Coronary inpass surgery

Gore roga roga, nhamba yevarwere vanoonekwa kuti vane stenosis iri kuwedzera-kuderedza kwemagetsi anokonzerwa nekuteerera kumadziro emidziyo ye atherosclerotic plaques. Yakagadziriswa semugumisiro wekuputsa kwekupa ropa kunounza kuderedza nekukuvadza kumutsipa wemwoyo, kusvika kune necrosis yezvikamu zvemoyo - myocardial infarction . Vakawanda vakanzwa nezvekushanda kwakadaro sekugadzirisa arteri kupfurikidza nekubatanidza, asi havasi vose vane pfungwa yechinangwa chekupindira uku kuri kuitwa.


Chii chinonzi coronary parpass surgery?

Sokuvhiya, chirongwa chekugadzirwa kwepachikoro chinotarisirwa kugadzira zvitsva zvitsva (kubvisa) nekubatsirwa nemidziyo ine utano yakabatana nemakironi emakoroni. Icho chinangwa chikuru che aortocoronary shunting ndechokudzorera kupararira kweropa mushure mekurwa kwemwoyo kana kudzivirira kurwisa kwemwoyo. Kuwedzerwa ndiko, kazhinji, kushandiswa kwechisimba chechikadzi, chirwere chinopisa kana kuti mishonga inonzi thoracic yemurwere pachayo.

Irooriary artery bypass grafting inoshandiswa mune zvose zvisingabviri uye dzakawanda zvipembenene zvine chirwere.

Kushanda kwekushanda pa coronary shunting

Mukugadzirira kushanda, mimwe miedzo inopiwa:

Kupindira kwekuvhipisa kunoitwa pasi peanesthesia yakawanda, apo murwere ari muhope yehope. Mwoyo yenguva yekushanda inomira, uye basa remwoyo nemapapu rinoshandiswa nemichina yekuparadzirwa kwepanyama. Kazhinji, nzira ye coronary shunting inotora anenge maawa mashanu.

Pakupera kwekushanda, murwere anoiswa muimba huru yekuchengetedza kana chikwata chekuchengetedza zvakanyanya, paanobatanidzwa kune zvishandiso zvinodzora mabasa anokosha uye kutarisa zviratidzo zvinokosha.

Kuvandudza mushure mekugadzirisa arteri inopfurikidza nekubatanidza

Mushure mekugadzirisa arteri kupfurikidza nekuvhiyiwa, zvakakosha kuchengetedza mararamiro anorayirwa nenyanzvi uye kutora mishonga yakanyorwa. Saka, uri muchipatara, unofanira:

  1. Ita kufema maitiro ekuderedza huwandu hwemvura mumapapu, somuenzaniso, shandisa ibhoti kana kuti ita 15 kusvika 20 yakafema mukati memawa ose.
  2. Mushure mokubvisa mhepo inopisa uye inofema, unofanira kufamba nenzira dzose.

Paunodzokera kumba, zvinokurudzirwa:

  1. Ita maitiro ezvidzidzo zvepanyama zvakananga.
  2. Usasvuta kana kunwa doro.
  3. Tarisa uremu.
  4. Dzivisa matambudziko anokosha mumuviri.

Kunyange zvazvo, sekutonga, murwere anorayirwa kuti ashande mwedzi kana maviri mushure mekushanda, kuporesa kwefupa re sternum kunotora nguva yakareba yakareba: kusvika kumwedzi mitanhatu. Kuomanikidza mushonga wacho, unofadza kupfeka chikwama chakanaka chebhokisi, uye kudzivirira stousis venous, zvinokurudzirwa kufamba mumashonga elastic stockings.

Chimwe chinhu chinokosha mukugadzirisa chirongwa pashure pokugadziriswa kwechirongwa chekugadzira chirwere chiri kudya. Paunosarudza zvokudya zvekudya, iwe unofanirwa:

  1. Ipa zvakanakisisa kune michero, miriwo, mazai emukaka-munyama, hove dzakaderera-mafuta, huku.
  2. Kuramba mafuta, munyu, zvokudya zvinonaka.

Kuchengetedza kukurudzirwa kwekushaya ropa, zvinotarisirwa kuisa mune zvekudya zvinogadzirwa zvine iron. Iyi micronutrient iripo mune zvakawanda zvakakosha mumiti inotevera: