Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane

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.

Ukwenza olu tyando:

• Ugqirha otyandayo uza kwenza i-intshi ezi-3 ukuya kwezi-5 (iisentimitha ezisibhozo ukuya kwezili-13) ezinqunqiweyo kwicala lasekhohlo lesifuba sakho phakathi kweembambo zakho ukufikelela entliziyweni yakho.
• Imisipha kuloo ndawo iya kutyhilwa ngaphandle. Inxalenye encinci umphambili wembambo, obizwa ngokuba yi-cartilage yexabiso, iyakususwa.
• Ugqirha uya kuthi emva koko afumane kwaye alungiselele i-artery eludongeni lwesifuba (umthambo wangaphakathi wesibeleko) ukuze uncamathisele kwimithambo yakho yemithambo ebhlokiweyo.
• Emva koko, ugqirha uya kusebenzisa iisuture ukudibanisa umthambo wesifuba olungiselelwe kwi-coronary artery evaliweyo.

Awuyi kuba kumatshini wemiphunga yentliziyo kolu tyando. Nangona kunjalo, uya kuba ne-anesthesia ngokubanzi ukuze ulale kwaye ungaziva zintlungu. Isixhobo siya kufakelwa entliziyweni yakho ukuze sizinziswe. Uyakufumana iyeza lokucothisa intliziyo.

Unokuba netyhubhu esifubeni sakho sokuhambisa amanzi. Oku kuyakususwa kusuku olunye okanye ezimbini.

Ugqirha wakho unokucebisa nge-coronary artery yokugqitha encinci ukuba unesithintelo kwimithambo yegazi enye okanye emibini, ihlala iphambi kwentliziyo.

Xa omnye okanye nangaphezulu kwemithambo yegazi ebambe inxenye okanye ivalwe ngokupheleleyo, intliziyo yakho ayifumani gazi laneleyo. Oku kubizwa ngokuba sisifo sentliziyo esischemic okanye isifo semithambo. Ingabangela iintlungu zesifuba (angina).

Ugqirha wakho usenokuba uqale wazama ukukuphatha ngamayeza. Usenokuba uzame ukubuyisela kwimeko yesiqhelo kwintliziyo okanye ezinye iindlela zonyango, ezinje nge-angioplasty ene-stenting.

Imithambo yegazi iyahluka ukusuka komnye umntu ukuya komnye. Utyando lokudlula kwentliziyo luhlobo olunye lonyango. Ayilunganga wonke umntu.

Ugqirha okanye iinkqubo ezinokwenziwa endaweni yokugqitha kwentliziyo encinci yile:

• I-Angioplasty kunye nokubekwa kwesitent
• Ukudlula kwiCoronary

Ugqirha wakho uya kuthetha nawe malunga neengozi zotyando. Ngokubanzi, iingxaki zokudlula komthambo we-coronary bypass zisezantsi kunokuvulwa kwemithambo yegazi evulekileyo.

Iingozi ezinxulumene naluphi na utyando zibandakanya:

• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Ukuphulukana negazi
• Iingxaki zokuphefumla
• Ukuhlaselwa yintliziyo okanye ukubetha
• Usulelo lwemiphunga, umchamo kunye nesifuba
• Ukulimala okwethutyana okanye okusisigxina kwengqondo

Umngcipheko onokubakho we-coronary artery bypass uquka:

• Ukuphulukana nenkumbulo, ukulahleka kokucaca kwengqondo, okanye "ukucinga okungacacanga." Oku akuqhelekanga kubantu abanomthamo we-coronary we-coronary we-bypass ongenabantu kunabantu abavulekileyo i-coronary bypass.
• Iingxaki zesingqisho sentliziyo (arrhythmia).
• Usulelo lwenxeba lwesifuba. Oku kunokwenzeka kakhulu ukuba utyebile, unesifo seswekile, okanye utyando lwe-coronary bypass oludlulileyo.
• Umkhuhlane ophantsi kunye nentlungu yesifuba (kunye ebizwa ngokuba yi-postpericardiotomy syndrome), enokuhlala ukuya kwiinyanga ezi-6.
• Intlungu kwindawo esikiweyo.
• Inokwenzeka into yokuba uguqulele kwinkqubo yesiqhelo ngomatshini wokudlula ngexesha lotyando.

Soloko uxelela ugqirha wakho ukuba zeziphi iziyobisi ozithathayo, nditsho neziyobisi okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Ngexesha leeveki ezi-2 ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kunokubangela ukwanda kwegazi ngexesha lotyando. Babandakanya iasprini, ibuprofen (efana neAdvil neMotrin), naproxen (efana neAleve neNaprosyn), kunye nezinye iziyobisi ezifanayo. Ukuba uthatha i-clopidogrel (Plavix), buza ugqirha wakho wotyando xa kufuneka uyeke ukuyithatha ngaphambi kotyando.
• Buza ugqirha wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka. Buza ugqirha wakho akuncede.
• Nxibelelana nogqirha wakho ukuba unokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye nasiphi na esinye isifo.
• Lungisa ikhaya lakho ukuze uhambe ngokulula xa ubuya esibhedlele.

Usuku ngaphambi kokuhlinzwa kwakho:

• Ukuhlamba kunye ne-shampoo kakuhle.
• Unokucelwa ukuba uhlambe umzimba wakho wonke ngaphantsi kwentamo yakho ngesepha ekhethekileyo. Khuhla isifuba sakho amaxesha ama-2 okanye ama-3 ngale sepha.

Ngomhla wotyando:

• Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku phakathi kobusuku ngaphambi kotyando lwakho. Oku kubandakanya itshungama kunye nokusebenzisa umoya wokuphefumla. Hlamba umlomo wakho ngamanzi ukuba uziva womile, kodwa lumka ungaginyeki.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.

Ugqirha wakho uza kukuxelela ukuba ufike nini esibhedlele.

Unokwazi ukuphuma esibhedlele iintsuku ezi-2 okanye ezi-3 emva kotyando lwakho. Ugqirha okanye umongikazi uya kukuxelela indlela yokuzikhathalela ekhaya. Unokwazi ukubuyela kwimisebenzi yesiqhelo emva kweeveki ezi-2 okanye ezi-3.

Ukuchacha emva kotyando kuthabatha ixesha, kwaye ngekhe ungaziboni izibonelelo zophando lwakho kangangeenyanga ezi-3 ukuya kwezi-6. Uninzi lwabantu olunentliziyo eyedlula kutyando, iigrafti zihlala zivulekile kwaye zisebenza kakuhle iminyaka emininzi.

Olu tyando aluthinteli ukubhloka kubuye. Nangona kunjalo, ungathatha amanyathelo okukucothisa. Izinto onokuzenza zibandakanya:

• Musa ukutshaya.
• Yitya ukutya okusempilweni ngentliziyo.
• Yenza umthambo rhoqo.
• Nyanga uxinzelelo lwegazi oluphezulu, iswekile ephezulu yegazi (ukuba unesifo seswekile), kunye ne-cholesterol ephezulu.

Unokuba nethuba lokuba neengxaki kwimithambo yakho yegazi ukuba unesifo sezintso okanye ezinye iingxaki zonyango.

Ukungenelela kancinci kwe-coronary artery bypass; I-MIDCAB; Ukudlula kwimithambo yegazi eyenzelwe iirobhothi; I-RACAB; Utyando lwentliziyo yesitshixo; I-CAD - MIDCAB; Imithambo yegazi yeCoronary- MIDCAB

• Angina - ukubhobhoza
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
• I-Angioplasty kunye ne-stent-heart-discharge
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• Ukusebenza emva kokuhlaselwa yintliziyo
• Ukusebenza xa unesifo senhliziyo
• Ibhotolo, imajarini neeoli zokupheka
• Ukucinywa kwentliziyo - ukukhutshwa
• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Utyando lokudlula kwentliziyo-ukukhutshwa kancinci okungafunekiyo
• Isifo sentliziyo - umngcipheko
• Intliziyo pacemaker - ukubhobhoza
• Ufunda njani iilebheli zokutya
• Ukutya okunetyuwa encinci
• Ukutya kweMeditera
• Ukuthintela ukuwa
• Unonophelo lwenxeba lotyando - luvulekile

• Intliziyo - umbono wangaphambili
• Imithambo yentliziyo engasemva
• Imithambo yentliziyo engaphambili
• Umthambo weCoronary stent
• Utyando lokudlula kwentliziyo-uthotho

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