Kunyaka ngamnye, inani lezigulane ezifunyaniswa ukuba ne-stenosis landa-ukunciphisa ukukhanya kweempawu ngenxa yokunamathela kwiindonga zeempahla ze-atherosclerotic plaques. Ukuphuhliswa ngenxa yephulo lokunikezelwa kwegazi kubangela ukuba unobuthakathaka kwaye uwonakalise intliziyo yesisu, ukuya kwi-necrosis yeengxenye ezithile zeentliziyo - ukukhulelwa kwe-myocardial . Abaninzi baye bakuva malunga nokusebenza okunjalo njengemibhobho ye-coronary bypass grafting, kodwa akubona bonke abanengcamango yinjongo yolu ngenelelo olwenziwe ngophengululo.
Iyintoni ukuhlinzwa ngonyango nge-coronary?
Njengokusebenza, utyando lwe-coronary parpass lujoliswe ekudaleni iipaspas ezintsha (ukuphepha) ngoncedo lwemikhumbi enempilo edibeneyo kwimibhobho ye-coronary. Injongo ephambili ye-aortocoronary shunting kukubuyisela ukujikeleza kwegazi emva kokuhlasela kwentliziyo okanye ukukhusela intliziyo. Ukutshintshwa, ngokuqhelekileyo, i-vein femoral vein, i-shin vein okanye umthamo we-thoracic wesigulane ngokwawo.
Umthambo we-Coronary bypass grafting wenziwa kwizilonda zomzimba ezingatshatanga kunye ezininzi.
Ukuqhutyelwa ukusebenza kwi-coronary shunting
Ekulungiseleleni umsebenzi, uninzi lweemvavanyo zinikwe:
- X-ray;
- electrocardiogram ;
- I-coronary angiogram yokufumana ukuvalelwa kwiinqanawa kunye neqondo lobunzima.
Ingenelelo yokuphanda iyenziwa phantsi kwe-anesthesia jikelele, ngelixa isigulane sisesimweni sokulala. Intliziyo ngexesha lokusebenza lugqityiwe, kwaye umsebenzi weentliziyo kunye nemiphunga yenziwa yi-apparatus ye-circulation circulation. Ngokuqhelekileyo, inkqubo ye-coronary shunting ithatha malunga neeyure ezingama-5.
Emva kokugqitywa komsebenzi, isigulane sifakwa kwiyunithi yokunyamekela okanye kwindawo yonyango enzulu, apho ixhunyiwe kumacebo alawula imisebenzi ebalulekileyo kwaye ilonge imiqondiso ebalulekileyo.
Ukubuyiselwa emva kweyoronary artery bypass grafting
Emva kokuhlinzwa ngonyango lwe-coronary, kuyimfuneko ukugcina indlela yokuphila etyunjwe ngugqirha kwaye uthathe imithi enqunyiwe. Ngoko, ekubeni usesibhedlele, kufuneka:
- Ukusebenzisa ukuphefumula ukunciphisa umlinganiselo wamanzi emiphakeni, umzekelo, fakela ibhaluni okanye wenze u-15 ukuya kwe-20 uphefumle ngokunyanisekileyo kwiiyure.
- Emva kokususa iibhubhu ezikhuthazayo neziphefumulayo, kufuneka uhambe ngeendlela zonke.
Xa ubuyela ekhaya, kucetyiswa ukuba:
- Yenza isethi yemisebenzi ethile yomzimba.
- Musa ukutshaya okanye ukusela utywala.
- Jonga ubunzima.
- Gwema ubunzima obubonakalayo.
Nangona, njengomthetho, isigulane simiselwe ukuba sisebenze inyanga okanye ezimbini emva kokusebenza, ukuphilisa ithambo le-sternum kuthatha ixesha elide ixesha elide: ukuya kwiinyanga ezintandathu. Ukunyanzela inkqubo, kuyinqweneleka ukugqoka ibhinti ekhethiweyo yesifuba, kwaye ukukhusela i-stasis ye-venous, kucetyiswa ukuba uhambe emasitokisini elastiki.
Into ebalulekileyo kwinkqubo yokuvuselela emva kokuhlinzwa ngogqirha yonyango. Xa ukhetha ukutya, kufuneka:
- Nika okukhethekileyo kwiziqhamo, imifuno, iimveliso zobisi ezinomuncu, iintlanzi ezincinci zintlanzi, iinkukhu.
- Ukulahla inqatha, isarti, ukutya okumnandi kakhulu.
Ukuthintela uphuhliso lwe-anemia, kunyanzelekile ukubandakanya kwimveliso yokutya eneetsimbi. Le micronutrient ikhona ngokubaluleka okukhulu kule mikhiqizo elandelayo:
- ngemveliso (intsholongwane, izintso, imiphunga);
- zokutya kwezilwanyana;
- iimbotyi (iilenti, ubhontshisi, iiperesi);
- imifuno (isipinashi, izaqathe, ukholifulawa, beetroot);
- iziqhamo (ii-apula, iiperesi, i-apricot, iibhanana);
- amajikijolo (i-raspberry, i-blueberry, i-strawberries);
- amantongomane.