Mu zotengera zomwe zimapereka mtima ndi magazi, chifukwa cha matenda osiyanasiyana, miyala ya atherosclerotic imapangidwa. Zimasokoneza kufalitsa kwa magazi, ndipo zimayambitsa mitsempha ya 'lumen (stenosis) yowopsa kwambiri, yomwe imayambitsa munthu amene ali ndi zotsatira zoopsa pamoyo wake. Pofuna kubwezeretsa kuthamanga kwa magazi, zimagwiritsidwa ntchito pogwiritsa ntchito makina a mtima - kupanga njira zinanso zowonjezera zowonongeka pogwiritsa ntchito zigawo zowonongeka.
Kodi mtima umadutsa bwanji grafts?
Opaleshoni imachitidwa pansi pa anesthesia, popeza opaleshoni amachita opaleshoni pamtima.
Zipangizo za shunt ndi, monga lamulo, mitsempha yamkati ya thoracic. Sizowonjezereka ndi miyala ya atherosclerotic pamakoma, yokhazikika ngati kuphatikizidwa. Radius umisiri wa dzanja amagwiritsidwa ntchito mobwerezabwereza. Pogwiritsidwa ntchito, phunziro loyambali likuchitika, limene limamveketsedwa ngati opaleshoniyi siidzawononge magazi ku chiwalo.
Kumayambiriro kwa opaleshoniyo, wodwalayo akugwirizanitsa ndi matenda a cardiopulmonary. Kenaka dokotalayo amachititsa chidwi kumalo amenewo kumene kumalowa kumalowetsedwa. Pakhoza kukhala zingapo, malingana ndi chiwerengero cha zigawo zochepa za mitsempha. Pambuyo pake, zowonongeka zimasulidwa mwamsanga.
Kuti muwone ubwino ndi momwe ntchitoyi imakhalira, amabwezeretsa chilengedwe, kupanga ultrasound ndi angiography.
Zimatengera nthawi yayitali bwanji kudutsa zitsulo za mtima?
Nthawi yothandizira opaleshoni imadalira kuvuta kwake, umoyo wa wodwalayo komanso chiwerengero cha zisamaliro zoyenera kuziyika.
Kawirikawiri, opaleshoni yosavuta imakhala maola 3-5. Milandu yowonjezereka ikuphatikizapo maola 6 mpaka 8 opaleshoni.
Kaya pali zovuta pambuyo pa kusuntha kwa ziwiya za mtima?
Opaleshoni iliyonse imaphatikizapo zoopsa zina, mtundu woterewu umakhala wosiyana.
Nthawi zambiri, mavutowa angakhalepo:
- kutupa, edema pa tsamba la incision;
- kubwezeretsedwa kwa shunt;
- magazi.
Nthawi yowonongeka imayamba mu chipatala chachikulu, komwe ntchito ya mapapo ndi minofu ya mtima ndi yachibadwa.
Pa tsiku la 7 mpaka 9 mutatha opaleshoniyi, zigawo zimachotsedwa ku thorax (ndikumangiriza bwino). Kuchokera kuchipatala kumachitika tsiku la 12-14.
Njira yowonjezera ya moyo mutatha kupitirira mitsempha ya mtima ya mtima iyenera kukhala yathanzi, zomwe zikutanthauza kukana zizoloŵezi zoipa, makamaka kusuta. Kuwonjezera pamenepo, ndikofunika kusamala mwakuchita, kugwiritsanso ntchito chakudya cholimbikitsidwa, nthawi ndi nthawi kupita ku sanatorium.