Atherosclerosis of the legs is one of the most common diseases in the world. It is characterized by extensive damage to the internal walls of the vessels of the lower extremities. Due to the scale and irreversibility of the disease, patients are assigned disability for atherosclerosis of the lower extremities.
The insidiousness of atherosclerosis of the vessels of the lower extremities lies in the fact that this disease has no pronounced manifestations. There are no specific symptoms that would prompt immediate medical attention, with the exception of increased leg fatigue.
This circumstance allows the disease to develop unhindered over a long period. But there are manifestations that should alert every person:
Manifestations can occur in the form of rare “bells” or all together (in a pre-infarction or pre-stroke state).
The progression of the disease leads to strokes, paralysis, paresis (partial limitation of mobility), and changes in intellectual capabilities. All these violations give the right to acquire a degree of disability.
A person suffering from atherosclerosis and having had a heart attack is unable to continue working. In some cases, physical discomfort is observed even at rest. Due to heart failure (occurs in every fifth patient with atherosclerosis), a person needs outside help and care.
Attention! At the last stage, trophic ulcers and gangrene form on the lower extremities. In case of gangrene, amputation of the limb is indicated.
A medical and social examination prescribes disability and selects a comprehensive program that will stop the development of the disease.
When registering disability, the characteristics of the patient’s condition are taken into account, including complications due to the loss of a limb, in which a decrease in working capacity is inevitable. Particular attention is paid to rehabilitation.
To assign a degree of disability, the following data will be required:
Those suffering from obliterating atherosclerosis of the vessels of the lower extremities, who did not have a disability before the removal of the leg, are assigned temporary disability until the completion of the prosthesis. Subsequently, they will have to undergo medical examination and, as a rule, receive disability group III.
For such patients, there are prohibitions on holding positions that involve:
A referral for a medical and social examination requires a number of indications:
For review by medical examination specialists, you will need to pass standard tests:
Disability group III is determined when the patient is forced to leave his job:
The second disability group is assigned if there is:
Patients are defined as the first disability group if there is a loss of any ability to work and the ability to self-care, and the following occurs:
Disability for obliterating atherosclerosis of the vessels of the lower extremities is assigned, since this disease is characterized by an inevitable complication of the condition with loss of the ability to self-care.
The main cause of acquired dementia and various mental disorders in adulthood is cerebral atherosclerosis. The danger of cerebrosclerosis is that the disease is asymptomatic and, as a rule, ends in disability. How to recognize an insidious enemy, is it possible to get rid of him and who is at risk of disability?
The main suppliers of blood to the brain are the paired vertebral and carotid arteries. Then they are crushed into small vessels and a capillary network one and a half thousand kilometers long!
Cerebrosclerosis is a disorder of vascular conduction that leads to stroke or aneurysm (dilation of the vessel walls). The consequences of these diseases are the most serious.
The condition of the vessels is assessed using ultrasound, CT and MRI. To see the vessels, a special contrast agent is injected into the vein, the equipment is set to angeography mode (“angeo” translated from Greek means a vessel, and atherosclerosis is a hardened pulp that closes the lumen of blood vessels, disrupting the flow of blood).
The walls of blood vessels are saturated with a fat-like substance - cholesterol (if there is an excess of it in the body), then insoluble stains appear. Connective tissue grows around them, into which calcium salts are deposited - atherosclerotic plaques.
There are 3 stages of cerebrosclerosis:
The disease manifests itself with nonspecific symptoms - headache, loss of performance, noise in the head, loss of short-term memory. Its development is accompanied by an increase in the listed symptoms, as well as touchiness, uncriticality, and restlessness. Subsequently, the pathology is characterized by an increase in the manifestation of changes in the terminal cerebral vessels. In acute cerebrovascular accident, the disease progresses to the thromonecrotic stage.
Features of cerebral blood supply - in this video
Depending on the location of the plaque and the degree of impairment of the cervical circulation, the doctor prescribes diet No. 10, which includes one of 15 types of tables.
The main organ involved in cerebrosclerosis is the liver, where cholesterol of various fractions is produced.
Three main groups of drugs have been developed to affect the liver:
About surgical methods of treating cerebral atherosclerosis - in this video
Among the causes of mortality, cerebrosclerosis is one of the first places in the world. The danger of the disease is that the patient earns disability not so much because of his sclerosis, but because of its complications, which are not long in coming in the absence of adequate treatment and prevention.
Often, cerebrosclerosis provokes extrapyramidal tremor of the hands, then precise work with small parts is not possible. Based on such restrictions, medical and social examination assigns a third disability group. You can ask your doctor or health care facility representatives for a referral for examination.
Disability is prescribed when diagnosing vascular stenosis, when the slightest overexertion can provoke a stroke and other serious consequences. The likelihood of complications depends on the immune system, genetic predisposition and the presence of risk factors. Without constant medical monitoring and prevention, the disease will only progress.
With atherosclerosis of cerebral vessels, disability is given:
Each of these pathologies is difficult to treat, and therefore leads to disability in advanced stages. After a stroke, the patient becomes disabled due to paralysis
paresis, decreased activity of the limbs, reduced mental capabilities.
Using tomography, you can identify another dangerous problem of cerebral vessels - an aneurysm. It looks like a sac on the walls of blood vessels; it grows for a long time and imperceptibly. Aneurysm rupture leads to instant death in half of the cases.
Unlike cerebrosclerosis, aneurysm occurs even in young people and often results in severe disability. Difficulties in diagnosis and the asymptomatic nature of the disease served as a prerequisite for the fact that the disease is recognized already at the stage of hemorrhage.
When deciding on the assignment of disability for cerebral atherosclerosis and aneurysm, the examination should take into account:
When analyzing working capacity on an individual basis, they take into account social conditions: profession, nature of work of the person subject to examination. In the acute phase of the disease, patients usually require hospital treatment with temporary disability for 2-4 months. Depending on the severity of the injury and social factors, the period of disability may be longer.
Patients after hemorrhage with a favorable outcome and without complications or contraindications in their field of activity may be considered able to work.
A disabled person from a medical point of view is a patient with persistent dysfunctions of the body that limit life activity and require social protection. The presence of individual signs of cerebral atherosclerosis does not provide grounds for obtaining a disability group.
Invalidation is carried out after a medical and social examination. Health indicators are assessed in a comprehensive manner, analyzing all aspects: clinical-functional, social-living, professional-labor and psychological. In this case, generally accepted classification and criteria are used.
Refers the patient to a medical institution after examination, treatment and rehabilitation course, if necessary. Bodies of social and pension protection of the population also have powers if the applicant has the necessary medical documents and signs of limited viability.
If the medical institution refuses to issue a referral, you can obtain a certificate with which the patient will undergo an examination independently after submitting an application and documents, as well as papers describing the social and labor status of the person.
In the latter option, health indicators are confirmed by the conclusion of the health care facility. If necessary, an additional examination program is proposed to identify the degree of limitation of vitality and rehabilitation possibilities.
The commission makes a decision by counting a majority of votes, and in the presence of all members it is communicated to the examinee. The applicant receives a certificate of disability and a note on the certificate of temporary incapacity for work. A personal rehabilitation program is offered.
The refusal can also be made in writing. 2 months before the end of the disability period, a re-examination is carried out. For disabled people of the first group, the term is 2 years, the second and third - one year.
According to medical statistics, the mortality rate from stroke in the Russian Federation is second only to cardiac pathology. With a pronounced narrowing of the lumen of the cerebral artery, 15% of patients die during the first month.
Half experience cerebral hemorrhage, 40% have subarachnoid bleeding, 10% of victims lose their former ability to work, and 20% become disabled requiring outside care. All categories require lifelong expensive treatment.
Visit a cardiologist regularly, control your blood pressure, avoid stress, overeating and overwork. Pathologies of cerebral vessels are life-threatening, so atherosclerosis can only be defeated with the help of a doctor. Don't get carried away with self-medication!
Recommendations from neurologist Dr. M.M. Sperling on improving the quality of life in cerebral atherosclerosis - in this video
Atherosclerosis also has several disability groups. Atherosclerosis provokes disability and gets it due to complications, and complications arise in turn due to the lack of timely treatment (advanced stage).
The risk of developing complications from atherosclerosis and disability are also associated with the personal characteristics of the body, hereditary predisposition also influences this, and the combination of these factors increases the risk of complications. If there is no medical supervision, timely treatment and prevention of atherosclerosis, as a result, all this results in the progression of the disease. Disability due to atherosclerosis can be determined using the following diseases: persistent and transient cerebral circulatory disorders (micro strokes and strokes), obliterating atherosclerosis, myocardial infarction due to acute disruption of coronary blood supply, aneurysm and aortic stenosis. All of these diseases are very complex, difficult to treat, and in severe cases can lead to disability.
With strokes, the patient may acquire a disability associated with paralysis and paresis, as well as impaired movement in the limbs, as well as a decrease in intellectual abilities, thinking abilities and mental abilities.
