Critical End: Symptoms, Causes and Treatment
Critical limb -ischemistry under the protection of the protection is the result of a lack of arterial blood, that is, oxygen rich in tissues due to the blockage of blood vessels, while the darkest distribution is the hardest complex of the disease of the crushed arteries when the blockage is mainly in the lower limbs. There is a difference between the disease of the core point, in which the sudden blockage of the veins that provides the feet with blood due to a blood clot or due to an assignment, and between the disease of softening the critical, serious, chronic end, which is not always caused by a blood clot or command, but it is serious and advanced hardening in the arteries. The hypotharge darkening must be treated immediately; This is because any delay can lead to the need for amputation of the limb from above or below the knee. The closure of chronic management is a disease that includes permanent closing pain at the time of rest in the fingers and coffins of the feet and bones that need permanent treatment by painkillers, or the presence of ulcers or death of tissues in the bones, and these ulcers and swollen areas can develop a bacterial infection. In addition to pain, there is a decrease in the arterial blood pressure of the ankle to reach 50 millimeters mercury or less, in patients who are not diabetes, 30 millimeters mercury or less in diabetics. Symptoms of critical endings include the most important symptoms of the following: pain or numbness in the feet. Glossy, soft, dry skin in the bones or feet. Fish in the nails of the foot. Absent or reduced pulse rate in the legs or feet open sores that are not healing and skin infections. Dry gangrene, ie dry and black skin in the bones or feet. A striking decrease in a temperature below your leg or your foot compared to the rest of your body matters and factors of the risk of critical ending includes the most important causes and factors of the risk of critical limbs. The causes of critical ending at the end of the critical ends are the advanced stage of the peripheral artery disease arising from a gradual thickness of the artery as the accumulated of the accumulated, where the accumulations of the build -up of the build -up, where the accumulation of the accumulation of the accumulation of Collaboration of the build -up of the accumulated of the accumulated level is arterial sclerosis also results in the veins narrowing or preventing blood flow, reducing the circulation in the legs, feet or hands. 2.. The risk of critical ending is the risk factors for severe hops in the limbs. The following: Men who are older than sixty years old and women after menopause. Smoke. Diabetes. Weight or obesity. Stable lifestyle. High fat. High blood pressure. Family history of vascular disease. The complications of the critical end of the critical ending are a chronic condition that leads to severe feet or toes pain, even during rest, and complications of poor blood circulation may include sores and wounds that are not healed in the legs and feet if left without treatment, as it will lead to amputation of the affected limb. Diagnosis of a critical end, the doctor may determine the cause of the blockage associated with the definition of the embarrassing ends using one or more methods of the following methods: 1. The audience examination is confirmed that there is a buzzing sound in the legs of the legs with the doctor’s headline. 2. The ankle and the exchange rate divide the systolic blood pressure into the arm on the single. 3. Doppler -ultrasound This type of ultrasound can measure the direction and velocity of the blood flow through the vessels. 4. Computerized tomography with X -Ray Advanced vessels uses the computer to generate 3D images. 5. MRI portrayal The patient is exposed to radio frequency waves in a strong magnetic field, where the energy launched by a computer is measured and used to create two and 3D images of blood vessels. 6. Vascular imaging is performed by the blood vessels using contrast coloring. Critical end treatment is often a slight treatment in the blood vessels. The recommended therapy is the option of treatment, depending on the location and severity of the blockages, as most patients suffer from multiple arterial blockage, including the arterial blockage. Some vascular procedures used to treat critical ends include the following: The catheter is placed a small balloon by a hole in the thigh where the balloon is blown one or more using a salt solution to open the artery. The coil is used as a balloon guaranteed with accurate blades to expand the sick area where the blades cut the surface of the plaque, which reduces the power needed to expand the bowl. The cold balloon Instead of using a brine, the balloon is inflated using nitric oxide, where the gas freezes the plaque, and the growth of the plaque stops with a little dermoplastic tissue. The supports left the retinal metal tubes in place after the artery was opened with the bowl of the bowl. Ballon expansion is used to expand the pillar, these stents are stronger but less flexible. Laser porridge removal, small parts of the plaque is evaded by the tip of the laser sin. The removal of porridge The removal is used as catheter with pieces of pieces to remove the physical plaque from the artery and open the flow channel. Anti -Consulting antibiotics, including heparin, which is a drug used for ordinary blood and warfarin. Treatments to dissolve blood clots or deaf are done by the following medication: Streptokinase, and urokinase, where this treatment is provided according to the place of obstruction, the duration of the blockage, the color of the affected limb and its temperature, this treatment should be withheld in the case of instructions determined. Pain relievers give strong pain, such as: oxycodon or morphine. It usually takes one or two days recovery from surgical procedures, and most of these procedures are performed in the outpatient clinic, where the treatment includes the control of risk factors for atherosclerosis. Prevention of critical purposes, which prevents prevention methods. The following: 1. Reducing cholesterol In addition to exercise, the diet is the best way to naturally reduce cholesterol, which reduces the risk of developing the perfume of the limbs. Consider the following nutritional changes to lower cholesterol: Avoid transformed fats that often occur in rusks, cakes and other foods that contain partially hydrogenated vegetable oils. Add more foods rich to omega -3 that occur in some types of fish and nuts. Reduce saturated fats in red meat and some dairy products. Increase the soluble fiber in oatmeal, apples and pears. Includes a whey protein found in dairy products or in the form of the powder. 2. Diabetes controls people with diabetes runs the risk of developing a four -five irrigation limit compared to those who do not suffer from diabetes. Diet and exercise, including sugar removal, is an excellent way to help control insulin levels and control your diabetes. 3.. Move more that you may work in a job that you occupy most of the time while sitting on the computer and spending hours communicating with friends and family on social media. To prevent critical effort, it is important to move and exercise and blood flow. 4. Weight loss is to consider the Mediterranean dietary system, rich in fruits, vegetables, olive oils and legumes, as this diet allows fish but limits red meat. Another preventative diet you can try is another food pressure that this diet needs to reduce sodium and fat. 5.. If you smoke smoke, it leads to the accumulation of fat and the narrowing of the blood vessels in addition to a lack of critical effort, as this distress can lead to a heart attack or stroke. The first carbon monoxide due to tobacco smoke reduces the oxygen in the blood as your limbs and other important organs need oxygen to survive, smoking can increase the risk of developing the surrounding veins significantly, and ultimately a lack of irrigation of the critical purposes. 6. Low blood pressure Many of the above elements, such as: to quit smoking, lose weight and exercise, can contribute to reducing blood pressure, including other procedures to consider: reducing coffee intake. Avoid alcohol. Reduction of tension. Reduction of salt intake.