Moyo wekupfuura kuvhiya - zvishoma zvinokanganisa

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.

Kuita kuvhiya uku:

• Chiremba wemwoyo achaita 3- kusvika 5-inch (8 kusvika 13 cm) yekucheka akacheka muruboshwe chikamu chechipfuva chako pakati pembabvu dzako kuti usvike pamwoyo wako.
• Tsandanyama munzvimbo iyi dzichasundirwa parutivi. Chikamu chidiki chepamberi pembabvu, chinonzi chakadhura shwashwa, chinobviswa.
• Chiremba anovhiya anozowana nekugadzirira arteri pachipfuva chako pamadziro (yemukati mammary arteri) kubatanidza kune yako coronary artery yakavharwa.
• Tevere, chiremba anovhiya anoshandisa suture kubatanidza yakagadzirira chest artery kune coronary arteri yakavharwa.

Iwe hauzove uri pamwoyo-mapapu muchina wekuvhiya uku. Nekudaro, iwe unenge uine general anesthesia saka unenge wakarara uye usinganzwe kurwadziwa. Chigadzirwa chinosungirirwa pamoyo wako kuti chigadzikane. Iwe zvakare uchagamuchira mishonga yekudzora moyo pasi.

Iwe unogona kunge uine chubhu muchipfuva chako yekudonha kwemvura. Izvi zvichabviswa muzuva kana maviri.

Chiremba wako anogona kukurudzira inonamatira isingaperi coronary artery kupfuura kana iwe uine kuvhara mune imwe kana maviri coronary arteri, kazhinji pamberi pemoyo.

Kana imwe kana yakawanda yetsinga dzekoniyoni dzikavharika zvishoma kana kuvharika, moyo wako hauwane ropa rakaringana. Izvi zvinonzi ischemic moyo chirwere kana coronary tsinga chirwere. Inogona kukonzera kurwadziwa muchipfuva (angina).

Chiremba wako anogona kunge akatanga atanga kukurapa nemishonga. Iwe unogona kunge wakamboedza zvakare kugadzirisa kwemoyo kana kumwe kurapwa, senge angioplasty ine stenting.

Coronary arteri chirwere inosiyana pamunhu nemunhu. Moyo wekupfuura kuvhiya ingori imwe yemhando yekurapa. Hazvina kukodzera munhu wese.

Kuvhiya kana maitirwo anogona kuitwa panzvimbo peinokuvadza moyo inopfuura ndeaya:

• Angioplasty uye stent kuiswa
• Coronary yekupfuura

Chiremba wako achataura newe nezve njodzi dzekuvhiya. Pakati pese, matambudziko ezvenguva mashoma anopwanya coronary artery yekupfuura akaderera pane neakavhurika coronary artery inopfuura kuvhiya.

Ngozi dzine chekuita nekuvhiya chero dzinosanganisira:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Ropa kurasikirwa
• Matambudziko ekufema
• Chirwere chemwoyo kana sitiroko
• Kubatwa nemapapu, weti turakiti, uye chipfuva
• Yenguva pfupi kana yekusingaperi kukuvara kwehuropi

Njodzi dzinogona kuitika dzecoronary arteri inopfuura inosanganisira:

• Kurasikirwa kwekurangarira, kurasikirwa kwekujeka kwepfungwa, kana "kufunga kwakashata." Izvi hazviwanzo kujairika muvanhu vane zvishoma zvishoma zvinoparadza kota yetsinga inopfuura pane vanhu vane yakavhurika coronary yekupfuura.
• Mwoyo mutinhimira matambudziko (arrhythmia).
• Chirwere chepachipfuva. Izvi zvinonyanya kuitika kana iwe wakanyanya kufutisa, uine chirwere cheshuga, kana wakave nekuvhiyiwa kwekoronary munguva yakapfuura.
• Low-grade fever uye kurwadziwa kwepfupa (pamwechete kunonzi postpericardiotomy syndrome), iyo inogona kusvika kumwedzi mitanhatu.
• Marwadzo panzvimbo yecheka.
• Zvinogoneka kudiwa kwekushandura kuita kwakajairika maitiro neyekupfuura muchina panguva yekuvhiyiwa.

