clot in lung

clot in lung



 How should the clot in the lung be treated?
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Last week, Elazığ'dan came from the car on the way to the hospital where the Sahin Bey was piled up. When the emergency department was brought in, he complained of pain and shortness of breath in his chest, he often and hardly breathed. At the first visit, his pulse was 120, his blood pressure was 90/60, his blood oxygen was 85 percent. There was no abnormality other than minor changes in the lung film and ECG which were taken urgently. The mask was started to be given oxygen immediately. Initial blood tests showed no heart attack.
When we have a clot in our body, our natural clot dissolving system goes through the process. On the one hand, while the brick wall is rising, let's imagine a group of workers trying to destroy the wall. As it grows from one side, the pieces of the cloak, which are melted from one side, are scattered like bricks falling from the broken wall. If the blood level of one of these fragments with the medical name "d-dimmer" in the blood test is high, then the clot becomes doubtful, normally it means no clot. According to the doctors, "Doctors can clot in the lungs of the Falcon," he said. Computed tomography was performed for a definite answer to the question whether there was a clot in the lung or not, and it turned out that close to half of the right lung of Şahin Bey was disabled by the clot.


Anticoagulants
The first treatment that needs to be done is to stop the growth of the clot when the clots are in the lungs or in the venom. The drug called warfarin, also known as Kumadin, is the one for this purpose. Approximately five days are needed for the efficacy of this drug of lactic to appear. What should he do in the meantime? The heparin, which started immediately with anticoagulant effect on Şahin Bey, started to be given from the vagina.
The purpose of this treatment is to prevent the formation of a new clot and allow the body to gradually destroy the clot by means of natural clot dissolving means. The clot in Şahin Bey's lung is quite large. The general situation is a little better than when he first came, his blood pressure was high, his pulse was a little lower. But the amount of oxygen in the blood is still not normal, although it does not need to be connected to the respiratory apparatus, but it needs intense oxygen. It is clear that the danger continues. But what is the size of this danger? Since every treatment to be added at this stage is a risk, the answer to this question must be known.


Is it too dangerous?
 The blood to the lung is pumped by the right tine of the heart. When the clot is in the lung, the blood which can not pass through the obstructed vascular easily forms a resistance against the right ventricle. The bigger the veins or veins are, the harder the heart work. If the Kalbin is determined to be influenced by this suddenly emerging resistance, it can be understood how high the risk is. For this purpose, the doctors in the emergency department displayed ultrasound images of the brain of Şahin Bey (echocardiography) as well as a series of blood tests.
Blood tests showed that there was no damage to the heart. In severe cases, some of the cells of the heart muscle under heavy load die. In a sense, a tiny heart attack is a sign of abuse. Blood tests showed that the heart was stretched under increasing stress even though there was no damage. The echo images showed that the right abdomen was enlarged and the pressure at the pulmonary artery was elevated. There is no way to accelerate this melting process, as long as you wait for the self to reach your heart.Coagulants
We have clot-dissolving medicines that attack the clot, which is small, big, in any vein. We have been using these drugs for many years for emergency treatment of heart attacks and stroke. Lakin, remember that cure has solved not only the clot plugs, but also the good clots. Let's say that the potatoes in the kitchen were cut off when we got it, and a little deeper. After a few moments of suppression, we could only stop the blood. If a clot-releasing drug is given after three to five days, it will bleed again, since the clot formed to stop the bleeding will also melt. It's not a problem if you have a small cut in your problem, but if we had a stomach bleed a few months ago. Or if we had surgery in the last three months. Once the clot is meltdown, we do not even have to start bleeding from all the coagulants in our body, from myoma or from the surgical site.
In order not to make eyebrows by saying "Kas yapayım", the doctors thoroughly investigated whether Şahin Bey had a story to raise the risk of bleeding in the recent past. Stomach complaints for many years, two months before the examination of fecal occult blood was detected because it appeared to be ulcer bleeding could be. Even in patients who do not have a known tendency to bleed, there is a risk of severe bleeding from cryotherapy. This risk is much higher in Şahin Bey, who is suspected of having undergone stomach bleeding a few weeks ago. For this reason, it was decided that the clot could not be treated by dissolving. Moreover, his doctors thought heparin and warfarinin could lead to hemorrhage and should be monitored carefully.



Like the mortar that holds the bricks together on the wall, there is a substance called fibrin which strengthens the clot plug. The anticoagulant drug dissolves this mortal. The vein opens, blood starts to flow again. In the right picture, the veins in the upper right lobe of the lung are refilling.

Can we clean the cliché?
There are catheters developed to suck out the clot plugs or to make them into tiny pieces. If the clot in the lungs is too big, if the patient is getting worse, if it needs to be connected to keep breathing, one of the remedies may be treatment from these catheters. Even though the whole clot can not be cleared, opening a pathway for blood will provide a quick relief. Another option is to clean the pit with surgery. However, this method, which is used when there is a serious life threat, gives good results in experienced hands.



This clot-absorbing device is advanced from the neck veins to the clot and then to the clot at the pulmonary artery. It sucks up clogged particles and small particles
Ejects.


The clot should not go to the lung
For the time being, it has been decided that Şahin Bey does not need any treatment with catheters or surgery. Nevertheless, the doctors were worried that a large piece of the clitus could lead to new plugs in the lungs. They decided to take action, thinking that a second coup would upset the situation that started to go well.
They placed a tool similar to the main vein umbrella, carrying the blood from the legs and the heart returning. Even if a piece of the clit from the bicep is now broken, he will be stuck here, unable to reach the lungs. After a high-risk period, the tool is ready to be removed in a few months.
While the treatment of Şahin Bey continued, the doctors had begun to think about how to prevent the clot formation again. They were also answering questions about what kind of measures we should take in order to avoid a similar situation.




After the catheter that carried the umbilical catheter was inserted through the veins in the neck or groin,It is advanced to the main vein in its side. Here is a large,It's like a filter to pass through the clams.