Coronary opitirira opaleshoni

Chaka chilichonse, chiwerengero cha odwala omwe amapezeka kuti ali ndi stenosis chikuwonjezeka-kuchepetsedwa kwa arterial lumens chifukwa chotsatira makoma a miyala ya atherosclerotic plaques. Kupangidwa chifukwa cha kuphwanya magazi kumabweretsa kufooketsa ndi kuwononga minofu ya mtima, mpaka ku necrosis ya ziwalo zina za mtima - matenda a myocardial infarction . Ambiri amvapo za opaleshoni yotereyi monga mitsempha yamakono yowonongeka, koma si onse omwe ali ndi lingaliro la cholinga chochitira opaleshoniyi.

Kodi chithandizo chamakono choposa opaleshoni ndi chiyani?

Monga opaleshoni, opaleshoni yowonongeka ili ndi cholinga chokhazikitsa zatsopano (zotchinga) mothandizidwa ndi zotengera zabwino zogwirizana ndi mitsempha yamakono. Cholinga chachikulu cha aortocoronary shunting ndi kubwezeretsa kusakaza kwa magazi pambuyo pa matenda a mtima kapena kupewa matenda a mtima. Kudzala ndi, nthawi zambiri, mitsempha yowonjezera yazimayi, mitsempha yamtundu kapena mitsempha yamtundu wa wodwala.

Mitsempha ya Coronary imaphatikizapo kumtumikizanitsa ikuchitidwa muzilonda zosawerengeka komanso zowopsa.

Kutuluka ntchito pa shunting coronary

Pokonzekera opaleshoni, mayesero angapo amaperekedwa:

• X-ray;
• electrocardiogram ;
• Coronary angiogram pakupeza zokokera mu zitsulo ndi kulemera kwawo.

Njira yothandizira opaleshoni imachitidwa pansi pa matenda a anesthesia, pamene wodwalayo ali m'tulo. Mtima wa nthawi ya opaleshoni umaletsedwa, ndipo ntchito ya mtima ndi mapapo imapangidwa ndi zipangizo zamagetsi. Kawirikawiri, ndondomeko ya coronary shunting imatenga pafupifupi maora asanu.

Pambuyo pa opaleshoniyo, wodwalayo amaikidwa mu chipinda cholera kwambiri kapena malo osungirako odwala kwambiri, kumene amagwirizanitsidwa ndi zipangizo zomwe zimayang'anira ntchito zofunika ndikuyang'ana zizindikiro zofunika.

Kukonzekera pambuyo pa mitsempha yamakono ikuphatikizidwa

Pambuyo pa mitsempha ya opaleshoni kupyolera mu opaleshoni, nkofunikira kukhala ndi moyo wovomerezedwa ndi katswiri ndi kutenga mankhwala oyenera. Choncho, pokhala m'chipatala, muyenera:

1. Pangani machitidwe opuma kuti muchepetse kuchuluka kwa madzi m'mapapu, mwachitsanzo, sungani buluni kapena muzipuma mpweya wokwanira 15 mpaka 20 nthawi iliyonse.
2. Pambuyo pochotsa mabotolo opatsa komanso opuma, muyenera kuyenda m'njira zonse.

Pobwerera kunyumba, ndi bwino kuti:

1. Pangani zochitika zapadera zakuthupi.
2. Osasuta kapena kumwa mowa.
3. Yang'anani kulemera kwake.
4. Pewani mavuto aakulu.

Ngakhale, monga lamulo, wodwala akulamulidwa kuti azigwira ntchito mwezi umodzi kapena awiri mutatha opaleshoni, machiritso a fupa la sternum amatenga nthawi yochuluka kwambiri: mpaka miyezi isanu ndi umodzi. Kukanikakamiza njirayi, ndizofunika kuvala chapadera chapachifuwa, ndi kuteteza veous stasis, zimalimbikitsidwa kuti muziyenda muzitsulo zamankhwala.

Chinthu chofunikira pa njira yobwezeretsa pambuyo poti opaleshoni yowonongeka ndi chakudya. Posankha chakudya choyenera, muyenera:

1. Perekani zokondweretsa zipatso, ndiwo zamasamba, zopangira mkaka wowawasa, nsomba zonenepa, nkhuku.
2. Pewani zakudya zonenepa, zamchere, ndi zokoma kwambiri.

Pofuna kupewa chitukuko cha kuchepa kwa magazi, ndilo choyenera kuyika mu zakudya zomwe zili ndi chitsulo. Izi zimagwiritsidwa ntchito kwambiri mu zotsatirazi:

• mankhwala (chiwindi, impso, mapapo);
• nsomba;
• nyemba (mphodza, nyemba, nandolo);
• masamba (sipinachi, kaloti, kolifulawa, beetroot);
• Zipatso (maapulo, mapichesi, apricots, nthochi);
• zipatso (rasipiberi, blueberries, strawberries);
• mtedza.