I-Aortobifemoral Dlula

Umxholo

• Inkqubo
• Ukuchacha
• Kutheni kusenziwa
• Iindidi
• Iingozi kunye neengxaki
• Imbonakalo kunye nento onokuyilindela emva kotyando

Ushwankathelo

Ukudlula kwi-Aortobifemoral yinkqubo yotyando yokwenza indlela entsha ejikeleze isitya segazi esikhulu esivaliweyo esiswini sakho okanye kumphako. Le nkqubo ibandakanya ukubeka utyando ngokudlula kwindawo yegazi evaliweyo. Udrafti ngumjelo owenziweyo. Isiphelo esinye sokudibanisa siqhagamshelwe ngotyando kwi-aorta yakho ngaphambi kwecandelo elivaliweyo okanye eligulayo. Ezinye iziphelo zomiliselo ziqhotyoshelwe komnye wemithambo yakho yobufazi emva kwecandelo elivaliweyo okanye eligulayo. Olu grafti luthumela kwakhona ukuhamba kwegazi kwaye livumela igazi ukuba liqhubeke lihamba lidlula ngaphaya kokuvalwa.

Kukho iintlobo ezininzi zeenkqubo zokudlula. Ukudlula kwi-aortobifemoral ngokukodwa kwimithambo yegazi ehamba phakathi kwe-aorta yakho kunye nemithambo yabasetyhini kwimilenze yakho. Le nkqubo ithathwa ngokuba nefuthe elihle kwimpilo yakho. Kwisifundo esinye, iipesenti ezingama-64 zabo babenotyando lwe-aortobifemoral bypass bathi impilo yabo iyaphucuka emva kotyando.

Inkqubo

Inkqubo yokudlula kwi-aortobifemoral yile ilandelayo:

1. Ugqirha wakho unokufuna ukuba uyeke ukuthatha amayeza athile ngaphambi kolu tyando, ngakumbi lawo achaphazela ukujiya kwegazi lakho.
2. Ugqirha wakho unokufuna ukuba uyeke ukutshaya ngaphambi kotyando ukunciphisa iingxaki ezinokubakho.
3. Uya kufakwa phantsi kweanesthesia ngokubanzi.
4. Ugqirha wakho uya kwenza isisu esiswini sakho.
5. Olunye uguquko luya kwenziwa kwindawo yakho ye-groin.
6. Ityhubhu yelaphu eyenziwe ngo-Y iya kusetyenziswa njengegrafti.
7. Isiphelo esinye setyhubhu emile njengo-Y siyakudityaniswa kumthambo esiswini sakho.
8. Amacala amabini aphikisayo etyhubhu aya kudityaniswa kwimithambo emibini yobufazi emilenzeni yakho.
9. Iziphelo zombhobho, okanye ukufakelwa, ziya kuthungwa kwimithambo.
10. Ukuhamba kwegazi kuya kuthunyelwa kwi-graft.
11. Igazi liya kuhamba ngokudityaniswa kwaye lijikeleze, okanye ukudlula, kwindawo yokuvalelwa.
12. Ukuhamba kwegazi kuya kubuyiselwa kwimilenze yakho.
13. Ugqirha wakho uya kuthi emva koko avale ukusikwa kwaye uya kuthathwa ukuze ubuye.

Ukuchacha

Nanku umgca wexesha wokubuyisela emva kokudlula kwi-aortobifemoral:

• Uya kuhlala ebhedini iiyure ezili-12 emva kwenkqubo.
• I-catheter ye-bladder iya kuhlala kude kube kukuhamba-ngesiqhelo emva kosuku olunye.
• Uya kuhlala esibhedlele iintsuku ezine ukuya kwezisixhenxe.
• Imidumba emilenzeni yakho iya kujongwa iyure nganye ukuqinisekisa ukuba iigrafti zisebenza ngokufanelekileyo.
• Uya kunikwa amayeza entlungu njengoko kufuneka.
• Nje ukuba ukhululwe, uya kuvunyelwa ukuba ubuyele ekhaya.
• Uya kulonyusa ngokuthe ngcembe ixesha kunye nomgama ohamba kuwo yonke imihla.
• Imilenze yakho kufuneka iphakanyiswe xa uhleli (oko kukuthi, ubekwe esihlalweni, isofa, i-ottoman, okanye isitulo).

Kutheni kusenziwa

Ukudlula kwi-aortobifemoral kwenziwa xa imithambo yegazi enkulu esiswini sakho, kwi-groin, okanye kwi-pelvis ivaliwe. Le mithambo yegazi mikhulu inokuba yi-aorta, kunye neethambo lobufazi okanye iliac. Ukuvalwa kwesitya segazi kuvumela akukho, okanye kuncinci kakhulu, ukuba igazi lidlule emlenzeni okanye emilenzeni yakho.

