Zomwe Muyenera Kudziwa Zokhudza Opaleshoni ya Mtima Yochepa Kwambiri

Mukaganizira za opaleshoni ya mtima, chomwe chimabwera m'maganizo mwanu ndi opaleshoni yaikulu yomwe imaphatikizapo kudula chifuwa pakati ndikuchitsegula, sichoncho? Anthu ambiri amaopadi. ​​Koma kodi mukudziwa kuti ndi kupita patsogolo kwa sayansi ya zamankhwala, opaleshoni ya mtima tsopano ikhoza kuchitika kudzera mu kudula pang'ono kamodzi kapena zingapo m'malo mwa kudula kwakukulu kotere? Ndicho chimene timatcha "Opaleshoni ya Mtima Yochepa Kwambiri". Anthu ena amatchanso opaleshoni iyi "opaleshoni ya keyhole" chifukwa imachitika ngati kuyang'ana kudzera mu keyhole. Chifukwa chake lero, tiyeni tikambirane za izi.

Mwachidule, kodi opaleshoni ya mtima yodulidwa pang'ono imeneyi ndi chiyani?

Izi zikutanthauza kuti fupa lalikulu pakati pa chifuwa chanu, sternum , silinadulidwe kwathunthu, monga momwe zimakhalira ndi opaleshoni yachikhalidwe yotsegula mtima. M'malo mwake, dokotalayo amapanga ming'alu yaying'ono kapena ingapo m'mbali mwa chifuwa chanu, pakati pa nthiti.

Kenako, kudzera m'mabala ang'onoang'ono awa, makamera apamwamba, zida zapadera zopangira opaleshoni zazitali komanso zopyapyala, kapena manja a robotic amalowetsedwa mumtima. Dokotalayo amagwiritsa ntchito chowunikira kuti awone zithunzi zomveka bwino komanso zazikulu kuchokera ku kamera ndikuchita opaleshoniyo molondola kwambiri. Njirayi imapangitsa kuti zipsera zisakhale zambiri, ululu ukhale wochepa, komanso nthawi yochepa yochira kuposa njira yakale.

Kodi njira zazikulu zochitira opaleshoni imeneyi ndi ziti?

Pali njira ziwiri zazikulu. Tiyeni tiwone zomwe zili.

Kodi njira imeneyi imagwiritsidwa ntchito pa matenda a mtima amitundu iti?

Ngakhale kuti si opaleshoni yonse ya mtima yomwe ingachitike pogwiritsa ntchito njira iyi, ingagwiritsidwe ntchito nthawi zambiri. Mwachitsanzo:

• Kutsekedwa kwa Atrial Septal Defect (ASD)
• Kukonza kapena kusintha ma valavu . Njirayi ndi yotchuka kwambiri pokonza ma valavu a mitral.
• Chithandizo cha kugunda kwa mtima kosakhazikika (Njira ya Maze ya atrial fibrillation)
• Kuchotsa chotupa cha mtima
• Maopaleshoni ena a bypass (opaleshoni ya Coronary artery bypass)
• Kuyika kwa chipangizo chothandizira cha ventricle

Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?

Dokotala wanu adzakupatsani malangizo onse ofunikira musanachite opaleshoni. Mungapemphedwe kuti musiye kumwa mankhwala ena (monga mankhwala ochepetsa magazi) masiku angapo opaleshoni isanachitike.

Simudzamva chilichonse panthawi ya opaleshoni chifukwa mudzakhala pansi pa mankhwala oletsa ululu. Mudzalumikizidwa ndi makina ogwiritsira ntchito mtima ndi mapapo kuti magazi aziyenda bwino m'thupi lanu panthawi ya opaleshoni.

Dokotala wa opaleshoni amacheka pang'ono m'mbali mwa chifuwa, amaika zida kudzera m'magawowo, ndikufikira mtima kudzera m'nthiti kuti akonze zofunikira, kusintha ma valavu, kapena chithandizo china. Opaleshoni iyi nthawi zambiri imatenga maola awiri mpaka asanu ndi limodzi . Ntchito ikatha, machekawo amasokedwa.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga tanenera kale, pali zabwino zambiri pa njira iyi.

Ubwino

• Kuchira mwachangu: Nthawi zambiri mukhoza kubwerera ku zochita zanu zachizolowezi mkati mwa milungu iwiri kapena inayi.
• Kuchepetsa ululu: Kupweteka kumakhala kochepa kwambiri chifukwa palibe kudula mafupa kwakukulu kapena kudulidwa mafupa.
• Kuchepa kwa magazi: Kuchepa kwa magazi chifukwa mabala ndi ochepa.
• Kuchepa kwa chiopsezo chotenga matenda: Popeza mabala ndi ochepa, chiopsezo chotenga matenda chimachepanso.
• Zipsera zimachepa: M'malo mwa chilonda chachikulu pachifuwa ponse, pali zipsera zochepa chabe, zosaoneka bwino zomwe zimatsala.
• Kuchepetsa nthawi yogona kuchipatala:Nthawi zambiri mukhoza kupita kunyumba patatha masiku ochepa.

Zoopsa

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina, koma zoopsazi ndizochepa poyerekeza ndi opaleshoni yotsegula mtima.

• Kutuluka magazi
• Matenda
• Kugunda kwa mtima kosakhazikika (Arrhythmias)
• Matenda ofanana ndi sitiroko

Kodi chimachitika ndi chiyani mukachita opaleshoni? Kodi mungachiritse bwanji msanga?

Pambuyo pa opaleshoni, mudzasungidwa mu chipinda chosamalira odwala kwambiri (ICU) kwa tsiku limodzi kapena awiri. Machubu otulutsira madzi amatha kuyikidwa kuti atulutse madzi aliwonse omwe angakhale atasonkhana pachifuwa panu. Pambuyo pake, mudzasamutsidwira ku chipinda chachikulu ndipo mudzakhala m'chipatala kwa masiku angapo.

Mudzatha kuyenda patatha tsiku limodzi kapena awiri. Mudzalangizidwanso kuchita masewera olimbitsa thupi opumira kuti muchotse mamina m'mapapo mwanu. Muyenera kupewa kunyamula zinthu zolemera kwa milungu ingapo. Dokotala wanu adzakuuzani nthawi yeniyeni yomwe mungabwerere kuntchito, kuyendetsa galimoto, komanso kuchita masewera olimbitsa thupi.

Madokotala nthawi zambiri amakutumizirani ku pulogalamu yothandiza anthu odwala matenda a mtima , yomwe imakuthandizani kuti muwonjezere pang'onopang'ono masewera olimbitsa thupi ndikukuphunzitsani kudya zakudya zopatsa thanzi.

Kodi ndi zizindikiro ziti zomwe zimafuna kuti mukaonane ndi dokotala nthawi yomweyo?

Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, imbani dokotala wanu kapena funani chithandizo nthawi yomweyo .

• Madzi ofanana ndi mafinya amatuluka kuchokera ku mabala.
• Kutupa kwambiri kapena kufiira mozungulira bala.
• Malungo kapena kuzizira.
• Kumva ngati mtima wanu ukugunda mofulumira (kugunda kwa mtima) .
• Kutupa kosazolowereka kwa miyendo kapena mapazi (edema) .
• Kulemera kumawonjezeka ndi makilogalamu oposa 1.5 (mapaundi atatu) mkati mwa sabata imodzi.