Mukushanda kwakadaro sekusimudzira kwemidziyo yemwoyo, mumoyo wepanyama inogamuchirwa kuti inzwisise prosthetics yemarayari emoyo. Chido chekupindira uku kunosvika nekuda kwezvikonzero zvakasiyana-siyana. Ngatimboongororai nzira yacho mukunyatsorondedzera, kushandiswa pachedu, tichazotumidza uchapupu kune iyo, tinonyora kukanganisa uko kushanda kwacho kusingaiti.
Zviratidzo zvekusimudzira kwemidziyo yemwoyo
Iyo stent pachayo iyo inenge yakaita skeleton yakaitwa nesimbi. Isa iyo mumidziyo iyo yakareba iyo isingatenderani nemirairo inodikanwa. Chikonzero chekudzikisa kwavo ndeye (plaque of adipose tissue cells inowed to the inner wall of the artery). Sezvavanowedzera, kupararira kweropa mumarita emwoyo kunotyisa. Somugumisiro, kuwanda kwe oksijeni nemuviri kunopa chimiro kuderera, izvo zvinoita kuti angina pectoris. Kamwe zviratidzo zvekugadzwa kwebasa rekupindira ndezvekuti:
- Kufa kwemwoyo mutsvuku - myocardial infarction, kupisa kwemwoyo midziyo iyo inoderedza migumisiro yechirwere, kudzorera ropa kupa kune zvakakanganiswa nhengo.
- Angina asinganzwisisiki . Nekuputsa kwakadaro kwekushanda, zviitiko izvi kana pane hemodynamic (kuputsa kwekuyerera kweropa) uye kusagadzikana kwemagetsi (kukanganisa kwechibvumirano chemasikironi emasikisi) kunoenderana nekuvhiyiwa.
- Ischemic heart disease . Nechirwere ichi, kushandiswa kwekusimudzira mwoyo yemidziyo kunogadzirisa uye kunodzokorora ropa rakarurama.
Kushungurudza kwemwoyo midziyo - zvinopesana
Kunyatsopesana kwekutenderera kuitira kuti kuve nemoyo unotyisa, hahupo. Asi asati aita sarudzo pamusoro pekuvhiyiwa, chiremba anoita sarudzo yakazara, anosarudza kuvapo kwezvirwere zvisingaperi mumuviri. Muchiitiko ichi, kupindira kwokuvhiya hakuedzi kuita ne:
- kukanganisa uye kusingaperi kwekushaya renal;
- utachipa kubuda ropa;
- febrile state;
- chisingakonzere utachiona;
- kusazvidzora kwehutano hwehutano;
- vanaphylactic reaction kumutungamiri wepakati pakati;
- kukanganisa kwenzira dzekuvhara ropa.
Ko kunetseka kwemwoyo kunoitika sei?
Mukati mawo, kushandiswa kwe "kushiva" kunoreva kuti zvishoma nezvishoma zvinoputika. Vanachiremba havaiti zvakadzama zvakawanda. Kupindira kuri kuburikidza nechimwe chemasimba makuru. Kakawanda, vanachiremba vanoshandisa chirwere chechikadzi mumugwagwa nokuda kweizvi. Munzvimbo yakarongwa, chigadzirwa chinogadzirwa, kuburikidza nehuputi chaiyo inosungirirwa, iyo inorudzi rwechirongwa chekuiswa kwezvimwe zviridzwa. Vanoriidza mutenzi. Inotungamirira kune imwe catheter yakakura, iyo inounzwa zvakananga kune yakakanganisika.
Sekare pane catheter kunzvimbo inodikanwa, iyo stent inounzwa, iyo inopoteredza bhoton rakasimba mufomu rakapetwa. Mushure mekunge chiremba aine chokwadi chekuti chingava chiri muchikamu chakanaka, musiyano unoiswa mukati maro, unooneka zvakajeka pamakamuri e-ray ray. Somugumisiro, iyo stent inopihwa zvakananga kumudziyo wegungwa constriction. Pasi pemhirizhonga, inomanikidzwa mumasvingo eharia, paanoramba ari mupenyu. Pane kuchinja kwechiedza, icho chinodzorera zvachose hemodynamics, zvishoma nezvishoma kuderedza mutoro pamutsipa wemwoyo. Kutinhira kwemwoyo midziyo inoitwa. Varwere vanonzwa vaine hutano hwakanaka, vashoma vanorwiswa.
