Moyo wekupfuura kuvhiya - kushomeka zvisingaite - kubuda

Kuvhiya kwepamoyo kunogadzira nzira nyowani, inonzi yekupfuura, kuti ropa neoksijeni zvisvike pamwoyo wako.

Zvishoma zvinokuvadza coronary (moyo) arteri yekupfuura inogona kuitwa pasina kumisa moyo. Naizvozvo, iwe haufanire kuiswa pamwoyo-mapapu muchina weiyi nzira.

Chinyorwa ichi chinokurukura zvaunofanira kuita kuzvitarisira kana wabva muchipatara.

Iwe waive neinopwanya zvishoma coronary artery yekupfuura kuvhiya pane imwe kana yakawanda yako coronary arteri. Chiremba wako akashandisa arteri kubva muchipfuva chako kugadzira nzira, kana kupfuura, kutenderera tsinga dzakavharwa uye dzaisagona kuunza ropa kumoyo wako. Yakatemwa 3- kusvika 5-inch-kureba (7.5 kusvika 12.5 masentimita) yakatemwa (incision) yakaitwa muchikamu chekuruboshwe chechipfuva chako pakati pembabvu dzako. Izvi zvakabvumira chiremba wako kusvika pamwoyo wako.

Iwe unogona kukwanisa kubva muchipatara mazuva maviri kana matatu mushure mekuvhiyiwa. Iwe unogona zvakare kukwanisa kudzokera kune zvakajairwa zviitiko mushure memasvondo maviri kana matatu.

Mushure mekuvhiyiwa, zvakajairwa ku:

• Inzwa kuneta.
• Iva nekufema kwekufema. Izvi zvinogona kuve zvakaipisisa kana iwe zvakare uine matambudziko emapapu. Vamwe vanhu vanogona kushandisa oxygen pavanoenda kumba.
• Iva nemarwadzo munzvimbo yechipfuva yakakomberedza ronda.

Ungangoda kuti mumwe munhu agare newe kumba kwako kwevhiki yekutanga.

Dzidza maitiro ekutarisa yako kurova, uye woitarisa mazuva ese.

Ita zvekufema zvawadzidza muchipatara kwekutanga 1 kusvika kumavhiki maviri.

Zviyese zuva rega rega.

Shower mazuva ese, uchishambidza yako incision zvinyoro nesipo nemvura. Usashambira, nyura mutabhu inopisa, kana kugeza kusvikira incision yako yapora zvachose. Tevera kudya kunovaka moyo.

Kana iwe uchinzwa kushushikana, taura nemhuri yako neshamwari. Kumbira mupi wako wezvehutano nezve kuwana rubatsiro kubva kumupi wezano.

Ramba uchitora mishonga yako yese yemoyo wako, chirwere cheshuga, kuwedzerwa kweropa, kana chero mamwe mamiriro auinawo.

• Usarega kutora chero mushonga usati wataura nemupi wako.
• Mupiki wako anogona kukurudzira antiplatelet zvinodhaka (ropa rakapfava) - senge aspirin, clopidogrel (Plavix), prasugrel (Effient), kana ticagrelor (Brilinta) - kubatsira kuchengetedza yako arteri graft kuvhurika.
• Kana iwe uri kutora ropa rakatetepa senge warfarin (Coumadin), iwe unogona kuve nekuwedzera kuongororwa kweropa kuti uone kuti yako dosi iri chaiyo.

Ziva maitiro ekupindura kune angina zviratidzo.

Ramba uchishanda panguva yako yekupora, asi tanga zvishoma nezvishoma. Kumbira mupiki wako kuti unoshanda sei.

• Kufamba chiitiko chakanaka mushure mekuvhiyiwa. Usanetseke nekumhanya kwaunofamba. Tora zvishoma.
• Kukwira masitepisi kwakanaka, asi chenjera. Balance inogona kunge iri dambudziko. Zorora pakati nepakati pamatanho kana uchida.
• Chiedza mabasa epamba, akadai sekumisa tafura uye kupeta zvipfeko zvinofanirwa kunge zvakanaka.
• Zvishoma nezvishoma wedzera huwandu uye kusimba kwezviito zvako pamusoro pemwedzi mitatu yekutanga.
• Usarovedze kunze kana kuchitonhora kana kupisa zvakanyanya.
• Mira kana iwe uchinzwa kushoma mweya, dzungu, kana chero kurwadziwa muchipfuva chako. Dzivisa chero chiitiko kana kurovedza muviri kunokonzera kudhonza kana kurwadziwa pachipfuva chako, sekushandisa muchina wekukwasva kana kusimudza uremu.
• Chengetedza nzvimbo yako yekucheka yakachengetedzwa kubva kuzuva kudzivirira kupisa kwezuva.

