Mwoyo Bypass Kuvhiya

Zvemukati

• Ndeapi marudzi akasiyana emoyo anodarika kuvhiya?
• Nei munhu angangoda moyo kupfuura kuvhiyiwa?
• Iko kudiwa kwemoyo kupfuura kuvhiya kwakatemwa sei?
• Ndeipi njodzi dzepamoyo kuvhiya?
• Ndedzipi dzimwe nzira dzekuvhiya moyo?
• Balloon angioplasty
• Yakagadziriswa yekunze kupokana (EECP)
• Mishonga
• Kudya uye mararamiro ekuchinja
• Ini ndinogadzirira sei kwemoyo kupfuura kuvhiya?
• Matipi ekuvhiya emoyo
  
• Kuvhiya kwemoyo kunoitwa sei?
• Nhanho yekutanga
• Kubatanidza kune cardiopulmonary bypass muchina
• Kunyoresa
• Matanho ekupedzisira
• Ndiani achabatsira kuita kuvhiya kwepashure?
• Chii chakaita kupora kubva pakuvhiya moyo?
• Ndirini pandingaudza chiremba wangu nezve marwadzo mushure mekuvhiyiwa?
• Ndeapi mishonga andichatora mushure mekuvhiyiwa kwemoyo?
• Ndeipi mhedzisiro yenguva refu yekupfuura kuvhiya?

Chii chinonzi kuvhiya kwemoyo?

Kuvhiya kwepamoyo, kana coronary artery bypass graft (CABG) kuvhiya, inoshandiswa kugadzirisa kuyerera kweropa kusvika pamoyo wako. Chiremba anovhiya anoshandisa tsinga dzeropa dzakatorwa kubva kune imwe nzvimbo yemuviri wako kupfuudza tsinga dzakakuvadzwa.

Vanachiremba vanoita angangoita mazana maviri ezviuru ekuvhiya kwakadaro muUnited States gore rega rega.

Kuvhiya uku kunoitwa kana tsinga dzekononiki dzikavharika kana kukuvara. Tsinga idzi dzinopa moyo wako neropa rine oxygen. Kana aya arteri akavharika kana kuyerera kweropa kuchirambidzwa, moyo haushande nemazvo. Izvi zvinogona kutungamira kukundikana kwemoyo.

Ndeapi marudzi akasiyana emoyo anodarika kuvhiya?

Chiremba wako achakurudzira imwe mhando yekupfuura kuvhiya zvichienderana nekuti mangani etsinga dzako akavharika.

• Yepfuura imwechete. Tsinga imwe chete ndiyo yakavharwa.
• Kupfuura kaviri. Tsinga mbiri dzakavharika.
• Kupfuura katatu. Tsinga nhatu dzakavharika.
• Quadruple yekupfuura. Tsinga ina dzakavharwa.

Ngozi yako yekuve nekurwadziwa kwemoyo, kutadza kwemoyo, kana imwe nyaya yemoyo zvinoenderana nenhamba yetsinga dzakadzivirirwa. Kuvharika mune mamwe arteri zvakare zvinoreva kuti kuvhiyiwa kunogona kutora nguva yakareba kana kuwedzera kuomarara.

Nei munhu angangoda moyo kupfuura kuvhiyiwa?

Kana zvinhu muropa rako zvinonzi plaque zvinowanda pamadziro ako eropa, shoma ropa rinoyerera kuenda kutsinga yemoyo. Rudzi urwu rwecoronary arteri chirwere (CAD) inozivikanwa se atherosclerosis.

Moyo unowanzo neta uye wotadza kana usiri kugamuchira ropa rakaringana. Atherosclerosis inogona kukanganisa chero arteri mumuviri.

Chiremba wako anogona kukurudzira kuvhiya kwemoyo kana ako coronary arteri achiderera kana kuvharika zvekuti unomhanyisa njodzi yekurwara kwemoyo.

Chiremba wako anozokurudzirawo kupfuudza kuvhiya kana iko kuvharirwa kwakanyanyisa kubata nemushonga kana kumwe kurapa.

Iko kudiwa kwemoyo kupfuura kuvhiya kwakatemwa sei?

Chikwata chevanachiremba, kusanganisira chiremba wezvemwoyo, vanoona kana uchigona kuvhiyiwa-moyo wakavhurika. Zvimwe zvehutano zvinogona kuomesa kuvhiya kana kuzvibvisa sezvingangoita.

