Mwina munamvapo dokotala akuuza wachibale wanu, mnzanu, kapena mnzanu kuti, "Ayenera kuchita opaleshoni ya mtima, ndipo adzachotsa mtsempha m'dzanja kapena mwendo wanu." Pa nthawi ngati imeneyo, ndi zachilendo kumva mantha pang'ono komanso chidwi. "Kodi chimachitika ndi chiyani ndi chiwalo chimenecho akachotsa mtsempha m'dzanja kapena mwendo wanu? Kodi sichidzatuluka magazi? Kodi padzakhala vuto pambuyo pake?" Mwina mukuganiza zinthu ngati zimenezo, eti? Chabwino, lero ndikuyankha mafunso onsewa m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi kuchotsa mtsempha kumatanthauza chiyani?
Kuti timvetse izi, choyamba tiyeni timvetse pang'ono za tanthauzo la opaleshoni ya mtima, kapena opaleshoni ya mitsempha ya mtima, yomwe imadziwika kuti opaleshoni ya mitsempha ya mtima .
Tangoganizani kuti chitoliro chachikulu cha madzi chomwe chimabweretsa madzi m'nyumba mwanu chatsekedwa kwinakwake. Tsopano madzi amabwera pang'onopang'ono kwambiri, kapena mwina samabwera konse. Ndiye mumachita chiyani? M'malo modula gawo lotsekedwa, mumalumikiza chitoliro chatsopano kumbali ndi kumbuyo kwa gawo lotsekedwa ndikupanga njira yatsopano. Kenako madziwo adzayenda bwino kachiwiri.
Opaleshoni ya mtima imachitidwa motere. Zinthu monga cholesterol zikamasonkhana m'mitsempha ya mtima yomwe imapereka magazi kumtima mwathu ndikutsekeka, mtima sulandira kuchuluka kwa magazi komwe ukufunikira. Pamenepo ndi pomwe zinthu monga angina zimachitika. Zimene madokotala amachita ndi izi, amagwiritsa ntchito mtsempha wamagazi wathanzi (mtsempha) wotengedwa kuchokera ku gawo lina la thupi lanu kuti apange njira yatsopano yozungulira komanso kuzungulira malo otsekeka. Njira yatsopanoyi imatchedwa graft .
Kotero, 'kuchotsa mtsempha', kapena 'kukolola' monga momwe madokotala amanenera, kumatanthauza njira yotengera mtsempha wamagazi wathanzi womwe umafunika kuti upange msewu watsopano kuchokera kwina m'thupi lanu.
Kodi mitsempha imeneyi nthawi zambiri imachokera kuti?
Pali mitundu iwiri ya mitsempha yamagazi yomwe imagwiritsidwa ntchito kwambiri pa opaleshoni iyi ya bypass.
1. Mtsempha wa Radial
Izi zili padzanja lanu, kuyambira pachigongono mpaka pachikhatho. Kodi mukukumbukira komwe dokotala angamve kugunda kwa mtima wanu akamakumva? Apa ndi pomwe mtsempha wamagazi umachokera. Tili ndi mitsempha iwiri ikuluikulu m'manja mwathu. Iyi ndi imodzi mwa iyo.
2. Mtsempha wa Saphenous
Uwu ndiye mtsempha wautali kwambiri m'thupi lathu. Umayamba mkati mwa phazi, kenako umadutsa m'mimba ndikulumikiza mtsempha wozama mu ntchafu. Ntchito ya mitsempha ndikunyamula magazi osowa mpweya kubwerera kumtima. Popeza mtsempha uwu uli pansi pa khungu la mwendo, n'zosavuta kuchotsa mwa opaleshoni.
Kodi dokotala amasankha bwanji mtsempha woti agwiritse ntchito?
Ichi si chisankho chomwe chiyenera kupangidwa usiku umodzi. Gulu lanu lachipatala lidzapanga chisankho ichi mutafufuza mosamala za vuto lanu ndikuganizira zinthu zingapo. Adzakufunsani kuti muyesedwe kangapo musanachite opaleshoni.
- Kuchuluka kwa Magazi Onse
- X-ray pachifuwa
- Mayeso ojambula zithunzi monga CT Scan kapena MRI
- Kuyeza kwa angiogram - Izi zimagwiritsidwa ntchito pofufuza momwe mitsempha ya mtima yatsekekera.
