FEATURES OF THE INFLUENCE OF PHYSICAL OVERLOADS ON THE STATE OF VESSELS OF UPPER EXTREMITIES

The developed method for diagnosing vessels of the upper extremities allows us to find pathognomonic signs for peripheral angioedema of the upper extremities of professional etiology, which can be further used in the examination of the connection of existing diseases with the profession - professional polyneuropathy of the upper extremities, vibration disease associated with local vibration in centers of professional pathology. The presence or absence of stenosis, occlusions, aneurysms is assessed, sites with abnormal blood flow are searched for - since their presence can significantly affect the further interpretation of the examination results on the data of the distal main arteries of the upper extremities. Further, for the same purpose, the axillary artery is examined all along - the patient takes the arm 90 degrees away with the rotation outside, the brachial artery - the arm moves away at 45 degrees with the rotation outside to the point of its bifurcation with the mandatory measurement of vessel diameter in B-mode, TCIM, in the PW mode of speed and spectral indices at the level of its distal third of the shoulder (arterial diameter, intima-media complex thickness, systolic (pulse) blood flow velocity, diastolic blood flow velocity, TAMAX - time-averaged maximum blood flow velocity - time average maximum, RI - resistance index (Purselo index), PI - pulsation index (Gosling index), TAMAX - time average maximum blood flow velocity (time average velocity). The method is accessible and easy to learn, does not require invasive interventions, radiation load on the patient is excluded, with its help it becomes possible to assess changes in the dynamics. Isolation and use in ultrasound examination of certain sections of the arteries in professional peripheral angioedema of the upper horse NOSTA promotes standardization study protocol such patients and receive data, suitable for further comparative statistical processing.

occupational disease, working conditions, vibration disease, polyneuropathy, upper limbs, differential diagnosis, ultrasound