Kodi mitsempha yanu yamagazi m'miyendo yanu yatsekedwa? Tiyeni tiphunzire za Vascular Bypass Surgery m'njira yosavuta.

Kodi mumamvanso kupweteka kwambiri m'miyendo yanu, makamaka mukayenda mtunda waufupi? Kodi ululuwo umachepa mukakhala pansi kwakanthawi kenako n’kuyendanso? ​​Kapena mumamva dzanzi m'miyendo yanu, kuzizira m'miyendo yanu, kapena kumva kuti ngakhale bala laling'ono limatenga nthawi yayitali kuti lichiritsidwe? Izi zitha kukhala zizindikiro za kutsekeka kwa mitsempha yamagazi m'thupi lanu, makamaka m'mitsempha yomwe imanyamula magazi kupita kumiyendo yanu. Lero, tikambirana za njira yosinthira moyo pazochitika zotere, opaleshoni ya 'bypass'.

Choyamba, tiyeni tiwone matenda a mitsempha yamagazi.

Mwachidule, ili ndi vuto ndi dongosolo la mitsempha yamagazi m'thupi lathu. Thupi lathu lili ndi netiweki ya mitsempha yomwe imanyamula magazi kupita kulikonse. Monga momwe mapaipi amabweretsera madzi m'nyumba mwathu. Pali mitundu iwiri ya mitsempha. Mitsempha yomwe imanyamula magazi oyera (okhala ndi mpweya ndi michere) kuchokera mumtima kupita ku thupi lonse imatchedwa mitsempha . Mitsempha yomwe imanyamula magazi odetsedwa kuchokera m'thupi kubwerera kumtima imatchedwa mitsempha .

Mu matenda otchedwa 'Matenda a Mitsempha', zinthu monga mafuta ndi cholesterol zimasonkhana mkati mwa makoma a mitsempha iyi, monga dzimbiri lomwe limasonkhana mu chitoliro cha madzi, ndipo kuyenda kwa magazi kumachepa pang'onopang'ono. M'mawu azachipatala, timatcha izi 'Matenda a Mitsempha ya Peripheral' (PAD) . Pamene kuyenda kwa magazi kumachepetsa motere, ziwalo zomwe zili kutali ndi mtima, makamaka miyendo, sizilandira mpweya ndi zakudya zomwe zimafunikira. Ichi ndichifukwa chake zizindikiro monga kupweteka ndi dzanzi zimawonekera poyenda.

Ndiye opaleshoni ya bypass ndi chiyani?

Chabwino, tsopano mwamvetsa tanthauzo la mtsempha wotsekeka. 'Bypass' imatanthauza kupanga njira ina ya mtsempha wotsekekawu.

Tangoganizirani kuti pali magalimoto ambiri pamsewu wa Colombo-City, ndipo magalimoto sangathe kuyenda. Kodi boma limachita chiyani kenako? Amamanga msewu watsopano wodutsa magalimotowo, sichoncho? Mofananamo, dokotala wa opaleshoni amagwiritsa ntchito mtsempha watsopano wamagazi kapena chubu chopangira kuti adutse mtsempha wamagazi wotsekedwa, ndikupanga njira yatsopano yoti magazi aziyenda popanda chopinga chilichonse.

Msewu watsopanowu timautcha kuti 'graft' . 'Graft' iyi imagwiritsidwa ntchito ngati:

1. Mtsempha wochokera ku mbali ina ya thupi lanu: Mtsempha wogwiritsidwa ntchito kwambiri ndi mtsempha wa saphenous, womwe uli pansi pa khungu la mwendo. Nthawi zina, mtsempha womwe uli m'dzanja ungagwiritsidwenso ntchito. Iyi ndiye njira yabwino kwambiri.

2. Chitoliro chopangidwa ndi zinthu zopangidwa:Ngati mtsempha sungathe kulowa m'thupi lanu, makamaka ngati mtsempha wamagazi womwe ukudulidwa ndi waukulu kwambiri (mwachitsanzo, mtsempha wamagazi womwe uli m'mimba mwanu), chubu chochita kupanga ngati ichi chimagwiritsidwa ntchito.

Cholinga chachikulu cha opaleshoniyi ndikubwezeretsa kuyenda kwa magazi m'miyendo, kuchepetsa ululu, kuchiritsa mabala, komanso, ngati zinthu sizikuyenda bwino, kukupulumutsani ku chiopsezo chodulidwa chigoba.

Kodi mitundu ikuluikulu ya opaleshoni ya bypass ndi iti?

Pali mitundu ingapo ya opaleshoni ya bypass. Izi zimatchedwa malinga ndi malo omwe mtsempha wamagazi wotsekedwa ndi mtsempha watsopano wamagazi zalumikizidwa. Tiyeni tiwone mitundu ina yodziwika bwino yomwe imachitika mdziko lathu.

Ndi mayeso ati omwe ayenera kuchitidwa musanachite opaleshoni?

Inde, ndithudi. Dokotala wanu adzayesa kangapo asanakonzekere opaleshoni. Izi zidzawathandiza kudziwa komwe ndi kuchuluka kwa magazi komwe kwatsekeka.

