Xa ugqirha esithi, 'Ndifuna ukwenza utyando lwentliziyo oluvulekileyo,' wonke umntu uyoyika kancinci, akunjalo? Kuqhelekile ukuziva usoyika xa umntu esithi kufuneka uvule isifuba sakho. Kodwa yintoni le ngokwenene? Kutheni kufuneka wenze olu tyando? Ungoyiki, siza kuthetha ngale nto ngendlela onokuyiqonda, ngokulula.
Yintoni utyando lwentliziyo evulekileyo?
Ngamafutshane, utyando lwentliziyo evulekileyo luhlobo lotyando apho isifuba sakho sivulwa khona ukuvumela ugqirha ukuba afikelele intliziyo yakho ngokulula. Oku kuvumela oogqirha ukuba bafikelele ngqo entliziyweni yakho baze banyange imeko yentliziyo yakho.
Cinga nje, intliziyo sisitho esifihliweyo esifubeni sethu. Ngoko ke ukuze sifikelele kuyo, oogqirha bayasika phakathi kwesifuba sakho, esibizwa ngokuba yi-sternum okanye i-breastbone , baze bahlukanise isifuba sakho ukuze benze indawo yentliziyo. Abanye abantu bakubiza oku ngokuthi "i-chest flap." Ukuba impilo yakho ilungile ngokwaneleyo ukuba imelane nolu hlobo lotyando, ugqirha wakho unokucebisa le nkqubo.
Kodwa ayinguye wonke umntu odinga olu hlobo lotyando olukhulu. Ngamanye amaxesha, utyando lwentliziyo lunokwenziwa ngokusebenzisa iindlela ezincinci kunye neendlela ezingangenisi kakhulu. Kodwa oko kuxhomekeke kugqirha wakho, emva kokuhlola imeko yakho nempilo yakho.
Loluphi uhlobo lotyando olwenziwa ngokuvula isifuba ngolu hlobo?
Le nkqubo isetyenziswa xa oogqirha befuna ukufikelela ngqo entliziyweni nakwimithambo yegazi ejikelezileyo ukuze banyange izifo ezithile zentliziyo.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| Ukufakelwa kweCoronary Artery Bypass (CABG) | Xa umthambo ohambisa igazi entliziyweni uvalekile, kufakelwa umthambo omtsha ukuze uwuthathe indawo yawo. Olu lolona tyando luqhelekileyo. |
| Ukulungiswa okanye ukutshintshwa kwevalvu yentliziyo | Ukuba iivalvu ezisentliziyweni azisebenzi kakuhle, zingalungiswa okanye kufakwe ivalvu entsha. |
| Ukulungiswa kwesifo sentliziyo esizalwa naso | Ukulungiswa kweemeko ezifana neziphene ze-atrial septal ezikhoyo ekuzalweni. |
| Ukulungiswa kwe-Aneurysm | Ukuba udonga lwentliziyo okanye umthambo wegazi omkhulu uye waba buthathaka waza wavuvukala njengebhaluni, lungisa loo ndawo. |
| Ukufakelwa kwentliziyo | Ukutshintsha intliziyo ephilileyo isuka komnye umntu iye kumntu osebenza intliziyo yakhe phantse ngokupheleleyo (ukusilela kwentliziyo). |
| Ukufakelwa kwezixhobo ezikhethekileyo | Ukufakelwa kwezixhobo ezifana ne-LVAD (Left Ventricular Assist Device) okanye ii-pacemakers ezinceda ukusebenza kwentliziyo. |
Ndingazilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kubaluleke kakhulu ukululungiselela kakuhle. Ufanele ulandele imiyalelo kagqirha wakho ngokuchanekileyo.
Lumka amayeza akho.
Kwiiveki ezimbini ngaphambi kotyando, ugqirha wakho angakucela ukuba uyeke ukusebenzisa amayeza athile akwandisa umngcipheko wakho wokopha. Umzekelo, amayeza okunciphisa igazi afana ne -aspirin kunye ne-warfarin, kunye neziyobisi ezinciphisa iintlungu ezibizwa ngokuba yi-NSAIDs . Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
Malunga nokutya neziselo
Uya kucetyiswa ukuba uzile ukutya (ungatyi okanye usele nantoni na) iiyure ezininzi ngaphambi kotyando. Kukhuselekile ukuba nesisu esingenanto ngexesha lotyando.
Ukutshaya notywala
Ukuba ungumntu otshayayo, ngokuqinisekileyo kufuneka uyeke ukutshaya ngaphambi kotyando. Kukwangumbono olungileyo ukuyeka ukusela utywala. Ezi zinto zinokulibazisa ukuphola kwenxeba kwaye zonyuse umngcipheko weengxaki emva kotyando.
Hlala kude nabantu abagulayo.
Kangangeeveki ezimbini ngaphambi kotyando, hlala kude nabantu abanomkhuhlane okanye iflu. Awufuni ukuba nosulelo lwalo naluphi na uhlobo ngomhla wotyando.
Lwenziwa njani olu tyando?
Kukho iintlobo ezimbini zotyando lwentliziyo.
1. Utyando Lokupompa: Oku kuquka ukudibanisa umatshini wentliziyo nemiphunga entliziyweni yakho. Lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga yakho. Oku kuthetha ukuba intliziyo ipompa igazi emzimbeni, ngelixa igazi limiswa. Ugqirha angenza utyando kwintliziyo emile, engenalo igazi . Nje ukuba utyando lugqityiwe, umatshini uyasuswa, kwaye intliziyo iqala ukusebenza kwakhona.
