Ngaba uyoyika ngotyando lweTriple Bypass? Makhe sithethe ngayo ngokulula.

Nokuba usiva ngotyando lwentliziyo, oko kukuthi, utyando lwe-bypass, uziva usoyika kancinci kwaye unexhala, akunjalo? Ingakumbi xa ugqirha esithi kufuneka wenze "i-triple bypass." Kodwa xa uyiqonda ngokucacileyo into eyiyo kanye le, kutheni kufuneka yenziwe, kwaye ubomi buza kuba njani emva koku, olo loyiko entliziyweni yakho luya kuphela kakhulu. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo.

Ngamafutshane, yintoni utyando lwe-triple bypass?

Khawuthelekelele ukuba umbhobho wamanzi ophambili oya endlwini yakho uxinene ngothuli kwiindawo ezintathu, kwaye amanzi avalekile kakhulu. Senza ntoni ke ngoko? Ukuba asinakususa ezo ndawo zivaliweyo, singakha umgca omtsha ngokufaka iziqwenga ezintsha zombhobho ukuze sidlule ezo ndawo, akunjalo? Yiloo nto le nkonzo iyenzayo.

Imithambo yegazi ehambisa igazi ezintliziyweni zethu (esizibiza ngokuba yimithambo yentliziyo) ivalekile ngamafutha kunye ne-cholesterol. Kwizonyango, sibiza le plaque. Le plaque ivimba ukuhamba kwegazi. Kwi-"triple bypass," imithambo yegazi ivalekile kwiindawo ezintathu eziphambili .

Ngoko ke into eyenziwa ngugqirha wotyando kukuthatha umthambo wegazi ophilileyo kwenye indawo emzimbeni wakho (ngokuqhelekileyo ukusuka emlenzeni wakho, engalweni, okanye ngaphakathi esifubeni sakho) aze enze "indlela entsha" ejikeleze indawo evalekileyo. Kufana nokudlula. Oku kuvumela izihlunu zentliziyo ukuba zifumane igazi elilifunayo kwakhona. Olu tyando lukwabizwa ngokuba yiCoronary Artery Bypass Graft, okanye i-CABG.

Ngubani ongathanda ukwenza olu tyando?

Olu tyando alwenzelwanga wonke umntu. Ugqirha uyalucebisa ngezizathu ezithile. Ngokuyintloko, luyimfuneko kubantu abanesifo semithambo yegazi yentliziyo.

• Ukuba uvalekile ngaphezu kwe-50% kumthambo omkhulu wasekhohlo onika igazi entliziyweni yakho.
• Ukuba kukho ukuvaleka okungaphezulu kwe-70% kwezinye imithambo yesebe.
• Ukuba ukuvaleka kwemithambo yegazi kukhulu kwaye kuyinkimbinkimbi ngokwaneleyo kangangokuba inkqubo engangenisi mandla efana ne-angioplasty (le yinto esidla ngokuyibiza ngokuba yi-"stent placement") ayinakwenziwa.
• Ukuba usoloko uneentlungu esifubeni (i-angina), unengxaki yokuphefumla , okanye usemngciphekweni omkhulu wokuba nesifo sentliziyo ngenxa yezi ngxaki.

Kwiimeko ezinje, eyona ndlela ilungileyo yokuthintela umonakalo ongakumbi entliziyweni kukwenza utyando lwe-bypass.

Kwenzeka ntoni ngaphambi kotyando?

Emva kokugqiba usuku lotyando, ugqirha uza kwenza uvavanyo oluninzi ukuze ahlole ngokuchanekileyo imeko yakho. Ungakhathazeki ngezi, zenzelwe ukwenza utyando lube lukhuselekile kwaye luphumelele kangangoko.

Ugqirha wakho uza kukucebisa ukuba uyeke okwethutyana ukuthatha amayeza athile (ingakumbi amayeza okunciphisa igazi) kwiintsuku ezimbalwa ngaphambi kotyando. Uza kukuxelela nokuba uyeke ukutya nokusela ukususela ezinzulwini zobusuku ngosuku olungaphambi kotyando.

Kwenzeka ntoni ngexesha lotyando?

Utyando luza kuqala emva kokuba unikwe i-anesthesia (`(General Anesthesia)`) uze ulale. Ngoko awuyi kuva ntlungu. Utyando lungathatha iiyure ezi-3 ukuya kwezi-6.

Oku kudla ngokwenziwa njengotyando lwentliziyo evulekileyo.

1. Ukwenza i-incision: Ugqirha uza kwenza i-incision ethe nkqo malunga nee-intshi ezi-1.5 ukuya embindini wesifuba sakho.

2. Ukufikelela entliziyweni: Ithambo lesifuba (ithambo lesifuba) eliphakathi kwesifuba liyahlulwahlulwa kabini ngononophelo ukuze lifikelele entliziyweni. Emva kotyando, eli thambo liphinda lifakwe iintambo ezikhethekileyo, kwaye emva kwexesha elithile liphinde liphole kakuhle.

3. Ukuthatha umthambo wegazi omtsha: Okulandelayo, umthambo wegazi ofunekayo ukudala indlela entsha uza kuthathwa emlenzeni wakho, engalweni, okanye ngaphakathi esifubeni sakho.

4. Ukudala indlela entsha: Ekugqibeleni, elinye icala lomthambo wegazi linamathele kumthambo ophambili othwala igazi liphuma entliziyweni, kwi-aorta, kwaye elinye icala linamathele kwindawo evalekileyo engezantsi. Kwi-"triple bypass," kwenziwa iindlela ezintathu ezintsha.

Ngamanye amaxesha, izigulana ezithile zinokwenza utyando ngokusebenzisa imingxunya emincinci. Nangona kunjalo, ayifanelekanga kuye wonke umntu, kwaye ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.

Linjani ixesha lokuchacha emva kotyando?

Emva kotyando, uza kudluliselwa kwigumbi lonyango olunzima (ICU). Ngokwesiqhelo uza kuhlala apho ubusuku bonke. Ngeli xesha, uza kuba netyhubhu emlonyeni wakho ukukunceda uphefumle, kodwa iza kususwa emva kweeyure ezimbalwa. Isantya sentliziyo yakho kunye noxinzelelo lwegazi ziya kuhlolwa rhoqo ngoomatshini.

• Ukuhlala esibhedlele: Emva kweyunithi yokhathalelo oluphezulu, uza kudluliselwa kwigumbi eliqhelekileyo. Uza kuhlala esibhedlele ezinye iintsuku ezi-3 ukuya kwezi-5.
• Emva kokubuyela ekhaya: Kungathatha malunga neeveki ezi-6 ukuze umntu aphile ngokupheleleyo. Abanye abantu bangathatha ixesha elide okanye ngaphantsi.
• Ukuhamba: Ngelixa usesibhedlele, uza kucelwa ukuba uvuke ebhedini uhambehamba emva kosuku okanye ezimbini. Oku kuya kukunceda ukuba uphile ngokukhawuleza.
• Ukuqhuba: Ufanele ukuphephe ukuqhuba iiveki ezi-6, njengoko kuthatha ixesha ukuba i-sternum iphole.
• Ukuphakamisa izinto ezinzima: Kwakhona, akucetyiswa ukuphakamisa nantoni na enzima kuneekhilogram ezi-4-5 (umzekelo, ibhotile yamanzi enkulu, isilinda encinci yegesi) ngeli xesha.
• Unyango lwentliziyo: Emva kokuba ubuyele ekhaya, ugqirha wakho uya kucebisa ukuba ube nenkqubo ekhethekileyo yokuzilolonga kunye neengcebiso ukuze uqinise intliziyo yakho. Kubaluleke kakhulu ukuba uthathe inxaxheba kuyo.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengalo naluphi na utyando olukhulu, olu luneengenelo zalo kunye neengozi ezincinci.

Iingenelo

• Ithintela ukonakala kwentliziyo ngokubuyisela ukuhamba kwegazi kwimisipha yentliziyo.
• Iimpawu ezifana neentlungu zesifuba rhoqo kunye nokuphefumla kancinci ziyancipha kakhulu.
• Umgangatho wobomi bakho uza kuphucuka kakhulu.Ungasebenza uze uhambehamba ngaphandle kokudinwa.
• Kwizigulane ezinengxaki yokuvaleka kakhulu, kwandisa amathuba okuphila ixesha elide kunezinye iindlela zonyango.

Iingozi

Okokuqala, abantu abangaphezu kwama-95% abenza utyando lwe-bypass abafumani ngxaki zinzima. Le yinkqubo ebisenziwa ngempumelelo kwihlabathi liphela kangangeminyaka emininzi. Nangona kunjalo, abanye abaguli (ingakumbi abo banezinye iimeko zonyango okanye abo benza utyando olungxamisekileyo) banokuba neengozi ezithile.

• Ukusebenza kwezintso okungasebenzi kakuhle
• Istroke
• Amahlwili egazi
• Ukuvaleka kwakhona komthambo wegazi osetyenzisiweyo
• Usulelo kwindawo yokusikwa
• Ukuphazamiseka kwentliziyo (i-Atrial Fibrillation)

Ngokwesiqhelo, umngcipheko wokufa ngenxa yotyando olucwangcisiweyo lwe-triple bypass ungaphantsi kwe-1%. Iqela lakho lezonyango liya kwenza konke okusemandleni alo ukunciphisa ezi ngozi.

Udinga nini ukubona ugqirha emva kokuba ubuyele ekhaya?

Ufanele ukhathalele umzimba wakho ngexesha lokuchacha emva kokuba ubuyele ekhaya. Kubalulekile ukuba uqaphele xa ufumanisa naziphi na iimpawu zosulelo.

Kwakhona, qiniseka ukuba uya kuzo zonke iintlanganiso zokulandelela ugqirha wakho akuxelele ukuba uze kuzo emva kotyando. Kubaluleke kakhulu ukubona ukuba uphola kakuhle na kwaye amayeza asebenza kakuhle na.

Ubomi emva kotyando...

Umbuzo abantu abaninzi abawubuzayo ngulo, "Ungaphila ixesha elingakanani emva kotyando lwe-bypass?" Kukho impendulo elungileyo koku. Nokuba yiminyaka eli-10 emva kotyando lwe-bypass, ngaphezulu kwama-75% ezigulana zisaphila kwaye ziphilile.

• Ukuyeka ngokupheleleyo ukutshaya nokusebenzisa icuba.
• Ukutya ukutya okunempilo, ioyile neswekile encinci, kunye nemifuno neziqhamo ezininzi.
• Zilolonge rhoqo ngokwemiyalelo kagqirha.
• Ukuthatha amayeza amiselweyo (i-cholesterol, uxinzelelo lwegazi oluphezulu, amayeza okunciphisa igazi) ngexesha elifanelekileyo.
• Ukulawula uxinzelelo.

Ukuba wenza ezi zinto ngokuchanekileyo, ungaphila ubomi obusempilweni nobusebenzayo ixesha elide emva kotyando.