WHO IT CONCERNS:
People with excess weight and
elderly people;
women
taking hormonal contraceptives;
cancer patients;
pregnant women;
people with varicose veins or
those who have had venous thrombosis in the past;
A forced prolonged immobilized position disables the main driver of blood flow,
the so-called muscle-venous-lymphatic pump,
which is the main driver of blood and lymphatic fluid in an upright position.
Additionally,
a sufficiently large group of people have abnormal genetics,
responsible for hemostasis, as well as biochemical congenital or acquired coagulation features,
in medicine this is called thrombophilia..
It is also important to know that this thrombosis,
initiated by the flight,
can manifest not only during the flight,
but also several days after it,
and then one might not even think
that this is indeed
aviation thrombosis.
Another negative circumstance
that occurs during long flights
is the forced limitation of liquid intake,
and as a result, blood thickening.
first of all in people at risk and people with weakened immune systems.
A significant negative factor
manifesting itself in air travel
is the reduction of air pressure inside the aircraft cabin,
which leads to
less oxygen entering the blood,
and in addition,
the intake of sedatives,
sedative drugs,
as well as alcohol during such a journey,
weakens the natural protective reaction to hypodynamia.
A LITTLE HISTORY:
About deep vein thrombosis
The occurrence of in-flight thrombosis (aviation thrombosis) first became publicly known in 1972. This medical drama happened to the 37th President of the United States, Richard Nixon, when he was traveling to the Soviet Union. On his way back, he experienced thrombosis on the plane, complicated by a pulmonary artery embolism. Since the president is always accompanied by a medical team, he was saved, and no further action was taken at that time. However, scientific research on this issue began in 2000.
when there was a sudden death of a 28-year-old British woman during a flight from Australia.
It turned out
that annually more people die from deep vein thrombosis and embolism during flights
than in plane crashes,
and this affects every 15th passenger...
PREVENTIVE MEASURES:
1.
At home, 2-3 days before the flight, it is necessary to drink fluids at a rate of 25-30 ml
per kilogram of your weight.
2. Drink plenty of fluids during the flight, and as a result, regular urination
will also serve as a biological signal to get up and walk to the toilet.
3. Physiologically, the return of blood from the legs is mainly facilitated by the contraction of the calf muscles. During the flight, it is important to periodically move the ankle joints as a preventive exercise, change body position more often, and walk around the cabin.
4. It is advisable to choose comfortable, loose-fitting, non-constrictive clothing, and of course, shoes for travel. Ideally, it is preferable to be in the cabin in soft athletic shoes.
5. If you already have diagnosed venous and lymphatic insufficiency or you experience increased leg fatigue, swelling,
it is advisable to start taking phlebotonics or antiplatelets (Phlebodia,
Ginkgo biloba,
Cardiomagnyl) a week before the trip after consulting with a doctor.
NB!
If you are at risk for developing venous thromboembolic complications,
if your legs hurt and you have varicose veins,
consult a phlebologist before traveling.
Coordinate the use of direct or indirect anticoagulants (Enoxaparin, Warfarin, or their analogues).
5. The use of phlebotonics should be continued even after the trip, and if it is a short business trip or journey, continue for at least a week after returning home. If you already have dilated and stagnant varicose veins, swelling, and you need to fly, as frightening as medicine may seem, do not tempt fate and rely on the hope that thrombosis won't occur.
6. A recommended practice is using compression hosiery - this includes knee-high socks, stockings, less functional pantyhose, the level of compression can vary, depending on the condition of the legs, but it should be at least the first degree of compression.
7. Self-control is a very useful quality inherent to a person's medical culture, so it's important to listen to your body and pay attention to certain warning signs - bursting pain, swelling around the ankle, bluish skin tone, feeling of cold or numbness in the legs...
More severe symptoms: sharp pain, muscle cramps, joint swelling. If these symptoms occur and do not pass, it is necessary to have an examination of the veins of the lower extremities and a biochemical blood test as soon as possible.
