2023-07-10 10:38:49
[김희덕의 잠수의학 세계}
입력 2023.07.10 19:10 수정 2023.07.10 07:12
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입력 2023.07.10 19:10수정 2023.07.10 07:12
조회수 8
의료행위 도중 또는 치료 후에 부작용, 합병증이 생기면 의사들은 매우 난감하다.
대부분은 ‘가역적’이어서 잘 케어하면 정상으로 돌이킬 수 있지만, 그렇지 않은 경우도 많다. 예를 들어 미용성형 필러 시술 후 발생하는 혈관합병증 같은 경우가 그러하다.
물론 그 빈도가 높지는 않지만, 이를 경험한 의사는 실망하지 않을 수 없고, 그 전후에 겪는 고통 또한 크다.
필러의 혈관 부작용은 동맥 또는 정맥 폐쇄로 일어난다. 피부 괴사, 연조직염, 혈관염 등 다양한 증상도 따라온다.
[사진=클립아트코리아]In particular, if CRAO (central retinal artery occlusion), which causes blindness, has come, this is a really big deal. It is one of the most vicious side effects of filler treatment.
The retina is the most sensitive tissue to ischemia in the human body. However, oxygen consumption is 13ml/100g per second, the highest in our body.
Until now, treatments for filler side effects have been widely known, such as nitroglycerin ointment, steroids, aspirin, sildenafil administration, and pressure with hot packs.
Retinal diseases that require a lot of oxygen… Combined with HBOT, recovery from side effects is faster
Interestingly, in recent papers, case studies have been published showing that side effects such as skin necrosis, edema, and vasculitis can be recovered in an early time by combining these treatments with hyperbaric oxygen therapy (HBOT).
The blood circulating in our body is 0.21 ATA (absolute pressure) oxygen at 1 atmospheric pressure combines with hemoglobin in the alveoli, lungs and capillary vessels to reach the terminal tissues of the human body through the bloodstream, supplying oxygen to cellular tissues. do.
In other words, when the oxygen absorbed by the human body when breathing air at 1 atmospheric pressure is 100, at this time, all oxygen dissolves only in hemoglobin and very little dissolves in plasma, but 100% oxygen in the emergency room or hospital room at 1ATA Most of the oxygen that can be absorbed most when you drink it with a mask is about 600-650 because most of it is in hemoglobin and a very little part is dissolved in plasma.
In particular, when blood vessels are clogged or narrowed, blood flow is obstructed and blood does not flow smoothly, so even though a lot of oxygen is dissolved in hemoglobin, oxygen cannot be effectively supplied to human tissues.
Therefore, even if there is a blood flow disorder, when oxygen is given by hyperbaric oxygen therapy, 22 times more oxygen is dissolved in the blood plasma, and high concentration oxygen is supplied even where blood flow cannot reach, effectively supplying oxygen to sensitive tissues in hypoxic conditions and reducing complications caused by hypoxia. treatment can be effective.
In particular, tissues and cells that are very sensitive to oxygen, such as brain nerve tissue and retinal endothelial cells, can more quickly prepare for tissue destruction caused by hypoxia.
It is also very useful to supply oxygen at normal atmospheric pressure. In addition, it is recommended to move quickly to a hospital where hyperbaric oxygen treatment can be performed and treat with hyperbaric oxygen therapy.
If the symptom period is several weeks or more, it is unlikely to be cured, but if hyperbaric oxygen treatment is good, complete blindness may show partial recovery, so active treatment is important.
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#blindness #side #effects #filler #treatment..