Gara uchiudza chiremba wako kuti ndeapi madhiragi auri kutora, kunyangwe madhiragi kana mishonga yemakwenzi yawakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Kwenguva yevhiki mbiri usati wavhiyiwa, unogona kukumbirwa kuti urege kutora zvinodhaka zvinoita kuti ropa rako rigwinike. Izvi zvinogona kukonzera kuwedzera kubuda ropa panguva yekuvhiyiwa. Zvinosanganisira aspirin, ibuprofen (yakadai saAdvil naMotrin), naproxen (yakadai saAleve naNaprosyn), nemimwe mishonga yakafanana. Kana iwe uri kutora clopidogrel (Plavix), bvunza chiremba wako wekuvhiya paunofanirwa kurega kuitora usati wavhiyiwa.
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega. Kumbira chiremba wako kuti akubatsire.
• Bata chiremba wako kana iwe uine kutonhora, furuwenza, fivhiri, herpes breakout, kana chero chimwe chirwere.
• Gadzirira imba yako kuti ugone kufamba famba zviri nyore paunodzoka kubva kuchipatara.

Zuva rakapfuura kuvhiyiwa kwako:

• Shower uye shampoo zvakanaka.
• Iwe unogona kukumbirwa kushambidza muviri wako wese pazasi pemutsipa wako nesipo yakakosha. Svina chipfuva chako kaviri kana katatu nesipo iyi.

Pazuva rekuvhiyiwa:

• Iwe unowanzo bvunzwa kuti usanwa kana kudya chero chinhu pakati pehusiku husiku usati waitwa oparesheni. Izvi zvinosanganisira kutsenga chingamu uye kushandisa mweya mints. Sukurudza muromo wako nemvura kana ichinzwa kuoma, asi chenjera kuti usamedze.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.

Chiremba wako anokuudza nguva yekuuya kuchipatara.

Iwe unogona kukwanisa kubva muchipatara mazuva maviri kana matatu mushure mekuvhiyiwa kwako. Chiremba kana mukoti anokuudza maitiro ekuzvichengeta wega kumba. Iwe unogona kukwanisa kudzokera kune zvakajairika zviitiko mushure memasvondo maviri kana matatu.

Kudzoreredza kubva pakuvhiya kunotora nguva, uye ungangotadza kuona mabhenefiti akazara ekuvhiyiwa kwako kwemwedzi mitatu kusvika kumitanhatu. Muvanhu vazhinji vane moyo inopfuura nekuvhiya, iwo mabara anoramba akavhurika uye anoshanda mushe kwemakore mazhinji.

Kuvhiya uku hakutadzise kuvharika kudzoka. Nekudaro, iwe unogona kutora matanho ekudzora zvishoma. Zvinhu zvaunogona kuita zvinosanganisira:

• Usapute.
• Idya kudya kunovaka moyo.
• Gara uchiekisesaiza.
• Rapa kukwirisa kweropa, shuga yakakwira muropa (kana uine chirwere cheshuga), uye cholesterol yakawanda.

Unogona kuve nemikana yekuve nezvinetso nemitsipa yako yeropa kana uine chirwere cheitsvo kana mamwe matambudziko ekurapa.

Zvishoma zvinopindirana zvakananga coronary artery yekupfuura; MIDCAB; Robhoti-yakabatsira coronary artery kupfuura; RACAB; Keyhole kuvhiyiwa moyo; CAD - MIDCAB; Coronary tsinga chirwere - MIDCAB

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Angioplasty uye stent - moyo - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuchengetedzwa kwekugezera kwevakuru
• Kuva unoshingaira mushure mekurwadziwa kwemoyo wako
• Kuva unoshingaira kana uine chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Catheterization yemwoyo - kubuda
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Moyo wekupfuura kuvhiya - kushomeka zvisingaite - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Mwoyo pacemaker - kubuda
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kwakaderera-munyu
• Kudya kweMediterranean
• Kudzivirira kudonha
• Kuchengeta ronda rekuvhiya - rakavhurika

• Moyo - pamberi pekutarisa
• Mashure emoyo arteri
• Anterior moyo arteri
• Coronary tsinga stent
• Moyo unopfuura kuvhiya - akateedzana

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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.

Rodriguez ML, Ruel M. Zvishoma zvinokanganisa artery coronary inodarika kubatanidza. Mune: Sellke FW, Ruel M, eds. Atlas yeCardiac Nzira dzekuvhiya. 2nd ed. Philadelphia, PA: Elsevier; 2019: chits.