足部血管阻塞怎麼止癢？Foot vessel obstruction how itching?

足部血管阻塞怎麼止癢？ 問：我今年87歲，現服高血壓、心臟、腎臟病藥，無糖尿病。我早年晨泳，為免穿脫襪子之煩，赤足出門，長期受凍，致足部血管阻塞。夏季晚間足部裏著電毯也睡不暖。兩小腿外側在年後開始發癢，越晚越癢，用可忍受程度熱水沖燙可止癢兩小時。請問有無藥療或食療之方。(潘霦，87歲) 答：從你的敘述看來，目前的毛病，和早年常赤足出門晨泳、長期受凍不太有關，我反覺得你目前的不適症狀，很可能是糖尿病引發的周邊血管阻塞，也有可能和靜脈曲張有關。 不過，你說你並無糖尿病，理論上應不會出現足部冰冷的情況才對。為此，我建議你不妨找個時間到醫療院所走一趟，抽血檢驗血糖、三酸甘油脂及膽固醇，因為這三個檢驗值偏高的話，即可能引發周邊血管阻塞，進而讓足部溫度下滑。 潘老先生提到常用可忍受的程度熱水來沖燙止癢一事，「萬萬不可！」因為這種止癢方法不僅對糖尿病引起的周邊血管阻塞及靜脈曲張病變沒有幫助，反而可能因周邊神經的敏感度下降，一旦水溫太高，就可能燙傷而不自知。 更令人擔心的是，足部被燙傷後，因你的癒合功能明顯降低，傷口容易惡化為化膿潰瘍，嚴重時會引發敗血症，甚至得面臨截肢的命運，絕不能掉以輕心。 我建議你一定要先就醫並檢測血糖、三酸甘油脂及膽固醇的濃度，再找心臟血管外科醫師透過超音波進行周邊血管檢查，了解動脈及靜脈狀況。如果你有吸菸習慣，應想辦法戒除。如果身體狀況允許，應養成規律運動習慣，促進周邊血液循環，減少足部冰冷不適。 (諮詢醫師：台北李相台診所院長李相台)（林進修） 2008-10-05 Foot vessel obstruction how itching? Q: I am 87 years old this year, the service is high blood pressure, heart, kidney disease drug, without diabetes. I am swimming early morning, in order to avoid the bother to wear socks off, go barefoot, long-term cold, caused by blocked blood vessels of the foot. Summer evenings in the foot with electric blankets are not warm to sleep. Two years later, in the outer leg started itching, itching and Vietnam later, with tolerable level of red hot iron can be itching for two hours. I would like to ask whether diet or medication for us. (Pan-Pin Liu, 87 years old) A: From your description it seems that the current problems, and early morning swimmers often go barefoot, long-term cold unlikely, I am all the symptoms you present, diabetes is likely to be caused by peripheral vascular obstruction, and may Related to varicose veins. However, you say you do not have diabetes, in theory there should not be a case of cold feet only. For this reason, I suggest that you might find time to go to the hospital, blood sugar tests, cholesterol and triglycerides, because the high value of the three tests, which may lead to peripheral vascular obstruction, and to allow sufficient Department of temperature drop. Mr. Pan Lao commonly referred to a tolerable level of hot water to hot red itching, "must not!" Because it is not only itching caused by diabetic peripheral vascular obstructive disease and varicose veins did not help, but may be peripheral nerve The sensitivity of decline, once the water temperature is too high, it may burn without realizing it. What is more worrying is that the feet were burned, as a result of your healing function decreased, easily deteriorate into festering wounds ulcers, severe sepsis will lead to even have to face the fate of the amputation, can not be taken lightly. I suggest that you must first seek medical treatment and testing blood sugar, cholesterol and triglyceride levels, to find cardiovascular surgeons carried out through the peripheral vascular ultrasound examination, arteries and veins to understand the situation. If you have the habit of smoking, should find ways to get rid of. If the physical condition allows, should develop a habit of regular exercise to promote peripheral blood circulation and reduce foot discomfort cold. (Physicians Advisory: Lee Sang-Taipei-Taiwan president Lee Sang-Clinic in Taiwan) (Lin education) 2008-10-05 View more information, see the World Journal reported that e-ePaper

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