Kuqhelekile ukuba noloyiko kancinci kwaye uzive uxhalabile xa ugqirha wakho ekuxelela okanye umntu okwintsapho yakho ukuba udinga i-bypass. Ekubeni olu lutyando olukhulu, unokuba nemibuzo emininzi. "Yintoni le?", "Kutheni ndiyidinga le?", "Ingaba iyingozi le?" Izinto ezinjalo zinokufika engqondweni. Ngoko ke namhlanje, masithethe ngolu tyando lwe-bypass, okanye i-Coronary Artery Bypass Grafting (CABG) njengoko yaziwa ngokwezonyango, kwaye abanye abantu balubiza ngothando ngokuthi "ikhaphetshu," kwaye masithethe ngalo ngamazwi alula.
Kutheni udinga olu tyando lwe-bypass?
Cinga ngentliziyo yethu njengenjini epompa igazi emzimbeni wethu wonke. Le njini ikwafuna igazi ukuze isebenze kakuhle, akunjalo? Ewe, kukho inethiwekhi eyahlukileyo yemithambo yegazi ehambisa igazi entliziyweni ngokwayo. Le mithambo yegazi siyibiza ngokuba yimithambo yegazi yentliziyo.
Ngamanye amaxesha, izinto ezifana neoyile kunye ne-cholesterol ziyaqokelelana ngaphakathi kwezi mithambo yegazi, njenge-cork kumbhobho wamanzi, kwaye iidiphozithi ezibizwa ngokuba yi-'plaque' form . Emva koko le mithambo yegazi iba mxinwa, kwaye ngamanye amaxesha ide ivaleke ngokupheleleyo. Xa oku kusenzeka, ezinye iindawo zentliziyo azifumani igazi ezilifunayo. Le meko siyibiza ngokuba yi-'ischemia' .
Ngamafutshane, i-ischemia kukungabikho kwegazi eliya kwimisipha yentliziyo. Ukuba oku kuba nzima, iiseli zemisipha yentliziyo ziqala ukufa. Oku sikubiza ngokuba kukuhlaselwa yintliziyo .
Ngoko ke, into eyenziwa lutyando lwe-bypass kukudala indlela entsha yokuba igazi lidlule lo mthambo wegazi uvaliweyo, indlela 'yokudlula' . Oku kuvumela igazi ukuba lihambe ngokufanelekileyo liye kwindawo echaphazelekayo yentliziyo kwakhona.
Kwenzeka ntoni ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, alunakwenziwa ngaxeshanye. Ngaphambi koko, kuya kwenziwa uvavanyo oluninzi ukuze kuqondwe ngcono impilo yakho yomzimba. Luya kukulungiselela ngokwengqondo nangokomzimba utyando.
Uvavanyo lwangaphambi kotyando
Kunokwenziwa uvavanyo oluninzi ukuqinisekisa ukuba olu tyando lufanelekile na kuwe kwaye lukhuselekile.
| Igama lovavanyo | Kalula nje... |
|---|---|
| I-Electrocardiogram (ECG/EKG) | Ukuvavanya ukusebenza kombane kwentliziyo. |
| I-Echocardiogram | Iskeni esijonga umsebenzi kunye nolwakhiwo lwentliziyo. |
| Uvavanyo loxinzelelo lomzimba | Ukubona indlela intliziyo esabela ngayo xa isenza umthambo. |
| I-Catheterization yentliziyo/i-Angiogram | Uvavanyo olulinganisa ngqo ukuba imithambo yegazi entliziyweni ivalekile kangakanani. |
| Uvavanyo lwegazi nomchamo | Ukujonga izinto ezifana ne-cholesterol, amanqanaba eswekile, kunye nokusebenza kwezintso. |
Ndikwazisa
Ugqirha wakho kunye nabasebenzi basesibhedlele baza kuthetha nawe baze bakuchazele oku kulandelayo:
- Amayeza owasebenzisayo: Uza kuxelelwa ukuba zeziphi amayeza ekufuneka uqhubeke uwasebenzisa kunye namayeza ekufuneka uyeke ukuwasebenzisa ngaphambi kotyando.
- Ukulungiselela utyando: Uza kuxelelwa izinto ezininzi, njengesepha ekhethekileyo oza kuyisebenzisa ngaphambi kotyando, ukuba kukho umntu oza kukwazi ukunceda ekhaya, kunye nento oza kuyitya nokusela.
- Emva kotyando: Uza kwaziswa kwangaphambili malunga nexesha lokuchacha, indlela oza kuziva ngayo, kunye neempawu ekufuneka uziqaphele.
Kwenzeka ntoni ngexesha lotyando?
Olu lutyando oluntsonkothileyo oluthatha iiyure ezininzi. La ngamanyathelo adla ngokulandelwa.
1. I-Anesthesia kunye nenkxaso yobomi: Okokuqala, uza kulaliswa ngokupheleleyo. Ngoko awuyi kuva ntlungu. Emva koko, ukuphefumla kwakho kuya kuqhagamshelwa kwi- ventilator . Kwakhona, kuya kufakwa imigca ye-IV ukuze ikunike amayeza kunye nolwelo.
2. Umatshini wokudlula intliziyo nemiphunga: Ngokuqhelekileyo, lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga ngexesha lotyando. Oku kuvumela oogqirha ukuba bamise intliziyo baze benze utyando kakuhle ngaphandle kokuyishukumisa.
3. Ukudlula: Ukuze kudalwe indlela entsha, kuthathwa icandelo lemithambo yegazi esempilweni kwenye indawo emzimbeni wakho. Oku kudla ngokuvela emlenzeni wakho, engalweni, okanye esifubeni sakho.Unako. Ngokuxhomekeke kwinani lemithambo evalekileyo (umz. 2, 3, 4), kunokufuneka wenze iindlela ezahlukeneyo zokudlula igazi ngolu hlobo. Sizibiza ngokuba ziindlela zokudlula igazi eziphindwe kabini, kathathu, kane.
4. Utyando: Ugqirha wenza utyando phakathi kwesifuba ukuze afikelele entliziyweni. Iqhekeza lomthambo wegazi elisusiweyo lidityaniswa nomthambo oyintloko okhupha igazi entliziyweni (i-aorta) liye komnye umthambo wegazi ongaphantsi kovalo. Kufana nokwakha indlela entsha enqumla indlela evaliweyo.
5. Ukugqitywa kotyando: Emva kokuba i-bypass igqityiwe, intliziyo iyaqalwa kwakhona, ithambo lesifuba liphinde libotshelelwe ngeengcingo, kwaye i-incision iyathungwa.
Iindlela ezahlukeneyo zotyando
Asinguye wonke umntu onesifo sotyando esifanayo. Ngokuxhomekeke kwimeko yakho, iindlela ezahlukeneyo zingasetyenziswa.
| Igama lendlela | Inkcazo |
|---|---|
| I-CABG engasebenziyo kwipompo | Ukwenza utyando ngelixa intliziyo isabetha, ngaphandle kokusebenzisa umatshini wentliziyo nemiphunga. Oku kunzima kancinci. |
| I-CABG engaphantsi kakhulu | Endaweni yokusikwa okukhulu, utyando lwenziwa ngokusikwa okuncinci phakathi kweembambo. |
| I-CABG encediswa yirobhothi | Utyando lwenziwa ngokusikwa okuncinci kusetyenziswa irobhothi elawulwa ngugqirha. |
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kungeniswa kwiYunithi yoKhathalelo oluNgxamisekileyo (ICU) . Abasebenzi abaqeqeshwe ngokukodwa baza kukunyamekela kakuhle. Xa imeko yakho izinzile, uza kudluliselwa kwigumbi eliqhelekileyo. Ngokwesiqhelo uza kuhlala esibhedlele malunga neentsuku ezisi-8-12.
Emva kokuba ubuyele ekhaya, abantu abaninzi bayacelwa ukuba bathathe inxaxheba kwinkqubo yokuvuselela intliziyo . Oku kubaluleke kakhulu. Apha, oogqirha, abahlengikazi, abaqeqeshi bomthambo, kunye neengcali zesondlo basebenzisana ukukunceda ubuyele ekubeni namandla kwaye ube sempilweni.
Ziziphi iingenelo kunye neengozi zalo tyando?
Iingenelo:
- Impumelelo yexesha elide:Olu lutyando oluye lwenziwa ngempumelelo kangangeminyaka emininzi.
- Isisombululo Esihle: Esi sisisombululo esifanelekileyo kubantu abanemithambo yegazi emininzi evalekileyo.
- Imfuneko encinci yokubuyela umva: Xa kwenziwa utyando lwe-bypass, umngcipheko wokuba ingxaki ibuyele umva uphantsi kunakwezinye iindlela zonyango (umz., ukufakwa kwe-stent).
Iingozi:
Olu lutyando olukhulu, ngoko ke kukho iingozi ezithile. Kodwa uninzi lwazo lunokuthintelwa kwaye lunokunyangeka.
- Ukungahambi kakuhle kwesantya sentliziyo (iiArrhythmias): Zinokwenzeka emva kotyando kwaye zihlala zisenzeka okwethutyana.
- Ukopha: Umngcipheko onokubakho walo naluphi na utyando.
- Usulelo: Ezi azixhaphakanga kakhulu ngoku, kodwa kufuneka uqaphele iimpawu ezifana nomkhuhlane kunye nokubanda.
- Iziphumo kwizintso: Zinokwenzeka.
- Ukudideka: Oku kunokwenzeka kangangeentsuku ezimbalwa emva kotyando, ingakumbi kubantu abadala.
Yintoni omawuyenze xa kukho imeko engxamisekileyo?
Ukuba ufumana naziphi na kwezi mpawu ngelixa usekhaya, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko .
- Iintlungu zesifuba
- Ubunzima bokuphefumla
- Ukudinwa (vertigo) okanye ukuquleka
- Ukulahlekelwa yingqondo
- Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza)
- Icala elinye lobuso ligobile, elinye icala lomzimba liphelelwa ngamandla alo
- Ubunzima bokuthetha
- Umkhuhlane okanye ukubanda
Umyalezo Wokuya Ekhaya
- Ukufakelwa kwemithambo yegazi ye-coronary artery bypass (CABG) lutyando oluphumelele kakhulu oludlula imithambo yegazi evalekileyo entliziyweni kwaye lubuyisele ukuhamba kwegazi.
- Kuqhelekile ukuba noloyiko okanye uxhalabele olu tyando. Buza ugqirha wakho nayiphi na imibuzo onayo.
- Kuza kuthatha iiveki ezininzi ukuba uphile ngokupheleleyo emva kotyando. Kubalulekile ukulandela imiyalelo kagqirha wakho ngeli xesha.
- Ukusela amayeza owanikwe ngugqirha wakho ngexesha , ukuthatha inxaxheba kwiinkqubo zokulungisa isifo sentliziyo , kunye nokulandela indlela yokuphila enempilo (ukutya okunempilo, ukuzilolonga) kubaluleke kakhulu ekuchacheni kwakho ixesha elide.
- Ukuba uziva ungonwabanga ngokwengqondo (ukukhathazeka, ixhala) emva kotyando, ungathandabuzi ukuthetha nogqirha wakho ngalo mba.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho