Kusiyana Pakati Pechipiri Chechipiri uye Zvimwe Mhando dzeMwoyo Kuputika Kwepfungwa
Kaviri kupfurikidza upiyona chirongwa chakakomba asi chinowanzoshandiswa pakuvhiya mwoyo. Kuti unzwisise zvakapetwa kaviri, iwe unofanira kutanga uchinzwisisa zvimwe zvinhu pamusoro pehutachiona hwemoyo uye chirwere chemwoyo.
Mwoyo Unoshanda Sei
Mishonga yeropa iyo inopa mwoyo neropa rayo pachayo inonzi inonzi coronary arteries. Mune vamwe vanhu, maronary coronary anovharwa.
Kana kuvhara kwakanyanya, kunogona kumira zvachose ropa richiyerera kunzvimbo yemwoyo inodyiswa neropa iro rinenge riine ropa. Izvi zvinogona kukonzera chirwere chemwoyo. Izvi zvinowanzozivikanwa sekoronary artery disease.
Mishonga yeCononary Artery Disease
Muzviitiko zvizhinji, chirwere chegoni chinogona kurapwa nemishonga, mararamiro emararamiro uye dzimwe nzira dzakadai sekuiswa kwemasero mu-coronary arteries panguva yemwoyo catheterization. Kune varwere vane blockages iyo yakaoma, kuvhiyiwa kungave kwakakosha kuve nechokwadi kuti moyo unoramba uchiwana ropa rakakwana. Ukuvhiyiwa kunozivikanwa sekoniyoni yeropia chirwere (CABG) .
Munguva yeDhipiri Bypass
Nzira yepamusoro yepamusoro yepamusoro inoshandiswa nechiremba chirwere chinonzi cardiothoracic, chiremba anovhiya uyo akadzidziswa mukurapwa kwekuvhiya kwemafupa emapfupa. Muchiitiko ichi, kuvhiyiwa kuchaitwa nechiremba anovhiya anonyanya kugadzirisa nyaya dzemwoyo.
Iyo nzira inotanga nehukuru anesthesia inopiwa neanesthesiologist, kana mune dzimwe nguva, CRNA - mukoti wekufambira mberi anopa anesthesia. Jenesi anesthesia inoreva kuti mishonga yemuviri yakaoma mutezo uye murwere achava nemhepo inopfurikidza yakaiswa kuitira kuti ventilator inogona kupa mhepo.
Kana imwe nguva anesthesia inopiwa, ganda romurwere rinogadzirira kuvhiyiwa, zvose zviri muchifuva uye pamakumbo. Izvi ndezvokuti mishonga yeropa inotorwa kubva kune imwe nzvimbo yemuviri, kazhinji gumbo, uye yakabatanidzwa pane imwe yemoyo yemoyo kare uye shure kwekuvhara. Ropa rinenge richidzokidzwa kumativi ose kuvhara mumudziyo. Mune zvimwe zviitiko, chiremba anovhiya achange achishanda pachifuva uye mubatsiri achave achiwanazve mishonga yeropa kubva muhudyu. Iko kusanganisa kuedza kunobatsira kupfupisa urefu hwekuvhiyiwa uye kunoita kuti hurongwa huve hwakanyanya.
Izvi zvinotora ropa remudziyo, iyo inoputika, inoita kuti zvive nyore kuti mwoyo uwane ropa raunoda uye inobatsira kudzivirira mwoyo kuora. Kuti uite izvi zvinodarika, nzira yakakurumbira inoda kuti moyo udzimiswe kuitira kuti chiremba chiremba haashandi pamwoyo unorwadza. Apo mwoyo unomira, mwoyo-mapapiro inodhura mishoni inoshandiswa kupa oxygen neropa kumuviri apo mwoyo uchiripo.
Kana imwe nguva mazamu acho apera, mhepo-mapapu inodzimwa uye mwoyo inotangazve. Iyo sternum (breastbone) yakasungirirwa pamwe pamwe uye kugadzirwa kweganda kwakavharwa. Vanhu vazhinji vachave nebhokisi mabhuti, ayo anowanzobatana nekunyorovesa kana kuvhara kwemvura, kudzivirira kuvaka-ropa kwese kumwoyo.
Kana chirwere ichi chapera, murwere achaendeswa kuCIU kana nzvimbo imwechete yemoyo kuti awanezve. Kusiyana nemitemo yakawanda, anesthesia haisi kuderedzwa nemishonga kumutsa murwere. Pane kudaro, anesthesia inobvumirwa kupfeka zvishoma nezvishoma kwemaawa mana kana kupfuura, zvichibvumira murwere kuti aende zvishoma nezvishoma pane zvishoma.
Mamwe Maitiro Anowanzobatwa neMwoyo
Sezvaunenge watoziva kare, kana midziyo miviri yakavharwa uye ichidikanwa kuti iparadzwe, chirwere ichi chinotumidzwa sechipiri chepamusoro nokuti mabraft maviri anoitwa. Kana mitsara mitatu yakapfuura chirwere ichi chinonzi katatu kusvika , mabheji mana anonzi a quadruple bypass, nezvimwe zvakadaro.
Izvo zvinopfuura zvishanu, zvinokwana 5 bypass grafts kusvika pamwoyo, hazvina kukwana.
Imwe misiyano iri pamwoyo kupfurikidza nekuvhiya ndeye "off-pump" iyo ndiyo nzira iyo mwoyo unoramba uchingorova panguva iyo, panzvimbo yekushandisa mwoyo-mapapu inopisa mishonga. Vashomanana vatachiona ndivo vakanyanyogadzirira kuita izvi nenzira yakawanda kupfuura iyo inowanikwa pane-pombi nzira.
Sources:
> Ko Coronary Artery Bypass Grafting? National Heart Lung uye Blood Institute. Yakasvika 2009. http://www.nhlbi.nih.gov/health/dci/Diseases/cabg/cabg_whatis.html