I-Quadruple Bypass ichazwe
I-quadruple bypass yindlela evulekileyo yenkqubo yokuhlinzwa eyenziweyo ukuphucula ukuhamba kwegazi okondla intliziyo. Abantu abaninzi banokufumanisa ukuba banesifo senhliziyo-kunye nesidingo sokuhlinzwa-emva kokuva intlungu yesifuba, ukuphefumula okufutshane, okanye iimpawu eziqhelekileyo njengengalo okanye intlungu yomhlathi.
Ukuqonda ngokwenene oko kuthetha ukuthatha i-quadruple bypass, kubalulekile ukuqonda isifo senhliziyo kunye nemiphumo yesifo senhliziyo.
I-Anatomy yenhliziyo
Iingxube ze-coronary imigexo yegazi ehambisa intliziyo ngegazi layo; Ezi zihlukileyo kuneempahla ezinikezela ngegazi ziphethwe yintliziyo .
Ukuze kucace, intliziyo igxotha igazi kuwo wonke umzimba ngokusebenzisa izicathulo ze-muscular ezigcina igazi lihamba. Intliziyo, njengezo zonke izicubu zomzimba womntu, nazo kufuneka zondliwe i-oksijeni kunye nezondlo kwigazi. Imithambo yegazi eyenza intliziyo ifumaneke oko kuyifunayo ibizwa ngokuba yimibhobho ye-coronary kunye nobukhulu bayo buncinci banokufaka isandla ekubeni bagqitywe kalula ngeplate.
Siyakhathalela ngeempawu ze-coronary ngenxa yokuba, kwabanye abantu, iimpawu ze-coronary zivaliwe-imeko eyaziwa ngokuba yi-coronary artery disease-apho i-plaque ikwakhiwa kwisitya segazi.
Ukuba ukucinywa kwintsimbi ye-coronary inzima, kunokuthintela ukuhamba kwegazi kwinxalenye yentliziyo esondliwa ngumkhumbi wegazi ogulayo, obangela intlungu yesifuba, eyaziwa ngokuba yi-angina.
Ukuba ukukhutshwa kunzima ngokwaneleyo kwaye ukuhamba kwegazi kuhla ngokukhawuleza okanye kugqityiwe ngokupheleleyo, ukuhlaselwa kwentliziyo kubangelwa ngumphumo. Kunokwenzeka ukuba nemithambo emininzi ivalwe ngale ndlela, enokubangela ingozi enkulu entliziyweni.
I-passpass quadruple eyenziwa xa imithwalo yegazi emine ivinjiwe kwaye kufuneka idlulelwe.
Oku kuthetha ukutyhulwa kweendlela ezine ezahlukeneyo kufuna ukuba igazi liphinde liphinde lijikeleze.
ICoronary Artery Disease Treatment
Kwiimeko ezininzi, isifo se-coronary isifo singaphathwa ngamayeza, utshintsho lwendlela yokuphila, kunye neenkqubo ezincinci ezinjenge-angioplasty. Xa ingenakuphathwa ngonyango olungenakuncipha okanye ezo zonyango aziyeki umonakalo owenziwe entliziyweni, okanye intlungu yesifuba iyaqhubeka, kudla ngokufanelekileyo ukuqwalasela uphando lwe-coronary bypass.
Uphando luba nobungozi obukhulu kuneenkqubo ezincinci ezingaphantsi, kubandakanywa umngcipheko ohambisana ne-anesthesia jikelele kunye neengozi zokuhlinzwa ngentliziyo evulekileyo , ngoko le nkqubo inokukhetha kuphela ukuba isifo sinzima okanye asiphenduli kwezinye iintlobo zonyango. Uphando olunezintlu ezinezinyathelo eziyinkimbinkimbi yinkqubo enzima kwaye ingozi yokuhlinzwa iyanda kunye neyongeziweyo nganye ye-bypass graft.
Ngokomzekelo, ukuhlinzwa okuphindiweyo kabini kunomngcipheko ongaphantsi kweyesithathu, kwaye kathathu kunengozini encinane kune-quadruple bypass. Ngolunye uphuculo olongezelelweyo olufunekayo ukuba unyango lude, kufuna ixesha elingaphantsi kwe-anesthesia, kwaye lwenziwa ukwenzela ukuphatha isifo esibi kakhulu.
Ngethuba lo kutyalwa kwe-Quadruple Bypass
Inkqubo iqala nge-anesthesia jikelele ekulawulwa ngayo xa ugqirha okanye omnye umboneleli wezempilo, njengomncedisi wezonyango (PA) uqala inkqubo ngokuvuna imifuno ukusuka kwimida yee-grafts bypass.
Nangona umncedisi ufumana iinqwelo-kwaye emva kokuba beqinisekile ukuba iinqwelo zineempawu ezifanelekileyo ezisetyenziselwa ukusetyenziswa ngexesha le-inkqubo-ugqirha we-cardio-thoracic uvula isifuba kwaye uqala ukulungiselela intliziyo kwinkqubo.
