Xa ugqirha ekuxelela okanye umntu omaziyo ukuba udinga utyando lwentliziyo evulekileyo, kuyinto eqhelekileyo ukuziva unexhala kancinci. Mhlawumbi ukhe weva amabali anje "utyando lwenziwa emva kokuba intliziyo iyekile." Kwenziwa njani oko ngokwenene? Igazi lihamba njani liye emzimbeni xa intliziyo iyekile? Ifumana njani ioksijini? Impendulo yaloo mibuzo ngumatshini wentliziyo nemiphunga esiza kuthetha ngawo, okanye ngokwezonyango, iCardiopulmonary Bypass . Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni iCardiopulmonary Bypass?
Nangona eli gama lisenokubonakala lide kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye libe ngamazwi.
- I-Cardio yenzelwe intliziyo yakho.
- I-Pulmonary ibhekisa kwimiphunga yakho .
- Ukudlula kuthetha ukuphepha into ethile.
Ngamafutshane, iCardiopulmonary Bypass yinkqubo apho ukuhamba kwegazi emzimbeni kugqithwa okwethutyana yintliziyo nemiphunga ngexesha lotyando lwentliziyo kwaye kuqondiswa ngomatshini okhethekileyo ongaphandle komzimba. Lo matshini ukwabizwa ngokuba ngumatshini wentliziyo nemiphunga .
Khawucinge ngokulungiswa okukhulu kwendlela. Ngelo xesha, izithuthi zijikiswa ziye kwenye indlela de umsebenzi ugqitywe? Yiloo nto eyenzekayo apha. Kulula ukuba ugqirha otyandayo atyande intliziyo xa intliziyo ingashayi kwaye ingazaliswanga ligazi. Ngoko ke lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga. Oko kuthetha ukuba:
- Iqokelela igazi eliphelelwe yioksijini emzimbeni.
- Ioksijini entsha yongezwa kwelo gazi.
- I-carbon dioxide iyasuswa egazini.
- Eli gazi licociweyo, elineoksijini liyapompelwa emzimbeni .
Ngale ndlela, igazi elineoksijini linikezelwa rhoqo kuzo zonke ezinye izitho zomzimba kulo lonke utyando. Le nkqubo ibizwa ngokuba "kwipompo." Ngokwesiqhelo, isisombululo esikhethekileyo seyeza esibizwa ngokuba yi-"cardioplegia" sinikwa ukuze siyeke intliziyo.
Ngaba iCardiopulmonary Bypass kunye neCABG zahlukile?
Le yinto ebangela ukuba abantu abaninzi badideke ngayo. Ezi zinto zimbini azifani, kodwa zihlala zisenzeka kunye.
- I-CABG (Coronary Artery Bypass Grafting) ligama lotyando . Olu lutyando oludala indlela entsha (bypass) yokuba igazi lihambe ngemithambo yentliziyo ehambisa igazi entliziyweni xa ivalwe ngamanqatha.
- I-Cardiopulmonary Bypass yindlela esetyenziswa ngexesha lotyando lwe-CABG (kunye nolunye utyando lwentliziyo). Yindlela esetyenziswa ukudlula intliziyo nemiphunga ukunceda ugqirha otyandayo enze utyando lwe-CABG ngokulula nangokukhuselekileyo.
Ngamafutshane, i-CABG ifana nokwakha injini yemoto. I-Cardiopulmonary Bypass ifana nokudibanisa ibhetri eyahlukileyo ngaphandle kwemoto ukuze inike amandla izinto ezifana nezibane kunye ne-AC ngelixa isakha injini.
Zeziphi iintlobo zotyando ezifuna le ndlela?
I-Cardiopulmonary Bypass idla ngokufunekayo kolu tyando lulandelayo:
- Ukufakelwa kweCoronary Artery Bypass (CABG)
- Utyando lwe-aneurysms
- Utyando lokufakelwa intliziyo
- Utyando lwevalvu yentliziyo (ukulungiswa okanye ukutshintshwa kwevalvu yentliziyo)
- Utyando lokufakelwa imiphunga
Isebenza njani le matshini yentliziyo nemiphunga?
Lo matshini ufana nentliziyo yexeshana kunye nemiphunga emibini engaphandle komzimba. Makhe sijonge imisebenzi ephambili oyenzayo.
| Umsebenzi womatshini | Kalula nje... |
|---|---|
| Ukususa igazi entliziyweni | Igazi lomzimba eliphelelwe yioksijini litsalwa kumatshini. |
| Ukongeza ioksijini kunye nokususa i-CO2 | Yile nto kanye eyenziwa yimiphunga yethu. Yongeza ioksijini egazini kwaye isusa ikharbon diokside. |
| Ulawulo lobushushu begazi kunye namanqanaba e-electrolyte | Inceda ekunciphiseni ubushushu bomzimba okanye ukuyigcina ikwinqanaba elifunekayo ngexesha lotyando. |
| Ukumpompa igazi elinomoya-mpilo | Yile nto kanye eyenziwa yintliziyo yethu. Isasaza igazi elinomoya-mpilo emzimbeni wonke. |
| Ukunika amayeza athintela intliziyo | Ukuze kube lula kugqirha otyandayo ukusebenza, ugqirha uza kunika amayeza afunekayo (cardioplegia) ukuze amise intliziyo okwethutyana. |
Zeziphi iindawo eziphambili zomatshini?
Lo matshini udibaniso lwamacandelo aliqela.
- IiCannula: Ezi ziityhubhu ezikhethekileyo eziqhagamshelwe kwimithambo yegazi yomzimba wakho kwaye zisetyenziselwa ukuqokelela igazi kumatshini kwaye zilibuyisele emzimbeni wakho.
- Idama: Itanki eliqokelela igazi eliphelelwe yioksijini emzimbeni.
- I-oxygenator: Le yinxalenye esebenza njengomphunga wokwenziwa. Kulapho i-oxygen yongezwa khona egazini.
- Impompo: Le yintliziyo yokwenziwa. Ipompa igazi elineoksijini libuyele emzimbeni ngoxinzelelo olufanelekileyo.