Chisankho chomaliza chimapangidwa pambuyo poganizira zotsatira za mayesowa, komanso zinthu zomwe zili mu tebulo ili m'munsimu.
| Kuganizira | Kufotokozera |
|---|---|
| Kukula ndi malo a kutsekeka | Mtsempha woti ugwiritsidwe ntchito umadalira komwe mtsempha wa mtima uli komanso kuchuluka kwa momwe watsekekera. |
| Kukula kwa mitsempha | Sankhani mtsempha womwe uli ndi kukula kofanana ndi mitsempha ya mtima wanu. |
| Kaya pali mitsempha yathanzi | Ndikofunikira kuti mtsempha womwe umagwiritsidwa ntchito poika chiwalocho ukhale wathanzi. Ngati muli ndi mavuto ndi mitsempha ya miyendo yanu (monga mitsempha yotupa), mtsempha umenewo sungathe kutengedwa. |
| Thanzi lanu lonse | Zinthu monga matenda ena omwe muli nawo (monga matenda a shuga) ndi zaka zanu zimakhudzanso chisankhochi. |
Kawirikawiri, madokotala amayesa kuchotsa mitsempha kuchokera kumbali yanu yomwe siili yofunikira . Izi zikutanthauza kuti, ngati mukugwiritsa ntchito dzanja lamanja, amayesa kuchotsa mitsempha yozungulira kuchokera ku dzanja lanu lamanzere.
Kodi kwenikweni chimachitika n’chiyani pa opaleshoni?
Njira yochotsera mitsempha iyi imachitika musanachite opaleshoni ya bypass. Mumapatsidwa mankhwala oletsa ululu (general anesthesia) ndipo zonsezi zimachitika. Choncho simudzamva kupweteka kulikonse.
Pali njira ziwiri zazikulu zochotsera mtsempha.
1. Opaleshoni ya Endoscopic:Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri koma yosavulaza kwambiri . Mu njira imeneyi, chubu chopyapyala chotchedwa endoscope chimayikidwa kudzera m'mabala ang'onoang'ono amodzi kapena awiri pakhungu la mkono kapena mwendo. Kumapeto kwa chubu ichi pali kamera, zida zopepuka, komanso zofewa zofunika pa opaleshoni. Dokotala wa opaleshoni, akuyang'anitsitsa pogwiritsa ntchito chowunikira, amalekanitsa mosamala mtsempha ndi minofu yozungulira ndikuwuchotsa.
2. Opaleshoni Yotseguka: Mu njira iyi, khungu limadulidwa motalikira pomwe pali mtsempha ndipo mtsempha umachotsedwa kuti uwonekere mwachindunji. Njirayi idagwiritsidwa ntchito kale, koma tsopano sigwiritsidwa ntchito kwambiri chifukwa cha njira ya endoscopic.
Mtsempha wamagazi ukachotsedwa, gawo lalikulu la opaleshoni ya bypass limayamba. Dokotalayo amalumikiza mbali imodzi ya graft ku aorta yanu ndi mbali inayo ku mtsempha wotsekeka. Tsopano muli ndi njira yatsopano komanso yathanzi yoti magazi aziyenda kupita kumtima kwanu.
Funso lalikulu lomwe mungadzifunse ndi lakuti, "Kodi mkono kapena mwendo wanga sukanakhudzidwa ndikanakhala kuti ndilibe mtsempha?" Ayi konse. Matupi athu adapangidwa bwino kwambiri.
* Ngati titenga Radial Artery ya dzanja: Mtsempha wina waukulu wopereka magazi ku dzanja , Ulnar Artery , umatenga ntchito ya Radial Artery, kupereka magazi ku dzanja ndi mkono popanda kusowa kulikonse.
* Ngati titenga mtsempha wa saphenous womwe uli m'mwendo: Dongosolo la mtsempha wozama , lomwe lili mkati mwa mwendo, limatenga ntchito ya mtsempha wa saphenous ndikunyamula magazi kuchokera ku mwendo kubwerera kumtima popanda vuto lililonse.
Kodi ubwino ndi zoopsa za njira iyi ndi ziti?
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zabwino ndi zoopsa zake. Ubwino wa njira ya endoscopic makamaka ndi wambiri.
| Ubwino ndi Zoopsa | |
|---|---|
| Ubwino (makamaka mu njira ya endoscopic) | |
| Kuchira mwachangu | Ndi zopweteka zochepa poyerekeza ndi opaleshoni yotseguka, kotero nthawi yoti munthu agone kuchipatala ndi yochepa. Mutha kuchira msanga. |
| Kuchepa kwa magazi | Chotupacho ndi chaching'ono kwambiri, kotero kutuluka magazi ndi mabala ndizochepa. |
| Zilonda zochepa | M'malo mwa chilonda chachikulu, pali zipsera zochepa kwambiri zomwe zimatsala, kotero chiopsezo cha matenda chimachepanso. |
| Zoopsa | |
| Matenda | Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo chochepa cha matenda m'mabala. |
| Kutuluka magazi ndi kuvulala | Kutupa pang'ono ndi kutuluka magazi kungachitike pambuyo pa opaleshoni. |
| Magazi amaundana | Kawirikawiri, pangakhale chiopsezo cha magazi kuundana. |
| Kuwonongeka kwa mitsempha | Pali mwayi wochepa woti mitsempha yaying'ono yomwe ili pafupi ndi mtsempha iwonongeke, zomwe zingayambitse dzanzi m'derali. |
Zinthu zofunika kuziganizira mukabwerera kunyumba
Cholinga chanu chachikulu chikhale pakuchira opaleshoni ya bypass. Mukatuluka kuchipatala, ndikofunikira kwambiri kutsatira malangizo omwe dokotala wanu ndi ogwira ntchito yosamalira anamwino akupatsani .
- Kumwa mankhwala oyenera: Imwani mankhwala omwe mwapatsidwa kuti mupewe magazi kuundana (anticoagulants) ndi mankhwala ochepetsa ululu panthawi yoyenera komanso pa mlingo woyenera.
- Kusunga mabala oyera: Mudzaphunzitsidwa kuchipatala momwe mungayeretsere ndi kutsuka mabala anu. Tsatirani malangizo awa.
- Pewani kunyamula zolemera: Musamakweze zolemera zilizonse mpaka dokotala wanu atakuuzani kuti muchite zimenezo.
- Kuvala masokosi apadera:Ngati mwachotsa mtsempha wanu wa saphenous pa mwendo wanu, mudzapemphedwa kuvala masokisi apadera opondereza kuti muchepetse kutupa. Mudzalangizidwanso kuti mwendo wanu ukhale wokwezeka pang'ono.
Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?
Ngati mukumva zizindikiro za matenda a mtima (monga kupweteka kwambiri pachifuwa, kuvutika kupuma, thukuta kwambiri), imbani nthawi yomweyo ambulansi yadzidzidzi monga 1990 ndikupita ku chipatala chapafupi cha Emergency Treatment Unit (ETU).
Kuphatikiza apo, ngati chimodzi kapena zingapo mwa zizindikiro zotsatirazi zikuwonekera, dziwitsani dokotala wanu mwamsanga.
- Kupweteka pachifuwa kapena kufinya (Angina)
- Kutuluka thukuta kwambiri mwadzidzidzi
- Kuvuta kupuma (Dyspnea)
- Zizindikiro za matenda, monga kutuluka kwachikasu kuchokera ku malo ochitira opaleshoni ndi malungo
Opaleshoni yodutsa m'thupi ndi opaleshoni yofunika kwambiri yopulumutsa moyo. Kuchotsa mtsempha m'thupi lanu ndi gawo lofunika kwambiri. Chifukwa cha kupita patsogolo kwa ukadaulo, njirayi tsopano ikhoza kuchitika mosamala kwambiri, popanda kupweteka kwambiri komanso kuchira mwachangu. Choncho musachite mantha mopanda chifukwa. Ngati muli ndi vuto lililonse kapena kukayikira, lankhulani ndi dokotala wanu momasuka za izi.
Uthenga Wopita Nawo Kunyumba
- Pa opaleshoni ya mtima, kupeza mtsempha wamagazi wabwino (mtsempha) kuchokera m'dzanja kapena mwendo wanu ndi njira yodziwika bwino komanso yofunika kwambiri.
- Mtsempha ukachotsedwa motere, palibe kusokonezeka kwa kayendedwe ka magazi kupita ku chiwalo chimenecho. Mitsempha ina ya magazi m'thupi imatenga ntchito imeneyo.
- Njira yogwiritsira ntchito endoscopic, yomwe imagwiritsidwa ntchito kwambiri masiku ano, imachepetsa ululu, zipsera, komanso nthawi yochira.
- Kutsatira malangizo a dokotala mosamala pambuyo pa opaleshoni ndikofunikira kuti munthu achire mwachangu komanso bwino.
- Ngati mukumva kupweteka pachifuwa, kupuma movutikira, kapena zizindikiro za matenda a bala, funsani dokotala nthawi yomweyo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu