Yin tiyata ta zuciya - fitina kaɗan - fitarwa

Yin aikin tiyata na zuciya ya kirkiri wata sabuwar hanya, ana kiranta hanyar wucewa, don jini da iskar oxygen su isa zuciyar ka.

Za'a iya yin aikin wucewar jijiyoyin ƙananan ƙwayoyin cuta (zuciya) ba tare da dakatar da zuciya ba. Saboda haka, ba kwa buƙatar a saka ku a kan na'urar huhu don wannan aikin.

Wannan labarin ya tattauna abin da ya kamata ku yi don kula da kanku bayan kun bar asibiti.

Kuna da ƙananan aikin haɗarin jijiyoyin jijiyoyin jini a kan ɗayan ko fiye na jijiyoyin jijiyoyin jini. Likitan likitan ku yayi amfani da jijiya daga kirjin ku don yin juyi, ko wucewa, a kusa da jijiyoyin da aka toshe kuma basu iya kawo jini a zuciyar ku. Yankakken inci 3 zuwa 5 (santimita 7.5 zuwa 12.5) an sanya shi a ɓangaren hagu na kirjinku tsakanin haƙarƙarinku. Wannan ya ba likitanka damar isa zuciyar ka.

Kuna iya barin asibitin kwana 2 ko 3 bayan aikin tiyata. Hakanan kuna iya dawowa zuwa ayyukan yau da kullun bayan sati 2 ko 3.

Bayan tiyata, al'ada ce:

• Ji gajiya.
• 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 zafi a yankin kirji a kusa da rauni.

Kuna iya so wani ya kasance tare da ku a cikin gidan ku a makon farko.

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

Yi aikin motsa jiki da kuka koya a asibiti na farkon makonni 1 zuwa 2.

Yi nauyi a kowace rana.

Shawa kowace rana, wankin shigar mahaifinki a hankali da sabulu da ruwa. Kada a yi iyo, a jiƙa a baho mai zafi, ko a yi wanka har sai raunin da aka yi maka ya warke sarai. Bi abinci mai ƙoshin lafiya.

Idan kana jin takaici, 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 yin magana da mai ba ka ba.
• Mai ba da sabis naka na iya bayar da shawarar magungunan antiplatelet (masu rage jini) - irin su aspirin, clopidogrel (Plavix), prasugrel (Effient), ko ticagrelor (Brilinta) - don taimaka barin jijiyoyin bugunka.
• Idan kana shan mai sikanin jini kamar warfarin (Coumadin), zaka iya yin karin gwaje-gwaje na jini don tabbatar da cewa adadin naka yayi daidai.

San yadda ake amsa alamomin angina.

Kasance mai himma yayin murmurewar ka, amma fara a hankali. Tambayi mai ba ku sabis yadda ya kamata ku kasance.

• Yin tafiya motsa jiki ne mai kyau bayan tiyata. Karka damu da saurin tafiya. 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 da tufafin tufafi ya kamata.
• 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. Guji duk wani aiki ko motsa jiki da ke haifar da jan jiki ko zafi a ƙirjinka, kamar yin amfani da injin ɗoki ko ɗaga nauyi.
• Kiyaye yankin da aka yiwa ragi daga rana don gujewa kunar rana a jiki.

Yi hankali yadda kake amfani da hannunka da na jikinka lokacin da kake motsawa na farkon makonni 2 ko 3 bayan aikin tiyata. Tambayi mai baka lokacin da zaka koma bakin aiki. A makon farko bayan tiyata:

• 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 kusan fam 10 (kilogram 4.5). (Wannan ya fi gallan kadan, ko lita 4 na madara.)
• Guji wasu ayyukan waɗanda kuke buƙatar kiyaye hannayenku sama da kafadunku na kowane lokaci.
• Kada ka tuƙi. Juyawar da ke cikin juya sitiyarin na iya jan abin da aka yi ma rauni.

Za a iya mayar da kai zuwa shirin gyaran zuciya. Za ku sami bayani da shawara game da aiki, abinci, da motsa jiki.

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 ja ne ko kumburi, ya buɗe, ko kuma akwai ƙarin magudanan ruwa da ke fitowa daga gare ta.
• Kuna da sanyi ko zazzaɓi sama da 101 ° F (38.3 ° C).

Minarancin cin zali kai tsaye jijiyoyin jijiyoyin jiki - fitarwa; MIDCAB - fitarwa; Robot ya taimaka jijiyoyin jijiyoyin jiki - fitarwa; RACAB - fitarwa; Tiyatar zuciya ta keyhole - fitarwa; Ciwan jijiyoyin jini - fitowar MIDCAB; CAD - fitowar MIDCAB

• Zagawar tiyata ta zuciya
• Shan bugun bugun carotid ɗinka
• Radial bugun jini

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.

• Angina
• Ciwon zuciya
• Yin aikin tiyata na zuciya - mara haɗari
• Ajiyar zuciya
• Matakan ƙwayar cholesterol na jini
• Nasihu kan yadda ake barin shan sigari

• Angina - fitarwa
• Angina - abin da za a tambayi likitanka
• Angina - lokacin da kake da ciwon kirji
• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Kasancewa cikin aiki bayan bugun zuciyar ka
• Yin aiki lokacin da kake da cututtukan zuciya
• Butter, margarine, da man girki
• Cholesterol da rayuwa
• Kula da hawan jini
• An bayyana kitsen abincin
• Abincin abinci mai sauri
• Ciwon zuciya - fitarwa
• Ciwon zuciya - abin da za a tambayi likita
• Yin aikin tiyata na zuciya - fitarwa
• Ciwon zuciya - abubuwan haɗari
• Yadda ake karanta alamun abinci
• Rum abinci

• Yin aikin jijiyoyin jijiyoyin zuciya