Amanyathelo ale nkqubo ngexesha lotyando
Le yinkqubo ecwangcisiweyo kakhulu eyenziwa liqela leengcali. Eli qela liquka ugqirha wotyando, ingcali yokubulala iintlungu, kunye nengcali yokukhupha iintlungu efumene uqeqesho olukhethekileyo lokusebenzisa lo matshini.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela umatshini | Akufuneki kubekho amaqamza omoya ngaphakathi kwimibhobho yomatshini. Ukuba ayangena emzimbeni aze abangele imeko eyingozi (i-air embolism). Ngoko ke, umatshini uzaliswa ngesisombululo esikhethekileyo kwaye umoya ususwe ngokupheleleyo. |
| 2. Ukunika amayeza okunciphisa igazi | Imithambo yethu yegazi ineeseli zendalo ezithintela igazi ukuba lingaqini. Kodwa ngaphakathi kwimibhobho yeplastiki yomatshini, igazi linokuqini lula. Ukuthintela oku, kunikwa isithambisi segazi esifana ne -heparin . |
| 3. Ukudibanisa nomatshini | Iqela lezonyango liza kukudibanisa nomatshini wentliziyo nemiphunga. Ngeli xesha, intliziyo nemiphunga yakho isasebenza. Baza kuqinisekisa ukuba yonke into isebenza kakuhle. |
| 4. Ukuyeka kwentliziyo nemiphunga | Xa yonke into isebenza kakuhle, i-cardioplegia inikwa ukuze kumiswe intliziyo okwethutyana. I-ventilator oqhagamshelwe kuyo nayo icinyiwe. Umatshini wentliziyo nemiphunga ngoku uthatha indawo yawo. |
| 5. Ukubeka iliso ngexesha lotyando | Ngelixa ugqirha esenza utyando, ingcali yotyando iyaqhubeka nokujonga umatshini kunye nemeko yomzimba wakho (ubushushu, uxinzelelo, njl.njl.). |
| 6. Ukususa kumatshini | Emva kokuba utyando lugqityiwe, iqela lezonyango liza kuyiqalisa kwakhona intliziyo yakho ngononophelo lize livumele imiphunga yakho ukuba isebenze kwakhona. Emva koko, uza kususwa kancinci kancinci kumatshini. |
Ingaba le ndlela ikhuselekile? Zithini iingozi zayo?
Njengakwezinye iindlela zotyando, kukho iingozi ezibandakanyekileyo kule nkqubo. Kodwa yindlela ephumelela kakhulu eyenziwa yonke imihla kwihlabathi liphela. Iqela lakho lezonyango liqeqeshwe kakuhle ukulawula ezi ngozi. Iingozi zixhomekeke kwimpilo yakho ngaphambi kotyando kunye nobude bexesha oqhagamshelwe ngalo kumatshini. Ngokubanzi, iingozi ziphantsi ukuba usebenzisa umatshini ixesha elingaphantsi kweeyure ezintathu.
Ezinye iingxaki ezinokubakho zezi:
- Ukopha
- Ukugabha kwegazi
- Istroke
- Ukonakala kwengqondo, imiphunga, okanye izintso
- Ukuvuvukala emzimbeni
- Ukusilela kwamalungu amaninzi - oku kunqabile kakhulu.
Ukuba unenkxalabo malunga nezi ngozi, thetha nogqirha wakho ngazo ngokucacileyo ngaphambi kotyando ukuze ube nokuqonda okucacileyo.
Ixesha lokuchacha kunye nexesha lokubona ugqirha
Ixesha lokuchacha emva kotyando liyahluka kumntu nomntu. Kuxhomekeke kuhlobo lotyando olwenzileyo, iminyaka yakho, kunye nempilo yakho iyonke. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kunye nokuya kwiindibano zakho ngexesha.
Ingxamiseko!
Ukuba kukho naziphi na iimpawu zestroke ezilandelayo, yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane okanye utsalele umnxeba inkonzo ye-ambulensi ku-1990.
- Ubunzima bokuhamba, ukulahlekelwa yibhalansi
- Ukurhawuzelela okanye ubuthathaka kwelinye icala lomzimba
- Ukukhubeka kancinci xa uthetha
- Ukudideka ngequbuliso
- Ubunzima bokubona ngokucacileyo
- Ubunzima bokuqonda oko kuthethwa ngabanye
I-Cardiopulmonary Bypass yiteknoloji emangalisayo enceda ekusindiseni ubomi imihla ngemihla. Kuqhelekile ukuba nexhala malunga nokuba intliziyo yakho kunye nemiphunga yakho ithathwe ngumatshini onje. Kodwa thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nale nkqubo. Ungafunda okungakumbi ngale nkqubo apha: ne_BODY:
Xa ugqirha ekuxelela okanye umntu omaziyo ukuba udinga utyando lwentliziyo evulekileyo, kuyinto eqhelekileyo ukuziva unexhala kancinci. Mhlawumbi ukhe weva amabali anje "utyando lwenziwa emva kokuba intliziyo iyekile." Kwenziwa njani oko ngokwenene? Igazi lihamba njani liye emzimbeni xa intliziyo iyekile? Ifumana njani ioksijini? Impendulo yaloo mibuzo ngumatshini wentliziyo nemiphunga esiza kuthetha ngawo, okanye ngokwezonyango, iCardiopulmonary Bypass . Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni iCardiopulmonary Bypass?
Nangona eli gama lisenokubonakala lide kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye libe ngamazwi.
- I-Cardio yenzelwe intliziyo yakho.
- I-Pulmonary ibhekisa kwimiphunga yakho .
- Ukudlula kuthetha ukuphepha into ethile.
Ngamafutshane, iCardiopulmonary Bypass yinkqubo apho ukuhamba kwegazi emzimbeni kugqithwa okwethutyana yintliziyo nemiphunga ngexesha lotyando lwentliziyo kwaye kuqondiswa ngomatshini okhethekileyo ongaphandle komzimba. Lo matshini ukwabizwa ngokuba ngumatshini wentliziyo nemiphunga .
Khawucinge ngokulungiswa okukhulu kwendlela. Ngelo xesha, izithuthi zijikiswa ziye kwenye indlela de umsebenzi ugqitywe? Yiloo nto eyenzekayo apha. Kulula ukuba ugqirha otyandayo atyande intliziyo xa intliziyo ingashayi kwaye ingazaliswanga ligazi. Ngoko ke lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga. Oko kuthetha ukuba:
- Iqokelela igazi eliphelelwe yioksijini emzimbeni.
- Ioksijini entsha yongezwa kwelo gazi.
- I-carbon dioxide iyasuswa egazini.
- Emva koko eli gazi licociweyo, elineoksijini liyabuyiselwaUkumpompa emzimbeni.
Ngale ndlela, igazi elineoksijini linikezelwa rhoqo kuzo zonke ezinye izitho zomzimba kulo lonke utyando. Le nkqubo ibizwa ngokuba "kwipompo." Ngokwesiqhelo, isisombululo esikhethekileyo seyeza esibizwa ngokuba yi-"cardioplegia" sinikwa ukuze siyeke intliziyo.
Ngaba iCardiopulmonary Bypass kunye neCABG zahlukile?
Le yinto ebangela ukuba abantu abaninzi badideke ngayo. Ezi zinto zimbini azifani, kodwa zihlala zisenzeka kunye.
- I-CABG (Coronary Artery Bypass Grafting) ligama lotyando . Olu lutyando oludala indlela entsha (bypass) yokuba igazi lihambe ngemithambo yentliziyo ehambisa igazi entliziyweni xa ivalwe ngamanqatha.
- I-Cardiopulmonary Bypass yindlela esetyenziswa ngexesha lotyando lwe-CABG (kunye nolunye utyando lwentliziyo). Yindlela esetyenziswa ukudlula intliziyo nemiphunga ukunceda ugqirha otyandayo enze utyando lwe-CABG ngokulula nangokukhuselekileyo.
Ngamafutshane, i-CABG ifana nokwakha injini yemoto. I-Cardiopulmonary Bypass ifana nokudibanisa ibhetri eyahlukileyo ngaphandle kwemoto ukuze inike amandla izinto ezifana nezibane kunye ne-AC ngelixa isakha injini.
Zeziphi iintlobo zotyando ezifuna le ndlela?
I-Cardiopulmonary Bypass idla ngokufunekayo kolu tyando lulandelayo:
- Ukufakelwa kweCoronary Artery Bypass (CABG)
- Utyando lwe-aneurysms
- Utyando lokufakelwa intliziyo
- Utyando lwevalvu yentliziyo (ukulungiswa okanye ukutshintshwa kwevalvu yentliziyo)
- Utyando lokufakelwa imiphunga
Isebenza njani le matshini yentliziyo nemiphunga?
Lo matshini ufana nentliziyo yexeshana kunye nemiphunga emibini engaphandle komzimba. Makhe sijonge imisebenzi ephambili oyenzayo.
| Umsebenzi womatshini | Kalula nje... |
|---|---|
| Ukususa igazi entliziyweni | Igazi lomzimba eliphelelwe yioksijini litsalwa kumatshini. |
| Ukongeza ioksijini kunye nokususa i-CO2 | Yile nto kanye eyenziwa yimiphunga yethu. Yongeza ioksijini egazini kwaye isusa ikharbon diokside. |
| Ulawulo lobushushu begazi kunye namanqanaba e-electrolyte | Inceda ekunciphiseni ubushushu bomzimba okanye ukuyigcina ikwinqanaba elifunekayo ngexesha lotyando. |
| Ukumpompa igazi elinomoya-mpilo | Yile nto kanye eyenziwa yintliziyo yethu. Isasaza igazi elinomoya-mpilo emzimbeni wonke. |
| Ukunika amayeza athintela intliziyo | Ukuze kube lula kugqirha otyandayo ukusebenza, ugqirha uza kunika amayeza afunekayo (cardioplegia) ukuze amise intliziyo okwethutyana. |
Zeziphi iindawo eziphambili zomatshini?
Lo matshini udibaniso lwamacandelo aliqela.
- IiCannula: Ezi ziityhubhu ezikhethekileyo eziqhagamshelwe kwimithambo yegazi yomzimba wakho kwaye zisetyenziselwa ukuqokelela igazi kumatshini kwaye zilibuyisele emzimbeni wakho.
- Idama: Itanki eliqokelela igazi eliphelelwe yioksijini emzimbeni.
- I-oxygenator: Le yinxalenye esebenza njengomphunga wokwenziwa. Kulapho i-oxygen yongezwa khona egazini.
- Impompo: Le yintliziyo yokwenziwa. Ipompa igazi elineoksijini libuyele emzimbeni ngoxinzelelo olufanelekileyo.
Amanyathelo ale nkqubo ngexesha lotyando
Le yinkqubo ecwangcisiweyo kakhulu eyenziwa liqela leengcali. Eli qela liquka ugqirha wotyando, ingcali yokubulala iintlungu, kunye nengcali yokukhupha iintlungu efumene uqeqesho olukhethekileyo lokusebenzisa lo matshini.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela umatshini | Akufuneki kubekho amaqamza omoya ngaphakathi kwimibhobho yomatshini. Ukuba ayangena emzimbeni aze abangele imeko eyingozi (i-air embolism). Ngoko ke, umatshini uzaliswa ngesisombululo esikhethekileyo kwaye umoya ususwe ngokupheleleyo. |
| 2. Ukunika amayeza okunciphisa igazi | Imithambo yethu yegazi ineeseli zendalo ezithintela igazi ukuba lingaqini. Kodwa ngaphakathi kwimibhobho yeplastiki yomatshini, igazi linokuqini lula. Ukuthintela oku, kunikwa isithambisi segazi esifana ne -heparin . |
| 3. Ukudibanisa nomatshini | Iqela lezonyango liza kukudibanisa nomatshini wentliziyo nemiphunga. Ngeli xesha, intliziyo nemiphunga yakho isasebenza. Baza kuqinisekisa ukuba yonke into isebenza kakuhle. |
| 4. Ukuyeka kwentliziyo nemiphunga | Xa yonke into isebenza kakuhle, i-cardioplegia inikwa ukuze kumiswe intliziyo okwethutyana. I-ventilator oqhagamshelwe kuyo nayo icinyiwe. Umatshini wentliziyo nemiphunga ngoku uthatha indawo yawo. |
| 5. Ukubeka iliso ngexesha lotyando | Ngelixa ugqirha esenza utyando, ingcali yotyando iyaqhubeka nokujonga umatshini kunye nemeko yomzimba wakho (ubushushu, uxinzelelo, njl.njl.). |
| 6. Ukususa kumatshini | Emva kokuba utyando lugqityiwe, iqela lezonyango liza kuyiqalisa kwakhona intliziyo yakho ngononophelo lize livumele imiphunga yakho ukuba isebenze kwakhona. Emva koko, uza kususwa kancinci kancinci kumatshini. |
Ingaba le ndlela ikhuselekile? Zithini iingozi zayo?
Njengakwezinye iindlela zotyando, kukho iingozi ezibandakanyekileyo kule nkqubo. Kodwa yindlela ephumelela kakhulu eyenziwa yonke imihla kwihlabathi liphela. Iqela lakho lezonyango liqeqeshwe kakuhle ukulawula ezi ngozi. Iingozi zixhomekeke kwimpilo yakho ngaphambi kotyando kunye nobude bexesha oqhagamshelwe ngalo kumatshini. Ngokubanzi, iingozi ziphantsi ukuba usebenzisa umatshini ixesha elingaphantsi kweeyure ezintathu.
Ezinye iingxaki ezinokubakho zezi:
- Ukopha
- Ukugabha kwegazi
- Istroke
- Ukonakala kwengqondo, imiphunga, okanye izintso
- Ukuvuvukala emzimbeni
- Ukusilela kwamalungu amaninzi - oku kunqabile kakhulu.
Ukuba unenkxalabo malunga nezi ngozi, thetha nogqirha wakho ngazo ngokucacileyo ngaphambi kotyando ukuze ube nokuqonda okucacileyo.
Ixesha lokuchacha kunye nexesha lokubona ugqirha
Ixesha lokuchacha emva kotyando liyahluka kumntu nomntu. Kuxhomekeke kuhlobo lotyando olwenzileyo, iminyaka yakho, kunye nempilo yakho iyonke. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kunye nokuya kwiindibano zakho ngexesha.