Pain after stenting
Mushure mokumanikidzwa kwekodonary yemidziyo yemwoyo inoitwa, murwere anoramba ari muchipatara kwenguva yakati. Mazuva okutanga 3-5 anogona kunyorerwa malovyrazhennye, kusagadzikana kunzwisiswa munzvimbo inoputika. Vanachiremba vanorega kufamba kwemu murwere, vachirondedzera zororo pamubhedha, vachimisa kukura kweropa kubva pane arteri yakaputika. Anenge vhiki imwe mushure mokutengesa kwemidziyo yemwoyo panguva yechipfuva, vanobvumirwa kusiya kliniki.
Matambudziko mushure mekutengesa kwemidziyo yemwoyo
Nekodzero yepamusoro yechiremba chiremba, ave nemakore akawanda ane ruzivo, migumisiro yakaipa yekuvhiyiwa inoderedzwa. Asi mune dzimwe nguva mushure mekugomera kunogona kugadziriswa:
- kuvhara kweiyo yeropa inopindirwa nekuvhiya;
- kukanganisa kwekutenderera kwemudziyo panguva yekuita;
- kuumbwa kwehematoma panzvimbo yepasi;
- kukura kwekubuda ropa;
- zvinokonzera kugadzikana kuti zvienzane.
Zvinofanira kuonekwa kuti kune mamiriro ekuremedza uye matambudziko, muhupo hwekuti mikana yezvinetso zvinowedzera. Izvi ndezvi:
- kidyo chirwere;
- chirwere cheshuga mellitus;
- kuvhiringidzwa kweropa coagulation system.
Zvinodhaka mushure mokutengesa kwemidziyo yemwoyo
Kutanga, inofanira kurehwa kuti kusarudzwa kwose kunoitwa chete nachiremba, uyo anoratidza chirwere ichi, nguva yakawanda, muyero uye nguva yekushandiswa kwayo. Munyaya iyi, mukadzi anofanira kunyatsotevera. Mishonga mushure mekugadzika kwemwoyo midziyo inorayirwa seinotevera:
- Paunenge uchishandisa stent iri nyore kubva pasimbi kwemwedzi mumwe chete, tora Aspirin Cardio uye Plavix. Iyo mishonga inoita kuti kuve nokuchenesa kweropa, kusina kubatanidzwa kwe thrombi. Nhamba yakasarudzwa navanachiremba. Inowanzopa 300 mg Aspirini pazuva uye 75 mg yePlavix.
- Kana mushonga wezvinodhaka-wakashandiswa wakashandiswa, Ticagrelor inogona kunyorwa pane nzvimbo yeLlavix, 90 mg kaviri pazuva.
Kushungurudza mwoyo - vangani vanorarama mushure mokuvhiyiwa?
Nyaya huru yekufarira kune varwere vakagadziriswa zvakadaro vanofunga kuti vanorarama zvakadini mushure mekugomera. Vanachiremba vanocherechedza kuti nzira yacho pachayo inoshanda mu80% yematambudziko. Mune mamwe mamiriro ezvinhu, nzira inoshandiswa inoratidzika, apo iyo inoshandiswa yemudziyo zvakare inotapura munguva. Nekuvandudzika kwemashoko matsva, chiitiko ichi hachina kufanana. Muzhinji, varwere ivo pachavo vanocherechedza kuti upenyu mushure mekugadzirisa midziyo ye coronary yemwoyo inova nani: kusuruvara, kukanganisa kunopera. Nezvekureba kwaro, vanachiremba vanocherechedza kuti kushanda kwakadaro kunowedzera chikamu chemakore gumi.