It cannot be said that myocardial infarction is a more dangerous or safer disease. A patient who has suffered a massive heart attack will not be able to perform simple physical activity, and in extremely severe cases, discomfort may also occur during rest. Heart failure progresses, which makes it impossible to lead a normal lifestyle, as a result of which such patients require outside help.
Obliterating atherosclerosis affects the lower extremities, to be more precise, the vessels of the lower extremities, it is necessary to understand that this is also a serious disease and, in the absence of timely recommendations from ITU experts, at the moment when the degree of disability is determined, it can lead to very disastrous consequences, namely to amputation of limbs and disability.
ITU determines the disability of atherosclerosis. They, slowly and reluctantly, assign the required disability group to patients, and the selection of therapeutic measures that prevent the progression of such a fleeting, formidable and incurable disease also depends on the degree of development of whitening.
As a manuscript
KOVSHAR YURI ANATOLIEVICH
DISABILITY DUE TO OBLITERATING ATHEROSCLEROSIS OF THE LOWER LIMB VESSELS IN THE RUSSIAN FEDERATION (SOCIAL AND HYGIENIC ASPECTS). MEDICAL AND SOCIAL EXAMINATION AND REHABILITATION OF DISABLED PEOPLE
14.00.33-Social hygiene and healthcare organization
ABSTRACT of the dissertation for the degree of Candidate of Medical Sciences
•The work was carried out at the Central Order of the Red Banner of Labor Research Institute for the Examination of Working Capacity and Labor Organization: Disabled People.
Doctor of Medical Sciences S.N. Luzin - Doctor of Medical Sciences - M. M..Kosichkin "Official opponents:
Doctor of Medical Sciences, Professor N.M.AGARKOV. - Doctor of Medical Sciences, Professor V.A. ZHUKOV
•• Russian -State-,Medical -University -Ministry! healthcare -Russian-Federation
-The defense will take place ML/^gP 1337 G- at /?hours. dissertation meeting. -council D."084.67.04 • at the Ryazan State Medical * University named after I.P. Pavlov (391000, Ryazan, Vysokovoltnaya st. 9)
"You can get acquainted with the ^dissertation in the -library of the Ryazan ^Medical University, Shevchenko St., 34. Abstract sent out" H^^/Z^/R/U*?_1997
-Scientific Secretary of the Dissertation Council Ph.D. assistant professor
Vascular lesions of the lower extremities due to the atherosclerotic process occupy a leading place among all obliterating diseases of the vessels of the lower extremities (A.V. Pokrovsky et al. 1979-1994; M.D. Knyazev et al. 1980; B.N. Varava et al., 1987; E.N. Spelkova, 1988; A.V. Gubka, 1990; V.I. Lemenev, 1991; G.S. Krotovsky, 1991; V.V. Zamyatin et al. 1992-1994; V. G. Dan et al. 1992-1994; V. V. Kungurtsev et al. 1993; De Bekey M. E. at. al. 1985; Charlesworth D. 1990, etc.).
Atherosclerosis is one of the most common diseases. Among the causes of death, it occupies a leading place in the world. Atherosclerosis refers to diseases that are caused by the influence of several unfavorable factors on the body at once, and therefore, the name is a polyetiological disease. This disease is characterized by generalized damage to the inner wall of blood vessels with the formation of atherosclerotic plaques.
Its danger lies in the fact that with existing atherosclerosis, patients become disabled due to complications that inevitably develop in the absence of treatment.
The risk of developing complications is determined by the individual characteristics of the body, hereditary predisposition and the presence of combined risk factors. In the absence of medical supervision and appropriate treatment and prevention, the natural result is progression of the disease. In atherosclerosis, disability is determined by the following diseases: transient (micro-strokes) and persistent disorders of cerebral circulation (stroke), acute disorders of the coronary blood supply (myocardial infarction), obliterating atherosclerosis, stenosis and aortic aneurysm. Each of the above diseases is complex, difficult to treat and can severe cases lead to disability.
With strokes, the patient acquires disability associated with paresis and paralysis, impaired movement in the limbs, and decreased mental abilities. Myocardial infarction is no less dangerous disease. A patient who has suffered a massive heart attack cannot perform normal physical activities, and in severe cases, discomfort occurs even at rest. Progressive heart failure does not allow one to lead the same lifestyle; often such patients require outside help. Obliterating atherosclerosis affects the vessels of the lower extremities, which can lead to gangrene and amputation.
For a disease such as atherosclerosis, symptoms appear depending on the degree of narrowing of the artery by the plaque protruding into its lumen, as well as on the location of the vessel lesion. Depending on the location, several types of atherosclerosis are distinguished:
Depending on the stage of a disease such as atherosclerosis, the symptoms appear in the following correlation: at the stage of deposition of cholesterol plaques that cover the lumen by less than one quarter, nonspecific signs of the disease appear. However, when the vessel is blocked by two or three quarters, the disease acquires signs characteristic of damage to the entire organ, which is fed by this artery. Therefore, it is optimal to diagnose atherosclerosis in the early stages of the lesion, as well as to carry out prevention.
Nonspecific signs of early stages of atherosclerosis include:
It is noteworthy that the pathogenesis of atherosclerosis includes many factors, by eliminating most of which at the stage of such manifestations, recovery can be achieved. Morphologically, it is not called such, because plaques in the artery cannot be eliminated. However, if there is a fatty stain in the lumen of the vessel, it can be eliminated. In the future, there will be a possibility that a new spot may form in this place, which will then develop into a plaque.
Home » Atherosclerosis » When disability is diagnosed in atherosclerosis of the vessels of the lower extremities
Such pathologies are the most common; according to studies, the percentage of obliterating lesions reaches 20%, the number of cases is gradually increasing, especially among young people of working age. The disease is characterized by an aggressive course; in case of serious severity or in the absence of adequate treatment, there is a high risk of developing a trophic ulcer, gangrene, and limb loss. As a result, disability is issued based on the results of surgical intervention. For registration, the positive dynamics, duration, severity of the general condition, aggravation due to the loss of a limb or part of it are taken into account, which leads to disability. In addition, attention is drawn to the need for rehabilitation of the patient.
200?'200px':"+(this.scrollHeight+5)+'px');"> atherosclerosis, occlusion of the air-femoral segment on the left, chronic ischemia of the lower extremities 2 a degree. They prescribed IVs and if it doesn’t help, surgery was scheduled in September of this year. I spent a week in the hospital and was discharged for a week. Lives in the Chernobyl zone. Is it possible for him to be granted disability under normal conditions?
If, despite the treatment (outpatient and inpatient), the patient still has stage 2 CHAN. on both sides - then in this case - when undergoing an examination at the ITU bureau - with a high degree of probability it can be predicted that he will be assigned the 3rd disability group for the reason: “general disease” for a period of 1 year.
200?'200px':"+(this.scrollHeight+5)+'px');"> Is it possible to register a disability as a result of exposure to radiation?
Currently, practically only oncopathology is associated with the consequences of the Chernobyl accident.
Decree of the Government of the Russian Federation of November 4, 2004 N 592 (List of diseases associated with the effects of radiation)
And this connection is established not by the ITU bureau, but by the MEA (interdepartmental expert councils).
Date: Monday, 07/29/2013, 20:20 | Message #3
200?'200px':"+(this.scrollHeight+5)+'px');"> Another friend asked me to ask about my mother. Diagnosis: Atherosclerosis of the aorta and its branches (coronary arteries). Aortic valve defect. Stenosis, 2nd degree insufficiency, 2nd degree mitral valve insufficiency. IHD. Surgery to replace the aortic valve with a mechanical prosthesis, coronary artery bypass grafting last year. Mom is 68 years old. She lives all the time in the Chernobyl resettlement zone. Is it possible to equate her illness with disability due to the accident and radiation?
No - the reason is explained above - in the previous post.
Obliterating atherosclerosis of the lower extremities is a severe damage to the arteries, accompanied by the formation of lipid plaques that narrow the vascular lumen until the blood flow completely stops. In severe stages of the disease with an irreversible course, patients are assigned disability based on the results of a medical and social examination.
As you know, in order to receive a group, patients have to make a lot of effort and go to several doctors’ offices.
Let's consider the information on the topic “atherosclerosis of the lower extremities - is it a disability status” in more detail.
When atherosclerosis is diagnosed, disability does not occur immediately. The insidiousness of the disease is that in its first stages, patients feel quite well and do not feel discomfort. The onset of pathology will help to identify:
Later, as the vascular lumen becomes clogged with atherosclerotic plaques, patients come to doctors with complaints of the following symptoms:
A person may be bothered by some of the listed symptoms or all of them together. The latter option is more common when the patient is already on the verge of a stroke or heart attack.
With severe development of vascular atherosclerosis, associated with a heart attack, stroke or irreversible changes in the vessels of the extremities, patients lose the ability to work and normal life, which means permanent disability. As a rule, they cannot care for themselves and need household and medical care.
Considering the severity and irreversibility of the disease, patients are interested in an important question: when diagnosed with atherosclerosis, is a group given?
We hasten to reassure you: the ITU (medical and social examination), having established the degree of development of the disease, will give a disability group and determine the directions of therapy most suitable for maintaining a stable condition of the patient and stopping further progression of the disease.
In case of atherosclerosis of the vessels of the lower extremities, disability is given based on the patient’s condition, the nature and degree of deterioration of his health during the development of the disease, including after amputation of a limb.
To assign a person disabled status, doctors study a combination of the following data:
Those patients from whom a limb was taken away due to gangrenous changes caused by atherosclerosis are given disability even before the prosthesis is ready. In the absence of other complications, such patients are assigned to the third group.
Patients who have suffered severe atherosclerosis of the extremities, including those associated with amputation, are prohibited from working in positions that involve:
Patients, when it is determined that a disability can be assigned, are referred for the following types of research:
MSE is carried out in the following cases:
Assigned under the combination of the following circumstances:
Prescribed if the following factors occur:
It is prescribed to the most severely ill patients who have completely lost the ability to work and independently care for themselves. As a rule, this is indicated by the following circumstances:
Thus, in case of severe atherosclerosis of the legs, associated with chronic irreversible changes in soft tissues, disability must be assigned taking into account the individual condition of the patient.
As practice shows and experts say, sick people are assigned a disability due to cerebral atherosclerosis. The same thing happens with damage to the vessels of the lower extremities. If we talk about atherosclerosis as such, it is a pathological condition in a chronic form, in which cholesterol and other fats are deposited on the inside of the walls of blood vessels, which are presented in the form of plaques. In this case, thickening and loss of elasticity of the artery walls themselves occur. As a result, the lumen of the arteries narrows and blood flow becomes obstructed.
This leads to the fact that the tissues do not receive the necessary nutrients, and some organs completely cease to function normally. In more complex cases, in sick people, blood vessels become blocked, which leads to tissue necrosis.
This disease is usually characteristic of middle-aged and elderly people. Nevertheless, there are cases when similar processes develop in young children, as well as newborns. Surely people who are faced with a similar diagnosis, as well as their loved ones, are interested in knowing whether they are given disability due to vascular atherosclerosis.
Experts identify the following factors that can provoke the development of this disease:
This disease is considered the most common in our time. And with atherosclerosis of the cerebral vessels, the entire body suffers. The main danger of such a disease is that it is asymptomatic, as a result of which it is not always possible to identify the disease in the early stages and prevent disability of the patient.
In addition, among the causes of death, cerebral atherosclerosis occupies one of the first places in the world. With this pathological condition, the patient becomes disabled not because of the vascular damage itself, but due to the development of complications, which, in the absence of appropriate treatment and prevention, very soon begin to appear.
The patient may become disabled if vascular stenosis is detected, in which even the slightest overexertion can lead to a stroke and other serious consequences. The likelihood of such a development will depend on the state of the patient’s immune system, genetic predisposition and existing risk factors. If the patient is not under constant medical supervision, the disease will only progress.
With the development of cerebrosclerosis, a disability group is assigned in the following cases:
Each of these diseases is difficult to treat and, in its advanced form, leads to disability of the patient. After a stroke, the patient becomes unable to work due to paralysis of the limbs, decreased activity, and reduced brain capacity. Disability registration for patients is carried out based on the results of a medical and social examination.
In case of disability due to atherosclerosis of the lower extremities, several groups are possible. And this development of complications of the disease is provoked by the lack of timely treatment.
But we cannot write off the fact that the patient who has such individual characteristics of the body and genetic predisposition is at risk of getting disability and complications. If the condition of a sick person is not controlled by the attending physician, then further development of the pathology cannot be avoided. And this is fraught with the most serious consequences. With the development of the disease, such pathologies as microstroke and stroke, obliterating atherosclerosis, myocardial infarction, aneurysm and aortic stenosis make it possible to determine disability.
In turn, with the development of a stroke, the patient may become disabled due to obliterating atherosclerosis. The latter implies paralysis or paresis of the lower extremities as a result of damage to the vessels of the lower extremities. If you do not treat the disease and ignore its symptoms, it can ultimately lead to leg amputation.
Thus, patients with vascular atherosclerosis receive a disability group. However, this is evidence that the pathological process has developed to such an extent that it has led to severe complications, expressed in the partial loss of some human abilities.
All thrombolytic vascular diseases are systemic chronic; they are accompanied by obliteration and thrombosis in the legs. With complications, the development of chronic arterial insufficiency is observed. The disease is complex and can be severe, so in many cases the question arises of what type of disability will be assigned for atherosclerosis of the lower extremity vessels.
During the examination to determine disability, the following data is recorded:
During the examination, the causes, duration of the disease and prescribed treatment are taken into account. It is very important to immediately clarify how long has passed since the surgical intervention - up to a year, one year or more.