Kunzwisisa Heart Bypass Surgery
Katatu kupfurikidza nekuvhiya kwomwoyo inobvumirwa nekuvhiya mwoyo iyo yakaitwa apo mutezo weropa unofadza mwoyo wakavharwa kuti uite zvakanaka. Mhando iyi yekuvhiya kwemoyo inowanzoitwa senzira yakazaruka yemwoyo, zvinoreva kuti chiremba anovhima chifuva kuitira kuti aone mwoyo uye avhiye.
Kuvhiyiwa kunogona kuitwa senzira inowanikwa isina kupindira apo bhokisi racho harina kuvhurwa.
Izvozvo hazvisi zvishoma kudarika kufanana nekushanda kwepfungwa yakazaruka, sezvo vashoma vashoma vari mumuviri vakakodzera iyo nzira.
Anatomy ye Human Heart
Kuti unzwisise katatu kupfurikidza nzira, zvinokosha kuti unzwisise zvinhu zvishomanana nezvemaitiro emoyo uye chirwere chemwoyo. Mishonga yeropa iyo inopa mwoyo neropa rayo pachayo inonzi inonzi coronary arteries . Mune vamwe vanhu, maronary coronary anovharwa, chiitiko chinonzi coronary artery disease .
Kana kuvhara kwakanyanya, kunogona kumira zvachose ropa richiyerera kunzvimbo yemwoyo inodyiswa neropa iro rinenge riine ropa. Kuvhara ropa kuderera kusvika pamwoyo kunonyanya kuipa-kunyange mumidziyo miduku-yeropa-nokuti inogona kukonzera kurwadziwa kwepfupa, kurwisa kwemwoyo, kana kufa.
Kaviri, katatu, Quadruple, kana Quintuple Bypass
Nhamba yemidziyo ine chirwere inowanzotaurira nhamba yemafuta-midziyo inoda zvipfeko-izvo zvichaitwa.
Kana midziyo mitatu ichidzivirirwa uye inoda kuvharirwa, chirwere chacho chinonzi chinosvika katatu nokuti zvikamu zvitatu zvakaitwa. Kana zvipfeko zviviri zvakapfuura chirwere ichi chinonzi kaviri pasi , nekudaro. Quintuple inpass nzira, apo midziyo mitanhatu yakapararira, haifaniri kuwanikwa, asi mhepo ina yechina inodarika yakawanda yakafanana.
Mukuwedzera kune ngozi dzehuwandu hweanesthesia , njodzi dzinobatanidza nehupenyu hunovhurwa huwandu hunowedzera pamwe nehuwandu hwezvishoma zvinenge zvichidiwa, sezvo chirwere chinotora kwenguva refu uye chirwere chegoni chinotarisirwa chinonyanya kuoma.
Zvaunotarisirwa Panguva Yenguva Yakatatu Yokuputika Kwemoyo
Muzviitiko zvizhinji, chirwere chegoni chinogona kurapwa nemishonga, mararamiro emararamiro, uye zvishoma zvisingasviki nzira dzakadai sekuiswa kwemashoko. Zvisinei, kune vamwe varwere kuvhara (s) kwakaoma zvikuru zvokuti kuvhiyiwa kunokosha kuti kuve nechokwadi kuti moyo unoramba uchiwana ropa rakakwana. Iyi nzira inozivikanwa segononary artery bypass chirurgical graft (CABG) .
Yakaitwa pasi peanesthesia yakawanda, iyo nzira inotanga nemidziyo yeropa inotorwa kubva kune imwe nzvimbo yemuviri, kazhinji gumbo uye kuruboshwe rwechifuva. Kukohwa kunowanzoitwa nemumwe mutarisiri wehutano akadai sachiremba anobatsira (PA), asi chifu chechikamu chemuitiro wacho chinoitwa ne cardio thoracic chirurgiki panguva imwe chete.
Iyi midziyo inobva yasungirwa pairi mukati memudziyo wembiyo mushure mokunge mavhara. Izvo hazvisi kufanana nekukurumidzira kusvitsa motokari yako inotora kuti isapinda njodzi, uye neropa iro rinenge richiendeswa kumativi akavhara mudziyo.
Iyi yose yakazaruka mwoyo chikamu chetsika yacho inowanzoshandiswa kushandisa mwoyo yemapapu inopisa mishonga , iyo inyanzvi yakaita basa remoyo nemapapu panguva yekuvhiyiwa. Chiremba anovhiya achishanda nekugadzirisa nguva iyo murwere anoshandisa "pombi," kuti kuderedza zvinetso zvingangodaro.
