Kwiimpahla ezinikezela intliziyo ngegazi, ngenxa yezifo ezahlukahlukeneyo, iiplates ze-atherosclerotic zenziwe. Ziyaphazamisa ukujikeleza kwegazi ngokuqhelekileyo, zikhokelela ekunciphiseni kwemithambo ye-arth (stenosis), eyongela umntu onempembelelo yobomi. Ukubuyisela ukuhamba kwegazi, ukukhutshwa kweenqwelo zentliziyo kusetyenziswa-ukudala ezinye iindlela zokungena kwi-biological fluid ngokufaka ukujikeleza kwimihlaba ewonakalisiweyo.
Iintliziyo ziyadlula ngaphaya kweegrafts?
Ukusebenza kwenziwa phantsi kwe-anesthesia jikelele, kuba oogqirha benza intsebenziswano entliziyweni evulekile.
Izinto ezisetyenziselwa ukukhupha i-shunt, njengommiselo, umzobo wangaphakathi we-thoracic. Akuncinci kwiiplati ze-atherosclerotic ezindongeni, ezinqabileyo njenge-graft. I-Radius umthambo wesandla isetyenziswa rhoqo. Ngokusetyenziswa kwayo, kuqhutyelwa isifundo sokuqala, ngendlela ichazwa ngayo ukuba ingenelelo lotyando aluyi kubonakalisa ukunikezelwa kwegazi kwisilungu.
Ekuqaleni komsebenzi, isigulane sinxulumene ne-cardiopulmonary bypass. Emva koko udokotela ohlinzayo wenza izibakala kuloo ndawo apho ukuveliswa kufuneka kucetywe. Kukho ininzi, kuxhomekeke kwinani lamacandelo amancinci emithambo. Emva koko, ukugubha kugqitywa ngokukhawuleza.
Ukuqwalasela umgangatho kunye nokusebenza kokufakelwa, babuyisela ukujikelezwa kwemvelo, benze i-ultrasound kunye ne-angiography.
Kuthatha ixesha elide ukuthatha iinqwelo zentliziyo?
Ubungakanani bongenelelo oluxhomekeke kwiinkqubo eziyinkimbinkimbi, isimo sempilo yesigulane kunye nenani lokuvalwa.
Ngokuqhelekileyo, umsebenzi olula uhlala kwiiyure ezingama-3-5. Iimeko ezinzima ngakumbi zibandakanya iinkqubo zokugqirha iiyure eziyi-6
Ingaba kukho iingxaki emva kokusuka kweenqwelo zentliziyo?
Nawuphi na umsebenzi uquka ubungozi abathile, uhlobo lokungenelela oluqwalaselwayo alukhethi.
Kwiimeko ezinqabileyo, ezi ngxaki zilandelayo:
- ukuvuvukala, i-edema kwisiza sokungena;
- ukuphindwa kwakhona kwe-shunt;
- kuphuma.
Ixesha lokubuyisela liqala kwiyunithi yonyango enzulu, apho umsebenzi wemiphunga kunye nentliziyo yesisu iqhelekile.
Ngomhla wesi-7 ukuya kwe-9 emva kokusebenza, iintambo zisuswe kwi-thorax (ngokunamathela ngokuqhelekileyo). Isicatshulwa esibhedlele senziwa ngomhla we-12-14.
Indlela eqhubekayo yobomi emva kokugqithisa imithwalo yegazi yentliziyo kufuneka ibe nempilo, oku kuthetha ukugatya imikhwa emibi, ngakumbi ukutshaya. Ukongezelela, kubalulekile ukugcina ukumodareyitha kwimisebenzi yomzimba, ukuhambelana nokutya okucetyiswayo, ukutyelela kweso sikolo.