Obliterating endarteritis - symptoms and treatment
Obliterating endarteritis- it is a disease of the vessels, most often the lower oneslimbs, rarely - the upper, as well as vessels of the brain and heart. The disease has been known since ancient times and called it different terms: "femoral angina", "endarteriosis", "intermittent claudication", "Burger's disease", "thromboangiitis". To him are exposed mainly men from 20 till 50 years, that is people at the most active age.
Back in the late XIX century, the Russian surgeon AA.Vvedensky noted that obliterating endarteritis is very common among residents living in places with severe climate, and they have acute symptoms in cold weather. He noticed that the systematic cooling and frostbite of the limbs lead to a disruption in nutrition and tissue sensitivity.
However, the disease occurs in countries withhot or moderate climate, so that it can not be said that only the action of low temperatures leads to the onset of the disease. Numerous scientific studies have shown that nicotine is able to increase clotting and viscosity of blood, worsen and slow capillary blood flow in the main vessels. During smoking, there is a marked decrease in skin temperature, the restoration of which, after cessation of smoking, requires 5 minutes to 1 hour or more. It was revealed that 1 cigarette, smoked on an empty stomach with diseased endarteritis, is capable of causing vasospasm for a period of up to 17-18 hours.
The disease can be provoked by mechanical andmental trauma. Thus, the scientists established that after the earthquake in Ashgabat, the number of endarteriitis diseases, among city residents, increased 3-fold. It is also known about the sharp increase in the incidence of this disease after the world wars (the first and second) in virtually all countries in the world.
Obliterating endarteritis: symptoms
The disease develops slowly. The periods of exacerbation can be replaced by prolonged remissions. There are 4 stages of the disease:
- trophic disorders;
The first is the ischemic stage, characterized by a feeling of creeping crawling, slight fatigue of the feet while walking, muscle cramps, chilliness.
For the second - trophic disorders - is typicalsharp fatigue and chilliness of the legs, the appearance of muscle pain when walking, changing color and reducing skin temperature. "Intermittent claudication" during this period appears through much shorter distances and severely limits the activity of the patient. There is a weakening of the pulsation of the arteries of the feet on the affected limbs or the absence of one of them.
The ulcerative-necrotic stage is characterized byconstant "intermittent claudication", drilling pains, increasing in the horizontal position, the formation of ulcers in the interdigital area of the feet or hands. Nails are deformed, their growth slows down, there is an acute reaction of feet to temperature: because of severe pain, patients do not tolerate neither heat nor cooling of feet. To the ulcerative process may join lymphangitis, thrombophlebitis. The slightest trauma at this stage leads to the formation of non-healing ulcers.
Obliterating endarteritisin the gangrenous stage is characterized by the fact that inthe total blood flow is spreading toxic substances that affect the cardiovascular system, liver and kidneys, and the cortex of the brain. There may be extensive tissue necrosis, a constant burning pain that not only deprives the patient of sleep, but is often accompanied by severe depression.
Obliterating endarteritis: treatment
In our time there are no cardinalmethods of treatment that can stop the progressing course of the disease. It is possible only complex medical therapy, which can slow down the process in the early stages of its manifestation.
It is very important to eliminate the reasons contributing to thedevelopment of the disease: refrain from drinking alcohol, smoking, from working in a cold, damp room, especially associated with prolonged standing on the legs. Successful treatment will be facilitated by a reduction in the use of high-energy food and neuro-emotional loads, the use of curative physical education and, if possible, sanatorium treatment.
In the absence of success of treatment by conservative methods, surgical intervention is applied - sympathectomy, shunting or limb amputation.
Obliterating endarteritis is a serious disease and timely treatment to the treating doctor will be the key to successful treatment.