Walking down the street and elegant man suddenly stopped. On the face mask of misery. A few minutes later, as if nothing had happened path continues. What is it? In extreme pain in the legs.
Particularly sharp pain manifests itself when climbing up the stairs for example. It forces to stop or slow down the pace. After 2-4 minutes the pain disappears. But it is worth re-embark on a journey, as it returns. And so it is repeated again and again: walking — pain— Recreation, walking — pain — rest. This is intermittent claudication — a symptom, alas, familiar to many firsthand.
Her reason — insufficient blood supply to the muscles of the lower limbs that occurs during exercise. At this time, your muscles need more oxygen, but the arteries of the legs do not do their job. Oxygen is not fed in the proper amount, and this signal muscle pain.
Intermittent claudication — a symptom of "related" diseases: endarteriita obliterans and obliterating atherosclerosis of the lower extremities. In this and in the other case affects the arteries of the legs. But the reasons leading to this different.
When occlusive disease there is a spasm of blood vessels. Prolonged spasm leads to a change in the inner wall of the artery, its coarsening, thickening. As a result, affected tissues of the limbs. Occlusive disease is typical for men aged 20-30 years.
The cause of atherosclerosis obliterans — all known atherosclerotic plaque: the place of accumulation of cholesterol and other fats. Atherosclerosis— A systematic process, it affects the arteries in many organs. In addition to the lower limbs, his "prey" are the brain, heart, and kidneys.
Atherosclerotic plaque grows into the lumen of the arteries, blood clots are formed, and the blood supply to the lower limbs was rapidly deteriorating. Atherosclerosis strikes, as a rule, large vessels: the aorta, iliac artery, the artery branching off from her thigh and lower leg. The higher the pain is felt, the closer to the heart of the affected artery, the more difficult the disease. In atherosclerosis, a "contingent" — men over 40. The vast majority of them — smokers.
Because the blood supply to the tissues is reduced, the remaining cells without oxygen mertveyut die — developing gangrene. And then the inevitable amputation — a finger, foot, lower leg, knee, hip … Scary. Especially when you consider that persons with disabilities are young, able-bodied men.
Necrosis may develop gradually, and may occur suddenly. A sharp pain in his leg says that the crash occurred.
What is more manifest arterial disease?
Check the condition of the arteries can be yourself.
Sit with your legs crossed. If the calf muscle located on top of foot appears pain, and the tips of the fingers — numbness and crawling "goose" — then you are not all right.
Lift up both legs — in one of them, where the damaged artery, the sole pale. If the skin on the legs took the color of ivory, the pain is felt not only in the lower leg, but also in the hips, buttocks and lower back, you, along with other troubles threaten impotence (Leriche's syndrome).
How to avoid the progression of the disease?
Usually in such cases apply means acting on blood clotting. However if during treatment you continue to smoke, do not hesitate — you're wasting manpower and resources. Smoking has given impetus to your troubles, and if you do not stop, it will complete the destruction of your blood vessels.
The magazine "Family Doctor" (N5) May 2000