Kuvhara mwoyo - kuti chii uye kuti inogona kubatsira sei - mibvunzo inokosha kune vanhu vane chirwere chemwoyo . Nechirwere chakadaro, kushanda uku kunogona kuva tariro chete yebasa rakazara.
Mwoyo unopfuurira - chirwere ichi chii?
Anenge makore makumi maviri akapfuura, hapana munhu aive nemubvunzo: kubvisa mwoyo - chii uye chii chiri kuita? Kubudirira kwekutanga mune izvi, kwakatorwa naSoviet scientist-cardiac chirurgiyori Kolesov VI, vakaiswa pasi kusava nechokwadi uye kunyange kutambudzwa. Unyanzvi wezvemasayendisiti wekuti kuburikidza nekubatsirwa kwekuvharidzira kunobvira kugadzira basa rekugadzirisa midziyo inobatwa neatrosclerosis inoratidzika sedakanaka. Aortocoronary heart chirwere chekuvhiya ikozvino chinoponesa makumi ezviuru zvehupenyu gore roga roga. Basa racho rakakurumbira uye rinobudirira, naizvozvo rinoitwa munyika dzakawanda dzenyika.
Kunzwisisa mubvunzo: kubvisa mwoyo - kuti chii uye chii, munhu anofanira kufunga nezvechinangwa chayo. Basa racho rinoshandiswa kune zvirwere zvinokuvadza mutezo weropa uye kuputsa ropa. Chinokosha chekupindira chiripo pakusikwa nzira itsva yeropa, iyo inotsiva chikamu chakakanganiswa chemudziyo. Nokuda kwechinangwa ichi, kusvibiswa kunoitwa kubva mumavheya emurwere kana mishonga inoshandiswa. Kuchengetedza mitsipa zviri nyore kuumba, zvisinei nokuti hazvivimbi uye zvinogona kuvhurwa mwedzi mushure mekushanda. Zviri nani kushandisa arterial shunts, asi kushanda uku kune unyanzvi uye hazviiti nguva dzose.
Coronary bypass - zviratidzo
Cholesterol inowanikwa pamasvingo emidziyo inoita kuti kuderera kwechiedza chemudziyo. Somugumisiro, ropa rinouya kune nhengo dzisina kukwana. Kana chiedza chemuviri wemukati chinenge chakanyanyisa, chinogona kukonzera angina uye myocardial infarction. Kuwedzera chiedza chemidziyo, remishonga inodhaka, coronary angioplasty, uye kupisa kunoshandiswa. Kana mamiriro acho akaoma, vanachiremba vezvemwoyo vanogona kushandisa chirwere. Aortocoronary bypass kubatanidza inoratidzwa mumamiriro ezvinhu akadaro:
- angina yakaoma, umo murwere asingakwanisi kushumira pachake;
- matambudziko ane multiple coronary vessels panguva imwe chete (kupfuura katatu);
- kuomeswa kwemidziyo ye coronary inopfuura 75%;
- kusanganiswa kweherosclerosis nemoyo aneurysm .
Sei kune ngozi kukunda mwoyo?
Pamwe nemubvunzo: kuvhara mwoyo, zvinorevei, pane kazhinji mubvunzo pamusoro pekuchengetedzwa kweiyo nzira. Apo vanachiremba vane chirwere chechirwere vanobvunzwa kana chiri nengozi kudarika mwoyo, vanopindura kuti haisi ngozi kupfuura mamwe maitiro. Kunyange zvazvo urongwa uhwu hwekupindira huri hwakaoma, kubudirira kwemazuva ano mumishonga uye teknolojia kunobatsira kuti uite sezvakachengeteka sezvinobvira. Mumazuva ekupedzisira, ngozi yezvinetso inowedzera kune varwere vane ukama hwakadaro:
- overweight;
- chirwere cheshuga mellitus;
- high level of cholesterol inokuvadza;
- high blood pressure;
- zvirwere zvakakomba zvepvo.
Zvichienderana nehutano hwehutano hwakaitwa uye hutano hwehutano, zvinetso zvinogona kuitika dzimwe nguva: kuzvimba uye kubwinya pamubhedha, kubuda, kushaya mwoyo. Hazviwanzoitiki, asi zvinogona kuitika zvinosanganisira:
- pericarditis - chirwere chekuvhiringidza pamutsara we serous we mwoyo;
- kukanganisa mumoyo rhythm;
- acute heart failure;
- phlebitis - kuputika kwemasvingo emheya;
- kurohwa;
- Pleuritis - kuvhiringidza kwezwi remapapu;
- kuderera mu lumen mu shunt.
