Esa igazi entliziyweni. Intliziyo esa igazi emva kokuba wahlaselwa yintliziyo. Heart esa igazi: ukubuyekeza isiguli

Uqhaqho kwimithambo esa no- (CABG), - inqubo wabelwa kwimeko yokuba nesifo sentliziyo. Ukuvaleka kwemithambo lokuveza intliziyo ngegazi (stenosis) yenzeka ngenxa ukuyilwa umonakalo atherosclerotic ngazo naxa ingumbandela ozaliswe ziziphumo emibi umguli. Xa zaphazanyiswa supply igazi imisipha entliziyweni, myocardium ifumana ngaphantsi kwe-mali efunekayo wegazi umsebenzi, nto leyo ekugqibeleni kukhokelela umonakalo buthathaka. Kulo mzekelo, abantu abafumana angina (iintlungu esifubeni) ngexesha umsebenzi ngokwasemzimbeni.

Eyona ngezifo iqhelekileyo phakathi yonke isifo sentliziyo izenzo nesifo sentliziyo (isifo). Yena engenalufefe akukho abafazi okanye amadoda. Ukunqongophala igazi kunokukhokelela iindawo entliziyweni izihlunu necrosis - iposi engabalulekanga, leyo ngobuso ezinobuzaza kakhulu okanye ukufa. Intliziyo esa igazi emva yesifo sentliziyo ukuphelisa neziphumo zayo, kuthintelo yesifo sentliziyo, kwakunye nezinye iintlobo zonyango nesifo sentliziyo kobuchopho, ekuyaleleni, ukuba akuzange kube lula ukufikelela ngoncedo lonyango endala nemiphumo emihle. Le yeyona ngokupheleleyo, kodwa yeyona ndlela ifanelekileyo nezokubuyiselwa yokumpompoza kwegazi. Kweli nqaku siza achaze oko intliziyo nemithambo utyando kwimithambo esa nendlela ukulungiselela kuyo.

Yintoni ngumongo yokusebenza

CABG zingenziwa xa izilonda esinye okanye ezininzi ezincinane. Ngexesha ukusebenza kwezo zitya apho iphazamisekile flow igazi, ukudala shunts - workarounds. Oku kwenziwa ngokuthi lokunithumelela ingxelo umthambo okunempilo ukuze i sentliziyo. Ngenxa yoko, ukuhamba kwegazi kufuneka uzakufun aukugqithisa isithuba yokutshixa okanye stenosis. Heart esa igazi, ngaloo ndlela, kuqinisekisa kwegazi epheleleyo izihlunu intliziyo.

Ukulungiselela utyando

Akukho kangako kwimpumelelo CABG ngaphezu amaqela yobungcali kuzo oogqirha, ukuba abe luncedo ngabantu yabaneziphumo ezihle yonyango. Olu tyando yingozi ngaphezu kwezinye iintlobo zotyando, kodwa ufuna ukulungiselela lokuqala. Okokuqala, njengokuba phambi kokuba nayiphi na utyando kwentliziyo, isigulane sithunyelwa ukuhlolwa, nezibabandakanya ekuqhubeni i electrocardiogram, ultrasound, iimvavanyo elebhu kunye nocazululo, kwakunye nemeko jikelele bavavanyiwe. Kwakhona kufuneka wenze angiography (tikoronarografiyu). Le nkqubo diagnostic kwenza kube lula ukufumanisa imeko yokondla kwemithambo intliziyo kwezihlunu ukuchonga indawo ngqo ze ukusekwa uqweqwe kunye neqondo exineneyo. Ukuqhuba uphando usebenzisa rentgenapparatury (yayisalawulwa izitya into radiopaque, uze emva koko uthabathe umfanekiso).

Inxalenye iinkqubo zokuxilonga yenziwa kwindawo esibhedlele, kwaye abanye - qho kwesibhedlele. Makabulawe esibhedlele, ngokuqhelekileyo kwiveki phambi kotyando, kwangaxeshanye ngocoselelo namalungiselelo iqala. Enye lwalukumanqanaba alo ibalulekileyo - uphuhliso njengobuchule ekhethekileyo ukuphefumla, nto leyo kamva luncedo kakhulu.

ukusebenza

Njengoko sele kukhankanyiwe, coronary intliziyo esa igazi wenziwe ukwenza kunye ngoncedo shunt ukusuka aorta ukuya imithambo workarounds ezongezelelweyo eziya kwenza kube lula ukuba yokucima isiza zivalwe nokubuyisela ithombo legazi. Amaninzi shunt uba Umthambo thoracic, kuba kungenxa iimpawu zayo eyahlukileyo enokumelana okuhle yamafutha kwaye ubomi obude nje shunt. Kwezinye iimeko, esebenzisa kwemithambo iphiramidi ebonisa okanye saphenous vein ethangeni.

