Nezenhliziyo. ukuxhumelela imithambo yenhliziyo dlula ngokuxhunyelelwa

Esinye sezifo main futhi ezivamile lesintu ubhekwa yinhliziyo. Nokho, njengoba umkhuba imibukiso, ezimweni eziningi, abantu ukubukeka kabi noma ngisho ubuhlungu esifubeni, uzizwa yokushodelwa umoya noma ukuqina umoya, hhayi ezisheshayo ukubhekana kongoti, wakhetha aphathwe ngokwakho. Ukungasinaki lesi ukubonakaliswa yokuqala izinhlungu zokugula okungathí sina, benza kanjalo kuthiye kakhulu okunye ukwelashwa nokululama. ukufinyelela esifike udokotela kuqinisekisa uphethwe abanekhono futhi kadokotela we umuthi wokwelapha oqeqeshiwe. Kufanele kuqashelwe ukuthi izimpawu yokuthola izifo eziphathelene nenhliziyo, ukuhlinzwa ekuseni (ukuhlinzwa ekwakhekeni workaround, le constriction bomkhumbi athintekayo) unamandla okusindisa izimpilo futhi ukubuyela isiguli impilo enhle futhi ekufezeni.

izifo zenhliziyo ahambisana (ukusikwa) imithambo eyodwa noma ngaphezulu ukunikeza umsoco of imisipha yenhliziyo. Yenhliziyo Umthambo dlula oluqinisekisa ukugeleza kwegazi enempilo kukho i Umthambo noma vein ngaphezulu. Ngakho, imisipha yenhliziyo uzothola liningi igazi evamile.

Ukuze ufinyelele inhliziyo imbobo phakathi kwesifuba. Ngaphezu kwalokho kwenziwe Imi (ukusikeka) kusayithi donor kusukela lapho udokotela ohlinzayo usike Umthambo ngoba dlula.

Okuningi ayethanda ezibhekwa yangaphakathi Umthambo thoracic noma osabalalayo Umthambo izandla. Bangakwazi ukuletha ukusebenza kakhulu futhi ihlala isikhathi eside kwe-shunt. Langaphambilini ukusebenzisa osabalalayo Umthambo izandla ngaphansi kuphenyisiswe ukusiza ukuvimbela yezinkinga ezihlukahlukene ukuthi kungenzeka ukuthi umataniswe nge kocingo yayo.

Ukususa Umthambo mammary wenziwa ngaphansi sternum. Njengomthetho, sebenzisa Umthambo ngakwesokunxele, kodwa umkhuba kanye nokusebenzisa ilungelo. Lapho efeza angiography lwembula ukungabi (khona) ka izilonda atherosclerotic futhi ububanzi ezanele ukuba umthambo.

Odokotela Abahlinzayo wayekwenza njengenhlangano Umthambo we umlenze kocingo.

ukuhlinzwa Dula enhliziyweni has izinhlobo ezintathu eziyinhloko. Indlela yokuqala isebenzisa i yokufakelwa kwegazi, okwesibili - ukungenela wenziwa ngaphandle kokusebenzisa "isimame." Uhlobo lwesithathu imisebenzi eyenziwa nge sebeziqhumbuza kuhlinzwa sakugcina (ukuhlinzwa endoscopic).

Kukhethwa uhlobo oluthile kungenziwa kuphela esekelwe imiphumela angiography yenhliziyo nokuhlolwa isifo ekhipha igazi enhliziyweni.

Yenhliziyo Umthambo dlula ukuhlinzwa nge dlula cardiopulmonary nguye kuphela kuhlanganiswe isifo senhliziyo (postinfarction kwesokunxele ventricular useshonile, aluthola noma yesifo senhliziyo azalwa naso ukuthi edinga kuhlinzwa), noma esimweni izilonda multifocal kwemithambo yenhliziyo. Kule nqubo, nokuhlinzwa engenziwa ukuboshwa inhliziyo. Ukuhlinzeka kwegazi lebekiwe imisipha yenhliziyo kukhona cannulas exhunyiwe, ezixhunywe idivayisi. Ngalesi sikhathi, udokotela ohlinzayo lidale anastomosis phakathi emthanjeni kanye ukuxhumelela imithambo yenhliziyo. Ngemva kwalokho, nokuvulwa inhliziyo kanye aorta is sutured kuze kube sekupheleni okuphambene vein. Isikhathi salesi kokungenela incike yinkimbinkimbi kwako kanye izici ngamunye isiguli.

ukusebenza evamile inqubo kuhlinzwa ivumela ukwenza yenhliziyo Umthambo dlula ukuxhumelela nge eshaya inhliziyo. Lisebenzisa amasu ukuthi kunciphisa kunyakaza ngesikhathi kokungenela inhliziyo.

Ukusebenzisa sebeziqhumbuza sakugcina phakathi nokuhlinzwa kunezinzuzo eziningana. Okokuqala, ukutheleleka cishe lesiguli. Okwesibili, i-coronary ukuhlinzwa Umthambo dlula ngokusebenzisa sebeziqhumbuza ezincane kunciphisa ukopha. Ngaphezu kwalokho, isiguli unethuba ukukhwehlela bese udonsa kakhulu umoya e kwesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa.