Iwe kana mumwe munhu waunoziva akamboudzwa nachiremba kuti tsinga yemwoyo yakavharwa uye inoda kuvharwa? Tose takanzwa izwi rekuti 'bypass'. Fungidzira kuti kune mota dzakawanda mumugwagwa, uye izvi zvakafanana nekuvaka imwe nzira yekuti mota dzipfuure. Kana tsinga yeropa inopa ropa kumoyo yavharwa, nzira itsva, kureva tsinga itsva yeropa, yakabatana nemoyo, iyo inongonzi kuvhiyiwa kwe bypass. Asi wakambozvibvunza here kuti tsinga yeropa inotorwa kupi kuti ivakwe nzira itsva iyi? Kazhinji, tsinga yeropa ine hutano kubva mumuviri wako inoshandiswa pane izvi. Ndiyo nzira yatichataura nezvayo nhasi, umo tsinga yeropa iyoyo inotorwa kubva kune imwe chikamu chemuviri yoiswa kumoyo.
Zvinorevei 'kukohwa' tsinga yeropa?
Zvichitaurwa zviri nyore, izvi zvakafanana nekucheka tsinga yeropa. Kutaura chokwadi, zvinosanganisira kubvisa tsinga yeropa ine hutano kubva mumuviri wako (kazhinji ruoko kana gumbo) woishandisa senzira yekubvisa tsinga yakavharika mumoyo mako. Tsinga yeropa inotorwa nenzira iyi inonzi "graft."
Kugumira kwechikamu ichi chetsinga kwakabatana netsinga huru uye yakakura yemuviri, aorta, uye kumwe kumagumo kwakabatana netsinga yakavharika iri mumoyo iri pasi pekuvharika. Zvadaro, ropa rinoyerera nepakati petsinga itsva yakabatana kuenda kumoyo pasina chipingamupinyi, richipfuura chikamu chakavharika. Kuvhiya uku kunonzi Coronary Artery Bypass Grafting (CABG) mukurapa.
Mitsipa iyi yeropa inobva kupi?
Kune mhando mbiri dzetsinga dzeropa dzinonyanya kushandiswa pakuvhiyiwa kwe bypass.
1. Mheto yeRadial iri muruoko
Iyi itsinga huru yeropa inoyerera kubva mukati meruoko rwako kubva pagokora kusvika paruoko rwako . Iyi ndiyo tsinga yaunonzwa kana uchinzwa kurova kwemoyo wako. Iri pamusoro peganda.
"Saka kana tsinga iyi ikabviswa, ropa harizoenderere kuruoko here?" Ungave nemubvunzo wakadaro. Usatya. Muviri wedu wakagadzirwa nenzira inoshamisa. Tine imwe tsinga huru, "Ulnar Artery," iyo inofamba yakatarisana ne "Radial Artery" iyi muruoko rwedu. Mushure mekunge radial artery yabviswa, imwe tsinga inoita basa rese rakaitwa netsinga iyoyo.
2. Mutsinga weSaphenous muGumbo
Iyi ndiyo tsinga refu kwazvo mumuviri wedu. Itsinga inotakura ropa rakasviba kudzokera kumoyo. Inomhanya kubva pasi pemuviri kusvika pachidya. Kuibvisa hakuzokonzere matambudziko. Nekuti pane tsinga yakadzika mugumbo. Mushure mekunge tsinga ye saphenous yabviswa, basa rainoita rinotorwa netsinga yakadzika.
Chii chaunoita usati wavhiyiwa?
Chiremba asati asarudza kuita oparesheni iyi, achaita bvunzo dzinoverengeka kuti aone saizi chaiyo nenzvimbo yakavharika mumoyo mako. Zvichibva pane zvabuda, ndiye achasarudza kana tsinga yakakodzera yekubvisa tsinga iri muruoko rwako kana gumbo.
| Rudzi rwekuyedza | Zvichitaurwa zviri nyore, |
|---|---|
| Kuwanda Kweropa Rakazara | Kuongorora mhando uye huwandu hwemasero ari muropa. |
| Kuongororwa kweX-ray pachipfuva | Kutarisira mamiriro ekutanga emwoyo nemapapu. |
| Kuongororwa kwakadai seCT, MRI, kana Vascular Ultrasound | Kutora mifananidzo yakadzama yemukati memuviri netsinga dzeropa. |
| Angiogram | Mvura yakakosha inopinzwa mutsinga dzeropa uye maX-ray anoshandiswa kuona kuti panenge pavharika. |
Pamusoro pezvo, zvakakosha zvikuru kutevedzera mirairo yaunopihwa nachiremba wako usati wavhiyiwa.
- Kutsanya (kurega kudya nekunwa) kwemaawa akati wandei usati wavhiyiwa.
- Kana uchisvuta, rega zvachose.
- Ungakumbirwa kuti urege kutora mimwe mishonga kwenguva pfupi (kusanganisira mavhitamini nemishonga yemishonga).