Ingxamiseko!
Ukuba kukho naziphi na iimpawu zestroke ezilandelayo, yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane okanye utsalele umnxeba inkonzo ye-ambulensi ku-1990.
- Ubunzima bokuhamba, ukulahlekelwa yibhalansi
- Ukurhawuzelela okanye ubuthathaka kwelinye icala lomzimba
- Ukukhubeka kancinci xa uthetha
- Ukudideka ngequbuliso
- Ubunzima bokubona ngokucacileyo
- Ubunzima bokuqonda oko kuthethwa ngabanye
I-Cardiopulmonary Bypass yiteknoloji emangalisayo enceda ekusindiseni ubomi imihla ngemihla. Kuqhelekile ukuba nexhala malunga nokuba intliziyo yakho kunye nemiphunga yakho ithathwe ngumatshini onje. Kodwa thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nale nkqubo. Ungafunda okungakumbi ngale nkqubo apha: ne_BODY:
Xa ugqirha ekuxelela okanye umntu omaziyo ukuba udinga utyando lwentliziyo evulekileyo, kuyinto eqhelekileyo ukuziva unexhala kancinci. Mhlawumbi ukhe weva amabali anje "utyando lwenziwa emva kokuba intliziyo iyekile." Kwenziwa njani oko ngokwenene? Igazi lihamba njani liye emzimbeni xa intliziyo iyekile? Ifumana njani ioksijini? Impendulo yaloo mibuzo ngumatshini wentliziyo nemiphunga esiza kuthetha ngawo, okanye ngokwezonyango, iCardiopulmonary Bypass . Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni iCardiopulmonary Bypass?
Nangona eli gama lisenokubonakala lide kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye libe ngamazwi.
- I-Cardio ngumdlalo wakhoEntliziyweni .
- I-Pulmonary ibhekisa kwimiphunga yakho .
- Ukudlula kuthetha ukuphepha into ethile.
Ngamafutshane, iCardiopulmonary Bypass yinkqubo apho ukuhamba kwegazi emzimbeni kugqithwa okwethutyana yintliziyo nemiphunga ngexesha lotyando lwentliziyo kwaye kuqondiswa ngomatshini okhethekileyo ongaphandle komzimba. Lo matshini ukwabizwa ngokuba ngumatshini wentliziyo nemiphunga .
Khawucinge ngokulungiswa okukhulu kwendlela. Ngelo xesha, izithuthi zijikiswa ziye kwenye indlela de umsebenzi ugqitywe? Yiloo nto eyenzekayo apha. Kulula ukuba ugqirha otyandayo atyande intliziyo xa intliziyo ingashayi kwaye ingazaliswanga ligazi. Ngoko ke lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga. Oko kuthetha ukuba:
- Iqokelela igazi eliphelelwe yioksijini emzimbeni.
- Ioksijini entsha yongezwa kwelo gazi.
- I-carbon dioxide iyasuswa egazini.
- Eli gazi licociweyo, elineoksijini liyapompelwa emzimbeni .
Ngale ndlela, igazi elineoksijini linikezelwa rhoqo kuzo zonke ezinye izitho zomzimba kulo lonke utyando. Le nkqubo ibizwa ngokuba "kwipompo." Ngokwesiqhelo, isisombululo esikhethekileyo seyeza esibizwa ngokuba yi-"cardioplegia" sinikwa ukuze siyeke intliziyo.
Ngaba iCardiopulmonary Bypass kunye neCABG zahlukile?
Le yinto ebangela ukuba abantu abaninzi badideke ngayo. Ezi zinto zimbini azifani, kodwa zihlala zisenzeka kunye.
- I-CABG (Coronary Artery Bypass Grafting) ligama lotyando . Olu lutyando oludala indlela entsha (bypass) yokuba igazi lihambe ngemithambo yentliziyo ehambisa igazi entliziyweni xa ivalwe ngamanqatha.
- I-Cardiopulmonary Bypass yindlela esetyenziswa ngexesha lotyando lwe-CABG (kunye nolunye utyando lwentliziyo). Yindlela esetyenziswa ukudlula intliziyo nemiphunga ukunceda ugqirha otyandayo enze utyando lwe-CABG ngokulula nangokukhuselekileyo.
Ngamafutshane, i-CABG ifana nokwakha injini yemoto. I-Cardiopulmonary Bypass ifana nokudibanisa ibhetri eyahlukileyo ngaphandle kwemoto ukuze inike amandla izinto ezifana nezibane kunye ne-AC ngelixa isakha injini.
Zeziphi iintlobo zotyando ezifuna le ndlela?
I-Cardiopulmonary Bypass idla ngokufunekayo kolu tyando lulandelayo:
- Ukufakelwa kweCoronary Artery Bypass (CABG)
- Utyando lwe-aneurysms
- Utyando lokufakelwa intliziyo
- Utyando lwevalvu yentliziyo (ukulungiswa okanye ukutshintshwa kwevalvu yentliziyo)
- Utyando lokufakelwa imiphunga
Isebenza njani le matshini yentliziyo nemiphunga?
Lo matshini ufana nentliziyo yexeshana kunye nemiphunga emibini engaphandle komzimba. Makhe sijonge imisebenzi ephambili oyenzayo.
| Umsebenzi womatshini | Kalula nje... |
|---|---|
| Ukususa igazi entliziyweni | Igazi lomzimba eliphelelwe yioksijini litsalwa kumatshini. |
| Ukongeza ioksijini kunye nokususa i-CO2 | Yile nto kanye eyenziwa yimiphunga yethu. Yongeza ioksijini egazini kwaye isusa ikharbon diokside. |
| Ulawulo lobushushu begazi kunye namanqanaba e-electrolyte | Inceda ekunciphiseni ubushushu bomzimba okanye ukuyigcina ikwinqanaba elifunekayo ngexesha lotyando. |
| Ukumpompa igazi elinomoya-mpilo | Yile nto kanye eyenziwa yintliziyo yethu. Isasaza igazi elinomoya-mpilo emzimbeni wonke. |
| Ukunika amayeza athintela intliziyo | Ukuze kube lula kugqirha otyandayo ukusebenza, ugqirha uza kunika amayeza afunekayo (cardioplegia) ukuze amise intliziyo okwethutyana. |
Zeziphi iindawo eziphambili zomatshini?
Lo matshini udibaniso lwamacandelo aliqela.
- IiCannula: Ezi ziityhubhu ezikhethekileyo eziqhagamshelwe kwimithambo yegazi yomzimba wakho kwaye zisetyenziselwa ukuqokelela igazi kumatshini kwaye zilibuyisele emzimbeni wakho.
- Idama: Itanki eliqokelela igazi eliphelelwe yioksijini emzimbeni.
- I-oxygenator: Le yinxalenye esebenza njengomphunga wokwenziwa. Kulapho i-oxygen yongezwa khona egazini.
