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Stroke Treatment in Mysore

Thrombolysis

Stroke Treatment in Mysore

Thrombolysis is a medical procedure used to dissolve clots that have formed in a patient's blood vessels. It is used to treat ischemic strokes, which occur when a clot blocks an artery that supplies blood to the brain, and pulmonary embolism, which occurs when a clot lodges in the lungs. Thrombolysis is also used to treat heart attacks by dissolving the clot blocking the artery that supplies the heart with blood. The most common method of thrombolysis involves the administration of a thrombolytic drug, such as a tissue plasminogen activator (tPA). tPA acts to break down the clot, allowing blood to flow again. The procedure can be performed in a neuro hospital in Mysore or at a clinic.

Pre-procedure

The pre-procedure includes a full medical history and physical exam, including any past or current medical conditions or medications. The patient’s risk factors, such as age, smoking, and diabetes, are evaluated. Blood tests check for clotting factors, such as the blood’s capacity to form clots and the patient’s kidney and liver function. A CT scan or MRI is used to diagnose the blood clot and determine its location.

Procedure

  • During the procedure, a thin tube called a catheter is inserted into a large artery in your leg or arm. The catheter is then guided through your blood vessels towards the clot. 

  • Once the catheter is in place, the clot-dissolving drug is slowly injected into the clot. The drug is left in place for 10-30 minutes, after which it is slowly withdrawn. During the entire procedure, your doctor will carefully monitor your vital signs and blood pressure. 

  • After the procedure, the catheter is removed, and the affected area is covered with a bandage. You may need to take anticoagulants to prevent further clotting, and you may also need to take antibiotics to prevent infection. Afterwards, your doctor will monitor your progress to ensure the clot has dissolved.

Post-procedure

  • Immediately after the procedure is finished, the patient should remain in bed for at least 24 hours. This helps control blood pressure, prevents the clot from reforming, and reduces the risk of bleeding. The patient should also be given anticoagulant medication such as aspirin or heparin to help keep the blood from clotting.

  • After 24 hours, the patient should be monitored for any signs of bleeding, such as bruising or blood in the urine. The patient should also be monitored for complications associated with thrombolysis, such as stroke or heart attack. If these symptoms occur, the patient should be taken to the hospital immediately.

  • In addition, the patient should remain active and avoid strenuous activities during the post-procedure period. Swimming and walking are generally recommended, but the patient should avoid any heavy lifting or exercise until cleared by a doctor. Regular blood tests should be done to monitor the patient’s condition. Additionally, the patient should follow a healthy diet and take medications as prescribed.

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