Peripheral Arterial Disease (PAD), which Also It is known that As Peripheral Vascular Disease Or Peripheral Artery Disease, is Atherosclerotic plaque buildup Limbs In the arteries, which They carry With oxygen And Food With substances Rich Blood From the heart To the upper and lower extremities.
Arteries have a hollow Pipes Similar A form that is covered from the inside Smooth With cover, The above hinders Blood To clot And Hand It helps Blood flow Stable Circulation. Peripheral In atherosclerotic disease of the arteries, Plate (From fat, Cholesterol And Other From substances Consisting of), which Gradually will arise Artery In the walls, Slow–Slowly Harassing The lumen of your arteries.
The outer surface of most such plates It is solid, while the inner layer Soft. Solid Surface Often fragile and easily It is brittle, cracks and falls apart, What Promotes platelet production Aggregation activation (In the blood Disco Shape Particles, which To him In the end Helps). Consequently, a blood clot forms around the placenta. Colts, What else? More Narrows the lumen of the artery.
If Yours Arteries Narrowed Or Blocked With atherosclerotic plaque Or Blood With a Colt, Blood Can't Reaches In the organs And To the tissues. This causes Blocking Beyond Located Fabrics Damage And, Finally, in the irregular and textured Death (Gangrene). Most Often The process develops in the lower extremities On your fingers And On the feet.
PAD's Progression Pace It differs For each individual And Depends Many On the factor, They Between Yours In the body Atherosclerotic plaque Generates Place and the organism About health status.
What is Peripheral Arterial Disease risk–Factors?
Smoking PAD Most Important Risk It is a factor.. In fact, Patients with PAD 80% Current Or Former He is a smoker..
Gender Despite, Peripheral Arterial Disease Development Risk You are under, If One Or More Next Risk–You will find a factor.:
- Tobacco Product Use (Most Strong Risk Factor);
- Diabetes;
- Age 50 Year And Above;
- Afro–American origin;.
- Heart Or Blood vessels Disease Personal Or Family History.
- High Pressure (Hypertension);
- High Cholesterol (Hyperlipidemia);
- Abdominal Obesity;
- Blood Clotting Violations;
- Kidneys Disease (As Risk–Factor, Also PAD-He/She Result).
Despite Of that, that PAD Coronary Arteries It is a condition different from a disease, This Two Interconnected. To people, who They have One, Probably the second one Are you worried? USA–S Healthcare National Institute Estimated, PAD-With Sick To a person has Six–Seven times More Risk Coronary Arteries Disease, Heart Attack, Stroke Or Transitional Ischemic Attack (Mini Stroke) Towards, than Common population; and vice versa – the heart–Vascular Disease Having To a person has 3-From 1 Chance, that To have lower codes Peripheral Arterial Disease.
Surprisingly No is, that This Two Disease Also has Common Risk Factors. This Because It happens, that The above Risk–Factors, Your limbs They cause in the arteries The same Changes, What is coronary In the arteries.
As Coronary Arteries Disease At the time, This Risk–From factors Many Not subject to control. However, Researchers in my opinion, Tobacco Consumption PAD-Isa And His/Her Complications The only one Most Important Modifiable (Variable) Risk It is a factor.. Tobacco Consumption Growth PAD-He/She Risk 400%-With And Accelerates PAD-He/She Symptoms of the development process Almost 10 By year. Of the same Age With non-smokers Comparatively, PAD-With Sick Smokers More Very much They die. Heart Attacking Or With a stroke.
How Valid This Condition My On the body?
PAD-He/She Typical Symptom “Claudication - intermittent claudication“ It is called, Medical Term, which indicates Foot About pain, Appears Walking Or Exercise At the time And Disappears While resting. Pain Appears That Because of, that Yours Limbs Fabrics cannot They take Enough Oxygen.
PAD-He/She Danger Beyond Walking Difficulties And Results Maybe Much To be worse, than Shopping Or Golf Game Skip. Peripheral Arteries Disease Growth On the lower extremities Or On the feet Incurable Ulcers Development Risk. Heavy PAD-He/She In case, This Ulcers Maybe To grow into Dead Fabric Into districts (Gangrene), Which, Final In total, Creates the necessary need for amputation of a limb or ankle.
That Because of, that Yours Body Blood Circulation System With each other is Related, PAD-He/She Effect Maybe To spread Damaged Beyond the limbs. To people, who They have Peripheral Arteries Disease, They have Heart Attack, Stroke, Transitional Ischemic Attack (Mini Stroke) Or Kidneys (Kidney) Arteries Problems Increased Risk.
What is PAD-He/She Symptoms?
People Half, who They have Peripheral Arterial Disease, No They are noted Symptoms. Pain and numbness in the limbs It is the main complaint of symptomatic patients. Walking Time, Also, Maybe Feel Weakness Or Fatigue. Affected parts of the limbs may include the back of the shins, thighs, or buttocks.
PAD-With Blood vessel damage occurs Whole Life during, while Symptoms Maybe To appear At a later stage. ManyS No It is noted External Symptoms Until then, Until Their Artery 60%-With Or With more Will not be harassed.
Early symptoms
PAD-He/She First Noticeable Symptom Maybe to be Intermittent lameness, Discomfort, Pain Or Cramp, which:
- Developing With activity Together
- Disappears during rest
- Returning to activity With the update
Pain You may notice it in your calf muscles, as well. Feel He/She In the buttocks Or In the thighs. With intermittent claudication, the limbs may develop:
- Numbness
- Weakness
- Gravity
- Fatigue
The pain may be severe enough to limit your ability to participate in activities you enjoy, such as walking or chasing your grandchildren.
Reduced blood flow to the leg muscles causes this type of cyclical pain, which goes away with rest because the muscles need less blood flow when they are at rest.
Symptoms of the later stages of the disease
PAD-As it progresses Symptoms Maybe include:
- Burning Or Pain On the feet And In the fingers Rest At the time, Especially – At night, While lying down
- Cool/cold skin on the feet
- Redness Or Skin Color Other Changes
- Frequent Infections
- Untreated Ulcers On your fingers And On the feet
Diagnosis
Research, who Yours Doctor Maybe to rely on, Includes:
- Physical medical Browse. Yours The doctor Maybe to discover PAD-He/She Signs Physical Examination At the time, such as Artery oppressed District Weak or absent pulse below, Buzz On the arteries, which I hear. With a stethoscope, Difficulty healing wounds in these areas. Blood Flow Restriction And Low Pressure in the damaged area.
Arterial Pressure To measure, Yours Doctor uses Arterial Pressure Usually Cufflinks And Special Ultrasound Device Arterial Pressure And Flow To evaluate.
It is also possible to measure blood pressure before and after walking and exercising on a treadmill to determine the degree of arterial constriction during walking.
- Ultrasound. Dopplerography of peripheral blood vessels, Helps To the doctor In the blood vessels Blood Flow Evaluation And Blocked Or oppressed Arteries In identification.
- Angiography. In the blood vessels The contrast agent injected Using, Yours To the doctor Means Given into target arteries to evaluate Blood Stream. Yours To the doctor Can to evaluate Contrast agent Stream Visualization Equipment Using, such as X-ray Rays, Magnetic–Resonant Angiography (MRA) Or Computer Tomographic Angiography(CTA)
Catheter-directed Selective angiography is Invasive Procedure, which implies Small Hollow Pipe (Catheter) To spend Near damaged blood vessels and their contrasting research. This Type Research Yours To the doctor Allow Allows you to accurately determine the extent and spread of the damage in order to properly plan further treatment tactics.
- Blood Laboratory research. Blood Sample Maybe Used To be seen Yours Cholesterol And Triglycerides Level To measure And Check for diabetes. Determine blood clotting function.
Treatment
Peripheral Artery Disease Treatment Two Basic Goal has:
- Symptoms Management, such as Foot Pain, In order to Be able to Physical Activity Update
- Atherosclerosis Progression Stop Throughout In the body, In order to Reduce further damage to the arteries in the body Risk.
You You can To achieve This Goals Life Rule With changes, Especially peripheral Arterial Disease At the beginning. If Do you smoke?, For cigarettes In his head Surrender is The only one Most Important Things, What To do too You can Complications Risk To reduce. Walking Or Other types Exercise Regularly, on schedule With protection, Which Under supervision Exercise They call, Maybe sharply to improve Yours Symptoms.
