ImpiloImithi

Inhliziyo ukuhlinzwa dlula: ukuthi kuyini, bangaki bukhoma. ukuhlinzwa Inhliziyo dlula: bangaki bukhoma emva kokuhlinzwa (ukubuyekeza, izibalo)

imithi yesimanje ikuvumela ukwenza imisebenzi eyinkimbinkimbi futhi ngokoqobo abayovuswa zabantu abaye balahlekelwa ithemba. Nokho, lokhu kokungenela lihlotshaniswa uhlobo oluthile izingozi kanye nezingozi. Kuyinto dlula enjalo inhliziyo. Kuyini lokhu? Bangaki abantu abahlala ngemva kokuhlinzwa, sizokhuluma ngokuningiliziwe ngalokhu.

Inhliziyo ukuhlinzwa dlula: umlando, operation wokuqala

Uyini ukuhlinzwa kwenhliziyo dlula? Indlela abaningi abaphila ngayo ngemuva kokuhlinzwa? Futhi okubaluleke nakakhulu, abakushoyo ngakho kukhona abantu abangekho lucky ngokwanele ukuze uthole ithuba lesibili lonke impilo entsha?

Shunting - eyohlinzwa senziwa izitsha. Lokho-ke kwenza kube nokwenzeka kujwayeleke futhi ubuyisele kwegazi wonke umzimba futhi izitho ngabanye. I ukuhlinzwa kokuqala okunjalo kwenziwa ngo-May 1960. ukusebenza ngempumelelo ezenziwa udokotela American Robert Hansa Getsa ebibanjelwe Medical College of A. Einstein.

Kuyini yokungenela kuhlinzwa

ukuhlinzwa Dula - i ekudalweni yokufakelwa of ngendlela entsha ukugeleza kwegazi. ukuhlinzwa Inhliziyo kulokhu Kwenziwa usebenzisa semithambo grafts ukuthi ongoti in yangaphakathi mammary iziguli Umthambo ngokwabo edinga ukuhlinzwa. Ikakhulukazi, le njongo, odokotela ziyalisebenzisa Umthambo osabalalayo engalweni noma umthambo omkhulu emlenzeni.

Kwenzekani Ngakho inhliziyo ukuhlinzwa dlula. Kuyini lokhu? abantu Bangaki aphile ngemva kwakhe - lawa nezindaba main ozithandayo abanale nkinga ihlangabezana nezinkinga uhlelo senhliziyo nemithambo yegazi. On kubo, sizozama impendulo.

Ngaphansi kwaziphi izimo okufanele kwenziwe inhliziyo dlula ukuhlinzwa?

Ngokusho kochwepheshe abaningi, ukuhlinzwa - kuyinto kakhulu, koSanta lapho kuyadingeka kuphela ezimweni ezingavamile. Omunye izinkinga ezinjalo ubhekwa ischemic noma isifo senhliziyo, kanye efanayo izimpawu of isifo sokuqina kwemithambo yegazi.

Khumbula ukuthi lesi sifo buhlobene futhi cholesterol okweqile. Nokho, ngokungafani asebenzayo ischemia isifo kunomthelela ukudalwa Imigudu ahlukile noma ukuvala, izitsha ezedlulayo ngokuphelele.

Ufuna ukwazi ukuthi zingaki bukhoma ngemva izitsha dlula wenhliziyo, nokuthi ingabe ukwenza ukuhlinzwa okunjalo ngabantu lapho umuntu eguga? Ukuze wenze lokhu, siye eqoqwe izimpendulo nezeluleko uchwepheshe ezokwenza ngethemba akusize uqonde.

Ngakho, ingozi nesifo senhliziyo nemithambo yayo kanye isifo sokuqina kwemithambo yegazi kuyinto ekuqongeleleni ngokweqile cholesterol emzimbeni, okuyinto nakanjani kuthinta ngokuchichima izitsha inhliziyo futhi kumvimbela. Ngenxa yalokho, basuke ayisesemikhulu bese beyeka usinika umzimba nomoya-mpilo.

Ukubuyela ukuphila okuvamile lomuntu, odokotela bavame ukweluleka ukubamba inhliziyo ukuhlinzwa dlula. Bangaki bukhoma ngemuva kokuhlinzwa kweziguli, njengoba ayishiyile, kangakanani Kumthatha izimilo kanjani imodi kosuku umuntu ethole dlula ukuhlinzwa - konke lokhu kudinga ukuba ngazi labo kuphela ucabanga mayelana nokwenzeka ukuhlinzwa. Futhi okubaluleke nakakhulu, kudingeka uthole sengqondo esihle. Ukuze wenze lokhu, iziguli abazoba ngaphambi nje kokuba ukusebenza kufanele acele ukwesekwa zokuziphatha izihlobo nokuxoxa nodokotela wakho.

Inhliziyo ukuhlinzwa dlula kanjani?

ngokuxhunyelelwa senhliziyo, noma CABG esifushanisiwe kunemibandela ihlukaniswe 3 izinhlobo:

  • olulodwa;
  • double;
  • kathathu.

