Proceso de atencion de enfermeria con neuroartropatia de charcot en pie diabetico: estudio de caso

Abstract

Charcot neuropathy is a progressive disease and is among the most common complications that occur in the diabetic foot of a person with diabetes mellitus, which can become a functional and physical limitation of the foot creating medical concerns. Charcot's foot is a degenerative disease of neuromuscular origin, which appears in a short period of time; When the patient comes to present a minor injury or sprain of the foot and ankle, this will generate a serious mismatch of the anatomy of the foot. Because patients with diabetes mellitus do not have good vascularization and a rise in sugar levels, it will cause damage to the nervous system thereby increasing the partial or total loss of pain, causing weakening of the bones and creating minor dislocations or trauma . This degenerative arthropathy predominates 0.8 to 7.5% in the diabetic population regardless of gender, according to the World Health Organization there are 1 of 680 patients with type 1 diabetes who have generated this arthropathy; in the most severe cases, the committed member will be mutilated; That is why a timely and accurate diagnosis is necessary to avoid this complication. In America, due to its number of inhabitants, the US is the country with the highest prevalence of 1 to 6% among 16 million inhabitants who have the disease, while in Colombia a single epidemiological study was carried out that reported the proportions of the affected sex that agrees with the world In the neighboring country Peru does not have epidemiological data to identify the incidence that this disease would occur. In Ecuador, no studies or epidemiological data on the disease have been taken to establish an exact prevalence, although there are clubs that deal with diabetes from public and private hospitals; There are no studies on the nationwide statistics of Charcot's neuroarthropathy.