Yin aikin tiyata na zuciya - fitarwa

Yin aikin tiyata na zuciya ya kirkiri wata sabuwar hanya, ana kiranta hanyar wucewa, don jini da iskar oxygen su zagaya wani shinge don isa ga zuciyarka. Ana amfani da tiyatar don magance cututtukan zuciya. Wannan labarin ya tattauna abin da ya kamata ku yi don kula da kanku lokacin da kuka bar asibiti.

Likitan likitan ku ya dauki wata jijiya ko wata jijiya daga wani sashin jikinku don haifar da juyawa, ko wucewa, a kusa da jijiyar da aka toshe kuma ba za ta iya kawo isasshen jini a zuciyar ku ba.

Anyi muku aikin tiyata ta hanyar yanki (kirji) a kirjin ku. Idan likita ya shiga cikin kashin ƙirjinku, likitan ya gyara ta da waya da farantin ƙarfe, kuma an rufe fatarku da ɗinki. Hakanan an sanya muku rauni a ƙafarku ko hannunku, inda aka ɗauke jijiya don amfani da ita.

Bayan tiyata, yana ɗaukar makonni 4 zuwa 6 don warkewa gaba ɗaya da fara jin daɗi. Yana da al'ada don:

• Yi zafi a yankin kirjinka a kusa da inda aka yiwa rauni
• Kasance da abinci mara kyau na sati 2 zuwa 4
• Kasance da sauyin yanayi da jin takaici
• Yi kumburi a cikin ƙafafun da aka ɗora daga jijiyar
• Jin ƙaiƙayi, daskarewa, ko jin ƙyalli a wurin da aka yiwa kirjin ka da ƙafarka tsawon watanni 6 ko fiye
• Yi matsalar bacci da dare
• Kasance tare da magungunan ciwo
• Yi matsala tare da ƙwaƙwalwar ajiyar ɗan gajeren lokaci ko jin damuwa ("mai hauka-kai")
• Kasance mai gajiya ko rashin karfin jiki
• Yi ɗan gajeren numfashi. Wannan na iya zama mafi muni idan ku ma kuna da matsalolin huhu. Wasu mutane na iya amfani da iskar oxygen lokacin da suka tafi gida.
• Yi rauni a cikin hannayenku na watan farko

Yakamata wani ya kasance tare da kai a gidanka akalla makonni 1 zuwa 2 na farko bayan tiyata.

Koyi yadda ake duba bugun jini, kuma bincika shi kowace rana.

Yi motsa jiki na numfashi da ka koya a asibiti don makonni 4 zuwa 6.

Shawa kowace rana, wankan gauraye a hankali da sabulu da ruwa. KADA KAYI ninkaya, jiƙa a baho mai zafi, ko yin wanka har sai ƙwanƙwanki ya warke sarai. Bi abinci mai ƙoshin lafiya.

Idan kun ji bakin ciki, yi magana da dangi da abokai. Tambayi mai ba ku kiwon lafiya game da samun taimako daga mai ba da shawara.

Ci gaba da shan dukkan magunguna don zuciyarka, ciwon suga, hawan jini, ko duk wani yanayi da kake da shi.

• Kada ka daina shan kowane magani ba tare da fara magana da mai baka ba.
• Mai ba ku sabis na iya bayar da shawarar maganin hana yaduwar jini (mai rage jini) kamar su asfirin, clopidogrel (Plavix), prasugrel (Effient), ko ticagrelor (Brilinta) don taimaka wajan buɗe jijiya.
• Idan kana shan jini, kamar warfarin (Coumadin), zaka iya yin karin gwaje-gwaje na jini don tabbatar da cewa adadin naka daidai ne.

San yadda ake amsa alamomin angina.

Kasance mai himma yayin murmurewar ka, amma fara a hankali.

• Kada ka tsaya ko zama a wuri ɗaya na tsawon lokaci. Matsar kusa kadan kadan.
• Tafiya motsa jiki ne mai kyau ga huhu da zuciya bayan tiyata. Kada ka damu da saurin da kake yi. Kai a hankali.
• Hawan matakala Yayi, amma a kiyaye. Balance na iya zama matsala. Huta rabin matakan idan kuna buƙatar.
• Haskaka ayyukan gida, kamar saita tebur, ninke tufafi, tafiya, da hawa matakala, ya zama daidai.
• Sannu a hankali ƙara adadin da ƙarfin ayyukanku a cikin watanni 3 na farkon.
• Kada a motsa jiki a waje lokacin sanyi ko zafi.
• Tsaya idan ka ji karancin numfashi, jiri, ko wani ciwo a kirjinka. Kada kuyi wani aiki ko motsa jiki wanda ke haifar da jan jiki ko zafi a ƙirjin ku, kamar yin amfani da injin ɗoki ko ɗaga nauyi.
• Kiyaye wuraren da aka yiwa ramin daga rana don gujewa kunar rana a jiki.

Kada ka tuƙa don aƙalla makonni 4 zuwa 6 bayan aikin tiyata. Juyawar da ke cikin juya sitiyarin na iya jan abin da aka yi ma rauni. Tambayi mai ba ku sabis lokacin da za ku koma bakin aiki, kuma ku yi tsammanin ba za ku yi aiki ba na kusan makonni 6 zuwa 8.

Kada ka yi tafiyar aƙalla makonni 2 zuwa 4. Tambayi mai baka lokacin da tafiya tayi. Hakanan, tambayi mai ba ku sabis kafin fara jima'i. Mafi yawan lokuta yana da kyau bayan sati 4.