• Chizindikiro cha Ankle-Brachial Index (ABI):Iyi ndi njira yosavuta kwambiri yoyezera. Amayesa kuthamanga kwa magazi anu m'kakolo ndi m'manja (brachial) ndikuyerekeza miyezo iwiriyi. Ngati kuthamanga kwa magazi m'mwendo wanu kuli kotsika kwambiri kuposa kuthamanga kwa magazi m'manja mwanu, zikutanthauza kuti pali cholepheretsa kuyenda kwa magazi kupita ku mwendo wanu.
• Kujambula Mitsempha ya M'magazi: Uku ndi kujambula kosapweteka, kofanana ndi komwe kumachitika mukakhala ndi mwana. Kumatha kuona bwino momwe magazi akuyendera m'mitsempha yamagazi, ngati pali magazi oundana, komanso komwe atsekeka.
• Mayeso ena: Nthawi zina dokotala wanu angasankhenso kufufuza vuto la mtima wanu. Izi zili choncho chifukwa anthu ambiri omwe ali ndi vuto la mitsempha yamagazi m'miyendo yawo angakhalenso ndi vuto la mitsempha yamagazi m'mtima mwawo.

Kodi chimachitika ndi chiyani tsiku la opaleshoni?

Opaleshoni iyi imachitika kuchipatala, m'chipinda chochitira opaleshoni. Palibe choopa. Madokotala ndi anamwino adzakusamalirani bwino.

1. Mankhwala Oletsa Kupweteka: Choyamba, dokotala woletsa kuvulala adzakuyang'anirani ndikukupatsani mankhwala ofunikira kuti mukhale ndi tulo tatikulu panthawi yonse ya opaleshoni. Izi zimatchedwa 'General Anesthesia' .

2. Opaleshoni: Mukagona, dokotalayo amaduladula khungu lanu pang'ono kuti afike m'mitsempha yamagazi yomwe ikukambidwa. Malo ndi kukula kwaduladula kumeneku kumadalira mtundu wa njira yodutsa yomwe mukudutsa.

3. Kulumikiza njira yodutsa: Kenako, dokotala amatenga 'graft' yomwe mwasankha (kaya mtsempha wanu kapena chubu chopangira) ndikuilumikiza ku mtsempha wathanzi womwe uli pamwamba ndi pansi pa kutsekeka pogwiritsa ntchito zosokera zazing'ono kwambiri.

4. Kutseka mabala: Pambuyo poti njira yatsopano yapangidwa, magazi amayesedwa ndipo mabala opangidwa pakhungu amatsekedwanso ndi ma stitches.

Njira yonseyi nthawi zambiri imatenga maola awiri mpaka asanu ndi limodzi , kutengera ndi zovuta za opaleshoni ya bypass yomwe mukuchita.

Kodi pali zoopsa zilizonse pa opaleshoniyi?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe zingachitike. Komabe, zoopsazi zitha kuchepetsedwa motsogozedwa ndi gulu lachipatala laluso. Chiwopsezo cha zovutazo chimakhala chokwera pang'ono, makamaka kwa anthu omwe ali ndi matenda ena monga matenda a mtima, matenda a impso, ndi/kapena matenda a shuga.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Kodi nthawi yochira imakhala bwanji?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo. Panthawiyi:

• Mudzapatsidwa mankhwala ochepetsa ululu.
• Mankhwala oletsa magazi kuundana adzaperekedwa kuti aletse magazi kuundana mu chopalira chatsopanocho.
• Ogwira ntchito yosamalira ana adzayeretsa ndi kusamalira bwino mabala anu.

Chofunika kwambiri ndikudzuka pabedi ndikuyamba kuyenda mwachangu. Izi zitha kukhala zovuta pang'ono poyamba, koma ndikofunikira kuyenda pang'onopang'ono, monga momwe dokotala wanu komanso katswiri wa physiotherapy adalangizira. Izi zithandiza kuti magazi aziyenda bwino komanso kuti muchiritse msanga.

Ngakhale mutabwerera kunyumba, muyenera kubwerera pang'onopang'ono ku zochita zanu zachizolowezi. Mungafunike kusiya kunyamula zinthu zolemera ndikuchita zinthu zolemetsa kwa kanthawi.

Kuti chomeracho chikhale chathanzi kwa nthawi yayitali, muyenera kusintha moyo wanu.

• Ngati mukusuta, siyani lero: Kusuta ndiye chifukwa chachikulu chomwe chimayambitsa kulephera kwa graft.
• Lamulirani matenda a shuga, kuthamanga kwa magazi, ndi cholesterol: Imwani mankhwala omwe dokotala wanu wakupatsani pa nthawi yake.
• Idyani zakudya zabwino: chepetsani mafuta, mchere, ndi shuga. Idyani ndiwo zamasamba, zipatso, ndi masamba ambiri.
• Kuchita masewera olimbitsa thupi monga momwe dokotala wanu wanenera: Ngakhale kuchita masewera olimbitsa thupi monga kuyenda tsiku lililonse n'kopindulitsa kwambiri.
• Pitani kuzipatala nthawi yake: Kumanani ndi dokotala wanu ndipo fufuzani momwe chigambacho chilili nthawi zonse.

Ndiyenera kukaonananso ndi dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, imbani dokotala nthawi yomweyo.

Ngati mukumva kupweteka pachifuwa mwadzidzidzi, kupuma movutikira, kapena kupweteka kwa mwendo mwadzidzidzi komanso koopsa komwe kumayenderana ndi kuzizira, pitani ku Dipatimenti Yodzidzimutsa ya Chipatala chapafupi (ETU) nthawi yomweyo.