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SIGNS AND SYMPTOMS
- Pain in the affected area.
- Paleness and coldness of the skin.
- Pins and needles.
GENERAL INFORMATION
A thrombus is a clot of thrombocytes, proteins of the coagulation and cellular garbage that a blood glass ends up by stopping up. An embolism is a thrombus that has traveled round the blood up to coming to a small glass where it is nailed like a sucker. Thrombosis and embolism are, then, equivalent terms.
The suckers can be the only or multiple, small or massive. They can put in danger the life, like when a brain embolism happens, or can lead to putting in danger an entire extremity, as when an arterial muddle happens in a leg.
The cardiac illness predisposes to do embolisms, good from the right auricle when an ear fibrillation exists, for example, or from the left ventricle after a myocardium infarction.
DIAGNOSIS AND GRAVITY
When an embolización happens, the blood flow can be interrupted sudden, or in a gradual way, for weeks or months. Sometimes an arterial embolism can settle at the level of the arteries of the knee, where bigger glasses turn into smaller others. This obstruction causes sudden pain and paleness in the whole leg and the foot.
If a sharp arterial embolism does not occur immediately, the textile beyond the embolism can die and become necessary an amputation. When it happens, it is very important to protect the leg affected with a soft blanket and a few gasas. Since the leg is cold, it is tantalizing to apply local heat, but it can damage even more the awkward textile.
The diagnosis is suspected before the above mentioned symptoms and if the pulses are not located in the affected area, and is confirmed by means of an arteriografía.
TREATMENT
Medication
As soon as the diagnosis of arterial embolism was confirmed, there is administered immediately a medicine that breaks the thrombus (trombolisis). Next it is possible to indicate him aspirin or anticoagulant medicines to prepare that the thrombi recur.
Surgery
If the affected member is in danger, the immediate surgery is needed to remove the thrombus. Generally it is done by means of a skill that the vascular surgeons call endarterectomía, with a catheter (a flexible and hollow tubito) that has an inflatable balloon in the top; the catheter interferes, the globito gets conceited, and as the catheter moves back, it is dragging to the thrombus. Less often, a derivation is necessary (by-pass) of the blocked glass, or his replacement for one prosthesis or artificial glass of Dacron.
WHAT DOCTOR CAN TREAT ME?
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