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“Tayun Care”

Cara Pengobatan Penyakit Diabetes Melitus

Diabetic wound therapeutic method to avoid amputation

Before

before

After

after

Courtesy of Kompyang Rata, I Gusti Agung

 

Diabetes Mellitus and Diabetic Ulcer

The incidence of diabetes mellitus is increasingly steadly, with he epidemic of obesity, spreading all over the world.

The largest population of the world is also as the highest incidence of diabetes mellitus (DM) including diabetic ulcer (foot ulcer). Indonesia is the 4 th high incidence of diabetic mellitus.

Gangren diabetic ulcer is significant problem for patient with DM, which 15 – 24 % with eventually undergo of amputation. Every patient diabetic ulcer, well inform about the prognosis and probability of the amputation procedure, which need high cost and high failure rate.

“ Tayun Care “ is a new and specific management of diabetic ulcer, design by Kompyang Rata, I Gusti Agung (Dermatologist), with high success rate.

5 Principles of “ Tayun Care “

  1. Debriment
  2. Biostimulation Laser ( Diode LLLT )
  3. Adequate Systematic Antibiotic
  4. Antioxidant
  5. Health Education / Psychotherapy

 

“ Tayun Care “ is design for Public healt services in Indonesia Covering : with moist gaust dressing

 

A. STAGING ULCER AS “YALE UNIVERSITY”

 

Stage 1

( Healing in 1 week )

Venous Ulcer

stage1-before

Before

stage1-after

After

Courtesy of Kompyang Rata, I Gusti Agung

 

Stage 2

( Healing in some weeks ) 

Arterial Ulcer

stage2-before

Before

stage2-after

After

Courtesy of Kompyang Rata, I Gusti Agung

 

Venous Ulcer

stage2-1before

Before

stage2-1after

After

Courtesy of Kompyang Rata, I Gusti Agung

 

Stage 3

( Healing in some months )

Malperforans

Neurothropic Ulcer

neuro-before

Before

neuro-after

After

Courtesy of Kompyang Rata, I Gusti Agung

 

Arterial Ulcer

stage3-before

Before

stage3-after

After

Courtesy of Kompyang Rata, I Gusti Agung

 

Stage 4

( Healing in some month- year )

Alterial Ulcer

stage4-before

Before

stage4-after

After 18 months

Courtesy of Kompyang Rata, I Gusti Agung

 

Alterial Ulcer

stage4-2before

Before

stage4-2after

After 4 months

Courtesy of Kompyang Rata, I Gusti Agung

Spontaneous Mutillation

Stage ( 3 – 4 ), under suggestion of wide excision or amputation

 

B. SPECIFIC NEW DIABETIC ULCER

B1. Ulcer Post Wide Excision

( Necrotomy in Hospital )

Before

A1-before-1

Dorso Lateral

A1-before-2

Dorso Medial

 

After

A1-after1

Dorso Lateral

A1-after2

Dorso Medial, After 6 Months

Courtesy of Kompyang Rata, I Gusti Agung

 

B2. Ulcer Post Amputation

Dorsal

A2-before1

Plantar

A2-before2

Courtesy of Kompyang Rata, I Gusti Agung

Before

 

Dorsal

A2-after1

Plantar

A2-after2

Courtesy of Kompyang Rata, I Gusti Agung

After 6 Month

 

B3. Ulcer in Uncontrolled Long Systematic Gluco Corticoid ( Obat Dewa ) Administration

Rheumatoid arthritis is common in old age or DM patient in Indonesia and most of medium to  lower class of population,  self medication  is the popular option.  Anti rheumathoid arthritis containing G.C. ( obat dewa) , Alopurinol and NSAI DRUGS freely available in black market and  is administrated  freely  for long duration. Dangerous !

Some the severe and infaust prognosis cases as follow

b3-medialy

Medially

b3-dorsally

Dorsally

Courtesy of Kompyang Rata, I Gusti Agung

 

Case of  60 year old,Jakarta, DM , 18 years, obat dewa , 4 years, Acute,progressive bulla,celulitis, Gangren,septicemia, Delirium,Hospitalized in 2 days past away

 

1st Visit to “Tayun Care”

A3-case-from-yogya

Courtesy of Kompyang Rata, I Gusti Agung

A Case From Yogya

DM 8 years, Both venous ulcer for 4 years, Routine administration of anti Arthiritis rheumatoid for 5 years, Side effect : athropy of both legs, cellulitis and early sign of gangrene (right).

 

C. SPECIAL EXPERIENCE

a. Hanseniasis (Kusta)

Neurothropic Ulcer

kusta-before

Before

kusta-after

After 2 Months

Courtesy of Kompyang Rata, I Gusti Agung

 

b. Zoster

Before

zoster-before

After

zoster-after

Courtesy of Kompyang Rata, I Gusti Agung

 

c. Varicela

Before

varicela-before

After

varicela-after

Courtesy of Kompyang Rata, I Gusti Agung

 

d. Decubitus

Before

decubicus-before

After

decubicus-after

Courtesy of Kompyang Rata, I Gusti Agung

 

e. Keloid

Before

keloid-before

After

keloid-after

Courtesy of Kompyang Rata, I Gusti Agung

 

f. Combutio ( Luka Bakar )

Before

luka-bakar-before

After

luka-bakar-after

Courtesy of Kompyang Rata, I Gusti Agung

 

May All be Happy, May All be in Peace

May God Bless You