Obliterating endarteritis of the lower extremities: causes, symptoms, consequences
Obliterating endarteritis of the lower extremities: causes, symptoms, consequences
Obliterating endarteritis of the lower extremities -it is an inflammatory disease that affects the arteries. As a result of endarteritis, normal blood flow in the legs becomes difficult, this leads to various complications.
Symptoms of obliterating endarteritis
The most commonly obliterating endarteritis of the lowerlimbs occur in men aged 35 to 50 years. The disease can begin to develop at the age of 20 years. In the pathological process, large and small arteries, veins are involved. The first symptoms include increased fatigue and weakness in the legs. Then as a result of a significant decrease in blood flow there is an increased chilliness of the lower limbs, periodically there are sensations of numbness. Increases sweating, when walking begins to hurt your legs. The nails of the fingers become brittle, they turn blue, the nail plates are deformed. The narrowing of the vessels in the gastrocnemius muscles results in insufficient intake of oxygen to the tissues, resulting in severe spasms. Legs swell, while walking can appear cramps. A serious complication of the disease is gangrene, in which limb amputation is necessary. Causes of obliterating endarteritis
Causes of development of obliterating endarteritis up tothe end is not studied. It is believed that the appearance of the disease is promoted by autoimmune antibodies. They cause defeat and inflammation of the walls of the arteries. As a result, connective tissue proliferates, narrowing the vessels, fatty tissue is affected. Many scientists hold the opinion that the appearance of endarteritis is associated with intoxication of the body with nicotine, other poisons, with neuropsychic overstrain, regular supercooling of the extremities. Other factors that may contribute to the development of the disease include: infectious diseases, fungal infections, lower extremity injuries, neuritis, atherosclerosis, pathologies in the blood coagulation system, allergic effects. How to treat obliterating endarteritis
Currently, there are no methods of treatment,which would stop the progression of arterial lesions. Therapy is directed to the removal of the symptoms of the disease. At the initial stage, endarteritis is prescribed nicotinic acid, antispasmodics, vitamins (B, E, C), antiaggregants, antihistamines. Carry out physiotherapy procedures: EHF-therapy, acupuncture, laser and magnetic effect. If conservative methods of treatment do not improve the condition, surgery is necessary. With obliterating endarteritis of the lower extremities, a sympathectomy is performed - vasodilatation, which improves blood supply. In some cases, perform thrombinectomy - removal of thrombi overlapping the lumen of the vessels, or bypass - bypassing the affected areas of the artery.