- Impompo: Le yintliziyo yokwenziwa. Ipompa igazi elineoksijini libuyele emzimbeni ngoxinzelelo olufanelekileyo.
Amanyathelo ale nkqubo ngexesha lotyando
Le yinkqubo ecwangcisiweyo kakhulu eyenziwa liqela leengcali. Eli qela liquka ugqirha wotyando, ingcali yokubulala iintlungu, kunye nengcali yokukhupha iintlungu efumene uqeqesho olukhethekileyo lokusebenzisa lo matshini.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela umatshini | Akufuneki kubekho amaqamza omoya ngaphakathi kwimibhobho yomatshini. Ukuba ayangena emzimbeni aze abangele imeko eyingozi (i-air embolism). Ngoko ke, umatshini uzaliswa ngesisombululo esikhethekileyo kwaye umoya ususwe ngokupheleleyo. |
| 2. Ukunika amayeza okunciphisa igazi | Imithambo yethu yegazi ineeseli zendalo ezithintela igazi ukuba lingaqini. Kodwa ngaphakathi kwimibhobho yeplastiki yomatshini, igazi linokuqini lula. Ukuthintela oku, kunikwa isithambisi segazi esifana ne -heparin . |
| 3. Ukudibanisa nomatshini | Iqela lezonyango liza kukudibanisa nomatshini wentliziyo nemiphunga. Ngeli xesha, intliziyo nemiphunga yakho isasebenza. Baza kuqinisekisa ukuba yonke into isebenza kakuhle. |
| 4. Ukuyeka kwentliziyo nemiphunga | Xa yonke into isebenza kakuhle, i-cardioplegia inikwa ukuze kumiswe intliziyo okwethutyana. I-ventilator oqhagamshelwe kuyo nayo icinyiwe. Umatshini wentliziyo nemiphunga ngoku uthatha indawo yawo. |
| 5. Ukubeka iliso ngexesha lotyando | Ngelixa ugqirha esenza utyando, ingcali yotyando iyaqhubeka nokujonga umatshini kunye nemeko yomzimba wakho (ubushushu, uxinzelelo, njl.njl.). |
| 6. Ukususa kumatshini | Emva kokuba utyando lugqityiwe, iqela lezonyango liza kuyiqalisa kwakhona intliziyo yakho ngononophelo lize livumele imiphunga yakho ukuba isebenze kwakhona. Emva koko, uza kususwa kancinci kancinci kumatshini. |
Ingaba le ndlela ikhuselekile? Zithini iingozi zayo?
Njengakwezinye iindlela zotyando, kukho iingozi ezibandakanyekileyo kule nkqubo. Kodwa yindlela ephumelela kakhulu eyenziwa yonke imihla kwihlabathi liphela. Iqela lakho lezonyango liqeqeshwe kakuhle ukulawula ezi ngozi. Iingozi zixhomekeke kwimpilo yakho ngaphambi kotyando kunye nobude bexesha oqhagamshelwe ngalo kumatshini. Ngokubanzi, iingozi ziphantsi ukuba usebenzisa umatshini ixesha elingaphantsi kweeyure ezintathu.
Ezinye iingxaki ezinokubakho zezi:
- Ukopha
- Ukugabha kwegazi
- Istroke
- Ukonakala kwengqondo, imiphunga, okanye izintso
- Ukuvuvukala emzimbeni
- Ukusilela kwamalungu amaninzi - oku kunqabile kakhulu.
Ukuba unenkxalabo malunga nezi ngozi, thetha nogqirha wakho ngazo ngokucacileyo ngaphambi kotyando ukuze ube nokuqonda okucacileyo.
Ixesha lokuchacha kunye nexesha lokubona ugqirha
Ixesha lokuchacha emva kotyando liyahluka kumntu nomntu. Kuxhomekeke kuhlobo lotyando olwenzileyo, iminyaka yakho, kunye nempilo yakho iyonke. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kunye nokuya kwiindibano zakho ngexesha.
Ingxamiseko!
Ukuba kukho naziphi na iimpawu zestroke ezilandelayo, yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane okanye utsalele umnxeba inkonzo ye-ambulensi ku-1990.
- Ubunzima bokuhamba, ukulahlekelwa yibhalansi
- Ukurhawuzelela okanye ubuthathaka kwelinye icala lomzimba
- Ukukhubeka kancinci xa uthetha
- Ukudideka ngequbuliso
- Ubunzima bokubona ngokucacileyo
- Ubunzima bokuqonda oko kuthethwa ngabanye
I-Cardiopulmonary Bypass yiteknoloji emangalisayo enceda ekusindiseni ubomi imihla ngemihla. Kuqhelekile ukuba nexhala malunga nokuba intliziyo yakho kunye nemiphunga yakho ithathwe ngumatshini onje. Kodwa thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nale nkqubo. Ungafunda okungakumbi ngale nkqubo apha: ne_BODY:
Xa ugqirha ekuxelela okanye umntu omaziyo ukuba udinga utyando lwentliziyo evulekileyo, kuyinto eqhelekileyo ukuziva unexhala kancinci. Mhlawumbi ukhe weva amabali anje "utyando lwenziwa emva kokuba intliziyo iyekile." Kwenziwa njani oko ngokwenene? Igazi lihamba njani liye emzimbeni xa intliziyo iyekile? Ifumana njani ioksijini? Impendulo yaloo mibuzo ngumatshini wentliziyo nemiphunga esiza kuthetha ngawo, okanye ngokwezonyango, iCardiopulmonary Bypass . Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni iCardiopulmonary Bypass?
Nangona eli gama lisenokubonakala lide kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye libe ngamazwi.
- I-Cardio yenzelwe intliziyo yakho.
- I-Pulmonary ibhekisa kwimiphunga yakho .
- Ukudlula kuthetha ukuphepha into ethile.
Ngamafutshane, iCardiopulmonary Bypass yinkqubo apho ukuhamba kwegazi emzimbeni kugqithwa okwethutyana yintliziyo nemiphunga ngexesha lotyando lwentliziyo kwaye kuqondiswa ngomatshini okhethekileyo ongaphandle komzimba. Lo matshini ukwabizwa ngokuba ngumatshini wentliziyo nemiphunga .
Khawucinge ngokulungiswa okukhulu kwendlela. Ngelo xesha, izithuthi zijikiswa ziye kwenye indlela de umsebenzi ugqitywe? Yiloo nto eyenzekayo apha. Kulula ukuba ugqirha otyandayo atyande intliziyo xa intliziyo ingashayi kwaye ingazaliswanga ligazi. Ngoko ke lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga. Oko kuthetha ukuba:
- Iqokelela igazi eliphelelwe yioksijini emzimbeni.
- Ioksijini entsha yongezwa kwelo gazi.
- I-carbon dioxide iyasuswa egazini.
