Angiography se pehle doctor ko apni saari medicines batayein, khaaskar blood patla karne wali dawaiyan (aspirin, clopidogrel, warfarin, apixaban jaisi), sugar ki dawaiyan aur insulin (khaaskar metformin), peshab badhane wali goliyan, dard ki goliyan, aur koi bhi ayurvedic/herbal dawai. Dye ya kisi dawai se allergy aur kidney ki problem bhi zaroor batayein. Koi dawai khud se band na karein — doctor batayenge kaunsi rokni hai.
Short mein samjhein
- Saari dawaiyon ki list ya strips ki photo leke jaayein — naam aur dose dono.
- Blood thinner ke baare mein sabse pehle batayein; kuch rokni padti hain, kuch nahi.
- Metformin aur insulin ka plan fasting aur kidney report dekh kar tay hota hai.
- Contrast dye, iodine ya kisi dawai se purani allergy zaroor batayein.
- Koi bhi dawai doctor se poochhe bina band ya shuru na karein.
Angiography se pehle medicines batana itna zaroori kyun hai?
Kyunki angiography mein nas mein patli nali (catheter) daali jaati hai aur contrast dye (X-ray mein dikhne wali dawai) di jaati hai. Kuch medicines bleeding badha sakti hain, kuch dye ke saath milkar kidney par asar daal sakti hain, aur kuch fasting ke dauran sugar bahut gira sakti hain. Sahi jaankari se doctor yeh sab pehle se plan kar lete hain.
Kai baar patient sochte hain "yeh to sirf BP ki goli hai" ya "yeh to ayurvedic hai, ise kya batana". Lekin cardiologist ke liye har dawai ki jaankari zaroori hai. Sabse aasan tareeka hai — saari dawaiyon ke strips ya dibbe ek thaili mein daalkar le jaayein, ya unki photo mobile mein rakh lein.
Kaunsi medicines ke baare mein zaroor batana chahiye?
Neeche di gayi table ek guide hai. Har patient ka plan alag hota hai — kaunsi dawai chalegi aur kaunsi rukegi, yeh aapka cardiologist hi tay karenge.
| Dawai ka group | Kyun batana zaroori | Aam taur par kya hota hai |
|---|---|---|
| Aspirin, clopidogrel, ticagrelor, prasugrel | Yeh platelets ko jamne se rokti hain | Heart patients mein aksar chalu rakhi jaati hain, kyunki stent lagana pade to inki zaroorat hoti hai |
| Warfarin, acenocoumarol, apixaban, rivaroxaban, dabigatran | Khoon patla karti hain, bleeding ka risk badhta hai | Kai baar 1–3 din pehle rokni ya adjust karni padti hai; warfarin mein INR test hota hai |
| Metformin (sugar ki dawai) | Kidney kamzor ho to dye ke saath risk | Kidney report dekh kar procedure ke din aur 48 ghante baad tak roki ja sakti hai |
| Insulin aur doosri sugar ki goliyan | Fasting mein sugar gir sakti hai | Subah ki dose kam ya skip; doctor dose batate hain |
| Peshab badhane wali goliyan (diuretics) | Body mein pani kam ho sakta hai, kidney par asar | Kabhi procedure ke din subah roki jaati hai |
| Dard ki goliyan (NSAIDs) | Dye ke saath kidney par bojh | Kuch din avoid karne ki salah |
| BP, cholesterol, thyroid ki dawai | Poori picture ke liye | Zyadatar subah thode pani ke saath chalu rehti hain |
Agar aapko pehle se stent laga hai aur aap blood thinner le rahe hain, to unhe kabhi bhi khud se band na karein — isse stent mein khoon jamne ka khatra hota hai. Is par detail: stent ke baad blood thinner band kar sakte hain kya.
Diabetes wale patient ko kya dhyan rakhna chahiye?
Diabetes mein do baatein zaroori hain: fasting ke dauran sugar na gire, aur kidney ko dye se bachaya jaaye. Isliye doctor ko yeh batayein:
- Aap kaunsi sugar ki goli ya insulin lete hain, kitni dose aur kis samay.
- Aapki haal ki sugar reading aur HbA1c (3 mahine ka average).
- Kidney ki report — creatinine aur eGFR.
- Pehle kabhi sugar bahut low (hypoglycaemia) hui ho to.
Procedure ke din glucometer ya sugar check ki suvidha saath rakhein. Ghabrahat, pasina, kaanpna jaise low sugar ke lakshan hon to turant staff ko batayein. Fasting ke niyam yahan detail mein hain: angiography se pehle kitne ghante bhookha rehna padta hai.
Allergy aur purani reaction kyun batani chahiye?
Angiography mein di jaane wali contrast dye mein iodine hota hai. Zyadatar logon ko isse koi problem nahi hoti, lekin kuch logon ko pehle reaction ho chuka hota hai. Agar pehle kabhi CT scan ya angiography ke baad khujli, daane, saans phoolna ya BP girna hua ho, to yeh zaroor batayein.
- Contrast dye ya iodine se pehle hua reaction.
- Kisi antibiotic, painkiller ya anaesthesia (sunn karne wali dawai) se allergy.
