Opaleshoni ya mtima - kutulutsa

Opaleshoni yodutsa pamtima imapanga njira yatsopano, yotchedwa yolambalala, kuti magazi ndi mpweya ziziyenda mozungulira kuti zifike pamtima panu. Opaleshoniyo imagwiritsidwa ntchito pochiza matenda amtima. Nkhaniyi ikufotokoza zomwe muyenera kuchita kuti mudzisamalire mukamachoka kuchipatala.

Dokotala wanu amatenga mtsempha kapena mtsempha kuchokera m'mbali ina ya thupi lanu kuti apange njira, kapena kudutsa, kuzungulira mtsempha womwe unali wotsekedwa ndipo sungathe kubweretsa magazi okwanira pamtima panu.

Kuchita opaleshoni kwanu kunachitika kudzera mu kudula (pachifuwa) pachifuwa chanu. Ngati dokotalayo adutsa kudzera m'chifuwa chanu, dokotalayo ankachikonza ndi waya komanso chitsulo, ndipo khungu lanu linkatsekedwa ndi ulusi. Munalinso ndi timbewu tating'onoting'ono tomwe timapangidwa mwendo kapena mkono wanu, pomwe mitsempha idatengedwa kuti igwiritsidwe ntchito podutsa.

Pambuyo pa opaleshoni, zimatenga masabata 4 mpaka 6 kuti muchiritse ndikuyamba kumva bwino. Ndi zachilendo ku:

• Khalani ndi ululu m'chifuwa mwanu pozungulira
• Musakhale ndi chilakolako chofuna kudya milungu iwiri kapena inayi
• Khalani osinthasintha ndikumva kukhumudwa
• Khalani ndi kutupa mwendo komwe mtengowo udachotsedwa
• Muzimva kuyabwa, dzanzi, kapena kung'ung'uza mozungulira zomwe zili pachifuwa ndi mwendo kwa miyezi 6 kapena kupitilira apo
• Mumavutika kugona usiku
• Kudzimbidwa ndi mankhwala opweteka
• Mukuvutika ndi kukumbukira kwakanthawi kochepa kapena kusokonezeka ("opusa mutu")
• Kutopa kapena kusakhala ndi mphamvu zambiri
• Khalani ndi mpweya wochepa. Izi zitha kukhala zoyipa ngati inunso muli ndi mavuto am'mapapo. Anthu ena amatha kugwiritsa ntchito mpweya akamapita kwawo.
• Khalani ofooka m'manja mwanu mwezi woyamba

Muyenera kuti wina azikhala nanu kunyumba kwanu kwa milungu yoyambira 1 mpaka 2 yoyambirira atachitidwa opaleshoni.

Phunzirani momwe mungayang'anire kugunda kwanu, ndikuwona tsiku lililonse.

Chitani zolimbitsa thupi zomwe mudaphunzira kuchipatala milungu 4 mpaka 6.

Sambani tsiku lililonse, kutsuka pang'ono pang'ono ndi sopo. Osasambira, zilowerereni mu mphika wotentha, kapena musambe mpaka mkombero wanu utachira. Tsatirani chakudya chopatsa thanzi.

Ngati mukuvutika maganizo, kambiranani ndi achibale anu komanso anzanu. Funsani omwe akukuthandizani zaumoyo kuti mupeze thandizo kuchokera kwa mlangizi.

Pitirizani kumwa mankhwala anu onse a mtima, shuga, kuthamanga kwa magazi, kapena zina zilizonse zomwe mungakhale nazo.

• Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.
• Wopereka chithandizo wanu angakulimbikitseni mankhwala a antiplatelet (magazi-thinning) monga aspirin, clopidogrel (Plavix), prasugrel (Effient), kapena ticagrelor (Brilinta) kuti muthandizire kutseguka kwamitsempha yanu.
• Ngati mukumwa magazi ochepera magazi, monga warfarin (Coumadin), mungafunike kuyesedwa magazi kuti mutsimikizire kuti mulingo wanu ndi wolondola.

Dziwani momwe mungayankhire ndi angina.

Khalani achangu mukamachira, koma yambani pang'onopang'ono.

