Opaleshoni ya mtima - yowopsa pang'ono

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.

Kuchita opaleshoniyi:

• Dokotala wochita opaleshoni ya mtima adzadulidwa pakati pa nthiti ndi masentimita 8 mpaka 13 (8 mpaka 13) kuti afike pamtima panu.
• Minofu m'derali idzakankhidwa. Gawo laling'ono kutsogolo kwa nthiti, lotchedwa cartilage yotsika mtengo, lidzachotsedwa.
• Dokotalayo apeza ndikukonzekera mtsempha pakhoma lanu pachifuwa (mkatikati mwa mammary artery) kuti mulumikizane ndi mtsempha wamagazi womwe watsekedwa.
• Kenako, dokotalayo amagwiritsa ntchito suture kulumikiza mtsempha wamagazi wokonzekera ndi mtsempha wamagazi womwe watsekedwa.

Simudzakhala pamakina am'mapapu amtima pa opaleshoniyi. Komabe, mudzakhala ndi anesthesia ambiri kotero kuti mudzakhala mukugona osamva kupweteka. Chida chimamangirizidwa pamtima pako kuti chikhazikike. Mupezanso mankhwala ochepetsa mtima.

Mutha kukhala ndi chubu m'chifuwa chanu chotulutsa madzi. Izi zichotsedwa pakatha tsiku limodzi kapena awiri.

Dokotala wanu angakulimbikitseni mitsempha yochepetsetsa yocheperako ngati mungatseke mitsempha imodzi kapena iwiri yamitsempha, nthawi zambiri patsogolo pamtima.

Mitsempha yamitsempha yamtundu umodzi ikakhala yotseka pang'ono kapena pang'ono, mtima wanu sulandira magazi okwanira. Izi zimatchedwa matenda a mtima kapena ischemic artery disease. Zitha kupweteketsa chifuwa (angina).

Dokotala wanu atha kuyesera kuti akuchitireni mankhwala. Mwinanso mwayesapo kukonza mtima wamankhwala kapena mankhwala ena, monga angioplasty ndi stenting.

Mitsempha yamitsempha yamitsempha imasiyanasiyana malinga ndi munthu. Opaleshoni ya mtima ndi mtundu umodzi wokha wa chithandizo. Sikoyenera kwa aliyense.

Opaleshoni kapena njira zomwe zitha kuchitidwa m'malo modutsa mtima pang'ono ndi izi:

• Kukhazikitsidwa kwa Angioplasty ndi stent
• Kudutsa pamtanda

Dokotala wanu amalankhula nanu za kuopsa kochitidwa opaleshoni. Mwambiri, zovuta zomwe zimadutsa mitsempha yocheperako yocheperako ndizotsikirapo poyerekeza ndi opaleshoni yotseguka yamitsempha yamagazi.

Zowopsa zokhudzana ndi opaleshoni iliyonse ndi monga:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Kutaya magazi
• Mavuto opumira
• Matenda a mtima kapena sitiroko
• Kutenga mapapu, thirakiti, ndi chifuwa
• Kuvulala kwakanthawi kapena kosatha kwaubongo

Zowopsa zomwe zingachitike pakadutsa mitsempha ingaphatikizepo:

• Kutayika kukumbukira, kutaya kumvetsetsa kwamaganizidwe, kapena "kuganiza moperewera." Izi sizodziwika kwenikweni mwa anthu omwe ali ndi mitsempha yocheperako yocheperako poyerekeza ndi anthu omwe ali ndi zotseguka zotseguka.
• Mavuto amtundu wamtima (arrhythmia).
• Matenda a chifuwa. Izi zimatha kuchitika ngati muli onenepa kwambiri, muli ndi matenda ashuga, kapena mwachitidwapo opaleshoni yam'mbuyomu m'mbuyomu.
• Kutentha kwambiri ndi kupweteka pachifuwa (komwe kumatchedwa postpericardiotomy syndrome), komwe kumatha miyezi 6.
• Ululu pamalo odulidwa.
• Pamafunika kufunika kosintha kukhala njira yodziwika ndi makina olambalala panthawi yochita opareshoni.

Nthawi zonse uzani dokotala zomwe mumamwa, ngakhale mankhwala osokoneza bongo kapena zitsamba zomwe mwagula popanda mankhwala.

