Buerger's Disease
Coutii Healthy - Buerger's disease or tromboangitis obliterans is a rare disease characterized by the presence of blockages in blood vessels in the legs and arms. The disease begins with the presence of inflammation and swelling of blood vessels, until eventually the blood vessels become clogged by a blood clot-clot (thrombus).
Eventually, this will lead to a blockage of blood flow to the hands and feet be reduced, so that it will cause pain, damage tissues in the skin and in severe cases will cause necrosis or tissue death.
The exact cause of this disease is still not known for sure. However, most sufferers of the disease Buerger are those who consume tobacco in the form of cigarettes or chewed. In addition, genetic factors or descendants are also contributing, even though it is still unknown how the mechanisms of development of this disease.
Buerger's disease is found most frequently in Asia and the Middle East, where the majority of its victims were men aged 40 to 45 years who consume tobacco in excess. However, do not close the possibility that this disease also attacked women who consume tobacco in any form.
Discoloration of fingers and toes become pale when exposed to cold air, which is called with the Raynaud's Phenomenon.
For starters, the doctor will usually ask about your symptoms, medical history, and lifestyle of the patient (one about the smoking habit). After that, the doctor may examine all parts of the hands and feet, as well as the presence of signs of a decrease in pulse rate on that section which is also one of the characteristics of the disease Buerger.
Several types of advanced tests that might be recommended by doctors, among them are:
Eventually, this will lead to a blockage of blood flow to the hands and feet be reduced, so that it will cause pain, damage tissues in the skin and in severe cases will cause necrosis or tissue death.
The exact cause of this disease is still not known for sure. However, most sufferers of the disease Buerger are those who consume tobacco in the form of cigarettes or chewed. In addition, genetic factors or descendants are also contributing, even though it is still unknown how the mechanisms of development of this disease.
Buerger's disease is found most frequently in Asia and the Middle East, where the majority of its victims were men aged 40 to 45 years who consume tobacco in excess. However, do not close the possibility that this disease also attacked women who consume tobacco in any form.
Symptoms Of Buerger's Disease
Early symptoms are most often found on Buerger's disease is pain in the hands and feet, followed by weakness in the same area. Pain in the hands and feet show up and reda alternates, and will appear when sufferers do activities, and reda when he rested. In addition, other symptoms that may occur include:Discoloration of fingers and toes become pale when exposed to cold air, which is called with the Raynaud's Phenomenon.
- Open cuts that hurt on the affected part.
- POPs swelling in the blood vessels just under the skin surface (due to a blockage blood clot).
- Meet the doctor immediately if you are experiencing the symptoms above so that Your condition can be handled quickly.
Diagnosis Of Buerger's Disease
To date, there is no test that can diagnose disease specifically Buerger. Most tests are done to rule out the possibility of other diseases.For starters, the doctor will usually ask about your symptoms, medical history, and lifestyle of the patient (one about the smoking habit). After that, the doctor may examine all parts of the hands and feet, as well as the presence of signs of a decrease in pulse rate on that section which is also one of the characteristics of the disease Buerger.
Several types of advanced tests that might be recommended by doctors, among them are:
- Blood tests. The nature test only as support serves to detect the presence of other conditions associated with symptoms, such as Scleroderma, lupus, blood clotting problems, diabetes, or other health disorders.
- Test Of Allen. Doctors may be doing this quick test to check the circulation of the blood vessels in the hand. In the test of Allen, the patient will be asked to mengepal his Palm with the firm. After the fist was opened, the doctor will check how fast the blood flow back in the Palm of the hand. If there is a slowdown, the doctor may suspect a Buerger disease in a patient's body.
- An angiogram. To see the condition of the blood vessels of the patient, the doctor may also suggest to doing an angiogram test combined with CT or MRI scans. In this test, the doctor will menyuntikan the special dye in order to see if there is a blockage in the blood vessels.
- Doppler ultrasound scan: under certain conditions, the doctor will probably use a Doppler ultrasound scan technology to check the blood flow in the blood vessels of the arms and legs. In addition, some additional tests such as echocardiography or record the heart may also be recommended to support the results of the diagnosis.
The Treatment Of Buerger's Disease
To date, there is no specific treatment to cure disease Buerger, however there are several ways that can be done to relieve this rare disease, such as:
- Stop smoking. This is considered the most effective way to relieve symptoms of Buerger's disease due to the nicotine and tobacco are considered as the main triggers of the disease. Most doctors will advise patients to do the rehabilitation process in order to quit smoking can be managed optimally.
- Drugs. Doctors generally will provide a remedy with antibiotics to treat infections in the skin of the hands or feet. In addition, the codeine may also be prescribed as a pain reliever. Currently, drug iloprost is being developed to relieve the symptoms and reduce the risk of amputation with uric menyuntiknya directly on blood vessels.
- Operation. If disease Buerger suffered already severe, the doctor will probably recommend to perform operations by way of cutting the nerves of the infected (operation sympathectomy) in order to suppress or control the infection is pain. The last road that might be recommended physician if blood vessels continue to be hampered or appear gangrene is amputation. This usually happens if the sufferer unable to stop the smoking habit.
- Treatment at home. To support the recommended treatment doctors, there are some steps you can take to relieve the symptoms of Buerger's disease, such as warm the hands or feet, avoid places that are cold, use of protective footwear when walking, sports or massaging gently to increase sikulasi blood, drinking enough water, actively moving and avoiding things such as standing too long or use a very tight clothing.
- Alternative medical treatment. There are several medical-based alternative medicine can be done as it dilates the blood vessels to increase blood flow or avoid pengumpalan the blood, spinal cord stimulation, and therapeutic angiogenesis for stimulate the growth of new blood vessels. But all of the treatment is still in the experimental stage and not yet proven its success in
Buerger's Disease Complications
Complications that may occur in people with disease Buerger include gangrene (conditions that arose after the death or tissue necrosis) and the issue of the rotation of the blood in the body. If it is to happen, amputation need to be done on the hands or feet are exposed.
Check with your doctor immediately before complications appear, so the risk of amputation is inevitable.
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