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PATIENT'S
EDUCATION : |
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Overview
(Vascular Diseases): |
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There are three types of vessels that support in
the transport of blood, and in keeping it in constant
circulation from the heart to the body, and back to
the heart:
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Arteries
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Veins
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Capillaries
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The blood vessels are more than simple tubes through
which blood flows. Each has its own characteristics,
depending on the role it plays in the circulatory
system.
Arteries are strong, flexible blood vessels that
must expand to accept the blood pumped into them with
each beat of the heart, and narrow to squeeze blood
into the veins when the heart relaxes.
Veins The veins that return blood to the heart are
less “active” and elastic than the arteries.
Veins have valves that open to let blood through,
and close to prevent blood from pooling in the legs
and elsewhere due to the pull of gravity. There are
three types of veins:
Superficial veins lie near the surface of the skin.
Larger veins that usually are buried in the muscles
or deep compartments of the body are called Deep Veins.
Blood vessels that connect the superficial and deep
veins are called “communicating” or Perforating
Veins.
Capillaries, which look more like webs than vessels
or tubes, lie in tangled “beds” in the
tissues of the body. They are so tiny that blood cells
must pass through them in single file. The exchange
between the blood and the cells of the body takes
place in the capillary beds. Here, blood gets oxygen
from the cells and gives up carbon dioxide. Special
capillaries in the kidneys, liver and elsewhere take
waste products that are excreted from the body. As
the capillaries spread out of their beds, they thicken
and merge into small vessels called “venules”
that, in turn, lead to larger veins that return blood
to the heart.
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Preventing
Vascular Disease |
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The
best way to prevent vascular disease is to live a “healthy
heart” lifestyle – don’t smoke; eat
nutritious, low fat foods; exercise; control risk factors
and maintain a healthy weight.
Life style changes, the
single most effective steps one can take to prevent
vascular disease are to quit smoking, control high blood
pressure, high cholesterol, diabetes and other factors
that contribute to vascular disease. Regular exercise,
eating a balanced diet and maintaining a healthy weight
also are important. |
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Diagnosis
(Vascular Diseases): |
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Duplex or Doppler Ultrasound –
This non-invasive technique uses ultrasound to "observe”
clots or other abnormalities in the blood vessels.
CT scan (Computed Tomography) is similar
to an X-ray except the http://www.aquaticremedies.net/images
that are computerized to appear as a series of slides.
When viewed together, the slices give a three-dimensional
image. Sometimes a special dye, or contrast agent,
is injected or swallowed before the exam to highlight
the http://www.aquaticremedies.net/images.
Venography is a type of X-ray (called
angiography) in which a thin, flexible tube, or catheter,
is threaded into the blood vessels. A local anesthetic
is given to numb the skin where the catheter is inserted,
and X-rays are used to guide the catheter. A contrast
agent, or dye, is injected through the catheter to
highlight the blood vessel and call attention to any
abnormalities. This procedure is performed by an interventional
radiologist – a specialist who diagnoses and
treats the vascular diseases and other conditions
without surgery.
Magnetic Resonance Angiography (MRA)
is a noninvasive exam in which a magnetic resonance
(MR) scanner uses harmless but powerful magnetic fields
and radio waves to create detailed http://www.aquaticremedies.net/images
of the blood vessels.
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Diagnosing
Pulmonary Embolism |
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A V/Q scan (sometimes called a V/P or ventilation/perfusion
scan) is a nuclear medicine test in which short-acting
radioactive particles are injected through a vein
or breathed into the lungs. If there are areas of
the lungs that do not “take up” the particles,
it is a signal that there may be a blood clot. Computed
tomography (CT), chest X-rays or venography also may
be used to diagnose blood clots in the lung.
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Treatments
(Vascular Diseases): |
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Bed rest
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Elevation of the
affected limb
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Pressure stockings
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Drugs to prevent
blood from clotting. These drugs, called anticoagulants,
keep the clot from growing larger and may prevent
clots from breaking off to travel to the lungs –
called pulmonary embolism. But they cannot dissolve
clots that already have formed. These must be dissolved
over time by the body's own system for breaking
down clots, or by a new technique called:
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Catheter-Directed
Thrombolysis |
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This procedure dissolves blood clots in the veins
without surgery. “Clot busting” drugs
(thrombolytic agents) are injected directly into the
site of the clot (the deep vein thrombus).
Catheter-directed thrombolysis usually is performed
in a hospital radiology suite by an interventional
radiologist. The physician inserts the catheter into
a vein in the leg and threads it to the location of
the clot. With his special training as a radiologist,
the doctor is able to expertly guide and watch the
development of the procedure on an X-ray video monitor.
When the catheter tip is in the clot, the clot-dissolving
drug is sent (infused) through the catheter tube.
In most cases, it takes a few days for the clot to
totally dissolve. The interventional radiologist can
“see” and monitor the treatment using
special X-rays, called venograms, and ultrasound scans.
With X-ray and ultrasound pictures, the physician
also can see if – after the clot dissolves –
the vein wall is narrowed or damaged, which can lead
to more clots in the future.
Balloon Angioplasty and Stenting: If a vein has been
narrowed or damaged, it may be necessary for the interventional
radiologist or other physician to perform balloon
angioplasty, a procedure in which a catheter is placed
in the vein under X-ray guidance to the site of the
narrowing, and a balloon is inflated to press open
the narrowed blood vessel. In many cases, a small
mesh cylinder called a stent may be inserted through
the catheter and left behind in the vein to keep it
open.
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Treatments
for Venous Stasis Disease |
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Over time, untreated
DVT or other conditions may damage a valve in the vein
so that it does not close completely. When this occurs,
blood flows reverse into the vein below the valve and
collects in the lower leg veins. Pooling of blood in
these lower leg veins may cause swelling and tissue
damage and lead to painful sores or ulcers. This condition
is known as venous stasis disease.
Fortunately, prompt treatment of DVT
or other vein disease can prevent complications such
as pulmonary embolism and venous stasis disease. |
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Although
we have attempted to provide you with the causes, diagnosis,
remedies and treatments for the above mentioned diseases
we suggest you to consult your personal physician by
providing your history for getting information for any
of these diseases. |
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All
contents copyright © 2004 Aquatic Remedies Pvt. Ltd.,
All rights reserved. email:afil@vsnl.net
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