Kodi cholinga cha ndani ndi kuchitidwa bwanji opaleshoni?

Zamkati

• Kodi opaleshoni yodutsa ndi yotani?
• Kodi opaleshoniyi yachitika bwanji
• Kodi opaleshoniyi imalepheretsa kuyenda kwa miyendo?
• Kodi kuchira kuli bwanji?
• Zowopsa zodutsa

Kudutsa, kotchedwanso kulambalala mtima kapena myocardial revascularization, ndi mtundu wa opaleshoni yamtima momwe chidutswa cha mtsempha wa mwendo chimayikidwa mumtima, kunyamula magazi kuchokera ku aorta kupita ku minofu yamtima.

Kuchita opaleshoni kotereku kumachitika pakakhala cholepheretsa cholembedwa ndi mafuta m'mitsempha ya mtima, yomwe ndi mitsempha yam'mimba, yomwe siimayenda bwino ndi mitundu ina yamankhwala ndipo, chifukwa chake, imawonjezera chiopsezo cha zovuta zazikulu monga infarction.

Kodi opaleshoni yodutsa ndi yotani?

Mtima ndi chiwalo chofunikira chomwe chimapopa magazi mthupi lonse, kuwalola kupangitsa magazi kupuma m'mapapu ndikupereka maselo onse mbali zina za thupi. Komabe, kuti igwire bwino ntchito, mtima uyeneranso kupereka minofu yake ndi magazi okhala ndi mpweya wabwino, womwe umadutsa mumtsempha wa aorta kudzera mumitsempha ya minofu yamtima, yomwe imadziwikanso kuti mitsempha yamitsempha.

Mitsempha yamitsempha iyi itatsekedwa, chifukwa chakupezeka kwa mafuta pamakoma a chotengera, mwachitsanzo, magazi amadutsa pang'ono mpaka minofu ndipo, chifukwa chake, pamakhala kuchepa kwa mpweya womwe umafika pama cell amtunduwu. Izi zikachitika, mtima umataya gawo la kutulutsa magazi mozungulira thupi, ndikupangitsa zizindikilo monga kupuma movutikira, kutopa mosavuta ngakhale kukomoka.

Kuphatikiza apo, ngati magazi atasiya kudutsa kwathunthu, minofu ya mtima imalowa m'selo yamafa ndipo matenda amtima amabwera, omwe akhoza kupha moyo.

Chifukwa chake, kuti apewe mavuto amtunduwu, katswiri wazamtima angakulangizeni kuti achite opaleshoni yopyola, yomwe imatenga kutenga chidutswa cha saphenous kuchokera mwendo ndikupanga "mlatho" pakati pa aorta ndi tsambalo nthawi yomweyo. mtsempha wamagazi. Mwanjira imeneyi, magazi amatha kupitiliza kuzungulira kudzera muminyewa yamtima ndipo mtima umagwira ntchito bwino.

Kodi opaleshoniyi yachitika bwanji

Kuchita opaleshoni yolambalala ndikosakhwima ndipo kumatenga pafupifupi maola 5. Masitepe a opaleshoni yolambalala ndi awa:

1. Anesthesia yodziwika ndi kufunika kwa chubu mu trachea kuti athe kupuma;
2. Kuchotsa gawo la mtsempha wa saphenous mu mwendo;
3. Cheka chimapangidwa pachifuwa, kuti chifike pamitsempha yamtima;
4. Dokotala amafufuza mitsempha yotsekedwa, kufotokozera malowa kuti apange milatho;
5. Mitsempha ya saphenous imasokedwa pamalo oyenera;
6. Chifuwacho chimatsekedwa, ndi sutures yapadera yoyandikira sternum;

Pamapeto pa opaleshoniyi, chubu mu trachea chimasungidwa nthawi yoyamba kuchira.

Kodi opaleshoniyi imalepheretsa kuyenda kwa miyendo?

Ngakhale gawo la mtsempha wa saphenous limachotsedwa mwendo, mwachizolowezi, palibe vuto lililonse loyendetsera miyendo, chifukwa magazi amatha kupitilizabe kupyola mitsempha ina. Kuphatikiza apo, atachotsa gawo la mtsempha, zimachitika mwachilengedwe, zotchedwa revascularization, momwe ziwiya zatsopano zimapangidwa kuti zizipeza zosowa za thupi ndikusintha gawo lomwe lachotsedwa la mtsempha wa saphenous.

Ngakhale kulambalala kwa saphenous nthawi zambiri kumakhala njira yoyamba yokonzanso mtima, pali zotengera zina m'thupi zomwe zitha kugwiritsidwa ntchito potero, makamaka mitsempha ya mammary, yomwe ndi zotengera zomwe zili pachifuwa. Izi zikachitika, opaleshoniyi imatha kudziwika kuti "mlatho wamawere".

Kodi kuchira kuli bwanji?

Pambuyo pa opaleshoni, wodwalayo amafunika kukhala ku ICU masiku awiri kapena atatu, kuti azitha kuwunika zizindikilo zofunika ndikupewa zovuta zomwe zingachitike pakuchitidwa opaleshoni. Pambuyo pokhala wolimba, mutha kupita kuchipatala, komwe mukapitilize kumwa mankhwala opha ululu kuti musamve kuwawa komanso kusapeza bwino pachifuwa. Gawoli, muyenera kuyamba physiotherapy kudzera pakuchita masewera olimbitsa thupi, kuyenda ndi kupuma.

Kuchira kwa opaleshoniyi kumachedwa pang'ono ndipo pangakhale masiku pafupifupi 90 pomwe munthuyo amatha kubwerera kuzolowera zawo za tsiku ndi tsiku.

Munthawi ya postoperative, nthawi zambiri atatha masiku awiri akuchitidwa opaleshoni, chilondacho sifunikanso kuvala ndipo ndikofunikira kuti chikhalebe choyera komanso chopanda katulutsidwe. Mpaka masabata 4 mutachitidwa opaleshoni, simuyenera kuyendetsa kapena kunyamula zolemera zoposa 10 kg.

Ndikofunikira kumwa mankhwala omwe adalangizidwa ndi a cardiologist ndikupita ku postoperative, yomwe idakonzedwa kuchipatala. Kuphatikiza apo, ndikachira, ndikofunikira kupitiliza ndi moyo wathanzi, ndikudya moyenera komanso kuchita masewera olimbitsa thupi, kuwonetsetsa kuti mtima ukugwira ntchito komanso kupewa zopinga zatsopano pakuzungulira kwa mitsempha ya mitsempha. Onani njira zomwe zingathandize kuti mtima wanu ukhale wathanzi.

Zowopsa zodutsa

Popeza ndi opaleshoni yayitali komanso yovuta, chifukwa ndikofunikira kutsegula pachifuwa ndikusokoneza kugwira ntchito kwa mtima, kulambalala opaleshoni kuli ndi zoopsa zina, monga:

• Matenda;
• Magazi;
• Matenda amtima.

Komabe, zovuta izi zimachitika pafupipafupi mwa anthu omwe asokoneza thanzi lawo, kuphwanya impso, matenda ena amtima, kapena kuchitidwa opaleshoni mwachangu.

Komabe, zoopsa zimachepetsedwa pomwe wodwala amalemekeza malangizo onse azachipatala omwe atha kuphatikizira kuwongolera kudya ndi kugwiritsa ntchito kapena kuyimitsa mankhwala ena asanawachitire opaleshoni, komanso, maubwino ochitidwa opaleshoni nthawi zambiri amaposa chiopsezo chodwala matenda a mtima. kuwononga thanzi.