Utyando lwe-Bypass (saphenectomy): umngcipheko, indlela eyenziwa ngayo, kunye nokuchacha

Umxholo

• Xa utyando luboniswa
• Umngcipheko wotyando lokususa umthambo oshushu
• Ichacha njani emva kokususwa kwemithambo
• Lunjani utyando lokususa umthambo oshushu

Utyando lokususa umthambo we-saphenous, okanye i-saphenectomy, lukhetho lonyango lwemithambo ye-varicose emilenzeni kunye nokufumana iigrafti zemithambo-luvo ukudlula i-aortocoronary, kuba kufuneka isuswe le vein, inzima ngakumbi kunezinye iinkqubo, ezinje ngenaliti yegwebu okanye i-radiofrequency, umzekelo, kodwa kwelinye icala, lunyango oluchanekileyo lwemithambo ye-varicose.

Ukubuyiselwa kwimeko yesiqhelo yotyando lwe-varicose vein kuthatha iiveki ezi-1 ukuya kwezi-2, kwaye imisebenzi yomzimba iyakhutshwa emva kweentsuku ezingama-30. Ngeli xesha, ukusetyenziswa kwesokisi esitshiphu kunye neyeza zokuthomalalisa iintlungu, ezinje ngamachiza ngokuchaseneyo nokudumba okanye iintlungu, zichazwe ngugqirha wotyando.

Xa utyando luboniswa

I-Saphenectomy iboniswa kwezinye iimeko, ezinje:

• Xa kukho umngcipheko wokuba imithambo edumbileyo ayinakuxhathisa kwaye igqabhuke;
• Ukuphilisa ukulibaziseka kwemithambo ye-varicose;
• Ukuqulunqwa kwamahlwili ngaphakathi kwemithambo ye-varicose.

Ezi meko kufuneka zivavanywe yi-angiologist okanye utyando lwe-vascular, ngoobani abaziingcali kunyango lolu hlobo lwemeko, abaya kuthatha isigqibo sokuba kuya kufuneka nini i-saphenectomy.

Umngcipheko wotyando lokususa umthambo oshushu

Ngaphandle kotyando olunemingcipheko embalwa, i-saphenectomy inokuba neengxaki ezithile ezinqabileyo, ezinje ngomonakalo kwimithambo-luvo ekufuphi nomthambo, enokubangela ukurhawuzelela kunye nokulahleka kovakalelo, ukongeza ukopha, i-thrombophlebitis, i-thrombosis yomlenze okanye i-pulmonary embolism

Jonga ukhathalelo ekufuneka luthathwe ngaphambi nasemva kotyando ukunqanda ezi ngxaki.

Ichacha njani emva kokususwa kwemithambo

Ngexesha lokuhlinzwa emva kokususwa kwe-vein saphenous, kuyacetyiswa ukuba uphumle, ukhetha ukuba nemilenze inyuswe, iveki enye, ukongeza:

• Sebenzisa izitokhwe ezixineneyo zokucinezela imilenze;
• Sebenzisa amayeza okunyanga iintlungu, anje ngee-anti-inflammatories kunye nee-analgesics, ezimiselwe ngugqirha;
• Musa ukuzivocavoca okanye uziveze elangeni kangangenyanga enye.

Ukongeza, iindawo ezinamabala kufuneka zigcinwe zicocekile kwaye zomile.Iifutha zinokusetyenziselwa ukukhulula imivumbo, enje nge-hirudoid, umzekelo.

Lunjani utyando lokususa umthambo oshushu

Ukususwa kwe-vein saphenous kubonisiwe ukunyanga imithambo ye-varicose xa umthambo we-saphenous uvalekile ngenxa yokwanda kakhulu kwale nqanawa, okanye xa umthambo we-saphenous ungasasebenzi njengoko kufanelekile ukubuyisa igazi lisuka emilenzeni liye entliziyweni, ngaphakathi kunye nemithambo yangaphandle ye-saphenous. Inkqubo yenziwa kwigumbi lokusebenza, ngomqolo okanye kwi-anesthesia ngokubanzi, kwaye ixesha lotyando lihlala malunga neeyure ezi-2.

I-saphenous vein ngumthambo omkhulu obaleka usuka emqolo, udlule edolweni, apho wahlulahlula kubini, umthambo omkhulu we-saphenous kunye nomthambo omncinci we-saphenous, oqhubeka use ezinyaweni. Ngaphandle kobungakanani bayo, ukususwa kwethambo le-saphenous akulonobungozi empilweni, njengoko zikhona ezinye, izitya ezinzulu ezibaluleke ngakumbi ekubuyiseleni igazi entliziyweni.

Nangona kunjalo, ukuba imithambo ye-saphenous isasebenza, ukususwa kwawo kufanele kuthintelwe, kuba umthambo osempilweni uluncedo ekwenzeni ukudlula, ukuba kukho imfuneko, lulo utyando apho umthambo we-saphenous ufakwe entliziyweni ukubuyisela imithambo yegazi evalekileyo yentliziyo.

Jonga ukuba loluphi olunye ukhetho lotyando kwimithambo ye-varicose egcina umthambo oshushu.