Ugqirha uya kudla ngokuthatha isitya esongezelelweyo ukusuka kwesibhobho sokunxele ukuze ancedise imifuno efunyenwe emlenzeni, okanye kwezinye iimeko, iinqanawa ezivela kwingalo. Ngethuba lotyando, iimithambo zegazi ezifunyenwe zixhaswe kwisikhumba senhliziyo esele ngaphambi nangemva kokucinywa. Akunjalo nentshukumo esheshayo onokuyithatha ukuze ugweme ingozi, kunye negazi ngokuqinisekileyo liphinda liphinde lijikeleze isahlulo esivinjiweyo sesitya.
Ngethuba lobuninzi be-surgeries ezine-quadruple surperies, intliziyo imisiwe ukwenzela ukuba ugqirha asebenze ekujoliswe kuyo. Oku kwenziwa ngokusebenzisa umtshini womphunga womphunga , isicatshulwa esiyinkimbinkimbi esinika i-oksijini egazini esikhundleni semiphophu kwaye iipompe ngomzimba njengoko intliziyo ingaqhelekanga. Lo matshini uvumela zombini intliziyo kunye nemiphunga ukuba ihlale ikhona kwaye yenza ukuba kunokwenzeka ukugqiba isahlulo sokuncedisa ngokukhawuleza.
Ukubuyisela
Ukubuyiselwa kwindlela yokuvuthwa kwentliziyo evulekileyo ayikho esheshayo. Ngosuku lokuqala emva kokuhlinzwa kudlalwa kwi-ICU okanye kwiyunithi yokunyamekela inhliziyo, apho isigulane sivumelekile ukuba siphume ngokukhawuleza kwi-anesthesia. Ngokungafani nezinye iintlobo zokuhlinzwa, isigulane asinikwe imithi ukuba ivuke ngokukhawuleza kwaye kunokuba ilale iyeza.
Ngokufanelekileyo, isigulane siza kuvuka, sivaliwe kwaye sihleli esihlalweni esihlalweni sokulala ngaphandle kweeyure eziyi-6 ukuya kwi-12 zokuhlinzwa. Oku kukunciphisa ingozi yemiba eqhelekileyo njengama-clots yegazi kunye ne-pneumonia nokuqalisa inkqubo yokubuyisela ngokukhawuleza.
Izigulane zeentliziyo ezivulekileyo zihlala zichitha iintsuku ezintathu okanye ngaphezulu esibhedlele ngaphambi kokuba zikhutshwe. Ezinye izigulane ziza kufuna ukuvuselelwa kwenhliziyo, inkqubo ehleliweyo kunye nokuhlolwa esenzelwe ukuqinisa intliziyo. Ukuhlaziya okuqhelekileyo kuthatha iiveki ezintandathu ukuya kwezi-12, kwaye ezininzi izigulane ziyakwazi ukubuyela kwimisebenzi yazo eqhelekileyo emva kokuba ziphinde zibuyele. Kwizigulane ezingaphelelanga kwimisebenzi yazo ngenxa yentlungu yesifuba okanye ukukhathala okubangelwa zizifo zentliziyo, banokufumanisa ukuba bangakwazi ukunyamezela umsebenzi emva kokuhlinzwa ngaphambili.
Iinjongo eziphambili kwisigulane ziya kubonakala ngokugqithiseleyo ekupheleni kwesigaba sokubuyisela xa umsebenzi ungenziwa ngaphandle kwentlungu okanye intlungu engaphantsi. Kwezinye izigulane imisebenzi elula njengoko ukuhamba bekuncinci ngenxa yentlungu ngaphambi kokuhlinzwa kwaye kunokuyenza ngaphandle kwentlungu emva kokuhlinzwa. Oku akuthethi ukuba kulungile ukukhawuleza kwimisebenzi emva kokuhlinzwa, kodwa kuthetha ukuba abanye abantu bayakwazi ukusebenza ngakumbi emva kokubuyiselwa kwabo.
Kwakhona kubalulekile ngeli xesha lokubuyiselwa ekusebenzeni ngentshiseko kwiinguqulelo zokuphila eziza kugcina ii-grafts ezintsha zivule kwaye zenze kakuhle. Oku kuthetha intliziyo isondlo esinempilo , kunye nokuthintela kwi-fat fatated and cholesterol. Ukuzivocavoca kufuneka kwakhona kufakwe phakathi kwemingcele eyenziwa ngugqirha wexesha lokubuyisela. Emva kokubuyiselwa kugqiba izithintelo zokutya kufuneka ziqhubeke, kunye neprogram yovavanyo.
ILizwi
Ukuhlinzwa okwenkqutyana kwintliziyo emine yinkqubo eyinkimbinkimbi. Udokotela wakho ophandwayo uya kuncomeka ukuba kuya kuphucula kakhulu impilo yakho kunye nemigangatho yobomi - kwaye ingozi ayinakugqithisa umvuzo. Nangona kunjalo, oku kutyunjwa akuyiyo isisombululo se-coronary disease. Emva kwenkqubo, kuya kuba kubalulekile ukuphumeza utshintsho lokuphila impilo ukuze uphucule impilo yakho yonke.
Ukuba unokuhlinzwa, utshintsho lwendlela yokuphila lungaba ngumshini wokutshisa emva kwakho njengoko ulungisa kwisiganeko sakho, kodwa ukutya kunye nokuzilolonga kuya kubaluleka ixesha elide.
> Imithombo:
> Yintoni iCoronary Artery Bypass Grafting? I-Heart Heart Lung ne-Blood Institute.