Ikakhulukazi, okuwuphiko ezinjalo zinhlobo ihlobene degree of kubhujiswa lesi simiso semithambo lomuntu. Okusho ukuthi, uma isiguli enenkinga Umthambo eyodwa kuphela, kudinga ukwethulwa shunt owodwa, empeleni eyodwa, ezimbili - double futhi ezintathu - kathathu ukuhlinzwa kwenhliziyo dlula. Ukuthi kuyini, bangaki bukhoma emva kokuhlinzwa abantu abakwazi liyokwahlulelwa okunye ukubukeza.

Yini izinqubo wokulungiselela lwenziwa ngaphambi dlula?

Ngaphambi kokuba ahlinzwe, isiguli kwakudingeka alandele inqubo angiography yenhliziyo (izitsha inhliziyo yenhliziyo indlela zokuxilonga) kudlule kokuxilongwa ukuthola cardiogram kanye ultrasound idatha.

Sam ukulungiselela preoperative inqubo iqala cishe izinsuku ezingu-10 ngaphambi imemezele usuku dlula. Ngalesi sikhathi, kanye ukulethwa ukuhlolwa kanye lolu cwaningo lokungena nesineke bafundiswa ekhethekile ukuphefumula msebenzi, okuthiwa kamuva kuyamsiza alulame emva kokuhlinzwa.

isikhathi esingakanani kanti ukuhlinzwa?

Ubude besikhathi CABG incike nesineke kanye yinkimbinkimbi kuhlinzwa. Njengomthetho, ukusebenza wenziwa ngaphansi jikelele izinzwa kanye isikhathi kuthatha kusuka 3 futhi kufika ku-6 amahora.

Lo msebenzi kakhulu isikhathi-ukudliwa futhi uyakhathaza, ngakho leqembu lochwepheshe ongenza ukuhlinzwa kwenhliziyo dlula eyodwa kuphela. Bangaki bukhoma ngemuva kokuhlinzwa (izibalo enikezwa esihlokweni, kukuvumela ukwazi ke) incike okuhlangenwe nakho likadokotela ohlinzayo, ikhwalithi CABG namakhono yokutakula isiguli.

Kwenzekani isiguli ngemva kokuhlinzwa?

Ngemva kokuhlinzwa isiguli ngokuvamile singena labagula kakhulu, lapho esifushane nezinqubo nokuvuselelwa zokuphefumula. Kuye ngomuntu ngamunye izici namakhono ngayinye, ahlala olunzulu ukunakekelwa may kahle zokugcina ngenxa izinsuku ezingu-10. Ngaphezu kwalokho, eziqhutshwa ithunyelwa okwalandela yokutakula ngendlela ekhethekile nokuvuselelwa isikhungo.

Stitches kuvame iphathwa kahle antiseptics. Uma kwenzeka sokuphulukiswa yimpumelelo basuke isuswe ngo-5-7 izinsuku. Ngokuvamile emalungeni kukhona umuzwa esivuthayo umdwebo izinhlungu. Ngemva cishe 4-5 izinsuku zonke izimpawu ezingezinhle zinyamalale. Futhi emva kwezinsuku 7-14 isiguli isivele kungenzeka ngokuzimela ushawa.

Ngokwezibalo idatha dlula

On inani lisebenze ngempumelelo futhi kubantu abanesikhathi efanayo futhi washintsha ngokuphelele ukuphila kwami, uthi izifundo ezihlukahlukene, izibalo kanye vo, kokubili ochwepheshe ezifuywayo angaphandle.

Ngokusho ucwaningo kwenziwa mayelana dlula nokufa laligujwa e 2% yazo zonke iziguli. Isisekelo lesi ukuhlaziywa ezazamukelwa umlando mayelana 60 000 iziguli.

Ngokwezibalo, okunzima kakhulu yinqubo post-op. Kulokhu, inqubo okusinda ngemva konyaka owodwa wokuphila isimiso ebuyekeziwe ukuphefumula 97%. Kulokhu, umphumela omuhle wezinqubo zokuhlinza iziguli ehlaselwe izici eziningi, kuhlanganise tolerability ngabanye ngokusungula indlela yokubulala izinzwa, izivikeli mzimba, khona ezinye izifo nezinkinga zempilo.

Kulesi sifundo, ochwepheshe futhi wasebenzisa idatha kusuka emlandweni wezifo. Ngalesi sikhathi ekuhlolweni wathatha abantu 1041 ukuwo. Ngokusho ukuhlola iziguli ezibalelwa ku-200 wafunda hhayi kuphela ngempumelelo adluliselwe yenzeka yabo esimileni umzimba, kodwa wakwazi ukusinda kuze oneminyaka engamashumi ayisishiyagalolunye uyakuzala.