Heart esa igazi inokuba enye, kabini, kathathu njalo njalo. Kuxhomekeka ekubeni yintoni na isithintelo zazingaphi na izitya ivaleke. Ngendlela, ukuba iqondo iimpawu zesi sifo oko akuxhomekekanga. Umzekelo, isigulane kunye nesifo kakhulu kunene kwemithambo angafuna nokubekwa omnye kuphela shunt kwaye umntu lowo ngezifo ubonisa ngaphantsi - ezimbini okanye ezintathu. Umsebenzi lo wenziwa utyando open-intliziyo phantsi zomzimba jikelele, ngokuxhomekeke kwinqanaba lemisebenzi entsonkothileyo, zinokuhlala iiyure ezintathu ukuya kwezintandathu.

iintlobo ezintathu CABG

1. Ukusetyenziswa kumatshini intliziyo-lung. Ukuba usebenzisa olu khetho, intliziyo yesigulane uvinjwa.
2. On intliziyo ibetha. Le ndlela yenza kube lula ukuba agqibe umsebenzi ngokukhawuleza nokunciphisa amathuba iingxaki, kodwa ufuna zingcamle oogqirha.
3. Kancinane ukufikelela invasive (usebenzisa umatshini intliziyo-lung okanye hayi). Le yindlela entsha noko eyenza kube lula ukunciphisa ukopha ngethuba longenelelo ngoncedo, ukunciphisa ingozi kubunzima esosulelayo. Emva kokuba CABG enjalo isigulane kwakhona ngokukhawuleza, ngexesha ngokuhlala esibhedlele liye lancitshiswa ezintlanu - iintsuku ezilishumi.

Kufuneka ke ukuba nawuphi na uqhaqho lwentliziyo okuhambisana ezithile. Noko ke, ngenxa izixhobo zale mihla, ubugcisa, kwaye inazo isicelo esebenzisekayo ebanzi, bayakwazi ukunciphisa kuyo. abaqhuba kakuhle kakhulu ngokubhekiselele kwiziphumo HIV uqhaqho lwentliziyo bypass. Izimvo uninzi lwabantu abachatshazelwa yi-msebenzi, simanzi amazwi ombulelo koogqirha. Sekunjalo, lo ALS kuxhomekeke iimpawu ngamnye yomguli kunye nomfanekiso kwezonyango sifo.

Ithuba postoperative

Ngoko nangoko emva kotyando umntu kwigumbi labagula kakhulu, kulapho iqala ukubuyiselwa ephambili kwemiphunga kunye izihlunu intliziyo. Kubalulekile ukuba ngeli xesha esebenza uphefumle ngendlela efanelekileyo. Ixesha lokuhlala kwiyunithi labagula kakhulu kunokuba imihla elishumi, kuxhomekeke indlela nkqubo lwenziwa uqhaqho lwentliziyo bypass. Rehabilitation nayo iqala esibhedlele, kwaye ngakumbi xhaxhe embindini kwimeko yesiqhelo. Le seams kwi ngaphambili umva apho wathabatha ezibonakalayo ukuze shunt, ukwenzela ukuthintela ukubola kunye nongcoliseko Sendizihlambile kunye ebulala. Thatha babathabathe ethile ngomhla wesixhenxe, xa inxeba waphilisa kakuhle.

kwimeko yesiqhelo

Kwiindawo apho kwakukho beentanda zakho, ixesha liya zintlungu kunye otshisayo. Xa amanxeba ngandlel ende (enye ukuya ezimbini kwiiveki), isigulane uvumelekile ukuba uthathe ishawa. Kuba amanxeba kwethambo kwentamo zifuna ixesha elingakumbi - iinyanga ezine ukuya kwezintandathu. Uyakwazi unxibe umhlabelo, esifubeni ukukhawulezisa le nkqubo. Kwiiveki ezine zokuqala ukuya kwesixhenxe imilenze kufuneka banxibe iikawusi ezikhethekileyo elastic ukuthintela ukudumba. Ngeli xesha, sifanele azigcine umthambo kakhulu.