• Osayima kapena kukhala pamalo amodzi nthawi yayitali. Yendani mozungulira pang'ono.
• Kuyenda ndimachita zolimbitsa thupi zabwino m'mapapu ndi mtima pambuyo pa opaleshoni. Osadandaula za momwe mukuyendera mofulumira. Tengani pang'onopang'ono.
• Masitepe oyenda bwino ndiabwino, koma samalani. Kusamala kungakhale vuto. Pumulani pakati pa masitepe ngati mukufuna.
• Ntchito zowunikira zapakhomo, monga kukonza tebulo, kupinda zovala, kuyenda, ndi kukwera masitepe, ziyenera kukhala bwino.
• Onjezani pang'onopang'ono kuchuluka kwa zochita zanu m'miyezi itatu yoyambirira.
• Musamachite masewera olimbitsa thupi panja kukazizira kwambiri kapena kutentha kwambiri.
• Imani ngati mukumva kupuma pang'ono, chizungulire, kapena kupweteka kulikonse m'chifuwa. Osachita chilichonse kapena zolimbitsa thupi zomwe zimayambitsa kukoka kapena kupweteka pachifuwa, monga kugwiritsa ntchito makina oyendetsa kapena kukweza.
• Sungani malo anu ochepetsera dzuwa kuti asatenthe.

Osayendetsa galimoto kwa masabata osachepera 4 mpaka 6 mutachitidwa opaleshoni. Kupindika komwe kumatembenuza chiwongolero kumatha kukuyang'anirani. Funsani omwe akukuthandizani kuti mubwerere kuntchito, ndipo muyembekezere kukhala kutali ndi ntchito kwa pafupifupi masabata 6 mpaka 8.

Osayenda kwa milungu iwiri kapena inayi. Funsani omwe akukuthandizani ngati maulendo ali bwino. Komanso, funsani omwe akukuthandizani musanayambenso kugonana. Nthawi zambiri zimakhala bwino pakatha milungu inayi.

Mutha kutumizidwa ku pulogalamu yokometsera mtima. Mupeza chidziwitso ndi upangiri wokhudzana ndi zochitika, zakudya, komanso masewera olimbitsa thupi.

Kwa milungu isanu ndi umodzi yoyambirira mutachitidwa opaleshoni, muyenera kusamala pogwiritsa ntchito mikono yanu ndi thupi lanu lokwera mukamasuntha.

• Osabwerera chammbuyo.
• Musalole aliyense kukugwirani pachifukwa chilichonse - mwachitsanzo, ngati akukuthandizani kuti muziyenda mozungulira kapena pakama.
• Osakweza chilichonse cholemera kuposa mapaundi 5 mpaka 7 (2 mpaka 3 kilogalamu).
• Osamagwira ntchito zapakhomo ngakhale milungu iwiri kapena itatu.
• Funsani omwe akukuthandizani musanagwiritse ntchito mikono ndi mapewa anu.

Kutsuka mano kuli bwino, koma osachita zina zomwe zimapangitsa mikono yanu kukhala pamwamba pamapewa anu kwakanthawi. Sungani mikono yanu pafupi ndi mbali yanu mukamaigwiritsa ntchito kutuluka pabedi kapena pampando. Mutha kugwada kuti mumange nsapato zanu. Nthawi zonse imani ngati mukukoka pachifuwa chanu.

Wopereka wanu adzakuuzani momwe mungasamalire bala lanu pachifuwa. Mudzafunsidwa kuti muzitsuka kudula kwanu tsiku lililonse ndi sopo, ndikuumitsa pang'ono. Osagwiritsa ntchito mafuta, mafuta odzola, ufa, kapena mafuta pokhapokha omwe akukupatsani atakuwuzani kuti zili bwino.

Mukadadulidwa kapena kudula mwendo wanu:

• Sungani miyendo yanu mutakhala pansi.
• Valani payipi yotanuka ya TED kwamasabata awiri kapena atatu mpaka kutupa kutatha ndipo ndinu achangu.

