Opaleshoni yamtima - yotulutsa pang'ono - kutulutsa

Opaleshoni yodutsa pamtima imapanga njira yatsopano, yotchedwa yolambalala, kuti magazi ndi mpweya zifike pamtima panu.

Mitsempha yodutsa (mtima) yolowera pang'ono imatha kuchitika popanda kuimitsa mtima. Chifukwa chake, simuyenera kuyikidwa pamakina am'mapapu amtima kuti muchite izi.

Nkhaniyi ikufotokoza zomwe muyenera kuchita kuti mudzisamalire mutachoka kuchipatala.

Munali ndi mitsempha yocheperako pochita opaleshoni pamitsempha yanu imodzi kapena zingapo. Dokotala wanu ankagwiritsa ntchito mtsempha kuchokera pachifuwa panu kuti apange njira yolowera m'mitsempha yomwe inali yotseka ndipo sinathe kubweretsa magazi pamtima panu. Chodulira (incision) chotalika 3- mpaka 5-inchi (7.5 mpaka 12.5 sentimita) chidapangidwa kumanzere kwa chifuwa chanu pakati pa nthiti zanu. Izi zidalola dokotala wanu kufikira mtima wanu.

Mutha kutuluka mchipatala masiku awiri kapena atatu mutachitidwa opaleshoni. Muthanso kubwereranso kuzinthu zachilendo pambuyo pa masabata awiri kapena atatu.

Pambuyo pa opaleshoni, si zachilendo kuti:

• Muzimva wotopa.
• Khalani ndi mpweya wochepa. Izi zitha kukhala zoyipa ngati inunso muli ndi mavuto am'mapapo. Anthu ena amatha kugwiritsa ntchito mpweya akamapita kwawo.
• Mukhale ndi ululu pachifuwa pozungulira chilondacho.

Mungafune kuti wina azikhala nanu kunyumba kwanu sabata yoyamba.

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

Chitani zolimbitsa thupi zomwe mudaphunzira kuchipatala kwa 1 mpaka 2 milungu yoyambirira.

Dziyeretseni tsiku lililonse.

Sambani tsiku lililonse, kutsuka pang'ono pang'ono ndi sopo. Osasambira, zilowerere mu mphika wotentha, kapena kusamba mpaka kuchepa kwanu kutachira. Tsatirani chakudya chopatsa thanzi.

Ngati mukuvutika maganizo, lankhulani ndi abale 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 akhoza kulangiza mankhwala opatsirana pogonana (opopera magazi) - monga aspirin, clopidogrel (Plavix), prasugrel (Effient), kapena ticagrelor (Brilinta) - kuti athandize mitsempha yanu kutseguka.
• Ngati mukumwa magazi ochepera magazi monga warfarin (Coumadin), mutha kukhala ndi mayeso owonjezera amwazi kuti muwonetsetse kuti mlingo wanu ndi wolondola.

Dziwani momwe mungayankhire ndi angina.

Khalani achangu mukamachira, koma yambani pang'onopang'ono. Funsani omwe akukuthandizani momwe muyenera kukhalira otakataka.

• Kuyenda ndimachita masewera olimbitsa thupi mutatha opaleshoni. Osadandaula kuti muyenda mofulumira bwanji. Tengani pang'onopang'ono.
• Masitepe oyenda bwino ndiabwino, koma samalani. Kusamala kungakhale vuto. Pumulani pakati pa masitepe ngati mukufuna.
• Ntchito zowunikira zapakhomo, monga kukhazikitsa tebulo ndi zovala zopinda 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. Pewani zochitika zilizonse zomwe zimakoka kapena kupweteka pachifuwa, monga kugwiritsa ntchito makina oyendetsa kapena kukweza.
• Sungani malo anu ochepetsera dzuwa kuti asatenthe.

Samalani momwe mumagwiritsira ntchito mikono yanu ndi thupi lanu lapamwamba mukamayenda mozungulira milungu iwiri kapena itatu yoyambirira mutatha opaleshoni. Funsani omwe akukuthandizani kuti mubwerere kuntchito. Kwa sabata yoyamba atachitidwa opaleshoni:

• Osabwerera chammbuyo.
• Musalole aliyense kukugwirani pachifukwa chilichonse - mwachitsanzo, ngati akukuthandizani kuti muziyenda mozungulira kapena pakama.
• Musakweze chilichonse cholemera kuposa mapaundi 10 (4.5 kilogalamu). (Izi ndizocheperako galoni, kapena malita 4, a mkaka.)
• Pewani zochitika zina zomwe muyenera kuyika mikono yanu pamwamba pamapewa anu nthawi iliyonse.
• Osayendetsa. Kupindika komwe kumatembenuza chiwongolero kumatha kukuyang'anirani.

Mutha kutumizidwa ku pulogalamu yokonzanso mtima. Mupeza zambiri ndi upangiri pazokhudza zochitika, zakudya, komanso masewera olimbitsa thupi.

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.
• Bala lanu ndi lofiira kapena lotupa, latseguka, kapena pali ngalande zochulukirachulukira zomwe zimatuluka.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C).

Mitsempha yamitsempha yolowera pang'onopang'ono yolowera pang'onopang'ono - kutulutsa; MIDCAB - kutulutsa; Zidole anathandiza mitima kulambalala - kumaliseche; RACAB - kutulutsa; Kuchita opaleshoni ya mtima wa Keyhole - kutulutsa; Matenda a mitsempha - kutulutsa kwa MIDCAB; CAD - kutulutsa kwa MIDCAB

• Kuchita opaleshoni yodutsa pamtima
• Kutenga mtima wanu wa carotid
• Zozungulira zimachitika

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 - yowopsa pang'ono
• 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 ya mtima - kutulutsa
• Matenda a mtima - zoopsa
• Momwe mungawerenge zolemba za chakudya
• Zakudya zaku Mediterranean

• Opaleshoni ya Coronary Artery Bypass