Sunday, March 9, 2008
Thromboangiitis obliterans how to care?
Thromboangiitis obliterans is a peripheral vascular chronic suppurative disease, the majority of patients have a long history of smoking, in addition, in the long cold wet conditions of life and work can also be induced by the disease. The basic pathological changes after arterial occlusion caused limb ischemia resulting from physical pain, Nutrition disorders derived from the legs foot muscle atrophy, deformation toenail thickening, skin drying, Gan Mao lost, as long severe ischemia, can produce dry gangrene and ulcers, which Chinese call Tuoju. Treatment main purpose is to improve the limb of the blood supply, to ease the pain and promote healing of ulcers. Patients should quit because nicotine easy vasospasm, aggravated the disease. Patients need warm, but not hot pack and physiotherapy, in order to avoid increasing the degree of hypoxia, and to prevent injury. Motor can be : patient recumbent, Chigaohuanshi 45 °, the Department of 1-2 minutes. Then biped drooping bedside 2-3 minutes, rotating on two legs, toes for flexor 2 minutes, Limb up a further two-minute rest, so many train back to 4-5, 3-4 times daily. For dry gangrene site, alcohol disinfection sterile gauze to protect, preserve and dry changes to prevent gangrene and moist serious infection. To have infected wounds required medication or antibiotic solution trip debridement. Limb intravenous ban.
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