मैकेनिकल थ्रोम्बेक्टोमी से हो रहा ब्रेन स्ट्रोक का इलाज, जानिए क्यों खास है ये तकनीक

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00:00Due to changing lifestyle, the disease of stroke is increasing day by day.

00:07In such a situation, one in four people in India is being diagnosed with stroke.

00:14With us is Dr. Vivek Gupta, who is seeing the diseases of stroke and has also given relief to many patients.

00:23Sir, stroke has become a common word these days, but people do not know about it.

00:30They are still confused that it is a mental disease, but there is no cure for it.

00:37So, what kind of patients come to you for stroke?

00:41Stroke is a disease about which there is very little awareness, very little knowledge.

00:46Stroke, simply if I say, brain attack is stroke.

00:49As everyone knows about heart attack, brain attack is a similar and equally common disease, which in medical terminology is called stroke.

00:57So, stroke is increasing, and why does stroke happen?

01:03Because if there is a clot in the blood supply of the brain or it gets blocked, then it is a stroke.

01:08Why does it happen?

01:09Because if the brain does not get blood supply, then the brain will not work.

01:12If the brain does not work, then either there will be paralysis in the hand or in the leg or the speech will be damaged.

01:17So, that is why stroke happens.

01:19Sir, if we talk about age, is there any minimum age where the chances of stroke increase and a person needs to pay attention to himself?

01:31This is a very good question because stroke or heart attack, we have always believed that it is a disease of old people.

01:39But if I look at the patients of the last 10 years, there are many patients who are now suffering from stroke at a young age.

01:46Earlier, we used to believe that stroke can happen only after the age of 60, it cannot happen to young people.

01:50Now, many people come at the age of 20, 30, 40.

01:53So, there is no age limit for stroke.

01:55Children also have stroke, it is not very common, but children also have stroke.

01:59So, there is no age group limited for stroke.

02:02Earlier, we believed that there are more chances above 60, now we say that there are more chances above 40.

02:07Sir, when a stroke occurs, the tongue gets twisted, a part of the body gets paralyzed.

02:16So, in such a situation, what kind of precautions should a person take while not using any medicine?

02:25So, if anyone feels that there is any symptom of stroke, what is the symptom?

02:29If the tongue is twisted or the hands and feet are not working, the balance is not being maintained.

02:34So, the first precaution is not to give anything from the mouth.

02:37Because if you give something from the mouth, if it is not able to swallow, then it can stop breathing.

02:41So, do not try to give water, do not give anything to eat.

02:46If it is vomiting, then you have to put it aside so that whatever is in the mouth can come out.

02:51The second precaution is not to give anything to any blood thinning agent or aspirin or dispirant.

02:56Because giving it can cause more damage.

02:59So, if anyone feels that there is a stroke, then it is the best treatment option to take the patient to the hospital as soon as possible.

03:05Sir, when we reach the hospital, there is a surgery called Mechanical Thermobectomy.

03:14What kind of procedure is this and how can a stroke patient be saved from this?

03:20So, Mechanical Thermobectomy is a new and advanced technique with which we treat stroke patients.

03:27In this technique, without opening the brain, by making a small hole in the wrist or leg,

03:34with the help of some devices, we can go where there is a blockage in the brain through advanced machines.

03:39And we can pull out the clot.

03:41So, it is called Mechanical Thermobectomy because it is done mechanically.

03:44Sir, apart from PGI, in which other regions and institutes is this surgery done?

03:57How much does it cost?

03:59Because every person feels that there is a stroke and surgery is expensive.

04:04So, how is this surgery done in a budget?

04:08So, all the advanced healthcare treatments are costly.

04:13There is no doubt that they are costly.

04:16So, if the cost is an issue, then in the government, where it is available in our region,

04:21if I talk about Tri-City or North of Delhi, then in the government set-up, it is available only in PGI and nowhere else.

04:27In the private set-up, it is available in Fortis Mohali.

04:31Because this advanced treatment is also covered in Ayushman Bharat,

04:38so all those hospitals where these schemes are running and are available in Mechanical Thermobectomy,

04:43the patients who are not financially sound, can take advantage of it.

04:48But there is no such place where it is free.

04:52Because whatever treatment it is, it is a costly treatment.

04:55Dr. Vivek Gupta, tell us that after surgery, you have recently operated on an 80-year-old lady

05:04and she is now free from the stroke.

05:07And after a week, she has returned home.

05:10So, how was her condition and in what condition did she come to you?

05:14So, this is a matter of 3-4 weeks ago.

05:18So, the patient came in an emergency.

05:20His attendants brought his daughter along.

05:22So, he was not able to move his hands and legs.

05:26And there was no speech as well.

05:28So, when he came, because I am a stroke specialist, I only see stroke and do not treat any other disease,

05:32so we could recognize that it is a stroke.

05:34So, immediately we guided him.

05:36I think he came to us at 7 or 8 o'clock.

05:38So, the treatment could not be done.

05:40So, we guided him and he understood that yes, this treatment can be beneficial.

05:44So, his relatives also did not waste any time.

05:48They allowed us to do it.

05:50And his nerves were formed in two places, here in the neck and inside the brain.

05:54And we were lucky enough to open both the places.

05:57And the patient stayed with us for 4-5 days.

05:59He stayed in the ICU for 1-2 days.

06:01And he was discharged.

06:03And the good thing is that he walked home.

06:05And yesterday he came for follow-up in the OPD.

06:07And she is normal.

06:09So, sometimes when the patient reaches the hospital on time,

06:13and the relatives understand the importance of the technique,

06:16then we get very good results.

06:18Thank you so much.

06:20This was Dr. Vivek Gupta with us,

06:22who is a neuro-interventive.

06:24And he is giving his services in the 40s.

06:27But before this, he has also worked as a professor in PGI for such patients.

06:34With camera person Kishan, Nagma Singh's report, ETV Bharat.

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