Kwi-artery corteryary surpery operation - ebizwa ngokuba yi-coronary artery bypass grafting, okanye i-CABG - oogqirha abathintela umthambo ophilileyo okanye umtya kwisifo somgudu we-coronary disease , ngaphaya kweendawo ezivaliwe ngamathala. Le nqubo ivumela igazi ukuba ligqithise inxalenye yentsholongwane yomthamo kwaye kuphuculwe ukunikezelwa kwegazi kwisifo senhliziyo.
Ngubani Ofanele Afumane Ukutshatyalaliswa Kwee-Coronary Artery Bypass?
Ugqirha lwe-bypass lusebenza kakhulu ekuphuculeni iimpawu ze- angina ukuba unako u- angina ozinzile .
Ukuba unemingcipheko emikhulu kwimibhobho ye-coronary, okanye uvale kwi-artery coronary artery (eyona nto ibaluleke kakhulu kwi-coronary artery), okanye isifo senhliziyo esibuthakathaka kakhulu (imeko ebizwa ngokuba yi- cardiomyopathy, enokuyifunda ngayo apha ), u-surpass operation Unokulondoloza ubomi bakho xa kuthelekiswa nonyango nge-angioplasty kunye ne-stenting, okanye ngeyeza lonyango kuphela. Utyando lwe-bypass lunokukunceda kubantu abane -syon
Ukugqithwa kwe-Bypass kwenziwa njani?
Utyando lwe-bypass lwenziwe phantsi kwe-anesthesia jikelele. Ugqirha uyahlula isifuba ukuze avule isifuba, aze ayeke intliziyo esebenzisa iikhemikhali okanye ubanda (ebizwa ngokuba yi-hypothermia) ukwenzela ukuba anamathele iibraft ngaphandle kwentliziyo ehambahambayo. Ukusasazwa kwegazi kugcinwa, ngelixa intliziyo igqityiwe, isebenzisa umshini we-cardiopulmonary bypass machine. Emva kokuba iireferensi zifakwe intliziyo iqalile kwakhona.
Izixhobo ezisetyenziswe ngexesha lotyando lwe-bypass zivela kwiimvini ezisuka emilenzeni (imifuno emininzi), okanye umthambo ovela eludongeni lwesifuba (i-artery inside).
Iingqapheli ezisebenzisa umthamo zihlala zihlala ixesha elide kunamaqhinga usebenzisa imithwaba, kwaye i-graft grafts ayisoloko ihlakulela i-stenosis, njengoko i-grain grafts yenza. Ngako-ke iifom zangaphakathi zamatriyitha zamanzi kufuneka zisetyenziswe xa kunokwenzeka ukuba zenze njalo (njengoko zenziwe ngumntu wesiguli). Kuqhelekile ukuba i-grain grafts iphuhlise i-blockages ngenxa ye-atherosclerosis kwiminyaka eyi-10 ukuya kwe-12 yokuhlinzwa.
Kwiminyaka yakutshanje, ubuchwepheshe bokuqulunqa obutsha buqulunqwa bubizwa ngokuthi "ukutyunjwa okuncinci kwe-inpass". Ezi nkqubo zincinci ezingenayo zibandakanya iziganeko ezincinci, kwaye ziphepha ukusebenzisa umshini we-bypass. Ngelishwa, utyando olusenyakatho lwangaphantsi luphela lufanelekile kwizigulane ezinokuguqulwa kweetriyiti ezigulayo zifikeleleke ngolu hlobo.
Ziziphi Iingxaki Ezibaluleke Kakhulu?
Utyando lwe-Coronary up-surgery yindlela yokuhlinzwa enkulu, kwaye izigulane kaninzi azibuyelanga "eziqhelekileyo" kwiiveki ezininzi okanye kwinyanga emva kokuhlinzwa. Kuqhelekile ukufumana ukutya, ukungabi namandla, kunye nentlungu ngenxa yokubanjwa kweeveki ezimbalwa. Ukuxinezeleka kubonakala kwisinye sezigulane ezintathu emva kokuhlinzwa, kwaye ngaphandle kokuba ukuxinezeleka kubonwa kwaye kuphathwa, kunokukhokelela kwisithuba sokuphucula ixesha elide.
Ezinye iingxaki ezinokwenzeka emva kokuhlinzwa kwe-bypass zibandakanya i-myocardial infarction ngexesha okanye emva kokuhlinzwa (ezingaphantsi kwe-5% yezigulane), ukubuthathaka kwesisu senhliziyo (esisoloko sisesigxina), i-arrhythmias (ingakumbi i-fibrillation ye-agrification), ukucutha kwamanzi. umphunga kunye nodonga lwesifuba), ukusuleleka kwendawo yesicatshulwa, kunye nengxaki yokucinga (ingcinga) ebizwa ngokuba " intloko yepompo " (emva kwe-cardiopulmonary bypass "pump" exhasa ukujikeleza ngexesha le-grafting inkqubo, kwaye abanye bathi ojongene nalezi zinguqu zengqondo).
Ngenxa yokuba utyando oludlulileyo lunalo mngcipheko olunjalo, ngokuqhelekileyo lugcinwe kwizigulane ezinokuthi ziphile ixesha elide kunye nokuhlinzwa okanye abo abanezibonakaliso ze-angina ziqhubeka naphezu kwemizamo enobudlova ekwenzeni unyango.
Imithombo:
> I-Eagle, KA, Guyton, RA, Davidoff, R, et al. I-ACC / AHA 2004 Ukuhlaziywa komhlahlandlela we-coronary artery ngepass operation of graft: ingxelo ye-American College of Cardiology / American Heart Association Task Force on Practice Guidelines (iKomiti yokuHlaziya izikhokelo ze-1999 zeCoronary Artery Bypass Graft Surgery). Uhambo luka-2004; 110: e340.