Unyaka ngamunye, inani leziguli elitholakala ukuthi linesifo se-stenosis liyanda-ukunciphisa ukukhanya kwamagciwane ngenxa yokunamathela ezindongeni zezitsha ze-atherosclerotic plaques. Ukuthuthukiswa ngenxa yokuphulwa kwegazi kuholela ekubeni buthakathaka futhi kulimaze imisipha yenhliziyo, kuze kube necrosis yezingxenye ezithile zenhliziyo - i- infarction ye-myocardial . Abaningi baye bezwa ngokusebenza okunjalo njengemithini ye-coronary bypass grafting, kodwa akubona bonke abanombono wokuthi yini le nqubo yokuhlinzwa eyenziwa.
Iyini ukuhlinzeka nge-coronary bypass?
Njengokuhlinzwa, ukuhlinzekwa kwe-coronary bypass kuhloswe ekwakheni i-bypasses entsha (ukugwema) ngosizo lwemikhumbi enempilo exhunywe emithanjeni ye-coronary. Umgomo oyinhloko wokuguqulwa kwe-aortocoronary ukubuyisela ukujikeleza kwegazi ngemva kokuhlasela kwenhliziyo noma ukuvimbela ukuhlaselwa kwenhliziyo. Ukufakelwa, ngokuvamile, umvuthwandaba wesifazane ongaphansi komzimba, i-shin vein noma umthambo we-thoracic wesiguli ngokwayo.
Umthambo we-Coronary overpass ukuhlanganiswa wenziwa kuzo zombili izilonda zesifo esisodwa kanye eziningi.
Ukuphumelela ekusebenziseni ukukhishwa kwe-coronary
Lapho silungiselela ukusebenza, kuhlolwa izibalo eziningana:
- I-X-ray;
- i-electrocardiogram ;
- I-coronary angiogram yokuthola ukukhiya ezitsheni kanye nobukhulu babo obukhulu.
Ukungenelela kokuhlinzwa kwenziwa ngaphansi kwe-anesthesia jikelele, kanti isiguli sisesimweni sokulala. Inhliziyo isikhathi sokusebenza imisiwe, futhi umsebenzi wenhliziyo namaphaphu wenziwa yizixhobo zokujikeleza okufakelwayo. Ngokwejwayelekile, inqubo yokukhishwa kwe-coronary ithatha amahora angaba ngu-5.
Lapho sekuqediwe ukusebenza, isiguli sibekwe endaweni yokunakekelwa okujulile noma iyunithi yokunakekelwa okukhulu, lapho ixhumeke kumadivayisi alawula imisebenzi ebalulekile futhi aqaphe izimpawu ezibalulekile.
Ukuvuselelwa ngemuva komshini we-coronary bypass ukuhlanganiswa
Ngemuva kokuhlinzwa kwe-artery coronary, kudingekile ukuba ugcine indlela yokuphila ephakanyiswa ngumchwepheshe futhi uthathe imithi enqunyiwe. Ngakho-ke, ekubeni esesibhedlela, kufanele:
- Yenza ukuzivocavoca ukunciphisa inani lamanzi emaphashini, isibonelo, thinta ibhaluni noma umane uphefumule ngokujulile ngehora ngalinye.
- Emva kokukhipha amashubhu avuselelayo nokuphefumula, kufanele uhambe ngazo zonke izindlela.
Lapho ebuya ekhaya, kunconywa ukuthi:
- Yenza isethi yemizimba ethile yokuzivocavoca.
- Ungabhemi noma uphuze utshwala.
- Buka isisindo.
- Gwema ukucindezeleka okukhulu ngokomzimba.
Nakuba, njengomthetho, isiguli sinqunyelwe ukusebenza inyanga noma amabili emva kokusebenza, ukuphulukiswa kwethambo le-sternum kuthatha isikhathi eside kakhulu: kuze kube izinyanga eziyisithupha. Ukuphoqa inqubo, kuyadingeka ukugqoka i-bandage ekhethekile yesifuba, nokuvimbela i-stasis ene-venous, kunconywa ukuba uhambe emasotheni e-elastic we-medical.
Isici esibalulekile esimisweni sokuvuselela emva kokuhlinzwa kokusebenza nge-coronary bypass ukudla. Lapho ukhetha ukudla okunomsoco, kufanele:
- Nika izithelo, imifino, imikhiqizo yobisi omuncu, izinhlanzi ezincane ezinamafutha, izinkukhu.
- Yilahla amanoni, usawoti, ukudla okunomsoco okwedlulele.
Ukuvimbela ukuthuthukiswa kwe-anemia, kuyadingeka ukuba ufake phakathi kwemikhiqizo yokudla equkethe insimbi. Le micronutrient ikhona ngobuningi emikhiqizo elandelayo:
- by-imikhiqizo (isibindi, izinso, amaphaphu);
- izinhlanzi zasolwandle;
- ubhontshisi (lentile, ubhontshisi, i-peas);
- imifino (isipinashi, izaqathe, ukholifulawa, beetroot);
- izithelo (ama-apula, ama-peaches, ama-apricot, ubhanana);
- amajikijolo (okusajingijolo, ama-blueberries, ama-strawberry);
- amantongomane.