- Eli gazi licociweyo, elineoksijini liyapompelwa emzimbeni .
Ngale ndlela, igazi elineoksijini linikezelwa rhoqo kuzo zonke ezinye izitho zomzimba kulo lonke utyando. Le nkqubo ibizwa ngokuba "kwipompo." Ngokwesiqhelo, isisombululo esikhethekileyo seyeza esibizwa ngokuba yi-"cardioplegia" sinikwa ukuze siyeke intliziyo.
Ngaba iCardiopulmonary Bypass kunye neCABG zahlukile?
Le yinto ebangela ukuba abantu abaninzi badideke ngayo. Ezi zinto zimbini azifani, kodwa zihlala zisenzeka kunye.
- I-CABG (iCoronary Artery Bypass Grafting) ligama lotyando.Olu lutyando oludala indlela entsha (i-bypass) yokuba igazi lihambe ngemithambo yentliziyo ehambisa igazi entliziyweni xa ivalwe ngamanqatha.
- I-Cardiopulmonary Bypass yindlela esetyenziswa ngexesha lotyando lwe-CABG (kunye nolunye utyando lwentliziyo). Yindlela esetyenziswa ukudlula intliziyo nemiphunga ukunceda ugqirha otyandayo enze utyando lwe-CABG ngokulula nangokukhuselekileyo.
Ngamafutshane, i-CABG ifana nokwakha injini yemoto. I-Cardiopulmonary Bypass ifana nokudibanisa ibhetri eyahlukileyo ngaphandle kwemoto ukuze inike amandla izinto ezifana nezibane kunye ne-AC ngelixa isakha injini.
Zeziphi iintlobo zotyando ezifuna le ndlela?
I-Cardiopulmonary Bypass idla ngokufunekayo kolu tyando lulandelayo:
- Ukufakelwa kweCoronary Artery Bypass (CABG)
- Utyando lwe-aneurysms
- Utyando lokufakelwa intliziyo
- Utyando lwevalvu yentliziyo (ukulungiswa okanye ukutshintshwa kwevalvu yentliziyo)
- Utyando lokufakelwa imiphunga
Isebenza njani le matshini yentliziyo nemiphunga?
Lo matshini ufana nentliziyo yexeshana kunye nemiphunga emibini engaphandle komzimba. Makhe sijonge imisebenzi ephambili oyenzayo.
| Umsebenzi womatshini | Kalula nje... |
|---|---|
| Ukususa igazi entliziyweni | Igazi lomzimba eliphelelwe yioksijini litsalwa kumatshini. |
| Ukongeza ioksijini kunye nokususa i-CO2 | Yile nto kanye eyenziwa yimiphunga yethu. Yongeza ioksijini egazini kwaye isusa ikharbon diokside. |
| Ulawulo lobushushu begazi kunye namanqanaba e-electrolyte | Inceda ekunciphiseni ubushushu bomzimba okanye ukuyigcina ikwinqanaba elifunekayo ngexesha lotyando. |
| Ukumpompa igazi elinomoya-mpilo | Yile nto kanye eyenziwa yintliziyo yethu. Isasaza igazi elinomoya-mpilo emzimbeni wonke. |
| Ukunika amayeza athintela intliziyo | Ukuze kube lula kugqirha otyandayo ukusebenza, ugqirha uza kunika amayeza afunekayo (cardioplegia) ukuze amise intliziyo okwethutyana. |
Zeziphi iindawo eziphambili zomatshini?
Lo matshini udibaniso lwamacandelo aliqela.
- IiCannula: Ezi ziityhubhu ezikhethekileyo eziqhagamshelwe kwimithambo yegazi yomzimba wakho kwaye zisetyenziselwa ukuqokelela igazi kumatshini kwaye zilibuyisele emzimbeni wakho.
- Idama: Itanki eliqokelela igazi eliphelelwe yioksijini emzimbeni.
- I-oxygenator: Le yinxalenye esebenza njengomphunga wokwenziwa. Kulapho i-oxygen yongezwa khona egazini.
- Impompo: Le yintliziyo yokwenziwa. Ipompa igazi elineoksijini libuyele emzimbeni ngoxinzelelo olufanelekileyo.
Amanyathelo ale nkqubo ngexesha lotyando
Le yinkqubo ecwangcisiweyo kakhulu eyenziwa liqela leengcali. Eli qela liquka ugqirha wotyando, ingcali yokubulala iintlungu, kunye nengcali yokukhupha iintlungu efumene uqeqesho olukhethekileyo lokusebenzisa lo matshini.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela umatshini | Akufuneki kubekho amaqamza omoya ngaphakathi kwimibhobho yomatshini. Ukuba ayangena emzimbeni aze abangele imeko eyingozi (i-air embolism). Ngoko ke, umatshini uzaliswa ngesisombululo esikhethekileyo kwaye umoya ususwe ngokupheleleyo. |
| 2. Ukunika amayeza okunciphisa igazi | Imithambo yethu yegazi ineeseli zendalo ezithintela igazi ukuba lingaqini. Kodwa ngaphakathi kwimibhobho yeplastiki yomatshini, igazi linokuqini lula. Ukuthintela oku, kunikwa isithambisi segazi esifana ne -heparin . |
| 3. Ukudibanisa nomatshini | Iqela lezonyango liza kukudibanisa nomatshini wentliziyo nemiphunga. Ngeli xesha, intliziyo nemiphunga yakho isasebenza. Baza kuqinisekisa ukuba yonke into isebenza kakuhle. |
| 4. Ukuyeka kwentliziyo nemiphunga | Xa yonke into isebenza kakuhle, i-cardioplegia inikwa ukuze kumiswe intliziyo okwethutyana. I-ventilator oqhagamshelwe kuyo nayo icinyiwe. Umatshini wentliziyo nemiphunga ngoku uthatha indawo yawo. |
| 5. Ukubeka iliso ngexesha lotyando | Ngelixa ugqirha esenza utyando, ingcali yotyando iyaqhubeka nokujonga umatshini kunye nemeko yomzimba wakho (ubushushu, uxinzelelo, njl.njl.). |
| 6. Ukususa kumatshini | Emva kokuba utyando lugqityiwe, iqela lezonyango liza kuyiqalisa kwakhona intliziyo yakho ngononophelo lize livumele imiphunga yakho ukuba isebenze kwakhona. Emva koko, uza kususwa kancinci kancinci kumatshini. |
Ingaba le ndlela ikhuselekile? Zithini iingozi zayo?
Njengakwezinye iindlela zotyando, kukho iingozi ezibandakanyekileyo kule nkqubo. Kodwa yindlela ephumelela kakhulu eyenziwa yonke imihla kwihlabathi liphela. Iqela lakho lezonyango liqeqeshwe kakuhle ukulawula ezi ngozi. Iingozi zixhomekeke kwimpilo yakho ngaphambi kotyando kunye nobude bexesha oqhagamshelwe ngalo kumatshini. Ngokubanzi, iingozi ziphantsi ukuba usebenzisa umatshini ixesha elingaphantsi kweeyure ezintathu.
