Peran Nutrisi pada Penyembuhan Luka Ulkus Diabetik

Oleh :

dr. Hendra Gunawan SpPD

Peran nutrisi pada penyembuhan luka ulkus diabetik masih menjadi topik yang hangat diantara klinisi. Ulkus diabetik pada umumnya memiliki angka kesembuhan yang relatif kecil, bahkan dapat menyebabkan kecacatan permanen. Hal ini menyebabkan biaya perawatan pada kasus ini sangat besar. Selain itu, adanya ulkus diabetik dapat memiliki pengaruh pada nutrisi. Intervensi nutrisi pada kasus ulkus diabetik diduga dapat mempercepat penyembuhannya.[1]

Problematika Ulkus Diabetik

Hingga saat ini, ulkus diabetik merupakan salah satu komplikasi yang dapat menyebabkan morbiditas dan mortalitas pada pasien diabetes mellitus. Beberapa komplikasi yang dapat menyebabkan turunnya kualitas hidup adalah risiko hilangnya anggota gerak tubuh, maupun lamanya proses penyembuhan, yaitu sekitar 12 minggu.[2]

Sumber Gambar: Openi, 2016.

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1.Moore ZEH, Corcoran MA, Patton D. Nutritional interventions for treating foot ulcers in people with diabetes. Cochrane Database of Systematic Reviews. 2020(7).
2.Jeffcoate WJ, Vileikyte L, Boyko EJ, Armstrong DG, Boulton AJ. Current Challenges and Opportunities in the Prevention and Management of Diabetic Foot Ulcers. Diabetes Care. 2018;41(4):645-52.
3.Brennan MB, Hess TM, Bartle B, Cooper JM, Kang J, Huang ES, et al. Diabetic foot ulcer severity predicts mortality among veterans with type 2 diabetes. Journal of Diabetes Complications. 2017;31(3):556-61.
4.Kasiya MM, Mang'anda GD, Heyes S, Kachapila R, Kaduya L, Chilamba J, et al. The challenge of diabetic foot care: Review of the literature and experience at Queen Elizabeth Central Hospital in Blantyre, Malawi. Malawi Med J. 2017;29(2):218-23.
5.Armstrong DG, Boulton AJ, Bus SA. Diabetic Foot Ulcers and Their Recurrence. New England Journal of Medicine. 2017;376(24):2367-75.
6.Momen-Heravi M, Barahimi E, Razzaghi R, Bahmani F, Gilasi HR, Asemi Z. The effects of zinc supplementation on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial. Wound Repair Regen. 2017;25(3):512-20.
7.Razzaghi R, Pourbagheri H, Momen-Heravi M, Bahmani F, Shadi J, Soleimani Z, et al. The effects of vitamin D supplementation on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial. J Diabetes Complications. 2017;31(4):766-72.
8.Afzali H, Jafari Kashi AH, Momen-Heravi M, Razzaghi R, Amirani E, Bahmani F, et al. The effects of magnesium and vitamin E co-supplementation on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial. Wound Repair Regen. 2019;27(3):277-84.
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10.Zhang S-S, Tang Z-Y, Fang P, Qian H-J, Xu L, Ning G. Nutritional status deteriorates as the severity of diabetic foot ulcers increases and independently associates with prognosis. Experimental and Therapeutic Medicine. 2013;5(1):215-22.
11.Sajid N, Miyan Z, Zaidi SIH, Jaffri SSA, AbdeAli M. Protein requirement and its intake in subjects with diabetic foot ulcers at a tertiary care hospital. Pak J Med Sci. 2018;34(4):886-90.
12.Xiang J, Wang S, He Y, Xu L, Zhang S, Tang Z. Reasonable Glycemic Control Would Help Wound Healing During the Treatment of Diabetic Foot Ulcers. Diabetes Ther. 2019;10(1):95-105.
13.Fesseha BK, Abularrage CJ, Hines KF, Sherman R, Frost P, Langan S, et al. Association of Hemoglobin A_1c and Wound Healing in Diabetic Foot Ulcers. Diabetes Care. 2018;41(7):1478-85.