Kya Brain Stroke Ka Ilaaj Bina Open Surgery Ke Ho Sakta Hai?

Achanak ek taraf ka haath-pair kaam karna band ho gaya. Bolne mein dikkat aa rahi hai. Chehra ek taraf jhuk gaya. Ye brain stroke hai — aur har minute mein 20 lakh brain cells mar rahi hain. Lekin aaj ek aisa ilaaj hai jo bina brain ki surgery ke, catheter se clot nikalke dimag ko bacha sakta hai. Naam hai mechanical thrombectomy.

Stroke Mein Kya Hota Hai?

Stroke tab hota hai jab brain ko khoon pahunchane wali artery mein clot (khoon ka thakka) fas jaata hai. Brain ka wo hissa jise us artery se oxygen aur glucose milta tha, wo bhookha reh jaata hai. Brain cells minute bhar mein marne lagti hain. Jitni der block raha, utna zyada brain tissue hamesha ke liye khatam hota jaata hai — paralysis, bolne mein dikkat, nazar ki problem, ya maut. Stroke mein har minute lagbhag 20 lakh brain cells marti hain.

Golden Hour — Waqt Hi Dimag Hai

Stroke ke ilaaj mein har minute ka hisaab hai. "Time is brain" — ye medical science ki sabse zaroori baat hai: jitni jaldi khoon ka bahav wapas aaye, utna zyada brain tissue bach sakta hai. Clot gholne wali dawai (IV thrombolysis) symptoms ke 4.5 ghante ke andar di ja sakti hai, lekin badi nasal ke stroke mein ye sirf 30–40% cases mein clot ghol paati hai. Bade clots ke liye mechanical thrombectomy kahin zyada effective hai — aur selected patients mein imaging par salvageable brain tissue dikhe toh ye treatment 24 ghanton tak bhi kiya ja sakta hai.

Mechanical Thrombectomy Kaise Kaam Karta Hai?

Dr. Rohit Agarwal groin artery mein ek chhota sa puncture karke catheter daalte hain. Live X-ray guidance mein catheter ko blood vessels ke raaste brain ki blocked artery tak le jaate hain. Wahaan ek stent-retriever device ya aspiration catheter deploy hota hai jo clot ko physically pakadhke bahar kheench leta hai, ya suction se nikal deta hai — turant khoon ka bahav wapas brain tissue ko milne lagta hai. Procedure mein lagbhag 30–60 minute lagte hain, aur bahut se patients mein procedure table par hi neurological recovery shuru ho jaati hai.

Results — Dr. Rohit Agarwal Ka Experience

Medanta Lucknow — jo Uttar Pradesh ka pehla comprehensive stroke unit hai — mein Dr. Rohit Agarwal ne 150 se zyada mechanical thrombectomies ki hain, jismein 90% recanalization (clot removal) rate hai. Unke patients 17 saal ke teenager se lekar 98 saal ke bujurg tak rahe hain — ye dikhata hai ki ye procedure har age group mein safely ho sakta hai. Medanta Lucknow UP ka pehla centre bhi hai jo Penumbra Flash 16 aspiration system use karta hai — jo sabse latest generation ki clot-removal technology hai jo tez aur zyada complete clot extraction karti hai.