Ngaba wena okanye umntu omaziyo wakha waxelelwa ngugqirha ukuba umthambo wentliziyo uvaliwe kwaye udinga i-bypass? Sonke silivile igama elithi 'bypass'. Khawuthelekelele ukuba kukho izithuthi ezininzi endleleni, uze oku kufane nokwakha enye indlela yokuba izithuthi zidlule kuyo. Xa umthambo wegazi ohambisa igazi entliziyweni uvaliwe, indlela entsha, oko kukuthi, umthambo wegazi omtsha, iqhagamshelwe entliziyweni, ebizwa ngokuba lutyando lwe-bypass. Kodwa ngaba wakha wazibuza ukuba umthambo wegazi uthathwa phi ukuze kwakhiwe le ndlela intsha? Rhoqo, umthambo wegazi ophilileyo ovela emzimbeni wakho usetyenziselwa oku. Leyo yinkqubo esiza kuthetha ngayo namhlanje, apho loo mthambo wegazi uthathwa kwenye inxalenye yomzimba uze utyalwe entliziyweni.
Kuthetha ukuthini 'ukuvuna' umthambo wegazi?
Ngamafutshane, oku kufana nokuvunwa komthambo wegazi. Ngokuchanekileyo, kubandakanya ukususwa komthambo wegazi ophilileyo kwinxalenye yomzimba wakho (ngokuqhelekileyo ingalo okanye umlenze) uze uwusebenzise endaweni yomthambo ovalekileyo entliziyweni yakho. Umthambo wegazi othathwa ngale ndlela ubizwa ngokuba yi-"graft."
Isiphelo esinye sale graft siqhagamshelwe kumthambo omkhulu nomkhulu womzimba, i-aorta, kwaye esinye isiphelo siqhagamshelwe kumthambo ovalekileyo entliziyweni engaphantsi komthambo ovalekileyo. Emva koko, igazi lihamba ngemithambo emitsha eqhagamshelweyo liye entliziyweni ngaphandle kokuphazanyiswa, lidlula inxalenye evalekileyo. Olu tyando lubizwa ngokuba yiCoronary Artery Bypass Grafting (CABG) kwezonyango.
Zivela phi ezi mithambo yegazi?
Kukho iintlobo ezimbini zemithambo yegazi ezisetyenziswa kakhulu kutyando lwe-bypass.
1. Umthambo weRadial esandleni
Lo ngumthambo wegazi omkhulu ohamba ngaphakathi kwengalo yakho ukusuka engqinibeni ukuya esihlahleni sakho . Lo ngumthambo wegazi onokuwuva xa uziva ukubetha kwentliziyo yakho. Ubekwe kufutshane kakhulu nolusu.
"Ukuba ke le mithambo isusiwe, igazi aliyi kuhamba liye esandleni?" Usenokuba nombuzo onjalo. Musa ukoyika. Umzimba wethu wenziwe ngendlela emangalisayo. Sinenye imithambo emikhulu, i-"Ulnar Artery," ehamba ngaxeshanye nale "Radial Artery" esandleni sethu. Emva kokuba i-radial artery isusiwe, enye imithambo yenza wonke umsebenzi owenziwe yileyo mithambo.
2. Umthambo weSaphenous emlenzeni
Lo ngumthambo omde emzimbeni wethu. Ngumthambo othwala igazi elingcolileyo ulibuyisele entliziyweni. Uhamba ukusuka ezantsi emzimbeni ukuya ethangeni. Ukuwususa akuyi kubangela ngxaki. Kuba kukho inkqubo yemithambo enzulu emlenzeni. Emva kokuba umthambo we-saphenous ususiwe, umsebenzi owawuwenzayo uthathwa yinkqubo yemithambo enzulu.
Wenza ntoni ngaphambi kotyando?
Ngaphambi kokuba agqibe ekubeni enze olu tyando, ugqirha uza kwenza uvavanyo oluninzi ukuze afumanise ubungakanani obuchanekileyo kunye nendawo ekuvaleleke kuyo intliziyo yakho. Ngokusekelwe kwiziphumo, uza kugqiba ukuba umthambo ofanelekileyo we-bypass usengalweni okanye emlenzeni wakho.
| Uhlobo lovavanyo | Kalula nje, |
|---|---|
| Inani elipheleleyo legazi | Ukujonga iintlobo kunye nobungakanani beeseli egazini. |
| Uvavanyo lwe-X-ray yesifuba | Ukunyamekela imeko esisiseko yentliziyo nemiphunga. |
| Iiskeni ezifana ne-CT, i-MRI, okanye i-Vascular Ultrasound | Ukufota imifanekiso eneenkcukacha zangaphakathi lomzimba kunye nemithambo yegazi. |
| I-Angiogram | Kufakwa ulwelo olukhethekileyo kwimithambo yegazi kwaye kusetyenziswa ii-X-rays ukuze kubonwe ukuba zivaliwe na. |
Ukongeza, kubaluleke kakhulu ukulandela imiyalelo ugqirha wakho akunika yona ngaphambi kotyando.
- Ukuzila ukutya (ukuzila ukutya nokusela) iiyure ezininzi ngaphambi kotyando.
