Arteriopathy In Patients With Diabetes
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قراءة صوتية للكلمات
Patients
with diabetes who have a disorder peripheral arteries, often patients
suffer from Diabetic Peripheral
Neuropathy, which in turn leads to a lack of sense and anesthesia in the
limbs, which makes the symptoms of Peripheral Ischaemia of the limp are not clear or semi-hidden (due to neuropathy terminal)
until you reach the advanced stages of disease leading to tissue death Gangrene or leg pain at rest (Rest Pain). Usually
a man of ischemia leads to a pain in the leg while walking, forcing the
patient to stop, and this is called Claudication
intermittent, but in patients with diabetes can be a presentation in the
form of fatigue and exhaustion.
And
here lies the importance of diagnosis of the situation early so as not
to get diabetic gangrene leading to amputation of one of the parties or
the death and the work of surveys necessary for the diagnosis, which
does not rely on clinical examination only, but on the indicator or
index, systolic blood pressure at the ankle to the systolic blood
pressure when humerus
Ankle Brachial Index ABI, and this index is calculated by measuring t Systolic Blood Pressure SBP. and normal is
between 0.91 to 1.30, and less than 0.91 means that the patient has
impairment of peripheral arteries and should intervene treatment.
Treatment
is done in the absence of gangrene with Cilostazol brand name Pletal,
which increases the blood supply to the limbs, and in the absence of
response must be to intervene surgically to restore blood supply to the
work of metaphor conducts blood to bypass the patient's artery as is the
case of coronary heart using Saphenous Vein in men.
As
well as the patient must take Anti-Platelets, such
as aspirin or Clopidogrel Plavex brand name, which gives
better results than aspirin.
And
must be treated with peripheral arteriopathy, treat high blood pressure
and blood fat and packs a strong and rigorous as they are the things
that control the morbidity of more than control the level of sugar in
the blood. Any
high blood pressure and lipids (cholesterol and triglycerides) of the
most important causes of morbidity in general arteries in the body and
cause as well as meandering and intermittent ischemia of the limbs,
stroke, heart attack and ischemic stroke, . And must also stop smoking and to follow a sports specialist determined to improve the blood flow of the limbs.
This
should diabetics session to examine peripheral blood (with no symptom)
after the age of forty and fifty with ABI, and if it was natural
re-examination every 5 years (also with no symptom).
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