People with excess weight and
elderly people;
women
taking hormonal contraceptives;
cancer patients;
pregnant women;
people with varicose veins or
those who have had venous thrombosis in the past;
A forced prolonged immobilized position disables the main driver of blood flow,
the so-called muscle-venous-lymphatic pump,
which is the main driver of blood and lymphatic fluid in an upright position.
Additionally,
a sufficiently large group of people have abnormal genetics,
responsible for hemostasis, as well as biochemical congenital or acquired coagulation features,
in medicine this is called thrombophilia..
It is also important to know that this thrombosis,
initiated by the flight,
can manifest not only during the flight,
but also several days after it,
and then one might not even think
that this is indeed
aviation thrombosis.
Another negative circumstance
that occurs during long flights
is the forced limitation of liquid intake,
and as a result, blood thickening.
first of all in people at risk and people with weakened immune systems.
A significant negative factor
manifesting itself in air travel
is the reduction of air pressure inside the aircraft cabin,
which leads to
less oxygen entering the blood,
and in addition,
the intake of sedatives,
sedative drugs,
as well as alcohol during such a journey,
weakens the natural protective reaction to hypodynamia.
A LITTLE HISTORY:
About deep vein thrombosis
The occurrence of in-flight thrombosis (aviation thrombosis) first became publicly known in 1972. This medical drama happened to the 37th President of the United States, Richard Nixon, when he was traveling to the Soviet Union. On his way back, he experienced thrombosis on the plane, complicated by a pulmonary artery embolism. Since the president is always accompanied by a medical team, he was saved, and no further action was taken at that time. However, scientific research on this issue began in 2000.
when there was a sudden death of a 28-year-old British woman during a flight from Australia.
It turned out
that annually more people die from deep vein thrombosis and embolism during flights
than in plane crashes,
and this affects every 15th passenger...
PREVENTIVE MEASURES:
1.
At home, 2-3 days before the flight, it is necessary to drink fluids at a rate of 25-30 ml
per kilogram of your weight.
2. Drink plenty of fluids during the flight, and as a result, regular urination
will also serve as a biological signal to get up and walk to the toilet.
3. Physiologically, the return of blood from the legs is mainly facilitated by the contraction of the calf muscles. During the flight, it is important to periodically move the ankle joints as a preventive exercise, change body position more often, and walk around the cabin.
4. It is advisable to choose comfortable, loose-fitting, non-constrictive clothing, and of course, shoes for travel. Ideally, it is preferable to be in the cabin in soft athletic shoes.
5. If you already have diagnosed venous and lymphatic insufficiency or you experience increased leg fatigue, swelling,
it is advisable to start taking phlebotonics or antiplatelets (Phlebodia,
Ginkgo biloba,
Cardiomagnyl) a week before the trip after consulting with a doctor.
NB!
If you are at risk for developing venous thromboembolic complications,
if your legs hurt and you have varicose veins,
consult a phlebologist before traveling.
Coordinate the use of direct or indirect anticoagulants (Enoxaparin, Warfarin, or their analogues).
5. The use of phlebotonics should be continued even after the trip, and if it is a short business trip or journey, continue for at least a week after returning home. If you already have dilated and stagnant varicose veins, swelling, and you need to fly, as frightening as medicine may seem, do not tempt fate and rely on the hope that thrombosis won't occur.
6. A recommended practice is using compression hosiery - this includes knee-high socks, stockings, less functional pantyhose, the level of compression can vary, depending on the condition of the legs, but it should be at least the first degree of compression.
7. Self-control is a very useful quality inherent to a person's medical culture, so it's important to listen to your body and pay attention to certain warning signs - bursting pain, swelling around the ankle, bluish skin tone, feeling of cold or numbness in the legs...
More severe symptoms: sharp pain, muscle cramps, joint swelling. If these symptoms occur and do not pass, it is necessary to have an examination of the veins of the lower extremities and a biochemical blood test as soon as possible.
