-
General of thromboangiitis obliterans**.
1. Smoking is strictly prohibited, and the affected limb is kept warm.
2. Buerger movement has the effect of promoting the establishment and compensation of collateral circulation. The method is to lie down on the affected limb, first elevate the affected limb by more than 45°, maintain it for 1-2 minutes, then hang down on the side of the bed for 2-3 minutes, then place it horizontally for 2 minutes, and do 10 foot rotation and stretching activities.
Do this repeatedly, 5-10 times per set, several times a day.
3. Drug** cilostazol: 100mg bid; sagreloxil hydrochloride: 100 mg tid; Alprostadil (prostaglandin E1): 10-20 g IV qd
4. Symptomatic** Use analgesic drugs to relieve pain.
5. Hyperbaric oxygen** through hyperbaric oxygen chamber** to increase tissue oxygen diffusion and improve oxygen reserve, thereby improving tissue hypoxia.
Traditional Chinese Medicine** The application of traditional Chinese medicine according to the principle of syndrome differentiation and treatment of traditional Chinese medicine** also has certain curative effects.
-
Traditional Chinese medicine is a major feature of **thromboangiitis obliterans. According to the theory of traditional Chinese medicine, thromboangiitis obliterans is "prolapse", which is caused by excessive emotion and fatigue, and external causes are the evil of cold and dampness, tobacco poison and external injury. According to the clinical characteristics of different stages, the oral thrombosis and pulse rejuvenation formula has the effect of replenishing qi and nourishing blood, activating meridians, and breaking thrombosis and pulses, and the effect is ideal.
There are also hyperbaric oxygen chambers and limb oxygen chambers**. In some cases, surgical treatment is required, and muscle analgesic cream is applied to the gangrene area to remove saprophytic muscle. Combined with Western medicine anticoagulation, thrombolysis, and depolymerization**, it can effectively control the disease.
Of course, the above ** should be carried out according to the condition, and antibiotics should be used if there is a secondary infection. At the same time, maintenance and care are also important, and patients must quit smoking. Keep the affected limb warm, but should not apply hot compresses or hyperthermia to avoid aggravating tissue hypoxia.
The affected limb should avoid cold, moisture and trauma, should not wear hard shoes and socks, and the limb should be reasonably exercised to promote the establishment of collateral circulation.
-
Buerger's disease is a chronic occlusive disease characterized by segmental, non-purulent inflammation of small and medium arteries and intraluminal thrombosis. It mainly affects the extremities and is more common in the middle and small arteries and veins of the lower extremities. , the vast majority of whom are young and middle-aged men.
Presents with ischemia, pain, intermittent claudication, decreased or absent dorsalis pedis pulse, migratory superficial phlebitis, and in severe cases, acral ulceration and necrosis. The disease has a long course and slow cure, so prevention and care are essential.
-
The disease is unknown, but if you actively take the following precautions, you can stabilize the condition and reduce the symptoms. Method:
1. Absolute smoking ban is an important measure to prevent and improve the disease.
2. Keep your feet clean and dry to prevent infection and trauma.
3. Keep your feet warm at work or rest, so as to improve blood circulation in your feet, but not overheat, so as not to increase oxygen consumption and aggravate your condition.
The patient lies down, elevates the affected limb by 45° for 1 2 minutes, then lowers the feet to the bed for 2 5 minutes, moves the feet around 10 times, and then rests the affected limb flat for 2 minutes. Practice 10 buerger exercises each time, 3-5 times a day.
5. Avoid the use of vasoconstrictors.
Clinical features of vasculitis.
1) Coldness, intolerance, numbness and paresthesia in the limbs, especially in the toes, are common early symptoms. >>>More
Vasculitis is a disease that can cause inflammatory lesions of small and medium-sized arterioles up to narrowing and occlusion of blood vessels, and the obvious symptoms of vasculitis are numbness, coldness, cold intolerance, soreness, fatigue, heaviness, and mild intermittent claudication of the affected limb. It is more common in young men and adults. Smoking, cold, dampness, malnutrition and abnormal sex hormones are the main causes of this disease, and smoking is particularly closely related to the onset of the disease. >>>More
Vasculitis occurs overwhelmingly in men between the ages of 20 and 40, and less commonly in women. In the initial stage, it belongs to the ischemic stage, and the symptoms are not obvious, but you will feel numbness, coldness, cold intolerance, heaviness in the affected limbs, needle-like pain in the toes, calf cramps and other phenomena. In addition to the above symptoms, you can also see the affected limbs **flushing, purple or pale, feet **dryness, peeling, hair loss, muscle atrophy, etc., accompanied by emotional restlessness, dizziness and low back pain, weak muscles and bones and other symptoms. >>>More
The ** method of vasculitis is as follows::
1.Conservatism**: mainly the combination of drugs** and functional exercises, Western medicine includes vasodilator drugs, antiplatelet drugs; >>>More
The symptoms of the ischemic phase of thromboangiitis obliterans include various abnormal sensations such as pallor, coldness, pain, numbness and other parts of the toes, a decrease in temperature when touched, and a weakening or disappearance of the pulse of the arteries in the feet such as the dorsalis pedis artery or the posterior tibial artery. Patients may also have manifestations of nutritional deficiencies, such as thinning or abnormal thickening of nails, roughening, chronic ulceration of the extremities in severe cases and long-term non-union, and local necrosis and blackening in more severe cases. If necrosis, blackening and chronic ulcers do not heal for a long time, slow infection, inflammation and pus exudation, local ulceration and redness, swelling and pain at the edges will occur, which are typical symptoms of the ischemic phase of thromboangiitis obliterans.