Kodi mitsempha ya miyendo yanu yatsekedwa? Tiyeni tiphunzire za opaleshoni ya Peripheral Artery Bypass m'njira yosavuta!

Kodi mumamvanso kupweteka kwa miyendo yanu, makamaka mukayenda mtunda waufupi? Kodi ululu umachepa mukayima kwakanthawi kenako n’kuyendanso? ​​Kapena mumadzuka usiku ndi ululu wa miyendo yanu? Izi sizingakhale ululu wina uliwonse wamba wa miyendo. Chifukwa cha izi chikhoza kukhala kutsekeka kwa mtsempha waukulu wamagazi womwe umapatsa magazi ku miyendo yanu. Lero, tikambirana za Peripheral Artery Bypass, opaleshoni yayikulu yomwe idachitidwa pa izi.

Mwachidule, kodi Peripheral Artery Bypass ndi chiyani?

Iyi ndi opaleshoni. Opaleshoni iyi imaphatikizapo kupanga njira yatsopano yopitira magazi kudutsa mtsempha wotsekeka kapena wopapatiza wa mwendo wanu (kapena nthawi zina mkono wanu).

Tangoganizirani izi. Pali magalimoto ambiri pamsewu womwe mumayenda nthawi zambiri, ndipo msewu watsekedwa kwathunthu. Tsopano simungathe kupita patsogolo. Kodi omanga misewu amachita chiyani? Amamanga msewu watsopano wodutsa kuti apewe magalimoto. Umu ndi momwe opaleshoni iyi ilili.

Cholesterol ndi mafuta ena amasonkhana m'mitsempha yamagazi ya thupi lathu, ndikupanga "mafuta." Mu zamankhwala, izi zimatchedwa plaque . Pakapita nthawi, mafuta awa amakula ndikutseka mitsempha yamagazi. Tikutcha vutoli Peripheral Artery Disease (PAD) . Pamene kuyenda kwa magazi kumeneku kwatsekedwa, minofu ya miyendo yanu silandira mpweya ndi michere yomwe imafunikira. Pamenepo ndi pomwe dokotala amapanga njira yatsopano yoyendera magazi (graft) polumikiza mitsempha yomwe ili pamwamba ndi pansi pa kutsekeka.

Ndani kwenikweni amene amafunika opaleshoni ya bypass?

Opaleshoni iyi si ya aliyense. Dokotala wanu adzayesa kaye kuwongolera vuto lanu pogwiritsa ntchito mankhwala ndi kusintha moyo wanu (monga kusiya kusuta fodya ndi kuchita masewera olimbitsa thupi). Komabe, opaleshoniyi imaganiziridwa pokhapokha ngati palibe chilichonse mwa izi chomwe chikugwira ntchito komanso ngati gawo lalikulu la mtsempha wanu wamagazi latsekeka kwambiri.

Ngati muli ndi zizindikiro zotsatirazi, dokotala wanu angakulangizeni opaleshoni iyi.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Dokotala wanu wa mitsempha yamagazi adzayitanitsa mayeso angapo kuti adziwe momwe mulili musanachite opaleshoni.

• ECG (Electrocardiogram): Yesani momwe mtima umagwirira ntchito.
• Kujambula kwa Ultrasound: Kudziwa momwe magazi amayendera m'mitsempha yamagazi komanso komwe kuli zotsekeka.
• Kuyezetsa Magazi: Kuyang'ana zinthu monga matenda a shuga ndi kuchuluka kwa cholesterol m'magazi.
• Kuyesa Kupsinjika Maganizo: Onani momwe mtima wanu umayankhira mukamachita masewera olimbitsa thupi.

Pamodzi ndi mayeso awa, pali chinthu chimodzi chofunikira chomwe muyenera kuchita. Ngati mukusuta, siyani kusuta nthawi yomweyo. Izi zidzakuthandizani kwambiri kuchepetsa chiopsezo cha zovuta mukatha opaleshoni.