Itanani omwe akukuthandizani ngati:

• Muli ndi kupweteka pachifuwa kapena kupuma movutikira komwe sikutha mukamapuma.
• Kutengeka kwanu kumamveka kosasunthika - kumachedwa pang'onopang'ono (ochepera 60 kumenyetsa mphindi) kapena mwachangu kwambiri (kuposa 100 mpaka 120 kumenyera mphindi).
• Mukuchita chizungulire, kukomoka, kapena mwatopa kwambiri.
• Muli ndi mutu wopweteka womwe sutha.
• Muli ndi chifuwa chomwe sichitha
• Mukutsokomola magazi kapena ntchofu zachikaso kapena zobiriwira.
• Muli ndi zovuta zakumwa mankhwala aliwonse amtima wanu.
• Kulemera kwanu kumakwera kuposa kilogalamu imodzi patsiku kwa masiku awiri motsatizana.
• Chilonda chako chimasintha. Ndi chofiira kapena chotupa, chatseguka, kapena pali ngalande zambiri zomwe zimatulukamo.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C).

Kutulutsa pampu kwamitsempha yamitsempha yodutsa - kutulutsa; OPCAB - kutulutsa; Kumenya opaleshoni yamtima - kutulutsa; Kuchita opaleshoni yolambalala - kutulutsa mtima - CABG - kutulutsa; Mitsempha ya Coronary imadutsa kumezanitsa - kutulutsa; Mitsempha ya Coronary imadutsa opaleshoni - kutulutsa; Coronary bypass opaleshoni - kumaliseche; CAD - kulumpha kumaliseche; Mitsempha ya Coronary matenda - kulumpha kutulutsa

• Momwe mungatengere kutentha kwa dzanja lanu
• Kutenga mtima wanu wa carotid

Fihn SD, Blankenship JC, Alexander KP, ndi al. Chidziwitso cha 2014 ACC / AHA / AATS / PCNA / SCAI / STS chitsogozo chazidziwitso zakuwunika ndi kuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. Kuzungulira. 2014; 130 (19): 1749-1767. PMID: 25070666 adasankhidwa.ncbi.nlm.nih.gov/25070666/.

[Adasankhidwa] Fihn SD, Gardin JM, Abrams J, et al. Chitsogozo cha 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS pakuwunika ndikuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la gulu la anthu ku American College of Cardiology Foundation / American Heart Association pamagwiridwe antchito ndi American College of Physicians, American Association for Thoracic Surgery, Association of Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. Kuzungulira. 2012; 126 (25): 3097-3137. PMID: 23166210 pubed.ncbi.nlm.nih.gov/23166210/.

Fleg JL, Fomu DE, Berra K, et al. Kupewa kwachiwiri kwa matenda a mtima a atherosclerotic okalamba: mawu asayansi ochokera ku American Heart Association. Kuzungulira. 2013; 128 (22): 2422-2446. PMID: 24166575 adatulutsidwa.ncbi.nlm.nih.gov/24166575/.

Kulik A, Ruel M, Jneid H, ndi al. Kupewa kwachiwiri pambuyo pa mtsempha wamagazi kupitilira opaleshoni yomata: mawu asayansi ochokera ku American Heart Association. Kuzungulira. 2015; 131 (10): 927-964. (Adasankhidwa) PMID: 25679302 pubed.ncbi.nlm.nih.gov/25679302/.

Morrow DA, de Lemos JA. Khola matenda amtima ischemic. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 61.

Omer S, Cornwell LD, Bakaeen FG. Matenda amtima opezeka: osakwanira. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 59.

• Angina
• Matenda a mtima
• Opaleshoni ya mtima
• Mtima kulephera
• Kuchuluka kwa cholesterol m'magazi
• Malangizo a momwe mungasiyire kusuta

• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Kukhala wachangu mutadwala matenda amtima
• Kukhala achangu mukakhala ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zomwe mungafunse dokotala wanu
• Opaleshoni yamtima - yotulutsa pang'ono - kutulutsa
• Matenda a mtima - zoopsa
• Momwe mungawerenge zolemba za chakudya
• Zakudya zaku Mediterranean
• Chisamaliro cha bala la opaleshoni - chotseguka
• Kusintha kouma-kouma kumasintha

• Opaleshoni ya Coronary Artery Bypass