Kodi mukuopa opaleshoni ya mitsempha ya mtima? Tiyeni tidziwe!

Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kapena wina m'banja mwanu kuti mukufuna opaleshoni ya bypass. Popeza iyi ndi opaleshoni yayikulu, mungakhale ndi mafunso ambiri. "Iyi ndi chiyani?", "Ndikufunikira chiyani?", "Kodi izi ndi zoopsa?" Zinthu ngati zimenezo zingabwere m'maganizo mwanu. Lero, tiyeni tikambirane za opaleshoni ya bypass, kapena Coronary Artery Bypass Grafting (CABG) monga momwe imadziwikira kuchipatala, ndipo anthu ena mwachikondi amaitcha "kabichi," ndipo tiyeni tikambirane mwachidule.

N’chifukwa chiyani mukufunikira opaleshoni iyi ya bypass?

Taganizirani mtima wathu ngati injini yomwe imapopa magazi m'thupi lathu lonse. Injini iyi imafunikanso magazi kuti igwire bwino ntchito, sichoncho? Inde, pali netiweki yosiyana ya mitsempha yamagazi yomwe imapereka magazi kumtima. Timaitcha kuti mitsempha ya mtima.

Nthawi zina, zinthu monga mafuta ndi cholesterol zimasonkhana mkati mwa mitsempha iyi, monga chitoliro mu chitoliro cha madzi, ndipo malo obisika otchedwa 'plaque' amapangidwa . Kenako mitsempha iyi yamagazi imakhala yopapatiza, ndipo nthawi zina imatsekeka kwathunthu. Izi zikachitika, ziwalo zina za mtima sizilandira magazi omwe amafunikira. Timatcha vutoli kuti 'ischemia' .

Kotero, chomwe opaleshoni ya bypass imachita ndi kupanga njira yatsopano yoti magazi adutse mtsempha wamagazi wotsekedwawu, njira ya 'bypass' . Izi zimathandiza kuti magazi ayende bwino kupita ku gawo la mtima lomwe lakhudzidwa kachiwiri.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Popeza opaleshoniyi ndi yaikulu, siingachitike nthawi imodzi. Zisanachitike zimenezi, mayeso angapo adzachitika kuti mumvetse bwino thanzi lanu. Adzakukonzekeretsaninso m'maganizo ndi m'thupi kuti mukonzekere opaleshoniyi.

Mayeso asanachitike opaleshoni

Mayeso angapo angachitike kuti atsimikizire ngati opaleshoniyi ndi yoyenera kwa inu komanso yotetezeka.

Ndikukudziwitsani

Dokotala wanu ndi ogwira ntchito kuchipatala adzakulankhulani ndikufotokozerani izi:

• Mankhwala omwe mukumwa: Mudzauzidwa mankhwala omwe muyenera kupitiriza kumwa komanso mankhwala omwe muyenera kusiya kumwa musanachite opaleshoni.
• Kukonzekera opaleshoni: Mudzauzidwa zinthu zambiri, monga sopo yapadera yoti mugwiritse ntchito musanachite opaleshoni, ngati pali wina woti akuthandizeni kunyumba, komanso zomwe mungadye ndi kumwa.
• Pambuyo pa opaleshoni: Mudzadziwitsidwa pasadakhale za nthawi yochira, momwe mudzamverere, komanso zizindikiro zomwe muyenera kusamala nazo.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Iyi ndi opaleshoni yovuta yomwe imatenga maola angapo. Izi ndi njira zomwe nthawi zambiri zimatsatiridwa.

1. Mankhwala oletsa ululu ndi othandizira moyo: Choyamba, mudzagonedwa mokwanira. Kuti musamve kupweteka kulikonse. Kenako, kupuma kwanu kudzalumikizidwa ndi chopumira mpweya . Komanso, mizere ya IV idzayikidwa kuti ikupatseni mankhwala ndi madzi.

2. Makina odulira mtima ndi mapapo: Nthawi zambiri, makinawa amatenga ntchito ya mtima ndi mapapo kwakanthawi panthawi ya opaleshoni. Izi zimathandiza madokotala kuyimitsa mtima ndikuchita opaleshoniyo bwino popanda kuusuntha.