Olu tyando luqhele ukwenziwa kuphela xa usemngciphekweni wokuphulukana nelungu lomzimba okanye ukuba uneempawu ezinzulu okanye ezibalulekileyo. Ezi mpawu zinokubandakanya:

• ubuhlungu bomlenze
• iintlungu emilenzeni
• imilenze ukuba nzima

Ezi mpawu zithathwa njengezinzulu ngokwaneleyo kule nkqubo ukuba zenzeka xa uhamba naxa uphumle. Unokufuna kwakhona inkqubo ukuba iimpawu zakho zenza kube nzima ukugqibezela imisebenzi esisiseko yemihla ngemihla, unosulelo kumlenze wakho ochaphazelekayo, okanye iimpawu zakho aziphucuki nolunye unyango.

Iimeko ezinokubangela olu hlobo lokuvaleka zezi:

• isifo se-arterial (PAD)
• isifo se-aortoiliac
• imithambo evalekileyo okanye emxinwa kakhulu

Iindidi

Ukudlula kwi-Aortobifemoral kokona kulungileyo kuthintelo kuthintela ukuhamba kwegazi kumthambo wobufazi. Nangona kunjalo, kukho enye inkqubo ebizwa ngokuba yi-axillobifemoral bypass enokusetyenziswa kwezinye iimeko.

I-axillobifemoral bypass ibeka uxinzelelo oluncinci entliziyweni yakho ngexesha lotyando. Akufuneki ukuba isisu sakho sivulwe ngexesha lotyando. Kungenxa yokuba isebenzisa ityhubhu yeplastiki yokudibanisa kwaye idibanisa imithambo yabasetyhini emilenzeni yakho kunye nomthambo we-axillary egxalabeni lakho. Nangona kunjalo, i-graft esetyenziswe kule nkqubo isemngciphekweni omkhulu wokuvaleka, usulelo, kunye nezinye iingxaki kuba ihamba umgama omkhulu kwaye ngenxa yokuba umthambo we-axillary awukho mkhulu njenge-aorta yakho. Isizathu sokwanda komngcipheko weengxaki kungenxa yokuba ukudityaniswa kungangcwatywa nzulu kwizicubu kwaye ngenxa yokuba ulwazelelo lucuthile kule nkqubo.

Iingozi kunye neengxaki

Ukudlula kwi-aortobifemoral akufumaneki kuwo wonke umntu. I-anesthesia inokubangela iingxaki ezinkulu kwabo baneemeko ezinzulu zemiphunga. Abo baneemeko zentliziyo banokungafaneleki kule nkqubo kuba ibeka uxinzelelo olukhulu entliziyweni. Ukutshaya kungonyusa umngcipheko weengxaki ngexesha lokudlula kwi-aortobifemoral. Ukuba uyatshaya, kuya kufuneka uyeke ngaphambi kolu tyando ukunciphisa iingxaki.

Eyona nto inzima kule nkqubo kukuhlaselwa sisifo sentliziyo. Ugqirha wakho uya kwenza iimvavanyo ezininzi ngaphambi kotyando ukuqinisekisa ukuba awunasifo sentliziyo okanye naziphi na iimeko ezinokunyusa umngcipheko wokuhlaselwa sisifo sentliziyo.

I-aortobifemoral bypass ineepesenti ezi-3 zokufa kwabantu, kodwa oku kuyahluka ngokuxhomekeke kwimpilo yakho kunye nokuqina komzimba ngexesha lotyando.

Ezinye iingxaki ezingaphantsi kakhulu zingabandakanya:

• usulelo enxebeni
• usulelo lokumilisela
• ukopha emva kotyando
• i-vein thrombosis enzulu
• ukungasebenzi kakuhle ngokwesondo
• ukubetha

Imbonakalo kunye nento onokuyilindela emva kotyando

Iipesenti ezisibhozo zoqhaqho lwe-aortobifemoral olugqithisileyo luvula ngempumelelo umthambo kwaye zinciphise iimpawu zeminyaka eli-10 emva kwenkqubo. Intlungu yakho kufuneka ikhululeke xa uphumle. Intlungu yakho nayo kufuneka ihambile okanye incitshiswe kakhulu xa uhamba. Imbono yakho ibhetele ukuba awutshayi okanye uyeke ukutshaya ngaphambi kotyando oludlulayo.