Mwoyo unopfuura - vangani vanorarama mushure mokuvhiyiwa?
Varwere vanovhiyiwa mwoyo nguva dzose vanofarira kuti vangani vanorarama mushure mekushaya chirwere chemoyo. Vanachiremba-vane chirwere chepfungwa vanoshevedza chiyero chemakore gumi nemashanu, asi tsanangura kuti mune ramangwana zvinhu zvose zvinoenderana nemurwere uye hupenyu hwake hwehutano. Nehutano hwehutano uye kutevedza mazano ose, murwere anogona kurarama mamwe makore makumi maviri nemashanu. Mushure meizvi, chirongwa chegoni chemoyo chinogona zvakare kutorwa.
Mwoyo unoputika sei?
Pamberi pekushanda, murwere anogadziriswa, chikwata chinogadziriswa muchechea kuti chidzivirire kupema, uye shanduro inowanikwa mudumbu kuti irege kuiswa mukati memaapapu.
Zvichipfuurira pamatanho emakoronary underpass:
- Bhokisi racho rakazarurwa.
- Mukuvhiya pamwoyo usina ruzivo, kupararira kweropa kunobatanidza, uye kana kuri kushanda, nzvimbo inopfuurira inogadziriswa.
- Tora mudziyo unoshumira sehunt.
- Rimwe rutivi rwomudziyo runobatanidza neaorta, rimwe kune rimwe rematoriyoni pasi penharaunda yakakanganiswa.
- Tarisa hutano hwehunt.
- Bvisa chigadzirwa chekugadzirwa kwemajini.
- Sew the thorax.
Coronary inopindira mumoyo
Chinyorwa cheCononary bypass grafts chirwere chinosanganisira kushanda kwakaoma uye kwenguva refu. Zvizhinji zvekushanda kunoitwa pamwoyo usina kushanda pamwe nekushandiswa kwemaitiro ekugadzira maitiro. Iyi nzira inofungidzirwa yakachengeteka uye yakagamuchirwa kupfuura kuvhiyiwa kwemoyo, asi inowedzera dambudziko rezvinetso. Kushandisa kwechigadzirwa kunogona kukonzera kutadza kwakadaro kwemuviri:
- pulmonary edema;
- hematological problems;
- kubatana kwetsvo nemidziyo yeuropi;
- kushaya oksijeni kwebasa renhengo.
Aortocoronary inpass surgery pamwoyo unoshanda
Aortocoronary bypass pasina kuparadzirwa kwemaitiro inobvumira kubvisa zvinetso zvinokonzerwa nokushandiswa kwechirongwa chechiremba. Kushanda pamwoyo unorova kunoda ruzivo rwakadzika uye unyanzvi kubva kuchiremba. Kuvhiringidzika kwemakironi emakoroni kunoitwa mumamiriro ezvinhu ehupenyu nekuda kwemoyo, izvo zvinoderedza ngozi yekushungurudzwa kwemashure, kunowedzera kupora uye kubudiswa kwemurwere kubva kuchipatara.
Coronary bypass pasina mutsara we thoracic
Endoscopic chirwere chepfungwa chinodarika chirwere chinoshandiswa pasina kukanganisa kuvimbika kwechifuva. Aya maitiro akawanda zvemazuva ano uye akachengeteka uye anowanikwa mumakiriniki eEurope. Mushure mokuvhiya kwakadaro, ronda racho rinokurumidza kuporesa uye muviri unodzorerwa. Icho chinonyanya kukosha ndechekuita kupindira kwepuropiti kuburikidza nediki kudonhedzwa mumhino. Kuti iite basa rakadaro, chirongwa chekurapa chakakosha chinodikanwa chinobvumira kunyatsogadzirisa mukati memuviri womunhu.
Kuvandudza mushure mekushaya chirwere chemoyo
Kutaura pamusoro: kuvhara mwoyo, zvinorevei, vanachiremba vanobva vangochinja nguva yekugadziriswa, iyo iyo kuwedzera kuwedzerwa kwemurwere inotarisirwa.
Kuvandudza mushure mekushaya mwoyo kunosanganisira maitiro ezvidzidzo uye mabasa:
- Kuporesa maitiro. Yakaitwa kubva mumazuva ekutanga mushure mekushanda. Kudzidzira kunobatsira kuburitsa mapapu.
- Basa rechiito. Tanga nematanho mashomanana muwadi muzuva rekutanga postoperative uye zvishoma nezvishoma kuva zvakaoma.
- Inhalation nerubatsiro rweNebulizer pamwe nekuwedzerwa kwe-bronchodilators kana mucolytics.
