Користувач:LarueThib
Матеріал з Луцький НВК "Гімназія №14"
Dr. Sattesh Babu of Vascular Associates of Westchester examines Peripheral Arterial Illness, who's in danger, why it is crucial that you be screened and recent treatments.
WHAT IS PERIPHERAL ARTERIAL DISEASE?
Pad or peripheral arterial infection is basically an obstruction of the arteries in-the lower limbs. That's what we mean by peripheral arteries -- knee arteries plugged by hardening of-the arteries, accumulation of calcium, plaque and cholesterol. That in part is just a process of aging, but undoubtedly also due to smoking. There are other degenerative components that individuals can not describe fully because there are people who do not smoke, who don't have diabetes, who get blockages in their arteries.
Issue is that a lot of those people with signs are mistaken for having arthritis. People may state that every time I attempt to go I have pain within my legs. These are often aged patients and so these symptoms are mistaken for arthritis and the health practioner may possibly ask them to take aspirin. It's essential to ask for the common indicator of the patient. The normal symptoms of congestion of the veins in-the feet are that each time the patient walks he has to stop after having a certain range. Let us say he walks one block. He'll say a year-ago I use to go two blocks. Three blocks. Since my legs cramp up today, in the past 6 months I will only walk one-block. And it is always regular because the blood doesn't come and disappear the following day. Therefore the problem is constant, quite reliable. Everytime I walk I should stop and I get when I feel much better. That is called claudication which implies in Latin limp. And so the patient has to limp to begin walking. So that anybody who has this symptom should not be blown off that he is old and merely has osteoarthritis. Since if he does have arterial disease we are able to follow him you need to examine to-see if he has arterial disease.
Risk factor modification is very important. For-a large amount of these patients, since every time they walk, they have suffering, they become settee potatoes. They don't exercise nowadays. They do not walk anymore. They simply sit convinced that they're likely to hurt their thighs. It's just-the other way. We would like them to exercise up to possible. By simply walking lots of these people could enhance their symptoms. But obviously if it starts getting worse we've solutions to treat this. We are able to pass a cable through-the artery, followed closely by a mechanism and then open it-up if an artery is narrow. Then we put in-a stent -- much like we may put a stent in-the center. If it is significantly clogged we could perform a bypass from the parts above the block to a healthy place beneath the block. This is how we could save the limbs. It may not heal, because if there's not enough blood supply, even a trivial trauma -- even cutting a claw -- if you damage it. And a diabetes and peripheral arterial infection can be a poor mix. A wound may advance into gangrene, meaning death of-the tissue. A patient may lose the leg and end up with amputation. And this can be an area where it is very important to get the existence of arterial infection before the problem occurs., for instance take a look at the site here.
