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wh-lady. ru. Cost of a subscription to the period: • 1 month – 50 roubles; • 6 months – 250 roubles; • 12 months – 500 roubles; Return of means on payment of a subscription to the electronic version of magazine is not made. To subscribe Subjective signs of infringement blood circulations (continuation) It is published 08.02.2011 (Moscow time 11:10)-> Subjective signs of infringement of blood circulation. More constant pains and, that the most important, not during loading, and in rest are caused often ischemic невритом a sciatic nerve and it a little - and большеберцовой branches. The sharp arterial occlusion or veins always, as a rule, is shown by the strongest pains which are the earliest sign of vascular accident. It is necessary to distinguish the localised pains on a course of nervous trunks, their trailer branches in muscles from purely or mainly so-called vascular pains. The first are characteristic for defeat of large nervous trunks and their branches, they specify on невритические, i. e. Vospalitelno-degenerate changes in nerves. Quite often these characteristic for неврита be ill can precede long before to revealing of clinical symptoms obliterating тромбангиита. Pains on a course of vessels, arteries and veins have quite often pulsing and burning character. They change the intensity in connection with change of position of finiteness, weather change, under the influence of excitements, etc. At obliterating тромбангиите vascular pains are much more often observed. Vascular pains arise because of defeat of nervous textures of large arteries, veins and are defined on their course. Intensity of pains amplifies in a direction to дистально to the located sites of vessels. Pains happen more often диффузными. Involving in inflammatory process of vascular textures of arteries of small calibre, артериол and capillaries is quite often accompanied by the persistent, poured and intensive pains. At similar patients the skin of fingers and feet changes colouring on cyanotic, intensively-pink or marble. Similar change of colour of integuments speaks a pathological condition сосудорасширителей. The localised all accruing pains together with other signs characterising slowly coming restriction of blood circulation, are characteristic for a thrombosis, instead of эмболии. The pains caused by corking of veins, differ from above described at артериитах. They have more often more constant character. Their intensity also in a smaller measure depends on change of position of finiteness. Pulsing character is not typical for them, that quite often meets at disease of arteries. The pains caused by simultaneous defeat of arteries and veins, differ special intensity, a constancy and diffusion. They sharply become aggravated at the slightest change of position of a foot, change of conditions of blood supply, weather, barometric pressure; always amplify at movements and calm down in rest. Pains at active dystrophic processes in the amazed finiteness are necessary for distinguishing from listed above. Pains are especially intensive at involving in inflammatory or dystrophic process надкостницы, small bones of foot, joints (an osteitis, an osteomyelitis, a purulent arthritis). Quite often there is no parallelism between intensity of pains, localisation and the sizes jazvenno-gangrenoznogo the centre. Sometimes small cracks, экскориации, опрелости are accompanied by more intensive pains, than the considerable sizes an ulcer or a gangrene. Pains amplify at инфицировании veins, lymphatic ways. The gangrene complicated лимфангоитом and лимфаденитом, differs the strongest, not ceasing neither in the afternoon, nor at night pains. Trophic паронихий or панариций, the grown nail, tearing away of a nail plate are quite often accompanied also by intensive pains. Jazvenno-gangrenoznye processes on fingers cause more intensive pains, than in the field of a heel, a shin or foot. Infringement лимфообращения owing to a plural thrombophlebitis near to the infected ulcer centres causes the compelled position of finiteness, ишемизацию fabrics and strengthening of pains. Лимфообращение it is broken especially considerably at ulcer occurrence, development of a gangrene, sharp эмболической to corking of overlying vessels, and also постфлебитическом a syndrome. Especial persistence and intensity pains differ at a senile gangrene, and also прегангренозных conditions.