The Love Story of the Doctor
Ischemia of Masenteric Ateria
" Mesenteric artery ischemia (MAI) is a condition when blood flow to the intestines is reduced. It is usually caused by a blockage in one or more mesenteric arteries, the main arteries that supply blood to the small intestine and colon.
When the mesenteric artery is narrowed or blocked, the oxygen supply is obviously reduced. This can lead to cell death and permanent damage to intestinal tissue. Fatal impact, ischemia of the mesenteric artery can result in Bi's death."
" Yes doc."
" About mesenteric artery ischemia, What causes do you doc? ".
" Everybody at any age can develop mesenteric artery ischemia. However, this condition occurs most commonly in adults over the age of 60 years.
The following are various causes of mesenteric artery ischemia, namely:
Cardiovascular diseases
" Mesenteric artery ischemia can result from cardiovascular disease. The mesenteric artery that drains blood into the intestine is a branching of the aorta, the main artery of the heart.
Fat carried by blood can stick to the wall; any blood vessel, including the mesenteric artery. The more fat deposits, the blood flow becomes not smooth and triggers atherosclerosis. As a result, the risk of heart disease will also increase."
High cholesterol
" High cholesterol can cause plaque buildup in the arteries. This buildup of plaque can narrow the blood vessels, so that blood flow to the intestine becomes blocked."
Blood clots
A blood clot is a group of blood cells that are attached to each other. These blood clots can clog the mesenteric arteries and reduce blood flow to the digestive tract.
Blood clots can also increase the risk of stroke if it has spread to the brain. If you are using the Pill or other medicines that contain oxygen, then you are at risk of blood clots.
Cocaine and methamphetamine use
Cocaine and methamphetamine are 2 types of drugs that can trigger ischemia in some people. The reason is, both drugs can constrict blood vessels so that blood flow is not smooth.
Blood vessel operation
The onset of scar tissue is one of the most common complications after surgery. When this scar tissue grows in the blood vessels, the blood vessels will narrow and block blood flow.
Symptom
Mesenteric artery ischemia is divided into 2 types, namely acute and chronic. Acute ischemia often appears suddenly with severe symptoms. This condition is most often caused by a blood clot in the artery.
Meanwhile, chronic ischemia appears gradually and over a long time. Most chronic ischemia occurs as a result of atherosclerosis.
The most common signs and symptoms of mesenteric artery ischemia are:
Stomach ache
The stomach feels pain when pressed
Diarrheal
Nauseous
Vomiting
Fevers
Each type of mesenteric arterial ischemia also has additional symptoms that are typical:
Acute ischemia: Frequent bowel movements and bloody BAB.
Chronic ischemia: Stomach pain after eating and weight loss.
Lifestyle changes can be the best way to prevent mesenteric artery ischemia. Here are the things that can be done, including:
Regular exercise.
Eat a balanced nutritious diet.
Keep your cholesterol and blood sugar levels normal.
Quit smoking, because smoking can narrow the blood vessels.
Immediately check with your doctor, if you have problems with the heart or blood vessels.
Treatment of mesenteric arterial ischemia
The doctor will perform a number of physical examinations to diagnose mesenteric artery ischemia. The examination includes:
Ultrasound or CT scan, to view images of blood vessels and the intestine as a whole.
MRI, to look at structures and organs in the body.
MRA, which is an MRI for blood vessels.
Arteriogram, using X rays and khsusu dye to see the inside of blood vessels.
Treatment of mesenteric arterial ischemia is tailored to the type of ischemia itself, whether classified as acute or chronic.
Acute mesenteric artery ischemia
Acute blockages in the intestine should be treated immediately to prevent tissue death. Here are the treatment options:
Surgery, to remove blood clots, scar tissue, and parts of the intestine that are dead.
Blood-thinning medications, to prevent blood clots later in life.
Angioplasty, which is a procedure to insert a stent (net tube) to open a narrowed artery.
Chronic mesenteric artery ischemia
Chronic ischemia usually requires a surgical procedure. However, if intestinal ischemia develops slowly, surgery is not necessary.
The doctor may also give certain drugs to treat mesenteric artery ischemia, namely:
Antibiotics, when the blockage is caused by an artery.
Blood-thinning medications, such as heparin or warfarin, to prevent the risk of blood clots later in life.
Vasodilator medications, such as hydralazine, to widen blood vessels.
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