I-quotesple bypass yintliziyo evulekileyo eyenziwa ukunyanga iirriyiti ezinqabileyo ezikhupha intliziyo. Inkqubo yinkimbinkimbi, kwaye ukuqonda ngokwenene i- quassple quadplep , kubalulekile ukuqonda ukukhanya kwentliziyo kunye neziphumo zesifo senhliziyo.
IiCononary Arteries
Iingxube ze-coronary imigexo yegazi ehambisa intliziyo ngegazi layo; Ezi zihlukileyo kuneempahla ezinikezela ngegazi ziphethwe yintliziyo .
Kwamanye abantu, iirriyari ze-coronary zivaliwe, imeko eyaziwa njenge- coronary artery disease .
Kunokwenzeka ukuba omnye okanye ngaphezulu kwemithambo evinjiwe ngale ndlela, enokuba ngumngcipheko omkhulu entliziyweni. Umzekelo, ukuba izitya ezimbini zivaliwe, utyando lubizwa ngokuba yi- doublepass . Ukuba iinqwelo ezine zivaliwe, utyando lubhekiswa njenge- quadruple bypass . I-quotesple bypass, ngoko, ibonisa ukuba zonke iinqanawa ezikhulu ezintliziyweni ziyagula.
Kutheni Kuvinjelwe Imitha YaseKoronary?
Ukuba ukukhutshwa kubunzulu ngokwaneleyo, kunokuthintela okanye ukunciphise ukuhamba kwegazi kwinxalenye yentliziyo esondliwa ngumkhumbi wegazi, obangela intlungu yesifuba kunye nomonakalo wemisipha.
Xa iimitha ze-coronary zivaliwe ngokupheleleyo, i-muscle eyenza intliziyo ilahlwe yiksijini. Ukwenyuka kwe-oksijini kubangela intlungu ebalulekileyo, kwaye umonakalo wentliziyo ubizwa ngokuba yi- heart attack okanye i-myocardial infarction (MI).
Unyango lweCoronary Artery Disease
Kwezinye iimeko, i- coronary artery isifo singaphathwa ngamachiza, utshintsho lwezinto zokuphila ezifana nokutya kunye nokuzivocavoca, kunye neenkqubo ezincinci ezingenayo, kubandakanywa nokufakwa kwamagqabi. Nangona kunjalo, kwezinye izigulane, ukucinywa (s) kunzima kangangokuba ukuhlinzwa kuyimfuneko ukuqinisekisa ukuba intliziyo iyaqhubeka ifumana ukuhamba kwegazi okwaneleyo.
Le nkqubo yokugqirha iyaziwa ngokuba yi- coronary artery bypass-surgery surgery (CABG) .
Quintuple Bypass
Inkqubo ye- CABG inokuthi yenziwe njengenkqubo yongxamiseko, xa isiguli sifika kwigumbi elingxamisekileyo kunye neentlungu ezinkulu zesifuba kwaye zifumanisa ukuba zinemingcipheko yamanzi yeconary . Ngokuqhelekileyo, i- catheterization yomzimba yenziwa, ngoko utyando lwe- CABG lulandela ukuba ugqirha unomuzwa wokuthi kuya kusebenza kwaye kuyimfuneko yokonyango.
Ininzi yeenkqubo zeCABG, ezibandakanya i-quassple quadplepass, zicwangciswe kwangaphambili. Oku kuvumela ixesha lokuvavanywa kwangaphambi kokuhlinzwa elinceda ukuba kuthatyathwe iipaspasses ezininzi, ukuba isigulane sinempilo ngokwaneleyo ukunyamezela utyando, kunye nemeko yabo jikelele yezempilo.
Oku kulinda kunika ixesha lokugulisa impilo yabo ngaphambi kwenkqubo, ngokutya ukutya okunempilo, ukuyeka ukutshaya nokufumana ishukela legazi phantsi kolawulo. Ezi zintlobo zamanyathelo zinokuphucula umphumo wokugqibela emva kokuhlinzwa kwaye lihle ithuba lokunciphisa ingozi ephathelene nokuhlinzwa.
Ukufumana iigazi zeGazi kwi-Quadruple Bypass
Inqubo yenziwa phantsi kwe-anesthesia jikelele kwaye iqala ngemithambo yegazi ithathwa kwenye indawo yomzimba, ngokuphindaphindiweyo umlenze, kwaye ihlanganiswe kwisikhumba senhliziyo esele ngaphambi nangemva kokucima.
I-quadplepass quotesple idinga iinqwelo ezithandwayo kunanoma yiphina enye inkqubo, ngoko ke izingosi ezininzi, kubandakanywa ingalo, i-Arrows Internal Mammary Artery (LIMA) kunye nezinye iinqanawa zingasetyenziswa.
Ukufumana iimpahla ezaneleyo zokusetyenziswa kwiingqungquthela zingaba yinkalo enzima kakhulu kwinkqubo; ukuba iinqanawa zintliziyo ziyagula, mhlawumbi ukuba izitya kwezinye iindawo zomzimba zichaphazelekayo. Ezi nqanawa zisetyenziselwa igazi lokungena ekukhuselweni kwindlela eya entliziyweni, kunye negazi ngokubhekiselele kwinqanaba (ngokugqithisekileyo) isahlulo esivinjiweyo sesitya.
Emva kokuba iinqwelo ezifunekayo ukuba izivuno zivunwe, isahluko sesifuba sophando siqala ngokusondeza, isisombululo esivula isifuba kwaye sihlula i-sternum (isifuba) kwisiqingatha sokuvumela ukuba ogqirha afikelele entliziyweni.
Inkqubo isoloko iqhutyelwa "kwipompo" isebenzisa umshini we- cardiopulmonary bypass machine ukwenza umsebenzi weentliziyo kunye nemiphunga, okwenza ukuba ugqirha unqande intliziyo kwaye uqhutywe ngaphandle kokunyanzelana kwentliziyo. Kwezinye iimeko iinkqubo zenziwa "pompom," kodwa oku kukhulu kakhulu.
> Umthombo:
> Yintoni iCoronary Artery Bypass Grafting? I-Heart Heart Lung ne-Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/cabg/cabg_whatis.html