3. Kudutsa: Kuti njira yatsopano ichitike, gawo la mtsempha wamagazi wathanzi limatengedwa kuchokera kwina m'thupi lanu. Izi nthawi zambiri zimakhala kuchokera ku mwendo wanu, mkono, kapena mkati mwa chifuwa chanu.Mungathe. Kutengera ndi kuchuluka kwa mitsempha yotsekeka (monga 2, 3, 4), mungafunike kuchita njira zingapo zodutsa magazi motere. Timazitcha njira ziwiri, zitatu, zinayi zodutsa magazi.

4. Opaleshoni: Dokotala wa opaleshoni amacheka pakati pa chifuwa kuti afike pamtima. Chidutswa cha mtsempha wamagazi chomwe chachotsedwa chimalumikizidwa ku mtsempha waukulu womwe umanyamula magazi kuchokera mumtima (aorta) kupita ku mtsempha wina wamagazi womwe uli pansi pa kutsekeka. Zili ngati kumanga msewu watsopano kudutsa msewu wotsekeka.

5. Kumaliza opaleshoni: Pambuyo poti njira yodutsa yachitika, mtima umayambiranso, fupa la pachifuwa limalumikizidwanso ndi mawaya, ndipo chochekacho chimasokedwa.

Njira zosiyanasiyana zochitira opaleshoni

Si aliyense amene amachita opaleshoni yofanana. Kutengera ndi momwe zinthu zilili, njira zosiyanasiyana zingagwiritsidwe ntchito.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, mudzalowetsedwa ku Intensive Care Unit (ICU) . Ogwira ntchito ophunzitsidwa bwino adzakusamalirani bwino. Matenda anu akakhazikika, mudzasamutsidwira ku chipinda chogona. Nthawi zambiri mudzakhala m'chipatala kwa masiku pafupifupi 8-12.

Mukabwerera kunyumba, anthu ambiri amapemphedwa kuti achite nawo pulogalamu yothandiza anthu odwala matenda a mtima . Izi ndizofunikira kwambiri. Pano, madokotala, anamwino, alangizi a masewera olimbitsa thupi, ndi akatswiri azakudya amagwira ntchito limodzi kuti akuthandizeni kukhalanso olimba mtima komanso athanzi.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Ubwino:

• Kupambana kwa nthawi yayitali:Uwu ndi opaleshoni yomwe yakhala ikuchitika bwino kwa zaka zambiri.
• Yankho Labwino Kwambiri: Iyi nthawi zambiri ndi njira yabwino kwambiri kwa anthu omwe ali ndi mitsempha yambiri yamagazi yotsekeka.
• Kufunika kochepa kwa retreatment: Pamene opaleshoni ya bypass ikuchitika, chiopsezo cha vutoli chimabweranso chimakhala chochepa poyerekeza ndi njira zina zothandizira (monga, kuika stent).

Zoopsa:

Iyi ndi opaleshoni yaikulu, kotero pali zoopsa zina. Koma zambiri mwa izi zimatha kupewedwa komanso kuchiritsidwa.

• Kusakhazikika kwa kugunda kwa mtima (Arrhythmias): Kungachitike pambuyo pa opaleshoni ndipo nthawi zambiri kumakhala kwakanthawi.
• Kutuluka magazi: Chiwopsezo chomwe chingachitike chifukwa cha opaleshoni iliyonse.
• Matenda: Izi sizichitika kawirikawiri masiku ano, koma muyenera kudziwa zizindikiro monga malungo ndi kuzizira.
• Zotsatira pa impso: Zingachitike.
• Kusokonezeka: Izi zitha kuchitika kwa masiku angapo mutachita opaleshoni, makamaka kwa okalamba.

Chochita pakakhala ngozi?

Ngati mukukumana ndi zizindikiro izi muli kunyumba, muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo .

• Kupweteka pachifuwa
• Kuvuta kupuma
• Chizungulire (vertigo) kapena kukomoka
• Kutaya chidziwitso
• Kugunda kwa mtima (kumva ngati mtima wanu ukugunda mofulumira)
• Mbali imodzi ya nkhope ikugwa, mbali imodzi ya thupi ikutaya mphamvu zake
• Kuvuta kulankhula
• Malungo kapena kuzizira