Buerger's Disease, a kind of allergic disease related to nicotine in cigarettes that affects young men. Illness also means a disease, but it seems to fit this disease better. I think of it as an evil that haunts the person.
There is no more proven disease associated with smoking and nicotine.
You know, you've seen people who lost their fingers or feet but still continue to smoke on the news, these patients are Buerger patients. It affects both hands and feet.
The person who first described this disease gave the disease its own name. The name of the doctor, you will understand.
The frequency of it increases as we go to the east, less in Western countries.
5 in 10,000 in Europe. Numbers like 10 increase to 5 per thousand for us. As you go to Far East Asia, this reaches serious figures such as 5%.
It is seen in men, especially young men.
strong>Women are also very rare.
The criteria that are valid for diagnosis based on age are young men and especially men under 45 years old.
These patients do not have any risk factors other than smoking, including sugar, cholesterol, and family history.
it should also be shown that clots are coming from elsewhere in the veins.
Why does it happen?
It develops due to the occlusion of the veins in the legs and hands as a result of an allergic reaction to tobacco and tobacco products. not disease.
Patients who quit smoking and start later will return to the same situation and risk. The result will be good.
The risk of amputation increases if treatment fails the first time.
If smoking is continued after the first symptoms appear he there is a 43% chance of amputation within 8 years.
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If the blood flow in the leg is critically severe after initial diagnosis If it is reduced and there is gangrene, the chance of success in the treatment is very low.
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The reason for this is not clear.
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It is a purely personal illness. Immunotherapy recently: Although there are experimental studies on immunotherapy, these are still not fully implemented treatments today.
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Abstract Smoking is a bad habit.
We can say that it is an overreaction that develops with a sensitivity in the immune system.
BUERGER'S DISEASE WHAT ARE THE SYMPTOMS?
Cold feet and fingers,
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Color changes in the fingers, first redness and then bruising
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Nickness in the feet and fingers,
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There will be wounds on the toes and heels in the future
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Plebitis, seen from time to time in different places on the legs: inflammation of the veins
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Pain occurs in the calf while walking.
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Recent wounds progress and Patients may face loss of limb. The foot may need amputation. IF THE PERSON CONTINUES SMOKING, THE DISEASE GOES UP. It has even been seen to get into hands.
Smoking should be stopped completely.
Quitting down or if I smoke a few Thoughts like nothing will happen are absolutely useless. The nicotine in electronic cigarettes also causes the same damage.
It should be avoided in smoking environments and away from people.
How much the younger the disease, the more severe the disease.
HOW TO DIAGNOSIS?
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Diagnosis can only be made by history and examination .
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It is followed by ultrasonography and angiography.
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Computed Angiography is more suitable for patients nowadays.
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Common, and multiple levels of stenosis in images g
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Blood flow is lost as you go down the angio. Two pictures show veins in white and black.
TREATMENT
Traditional Cutting the Sympathetic Nerves as a method was used in the past and even though it was abandoned for a while, it has come to the fore again today. This is called a sympathectomy. It is tried to increase the blood flow by eliminating the vasoconstrictor effects of these nerves.
Opening the vascular occlusions with a balloon or stent, bypassing if there is a suitable vessel in young patients, administering drugs into the vein (prostaglandin, chelation treatments) and some herbal treatments are recommended.
But most importantly, smoking should be avoided.
Let's put the importance of this into numbers.
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Smokers get rid of the amputation of their legs over 90%.
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Forget about smoking.
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