- Ukuba uyatshaya, yeka ngokupheleleyo.
- Usenokucelwa ukuba uyeke okwethutyana ukusebenzisa amayeza athile (kuquka iivithamini kunye namayeza esintu).
Lwenziwa njani utyando?
Utyando lokususa umthambo wegazi lufana notyando lwe-bypass. Ufakwa phantsi kwe-anesthesia jikelele. Kukho iindlela ezimbini eziphambili zokususa umthambo wegazi.
1. Utyando lwe-Endoscopic: Oku kuquka ukwenza umsike omnye okanye emibini emincinci kakhulu eluswini lwengalo okanye umlenze.Kubandakanya ukufaka ityhubhu encinci kakhulu (i-endoscope) exhotyiswe ngekhamera kunye nezixhobo zotyando. Ugqirha ususa umthambo wegazi ngononophelo ngelixa ejonge isikrini. Isilonda esibangelwa koku sincinci kakhulu.
2. Utyando Oluvulekileyo: Kule nto, umthambo wegazi ususwa ngokwenza umngxuma omkhulu, omde apho umthambo wegazi ukhoyo uze uvule ulusu.
Ngexesha lotyando lwe-bypass, intliziyo yakho kunye nemiphunga zinokutshintshelwa okwethutyana kwi-"Heart-Lung Bypass Machine." Emva koko ugqirha uthatha i-"graft" yomthambo wegazi osempilweni osusiweyo ngaphambili aze ayifake entliziyweni ukuze aphephe ukuvaleka.
Ziziphi iingenelo kunye neengozi zale ndlela?
Le ndlela yokufakela umthambo emzimbeni yeyona nto iphambili ebangela impumelelo yotyando lwe-bypass. Kukho iingenelo ezininzi zokwenza oku, ingakumbi ngendlela ye-endoscopic.
Iingenelo:
- Ukuchacha ngokukhawuleza kunye neentlungu ezinciphileyo.
- Ixesha elincitshisiweyo esibhedlele.
- Akukho zikrweqe zinkulu kwaye umngcipheko wokosuleleka unciphile .
- Umngcipheko wokopha kunye nokuqhekeka kwegazi (iiHematomas).
Iingozi:
Njengakuzo zonke iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa ezi azenzeki kuye wonke umntu.
- Ukopha okanye ukukrweleka kwindawo yokusikwa.
- Amahlwili egazi.
- Ukungaziva okanye ukulahlekelwa luvakalelo kuloo ndawo ngenxa yomonakalo kwimithambo-luvo ejikeleze inxeba.
- Ukudumba (i-Edema).
- Iimeko ezibangela usulelo.
Eyona nto ibalulekileyo kukuba ingqwalasela yakho ephambili emva kotyando mayibe kukuchacha emva kotyando lwe-bypass. Ngokulandela imiyalelo kagqirha wakho ngononophelo, ungaziphepha ezi ngozi zininzi.
Xa kufuneka ubone ugqirha ngokukhawuleza
Xa ubuyela ekhaya emva kotyando, musa ukungayihoyi nayiphi na intlungu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, funa ingcebiso yezonyango ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Intlungu yesifuba okanye ukuziva uxinezelekile esifubeni (i-Angina).
- Ukubila okubandayo ngequbuliso.
- Ubunzima bokuphefumla (i-Dyspnea).
- Iimpawu zosulelo, ezinje ngokuphuma kolwelo olumthubi kumanxeba otyando kunye nomkhuhlane .
Okokugqibela, izifundo zibonise ukuba utyando lwe-bypass olusebenzisa umthambo we-radial okanye umthambo we-mammary wangaphakathi luphumelela ngakumbi ngokuhamba kwexesha kunokusebenzisa umthambo we-saphenous. Oku kungenxa yokuba iindonga ze-artery ziqinile kunemithambo, ngoko ke akunakwenzeka ukuba ziphinde zivaleke. Nangona kunjalo, ugqirha wakho uza kujonga zonke iirekhodi zakho zonyango ukuze amisele ukuba yeyiphi imithambo efanelekileyo kuwe kunye nendlela engcono yokuyifumana.
Umyalezo Wokuya Ekhaya
- Ngexesha lotyando lwe-heart bypass (CABG), umthambo wegazi osempilweni, odla ngokuphuma engalweni okanye emlenzeni wakho, usetyenziswa ukudala indlela entsha yegazi eliya entliziyweni.
- Olu lutyando olwenziwa ngempumelelo kakhulu kwihlabathi liphela kwaye lusindisa ubomi babantu abaninzi.
- Umsebenzi womthambo wegazi osuswa ngotyando wenziwa ngokuzenzekelayo zezinye imithambo yegazi ekufutshane, ngoko ke akukho monakalo emzimbeni.
- Kubalulekile ukulandela imiyalelo yezonyango ngokuchanekileyo ukuqinisekisa ukuba uyaphila ngokukhawuleza emva kotyando kwaye uphephe iingxaki.
- Ungaze uyityeshele intlungu yesifuba, ubunzima bokuphefumla, okanye iimpawu zosulelo lwenxeba kwaye bonana nogqirha wakho ngoko nangoko.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho