Utyando lokudlula kwentliziyo-ukukhutshwa kancinci okungafunekiyo

Utyando lokudlula kwentliziyo lwenza indlela entsha, ebizwa ngokuba kukudlula, ukuze igazi kunye neoksijini zifikelele entliziyweni yakho.

Ubuncinci be-coronary (intliziyo) yokudlula komthambo kungenziwa ngaphandle kokumisa intliziyo. Ke ngoko, awunyanzelekanga ukuba ubekwe kumatshini wentliziyo nemiphunga ukulungiselela le nkqubo.

Eli nqaku lixubusha ngento ekufuneka uyenzile ukuzikhathalela emva kokuphuma esibhedlele.

Ubunemithambo yegazi encinci yokungenelela yotyando kwenye okanye kwimithambo yegazi. Ugqirha wakho wasebenzisa umthambo osuka esifubeni sakho ukwenza ujikeleze, okanye ukudlula, ujikeleze imithambo evaliweyo kwaye ingenakho ukuzisa igazi entliziyweni yakho. I-3- to 5-intshi-long (7.5 to 12.5 centimeters) cut (incision) yenziwa kwicala lasekhohlo lesifuba sakho phakathi kweembambo zakho. Oku kuvumele ugqirha wakho ukuba afikelele entliziyweni yakho.

Unokwazi ukuphuma esibhedlele iintsuku ezi-2 okanye ezi-3 emva kotyando. Unokwazi ukubuyela kwimisebenzi yesiqhelo emva kweeveki ezi-2 okanye ezi-3.

Emva kotyando, kuyinto eqhelekileyo uku:

• Ndiziva ndidiniwe.
• Yiba nokuphefumla okufutshane. Oku kunokuba kubi kakhulu ukuba unengxaki yemiphunga. Abanye abantu banokusebenzisa ioksijini xa begoduka.
• Yiba neentlungu kwindawo yesifuba ejikeleze inxeba.

Unokufuna umntu oza kuhlala nawe ekhayeni lakho kwiveki yokuqala.

Funda indlela yokujonga ukubetha kwentliziyo yakho, kwaye uyijonge yonke imihla.

Yenza imithambo yokuphefumla oyifundileyo esibhedlele kwiiveki zokuqala ezi-1 ukuya kwezi-2.

Zilinganise yonke imihla.

Hlamba yonke imihla, uhlambe isisiki sakho ngobunono ngesepha namanzi. Musa ukuqubha, gxobhoza kwibhafu eshushu, okanye uhlambe de kube yinto efanelekileyo yokuphulukisa. Landela ukutya okunesifo sentliziyo.

Ukuba uziva udandathekile, thetha nosapho kunye nabahlobo bakho. Buza umboneleli wakho wezempilo malunga nokufumana uncedo kumcebisi.

Qhubeka nokuthatha onke amayeza wentliziyo yakho, isifo seswekile, uxinzelelo lwegazi oluphezulu, okanye naziphi na ezinye iimeko onazo.

• Sukuyeka ukuthatha naliphi na iyeza ngaphandle kokuthetha nomboneleli wakho.
• Umboneleli wakho unokucebisa iziyobisi ze-antiplatelet (igazi elincinci )- njenge-aspirin, i-clopidogrel (i-Plavix), iprasugrel (i-Effient), okanye i-ticagrelor (i-Brilinta) -ukunceda ukugcina umthambo wakho uvuliwe.
• Ukuba uthatha igazi elincinci njenge-warfarin (Coumadin), unokuba novavanyo lwegazi olongezelelekileyo ukuqinisekisa ukuba idosi yakho ichanekile.

Yazi indlela yokuphendula kwiimpawu ze-angina.

Hlala usebenza ngexesha lokufumana kwakho, kodwa qalisa kancinci. Buza umboneleli wakho ukuba kufuneka usebenze njani.

• Ukuhamba ngumthambo olungileyo emva kotyando. Sukuba nexhala lokuba uhamba ngokukhawuleza kangakanani na. Thatha kancinci.
• Ukunyuka kwezinyuko kulungile, kodwa lumka. Ukulungelelana kunokuba yingxaki. Phumla phakathi kwizinyuko ukuba ufuna njalo.
• Ukukhanya kwemisebenzi yasekhaya, njengokubeka itafile kunye nokusonga iimpahla kufanelekile.
• Yandisa kancinci inani kunye nokuqina kwemisebenzi yakho kwiinyanga ezintathu zokuqala.
• Musa ukuzilolonga ngaphandle xa kubanda kakhulu okanye kushushu kakhulu.
• Yeka ukuba uziva uphefumla kancinci, unesiyezi, okanye nayiphi na intlungu esifubeni. Gwema nayiphi na imisebenzi okanye umthambo obangela ukutsala okanye iintlungu esifubeni sakho, njengokusebenzisa umatshini wokubheqa okanye ukuphakamisa ubunzima.
• Gcina indawo yakho yokusika ikhuselekile elangeni ukunqanda ukutshiswa lilanga.

