Kya Pair Ki Band Nason Ka Ilaaj Bina Bypass Surgery Ke Ho Sakta Hai?

Haan. Angioplasty se pair ki band nason ko ek chhoti si sui ke through khola jaata hai — na bypass surgery, na bada cheera. Yeh ab peripheral arterial disease ke zyaadatar patients ke liye pehla ilaaj hai aur hazaaron pair amputation se bach chuke hain.

PAD (Peripheral Arterial Disease) Kya Hota Hai?

PAD tab hota hai jab atherosclerosis — yani cholesterol aur fat ka jamao — pair ki nason ko block ya tang kar deta hai. Isse khoon ka flow kam ho jaata hai, chalne mein dard hota hai (claudication), raat ko pair mein dard rehta hai, zaakhm nahi bharte, aur serious cases mein gangrene ho jaata hai. PAD diabetic aur smoking karne wale logon mein zyaada hota hai. Agar samay par ilaaj na ho toh tissue mar jaata hai aur pair katna pad sakta hai — India mein diabetic limb amputation ke cases duniya mein sabse zyaada hain, aur inmein se bahut se rokhe ja sakte hain.

Traditional Bypass Surgery

Bypass surgery mein blocked artery ke aas-paas ek nayi raah banaayi jaati hai — ya toh synthetic tube se ya body ke kisi aur hisse ki nas se. Isme general ya spinal anaesthesia lagta hai, groin aur pair mein lambe cheere lagte hain, 7-14 din hospital mein rehna padta hai, aur 6-12 hafte recovery mein lagte hain. 15-30% patients mein wound ki dikkat hoti hai (diabetics mein aur zyaada), aur bahut se bade umar ke ya diabetic patients surgery ke liye fit nahi hote — unko sirf amputation ka option diya jaata hai.

Angioplasty Kaise Kaam Karti Hai

Dr. Rohit Agarwal peripheral angioplasty 2mm ki sui ke through karte hain — aam taur par groin ki artery se, kabhi pair ki artery se (neeche ke blockage ke liye). Ek patlaa guidewire live X-ray ki madad se blocked hisse se guzaara jaata hai. Phir ek chhota balloon wire ke upar blockage tak le jaaya jaata hai aur inflate kiya jaata hai — yeh plaque ko dabaake artery ko khol deta hai aur blood flow restore karta hai. Zarurat hone par metal stent lagaya jaata hai taaki artery khuli rahe. Drug-coated balloons bhi use hote hain taaki dobara blockage na ho. Yeh sab local anaesthesia mein hota hai, aur zyaadatar patients 1-2 din mein ghar chale jaate hain.

Angioplasty vs Bypass Surgery — Comparison

Results — Dr. Rohit Agarwal Ka Experience

Medanta Lucknow mein Dr. Rohit Agarwal ne 200 se zyaada peripheral angioplasty ki hain aur 180 se zyaada pair amputation se bachaye hain. Unke patients mein sabse complex cases shamil hain — jahan lambi total occlusions thi, multi-level disease tha, aur diabetic foot gangrene tha — jinhein doosre hospitals ne kaha tha ki amputation ke alawa koi raasta nahi. Unke ek yaadgaar case mein 85 saal ke ek diabetic patient ko gangrene ki wajah se above-knee amputation ki salah di gayi thi — angioplasty ke baad zaakhm poora bhar gaya aur patient phir se chalne laga.