Cardiology. kwemithambo esa yokumilisela

Enye izifo ezingundoqo kwaye eliqhelekileyo loluntu luthathwa isifo sentliziyo. Noko ke, njengokuba kusenziwa imiboniso, kwiimeko ezininzi, abantu kunye ukubonakala ubuhlungu okanye iintlungu esifubeni, ngokuziva yokunqongophala kwe-oksijini okanye ukuqina ngumphefumlo, hayi ungxamile ukuzilungisa ukuze iingcali, wakhetha ukuba siphathwe ngokwakho. Ukuyibetha ngoyaba wabonakala kuqala yokugula kakhulu, bona ke athintele kakhulu unyango olunye wabuya wachacha. ukufikelela ngexesha kugqirha siqinisekisa sifo abanobuchule kunye kagqirha zonyango abaqeqeshiweyo. Kufuneka kuqatshelwe ukuba iimpawu isifo sentliziyo, utyando ekuqaleni (utyando ukuyilwa kwento sebenzo jikelele, lo constriction benqanawa ezichaphazelekayo) unako ukusindisa ubomi kunye nokubuyisela isigulane ukuba ubomi obunempilo obanelisayo.

izifo sentliziyo zihambisana (nokuncipha) neempahla enye okanye ngaphezulu ezibonelela ngesondlo kwemisipha kwentliziyo. Uqhaqho kwimithambo esa kuqinisekisa igazi lokuhamba ngendlela kwemithambo okanye umfanekiso ngaphezulu. Ngenxa yoko, imisipha intliziyo ziya kufumana igazi eqhelekileyo.

Ukuze ufumane ufikelelo intliziyo imbobo embindini esifubeni. Ngaphezu kwenziwe cut (amanxeba) kwisiza ngumnikeli apho ugqirha sogawula Umthambo ngenxa yokucima.

_________bakhetha zithathwa kwemithambo thoracic lwangaphakathi okanye Umthambo ngezandla iphiramidi. Abanokuwanika usebenziso kakhulu ukuqina le shunt. Previous ekusebenziseni kwemithambo ngezandla ebabusisakha phantsi kophando ngakumbi ukunceda ukuthintela iingxaki ezahlukeneyo ezinokuthi ezinxulumene kocingo yayo.

Ukususa kwemithambo mammary lwenziwa phantsi kwentamo. Njengoko umthetho, sebenzisa kwemithambo ekhohlo, kodwa wabanjwa kunye nokusetyenziswa ngasekunene. Ekuphumezeni angiography lubonise ukungabikho (phambi) of amanxeba atherosclerotic kunye ubudeki ezaneleyo kwemithambo.

Oogqirha laligqwetha umthambo ucingo umlenze lowo.

Esa igazi entliziyweni iye iindidi ezintathu. Indlela yokuqala usebenzisa igazi ngumntu, elinesibini - nongenelelo lwenziwa ngaphandle kokusebenzisa i "somfanekiso." Uhlobo lwesithathu nemisebenzi eyenziwe ukusikwa oluncinane zotyando (endoscopic uqhaqho).

Ukukhethwa uhlobo oluthile kuphela sisekelwe kwiziphumo angiography coronary kunye novavanyo lwezifo yodidi oluphezulu.

Uqhaqho kwimithambo esa igazi kunye yokucima cardiopulmonary nguye kuphela nesifo sentliziyo edityanisiweyo (postinfarction ngasekhohlo ventricular kwemithambo, okufunyanwa okanye isifo sentliziyo naso esifuna ungenelelo ngotyando), okanye kwimeko izilonda ezininzi ezincinane coronary. Kule nkqubo, utyando iya kwenziwa zokuma. Ukubonelela kwegazi ngabom, ebavalelayo ukuba izihlunu entliziyweni cannulas ezidityanisiweyo, ezo liqhagamshelaniswe nefowni. Ngeli xesha, ugqirha kudala anastomosis phakathi iphuma kunye kwemithambo. Emva koko, ukufunyanwa intliziyo aorta ke sutured ekupheleni icala Kwangale. Ngethuba lokuqhuba kwale ngoncedo kuxhomekeke kubunzima yayo kunye neempawu ngamnye yesigulana.

eqhelekileyo yokusebenza ubuchule ngotyando kuvumela ukwenza coronary kwimithambo esa akayicingi abulale ngentliziyo. Lisebenzisa indlela wehlisa intlokoma ngexesha yokungenelela intliziyo.

Ukusebenzisa ukusikwa ezincinane ngexesha surgery okumbalwa. Okokuqala, usulelo i ngaphantsi okuba yesigulana. Okwesibini, coronary utyando kwimithambo esa ngokusebenzisa ukusikwa ezincinane kunciphisa ukopha. Ukongeza, isigulana unethuba ukuba sikhohlele kwaye ukuphefumla ngokunzulu kwixesha postoperative.