Upenyu mushure mekusimudza kwemwoyo midziyo
Varwere vazhinji vanocherechedza kuti hupenyu huri shure kwekugomera huri kuwedzera zvishoma nezvishoma. Inoderedza kuneta, - muviri, mwoyo yemagetsi, unobata zviri nani nemitoro, okisijeni neropa inopihwa mumutumbi unodiwa kusvika kune nhengo uye maviri. Asi zvakakosha kuti uone kuti varwere vakagadziriswa nemidziyo yemwoyo, vanomanikidzwa kuchengeta imwe regimen, kudya, kunyanya panguva yekutanga. Kurapa kwekudzorera kunoita basa rinokosha mukugadziriswa kwekuvandudza, kuva chikamu chinokosha chazvo.
Kuvandudza mushure mekugomera
Mukati pevhiki mushure mekudengenyeka kwemakironi emakoronary, murwere anongorega kuita basa. Mukuwedzera, mabhati anoshandiswa, zvinongoratidzika, - chete yewaini inofanira kubvumirwa kutora. Inenge mwedzi miviri vanachiremba vanokurudzira kuti varege kutya motokari. Nguva dzakasara dzinobatanidza zvakananga nekuchengetwa kwezvokudya zvakakodzera, kubviswa kubva pakudya kwemafuta, zvokudya zvakabikwa, zvokudya zvinowedzera muhotera.
Kudya mushure mekudengenyeka
Kusarudzwa kwekodonary stenting, vanachiremba vanokurudzira zvakasimba kuti vaongorore kudya kwezuva nezuva. Nokutanga, mafuta akakwana nyama, semi-finished products, sausages hazvibviri zvachose. Muchiitiko ichi, vanachiremba vanokurudzira kukonzera boroti, michina yehuchi. Zvakagadzirwa nema carbohydrates muzvokudya zvinofanirawo kuchengetwa kusvika zvishoma. Zvinorambidzwa ndezvi:
- confectionery;
- chingwa chakachena;
- carbonated sweet drinks.
Chikonzero chinofanira kuva chibereko chitsva, zvigadzirwa zvine miti yemafuta, zvigungwa. Uyewo, vanachiremba vanokurudzira kuwedzera zvinhu zvezvinhu zvinodzivisa atherosclerosis:
- sea ancient;
- zvose-zviyo;
- chingwa chine mutsvuku nebhanhire;
- nuts;
- nkhuku nyama.
Kushungurudzika kwepanyama mushure mekugadzika kwemwoyo midziyo
Inotakura mitoro mushure mekudengenyeka kwemidziyo yegononary inowanikwa inotarirwa mumwe nomumwe. Murwere anonyatsoteerera zvinorayirwa zvakagamuchirwa uye mirayiridzo yechiremba. Muchiitiko ichi, kudzidziswa uye kusadzidziswa kudzidzisa kunoitwa (kunoitwa pamba). Pakati pemakirasi mune sangano rezvokurapa, vanachiremba vanoenderera mberi vachicherechedza huwandu hwemakemikari epamwoyo uye kushandiswa kwemhepo. Kunhuwa kwemwoyo midziyo kune varwere inopiwa kune zvishoma 4-5 maitiro ekushingaira kwemuviri wevhiki kwevhiki.
Kana kusina matambudziko, zvikwangwani zvinogona kurongerwa LFK, kufamba nekukurumidza (6-8 km pazuva). Kana pane mamiriro uye mikana yekushanyira zvivako zvemitambo, vanachiremba vanokurudzirwa kuti vaite zvakasimba kupora:
- kushambira;
- akatasva bhasikoro;
- kukwira.
Kana iri nguva inoshandiswa uye inotyisa yemidziyo yemwoyo, inotora mwedzi 1-1.5, vanachiremba vanokurudzira kubvisa kushanda kwakanyanya kwemuviri. Usabvumira kutakura zvinhu zvakakomba, zvinorema makirogiramu gumi nemashanu kana kupfuura, kuti uite muhondo yekurwa. Zvishoma nezvishoma kuwedzera kusimba kwekuita muviri, varwere vachakwanisa kudzokera kumabasa avo apfuura, vanozogona kubvumira kushanda kwakanyanya muviri.