Ezinye iingxaki ezinokubakho zezi:
- Ukopha
- Ukugabha kwegazi
- Istroke
- Ukonakala kwengqondo, imiphunga, okanye izintso
- Ukuvuvukala emzimbeni
- Ukusilela kwamalungu amaninzi - oku kunqabile kakhulu.
Ukuba unenkxalabo malunga nezi ngozi, thetha nogqirha wakho ngazo ngokucacileyo ngaphambi kotyando ukuze ube nokuqonda okucacileyo.
Ixesha lokuchacha kunye nexesha lokubona ugqirha
Ixesha lokuchacha emva kotyando liyahluka kumntu nomntu. Kuxhomekeke kuhlobo lotyando olwenzileyo, iminyaka yakho, kunye nempilo yakho iyonke. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kunye nokuya kwiindibano zakho ngexesha.
Ingxamiseko!
Ukuba kukho naziphi na iimpawu zestroke ezilandelayo, yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane okanye utsalele umnxeba inkonzo ye-ambulensi ku-1990.
- Ubunzima bokuhamba, ukulahlekelwa yibhalansi
- Ukurhawuzelela okanye ubuthathaka kwelinye icala lomzimba
- Ukukhubeka kancinci xa uthetha
- Ukudideka ngequbuliso
- Ubunzima bokubona ngokucacileyo
- Ubunzima bokuqonda oko kuthethwa ngabanye
I-Cardiopulmonary Bypass yiteknoloji emangalisayo enceda ekusindiseni ubomi imihla ngemihla. Kuqhelekile ukuba nexhala malunga nokuba intliziyo yakho kunye nemiphunga yakho ithathwe ngumatshini onje. Kodwa thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nale nkqubo. Ungafunda okungakumbi ngale nkqubo apha: ne_BODY:
Xa ugqirha ekuxelela okanye umntu omaziyo ukuba udinga utyando lwentliziyo evulekileyo, kuyinto eqhelekileyo ukuziva unexhala kancinci. Mhlawumbi ukhe weva amabali anje "utyando lwenziwa emva kokuba intliziyo iyekile." Kwenziwa njani oko ngokwenene? Igazi lihamba njani liye emzimbeni xa intliziyo iyekile? Ifumana njani ioksijini? Impendulo yaloo mibuzo ngumatshini wentliziyo nemiphunga esiza kuthetha ngawo, okanye ngokwezonyango, iCardiopulmonary Bypass . Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni iCardiopulmonary Bypass?
Nangona eli gama lisenokubonakala lide kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye libe ngamazwi.
- I-Cardio yenzelwe intliziyo yakho.
- I-Pulmonary ibhekisa kwimiphunga yakho .
- Ukudlula kuthetha ukuphepha into ethile.
Ngamafutshane, iCardiopulmonary Bypass yinkqubo apho ukuhamba kwegazi emzimbeni kugqithwa okwethutyana yintliziyo nemiphunga ngexesha lotyando lwentliziyo kwaye kuqondiswa ngomatshini okhethekileyo ongaphandle komzimba. Lo matshini ukwabizwa ngokuba ngumatshini wentliziyo nemiphunga .
Khawucinge ngokulungiswa okukhulu kwendlela. Ngelo xesha, izithuthi zijikiswa ziye kwenye indlela de umsebenzi ugqitywe? Yiloo nto eyenzekayo apha. Kulula ukuba ugqirha otyandayo atyande intliziyo xa intliziyo ingashayi kwaye ingazaliswanga ligazi. Ngoko ke lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga. Oko kuthetha ukuba:
- Iqokelela igazi eliphelelwe yioksijini emzimbeni.
- Ioksijini entsha yongezwa kwelo gazi.
- I-carbon dioxide iyasuswa egazini.
- Eli gazi licociweyo, elineoksijini liyapompelwa emzimbeni .
Ngale ndlela, igazi elineoksijini linikezelwa rhoqo kuzo zonke ezinye izitho zomzimba kulo lonke utyando. Le nkqubo ibizwa ngokuba "kwipompo." Ngokwesiqhelo, isisombululo esikhethekileyo seyeza esibizwa ngokuba yi-"cardioplegia" sinikwa ukuze siyeke intliziyo.
Ngaba iCardiopulmonary Bypass kunye neCABG zahlukile?
Le yinto ebangela ukuba abantu abaninzi badideke ngayo. Ezi zinto zimbini azifani, kodwa zihlala zisenzeka kunye.
- I-CABG (Coronary Artery Bypass Grafting) ligama lotyando . Olu lutyando oludala indlela entsha (bypass) yokuba igazi lihambe ngemithambo yentliziyo ehambisa igazi entliziyweni xa ivalwe ngamanqatha.
- I-Cardiopulmonary Bypass yindlela esetyenziswa ngexesha lotyando lwe-CABG (kunye nolunye utyando lwentliziyo). Yindlela esetyenziswa ukudlula intliziyo nemiphunga ukunceda ugqirha otyandayo enze utyando lwe-CABG ngokulula nangokukhuselekileyo.
Ngamafutshane, i-CABG ifana nokwakha injini yemoto. I-Cardiopulmonary Bypass ifana nokudibanisa ibhetri eyahlukileyo ngaphandle kwemoto ukuze inike amandla izinto ezifana nezibane kunye ne-AC ngelixa isakha injini.
Zeziphi iintlobo zotyando ezifuna le ndlela?
I-Cardiopulmonary Bypass idla ngokufunekayo kolu tyando lulandelayo:
- Ukufakelwa kweCoronary Artery Bypass (CABG)
- Utyando lwe-aneurysms
- Utyando lokufakelwa intliziyo
- Utyando lwevalvu yentliziyo (ukulungiswa okanye ukutshintshwa kwevalvu yentliziyo)
- Utyando lokufakelwa imiphunga
Isebenza njani le matshini yentliziyo nemiphunga?
Lo matshini ufana nentliziyo yexeshana kunye nemiphunga emibini engaphandle komzimba. Makhe sijonge imisebenzi ephambili oyenzayo.
| Umsebenzi womatshini | Kalula nje... |
|---|---|
| Ukususa igazi entliziyweni | Igazi lomzimba eliphelelwe yioksijini litsalwa kumatshini. |
| Ukongeza ioksijini kunye nokususa i-CO2 | Yile nto kanye eyenziwa yimiphunga yethu. Yongeza ioksijini egazini kwaye isusa ikharbon diokside. |
| Ulawulo lobushushu begazi kunye namanqanaba e-electrolyte | Inceda ekunciphiseni ubushushu bomzimba okanye ukuyigcina ikwinqanaba elifunekayo ngexesha lotyando. |
| Ukumpompa igazi elinomoya-mpilo | Yile nto kanye eyenziwa yintliziyo yethu. Isasaza igazi elinomoya-mpilo emzimbeni wonke. |
| Ukunika amayeza athintela intliziyo | Ukuze kube lula kugqirha otyandayo ukusebenza, ugqirha uza kunika amayeza afunekayo (cardioplegia) ukuze amise intliziyo okwethutyana. |
Zeziphi iindawo eziphambili zomatshini?
