Jijiyoyin zuciya jijiya kewaye tiyata - abin da yake da shi? Jijiyoyin zuciya kewaye tasoshin zuciya

Jijiyoyin zuciya da cututtukan zuciya ne a real bũlãlar 21st karni. Kusan kowace biyu mutum yana fama da wannan cuta. Wasu na iya yi wa cutar da magani, amma abin da wasu m tiyata. Daya daga cikin muhimman ayyukan, Munã rage jini ya kwarara a cikin tasoshin da zuciya, mai jijiyoyin zuciya kewaye.

Mene ne wannan?

Wannan lokaci ya fara bayyana a cikin da yawa likita kafofin for quite wani lokaci. A halin yanzu, aiki ne kusan daya kawai na irin. Bisa kididdigar da, a duniya ya ciyar a game da miliyan daya da irin wannan hanyoyin shekara.

Kamar yadda aka ambata, yawancin marasa lafiya da jijiyoyin zuciya jijiya cuta jijiyoyin zuciya jijiya kewaye tiyata zama dole. Mẽne ne - know, da rashin alheri, ba da yawa.

Jijiyoyin zuciya jijiya kewaye tiyata unshi da danniyan daga detours a kan zuciya tasoshin.

The aiki ne quite mai yawa da kuma tsanani.

Bisa kididdigar da, wannan aiki ne da za'ayi kawai 12 bisa dari na dukan waɗanda suke cikin bukata. A wasu akwai contraindications to ta yi, yayin da wasu ba ko da yaushe ka nemi taimakon likita.

Da zarar aiki ya bayyana, mutane da yawa mashawarta masana kimiyya sun nuna babban sha'awa ga shi, duk da haka, shekaru biyu bayan halittarsa, da aiki da aka haramta. Re-gabatar da shi a kawai 'yan shekaru, lokacin da aiki ya fara bayyana a cikin duniyar kafofin watsa labarai. Tun daga nan, ta yin amfani da ya zama kusan kullum, kuma da yawa likitoci ba su wakiltar wani yiwu magani jijiyoyin zuciya jijiya cuta, amma da za su gudanar da wannan aiki.

A pathogenesis na jijiyoyin zuciya jijiya cuta

Jijiyoyin zuciya jijiya cuta tasowa a lokacin da jijiyoyin zuciya arteries fara fuskanci wani oxygen rashi. Wannan na faruwa saboda takaita na lumen. A dalilan abu zuwa takaita, da yawa - jere daga haihuwa lahani kuma mahaukaci takaita daga haihuwa da kuma kawo karshen tare da wani karu a lumen saboda da yaduwa na atherosclerotic plaques.

Yadda aka saba, IBS cututtuka ba bayyana kansu har sai, har sai da lumen ba quntata da fiye da kashi 70 cikin dari. A asibitin iya bayyana kawai idan akwai gagarumin jiki aiki.

Babban fasali na ci gaba da jijiyoyin zuciya da cututtukan zuciya da ciwon kirji ne tare da nakasa daga 'ya'yan numfashin da kuma ji tsoro. Tare da wani gagarumin takaita da jijiyoyin zuciya tasoshin kara hadarin ciwon zuciya.

Lokacin da masu ra'ayin mazan jiya far ne m (liyafar vasodilator kwayoyi) kwashe jijiyoyin zuciya jijiya kewaye grafting.

Hakika na aiki

The aiki aka yi bude-zuciya tiyata, t. E. Wajibi ne a bude kirji. A incision ne yawanci yi tare da costal cartilages a kan hagu.

A haƙuri a lokacin da shiga tsakani da aka haɗa a zuciya-huhu na'ura.

The aiki aka yi a karkashin janar maganin sa barci.

Don ƙirƙirar shunt da ake amfani da yawanci na waje tasoshin (subcutaneous Vienna kafafu ko ciki mammary jijiya). A sakamakon shunt, da zarar cire, aka yi amfani da sama da kasa da takaita da jijiyoyin zuciya arteries da sutured a cikin jirgin ruwa. Wannan facilitates da ya kwarara daga jini ta hanyar shafa jijiya da kuma ba ka damar cire tsokar ischemia.

A wasu lokuta koma ga dashi da radial jijiya a matsayin jini ya kwarara ta cikin jijiyoyi ne mafi alheri a kafa.

A halin yanzu, fiye da karkata zuwa gudanar da ayyukan ba tare da yin amfani da cardiopulmonary kewaye, kamar yadda jini izinin ta hanyar wannan na'ura na taimaka wa ja jini cell lalacewar da hemolysis.

Alamomi zuwa Mataki

Jijiyoyin zuciya kewaye tasoshi da tukwane na zuciya da aka nuna a cikin wadannan lokuta:

• Rage jini patency na hagu jijiyoyin zuciya jijiya da a kalla 50 bisa dari. Wannan jirgin ruwa ne mai babbar infarction a abinci mai gina jiki. Mafi yawa daga cikin jini ne wata tambaya ga shi, saboda abin da block matakin da ganga ne fraught tare da m ischemia da tsokar zuciya infarction.
• A karu a lumen na jijiyoyin zuciya tasoshin zuwa 70 bisa dari.
• A gaban stenosis na agara interventricular jijiya (musamman a batu na bifurcation).

Wadannan karatu ne na asali ga jijiyoyin zuciya kewaye tiyata.