M'masiku asanachitike opareshoni:

• Pakadutsa milungu iwiri musanachite opareshoni, mwina mungafunsidwe kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zingayambitse magazi ochulukirapo panthawi yochita opareshoni. Amaphatikizapo aspirin, ibuprofen (monga Advil ndi Motrin), naproxen (monga Aleve ndi Naprosyn), ndi mankhwala ena ofanana nawo. Ngati mukumwa clopidogrel (Plavix), funsani dokotala wanu wa opaleshoni pomwe muyenera kusiya kumwa musanachite opaleshoni.
• Funsani dokotala wanu za mankhwala omwe muyenera kumamwa patsiku la opaleshonilo.
• Ngati mumasuta, yesetsani kusiya. Funsani dokotala wanu kuti akuthandizeni.
• Lumikizanani ndi dokotala wanu ngati mukudwala chimfine, malungo, malungo, kapena matenda ena aliwonse.
• Konzani nyumba yanu kuti muziyenda mosavuta mukamabwera kuchokera kuchipatala.

Dzulo lisanachitike opaleshoni yanu:

• Sambani ndi shampu bwino.
• Mutha kupemphedwa kuti musambe thupi lonse pansi pa khosi lanu ndi sopo wapadera. Tsukani chifuwa chanu kawiri kapena katatu ndi sopo.

Patsiku la opaleshoniyi:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku musanachite opareshoni. Izi zimaphatikizapo kutafuna chingamu komanso kugwiritsa ntchito timbewu ta mpweya. Muzimutsuka m'kamwa ndi madzi ngati mukuuma, koma samalani kuti musameze.
• Tengani mankhwala omwe dokotala adakuwuzani kuti mumwe pang'ono pokha madzi.

Dokotala wanu angakuuzeni nthawi yobwera kuchipatala.

Mutha kutuluka mchipatala masiku awiri kapena atatu mutachitidwa opaleshoni. Dokotala kapena namwino adzakuwuzani momwe mungadzisamalirire nokha kunyumba. Mutha kubwereranso kuzinthu zachilendo pambuyo pa masabata awiri kapena atatu.

Kuchira pambuyo pa opaleshoni kumatenga nthawi, ndipo mwina simungathe kuwona zabwino zonse za opaleshoni yanu kwa miyezi 3 mpaka 6. Mwa anthu ambiri omwe ali ndi mtima wodutsa opaleshoni, ma grafts amakhala otseguka ndipo amagwira ntchito bwino kwazaka zambiri.

Kuchita opaleshoniyi sikulepheretsa kuti chotchinga chisabwerere. Komabe, mutha kuchitapo kanthu kuti muchepetse liwiro. Zinthu zomwe mungachite ndi izi:

• Osasuta.
• Idyani chakudya chopatsa thanzi.
• Muzichita masewera olimbitsa thupi nthawi zonse.
• Samizani kuthamanga kwa magazi, shuga wambiri (ngati muli ndi matenda ashuga), komanso cholesterol.

Mutha kukhala ndi mavuto ndi mitsempha yanu ngati muli ndi matenda a impso kapena mavuto ena azachipatala.

Mitsempha yolowera pang'onopang'ono yolowera pang'onopang'ono; MIDCAB; Mitsempha yama coronary yothandizidwa ndi ma robot; RACAB; Keyhole opaleshoni ya mtima; CAD - MIDCAB; Mitsempha ya Coronary - MIDCAB

• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa
• Angioplasty ndi stent - mtima - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Chitetezo cha bafa cha akulu
• Kukhala wachangu mutadwala matenda amtima
• Kukhala achangu mukakhala ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Catheterization yamtima - kutulutsa
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• 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
• Mtima pacemaker - kutulutsa
• Momwe mungawerenge zolemba za chakudya
• Zakudya zamcherecherere
• Zakudya zaku Mediterranean
• Kupewa kugwa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Mtima - kuwonera kutsogolo
• Mitsempha yamtima yakumbuyo
• Mitsempha yamkati yamkati
• Mitsempha ya Coronary stent
• Opaleshoni ya mtima - mndandanda

Hillis LD, Smith PK, Anderson JL, ndi al. Chitsogozo cha ACCF / AHA cha 2011 chazitsulo zopitilira muyeso pochita opaleshoni yomata: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Kuzungulira. 2011; 124 (23): e652-e735. PMID: 22064599 adatulutsidwa.ncbi.nlm.nih.gov/22064599/.

Mick S, Keshavamurthy S, Mihaljevic T, Bonatti J. Robotic ndi njira zina zopezera mtsempha wamagazi zomwe zimadutsa kulumikiza. Mu: Sellke FW, del Nido PJ, Swanson SJ, olemba. Opaleshoni ya Sabiston ndi Spencer pachifuwa. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 90.

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.

Rodriguez ML, Ruel M. Mitsempha yocheperako yocheperako yocheperako yolambalala. Mu: Sellke FW, Ruel M, olemba., Eds. Atlas of Cardiac Njira Zopangira. Wachiwiri ed. Philadelphia, PA: Elsevier; 2019: mutu 5.