Mamiriro ezvinhu anogona kukonzera matambudziko anosanganisira:

• chirwere cheshuga
• emphysema
• chirwere cheitsvo
• peripheral arterial chirwere (PAD)

Kurukura nyaya idzi nachiremba wako usati waronga kuvhiyiwa kwako. Iwe zvakare uchazoda kutaura nezve yako yemhuri nhoroondo yezvekurapa uye chero mushonga uye wepamusoro-the-counter (OTC) mishonga yauri kutora. Zvirongwa zvekuvhiya zvakarongwa zvinowanzo kuve zvirinani pane kuvhiya kwechimbichimbi.

Ndeipi njodzi dzepamoyo kuvhiya?

Kufanana nechero kuvhiyiwa-kwemoyo wakavhurika, moyo wekupfuura nekuvhiya une njodzi. Kwazvino kufambira mberi kwetekinoroji kwakavandudza maitiro, kuwedzera mikana yekuvhiya kwakabudirira.

Pachine njodzi yemamwe matambudziko mushure mekuvhiyiwa. Aya matambudziko anogona kusanganisira:

• kubuda ropa
• arrhythmia
• kugwamba kweropa
• kurwadziwa pachipfuva
• hutachiona
• itsvo kutadza
• chirwere chemwoyo kana sitiroko

Ndedzipi dzimwe nzira dzekuvhiya moyo?

Mumakore gumi apfuura, dzimwe nzira dzekuvhiya moyo dzave kuwanikwa. Izvi zvinosanganisira:

Balloon angioplasty

Balloon angioplasty ndiyo imwe nzira iyo ingangodaro inokurudzirwa navanachiremba. Munguva yekurapa uku, chubhu inosungirwa kuburikidza neyeri yakavharika tsinga. Mushure mezvo, chibharumu chidiki chinofemerwa kuti chiwedzere arteri.

Chiremba anobva abvisa chubhu nebharumu. Chidiki chesimbi scaffold, inozivikanwawo sekuti stent, ichasiiwa munzvimbo. Iyo stent inochengeta tsinga kubva pakubvumirana kudzoka kune saizi yayo yekutanga.

Balloon angioplasty inogona kunge isinganyatsoita sekuvhiya kwemoyo, asi haina njodzi.

Yakagadziriswa yekunze kupokana (EECP)

Kuwedzeredzwa kwekunze kupokana (EECP) inzira yekurapa. Inogona kuitirwa sepamoyo kupfuura kuvhiya, zvinoenderana nezvakawanda. Muna 2002, yakagamuchirwa neKudya neDrug Administration (FDA) kuti ishandiswe mune vanhu vane congestive moyo kutadza (CHF).

EECP inosanganisira kumanikidza tsinga dzeropa mumakumbo ezasi. Izvi zvinowedzera kuyerera kweropa kuenda pamoyo. Ropa rekuwedzera rinoendeswa kumoyo nekurova kwemoyo kwese.

Nekufamba kwenguva, mimwe tsinga dzeropa dzinogona kukudziridza mamwe "matavi" anoendesa ropa kumoyo, rova ​​rudzi rwe "kudarika kwepanyama."

EECP inotarisirwa zuva nezuva kweawa imwe chete kana maviri mukati memavhiki manomwe.

Mishonga

Kune mimwe mishonga yaunogona kufunga usati washandisa nzira dzakadai sekuvhiya moyo. Beta-blockers anogona kubvisa akatsiga angina. Iwe unogona kushandisa cholesterol-kudzikisa madhiragi kunonoka plaque buildup mune ako arteri.

Chiremba wako anogona zvakare kukurudzira muyero wezuva nezuva weasipasi-aspirin (mucheche aspirin) kubatsira kudzivirira kurwisa kwemoyo. Aspirin kurapa kunoshanda kwazvo kune vanhu vane nhoroondo yepamberi yeatherosclerotic yemwoyo chirwere (senge chirwere chemwoyo kana sitiroko).

Ivo vasina nhoroondo yekutanga vanofanirwa kungoshandisa aspirin semushonga wekudzivirira kana ivo:

• vari pangozi yakanyanya yekurwadziwa kwemoyo uye zvimwe atherosclerotic zvemwoyo zvirwere
• zvakare uine njodzi yakaderera yekubuda ropa

Kudya uye mararamiro ekuchinja

Iyo yakanakisa nzira yekudzivirira ndeye "moyo-hutano" mararamiro, sekurairwa neAmerican Heart Association (AHA). Kudya chikafu chakakwira mu omega-3 fatty acids uye yakaderera mune yakazara uye inogadziriswa mafuta inobatsira moyo wako kugara wakagwinya.