Tsiku lisanafike opaleshoni, dokotala wanu adzakupatsani malangizo awa:

• Mankhwala ena (makamaka omwe amaletsa magazi kuundana) angafunike kuyimitsidwa kwakanthawi.
• Amanena kuti musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku woti opaleshoni ichitike.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Popeza opaleshoniyi ndi yofunika kwambiri, dokotala wogonetsa adzakugonetsani tulo tofa nato kuti musamve kupweteka kulikonse. Kenako dokotalayo adzatsatira njira izi:

1. Kuduladula: Kuduladula kawiri kwa mainchesi 4-8 kumapangidwa pamwamba ndi pansi pa mtsempha wamagazi wotsekedwa.

2. Kutenga mtsempha wa mtsempha kuti udutse (Graft):Njira yatsopano yodutsa magazi imafuna mtsempha. Nthawi zambiri iyi ndi mtsempha wathanzi wochokera ku mwendo wanu. Kapena chogwirira cha pulasitiki kapena nsalu chimagwiritsidwa ntchito. Ngati mugwiritsa ntchito mtsempha wanu, muyenera kupanganso kachidutswa kena kakang'ono kuti muupeze.

3. Kupanga njira yatsopano: Chomeracho chimasokedwa ku mtsempha waukulu wamagazi, ndi mbali imodzi pamwamba pa chotsekacho ndi mbali inayo pansi pa chotsekacho. Magazi tsopano amatha kupitirira chotsekacho ndikuyenda m'njira yatsopanoyi.

4. Kutseka mabala: Pomaliza, mabala amatsekedwa ndi ma stitch kapena staples.

Njira yonseyi ingatenge maola awiri mpaka asanu ndi limodzi, kutengera kutalika kwa mtsempha wotsekeka komanso zovuta za opaleshoniyi.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Pambuyo pa opaleshoni, mudzasamutsidwira ku ward, komwe ogwira ntchito zachipatala azikuyang'anirani nthawi zonse chifukwa cha:

• Kugunda kwa mtima wanu, kuthamanga kwa magazi, kutentha kwa thupi, ndi kupuma kwanu zimayesedwa nthawi zonse.
• Amafufuza nthawi zonse kuti awone ngati mwendo womwe unachitidwa opaleshoni uli ndi magazi abwino.
• Mankhwala ochepetsa ululu amaperekedwa kuti achepetse ululu.

Mukabwerera kunyumba kuchokera kuchipatala, dokotala adzakupatsani mankhwala angapo kuti mupitirize kumwa.

• Ma Statin: Kuwongolera cholesterol.
• Aspirin kapena Clopidogrel: Amaletsa magazi kuundana.

Ubwino ndi zoopsa za opaleshoni

Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina.

Zinthu zofunika kuziganizira mukachira komanso mukabwerera kunyumba

Zingatenge milungu 6 mpaka 8 kuti munthu achire bwino. Komabe, muyenera kubwerera pang'onopang'ono ku zochita zanu zachizolowezi mkati mwa milungu ingapo. Nthawi zambiri mudzatulutsidwa kuchipatala mkati mwa masiku 2-5.

Zinthu izi nthawi zambiri zimatha kuchitika mukafika kunyumba, musachite mantha:

• Kuchepa kwa chilakolako.
• Kumva kupweteka kapena kumva kuwawa mozungulira malo odulidwa.
• Mwendo watupa pang'ono.
• Kumva kupweteka kwa minofu poyenda.

Nthawi yoti muyimbire dokotala nthawi yomweyo!

Ngati mukumva zizindikiro zotsatirazi mutabwerera kunyumba, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala.

• Ngati muli ndi malungo aakulu kapena ngati mukunjenjemera ndi chimfine.
• Ngati pali madzi ofanana ndi mafinya ochokera m'masitichi, amakhala ofiira, otupa, komanso opweteka kwambiri.
• Ngati mtundu wa mwendo wasintha (kutembenuka kukhala wotumbululuka kapena wabuluu), ngati mwendowo wazizira kwambiri, kapena ngati kuyabwa kukuwonjezeka.

Pambuyo pa opaleshoni, dokotala adzakupatsani tsiku loti mubwererenso kuti mudzaonenso. Onetsetsani kuti mwapita kuzipatala izi. Kumeneko, dokotalayo adzakujambulani ndi ultrasound kuti aone ngati njira yanu yodutsa magazi ikugwira ntchito bwino.