Opaleshoni ya Mtima: Njira Zowonekera Pamtima

Pambuyo, Panthawi & Pambuyo Opaleshoni ya Mtima

Tsegulani Opaleshoni Yamtima

Kuchita opaleshoni ya mtima kumachitidwa pa zifukwa zosiyanasiyana ndipo zimachokera ku njira zochepa zomwe zimakhala zovuta kuti zichotse mtima ndikuzichotsa ndi mtima wopereka panthawi yopuma moyo. Pali mitundu yambiri ya opaleshoni ya mtima ndipo aliyense ali wapadera monga munthu

Opaleshoni yambiri ya mtima ili ndi zinthu zofanana: zimagwiritsidwa ntchito pansi pa anesthesia , zomwe zimafuna kuti wodwalayo asungunuke ndi penti .

Njira zina zochepetsera, monga kuika poizoni kapena pacemaker, zikhoza kuchitidwa ndi chisamaliro cha anesthesia , chomwe chimadziwika ngati twilight kugona koma opaleshoni yotseguka nthawi zonse amagwiritsa ntchito anesthesia.

Opaleshoni Yoyamba

Ndikofunika kuti musankhe dokotala wanu mwanzeru . Nthaŵi zambiri, opaleshoniyi idzachitidwa ndi dokotala wa opaleshoni . Dokotala woyenera adzapeza nthawi yolongosola zoopsa za opaleshoni komanso kuopsa kwa opaleshoni ya mtima ndi kukuthandizani kudziwa ngati opaleshoni ndi yofunika.

The Human Heart

Kudziwa momwe mtima umagwirira ntchito n'kofunika kuti mumvetsetse momwe mukuchitira. Mtima umapangidwa ndi ma valve anayi ndi zipinda zinayi zomwe zimayendetsa magazi kudzera mu thupi. Ngati mbali iliyonse ya mtima iwonongeke kapena kuwonongeka, njira yamagazi pamtima ikhoza kusinthidwa, kuchepetsa kuyenera kwake.

Kusintha kwa ntchito ya mtima kungabweretse kufooka, kutopa, nyimbo zosasinthasintha komanso ngakhale magazi.

Mtima ndi gawo lovuta komanso lingakhale lovuta kumvetsetsa, koma ndikupeza nthawi yophunzira momwe mukufunira njira, momwe opaleshoni yachitidwa ndi zomwe mungathe kuyembekezera mutatha opaleshoni ndizofunika kwambiri kuti mupange nthawi yomwe mukufuna.

Tsegulani Opaleshoni Yamtima

Kuchita opaleshoni yamtima ndi mtundu wa opaleshoni ya mtima yomwe imafuna kuti mtima udziwuluke kuti uchitike. Pazochitikazi, sternum (bere la m'mafupa) amadulidwa pakati pang'onopang'ono kotero chifuwa chikhoza kutsegulidwa, kuti mtima uwonekere. Pulojekitiyo imachotsedwa kuchoka pamtima, kupatsa dokotalayo mwayi wopezeka.

Njira zochepa zomwe zingayambitse kutsegula njira zamtima zilikulimbitsa tsiku ndi tsiku, zomwe zimachititsa opaleshoni zomwe zingatheke popanda kutsegula pachifuwa. Chitsanzo chimodzi cha opaleshoni yomwe ilipo tsopano pogwiritsira ntchito njira yochepa yosawonongeka ndiyo njira ya MAZE , opaleshoni yomwe imathandiza kuchepetsa mafinya .

Zokonzanso Zokwanira za Mtima Wokongola

Matenda a mtima osagwirizana ndi omwe alipo pakubereka. Zimachokera ku mavuto ang'onoang'ono kupita ku zoopsa zomwe zimawopsyeza moyo kuti mwanayo apulumuke.

Kodi Mungakonzekere Bwanji Ana Opaleshoni?

Kukonzekera kwa Valve ya Mtima ndi Kulowa m'malo

Mavavu a mtima amathandiza kuti magazi aziyenda molondola kudzera m'mtima ndi m'mapapu. Ngati awonongeke kapena sakugwira ntchito bwino, kuyendayenda kungasokonezedwe, kumayambitsa mavuto ang'onoang'ono, monga kudandaula kwa mtima , kapena matenda akuluakulu a mtima wamagetsi monga metral valve prolapse kapena endocarditis.

Malingana ndi kuopsa kwa vutoli, kukonza ma valve kapena kusintha kwa valve kungakhale kotheka. Pali mitundu yambiri yotsitsimutsa mtima yamagetsi pamsika, dokotala wanu ayenera kukutsogolerani kusankha kwanu. Dokotala wanu angakulimbikitseni kuti mutenge ochepa magazi kuti athetse opaleshoni ya mtima .