Ngenxa ukopha ezenzeka ngexesha lokusebenza, ianemia unokuba ebantwini. Nangona kunjalo, akuyomfuneko naluphi na unyango olukhethekileyo kule meko. Nje ugcine ukwenza ukutya, nto leyo esekelwe phezu ukusetyenziswa iimveliso eziqulathe izixa ezikhulu yentsimbi, kunye nenyanga kamva, inqanaba haemoglobin ubuyela eqhelekileyo. Isigulane kufuneka enze iinzame zokubuyisela ephefumla. Ukuze wenze oku, ukwenza imithambo yokuphefumla ezizodwa, apho u dyondzisiwe phambi uqhaqho. Kwakhona zinokuthi zisetyenziswe ukuthintela inyumoniya.

Emva uqhaqho lwemiphunga yentliziyo bypass kwenzeka khohlo. Akukho mfuneko ukuba woyike. Ukukhohlela - yinxalenye ebalulekileyo kwimeko yesiqhelo. Lula kunokwenzeka yayo ngokucinezela entendeni okanye ibhola esifubeni sakhe. utshintsho rhoqo yesikhundla umzimba liza kukhawulezisa inkqubo impiliso. Oogqirha ngokuqhelekileyo achaze ukuba bajike, xa luyimfuneko ngayo.

Rehabilitation sikhatshwa ukunyuka kancinane kumsebenzi ngokwasemzimbeni. Xa isigulane siyeka angina, oko yabelwe imo ukuqhuba efunekayo. umntu wokuqala avunyelwe ukuhamba imigama emifutshane (ngosuku ukuya ngekhilomitha enye) e epasejini esibhedlele, ngoko ukunyusa ngokuthe umthwalo, yaye emva kokuba lo gama phantse zonke izithintelo ziyasuswa.

emva osenyameni

Abantu abaye uqhaqho lwemiphunga yentliziyo esa, kucetyiswa emva konyango esibhedlele tyelela iiholide. Emva kokuphela enye enesiqingatha okanye iinyanga ezimbini, ungafumana ubuyele emsebenzini. Ngelo xesha ke kufuneka kuqhutywe uvavanyo lomthamo yokuhlola patency of grafts ukudlula abeka kwaye ubone indlela eyenziwe kakuhle i-oksijini kwentliziyo. Ukuba akukho lutshintsho kwi-ECG, umguli akuthethi zintlungu ngethuba lenkqubo yovavanyo, oko kuthetha ukuba ukuchacha abaya kuthathelwa ingqalelo yimpumelelo.

Heart esa igazi: ixabiso

Olu tyando iphezulu, ngoko ke liye ixabiso sezingeni eliphezulu, leyo ixhomekeke inombolo oyifunayo grafts, indlela uphazamiseko, imeko yangoku yempilo yomguli, inqanaba wentuthuzelo kunikwa emva CABG. Enye kwingongoma ebalulekileyo lixabiso - umgangatho eklinikhi, nto leyo eya kwenziwa uqhaqho lwentliziyo bypass. Kakade ke, ukuba benze umsebenzi kwisiBhedlele eqhelekileyo Heart uya kuba zitshiphu kwiklinikhi yabucala ezizodwa. Ngokomlinganiselo, eMoscow iindleko CABG isusela ukusuka 150-500 amawaka engange, kwaSirayeli - 23-30 amawaka eerandi, xa kwiiklinikhi baseJamani ixabiso ukuba libe msebenzi iqala nge-25 amawaka euro.

Heart esa igazi: ukubuyekeza isiguli

Abantu abaninzi baye baphawula ukuba ukuchacha emva CABG uya nzima. Izigulane abafumana kunzima nokuphefumla, ingakumbi ebusuku. Bambi bathi ixesha elithile bonke ukulala isiqingatha-ekuhlaleni. Kodwa emva kwexesha elithile, abantu akusekho zintlungu emva breastbone, kwindawo ethile ngenyanga kukho ukuphucuka okukhulu, nakakhulu le kuqhubeka ngakumbi. Izigulane owayefumene utyando kwiminyaka embalwa lwenziwe eyadlulayo, bathi bavakalelwa kakuhle, kunye nempilo. Abanye bakhalaza ngokuba kwafuneka ukuba uhlaziye indlela yabo yokuphila, ndiyeke ukutshaya, ukutya. Kodwa enyanisweni, ukunika imikhuba emibi kufuneka ibe ngabantu bonke, hayi nje kuphela abo bangazange babe nawo uqhaqho lwentliziyo.

Ekuphetheni

Kwiimeko ezithile utyando kuphela ukusindisa ubomi. Wenza ixesha intliziyo esa igazi na ukuthintela isifo sentliziyo kunye neziphumo kwayo, abuyele umntu kumsebenzi ngokupheleleyo. Hlala uphilile!