Chinhu chinokwana zvigaro chepfungwa inoshandiswa pamwoyo inobata kurapa zvakavharidzirwa mishonga inofadza mwoyo. Iyi nzira yakaoma, uye kunyatsonzwisisa kudarika kwezvinhu zviviri , zvinokosha kuti unzwisise kutenderera kwemoyo nemigumisiro yechirwere chemoyo.
The Coronary Arteries
I- coronary arteries ndiwo mishonga yeropa iyo inopa mwoyo neropa rayo; idzi dzakasiyana nedzimwe midziyo inopa ropa rakaputirwa nemoyo .
Mune vamwe vanhu, maronary coronary anovharwa, chiitiko chinonzi coronary artery disease .
Zvinokwanisika kuva nechimwe kana mishonga yakavharwa nenzira iyi, iyo inogona kuisa dambudziko guru kumwoyo. Somuenzaniso, kana midziyo miviri yakavharwa, chirwere ichi chinonzi kaviri . Kana midziyo mina yakavharwa, chirwere ichi chinonzi chinonzi quadruple bypass . Izvo zvinokwana zvigaro, naizvozvo, zvinoratidza kuti zvose zvishanu zvezvikepe zvikuru kumwoyo zvinorwara.
Sei Ichidzivirirwa Makomba eKononald So Serious?
Kana kuvhara kwakakosha zvakakwana, kunogona kudzivirira kana kuderedza kuderera kweropa kune chikamu chemwoyo chinodyiswa nechirwere cheropa, chinokonzera marwadzo emapfupa uye kukuvara kwemisumbu.
Apo marononic coronary akavharwa zvachose, musero unoita mwoyo unoshayiwa nehojeni. Izvi zvinokonzera kurwadziwa kukuru, uye kukanganisa kwemwoyo kunonzi kunorwa kwemoyo kana myocardial infarction (MI).
Mishonga yeCononary Artery Disease
Mune zvimwe zviitiko, chirwere chegoni chinogona kurapwa nemishonga, mararamiro emararamiro akadai sekudya uye maitiro, uye zvishoma zvisingasviki nzira, kusanganisira kuiswa kwemashoko. Zvisinei, kune vamwe varwere, kuvhara (s) kwakaoma kwazvo zvokuti kuvhiyiwa kunokosha kuti uone kuti moyo unoramba uchiwana ropa rakakwana.
Iyi nzira yekuvhiya inozivikanwa segononary artery bypass chirurgical graft (CABG) .
The Quintuple Bypass
Nzira yeCABG inogona kuitwa senzira yekukurumidzira, apo murwere anouya pane imwe nzvimbo yekukurumidzira ane kurwadziwa kwepfupa uye anowanikwa ane chirwere chakakomba chinowanikwa mumarita . Kazhinji, catheterization yemwoyo inoitwa, saka chirwere cheCABG chinotevera kana chirwere ichi chichiona kuti chichabudirira uye chinofanira kurapwa.
Izhinji huwandu hweCABG maitiro, kusanganisira zvigaro zvishoma, zvakarongerwa mberi. Izvi zvinobvumira nguva yekuedzwa kwepamberi yekuvhiya iyo inobatsira kuona kuti inguva ipi zvishoma inenge ichidiwa, kana murwere ane utano hwakakwana kuti abvumire kuvhiyiwa, uye hupenyu hwavo hwose hwehutano.
Izvi zvinopawo nguva yevarwere kuwedzera hutano hwavo musati yaita, nekudya mwoyo unotyisa kudya, kurega kusvuta nekuwana shuga yavo yeropa pasi pesimba. Izvo zviyero zvezviyero zvingagadzirisa chigumisiro chekupedzisira mushure mekuvhiyiwa uye iri mukana wakanaka wekuderedza ngozi dzinobatanidza nekuvhiyiwa.
Kubata Ropa Ropa Zvokudya Zvitanhatu
Iyo nzira inowanikwa pasi peanesthesia yakawanda uye inotanga nemidziyo yeropa inotorwa kubva kune imwe nzvimbo yomuviri, kazhinji gumbo, uye yakabatanidzwa kune iripo yemoyo yembiyo mushure mokunge ichivhara.
Chimwe chinokwana zvigaro chinoda mimwe midziyo kupfuura imwe nzira ipi zvayo, saka nzvimbo dzakasiyana-siyana, kusanganisira ruoko, Kuruboshwe Kwemamamita Arteri (LIMA), nemimwe midziyo inogona kushandiswa.
Kuwana midziyo yakakwana yekushandiswa kwema graft kunogona kuva chimwe chezvinhu zvakaoma zvikuru zvemuitiro; kana midziyo yemwoyo ine chirwere, zvichida kuti midziyo mune dzimwe nzvimbo dzomuviri inobatawo. Iyi midziyo inoshandiswa kuita ropa rinopoteredza kuvhara munzira inoenda pamwoyo, uye neropa rega riri kutenderedzwa (rakapoteredzwa) chikamu chakavharwa chemudziyo.
Kana imwechete midziyo yaidiwa kuitira kuti zviyo zvikohwe, chikamu chikamu chekuvhiya chinotanga nekutsvaira kwemazamu, kusungurudza kunozarura chifukidzo uye kunoparadzanisa sternum (breastfine) muhafu yekuita kuti chiremba chiremba awane mwoyo.
Nzira yacho inowanzoitwa "pamapombi" uchishandisa chidimbu chemhepo chinokonzera mhepo kuti ikwanise kuita basa remwoyo nemapapu, zvichibvumira chiremba chiremba kumisa mwoyo uye kuita chirwere kunze kwekufamba kwemoyo kunorova. Mune zvimwe zviitiko nzira inobviswa "pombi," asi izvi zvisinganyanyozivikanwi.
> Kwakabva:
> Ko Coronary Artery Bypass Grafting? National Heart Lung uye Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/cabg/cabg_whatis.html