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<p>Picioarele reci apar frecvent iarna sau dupa ce stai mult timp nemiscat. Insa, daca senzatia persista chiar si atunci cand este cald, se repeta zilnic sau este insotita de amorteala si durere, cauza poate fi mai mult decat simpla sensibilitate la frig.</p>
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<p>Uneori, picioarele reci sunt legate de circulatia sangelui, de functionarea nervilor, de tiroida, anemie sau diabet. Simptomul nu trebuie sa provoace panica, dar nici sa fie ignorat atunci cand persista.</p>
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<h2>Circulatia sangvina deficitara</h2>
<p>Atunci cand sangele nu ajunge suficient de bine la extremitati, picioarele pot deveni reci, palide sau amortite.</p><div class="b03d97280e765d707d336f444dd9d428" data-index="10" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<p>Circulatia poate fi influentata de sedentarism, fumat, colesterol crescut, diabet sau ingustarea arterelor. Nicotina contracta vasele de sange si poate reduce fluxul sangvin catre maini si picioare.</p>
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<p>Un semn care trebuie discutat cu medicul este durerea din gamba aparuta la mers si ameliorata dupa repaus.</p><div class="amp-ad-wrapper amp_ad_1 ampforwp-incontent-custom-banner ampforwp-incontent-ad3"><amp-ad width="336" height="280" type="sulvo" data-ad="andreilaslau.ro_amp_display_336x280" class="demand-supply"></amp-ad></div><div class="b03d97280e765d707d336f444dd9d428" data-index="10" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h2>Diabetul si afectarea nervilor</h2>
<p>Diabetul poate afecta atat vasele de sange, cat si nervii de la nivelul picioarelor. Neuropatia diabetica incepe frecvent la ambele picioare si poate provoca senzatie de frig, furnicaturi, amorteala, arsura sau durere.</p>
<p>Uneori, persoana simte picioarele foarte reci, chiar daca pielea nu este rece la atingere. Aceasta diferenta poate indica o problema a nervilor.</p>
<h2>Tiroida lenesa</h2>
<p>Hipotiroidismul incetineste procesele organismului si poate creste sensibilitatea la frig. Pot aparea si alte simptome, precum:</p>
<ul>
<li>oboseala persistenta;</li>
<li>crestere in greutate;</li>
<li>piele uscata;</li>
<li>constipatie;</li>
<li>caderea parului;</li>
<li>dureri si rigiditate musculara.</li>
</ul>
<p>Hipotiroidismul netratat poate contribui si la afectarea nervilor periferici.</p>
<h2>Anemia si lipsa fierului</h2>
<p>Atunci cand organismul nu are suficiente globule rosii sanatoase sau suficient fier, tesuturile pot primi mai putin oxigen. Persoana poate simti frig, slabiciune si oboseala.</p>
<p>Alte semne posibile sunt paloarea, ameteala, palpitatiile, durerile de cap si lipsa de aer la efort.</p>
<p>Anemia nu trebuie tratata automat cu suplimente de fier. Este indicat sa fie confirmata prin analize, deoarece excesul de fier poate fi nociv.</p>
<h2>Fenomenul Raynaud</h2>
<p>In fenomenul Raynaud, vasele mici de sange se contracta brusc, de obicei ca raspuns la frig sau stres.</p>
<p>Degetele pot deveni albe, albastrui, apoi rosii pe masura ce circulatia revine. Pot aparea amorteala, furnicaturi sau durere.</p>
<p>Schimbarile de culoare care nu dispar dupa incalzire trebuie evaluate rapid.</p><div class="amp-ad-wrapper amp_ad_1 ampforwp-incontent-custom-banner ampforwp-incontent-ad1"><amp-ad width="336" height="280" type="sulvo" data-ad="andreilaslau.ro_amp_display_336x280" class="demand-supply"></amp-ad></div>
<h2>Afectarea nervilor periferici</h2>
<p>Nervii picioarelor pot fi afectati de diabet, probleme ale coloanei vertebrale, consum excesiv de alcool, anumite medicamente sau deficiente de vitamine.</p><div class="b03d97280e765d707d336f444dd9d428" data-index="5" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<p>Pe langa senzatia de frig, pot aparea:</p>
<ul>
<li>furnicaturi;</li>
<li>amorteala;</li>
<li>arsuri;</li>
<li>intepaturi;</li>
<li>sensibilitate crescuta la atingere;</li>
<li>slabiciune musculara.</li>
</ul>
<p>Bolile care afecteaza nervii pot provoca amorteala si senzatii neobisnuite la nivelul picioarelor.</p>
<h2>Ce poti face acasa</h2>
<p>Daca nu exista semne de alarma, cateva masuri simple pot ajuta:</p>
<ul>
<li>ridica-te si mergi putin daca ai stat mult pe scaun;</li>
<li>fa miscare regulat;</li>
<li>poarta sosete curate, uscate si lejere;</li>
<li>evita incaltamintea foarte stramta;</li>
<li>renunta la fumat si la produsele cu nicotina;</li>
<li>controleaza glicemia, tensiunea si colesterolul;</li>
<li>evita incalzirea directa cu apa fierbinte sau surse puternice de caldura.</li>
</ul>
<p>Daca ai amorteala sau diabet, nu pune picioarele direct pe calorifer, perna electrica ori sticla cu apa foarte fierbinte, deoarece poti suferi arsuri fara sa iti dai seama.</p>
<h2>Cand trebuie sa mergi la medic</h2>
<p>Programeaza o consultatie daca picioarele sunt reci aproape permanent sau daca apar:</p>
<ul>
<li>amorteala ori furnicaturi;</li>
<li>durere la mers;</li>
<li>slabiciune musculara;</li>
<li>piele foarte palida sau albastruie;</li>
<li>rani care se vindeca greu;</li>
<li>umflarea picioarelor;</li>
<li>oboseala accentuata;</li>
<li>crestere sau scadere inexplicabila in greutate.</li>
</ul>
<p>Picioarele reci insotite de durere severa, pierderea sensibilitatii sau rani care nu se vindeca necesita evaluare medicala.</p>
<h2>Cand poate fi o urgenta</h2>
<p>Solicita ajutor medical rapid daca un picior devine brusc foarte rece, palid sau albastrui, mai ales daca apare durere puternica, amorteala sau imposibilitatea de a-l misca.</p>
<p>Colorarea albastra poate indica o problema de oxigenare sau circulatie si nu trebuie ignorata.</p>
<h2>Ce analize poate recomanda medicul</h2>
<p>In functie de simptome, medicul poate recomanda:</p>
<ul>
<li>hemoleucograma si analize pentru fier;</li>
<li>glicemie si hemoglobina glicozilata;</li>
<li>analize pentru functia tiroidei;</li>
<li>vitamina B12;</li>
<li>evaluarea circulatiei arteriale;</li>
<li>examinarea sensibilitatii si reflexelor.</li>
</ul>
<h2>Concluzie</h2>
<p>Picioarele reci pot aparea din motive banale, precum lipsa miscarii sau sensibilitatea la temperatura. Totusi, atunci cand senzatia persista chiar si pe caldura, poate fi asociata cu circulatia deficitara, diabetul, afectarea nervilor, anemia sau problemele tiroidei.</p>
<p>Nu incerca sa tratezi cauza doar prin incalzirea picioarelor. Daca simptomul se repeta sau este insotit de amorteala, durere ori schimbarea culorii pielii, consulta medicul.</p>
<p><em>Acest articol are caracter informativ si nu inlocuieste consultatia, diagnosticul sau tratamentul recomandat de medic.</em></p>
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