Coronary ukuhlinzwa Umthambo dlula kwa-Israyeli

Kuyini ukuxhumelela imithambo yenhliziyo dlula ngokuxhunyelelwa

Yenhliziyo Umthambo dlula ngokuxhunyelelwa (CABG), noma ukuhlinzwa dlula kuyinto inqubo ukuhlinzwa kwenhliziyo evulekile, okuhilela kabusha igazi ligeleze inhliziyo surgically yokuxhuma i igazi isitsha ezengeziwe ukundlula evinjiwe noma ayisesemikhulu ukuxhumelela imithambo yenhliziyo kakhulu.

inqubo Uhlolojikelele

Ukusebenza wenziwa ngaphansi ukubulawa kwezinzwa okuvamile. umphimbo wakho ngeke beka tube ukuphefumula. Khona-ke lo imbobo senziwa ngesikhumba. Ukuvula esifubeni, kumele ihlukaniswe. umshini heart-lung bazoxhunywa, futhi njengoba inhliziyo kufanele wayeka isikhathi ukusebenza, iyunithi ezosebenza ukuze inhliziyo namaphaphu.

Kusuka elubondzeni esifubeni ukuze uyiswe Umthambo noma umthambo ingxenye esuswa umlenze, okuyinto izosetshenziselwa njengoba dlula. Uma inhliziyo zamabhasi, igazi elisha bazoxhunywa nokuvaleka kwemithambo yegazi. Omunye ekupheleni unamathele ngokuqondile ngenhla ukuvaleka futhi kube komunye umkhawulo womhlaba unamathele ngezansi nje-ke. Lapho esekwenzile lokhu, inhliziyo bazovunyelwa "vuka". Kwezinye izimo, ngenxa ngokulungisa inhliziyo ishaya kungase kudingeke usebenzise kagesi. Ngemva kwalokho umshini heart-lung inqanyuliwe. Ukusiza sokukhipha uketshezi, tube yesikhashana angase abekwe esifubeni. Khona-ke ukuxhuma esifubeni futhi nesifuba ithungwe ezivuzayo.

Kukhona indlela kancane koda, okuthiwa ukuhlinza kancane koda we ukuxhumelela imithambo yenhliziyo. Injongo yalo msebenzi okufanayo, kodwa inqubo kuhlinzwa, isimo lesiguli lihlukile. Abazongenela le ndlela ingase ibe iziguli nokuvaleka kwemithambo yegazi elilodwa noma amabili kuphela. Kulesi msebenzi, a imbobo encane esifubeni. Udokotela ngokuvamile isebenzisa i Umthambo esifubeni ukuba dlula. Umehluko omkhulu kule nqubo ukuthi udokotela ukuhlinza iziguli kanti inhliziyo eshaya. Phakathi isicelo walo mshini amasu wamaphaphu ayidingekile.

Izinkomba ukuhlinzwa ngaphandle dlula cardiopulmonary:

• calcification Sinzima le-aorta;
• Stenosis kwemithambo yegazi carotid;
• Iziguli sengozini enkulu yokufa uhlangothi;
• ukusebenza Kubi kwamaphaphu noma izinso.

Coronary ukuhlinzwa Umthambo dlula wenziwa uma:

• isiguli ezinzima nezinkinga atrial;
• kwakhiwa emva yezinkinga esivimba amanzi mechanical, isib, esingamahlalakhona we mitral valve noma isimo esibi ezindongeni Atria;
• Wawuthatha i imvuselelo okungalindelekile inhliziyo;
• ukubekezela ventikulyarnaya tachycardia, okwabangela abalulekile yenhliziyo Umthambo isifo.

Uma udinga i-coronary ukuhlinzwa dlula, udokotela sizohlola ubafunde ngokucophelela ukunquma inketho ngabanye, eziyosebenza ngawe.

Yenhliziyo Umthambo dlula ukuxhumelela e Israyeli ine idumela oluvelele odokotela Israeli eziphambili inhliziyo, ogama Imiphumela ziye obonwa Umnyango Wezempilo e-New York phakathi best.

Ngo odokotela abahlinzayo Israeli une ubuchwepheshe ikakhulukazi e ukuphinda imisebenzi ephezulu kanye nokusebenza kuhlangene valve dlula kanye nezinqubo yokutakula.

Israyeli imitholampilo nezenhliziyo ahlinzeke:

• wazibonela odokotela abahlinzayo inhliziyo (ezimbili kuthengiselana ngalinye), uphumelele umkhuba kakhulu ezikhethekile namabi ukuze iphatheke iziguli;

• Udokotela ohlinzayo iqondiswe imodeli lokunakekela nguMkhandlu onekhono unesi odokotela nabasizi udokotela;

• Ukunakekelwa ongisekelayo abanolwazi olunzulu;

• lwemithambo dlula nge amazinga aphezulu kakhulu sokusinda.