If Do you have Peripheral Arterial Disease Signs Or Symptoms, Probably You will need Further medication Treatment. The doctor Maybe To appoint you Preparations Blood Clotting At first To prevent, Arterial Pressure And To reduce cholesterol levels. Of pain And Other Symptoms To control.
Medications
- Cholesterol-lowering Medications. Heart Attack And Stroke Risk To reduce You can to receive Cholesterol Depressing Drug, Which It is called Statin.
Peripheral Arteries Disease Having For people The third indicator is Low Density Lipoproteins (LDL) Reduction 100 To milligrams/deciliter (mg/DL) Or 2,6 To millimoles/liter (Mmol/L). Target More More Low, If Do you have Heart Attack And Stroke Additional Basic Risk–Factors, Especially Diabetes Or Active smoking.
- Medications for treating hypertension (high blood pressure). If You Also Do you have High Pressure, The doctor Maybe To appoint you Medications His To reduce.
The goal of treatment is to Pressure gauge 130/80 On a silver water column Less. This is Guide indicator For everyone, Who has Coronary Artery Disease, Diabetes or chronic kidney disease Disease. 130/80 mm Hg-He/She Achievement Also The goal is 65 Year Senior Age And 65 Year Junior Healthy For adults, Who They have Heart–Vascular Disease Development 10% Or More Risk Next 10 Year During.
- Medications In the blood Sugar For control. If you have been diagnosed with diabetes, In the blood Sugar Level Control More More It is important.. Let's talk. Yours To the doctor In the blood Sugar About target content And That On the steps that I must Step down. This Goals To achieve.
- Medications Blood Clotting At first To prevent. That Because of, that Peripheral Arterial Disease Related Yours In the limbs Blood Flow With the reduction, It is important. Blood circulation Improvement due to blood thinning.
The doctor Maybe To appoint you Daily Drug therapy for the prevention of clotting disorders.
Angioplasty And Surgical intervention
In some In case, Peripheral Arterial Disease For treatment, maybe Necessary To become Angioplasty Or Surgical intervention. The indication for intervention is determined by: the distance of claudication, the intensity of rest pain, and the viability of tissues in the extremities.
- Angioplasty. This Procedure A catheter inserted into a peripheral blood vessel during It is being applied. Damaged In the artery, where the catheter By inflating the balloon at the tip, the blood vessel dilates.
During angioplasty, your blood vessels become dilated. The doctor Also Maybe to bring in Mesh Pipe (Stent), In order to Area of intervention It should be maintained in an expanded state and its lumen should not be obstructed by fragments of the plaque. This is The same Procedure, Which Doctors They use Heart Arteries To open.
- Arterial bypass surgery. Your doctor may create a bypass around the blocked artery using a blood vessel taken from another part of your body or a synthetic graft. This technique allows blood flow to be restored below the blocked blood vessel.
- Thrombolytic Therapy. If there is a clot in a blood vessel, the doctor Maybe to bring in Blood clot Destroyer A drug that will dissolve the clot and free the lumen of the hemorrhage.
Life Rule And Healing Recommendations
Many To a person Can To manage Peripheral Arterial Disease Symptoms And to stop Disease Progression Life Rule With a change, Especially On a cigarette By surrender. PAD-He/She For stabilization Or To improve:
- Stop it. Smoking. Smoking Hand It helps Yours Arteries Harassment And Damage And represents PAD-He/She Development And Deterioration Important Risk factor. If Do you smoke?, For cigarettes In his head Surrender is Most Important Things, What To do too You can Complications Risk To reduce.
- Practice.. This is Basic Component. PAD-He/She In treatment Success Often It is valued. By that, If How much You can Walking Pain Without. Appropriate Exercise Helps Yours Muscles Oxygen More Effectively In use.
Yours Doctor Will you help me? To compose Relevant Exercise Plan.
- Eat healthy.. Healthy Diet Will you help me? Arterial Pressure And Cholesterol Level In control, What Reduces Atherosclerosis Risk.