Chii chiri chinangwa uye sei kuvhiya kwepashure kunoitwa?

Zvemukati

• Chii chinonzi kuvhiya kwekudarika?
• Kuvhiyiwa kunoitwa sei
• Kuvhiya kunokanganisa kutenderera kwemakumbo here?
• Kudzoreka sei
• Ngozi dzekudarika

Yokudarika, inozivikanwawo se kudarika cardiac kana myocardial revascularization, rudzi rwekuvhiya kwemoyo umo chidimbu chetsvina yesaphenous yegumbo yakaiswa mumoyo, kutakura ropa kubva kuorta kuenda kumhasuru yemoyo.

Rudzi rwekuvhiya kunoitwa kana paine chinovhiringidza nemafuta emafuta mumidziyo yemwoyo, inova aron coronary arteri, iyo isinganatsirike nemamwe marudzi ekurapa uye, nekudaro, inowedzera njodzi yezvinetso zvakakomba senge infarction.

Chii chinonzi kuvhiya kwekudarika?

Mwoyo inhengo yakakosha inopomba ropa mumuviri wese, ichiitendera kuti iite oxygen ropa mumapapu uye nekupa ese maseru mune mamwe mativi emuviri. Nekudaro, kuti ushande nemazvo, moyo unodawo kuunza tsandanyama yawo neropa rine oxygen yakawanda, iyo inosvika kuburikidza neatorta arteri kuburikidza nemidziyo yemhasuru yemwoyo, inozivikanwawo seacoronary arteri.

Kana idzi aron coronary dzakavharwa, nekuda kwekuvapo kwemafuta pamadziro emidziyo, semuenzaniso, ropa rinopfuura mune diki diki kune mhasuru uye, nekudaro, pane kuderera kwehuwandu hweoxygen inosvika kune aya maseru maseru. Kana izvi zvikaitika, moyo unorasikirwa nechikamu chekukwanisa kupomba ropa rakatenderedza muviri, zvichikonzera zviratidzo zvakaita sekufema kufema, kuneta nyore uye kunyange kufenda.

Mukuwedzera, kana ropa rikamira kupfuura zvachose, mhasuru yemwoyo inopinda musero kufa uye chirwere chemwoyo chinomuka, izvo zvinogona kutyisidzira hupenyu.

Nekudaro, kuti udzivise iyi mhando yakakomba yezvinetso, chiremba wezvemwoyo anogona kuraira kuti aite kuvhiya kwepashure, uko kunosanganisira kutora chidimbu chetsvina kubva pagumbo uye kugadzira "zambuko" pakati peaorta nenzvimbo ipapo nekukurumidza. artery coronary. Nenzira iyi, iro ropa rinokwanisa kuenderera richitenderera kuburikidza nemhasuru yemoyo uye moyo unochengetedza kushanda kwaro kwese.

Kuvhiyiwa kunoitwa sei

Kuvhiya kweBypass kwakasimba uye kunotora avhareji yemaawa mashanu. Matanho ekupfuura kuvhiya ndeaya:

1. General anesthesia ine kudikanwa kwechubhu mune trachea yekuita kufema;
2. Kubviswa kwechikamu cheiyo saphenous vein mugumbo;
3. Kucheka kunoitwa mubhokisi, kuti uwane arteri yemoyo;
4. Chiremba anoongorora tsinga dzakavharika, achitsanangura nzvimbo dzekugadzira mabhiriji;
5. Tsinga yesaphenous yakasonerwa munzvimbo inodiwa;
6. Chipfuva chakavharwa, ine sutures yakakosha yekuenda kune sternum;

Pakupera kwekuvhiya, iyo chubhu iri mune trachea inochengetwa mukati maawa ekutanga ekupora.

Kuvhiya kunokanganisa kutenderera kwemakumbo here?

Kunyangwe chikamu chetsvina yesaphenous ichibviswa kubva pagumbo, kazhinji, hapana kuomarara kwekutenderera kwemakumbo, sezvo ropa rinogona kuramba richitenderera kuburikidza nedzimwe tsinga. Pamusoro pezvo, mushure mekubvisa chikamu chetsinga, kunoitika chiitiko chaicho, chinozikanwa se revascularization, umo midziyo mitsva inogadzirwa kuti ipe zvinodiwa nemuviri uye kutsiva chikamu chakabviswa chetsono isaphenous.

Kunyangwe iyo saphenous yekupfuura ingangoita nguva dzose sarudzo yekutanga yekumutsiridza kwemoyo, kune mimwe midziyo mumuviri inogona kushandiswa pachinangwa ichi, kunyanya mamamary arteri, ayo ari midziyo iri muchipfuva. Kana izvi zvikaitika, kuvhiyiwa kunogona kuzivikanwa se "zamu bhiriji".

Kudzoreka sei

Mushure mekuvhiyiwa, murwere anofanirwa kugara muICU kwemazuva maviri kusvika matatu, kuti agare achiongorora zviratidzo zvakakosha uye kudzivirira zvingangonetsa zvekuvhiya. Mushure mekufungidzirwa kugadzikana, unogona kuenda kuchipatara, kwaucharamba uchinwa mapiritsi ekunyaradza marwadzo kuti usarwadziwe uye kusagadzikana muchipfuva. Muchikamu chino, iwe unofanirwa kutanga physiotherapy kuburikidza neyakareruka maekisesaizi, kufamba uye kufema maitiro.

Kudzorerwa kubva mukuvhiya uku kunononoka uye zvinongova mushure memazuva makumi mapfumbamwe apo munhu anozokwanisa kudzokera kune yavo yezuva nezuva maitiro.

Mune imwe nguva yekuvhiya, kazhinji mushure memazuva maviri ekuvhiyiwa, vanga racho harichadi kupfeka uye zvinongokosha kuti urambe wakachena uye usina chakavanzika. Kusvikira kumavhiki mana mushure mekuvhiyiwa, haufanire kutyaira kana kutakura huremu hunopfuura gumi kg.

Izvo zvakakosha kuti utore mishonga inokurudzirwa nachiremba wemoyo uye uende kunogadzwa mushure mekuvhiya, kwakarongerwa kuchipatara. Uye zvakare, mushure mekupora, zvakakosha kuenderera uine hupenyu hwakagwinya, uine kudya kwakaringana uye zviitwa zvemuviri zvenguva dzose, kuona kushanda kwakanaka kwemoyo uye kudzivirira zvipingamupinyi zvitsva mukutenderera kweiyo coronary arteri. Ona kuti ndeapi matanho ekuchengeta moyo wako uine hutano.

Ngozi dzekudarika

Sezvo iri yakareba uye yakaoma kuvhiya, nekuti zvakafanira kuvhura chipfuva uye kupindira nekushanda kwemoyo, kupfuura kuvhiya kune dzimwe njodzi, senge:

• Utachiona;
• Kubuda ropa;
• Kumira kurova kwemoyo.

Zvisinei, matambudziko aya anowanzoitika kune vanhu vakatokanganisa hutano, neitsvo kutadza, zvimwe zvirwere zvemwoyo, kana kuvhiyiwa kunoitwa nekukurumidza.

Zvisinei, njodzi dzinoderedzwa kana murwere akaremekedza mirau yese yekurapa iyo inogona kusanganisira kudzora kudya uye kushandisa kana kumisa mimwe mishonga usati wavhiyiwa uye, nekuwedzera, mabhenefiti ekuvhiya anowanzo kuwanda panjodzi yekurwadziwa nemoyo. kukuvadza hutano.