Ini ndinogadzirira sei kwemoyo kupfuura kuvhiya?

Kana chiremba wako achikurudzira kuvhiya moyo, vachakupa rairo yakakwana yekuti ungagadzirira sei.

Kana kuvhiyiwa kwakarongwa pachine nguva uye isiri nzira yekukurumidzira, ungangove uine akagadzwa mazhinji ekuvhiya usati wabvunzwa nezve hutano hwako uye nhoroondo yekurapa yemhuri.

Iwe zvakare unozoita bvunzo dzinoverengeka kubatsira chiremba wako kuwana mufananidzo chaiwo wehutano hwako. Izvi zvinogona kusanganisira:

• kuongororwa ropa
• X-ray yechipfuva
• electrocardiogram (ECG kana EKG)
• angiogram

Matipi ekuvhiya emoyo

• Tsvaga rairo yechiremba wako nezve chero mushonga unobata kuti ropa rako rinovhara sei. Marwadzo mazhinji uye mishonga yemwoyo inokanganisa kugwamba, saka ungatofanira kurega kuitora.
• Regedza kusvuta. Izvo zvakashata kumoyo wako uye zvinowedzera kupora nguva.
• Udza chiremba wako kana iwe uine zviratidzo zvekutonhora kana furuu. Kunyanya, furuwenza inogona kuisa kumwe kushushikana pamoyo uye inogona kuwedzera mikana yako yekurwadziwa kwemoyo kana kuwedzera kukundikana kwemoyo. Inogona zvakare kukonzera myocarditis, pericarditis, kana zvese zviri zviviri. Izvi zvinogona kunge zvakakomba hutachiona hwemwoyo.
• Gadzirira imba yako uye ita hurongwa hwekugara muchipatara kwemazuva akati wandei.
• Kuti uderedze njodzi yekutapukirwa, geza muviri wako nesipo yakakosha, saHibiclens, husiku hwapamberi pekuvhiyiwa. Yakagadzirwa neklorhexidine, iyo inobatsira kuchengetedza muviri wako usina hutachiona kusvika pakuvhiyiwa.
• Kutsanya, uko kunosanganisira kusanwa mvura, kutanga pakati pehusiku usati wavhiyiwa.
• Tora mishonga yese yaunopihwa nachiremba.

Kuvhiya kwemoyo kunoitwa sei?

Usati wavhiyiwa, unozoshanduka kuita hanzu yechipatara uye wotambira mishonga, zvinwiwa, uye kutindivadza kuburikidza neIV. Kana iyo anesthesia yatanga kushanda, iwe unowira muhope yakadzika, isina kurwadziwa.

Nhanho yekutanga

Chiremba wako anovhiya anotanga nekuita incision pakati pechipfuva chako.

Mbabvu yako inotambanudzwa kuti ifumure moyo wako. Chiremba wako anovhiya anogona zvakare kusarudza kuvhiya kushoma kunokanganisa, uko kunosanganisira kucheka kudiki uye akasarudzika miniaturized zviridzwa uye marobhoti maitiro.

Kubatanidza kune cardiopulmonary bypass muchina

Iwe unogona kusungirirwa kumusoro kune cardiopulmonary bypass muchina uyo unotenderera oxygenated ropa kuburikidza nemuviri wako apo chiremba wako achishanda pamoyo wako.

Dzimwe nzira dzinoitwa "off-pump," zvichireva kuti kukubatanidza iwe kune cardiopulmonary bypass muchina hakuna kudikanwa.

Kunyoresa

Muvhiyi wako anobva abvisa tsinga yeropa ine hutano kubva pagumbo kuti ipfuure iyo yakavharika kana yakakuvara chikamu chetsinga yako. Mumwe mugumo wekubatanidzwa wakasungirirwa pamusoro pekuvharika uye mumwe mugumo pazasi.

Matanho ekupedzisira

Kana chiremba wako apedza, basa rekupfuura rinotariswa. Kana iyo yekudarika yatanga kushanda, unozosimbiswa, bhanji, uye woendeswa kuchipatara chevanorwarisa (ICU) chekutarisa.

Ndiani achabatsira kuita kuvhiya kwepashure?