- Latex (rubber gloves) ya plaster se allergy.
- Asthma — reaction ka risk thoda zyada hota hai.
Agar pehle reaction hua tha, to doctor aksar procedure se pehle kuch dawaiyan (jaise steroid aur anti-allergy) dekar risk kam kar dete hain. Isliye "pichli baar halka reaction hua tha" jaisi baat bhi chhupayein nahi.
Aur kaunsi health baatein doctor ko batani chahiye?
Medicines ke alawa kuch aur jaankari bhi procedure ko safe banati hai:
- Kidney ki problem — creatinine high ho to extra taiyari hoti hai. Padhein: creatinine high hai to angiography ho sakti hai kya.
- Bleeding ki tendency — naak se baar-baar khoon, chhote ghav se der tak khoon behna, haal mein pet se bleeding.
- Pregnancy ki sambhavna — X-ray ke kaaran zaroor batayein.
- Thyroid ki problem — iodine wali dye ke kaaran.
- Erectile dysfunction ki dawai (jaise sildenafil) — kuch heart ki dawaiyon (nitrate) ke saath BP bahut gira sakti hai.
- Ayurvedic, homeopathic ya herbal supplements — kuch mein blood patla karne wala asar hota hai.
Procedure ke din kaun-kaun si cheezein saath le jaayein?
- Saari dawaiyon ki strips/list, dose ke saath.
- Purani ECG, 2D Echo, TMT, blood reports aur pehle hui angiography ki CD/report (agar hai).
- Kidney (creatinine), sugar, haemoglobin aur agar warfarin lete hain to INR ki haal ki report.
- ID, insurance ya government scheme card.
- Ek family member jo procedure ke baad aapke saath rahe.
Angiography kab zaroori hoti hai, yeh yahan samjhaya gaya hai: angiography karane ki zarurat kab padti hai. Agar blockage mile aur stent lagana pade, to woh process angioplasty aur stenting page par hai. Procedure ke baad ghar kab ja sakte hain, iske liye padhein: angiography ke baad ghar kab ja sakte hain.
Dhyan rakhein: agar angiography ka intezaar karte hue seene mein dard 15–20 minute se zyada rahe, pasina aaye ya saans phoole, to planned date ka intezaar na karein — 108 ya Prathmesh 24x7 emergency +91 77778 65621 par call karein.
Raipur mein angiography ki taiyari ke liye Prathmesh Cardiac Institute
Prathmesh Cardiac Institute (Prathmesh Hospital ki cardiac unit, NH-30, Amlidih Road, Deopuri) mein angiography in Raipur se pehle doctor aapki dawaiyon ki list, kidney report aur allergy history dekhkar ek likhit plan dete hain — kaunsi dawai chalu rahegi, kaunsi kitne din pehle rukegi, aur fasting kab se karni hai. Isse procedure ke din koi confusion nahi hota.
Dr. Gaurav Tripathi aur Dr. Sulabh Chandrakar, dono DM Cardiologist, angiography se pehle family ko bhi saaf samjhate hain ki jaanch kyun zaroori hai. Pehli baar dikhane aa rahe hain to cardiologist in Raipur wala page aur contact details dekh lein. Google Maps par Prathmesh Cardiac Institute ki location dekhein.
NH-30, Amlidih Road, Deopuri, Raipur, Chhattisgarh 492015 · OPD: Somvaar–Shanivaar, 10 AM – 6 PM · Cardiac Emergency: 24x7
Aksar poochhe jaane wale sawal (FAQ)
Aam taur par nahi. Heart patients mein aspirin aur clopidogrel jaisi dawaiyan aksar chalu rakhi jaati hain, kyunki agar stent lagana pade to inki zaroorat hoti hai. Lekin aapke case mein kya karna hai, yeh cardiologist hi batayenge — khud se band na karein.
Warfarin ya acenocoumarol lene par doctor aksar kuch din pehle dose rokte ya adjust karte hain aur procedure se pehle INR test karwate hain. Agar valve ya clot ki wajah se warfarin zaroori hai, to kabhi beech ke dino mein injection wala blood thinner diya jaata hai.
Zyadatar mamlon mein haan, BP ki dawai subah thode se pani ke saath le sakte hain. Peshab badhane wali goli aur sugar ki dawai ke liye alag niyam ho sakta hai, isliye ek din pehle doctor se poori list confirm kar lein.
Agar kidney normal hai to aksar jaldi shuru kar sakte hain. Kidney thodi kamzor ho to aam taur par procedure ke 48 ghante baad, kidney test normal aane par metformin dobara shuru hoti hai. Discharge ke samay doctor se yeh saaf poochh lein.
Haan, aksar ho sakti hai. Doctor ko pehle hua reaction detail mein batayein. Procedure se pehle steroid aur anti-allergy dawaiyan dekar reaction ka risk kaafi kam kiya ja sakta hai, aur team emergency ke liye taiyar rehti hai.
Yeh jaankari sirf aam jaagrukta ke liye hai, yeh doctor ki salah ka vikalp nahi hai. Apni sthiti ke liye hamesha yogya cardiologist se salah lein. Emergency mein 108 ya +91 77778 65621 par turant call karein.