Isifo senhliziyo iyelapheka!

Njengoba sekuyisikhathi eside lwaziwa bonke, ibizwa ngokuthi isifo ischemia, okuyinto abazalwa exhumene ne ukubonakala ezindabeni ezihlukahlukene zendawo emkhakheni kwezicubu womuntu futhi izitho, ikakhulu enhliziyweni. isifo Ischemic wenhliziyo kuholela ukuvaleka abukhali futhi ukuvaleka kwemithambo ukuthi ukuncelisa inhliziyo njalo nomoya-mpilo kanye nezinye izakhi.

Kuyaphawuleka ukuthi odokotela ukuxwayisa imiphumela emibi yenkambo nokunwetshiwe lesi sifo. Yenhliziyo Umthambo isifo ngokuvamile kuholela necrosis kwezicubu kanye nezinhlaka umzimba womuntu. Ngezindlela eziningi, zone kanye ijubane ukubonakaliswa yalesi sifo kukhona sixhomeke kakhulu inani futhi ngokwezinga eligcwele zezinkinga ezivamile igazi ligeleze inhliziyo yesiguli, kanye kuwukubonakaliswa atherosclerosis e imithambo kwemisipha. Nangodokotela bababhekene nezifo zenhliziyo bathi izimbangela senhliziyo okuye kuchazwe ngenhla, cishe 80% amacala kungaholela ekufeni noma sina ukubonakaliswa the human motor kulandzelana nekuhlunga tinsita. Kodwa ngo-10% amacala, isifo senhliziyo kubangela imiphumela omnene kuphela sokugembula.

Isici alandisa esaziwa kakhulu ischemia esivimba amanzi kuba nezinhlungu ezinzima kanti ukungakhululeki esifubeni, okuyinto ubeka ingcindezi zonke izitho zomzimba isiguli ngesikhathi ibutho elikhulu njalo. ischemia myocardial uvame elihlobene ne izinhlungu zibe kwezitho ngabanye, okuyinto wamshaya izitsha yenhliziyo. Muva nje, ochwepheshe ahlinzwe wembula isimo yonke isifo kweqiniso, eziqala sebuhlungwini obunzima, okuyinto ngokuvamile kwenzeka ngenxa ekuqaleni isimo sokuwa yomzimba, ziphethe esigabeni sokugcina lesi sifo, ezihambisana unhlangothi.

Ngaphezu kwalokho, kuyafaneleka ukuthi ochwepheshe abaningi ukuba baphethe ngokuthi uma izimo olukhethekile isifo senhliziyo ngo-isifo senhliziyo yesiguli zenzeka ngisho nalapho engekho izimpawu concomitant wokufaka kwezitho nezicubu izitsha yenhliziyo. Ezimweni ezinjalo, isiguli isiguli esiphuthumayo eyohlinzwa, kungenjalo angase afe ngenxa yokushaywa unhlangothi. Ekwelapheni senhliziyo, iwumgomo oyinhloko odokotela kuyinto ukukhulula amahlule elincane izicubu. Le nqubo kuholela ekusebenzeni ezivamile senhliziyo esilimele ukugeleza kwegazi futhi uzinzile. Ukuze wenze lokhu, odokotela basebenzisa izindlela ezihlukahlukene zokwelapha:

1. Ukuze uqale, odokotela kumelwe nifeze ekulweni ubuhlungu bemisipha zenhliziyo. Uma isiguli ngubani bahlushwe ukuhlupheka njalo, ngeke ukwazi ukuthatha ikhefu wokusebenza buhlungu oluqinile, kungenzeka ukuthi ngeke bakwazi ukumelana nenqubo. Ngakho odokotela okudambisa ubuhlungu usebenzisa izidakamizwa ezahlukene. Ukuze ulwe ezinzima ubuhlungu besifuba odokotela usebenzise izinzwa ekhethekile epidural, inhloso okuyinto isiguli ngokusebenzisa ipayipi ukufakwa ngemuva, saphathwa izidakamizwa izinzwa ukuthi isiguli futhi lula ufulawa ngesikhathi. Ngale ndlela, iningi odokotela ukulungiselela iziguli zabo okwesikhathi operation ezinkulu.

2. Emva inqubo ngenhla, odokotela sebeqala ukuba libhekele izidakamizwa, oqala ukuthuthukisa ukugeleza kwegazi emzimbeni wesiguli. Ukuze wenze lokhu emzimbeni wesiguli ukunikeza imijovo oqukethe serum ekhethekile normalizes igazi ekunqandeni kanye Imininingwane viscosity igazi emzimbeni womuntu. Futhi, nale serum thina zingenzeka silinganise okuqukethwe cholesterol egazini.

3. Ngaphambi ukusebenza kukodwa embhedeni ogcwele lwemithambo luhlolo nesineke, futhi le nqubo lisetshenziswa imishini ultrasound ekhethekile, okuyinto wenza ukuskena esitfombeni ekuboniseni kule ndawo eyayithintekile behamba inhliziyo.

Ngakho singasho ngokuqiniseka ukuthi ishemichekaya isifo senhliziyo kungenziwa kalula ngayo odokotela ngesikhathi samanje.