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Как правило, поражаются артерии мелкого и среднего калибра, патологический процесс также может затронуть вены [5](https://slaviti.ru/abouttreat/obliteriruyuschij-trombangiit/). \n\nЧаще всего заболевание затрагивает нижние отделы конечностей, по мере прогрессирования болезнь поднимается всё выше и затрагивает более крупные сосуды [5](https://slaviti.ru/abouttreat/obliteriruyuschij-trombangiit/). В редких случаях поражает сосуды головы и шеи, что может привести к нарушению кровоснабжения головного мозга [5](https://slaviti.ru/abouttreat/obliteriruyuschij-trombangiit/).\n\n\n\n## Причины\nНекоторые факторы, провоцирующие облитерирующий тромбангиит: \n* **Курение** — никотин разрушает сосудистую стенку, вызывает воспаление и образование тромбов [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Аутоиммунный процесс** — организм атакует собственные сосуды [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Инфекции** — хронические очаги (тонзиллит, кариес, бронхит) могут поддерживать воспаление [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Генетика** — если у ближайших родственников были подобные сосудистые нарушения, риск возрастает [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Внешние факторы** — холод, чрезмерные нагрузки, хронический стресс — всё это усугубляет картину [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/).\n\n## Симптомы\nНекоторые симптомы облитерирующего тромбангиита: \n* **Ранние признаки**: холодные стопы даже в тёплый день, ощущение «мурашек», покалывания, быстрая усталость при ходьбе, бледность кожи [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Развитая стадия**: перемежающаяся хромота (боли в икрах вынуждают останавливаться после непродолжительной ходьбы), боль в покое, изменения кожи и ногтей (синюшность, ломкость), трофические язвы, риск гангрены [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n\nБез лечения заболевание способно спровоцировать гангрену и потерю конечностей из-за отсутствия кровотока [5](https://slaviti.ru/abouttreat/obliteriruyuschij-trombangiit/).\n\n## Диагностика\nДля диагностики облитерирующего тромбангиита используют: \n* **Осмотр хирурга** — проверяется пульсация артерий, оценивается кожа и наличие язв [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **УЗДГ** — допплерография помогает увидеть скорость кровотока [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Ангиографию** — контрастное исследование, на снимках видны множественные закупорки мелких сосудов [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n* **Термографию, плетизмографию** — дополнительные методы, показывающие микроциркуляцию [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). \n\nНередко окончательный диагноз ставится путём исключения других заболеваний со сходными клиническими проявлениями (например, облитерирующего эндартериита, болезни Рейно) [8](https://www.yamed.ru/services/sosudistaya-hirurgiya/obliterirujushhij-trombangiit/).\n\n## Лечение\nТактика лечения зависит от стадии заболевания [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/). Некоторые методы: \n* **Медикаментозная терапия** — улучшение циркуляции, текучести крови, питания тканей [3](https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/). Назначаются обезболивающие препараты, средства для купирования сосудистого спазма, антиагреганты, витамины [3](https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/). \n* **Немедикаментозные методы** — лечебная физкультура, сеансы гипербарической оксигенации, экстракорпоральной детоксикации, санаторно-курортное лечение [3](https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/). \n* **На позднем этапе заболевания** возможно хирургическое вмешательство: поясничная симпатэктомия, шунтирование артерий, баллонная ангиопластика [3](https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/). При развитии гангрены необходима ампутация сегмента конечности [3](https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/). \n\n**Важно**: о полном излечении от облитерирующего тромбангиита речи не идёт — если нарушения уже возникли, рецидив может случиться в любой момент [12](https://klinikaexpert.ru/articles/ugroza-na-periferii-chto-takoe-obliteriruyuschiy-trombangiit). Но при ранней диагностике и комплексном подходе болезнь можно взять под контроль [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/).","linksData":[{"sourceId":1,"url":"https://sovamed.ru/zabolevaniya/obliteriruyushchiy-trombangiit/","shownUrl":"https://sovamed.ru/zabolevaniya/obliteriruyushchiy-trombangiit/","title":"Облитерирующий тромбангиит: лечение болезни в Саратове в клинике \"СОВА\"","shortUrl":"sovamed.ru","isTranslated":false,"description":"","greenUrl":"sovamed.ru"},{"sourceId":2,"url":"https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/","shownUrl":"https://alldoctors.moscow/articles/spravochnik-zabolevaniy/obliteriruyushchiy-trombangiit/","title":"Облитерирующий тромбангиит – симптомы, причины, признаки, диагностика в Диагностическом центре доктора Куренкова","shortUrl":"alldoctors.moscow","isTranslated":false,"description":"","greenUrl":"alldoctors.moscow"},{"sourceId":3,"url":"https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/","shownUrl":"https://celitel05.ru/wiki/bolezni-serdca-i-sosudov/obliteriruyushij-trombangiit/","title":"Облитерирующий тромбангиит — Справочник заболеваний. 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