Kuvhiyiwa uku kunoitwa sei?
Kuvhiyiwa kwekubvisa tsinga yeropa kwakafanana nekuvhiyiwa kwe bypass. Unoiswa pasi peanesthesia. Kune nzira mbiri huru dzekubvisa tsinga yeropa.
1. Kuvhiyiwa kweEndoscopic: Izvi zvinosanganisira kucheka kamwe chete kana kaviri kadiki paganda reruoko kana gumbo.Zvinosanganisira kuisa chubhu yakatetepa kwazvo (endoscope) ine kamera nezvishandiso zvekuvhiya. Chiremba anobvisa tsinga yeropa nokungwarira achitarisa monitor. Vanga rinokonzerwa neizvi diki kwazvo.
2. Kuvhiyiwa Kwakavhurika: Mukuita izvi, tsinga yeropa inobviswa nekuita cheka hombe, refu panowanikwa tsinga yeropa uye kuvhura ganda.
Panguva yekuvhiyiwa kwe bypass, moyo wako nemapapu zvinogona kuchinjwa kuita "Heart-Lung Bypass Machine" kwenguva pfupi. Chiremba anovhiya anobva atora "graft" yetsinga yeropa yakabviswa kare oiisa mumoyo achidzivirira kuvharika kwayo.
Ndezvipi zvakanakira nengozi dzenzira iyi?
Nzira iyi yekubatanidza tsinga kubva mumuviri ndiyo chikonzero chikuru chekubudirira kwekuvhiyiwa kwe bypass. Kune zvakanakira zvakawanda zvekuita izvi, kunyanya ne endoscopic method.
Mabhenefiti:
- Kupora nekukurumidza uye kurwadziwa kushoma.
- Nguva shoma yandaipedza ndiri muchipatara.
- Hapana mavanga makuru uye njodzi yekutapukirwa yakaderera .
- Kuderedza njodzi yekubuda ropa uye kuumbwa kweropa (Hematomas).
Njodzi:
Sekunge kune dzimwe nzira dzekuvhiya, kune dzimwe njodzi dzinobatanidzwa, asi idzi hadziitike kune wese munhu.
- Kubuda ropa kana mavanga panzvimbo yakachekwa.
- Magumbeze eropa.
- Kushaya simba kana kurasikirwa nemanzwiro munzvimbo iyi nekuda kwekukuvara kwetsinga dzakatenderedza nzvimbo yakachekwa.
- Kuzvimba (Edema).
- Zvirwere zvinotapukira.
Chinhu chinonyanya kukosha ndechekuti chinangwa chako chikuru mushure mekuvhiyiwa chive pakupora kubva mukuvhiyiwa kwe bypass. Nekutevedzera mirairo yachiremba wako nokungwarira, unogona kudzivirira njodzi dzakawanda idzi.
Kana uchida kuona chiremba nekukurumidza
Paunodzokera kumba mushure mekuvhiyiwa, usaregeredza chero kusagadzikana kupi zvako. Kana ukaona chimwe chezviratidzo zvinotevera, tsvaga rubatsiro rwechiremba nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kurwadziwa pachipfuva kana kunzwa kubatwa muchipfuva (Angina).
- Ziya rinotonhora kamwe kamwe.
- Kutadza kufema zvakanaka (Dyspnea).
- Zviratidzo zvehutachiona, zvakaita sekubuda kwemvura yeyero kubva mumaronda ekuvhiyiwa uye fivha .
Pakupedzisira, zvidzidzo zvakaratidza kuti kuvhiyiwa kwe bypass uchishandisa radial artery kana internal mammary artery kunobudirira nekufamba kwenguva pane kushandisa saphenous vein. Izvi zvinodaro nekuti madziro e artery akasimba kupfuura tsinga, saka haawanzo vharika zvakare. Zvisinei, chiremba wako achaongorora zvinyorwa zvako zvese zvekurapa kuti aone kuti ndeipi tsinga yakakunakira uye nzira yakanakisisa yekuiwana.
Mharidzo Yekuenda Nayo Kumba
- Panguva yekuvhiyiwa kwemwoyo (CABG), tsinga yeropa ine hutano, inowanzobva paruoko rwako kana gumbo, inoshandiswa kugadzira nzira itsva yeropa kuenda kumoyo.
- Uku kuvhiyiwa kunoitwa zvinobudirira pasi rose uye kunoponesa hupenyu hwakawanda.
- Basa retsinga yeropa inobviswa nekuvhiyiwa rinoitwa otomatiki nedzimwe tsinga dzeropa dziri pedyo, saka hapana chakaipa mumuviri.
- Zvakakosha kutevedzera mirayiridzo yekurapa nemazvo kuti uve nechokwadi chekupora nekukurumidza mushure mekuvhiyiwa uye kudzivirira matambudziko.
- Usambofa wakaregeredza kurwadziwa kwechipfuva, kunetseka kufema, kana zviratidzo zvehutachiona hwemaronda uye ona chiremba wako nekukasika.
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