Ive nekuchenjerera mashandisiro aunoita maoko ako nemuviri wepamusoro paunofamba-famba kwemavhiki maviri kana matatu ekutanga mushure mekuvhiyiwa kwako. Kumbira mupiki wako paunogona kudzokera kubasa. Kwevhiki yekutanga mushure mekuvhiyiwa:

• Usasvika kumashure.
• Usarega chero munhu achikweva maoko ako chero chikonzero - semuenzaniso, kana ivo vari kukubatsira iwe kufamba famba kana kusimuka pamubhedha.
• Usasimudze chero chinhu chinorema kudarika anenge gumi mapaundi (4.5 kilograms). (Iyi ingori inopfuura galoni, kana mana litita, yemukaka.)
• Dzivisa zvimwe zviitiko izvo zvaunoda kuti uchengete maoko ako pamusoro pemapfudzi ako chero nguva yenguva.
• Usatyaire. Kumonyoroka kunoitwa mukutenderedza vhiri remudhiraivho kunogona kukweva pane yako incision.

Iwe unogona kuendeswa kune chirongwa chemoyo chekuvandudza. Iwe unowana ruzivo uye kurairwa nezve chiitiko, chikafu, uye kurovedza muviri.

Fonera mupiki wako kana:

• Iwe une kurwadziwa kwepachipfuva kana kufema kwekufema kusingaendi kana uchizorora.
• Kupomba kwako kunonzwa kusinganzwisisike - kunononoka (kushoma pane makumi matanhatu kurova paminiti) kana kukurumidza kwazvo (pamusoro pezana kusvika zana nemakumi matanhatu kurova miniti).
• Une dzungu, kufenda, kana kuti wakaneta zvakanyanya.
• Iwe une musoro wakakomba usingaperi.
• Une chikosoro chisingapere.
• Uri kukosora ropa kana yero kana girini mamota.
• Une matambudziko ekutora chero emoyo wako mishonga.
• Kurema kwako kunokwira neanopfuura mapaundi maviri (kilogiramu imwe) pazuva kwemazuva maviri akateedzana.
• Ronda rako rakatsvuka kana kuzvimba, rakavhurika, kana kune rimwezve dhizaini rinouya kubva mariri.
• Iwe une kutonhora kana fivha inopfuura 101 ° F (38.3 ° C).

Zvishoma zvinokanganisa zvakananga coronary arteri kupfuura - kubuda; MIDCAB - kuburitsa; Robhoti yakabatsira coronary artery kupfuura - kubuda; RACAB - kuburitsa; Keyhole kuvhiyiwa kwemoyo - kubuda; Coronary arteri chirwere - MIDCAB kubuda; CAD - MIDCAB kuburitsa

• Moyo unopfuura kuvhiya incision
• Kutora yako carotid pulse
• Radial kufamba

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS yakanangana nekudzidziswa kweiyo gwara rekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane Dzidzira Maitiro, uye iyo American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeTracic Surgeons. Kutenderera. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS nhungamiro yekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology Foundation / American Heart Association boka rezvemitemo yekudzidzira uye iyo American College yeVarapi, American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeVanyoro Vanachiremba. Kutenderera. 2012; 126 (25): 3097-3137. PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

Fleg JL, Fomu DE, Berra K, et al. Sekondari kudzivirira atherosclerotic yemwoyo chirwere muvakuru vakuru: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2013; 128 (22): 2422-2446. PMID: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

Kulik A, Ruel M, Jneid H, uye al. Sekondari kudzivirira mushure mecoronary artery inopfuura yekuvhiya graft: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2015; 131 (10): 927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

Mangwana DA, de Lemos JA. Yakasimba ischemic chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 61.

Omer S, Cornwell LD, Bakaeen FG. Kuwana chirwere chemoyo: coronary insufficiency. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 59.

• Angina
• Coronary chirwere chemoyo
• Moyo wekupfuura kuvhiya - zvishoma zvinokanganisa
• Kutadza kwemoyo
• Yakakwira ropa cholesterol cholesterol
• Matipi ekusiya kusvuta

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuva unoshingaira mushure mekurwadziwa kwemoyo wako
• Kuva unoshingaira kana uine chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Cholesterol uye mararamiro
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Kuvhiya kwepamoyo - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kweMediterranean

• Coronary Artery Bypass Kuvhiya