Lumka indlela ozisebenzisa ngayo iingalo kunye nomzimba ongasentla xa ujikeleza kwiiveki ezimbini zokuqala okanye ezi-3 emva kotyando lwakho. Buza umboneleli wakho xa ungabuyela emsebenzini. Kwiveki yokuqala emva kotyando:

• Sukuya ngasemva.
• Sukuvumela nabani na akubambe ngengalo nangasiphi na isizathu- umzekelo, ukuba bayakunceda uhambe okanye uphume ebhedini.
• Musa ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezili-10 (4.5 kilogram). (Oku kungaphezulu kancinci kwilitha, okanye iilitha ezi-4, zobisi.)
• Yiphephe eminye imisebenzi apho kufuneka ugcine iingalo zakho ngaphezulu kwamagxa akho ngalo naliphi na ixesha.
• Musa ukuqhuba. Ukujija okubandakanyekileyo ekujikeni ivili lokuqhuba kunokutsalela kusiko lwakho.

Unokuthunyelwa kwinkqubo yokuvuselela intliziyo. Uya kufumana ulwazi kunye neengcebiso malunga nomsebenzi, ukutya, kunye nokuzilolonga.

Fowunela umnikezeli wakho ukuba:

• Unentlungu esifubeni okanye umphefumlo omfutshane ongaphumiyo xa uphumla.
• Ukubetha kwentliziyo yakho kuvakala kungaqhelekanga - kuyacotha kakhulu (ngaphantsi kwe-60 beats ngomzuzu) okanye ngokukhawuleza okukhulu (ngaphezulu kwe-100 ukuya kwi-120 ibetha ngomzuzu).
• Unesiyezi, uyafa isiqaqa, okanye udiniwe kakhulu.
• Unentloko ebuhlungu engapheliyo.
• Unesikhohlela esingapheliyo.
• Ukhohlela igazi okanye imifinya emthubi okanye eluhlaza.
• Unengxaki zokuthatha nawaphi na amayeza entliziyo yakho.
• Ubunzima bakho bunyuka ngaphezulu kweekhilogram ezimbini (1 kilogram) ngemini iintsuku ezi-2 zilandelelana.
• Inxeba lakho libomvu okanye lidumbile, livulekile, okanye kukho amanzi amaninzi avela kulo.
• Unobandayo okanye umkhuhlane ngaphezulu kwe-101 ° F (38.3 ° C).

Ubuncinane obungenayo i-coronary artery bypass-discharge; I-MIDCAB - ukukhutshwa; Irobhothi incediswe yimithambo yegazi ngokudlula; RACAB - ukukhutshwa; Utyando lwentliziyo yesitshixo - ukukhutshwa; Isifo seCoronary artery - MIDCAB discharge; Ukukhutshwa kwe-CAD-MIDCAB

• Intliziyo yokudlula kwindlela yotyando
• Ukuthatha ukubetha kwe-carotid yakho
• Ukubetha kwemitha

UFihn SD, uBlankenship JC, uAlexander KP, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza, kunye Umbutho waseMelika woNyango lwe-Thoracic, uMbutho wabahlengikazi abaThintelayo be-Cardiovascular, uMbutho we-Cardiovascular Angiography kunye nongenelelo, kunye noMbutho woNyango lweTroacic. Ukujikeleza. Ngo-2014; 130 (19): 1749-1767. IINKCUKACHA: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

UFihn SD, uGardin JM, uAbrams J, et al. Isikhokelo se-ACCF / AHA / ACP / AATS / PCNA / SCAI / STS sokufumanisa isifo kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association yoGqirha, uMbutho waseMelika woNyango lweThoracic, uMbutho woNesi woNyango lweNhliziyo, uMbutho weAriyoology ye-Cardiovascular kunye nongenelelo, kunye noMbutho woNyango lweTroacic. Ukujikeleza. Ngo-2012; 126 (25): 3097-3137. IINKCUKACHA: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

UFleg JL, uFoman DE, uBerra K, et al. Ukuthintela okwesibini isifo se-atherosclerotic sentliziyo kubantu abadala: ingxelo yesayensi evela kuMbutho weNtliziyo yaseMelika. Ukujikeleza. Ngo-2013; 128 (22): 2422-2446. IINKCUKACHA: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

UKulik A, uRuel M, uJneid H, et al. Uthintelo lwesibini emva kwemithambo yegazi yokugqitha kotyando: ingxelo yesayensi evela kuMbutho weNtliziyo yaseMelika. Ukujikeleza. Ngo-2015; 131 (10): 927-964. IINKCUKACHA: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

UMorrow DA, de Lemos JA. Isifo sentliziyo esomeleleyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 61.

UOmer S, uCornwell LD, uBhakaeen FG. Ukufumana isifo sentliziyo: ukungonelanga kwecoronary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 59.

• UAngina
• Isifo sentliziyo
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Ukumelwa yintliziyo
• Amanqanaba aphezulu e-cholesterol egazini
• Iingcebiso malunga nendlela yokuyeka ukutshaya

• Angina - ukubhobhoza
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
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• I-Aspirin kunye nesifo sentliziyo
• Ukusebenza emva kokuhlaselwa yintliziyo
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• Ibhotolo, imajarini neeoli zokupheka
• Cholesterol kunye nendlela yokuphila
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Utyando lokudlula kwentliziyo-ukukhutshwa
• Isifo sentliziyo - umngcipheko
• Ufunda njani iilebheli zokutya
• Ukutya kweMeditera

• Ugqirha lweCoronary Artery Bypass