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Lower limb gangrene .. Are there any preventive measures?

 


Putrefaction and amputation is what gangrene often suggests. This disease unfortunately often leads to surgery on the affected limb. The only alternative: bypass surgery. But before we get to that, what are the recognizable signs of gangrene? Are there preventive treatments؟

The word gangrene comes from the Latin gangraena which means putrefaction. In medicine, this translates to tissue death, necrosis.

There are different types of gangrenes:

 some are due to a microbial infection, we then speak about wet gangrene. Others follow a problem of blood circulation in the lower limbs, it is the dry gangrene.


Several causes can lead to these circulatory disorders. The wall of the arteries can become loaded with limestone. The arteries then become rigid and can no longer dilate. They can also suffer from the accumulation of wastes, such as fat or protein deposits. The blood has more and more difficulty in passing and no longer reaches the tissues which are downstream of the obstruction.

What actually happens in gangrene?

Recognize gangrene

In the absence of oxygen and nutrients, tissue dies and decays. This results in pain and a change in color of the skin: first pale, when the flow of blood decreases, then purple and finally black.


But gangrene can also be seen in people with diabetes when their disease is poorly controlled. Prolonged exposure to too much sugar in the blood will have consequences on the arteries, including their narrowing in several places. This arteritis is characterized by an attack of the vessels of small caliber, distributed especially from the knee to the toes.

Early indices of gangrene 

There are a few clues 

if the extremity of a limb becomes pale, cold and remains in this state for more than two hours, if you experience cramps or if a sore on your finger or 'a toe has not healed after a week, see a doctor very quickly.

Buerger's disease 

In some cases of gangrene, neither bypass nor x-ray revascularization is possible. This is the case for a rare disease, Buerger's disease, whose main risk factor is tobacco. This pathology leads to very severe inflammation of the small vessels in the ends of the arms and legs.


The vessels are so small and so far from a larger diameter artery that it is virtually impossible to reach to place a balloon or a stent or to do a bypass. As a result, if gangrene appears, it becomes superinfected and turns into wet gangrene. To prevent it from spreading and the outcome becoming fatal, the only solution is then amputation.


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