Munguva yese yekuvhiya, mhando dzinoverengeka dzehunyanzvi dzinovimbisa kuti maitiro anoitwa nemazvo. Perfusion technologist inoshanda neiyo cardiopulmonary bypass muchina.

Chiremba wemwoyo anoita maitiro uye anesthesiologist inovimbisa kuti anesthesia inounzwa mumuviri wako nemazvo kuti urambe usingazive panguva yekuita.

Kufananidza nyanzvi vanogona kunge varipo kutora X-rays kana kubatsira kuona kuti timu inogona kuona saiti yekuvhiya uye nyama dzakatenderedza.

Chii chakaita kupora kubva pakuvhiya moyo?

Paunomuka kubva pamwoyo kuburikidza nekuvhiya, unenge uine chubhu mumuromo mako. Iwe unogona zvakare kunzwa kurwadziwa kana kuve nemhedzisiro kubva kunzira, kusanganisira:

• kurwadziwa panzvimbo yekutsemurwa
• kurwadziwa nekufema kwakadzika
• kurwadziwa nekukosora

Iwe ungangove uri muICU kwezuva rimwe kana maviri kuitira kuti zviratidzo zvako zvakakosha zviongororwe. Kana ukangogadzikana, uchaendeswa kune imwe kamuri. Iva wakagadzirira kugara muchipatara kwemazuva akati wandei.

Usati wabuda muchipatara, timu yako yekurapa inokupa rairo yekuti ungazvichengete sei, kusanganisira:

• kutarisira maronda ako ekucheka
• kuwana zororo rakawandisa
• kurega kubva pakusimudza zvinorema

Kunyangwe pasina zvinetswa, kupora kubva pakuvhiya kwemoyo kunogona kutora mavhiki matanhatu kusvika gumi nemaviri. Ndiyo nguva shoma inotora kuti pfupa rako rechipfuva ripore.

Pakati peino nguva, iwe unofanirwa kudzivirira kunetseka kukuru. Tevera zvirevo zvechiremba wako zvine chekuita nebasa rekuita. Zvakare, haufanire kutyaira kusvikira wawana mvumo kubva kuna chiremba wako.

Chiremba wako angangokurudzira kurapa kwemoyo. Izvi zvinosanganisira regimen rekunyatso tariswa chiitiko chemuviri uye dzimwe nguva bvunzo dzekushushikana kuti uone kupora kwemoyo wako.

Ndirini pandingaudza chiremba wangu nezve marwadzo mushure mekuvhiyiwa?

Udza chiremba wako nezve chero kurwadziwa kusingaperi kana kusagadzikana panguva yako yekutevera. Iwe unofanirwa zvakare kufonera chiremba wako kana iwe uchinge wawana:

• fivha inopfuura 100.4 ° F (38 ° C)
• kuwedzera kurwadziwa mubhokisi rako
• kukurumidza kurova kwemoyo
• kutsvuka kana kuburitsa kwakatenderedza incision

Ndeapi mishonga andichatora mushure mekuvhiyiwa kwemoyo?

Chiremba wako anokupa iwe mishonga yekubatsira kudzora marwadzo ako, senge ibuprofen (Advil) kana acetaminophen (Tylenol). Iwe unogona zvakare kugamuchira narcotic yekurwadziwa kwakanyanya.

Chiremba wako achakupawo mishonga kuti ikubatsire panguva yako yese yekudzoka. Izvi zvinosanganisira antiplatelet zvinodhaka uye zvimwe zvinodhaka zvakatemwa nachiremba wako.

Taura nachiremba wako nezve izvo zvirongwa zvemushonga zvakakunakira iwe. Izvi zvinonyanya kukosha kana uine mamiriro aripo akadai seshuga kana mamiriro anokanganisa dumbu kana chiropa.

Ndeipi mhedzisiro yenguva refu yekupfuura kuvhiya?

Mushure mekubudirira kwemoyo kupfuura nekuvhiya, zviratidzo zvakaita sekufema kufema, kuomesa pachipfuva, uye kuwedzerwa kweropa kungangoita nani.

Kupfuura kunogona kuwedzera kuyerera kweropa kuenda mumoyo, asi iwe ungangoda kuchinja dzimwe tsika kudzivirira ramangwana chirwere chemwoyo.

Mhedzisiro yepamusoro yekuvhiya inoonekwa muvanhu vanochinja mararamiro ane hutano. Taura nachiremba wako nezvechikafu uye mamwe mararamire shanduko kuti uite mushure mekuvhiyiwa.