Uqhaqho kwimithambo esa igazi - ntoni na? iimpahla ukudlula Uqhaqho intliziyo

isifo sentliziyo kukho isibetho yokwenene kwinkulungwane yama-21. Phantse wonke umntu lwesibini ukubandezeleka na kwesi sifo. Bambi ukunyanga esi sifo ngamayeza, kodwa yintoni ezinye utyando ebalulekileyo. Omnye imisebenzi esisiseko, ukunciphisa igazi-flow izitya intliziyo, a bypass sentliziyo.

Yintoni na?

Eli gama kwaqala ukubonakala imithombo zonyango ezininzi ixesha elide. Okwangoku, lo msebenzi phantse kuphela elolu hlobo. Ngokutsho manani, ehlabathini lonke achitha malunga nesigidi esinye iinkqubo ezinjalo ngonyaka.

Njengoko kukhankanyiwe, uninzi lwezigulane kunye uqhaqho kwemithambo yenhliziyo kwimithambo esa kuyimfuneko. Yintoni na - bazi, ngelishwa, abaninzi.

Uqhaqho utyando kwimithambo esa iquka nokubekwa zimbi kwiinqanawa intliziyo.

Olu tyando olunzulu kunye ezinzima kakhulu.

Ngokutsho manani, lo msebenzi ikhutshwa phandle ekhulwini 12 kuphela bonke abo basweleyo. Kwezinye kukho Izimo nenkqubo yayo, ngoxa abanye azisoloko ufune uncedo lonyango.

Xa ubonakele ngokusebenza, izazinzulu ezininzi abemi baye babonisa umdla kakhulu kuyo, kunjalo, kwiminyaka emibini emva kokuba iqalile, loo msebenzi vala. Re-kuqaliswa ngayo kwiminyaka nje embalwa, xa umsebenzi waqalisa kuvela kumajelo eendaba ehlabathini. Ukususela ngoko, ukusetyenziswa kwalo kuye kwaba phantse yonke imihla, yaye oogqirha abaninzi ukumela unyango kunokwenzeka kwemithambo, kodwa ukuqhuba lo msebenzi.

Le Pathogenesis yesifo kwemithambo

kwemithambo olubakho xa imithambo yenhliziyo aqalile ukuba kukho intswelo ioksijini. Oku kwenzeka ngenxa yokuba ukuvala le mithambo. Izizathu ezikhokelela exineneyo, abaninzi - ukusukela Iziphene zokuzalwa exineneyo okungaqhelekanga ukusuka ekuzalweni ziphethe linciphileyo inani le mithambo ngenxa kunyebeleziso umonakalo atherosclerotic.

Ngokuqhelekileyo, iimpawu IBS musa azibonakalisa de ngoko, de mithambo akuxhomekekanga iingqameko ngaphezulu kwama-70 ekhulwini. Ikliniki angavela kuphela xa umsebenzi ukukwenza.

Iimpawu eziphambili kuphuhliso nesifo sentliziyo yintlungu esifubeni ephelekwa ukuphelelwa umoya kunye imvakalelo yoloyiko. Ekubeni ukuvala ebonakalayo iimpahla coronary kwandisa ingozi yesifo sentliziyo.

Xa therapy elondoloza yi nokungaphumeleli (iziyobisi reception vasodilator) bamthwala coronary kwimithambo esa yokumilisela.

indlela yokusebenza

Olu tyando lwenziwa open-intliziyo utyando, t. E. Kuyimfuneko ukuba ukuvula esifubeni. Le liqatywe yenziwa ecaleni cartilages costal ngasekhohlo.

Isigulana ngexesha zokungenelela eqhagamshelwe umatshini intliziyo-lung.

Olu tyando lwenziwa phantsi Ukubulawa jikelele.

Ukwenza shunt isetyenziswa ngokuqhelekileyo iimpahla ezibalulekileyo (ongama Vienna imilenze okanye Umthambo mammary lwangaphakathi). Le shunt obubangela, xa kususwe, sifakwa ngaphezulu nangaphantsi licuthe nemithambo yenhliziyo kwaye sutured kungena isitya. Oku kwenza kube lula ukuhamba kwegazi ngokusebenzisa kwemithambo abachaphazelekayo kwaye ikuvumela ukuba ukususa ischemia engabalulekanga.

Kwezinye iimeko babhenele lokususa kwemithambo iphiramidi ebonisa njengoko ukuhamba kwegazi ngenxa yegazi lo abapasileyo ngcono kakhulu.

Okwangoku, bathanda ukuba baqhube imisebenzi ngaphandle kokusebenzisa ecaleni cardiopulmonary, njengoko lokuphumelela igazi kule yunithi inegalelo kumonakalo legazi elibomvu kunye hemolysis.

Ubungqina obubonakalayo buxela ukuba Inyathelo

iimpahla ukudlula Uqhaqho wentliziyo kuboniswe kwezi meko zilandelayo:

• Ukuncipha igazi patency kwemithambo yenhliziyo ekhohlo ngu ubuncinane-50 ekhulwini. Le nqanawa ke iposi enkulu isondlo. Uninzi igazi umbuzo kuye, ngenxa yokuba yintoni na inqanaba block kwisikhongozeli igcwele ischemia kakhulu kunye iposi engabalulekanga.
• Ukwehla kwi mithambo iimpahla coronary ku-70 ekhulwini.
• Ubukho stenosis kwemithambo akudala interventricular (ingakumbi kwindawo bifurcation).

Ezi ukufundwa ezisisiseko ukuze uqhaqho bypass sentliziyo.

Ngaphandle kwazo kukho ezinzima, kubonakala nomqondiso. Bona zibangelwa nokuthandwa angina (iintlungu, imvakalelo constriction esifubeni), kwaye ngokuqhelekileyo isikiwe amayeza. Noko ke, ingxaki iba embi ngakumbi kwimeko apho amayeza uphelelwa kwayo, kunye zawahlasela kokuba rhoqo ngakumbi. Ukuba kule meko kufuneka sele siphakamise umba zokushenxisela.

Izimo

Ngenxa ukusasazeka ngokubanzi kubuchwepheshe inkcazelo, funda malunga kwemithambo esa igazi - yintoni na, ukuba ubungqina bakhe - akunzima. Yonke into inzima kakhulu Izimo.

Mu kuya kwa nshita ukwalatha kutyando, zonke Izimo ungumzalwana, ukususela kumbuzo isigulane ngamnye malunga nokusebenza kufuneka kuqwalaselwe kuvela iinkcukacha zaso.

Oku kwakukholelwa ukuba ubudala yesigulane, kwiminyaka ingakumbi kwama-70, yinto ayabiza ukuba baqhube amaphulo. Okwangoku, izigulane ezininzi ukulungelana abadala uphazamiseko kwi entliziyweni (oko ngenxa yokungabikho kwezifo ezingapheliyo ezihamba echaphazela hemodynamics). Kuba abo zizifo ezinjalo, oogqirha bayiqonda ngakumbi esinye intliziyo kunye semithambo (ngaphandle kokuba ithi kukho decompensated).

Ngaphambili, coronary esa igazi kweenqanawa intliziyo yenziwe ukusilela kwezintso okanye inkqubo esebenzayo oncological. Ngoku ungafumana ulwazi malunga ungenelelo olwenziwa yantle ngempumelelo kwezi izigulane yabaneziphumo ezihle kunye isongezo ubomi iminyaka engaphezu kwama-10.

ukuvuselelwa kwizigulane

Ekubeni msebenzi olubanzi kakhulu kakhulu, kugxininiswa kakhulu na ulawulo olufanelekileyo iziguli coronary kwimithambo esa yokumilisela. Emva kotyando bavame iingxaki ezifana ukulahleka komoya semiphunga (ngenxa elapho yomguli kwi mpilo) kunye nezigulo esosulelayo.

Prophylaxis ukuphazamiseka nokuphefumla ngokusebenzisa kwamaxabiso ibhaloni okanye zokudlala ezizodwa. Iyaluthintela uphuhliso iingxaki ezasulelayo kunzima ngakumbi - akusoloko utshintsho ngenyameko nangexesha elililo amabhandeji ukunceda ukuthintela usulelo.

Qiniseka ukuba esweni parameters yegazi yesigulane, njengoko ngenxa massiveness kwenu kukusebenza zingaqondwa babonwe ilahleko igazi ebalulekileyo. Kulo mzekelo, isigulane nje kufuneka ukutofelwa igazi sikroba amaphutha ayo.

Zonke izigulane ukuba lo msebenzi lwaqhutywa - coronary utyando bypass - ube nexesha elide kudlule uvuselelo xiphephana. Oku kwenziwa ukuze kuthintelwe ezityiwa nokungangqinelani iintsimbi obekwe kwi kwentamo.

Izimvo izigulane malunga nokusebenza

Liyanda inani lezigulane ezi ngoncedo kwimikhumbi entliziyweni. Xa uhlolisisa kwiisayithi ezahlukeneyo kunye neeforam malinikelwe kulo ngxaki, kuba wabona ukuba abantu abaninzi abaye unenzondelelo utyando esa coronary, a ncomo ngokwanelisayo HIV. Ngokuphawulekayo ngcono umgangatho wobomi, kwaye izigulane ezininzi Ungabuyela kwi Umsebenzi yesiqhelo (kuphela emva kwethuba kwisimo sangaphambili). Oku kunciphisa inani yokuhlaselwa angina, ochaphazela ngokubonakalayo imisebenzi semihla ngemihla.

Abaninzi bayazibuza - kangakanani na lo msebenzi?

konke kuxhomekeke koko imeko yomguli lezempilo ngexesha Ekuqinisekiseni okukhomba ukuba utyando. Ukuba ubonisa coronary utyando kwimithambo esa, ixabiso uya kuba izinto ezifana umthamo ngoncedo, lwabo ugqirha yokusebenza, kodwa phantse yonke imisebenzi enjalo kwenziwa simahla. Imali ukuphunyezwa kwabo abelwe yi-mali karhulumente (kwizibhedlele zabucala iindleko zotyando isusela ukususela ngowe-7 ukuya kwi-10 amawaka eerandi, leyo lubiza kakhulu).

Ingaba kubalulekile ukwenza lo msebenzi?

Izigulane ezininzi ukubandezeleka angina ixesha elide, coronary utyando kwimithambo esa iyaboniswa. Yintoni na - bambalwa abantu bazi, ngenxa nto ngokuyimfuneko kufuneka ibe yintoni inkcazelo eneenkcukacha kagqirha. Abanye zisoyika kunye nenkunkuma imisebenzi, ekubeni inkqubo kakhulu inzima kwaye kunzima, kunye nengozi iingxaki liphezulu kakhulu. Abanye ngabom bathathe imingcipheko, esazi ukuba ngaphandle ungenelelo zonke koloko mandundu kakhulu.

Ndimele ndenze ntoni ukusebenza - ukhetho kwenzelwe nje ngabanye. Nangona kunjalo, ukuba umsebenzi kuboniswa, kungcono ukwenza, ukusukela ukuba ayaphumelela (lethality ngexesha nokusebenza ngaphantsi kwe-2 ekhulwini) iphucula kakhulu imeko kunye nomgangatho wobomi.