Momwe mungakhalire mutakhazikika pamtima

Zamkati

• Kuchira pambuyo pakuika mtima
• Kodi kuchira kunyumba pambuyo pa opareshoni
• 1. Kumwa mankhwala osokoneza bongo
• 2. Muzichita masewera olimbitsa thupi nthawi zonse
• 3. Idyani chakudya chophika chokha
• 4. Muzisamalira ukhondo
• Matenda opaleshoni
• Dziwani momwe opaleshoniyi imachitikira: Kuika mtima.

Pambuyo pakuyika mtima, kuchira pang'onopang'ono komanso mwamphamvu kumatsatira, ndipo ndikofunikira kumwa mankhwala opatsirana tsiku lililonse, omwe adalimbikitsidwa ndi adotolo, kuti mupewe kukana mtima wouzikidwa. Komabe, ndikofunikanso kudya zakudya zopatsa thanzi, kudya zakudya zophikidwa bwino, makamaka zakudya zophika, kupewa matenda omwe angaike moyo wa wodwalayo pachiwopsezo.

Nthawi zambiri, atachita opareshoni, wodwalayo amalandiridwa kuchipatala cha anthu odwala mwakayakaya (ICU) kwamasiku asanu ndi awiri, ndipo pambuyo pake amamsamutsira kuchipatala, komwe amakhala pafupifupi milungu iwiri, ndikutuluka pafupifupi 3 mpaka Patatha milungu 4.

Atatuluka, wodwalayo ayenera kupitiliza upangiri wazachipatala, kuti athe kukhala ndi moyo wathanzi ndikukhala moyo wabwinobwino, wokhoza kugwira ntchito, kuchita masewera olimbitsa thupi kapena kupita kunyanja, mwachitsanzo. ;

Kuchira pambuyo pakuika mtima

Pambuyo pa opaleshoniyi, wodwalayo amakhala mchipinda chochezera kwa maola ochepa, ndipo pambuyo pake amusamutsira ku ICU, komwe amayenera kukhala, pafupifupi masiku 7, kuti aziwunikidwa pafupipafupi ndikupewa zovuta.

Pakugonekedwa mchipatala ku ICU, wodwalayo atha kulumikizidwa ndi machubu angapo kuti akhale ndi moyo wabwino, ndipo amatha kukhala ndi catheter ya chikhodzodzo, zotulutsa pachifuwa, ziphuphu m'manja mwake ndi catheter ya mphuno kuti adyetse yekha, ndipo sizachilendo kumva kufooka kwa minofu ndi kupuma movutikira chifukwa chakuchedwa kugwira ntchito isanakwane opaleshoni.

Nthawi zina, atangochitidwa opareshoni, wodwalayo angafunike kukhala mchipinda chokha, kukhala yekha kwa odwala ena ndipo, nthawi zina osalandira alendo, chifukwa chitetezo chamthupi chawo ndi chofooka ndipo, amatha kutenga matenda aliwonse, makamaka kutenga kachilomboka., Kuyika moyo wa wodwala pachiwopsezo.

Mwanjira imeneyi, wodwala komanso omwe amalumikizana naye angafunike kuvala chigoba, chofunda ndi magolovesi nthawi iliyonse akalowa mchipinda chake. Atakhazikika, amasamutsidwira kuchipatala, komwe amakhala pafupifupi milungu iwiri ndikumachira pang'onopang'ono.

Kodi kuchira kunyumba pambuyo pa opareshoni

Nthawi zambiri, kubwerera kunyumba kumachitika pafupifupi 3 mpaka 4 masabata atachitidwa opaleshoni, komabe, zimasiyanasiyana ndi zotsatira za kuyesa magazi, electrocardiogram, echogram ndi X-ray pachifuwa, zomwe zimachitika kangapo nthawi yachipatala.

Pofuna kuti wodwalayo azitsatiridwa, atatuluka kuchipatala, nthawi yoikidwiratu imakonzedwa ndi katswiri wa zamatenda malinga ndi zosowa zake.

Moyo wa wodwalayo umasinthidwa, ndipo ayenera:

1. Kumwa mankhwala osokoneza bongo

Pambuyo pa opareshoni yokhazika mtima, wodwalayo amafunika kumwa mankhwala osokoneza bongo tsiku lililonse, omwe ndi mankhwala omwe amathandiza kupewa kukana chiwalo choikidwa, monga Cyclosporine kapena Azathioprine, chomwe chiyenera kugwiritsidwa ntchito moyo wonse. Komabe, nthawi zambiri, kuchuluka kwa mankhwala kumachepa, monga adanenera dokotala, ndikuchira, ndikupangitsa kuti kuyesedwa kwa magazi kaye koyamba kusinthane ndi zosowazo.

Kuphatikiza apo, m'mwezi woyamba adotolo atha kugwiritsa ntchito:

• Maantibayotiki, kupewa chiopsezo chotenga matenda, monga Cefamandol kapena Vancomycin;
• Kupweteka kumachepetsa, kuchepetsa ululu, monga Ketorolac;
• Okodzetsa, monga Furosemide kukhala osachepera 100 ml ya mkodzo pa ola limodzi, kupewa kutupa ndi kuwonongeka kwa mtima;
• Corticosteroids, kupewa zotupa, monga Cortisone;
• Maantibayotiki, monga Calciparina, kuteteza mapangidwe a thrombi, omwe amatha kuchitika chifukwa chokhazikika;
• Maantibayotiki, kupewa kutaya magazi, monga Omeprazole.

Kuphatikiza apo, simuyenera kumwa mankhwala ena aliwonse popanda upangiri wa azachipatala, chifukwa amatha kulumikizana ndikupangitsa kukana chiwalo chozikidwa.

2. Muzichita masewera olimbitsa thupi nthawi zonse

Pambuyo pakuika mtima, wodwala nthawi zambiri zimawavuta kuchita masewera olimbitsa thupi chifukwa cha zovuta za opareshoni, kutalika kwa nthawi yogwiritsira ntchito komanso kugwiritsa ntchito ma immunosuppressants, komabe, izi ziyenera kuyambika mchipatala, wodwalayo atakhazikika osakhalanso amatenga mankhwala kudzera mumitsempha.

Pofuna kuchira msanga, zolimbitsa thupi za aerobic ziyenera kuchitidwa, monga kuyenda 40 mpaka 60 mphindi, 4 mpaka 5 pasabata, pang'onopang'ono pamamita 80 pamphindi, kuti kuchira kukhale mwachangu ndipo wodwalayo atha kubwerera. -masiku ano.

Kuphatikiza apo, muyenera kuchita zolimbitsa thupi za anaerobic, monga kutambasula, kuti muwonjezere kuyenda, kulimbitsa minofu, kukulitsa kuchuluka kwa mafupa ndikuchepetsa kugunda kwa mtima.

3. Idyani chakudya chophika chokha

Pambuyo pomuika, wodwalayo ayenera kutsatira chakudya chamagulu, koma ayenera:

• Chotsani zakudya zonse zosaphika, monga masaladi, zipatso ndi timadziti komanso zosowa;
• Chotsani kumwa zakudya zopanda mafuta, monga tchizi, yogati ndi zinthu zamzitini;
• Idyani chakudya chophika bwino chokhas, yophika makamaka, monga maapulo owiritsa, msuzi, dzira lowiritsa kapena losakanizidwa;
• Imwani madzi amchere okha.

Zakudya za wodwalayo ziyenera kukhala chakudya cha moyo wonse chomwe chimapewa kukhudzana ndi tizilombo tating'onoting'ono kuti tipewe matenda ndipo, pokonza chakudya, manja, chakudya ndi ziwiya zophikira ziyenera kutsukidwa bwino kuti zisawonongeke. Dziwani zomwe mungadye: Zakudya kuti muchepetse chitetezo chokwanira.

4. Muzisamalira ukhondo

Pofuna kupewa zovuta ndikofunikira kuti chilengedwe chizikhala choyera nthawi zonse, ndipo muyenera:

• Kusamba tsiku ndi tsiku, kutsuka mano osachepera 3 pa tsiku;
• Kukhala ndi nyumba yoyera, mpweya wabwino, wopanda chinyezi ndi tizilombo.
• Pewani kucheza ndi anthu odwala, ndi chimfine, mwachitsanzo;
• Osangoyenda m'malo owonongeka, yokhala ndi mpweya, wozizira kapena wotentha kwambiri.

Kuti kuchira kuyende bwino ndikofunikira kuteteza wodwalayo ku zinthu zomwe zitha kuwononga chitetezo cha mthupi chomwe ndi chofooka.

Matenda opaleshoni

Kuika mtima ndikumachita opaleshoni yovuta komanso yosavuta ndipo chifukwa chake zoopsa za opareshoni yamtima izi zimakhalapo nthawi zonse. Zina mwazovuta, monga matenda kapena kukanidwa, chifukwa cha kufooka kwa chitetezo chamthupi kapena matenda amtima, kulephera kwa mtima, kulephera kwa impso kapena kugwidwa, mwachitsanzo.

Mukachira, makamaka mukamatuluka, ndikofunikira kuyang'anira zizindikilo zomwe zitha kuwonetsa zovuta, monga kutentha thupi, kupuma movutikira, kutupa kwa miyendo kapena kusanza, mwachitsanzo ndipo, zikachitika, muyenera kupita nthawi yomweyo chipinda chodzidzimutsa kuti ayambe chithandizo choyenera.

Dziwani momwe opaleshoniyi imachitikira: Kuika mtima.