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“World Arteriosclerosis Day” or “World Thrombosis Day” Which falls on October 13 every year. This year, the Hematology Society of Thailand has joined with the National Cancer Institute, Bureau of Medicine. Bangkok, Chulalongkorn Hospital, Thai Red Cross Society, Faculty of Medicine Chulalongkorn University, Cancer Network Foundation and Sanofi Thailand jointly organized a seminar. “Blood clots A silent danger that can be prevented” To create a correct understanding of thrombosis. with expert doctors from leading hospitals and institutions Come provide knowledge and share experiences in treating cancer patients. People who have had surgery and other risk groups As a guideline for care and prevention

Inside the seminar “Blood clots A silent danger that can be prevented” which was held at Chulalongkorn Hospital, Thai Red Cross Society, was honored by Assoc. Prof. Dr. Chatchart Sitthiphan, Governor of Bangkok, Dr. Lertluck Leelasawang, Director of the Medical Bureau Bangkok and Assoc. Prof. Dr. M.L. Kornkiat Sanitwong, Deputy Director of Services Chulalongkorn Hospital, Thai Red Cross Society, on behalf of Assoc. Prof. Dr. Chanchai Sittiphan, Director of Chulalongkorn Hospital, Thai Red Cross Society, attended the event. “Blood Thrombosis” It is one of the risk factors that cause cardiovascular disease. Whether it is heart failure, heart attack, or stroke. and venous thromboembolism

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Bangkok Join in creating the role of “city” in reducing disease incidence.

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Assoc. Prof. Dr. Chatchart Sitthiphan, Governor of Bangkok, said that the health dimension is one of the main policies that Bangkok gives top priority, with good health being a worthwhile investment. Bangkok is well aware that disease prevention It’s better than having a disease and then seeking treatment. and want to see people change their eating habits that are nutritionally sound Live a balanced life to prevent, alleviate, and avoid various chronic diseases. Therefore, “Cities” play an important role in helping reduce the occurrence of blood clots. What Bangkok has focused on are 3 areas.

The city must allow people to walk and exercise easily. There is a quality park within 15 minutes of walking from the house. Which has already been implemented in more than 100 medical centers. There are public health centers distributed in more than 20 capillaries, providing care for tens of thousands of bedridden patients in the community. This is a group that does not have access to a hospital bed. Public health officials have been deployed to take care of bedridden patients in collaboration with medical schools. Awareness campaigns in schools, communities and at the public health level There is training in caring for the elderly. which tends to increase

“These 3 parts will help reduce the burden on hospitals, for which Bangkok would like to thank relevant agencies and various network partners. who joined in the campaign to educate the public To help reduce the risk and prevent blood clots from occurring,” Assoc. Prof. Dr. Chatchat said.

Assoc. Prof. Dr. Chatchart Sitthiphan, Governor of Bangkok

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Origin of venous thromboembolism Born from being in the hospital.

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Prof. Dr. Phonphat Rojanakarin The President of the Hematology Association of Thailand said that from environmental factors and changing lifestyles, “Blood Thrombosis” There is a trend of increasing from foreign information Blood clots in the veins It is diagnosed in the third place after coronary artery disease and cerebral artery disease, with 60 percent of venous thromboembolic diseases. It occurs during a hospital stay or after being discharged from a new hospital. Worldwide, there are 10 million patients with this disease associated with hospital admissions per year.

Thailand: Data from the National Statistical Office over the past 6 years has reported a two-fold increase in the number of pulmonary embolism (PE) diagnoses. The Hematology Association of Thailand is ready to push forward. and educate people so that they are aware but not alarmed, aware but not alarmed To prevent the occurrence of blood clots. and reduce unnecessary losses in the future

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Survival: “Adjust behavior to reduce risk”

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“More than 80 percent of people with venous thromboembolism will not show any symptoms or have unclear symptoms Some people with deep vein thrombosis (DVT) may have leg pain, swollen legs, and the skin on the legs has changed color from before. As for cases occurring in the lungs (PE), symptoms may include palpitations, chest pain, rapid heartbeat, dizziness, loss of consciousness, coughing up blood, etc. The campaign is to raise awareness among society at large. Therefore helping people to understand and adjust their behavior to reduce risks. Or if you are in a high-risk group, you can provide information and ask for advice from a doctor. To find ways to prevent or treat in a timely manner,” he said.

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High-risk groups include cancer patients.

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Prof. Dr. Panthep Angchaisuksiri Hematology major Department of Internal Medicine Faculty of Medicine Ramathibodi Hospital Mahidol University provides information that factors causing venous thrombosis are It may occur from blood coagulating and accumulating in the veins (Venous System), which is most commonly caused by inflammation in the veins. The high-risk group that has a chance of developing venous thromboembolism includes cancer patients. From patient data in Asia, including Thailand About 20 percent of patients with deep vein thrombosis also have some form of cancer.

People who need surgery or who have been in an accident and having to stay in the hospital with little physical movement for a long time are at risk. And another group that is often overlooked is pregnant woman This may have a 4 times higher risk of VTE than normal people and is the cause of up to 10 percent of maternal deaths. In addition, the occurrence of VTE has other factors as well, including patients with chronic diseases. The patient is unable to move. Patients who are overweight People with a family history of VTE, use of birth control pills, heavy smoking, etc.

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Preventing blood clots with medicine

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Associate Professor Dr. Piyanuch Putrakul, Department of Surgery Ramathibodi Hospital said that the risk of VTE in patients after surgery is not the same. It depends on the procedural factors and the patient’s own factors as well. Procedures that have a high risk of VTE are hip and knee replacements. and neurosurgery. In addition, the duration of surgery The degree of severity of the injured tissue and the period of not being able to walk after surgery It also affects the occurrence of VTE.

Today, the medical community can prevent VTE in surgical patients in several ways, such as providing anticoagulants. Currently, prevention of thrombosis With hospital medicine, this can be done using injections and oral medicine. To prevent hardening Trying to get the patient to move Inserting a stimulant to massage the muscles in the legs. Put on medical stockings or get up and walk properly Including educating patients about prevention.

Ramathibodi Hospital It has piloted a pre-surgery patient risk assessment to identify which patients are at risk for VTE and provide appropriate protection to keep them as safe from VTE as possible. Injectable drugs are expected to It is one option that is appropriate for the condition of patients who are admitted to the hospital. Or continuous injections at home are effective and safe for all groups of patients. both cancer patients surgical patient and pregnant women which type of injection some medicines contain It is already on the national list of essential medicines. Covers all disbursement rights including health insurance cards, social security and government officials.

Associate Professor Dr. Piyanuch Putrakul also said that from information from Ramathibodi Hospital It was found that after issuing preventive measures, Thrombosis In postoperative venous thromboembolism, it was found that the incidence of VTE decreased satisfactorily and death from venous thromboembolism was prevented. The said prevention measures have been shown to be very economically worthwhile. That is, it costs little. but get the most benefit And it’s something that a team of medical personnel can do. This is compared to the amount of damage that can occur if disease is allowed to occur unprotected. Early protection It is something that the hospital management sector Various agencies The level of care for this matter should be raised even more. To increase your chances of surviving venous thromboembolism, she said.

Prof. Dr. Phonphat Rojanakarin President of the Hematology Association of Thailand

Prof. Dr. Panthep Angchaisuksiri Hematology major Department of Internal Medicine Faculty of Medicine Ramathibodi Hospital Mahidol University

Associate Professor Dr. Piyanuch Putrakul, Department of Surgery Ramathibodi Hospital

Sanofi Thailand representative

Seminar on “Blood Thrombosis” Silent dangers that can be prevented” organized by the Hematology Society of Thailand in collaboration with the National Cancer Institute, Bureau of Medicine. Bangkok, Chulalongkorn Hospital, Thai Red Cross Society, Faculty of Medicine Chulalongkorn University, Cancer Network Foundation and Sanofi Thailand

2023-10-19 09:45:00

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