Bayan su akwai m, symptomatic alamomi. Suna sa da m bouts na angina (zafi, ji na constriction a kirji), kuma ana cropped magani. Duk da haka, matsalar ta zama mafi tsanani a cikin akwati inda magani hasarar da tasiri, da kuma kai hare-hare suna zama mafi m. Wannan a cikin wannan hali ya kamata riga tada fitowar ta shunting.

contraindications

Saboda da fadi da yaduwar bayanai fasahar, koyi game da jijiyoyin zuciya jijiya kewaye tiyata - abin da shi ne, abin da ya shaida - ba wuya. Duk abin da yake mafi rikitarwa da contraindications.

Ya bambanta da alamomi na tiyata, duk contraindications ne dangi, tun kowane haƙuri ta tambaya game da aiki kamata a yi la'akari a ci gaba daga ta musamman data.

An yi imani da cewa haƙuri ta shekaru, musamman a kan shekaru 70, ne prohibitive factor da za su gudanar shisshigi. A halin yanzu, mutane da yawa marasa lafiya ne tsofaffi jure kutse a cikin zuciya (da shi ne saboda babu concomitant kullum cututtuka da shafi hemodynamics). Ga waɗanda suka yi wannan cututtuka, likitoci sun fi karkata zuwa wani zuciya dashi da kuma jijiyoyin bugun gini (sai dai idan akwai decompensated jihohin).

A baya can, jijiyoyin zuciya kewaye tiyata na zuciya tasoshin da aka gudanar a koda gazawar ko aiki oncological tsari. Yanzu za ka iya samun bayani a kan kyawawan nasarar gudanar da shisshigi a cikin wadannan marasa lafiya tare da m sakamako da kuma tsawaita rayuwar fiye da shekaru 10.

fi na marasa lafiya

Tun da aiki ne quite mai yawa da kuma tsanani, babba girmamawa ne dace management na marasa lafiya jurewa jijiyoyin zuciya jijiya kewaye grafting. Bayan tiyata sau da yawa ci gaba da rikitarwa kamar asarar huhu iska (saboda da dogon zaman na haƙuri a kan wani ventilator) da kuma cututtuka da rikitarwa.

Prophylaxis na numfashi cuta yi amfani da balan-balan kumbura ko musamman toys. Hana da ci gaban dauke da kwayar cutar da rikitarwa shi ne mafi wuya - ba ko da yaushe m da kuma dace canji na bandages taimakawa wajen hana kamuwa da cuta.

Tabbata a saka idanu da sigogi na haƙuri ta jini, kamar yadda saboda da massiveness na aiki sau da yawa za lura da gagarumin jini hasãra. A wannan yanayin, da mãsu haƙuri kawai bukatar jini rama domin ta shortcomings.

Dukan marasa lafiya da cewa wannan aiki da aka za'ayi - jijiyoyin zuciya kewaye tiyata - da lokaci mai tsawo auku gyaran fuska da kuma guje wa danniya. Wannan ne yake aikata domin ya hana discrepancies karfe staples hõre ta a cikin sternum.

Ra'ayin da marasa lafiya game da aiki

An kara yawan marasa lafiya masu shiga tsakani a zuciya tasoshin. Idan ka bincika daban-daban shafukan da forums kishin wannan matsala, ana gani cewa, mutane da yawa suka yi halartar jijiyoyin zuciya kewaye tiyata, a fairly m reviews. Muhimmanci inganta ingancin rayuwa, da kuma da yawa marasa lafiya za su iya komawa zuwa al'ada aiki (kawai bayan gyaran zamani). Ya rage yawan angina harin, wanda muhimmanci rinjayar da ayyukan yau da kullum rai.

Mutane da yawa mamaki - nawa ne wannan aiki?

A duk ya dogara a kan abin da haƙuri da jihar kiwon lafiya a lokacin da ya tabbatar da dalilin da alamomi na tiyata. Idan ka nuna jijiyoyin zuciya jijiya kewaye tiyata, farashin zai kunshi dalilai kamar ƙarar na shiga tsakani ba, da cancantar na aiki likita, amma kusan duk irin wadannan ayyuka suna da za'ayi kyauta. Kudi domin su aiwatar da ake kasaftawa ta jihar kasafin kudin (a cikin zaman kansa asibitoci da kudin tiyata jeri daga 7 zuwa 10 dubu daloli, wanda quite tsada).

Yake da daraja yin wannan aiki?

Mutane da yawa marasa lafiya fama da dadewa angina, jijiyoyin zuciya jijiya kewaye tiyata da aka nuna. Mẽne ne - 'yan mutane san, saboda abin da shi dole ne ya zama cikakken bayani na likita. Wasu suna firgita, kuma ki gudanar, tun da hanya ne quite rikitarwa, kuma da wuya, da kuma hadarin da rikitarwa ne musamman high. Wasu gangan dauki kasada, da sanin cewa ba tare da shiga tsakanin na duk iya hallara mafi sharri.

Ya kamata na yi aiki - da zabi ne zalla mutum. Duk da haka, idan aiki ne da aka nuna, shi ne mafi alhẽri a gudanar da wani, tun da m sakamako (lethality a lokacin aiki ne kasa da kashi 2) muhimmanci inganta da yanayin da kuma ingancin rayuwa.