Bypass kuvhiyiwa (saphenectomy): njodzi, maitiro anoitwa, uye kupora

Zvemukati

• Kana kuvhiyiwa kuchiratidzwa
• Njodzi dzekuvhiya kubvisa saphenous vein
• Sei kupora mushure me saphenous vein kubviswa
• Kuvhiya kwakadii kubvisa iyo saphenous vein

Kuvhiya kubvisa iyo saphenous vein, kana saphenectomy, inzira yekurapa yevaricose mutsinga mumakumbo uye kuwana huturu hwema graf kudarika aortocoronary, nekuti zvakafanira kuti ubvise mutsinga uyu, unenge wakaomesesa kupfuura mamwe maitirwo, akadai jekiseni rekupupa kana radiofrequency, semuenzaniso, asi, kune rumwe rutivi, inorapa chaiyo mitsipa yevaricose.

Kudzoreredza kubva kune ino varicose vein kuvhiya inotora anenge 1 kusvika 2 mavhiki, uye zviitiko zvemuviri zvinoburitswa mushure memazuva makumi matatu. Pakati peino nguva, kushandiswa kwemasokisi ejiki nemishonga yekurapa, senge inorwisa-kupisa mishonga kana analgesics, inorayirwa nachiremba anovhiya.

Kana kuvhiyiwa kuchiratidzwa

Saphenectomy inoratidzwa mune mamwe mamiriro, akadai se:

• Kana paine njodzi yekuti tsinga dzakazvimba hadzirambe uye kuputika;
• Kunonoka kupora kwevaricose mutsinga;
• Kuumbwa kwemachira mukati mevaricose mutsinga.

Aya mamiriro anofanirwa kuongororwa neiyo angiologist kana kuvhiyiwa kwevascular, vanova nyanzvi pakurapa rudzi urwu rwemamiriro, ndiani achatora kuti saphenectomy ichadiwa riini.

Njodzi dzekuvhiya kubvisa saphenous vein

Kunyangwe iri kuvhiyiwa ine njodzi shoma, saphenectomy inogona kuve nezvinetso zvisingawanzoitika, sekukuvara kwemitsipa padhuze nemutsinga, izvo zvinogona kukonzera kugwinha nekurasikirwa kwekunzwa, pamusoro pekubuda ropa, thrombophlebitis, thrombosis yegumbo kana pulmonary embolism.

Ona kutarisirwa kunofanira kutorwa usati uye mushure mekuvhiyiwa kuti udzivise aya marudzi ezvinetso.

Sei kupora mushure me saphenous vein kubviswa

Mune iyo postoperative nguva mushure mekubviswa kweiyo saphenous vein, zvinokurudzirwa kuzorora, uchisarudza kuve nemakumbo akasimudzwa, kwevhiki rimwe, kuwedzera kune:

• Shandisa elastic masokisi kuitira kutsikisa makumbo;
• Shandisa marwadzo ekurapa mishonga, senge anti-inflammatories uye analgesics, yakatemwa nachiremba;
• Usazvirovedza muviri kana kuzviisa pazuva kwemwedzi mumwe chete.

Uye zvakare, nzvimbo dzenzvimbo dzinofanirwa kuchengetwa dzakachena uye dzakaoma.Mafuta okuzora anogona zvakare kushandiswa kubvisa maronda, senge hirudoid, semuenzaniso.

Kuvhiya kwakadii kubvisa iyo saphenous vein

Kubviswa kweiyo saphenous tsinga kunoratidzirwa kurapa varicose mutsinga kana iyo saphenous tsinga yakavharika nekuda kwekunyanyisa kuwanda kwemudziyo uyu, kana kana iyo saphenous tsinga isisashande sezvainofanirwa kudzosa ropa kubva kumakumbo kusvika pamoyo, neicho chemukati uye tsinga dzokunze dzesaphenous. Maitiro acho anoitwa mukamuri yekuvhiya, iine musana kana general anesthesia, uye nguva yekuvhiya inowanzo kuve maawa maviri.

Iyo saphenous vein mutsinga muhombe unomhanya kubva muchiuno, nepabvi, painotsemuka nepakati, huru saphenous tsinga uye iyo diki saphenous tsinga, inoenderera ichidzika kusvika kutsoka. Zvisinei nekukura kwayo, kubviswa kweiyo saphenous vein hakukuvadze hutano, sezvo paine mimwe, midziyo yakadzika yakakosha kudzosa kweropa kumoyo.

Nekudaro, kana iyo tsinga dzesapeni dzichiri kushanda, kubviswa kwayo kunofanirwa kudzivirirwa, nekuti iyo saphenous tsinga inobatsira pakuita kupfuura, kana zvichidikanwa, ndiko kuvhiya uko tsinga yesaphenous yakaisirwa mumoyo kutsiva yakavhara tsinga dzekoniyoni. yemwoyo.

Ona ndedzipi dzimwe nzira dzekuvhiya dzevicic veins dzinochengetedza iyo saphenous vein.