Ana iya kiran ku zuwa tsarin gyaran zuciya na yau da kullun. Za ku sami bayani da shawara game da aiki, abinci, da motsa jiki da za a kula da su.

Don makonni 6 na farko bayan tiyatar ka, dole ne ka mai da hankali game da amfani da hannunka da na jikinka lokacin da kake motsawa.

• Kada ku kai ga baya.
• Kar ka bari kowa ya ja hannunka saboda wani dalili - misali, idan suna taimaka maka ka matsa ko ka tashi daga gado.
• Kada a ɗaga wani abu mai nauyi fiye da fam 5 zuwa 7 (kilogram 2 zuwa 3).
• Karki bari ko da aikin gida yayi sauki akalla sati 2 zuwa 3.
• Binciki mai baka kafin kayi amfani da hannunka da kafada.

Haske haƙoranku Yayi, amma kada kuyi wasu ayyukan waɗanda zasu sanya hannayenku sama da kafadunku na kowane lokaci. Kafa hannayenka kusa da ɓangarorinka lokacin da kake amfani dasu don sauka daga gado ko kujera. Kuna iya lanƙwasa gaba don ɗaura takalmanku. Koyaushe ka tsaya idan ka ji ja a ƙashin ƙirjin ka.

Mai ba ku sabis zai gaya muku yadda za ku kula da raunin kirjinku. Wataƙila za a umarce ku da ku tsabtace abin da kuka yanka a kowace rana da sabulu da ruwa, kuma a bushe a hankali. Kada a yi amfani da kowane irin creams, mayukan shafawa, foda, ko mai sai dai idan mai kawo muku ya gaya muku cewa lafiya.

Idan an yanke ko yanki a kafarka:

• Rike ƙafafunku sama yayin zaune.
• Sanya tuƙin TED na roba na makonni 2 zuwa 3 har sai kumburin ya tafi kuma kun fi aiki.

Kira mai ba da sabis idan:

• Kuna da ciwon kirji ko ƙarancin numfashi wanda baya tafiya yayin da kuka huta.
• Bugun ku yana jin ba daidai ba ne - yana da jinkiri sosai (kasa da 60 a minti ɗaya) ko kuma da sauri (sama da 100 zuwa 120 a minti ɗaya).
• Kuna da jiri, suma, ko kuma kun gaji sosai.
• Kuna da matsanancin ciwon kai wanda baya fita.
• Kuna da tari wanda ba ya tafiya
• Kuna tari na jini ko launin rawaya ko kore.
• Kuna da matsalolin shan kowane magungunan zuciyar ku.
• Nauyin ki ya hau sama da fam 2 (kilogram 1) a rana tsawon kwana 2 a jere.
• Raunin ku ya canza. Ya zama ja ko kumbura, an buɗe shi, ko kuma akwai ƙarin magudanan ruwa da ke zuwa daga gare shi.
• Kuna da sanyi ko zazzaɓi sama da 101 ° F (38.3 ° C).

Kashe-famfo jijiyoyin jijiyoyin jiki - fitarwa; OPCAB - fitarwa; Bugun tiyata na zuciya - fitarwa; Kewaye tiyata - zuciya - fitarwa; CABG - fitarwa; Maganin jijiyoyin zuciya bypass graft - fitarwa; Magungunan jijiyoyin zuciya ta hanyar tiyata - sallama; Yin aikin tiyata na zuciya - fitarwa; CAD - fitarwa ta hanyar wucewa; Ciwan jijiyoyin jini - fitarwa ta hanya

• Yadda zaka ɗauki bugun hannunka
• Shan bugun bugun carotid ɗinka

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS sun ƙaddamar da sabuntawa game da jagora don ganewar asali da kula da marasa lafiya tare da kwanciyar hankali na cututtukan zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Aiki, da Americanungiyar (asar Amirka game da Tiyata Thoracic, Nungiyar Magunguna na Nakasassu na Jiji, Angungiyar Kula da Magungunan Zuciya da Ayyuka, da ofungiyar Likitocin Thoracic Kewaya. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS jagora don bincikar cutar da kula da marasa lafiya tare da barkewar cututtukan zuciya mai haɗari: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / taskungiyar Heartungiyar Associationungiyar Zuciya ta Amurka kan jagororin aiki da Kwalejin Amurka na Likitocin, Americanungiyar Amurika ta Tiyata, Associationungiyar urseswararrun Nwararrun iowararrun ,wararru, forungiyar Kula da iowararrun iowararrun iowararru da Interaddamarwa, da ofungiyar Likitocin Thoracic. Kewaya. 2012; 126 (25): 3097-3137. PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

Fleg JL, Forman DE, Berra K, et al. Yin rigakafi na biyu game da cututtukan zuciya da ke motsa jiki a cikin tsofaffi: bayanan kimiyya daga fromungiyar Zuciya ta Amurka. Kewaya. 2013; 128 (22): 2422-2446. PMID: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

Kulik A, Ruel M, Jneid H, et al. Rigakafin sakandare bayan jijiyoyin jijiyoyin tiyata: bayanin kimiyya daga Heartungiyar Zuciya ta Amurka. Kewaya. 2015; 131 (10): 927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

Morrow DA, de Lemos JA. Ciwon cututtukan zuciya na ischemic. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 61.

Omer S, Cornwell LD, Bakaeen FG. Cutar cututtukan zuciya da aka samu: rashin ciwon zuciya. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 59.

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• Ajiyar zuciya
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• Nasihu kan yadda ake barin shan sigari

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• An bayyana kitsen abincin
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• Yin aikin jijiyoyin jijiyoyin zuciya