Lo matshini udibaniso lwamacandelo aliqela.
- IiCannula: Ezi ziityhubhu ezikhethekileyo eziqhagamshelwe kwimithambo yegazi yomzimba wakho kwaye zisetyenziselwa ukuqokelela igazi kumatshini kwaye zilibuyisele emzimbeni wakho.
- Idama: Itanki eliqokelela igazi eliphelelwe yioksijini emzimbeni.
- I-oxygenator: Le yinxalenye esebenza njengomphunga wokwenziwa. Kulapho i-oxygen yongezwa khona egazini.
- Impompo: Le yintliziyo yokwenziwa. Ipompa igazi elineoksijini libuyele emzimbeni ngoxinzelelo olufanelekileyo.
Amanyathelo ale nkqubo ngexesha lotyando
Le yinkqubo ecwangcisiweyo kakhulu, eyenziwa liqela leengcali. Ugqirha wotyando, ingcali yokubulala iintlungu, kunye nengcali yokukhupha igazi efumene uqeqesho olukhethekileyo lokusebenzisa lo matshini.Umntu ungomnye weli qela.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela umatshini | Akufuneki kubekho amaqamza omoya ngaphakathi kwimibhobho yomatshini. Ukuba ayangena emzimbeni aze abangele imeko eyingozi (i-air embolism). Ngoko ke, umatshini uzaliswa ngesisombululo esikhethekileyo kwaye umoya ususwe ngokupheleleyo. |
| 2. Ukunika amayeza okunciphisa igazi | Imithambo yethu yegazi ineeseli zendalo ezithintela igazi ukuba lingaqini. Kodwa ngaphakathi kwimibhobho yeplastiki yomatshini, igazi linokuqini lula. Ukuthintela oku, kunikwa isithambisi segazi esifana ne -heparin . |
| 3. Ukudibanisa nomatshini | Iqela lezonyango liza kukudibanisa nomatshini wentliziyo nemiphunga. Ngeli xesha, intliziyo nemiphunga yakho isasebenza. Baza kuqinisekisa ukuba yonke into isebenza kakuhle. |
| 4. Ukuyeka kwentliziyo nemiphunga | Xa yonke into isebenza kakuhle, i-cardioplegia inikwa ukuze kumiswe intliziyo okwethutyana. I-ventilator oqhagamshelwe kuyo nayo icinyiwe. Umatshini wentliziyo nemiphunga ngoku uthatha indawo yawo. |
| 5. Ukubeka iliso ngexesha lotyando | Ngelixa ugqirha esenza utyando, ingcali yotyando iyaqhubeka nokujonga umatshini kunye nemeko yomzimba wakho (ubushushu, uxinzelelo, njl.njl.). |
| 6. Ukususa kumatshini | Emva kokuba utyando lugqityiwe, iqela lezonyango liza kuyiqalisa kwakhona intliziyo yakho ngononophelo lize livumele imiphunga yakho ukuba isebenze kwakhona. Emva koko, uza kususwa kancinci kancinci kumatshini. |
Ingaba le ndlela ikhuselekile? Zithini iingozi zayo?
Njengakwezinye iindlela zotyando, kukho iingozi ezibandakanyekileyo kule nkqubo. Kodwa yindlela ephumelela kakhulu eyenziwa yonke imihla kwihlabathi liphela. Iqela lakho lezonyango liqeqeshwe kakuhle ukulawula ezi ngozi. Iingozi zixhomekeke kwimpilo yakho ngaphambi kotyando kunye nobude bexesha oqhagamshelwe ngalo kumatshini. Ngokubanzi, iingozi ziphantsi ukuba usebenzisa umatshini ixesha elingaphantsi kweeyure ezintathu.
Ezinye iingxaki ezinokubakho zezi:
- Ukopha
- Ukugabha kwegazi
- Istroke
- Ukonakala kwengqondo, imiphunga, okanye izintso
- Ukuvuvukala emzimbeni
- Ukusilela kwamalungu amaninzi - oku kunqabile kakhulu.
Ukuba unenkxalabo malunga nezi ngozi, thetha nogqirha wakho ngazo ngokucacileyo ngaphambi kotyando ukuze ube nokuqonda okucacileyo.
Ixesha lokuchacha kunye nexesha lokubona ugqirha
Ixesha lokuchacha emva kotyando liyahluka kumntu nomntu. Kuxhomekeke kuhlobo lotyando olwenzileyo, iminyaka yakho, kunye nempilo yakho iyonke. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kunye nokuya kwiindibano zakho ngexesha.
Ingxamiseko!
Ukuba kukho naziphi na iimpawu zestroke ezilandelayo, yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane okanye utsalele umnxeba inkonzo ye-ambulensi ku-1990.
- Ubunzima bokuhamba, ukulahlekelwa yibhalansi
- Ukurhawuzelela okanye ubuthathaka kwelinye icala lomzimba
- Ukukhubeka kancinci xa uthetha
- Ukudideka ngequbuliso
- Ubunzima bokubona ngokucacileyo
- Ubunzima bokuqonda oko kuthethwa ngabanye
I-Cardiopulmonary bypass yiteknoloji emangalisayo enceda ekusindiseni ubomi imihla ngemihla. Kuqhelekile ukuba nexhala malunga nokuba intliziyo yakho kunye nemiphunga yakho ithathwe ngumatshini onje. Kodwa thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Okukhona ufunda ngakumbi ngale nkqubo, kokukhona uya kuncipha uvalo ngomhla wotyando lwakho.
Umyalezo Wokuya Ekhaya
- I-Cardiopulmonary Bypass yinkqubo esebenzisa umatshini ukuthatha okwethutyana umsebenzi wentliziyo nemiphunga ngexesha lotyando olukhulu lwentliziyo.
- Oku kuvumela ugqirha ukuba enze utyando ngokukhuselekileyo nangokulula kwintliziyo engavuziyo nengenagazi.
- Lo matshini uhlala unika umzimba igazi elineoksijini eninzi ngexesha lotyando.
- Ngenxa yoku, iqela loogqirha abaziingcali (ugqirha wotyando, ingcali yokubulala iintlungu, ingcali yokukhupha igazi) lisebenzisana.
- Njengakuyo yonke into yotyando, kukho iingozi, kodwa iqela lezonyango liqeqeshwe ukuzilawula.
- Kubaluleke kakhulu ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onokuba nalo ngaphambi kotyando.
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