Heart esa igazi semithambo: ezibonisa kunye neendlela ukuphunyezwa

iimpahla esa uqhaqho lwemiphunga yentliziyo - umsebenzi esinenjongo unyango lwezifo kwemithambo yenhliziyo nokuhambisa izihlunu intliziyo mpilo. Ngenxa yeziphumo yamafutha kusenokwenzeka ukuba lukhuni kwemithambo. Olu hlobo lotyando ijolise ekudaleni ebizwa ngokuba yi-esa flow umendo, nto leyo eya kuba kwemithambo circumflex kunye kungekho kukhula. Njengoko emithanjeni isigulane abanikelayo xa zisetyenziswa, athathwe kwezinye iindawo zomzimba.

Heart esa igazi semithambo: ubungqina

Olu sebenziso wabelwa kwezi meko zilandelayo:

• kukho ukusilela kwentliziyo, nto leyo ngenxa kukuvela nesifo sentliziyo (imisipha yenhliziyo hypoxia kunye licuthe iimpahla coronary);
• yamafutha indawo ezahlukeneyo;
• phambi izifo kwemithambo kwemithambo - zombini nje unyango kunye nothintelo.

Heart esa igazi semithambo: utyando

Le surgery iindlela ezininzi:

1. utyando Traditional. Kule ndlela yokuqhuba imisebenzi ukuvelisa ukusilela intliziyo, kwaye isigulane liqhagamshelene kwiyunithi yomatshini kunye esa cardiopulmonary, esithatha indawo imiphunga kunye nentliziyo ngexesha, kude ugqirha owenza utyando bypass. Maxa wambi basebenzisa isixhobo okhethekileyo exhasa umsebenzi intliziyo.
2. indlela invasive of yokumilisela. Zonke manipulation ugqirha azenza ukusikwa ezincinane phezu kwesifuba. izixhobo ezifunekayo wangena kwisithuba intercostal. Olu ngenelelo ngoncedo nayo ifuna ukuyeka intliziyo uze uqhagamshele isigulane kwiyunithi yomatshini kunye bypass cardiopulmonary. Le ndlela ayikho efanelekileyo ukuba wonke. Oku contraindicated abantu abaye ngaphambili ubunzima umsebenzi intliziyo.

Izinto eziluncedo iindlela kancinane invasive of uqhaqho lwemiphunga yentliziyo bypass zisekuhleni:

• ukopha Minimal;
• ubungozi lisezantsi esekungcungcuthekeni izifo evulekileyo inxeba;
• amanxeba postoperative zokuqhubela;
• nokuvuselelwa elifutshane;
• ukuphatheka sakugcina.

postoperatively

uqhaqho lwemiphunga yentliziyo bypass yeyona utyando semithambo esinzulu gqitha, yaye emva kwentlanganiso zabagulayo emhlabeni yokucupha clock njengoko abasebenzi kwezonyango, yaye ngoncedo izixhobo telemetry okhethekileyo. Phantse emva kweentsuku ezimbini ekuveliseni off umatshini nokuphefumla ngumntu. Iyeza imini inkqubo kamva luqhawulwe ukuba ababeki amalungu abalulekileyo yesigulana. Ixesha lilonke kokuhlala esibhedlele - malunga 7-10 iintsuku. Emva lampompoza isigulane ekhaya 10-12 iintsuku liyasetyenziswa njenge OPD.

iimpahla utyando weheart: iingxaki kunokwenzeka

Ngamanye amaxesha oku kusebenza ezinye iingxaki:

• ukopha kakhulu;
• ukungena zosuleleko enxebeni;
• occlusion benqanawa.

Heart esa igazi semithambo: iindleko

Ixabiso le msebenzi kwizixeko ezahlukahlukeneyo eRashiya isusela evela engange 65 000 ukuya kuma-400 000. Ukuba sithethe ngayo iindleko zotyando esa kwelinye, yaye apho eli nani linyuka ukuya 35 000-40 000 USD.