Opaleshoni Yokonzanso Mtima

Kuchita opaleshoni ya mtima ndi imodzi mwa opaleshoni ya mtima yoopsa kwambiri lero. Kuwombera kumachitika pamene mtima wawonongeka kwambiri, kapena ukugwira bwino kwambiri, kuti wodwalayo asapulumutsidwe popanda mtima watsopano. Ngati mtima sungapereke thupi ndi magazi okwanira, chida monga LVAD kuti chiteteze mtima wa mtima wosagonjetsedwa, kapena ECMO ingagwiritsidwe ntchito kuthandizira mtima wanu mpaka mtima wopereka umapezeka.

Opaleshoni Yopsa Mtima

Mtima woposa opaleshoni , womwe umadziwikanso ngati mitsempha yamakono yomwe imadutsa pamtengowo kapena CABG, imadutsa mitsempha yowirira yomwe imadyetsa minofu ya mtima. Pamene ziwiya zowonongeka ndi matenda a atherosclerosis ndi / kapena arteriosclerosis , magazi osachepera amafika pamtima. Pamene kutsekemera kuli koopsa, kapena sikulimbana ndi chithandizo chochepa chopweteka monga kupweteka, kupweteka pachifuwa kapena ngakhale vuto la mtima lingayambitse.

Kupyolera mitsempha yamakono kumapangitsa kuti magazi alowe pamtima ndi kumathandiza kupewa kuwonongeka kuchitika kapena kuwonjezereka. Kuchita opaleshoni kumachitika m'njira ziwiri, wina amagwiritsira ntchito makina osokoneza mtima (pamapope) ndipo ena amachitidwa popanda makina (kutulutsa mpope).

Opaleshoni ya Pacemaker

Kuti ziwonekere, opaleshoni ya pacemaker siyiyendetsedwe ka mtima, koma nthawi zambiri imalakwitsa imodzi. Mwamwayi, opaleshoni ya pacemaker ndi imodzi mwa opaleshoni ya mtima yovuta kwambiri, ndipo safuna kuti chifuwa chitsegulidwe kwathunthu monga momwe zimachitidwira pamtima. Mmalo mwake, pacemaker imatsetseredwa pansi pa khungu la chifuwa ndipo magetsi amaikidwa ndi njira zochepa zowonongeka.

Pali mitundu yosiyanasiyana ya zivomezi , zomwe zimapangidwa kuti zigwirizane ndi cholinga china. Komabe, njira yopangira pacemaker imakhala yofanana, mosasamala kanthu za mtundu wa pacemaker.

Moyo Patatha Opaleshoni ya Pacemaker

Kuchita Opaleshoni ya Mtima

Pamene opaleshoni ya mtima yanu yatha, pali zinthu zingapo zomwe ndi zofunika kuti munthu ayambe kuchira . Chisamaliro chabwino cha kusakaniza ndi chofunika. Kuonetsetsa kuti thupi lanu likhale loyera komanso louma lidzathandiza kupewa matenda pamene mukuchira, komanso kuchiritsidwa mwamsanga.

Zinthu zosavuta kwambiri zimakhala zofunikira kwambiri pambuyo pa opaleshoni ya mtima, chitsanzo chimodzi cha izi ndikuteteza matumbo anu kusunthira. Kuikidwa pambuyo pakuchita opaleshoni ya mtima kungakhale koopsa. Kuyesa kukhala ndi chiwalo cha ubongo pambuyo pochita ma opaleshoni kukhoza kukhumudwa kwambiri, ndipo ayenera kupeŵa. Ngakhale kukwera pa malo okhalako kungafunike njira yapaderayi, kumenyetsa chovala chanu ndi pillow kuti mupereke chithandizo.

Mutatha njira yanu, dokotala wanu angakulimbikitseni kukonzanso mtima kukuthandizani kubwereranso kuntchito zanu zachizolowezi.

Zotsatira:

Tsegulani Opaleshoni Yamtima. Chipatala cha Ana a Cincinnati. Inapezeka mu April, 2009. http://www.cincinnatichildrens.org/health/heart-encyclopedia/treat/surg/open.htm

Kodi Pali Mavuto Otani Opaleshoni ya Mtima? National Heart Lung ndi Magazi Institute. Inapezeka mu April, 2009. http://www.nhlbi.nih.gov/health/dci/Diseases/hs/hs_risk.html