Kushandiswa kwemichina iyi kunowanzoda mvura yakakwana uye kazhinji kunopiwa ropa kuti ibhadhara kuwanda kweropa uye kusviba kunobva mumuviri, kuva oxygenated, ndokudzoka kumuviri. Nokuda kwechikonzero ichocho, vanhu vazhinji vanoona kuti vakagamuchira mapaundi mashomanana uye vanogona kuwana kuti ivo "vanozvikudza" mumazuva anotevera kuvhiyiwa.
Kana mushure mokunge murwere ari kumusoro uye achifamba, izvi zvinowedzera mvura inobva mumuviri nenzira yorudo.
Kana chiremba wacho apedza chirongwa chacho, mafupa emapfupa akaiswa kuti asvike mvura inogona kunge yakawedzera mukati memwoyo uye kudzivirira mwoyo kushanda zvakanaka kana kubva pakuporesa kuitika. Aya ma tubes anowanzobviswa mukati memazuva mashomanana ekuvhiyiwa. Iyo sternum (breastbone) inosungirirwa pamwe chete vachishandisa tsvina inokosha yekuvhiya uye ganda rakavharwa ne sutures kana kuti staples.
Mushure Mokunge Mwoyo Wakaipisisa Kuvhiya
Kusiyana nekuvhiyiwa kukuru, murwere anobvumirwa kumuka zvishoma nezvishoma kubva kune anesthesia, panzvimbo pemishonga inopiwa kupa kumutsa murwere. Nokuda kwechikonzero ichi, inowanzova maawa mana kusvika matanhatu mushure mekuvhiyiwa asati murwere atanga kumuka uye akangwarira, uye kuputika kweputi kunoramba kuripo kusvikira panguva iyoyo. Zuva rokutanga mushure mekuvhiyiwa rinowanzoshandiswa mune chimwe chikwata chekuchengeta mwoyo kana ICU, uko vanamukoti vanogona kuchengeta ziso rakatarisa pamusoro pemurwere sezvavanotanga kudzorera.
Kune vavarwere vakawanda, chinangwa chemaawa 12 ekutanga ekuvhiya hachisi kungosimuka uye kuva nemhepo yekufema kubviswa, asi kutora matanho mashomanana uye kugara pasi pachigaro kamwechete uye zvichida kaviri. Iyi nzira inotarisirwa kwete kungotanga nzira yekudzorera, asi kudzivirira zvinetso zvakakomba semagazi eropa uye pneumonia.
Kudzorerwa Mushure Mokunge Mwoyo Uchitsvaga Kuvhiya
Kudzoka kubva mumhando iyi yekuita huchatora mazuva akawanda muchipatara uye mwedzi yakawanda mushure mokudzokera kumusha. Kune vamwe, kuzorora kuchabatanidza kugadzirisa kwemoyo-muviri unoitwa muviri pasi peziso rakarindira rechiremba-kubatsira kusimbisa mwoyo. Kune vazhinji, kuregera kunotora masvondo matanhatu kusvika ku12, uye kuguma nekudzoka kumabasa aive akafadzwa asati avhiyiwa. Kune vamwe, ivo vachakwanisa kuita mamwe mabasa, sezvo basa ravo risingarevi kupera kwepfupa.
Shoko Rinobva
Kunzwa kuti iwe kana mudiwa unoda kuvhiyiwa zvakaoma, pasina mubvunzo, zvinotyisa. Kuziva zvamuri kutarisira kuchakubatsira iwe kugadzirira kuvhiyiwa nekudzorerwa shure. Ramba uine ruzivo rwekukurukurirana nachiremba wako uye chiremba-chiremba-usazeza kubvunza nekukurukura chero pfungwa kana mibvunzo inouya mupfungwa. Kana uchikwanisa, tauya pamwe nemunhu waunoda kuti akubatsire kunyora manotsi uye unzwisise nzira.
Muzviitiko zvakawanda, chirwere chinowedzera zvakanaka uye iwe unogona kutarisira kudzokera kuhupenyu hwako hwezuva nezuva uye mabasa aunoda munguva pfupi yakakwana-ingova nechokwadi chekutevera mazano ayo chiremba wako anopa asati apedza uye mushure mekuvhiyiwa. Somuenzaniso, zvichida kuti kudya nokunwa hakubvumirwi mumaawa mashomanana asati avhiyiwa uye kudya kunovaka muviri kuchave kuchidikanwa mushure mekuvhiyiwa kudzivirira dambudziko kusadzoka. Chikamu chekugadzirisa ndechekuita mararamiro ehupenyu huri nani-zvichida zviri kuwedzera kudya kwako kana chiito chekuita muviri kuitira kuti udzikise mikana yokuti iwe unoda kuvhiyiwa kwechipiri. Shingaira pamwe neboka rako rehutano kuti uite urongwa hunokubatsira iwe.
Sources:
Chii Chinonzi Coronary Artery Bypass Grafting? National Heart Lung uye Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/cabg/cabg_whatis.html