i am very happy.A lot of thanks Dr Kiran sir.
Sanket Shekdar
Sanket Shekdar
06:13 26 Nov 18
This is a huge Hospital complex. Lots of different small and medium sized clinics and hospitals within. Also there are many medical/pharmacy stores as well. This particular hospital is for cosmetic and plastic surgery. Doctor is professional and the staff is helpful too. There is only street parking. Entry is also a bit narrow.
Rohit Patil
Rohit Patil
05:55 20 Nov 18
Went for Pyogenic Granuloma on thumb surgery. Very nice doctor and good staff. It was a smoother and easier procedure than what I thought. Thanks a lot Dr Kiran Nerkar.
Prasad Deshpande
Prasad Deshpande
04:53 16 Jan 17
Dr. Kiran Nerkar Plastic, Cinematic & Hand Surgery
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