2. Utyando Olungekho Phampu: Olu lukwabizwa ngokuba "lutyando lwentliziyo olubethayo." Apha, intliziyo ayiyeki. Utyando lwenziwa ngelixa intliziyo ibetha. Nangona kunjalo, le ndlela ingasetyenziselwa kuphela utyando lwe-coronary artery bypass graft (CABG) .
Ngexesha lotyando, ingcali yokubulala iintlungu iza kukwenza ulale ngokupheleleyo kwaye ihlale ijonga imeko yakho, ukuze ungabi nantlungu.
Emva kotyando, ithambo lesifuba liphinda libotshelelwe kusetyenziswa iingcingo okanye izitishi ezikhethekileyo. Ezi zihlala emzimbeni ubomi bonke. Emva koko isikeko solusu sivalwa ngezitishi.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kugcinwa kwigumbi labagula kakhulu (ICU) usuku olunye okanye ngaphezulu ukuze ufumane unyango olukhethekileyo. Xa imeko yakho izinzile, uza kudluliselwa kwigumbi eliqhelekileyo.
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha, intliziyo yakho iya kuhlolwa kwaye iimvavanyo ozenzileyo ngaphambi kotyando (ezifana ne-ECG) ziya kuphinda zenziwe. Uya kukhuthazwa ukuba uphume ebhedini uhambe kancinci kancinci. Oku kuya kunceda inxeba ukuba liphole ngokukhawuleza.
Emva kotyando, unokufumana oku kulandelayo:
- Ukuqhinwa ngenxa yeziyobisi ezinciphisa iintlungu.
- Iingxaki zenkumbulo okanye utshintsho lweemvakalelo .
- Ukungalali .
- Ukutya akunancasa.
- Intlungu, ukudumba, kunye nokudumba okuncinci kwindawo yokusikwa.
- Intlungu nokuqina kwemisipha yesifuba.
- Ndiziva ndidiniwe njengesiqhelo.
Ezininzi zezi zinto ziya kuphela kwiintsuku okanye kwiiveki ezimbalwa.
Zithini iingozi kunye neenzuzo?
Njengalo naluphi na utyando olukhulu, olu luneengozi ezithile.
- Ukopha.
- Usulelo.
- Ukuqunjelwa kwegazi.
- Ukubetha kwentliziyo okungaqhelekanga (iiArrhythmias).
- Umngcipheko omncinci wesifo sohlangothi.
- Ukunganyamezelani ne-anesthesia.
Abantu abanesifo seswekile, ukutyeba kakhulu, izifo zemiphunga (ezifana ne-COPD) okanye izifo zezintso, kunye nabantu abatshayayo basengozini enkulu kancinci yokufumana iingxaki.
Kodwa eyona nzuzo inkulu yolu tyando kukuba lunokusindisa ubomi.Kwabanye, emva kolu tyando, iimpawu ziyanyamalala ngokupheleleyo, bayakwazi ukwenza imisebenzi yemihla ngemihla ngokulula, kwaye bayakwazi ukuphila ubomi obusemgangathweni ophezulu .
Kuthatha ixesha elingakanani ukuphiliswa?
Kungathatha iiveki ezi-6 ukuya kwezili-12 okanye nangaphezulu ukuze uphile ngokupheleleyo, kuxhomekeke kuhlobo lotyando olwenzileyo kunye nempilo yakho iyonke.
Ngokwesiqhelo awuvumelekanga ukuqhuba okanye ukuphakamisa izinto ezinzima kwiiveki ezi-6 zokuqala. Ugqirha wakho uza kukuxelela ukuba ungabuyela nini emsebenzini. Ungathunyelwa kwinkqubo yonyango lwentliziyo . Oku kunokukunceda ufumane amandla kwakhona.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza! | |
|---|---|
| - Intlungu ebuhlungu esifubeni, eyahlukileyo kwintlungu eqhelekileyo eyenzeka ngexesha lokuhlaselwa sistroke. | |
| - Ifiva. | |
| - Ulwelo olufana nobovu oluphuma kwindawo eqhekeziweyo, ukuba bomvu, okanye ukudumba okugqithisileyo (iimpawu zosulelo). | |
| - Ukucaphuka rhoqo kunye nokuhlanza. | |
| - Ubunzima bokuphefumla. | |
| - Iimpawu zestroke ezifana nobunzima bokuthetha nokugoba kwelinye icala lobuso. | |
Umyalezo Wokuya Ekhaya
- Utyando lwentliziyo oluvulekileyo aluyonto yokoyika, lutyando olukhulu olwenziwa ngempumelelo namhlanje kwaye lunokusindisa ubomi.
- Kubaluleke kakhulu ukuze uphumelele ukulandela imiyalelo kagqirha (amayeza, ukutya, kunye nokuyeka ukutshaya) ngaphambi kotyando.
- Kuthatha ixesha ukuphiliswa. Ngoko ke yiba nomonde. Nika umzimba wakho ixesha olidingayo lokuphiliswa.
- Kuqhelekile ukuba nexhala okanye uxinezeleko emva kotyando. Thetha nosapho lwakho kunye nogqirha wakho ngale nto ngokukhululekileyo.
- Ukuba unemibuzo malunga notyando, ungoyiki ukubuza ugqirha. Ukwazi yonke into ngokucacileyo kuya kukunika amandla engqondo.
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