- Intravenous laser or ozone therapy.
- Mhando dzakasiyana dzokushambadza.
- Ultravonotrophy nePantovegin kana Lidase.
- Magnetotherapy nokuda kwezvakaitika pamativi epachivi.
- Dry carbonic baths.
Chinyorwa cheCononary bypass grafts - postoperative period
Mushure mekushanda pamwoyo, murwere anonyatsoongororwa kwemwedzi 2-3. Murwere anokwanisa kuramba ari muchikwata chekuchengetedza kwakanyanya kwemazuva gumi ekutanga, zvichienderana nekukurumidza kwekudzoka, hukama hwakanaka uye kusavapo kwematambudziko. Mune nguva apo anesthesia iri kushanda, murwere anogadzirirwa nemakumbo kuti arege kufamba kune ngozi kamwe kamwe. Maawa ekutanga mushure mekuvhiyiwa murwere anogona kufema nekubatsira kwechigadzirwa, icho chinobviswa pamagumo ezuva rokutanga.
Muchipatara, majoini anogadziriswa zuva roga roga uye mamiriro avo anoongororwa. Kurwadziwa kishoma, kubwinya uye kunzwa kweganda kusungirirwa panzvimbo yechando kunowanzoitika panguva ino. Kana chirwere chekugadziriswa chichipfuura nekuvhiyiwa kwekufuratira chakabudirira, saka pazuva rechinomwe kubva pa8-8 murwere anobviswa kubva ku sutures. Mushure meizvi murwere anokwanisa kubvumirwa kushamba. Kuita kuti kuporeswa kwemapfupa e-sternum, murwere anorayirwa kupfeka corset kwemwedzi mitanhatu, kurara munguva ino kunongowanikwa chete kumashure.
Upenyu mushure mokurairwa kwepachivande
Muori weCononary kuburikidza nekubatanidza kunoonekwa uchibudirira kana murwere achidzoka kune anowanzoita mararamiro maviri mwedzi gare gare.
Nguva yakatarwa uye hutano hwehupenyu huchaenderana nekuteerera kune chirevo chechiremba:
- Tora mishonga inorayirwa nachiremba uye usazvipa mishonga.
- Usasvuta.
- Garai pane zvokudya zvinokurudzirwa.
- Mushure mekushanda kwekuvhara, uye kamwe kamwe pagore vanoenda kurapwa mune imwe sanatorium.
- Ita miitiro yakakodzera, kudzivisa kuwandisa.
Kudya mushure mokuvhiyiwa kwepfungwa mukati mekuvhiya
Mumazuva ekushanda, varwere vane ruzivo rwechigoni vanowedzera kubatanidza vanofanira kunyatsocherechedza kudya kwavo. Pamusoro pechinhu ichocho, zvinodaro makore akawanda ehupenyu hwavanogona kurarama. Kudya kunofanirwa kugadzirwa nenzira yekudzivirira kuonekwa kwekureruka kwakanyanya uye kuiswa kwekukuvara kwecholesterol pamadziro emidziyo.
Mushure mekuvhiyiwa, varwere vanokurudzirwa kutevera mazano akadai:
- Deredza uwandu hwehuga, huchitsiva ne stevia.
- Zvigadzirwa zvekuda zvinofanira kuva zvishoma-mafuta.
- Kubva pamazizi zvakakosha kupa zvakanakisisa kune zvikafu zvekudya uye tofu.
- Kubva pane nyama, soy nyama, chichena chiya, turkey, uye pasi-fat veal inobvumirwa.
- Zvokudya zvinogona kuva chinhu asi manga uye mupunga.
- Mukuwedzera, shandisa hove yemafuta.
- Kubva hove, unogona kudya hove dzakawanda uye dzimwe nguva hove dzakasvibirira-mafuta.
- Pamusoro pemafuta, zvinodikanwa kusiya zvose asi mishonga mhandara yemafuta yemafuta inopisa.
- Inokurudzirwa kuderedza muwandu wemunyu.
- Inobatsira kudya mishonga nemichero mutsva.
Zvinoshandiswa zuva nezuva
- Chikudya chamangwanani - egg omelet yakaitwa kubva kune vatsvene, saladi yemichero uye yogashi isina mafuta.
- Chipiri chekudya chamangwanani hachina mafuta-cottage cheese.
- Zvokudya ndezvokudya zvinomera zvemasvini nechingwa chakaomeswa chakaomeswa, mishonga yemiti.
- Snack - maapulo akabikwa.
- Kudya - mapekeki kubva mumiriwo, hove dzakakodzwa dzemhando dzakaderera-mafuta kana chichena chicken nyama.