Yenza ne ukuhlinzwa inhliziyo yayo yayinezinkinga ezicini dlula? Kuyini lokhu? Bangaki abaphila ne isifo senhliziyo ngemuva kokuhlinzwa? Lezi izingqikithi futhi iziguli nesithakazelo. Kufanele kuqashelwe ukuthi anomalies ezinzima inhliziyo, kokungenela kuhlinzwa kungaba isivuno neyamukelekayo kakhulu ukunweba ukuphila kulezi ziguli.

ukuhlinzwa Inhliziyo dlula: bangaki bukhoma emva kokuhlinzwa (ukubuyekezwa)

Ngokuvamile ukuhlinzwa dlula kusiza abantu ukuba baphile ngaphandle kwezinkinga iminyaka eminingi. Ngokuphambene nombono oyiphutha elakhiwe phakathi nokuhlinzwa le shunt akusho clog ngisho nangemva kweminyaka eyishumi. Ngokusho ochwepheshe bakwa-Israel, izimila implantable ingahlala iminyaka 10-15.

Nokho, ngaphambi kokuvuma ukuba eyohlinzwa ezinjalo, kubalulekile ukuba ningabi nje kuphela uthintane onguchwepheshe, kodwa futhi ukukufunda ngokuningiliziwe indlela labo bantu kabani izihlobo noma abangane aseke ayisebenzisa indlela eyingqayizivele ngokuxhunyelelwa.

Ngokwesibonelo, ezinye iziguli ubhekene inhliziyo ukuhlinzwa, osho ukuthi ngemva CABG zenzekile impumuzo: kwaba lula ukuba sikwazi ukuphefumula, futhi ubuhlungu esifubeni endaweni kwanyamalala. Ngenxa yalokho, sangisiza ukuba ukuhlinzwa kwenhliziyo dlula. Bangaki bukhoma emva kokuhlinzwa, bangempela empeleni athole ithuba lesibili - ngalokhu uzothola kulesi sihloko.

Abaningi bathi yabo nezihlobo kwenziwa umsebenzi eside isikhathi sokusukuma kusukela izinzwa kanye yokutakula nezinqubo. Kukhona ezigulini bathi baye wahlinzwa iminyaka 9-10 edlule futhi uzizwe kahle manje. Kulokhu, ukuhlaselwa isifo senhliziyo ziyagwemeka.

Ufuna ukwazi ukuthi bangaki bukhoma ngemva izitsha inhliziyo dlula? Izibuyekezo zabantu abaye zabhekana eyohlinzwa ezinjalo, kuzokusiza nale. Ngokwesibonelo, abanye bangase baphikise ngokuthi konke kuncike ochwepheshe kanye ngekhono ezingeni yabo. Abaningi aneliseke izinga imisebenzi eyenziwa phesheya. Kukhona Izibuyekezo kwabasebenzi bezokwelapha abaphathi phakathi zendawo, mathupha yathi ezigulini kwavele kokungenela eziyinkimbinkimbi okuyinto vele 2-3 izinsuku bakwazi ukuhambisa ngokuzimela. Kodwa on the lonke, ikakhulukazi ngabanye, futhi esimweni ngasinye kufanele kubhekwe eceleni. Kwathi ngayohlinzwa ukuhlinzwa wahola esebenzayo yokuphila ngemva kweminyaka engaphezu 16-20 iminyaka ngemva bamenzela yenhliziyo Umthambo dlula inhliziyo. Uyini-ke, ukuthi kunabantu abangaki emva kokuhlinzwa dlula, futhi manje obaziyo.

Yini ochwepheshe zithini ngokuphila ngemuva kokuhlinzwa?

Ngokusho odokotela abahlinzayo inhliziyo, inhliziyo ukuhlinzwa dlula ngemva umuntu angaphila iminyaka 10-20 noma ngaphezulu. Zonke ikakhulukazi ngamunye. Nokho, ngokusho kongoti, kubalulekile ukuvakashela njalo udokotela wakho futhi wenhliziyo okwaxoxwa, ukulandela isimo nolwelwesi, ukuthobela olukhethekile lokudla phila umsebenzi ngokulinganisela, kodwa nsuku zonke ngokomzimba.

Ngokusho ekuholeni odokotela kuhlinzwa kokungenela kungadinga hhayi kuphela abantu asebekhulile, kodwa futhi ngaphezulu abasha iziguli, njengokushaya kwenhliziyo isifo. Ayasiqinisekisa ukuthi umzimba asemancane ukuthi avuselelwe emva kokuhlinzwa futhi inqubo yokwelapha iyaguquka. Kodwa lokhu akusho ukuthi kufanele kube bayesaba ukwenza ukuhlinzwa dlula lapho usukhulile. Ngokusho kochwepheshe, enhliziyweni ukusebenza - ke kuyimfuneko, okuyinto uyokwelula ukuphila iminyaka okungenani 10-15.

Indaba efingqiwe: Njengoba ubona, uthole ukuthi mingaki iminyaka aphile ngemva inhliziyo dlula abantu, kube kuncike ezintweni eziningi, kuhlanganise izici ngamunye umzimba. Kodwa lokho amathuba okusinda kufanele ukusizakala - iqiniso obungenakuphikwa.

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