ʻOki kino bypass - hoʻokuʻu

Hoʻokumu kahi ʻoki bypass puʻuwai i kahi ala hou, i kapa ʻia he bypass, no ke koko a me ka oxygen e hele a puni kahi pā e hiki ai i kou puʻuwai. Hoʻohana ʻia ke ʻoki e mālama ai i nā maʻi puʻuwau coronary. Kūkākūkā kēia ʻatikala i nā mea e pono ai ʻoe e hana e mālama iā ʻoe iho ke haʻalele ʻoe i ka haukapila.

Ua lawe kāu kauka lāʻau i kahi aa a i ʻole ke aʻa mai kahi ʻāpana ʻē aʻe o kou kino e hana i kahi alahele, a i ʻole ka bypass, a puni kahi aʻa i ālai ʻia a ʻaʻole hiki ke lawe i ke koko i kou puʻuwai.

Ua hana ʻia kāu ʻoki kino ma o kahi ʻokiʻoki (ʻoki) i kou umauma. Inā hele ka mea lapaʻau i loko o kou umauma, hoʻoponopono ka mea lapaʻau iā ia me ka uea a me ka pā metala, a pani ʻia kou ʻili me nā humuhumu. He ʻokiʻoki hoʻi kāu i hana ʻia i kou wāwae a lima paha, kahi i lawe ʻia ai ka aa e hoʻohana ʻia no ka bypass.

Ma hope o ke kahakaha ʻana, 4 a 6 mau pule ka lōʻihi e hoʻōla loa a hoʻomaka ka manaʻo maikaʻi. He mea maʻamau ia:

• E loaʻa ka ʻeha ma kou umauma a puni kāu ʻokiʻoki
• Loaʻa ka makemake maikaʻi ʻole no 2 a 4 mau pule
• Loaʻa i ka loli a me ke kaumaha
• E hoʻoulu i ka wāwae i lawe ʻia mai ke aʻa koko
• ʻIke i ka ʻono, nū, a me ka tingly a puni nā ʻokiʻoki ma kou umauma a me kou wāwae no 6 mau mahina a ʻoi
• E pilikia i ka hiamoe ʻana i ka pō
• E paʻa i nā lāʻau ʻeha
• E pilikia me ka hoʻomanaʻo pōkole a huikau paha ("poʻo poʻo")
• Luhi a ʻaʻohe ikaika nui
• Loaʻa ka liʻiliʻi o ka hanu. ʻOi aku paha ka maikaʻi o kēia inā loaʻa pū kekahi iā ʻoe nā pilikia pūhū. Hiki paha i kekahi poʻe ke hoʻohana i ka oxygen ke hoʻi lākou i ka hale.
• Loaʻa ka nāwaliwali i kou mau lima no ka mahina mua

Pono ʻoe e noho kekahi me ʻoe i kou home no ka liʻiliʻi o ka 1 a 2 mau pule ma hope o ke kaukō ʻana.

E aʻo pehea e nānā ai i kāu pulse, a nānā iā ia i kēlā me kēia lā.

Hana i nā hana hanu āu i aʻo ai i ka haukapila no 4 a 6 mau pule.

ʻO Shower i kēlā me kēia lā, holoi mālie i ka ʻokiʻoki me ke kopa a me ka wai. MAI ʻauʻau, hoʻomoʻa i loko o ka pahu wai wela, a ʻauʻau paha a hiki i ka wā e pau pono ai kāu ʻoki. E hāhai i ka papaʻai olakino naʻau.

Inā kaumaha ʻoe, e kamaʻilio me kou ʻohana a me nā hoaaloha. E noi i kāu mea mālama ola e pili ana i ke kōkua ʻana mai kahi kākāʻōlelo.

E hoʻomau i ka lawe ʻana i kāu mau lāʻau āpau no kou puʻuwai, diabetes, ke koko kiʻekiʻe, a i ʻole nā ​​ʻano kumu ʻē aʻe āu i loaʻa.

• Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi.
• Hiki i kāu mea hāʻawi ke koi aku i nā lāʻau antiplatelet (hoʻoliʻiliʻi koko) e like me aspirin, clopidogrel (Plavix), prasugrel (Effient), a i ʻole ticagrelor (Brilinta) e kōkua i ka wehe ʻana o kāu aʻa.
• Inā ʻoe e lawe i ka mea lahilahi o ke koko, e like me warfarin (Coumadin), pono paha ʻoe e loaʻa hou i nā hoʻokolohua koko e hōʻoia i ka pololei o kāu mahele.

ʻIke pehea e pane ai i nā hōʻailona angina.

Noho mau i ka wā o kou ola ʻana, akā e hoʻomaka lohi.

• Mai kū a noho ma kahi like no ka lōʻihi. E neenee iki.
• ʻO ka hele wāwae kahi hoʻomaʻamaʻa maikaʻi no nā māmā a me ka puʻuwai ma hope o ke kaha ʻana. Mai hopohopo e pili ana i kou wikiwiki e hele nei. Lohi mālie.
• Piʻi ke alapiʻi i OK, akā e akahele. He pilikia paha ke kaulike. E hoʻomaha i ka hapalua o ke alapiʻi inā pono ʻoe.
• ʻO nā hana māmā a ka home, e like me ka hoʻonohonoho ʻana i ka pākaukau, nā lole pelu ʻana, ka hele wāwae ʻana, a me ka piʻi ʻana i ke alapiʻi, pono e OK.
• E hoʻonui mālie i ka nui a me ka ikaika o kāu mau hana ma mua o nā mahina 3 mua.
• Mai hoʻoikaika i waho i ke anuanu a wela paha.
• Kū inā ʻoe pōkole i ka hanu, ʻeha, a i ʻole nā ​​ʻeha o kou umauma. Mai hana i kekahi hana a hoʻoikaika kino paha e kumu i ka huki a i ʻole ʻeha ma kou umauma, e like me ka hoʻohana ʻana i ka mīkini hoe a i ʻole ke hāpai ʻana i ke kaumaha.
• Pale i kāu mau wahi ʻokiʻoki i pale ʻia mai ka lā mai i pale i ka lā.

Mai kalaiwa no 4 a 6 mau pule ma hope o kou ʻoki ʻana. ʻO ka wili e pili ana i ka hoʻohuli ʻana i ka huila hoʻokele e huki paha i kāu ʻokiʻoki. E noi i kāu mea lawelawe ke hoʻi ʻoe i ka hana, a manaʻo e haʻalele ʻoe mai ka hana ma kahi o 6 a 8 mau pule.

Mai huakaʻi no 2 a 4 mau pule paha. E noi i kāu mea hāʻawi ke maikaʻi ka huakaʻi. Eia kekahi, e nīnau i kāu mea hāʻawi ma mua o ka hoʻomaka hou ʻana i ka moekolohe. ʻO ka hapa nui o ka manawa maikaʻi ma hope o 4 mau pule.

E ʻae ʻia ʻoe i kahi papahana hoʻoponopono naʻau kūmau. E loaʻa ʻoe i ka ʻike a me ka ʻōlelo aʻoaʻo e pili ana i ka hana, ka papaʻai, a me ka hoʻoikaika kino ʻana.

No nā pule he 6 ma hope o kou ʻoki ʻana, pono ʻoe e akahele e pili ana i ka hoʻohana ʻana i kou mau lima a me ke kino kiʻekiʻe ke neʻe ʻoe.

• Mai kiʻi i hope.
• Mai hoʻokuʻu i kekahi e huki i kou mau lima no kekahi kumu - no ka laʻana, inā kōkua lākou iā ʻoe e neʻe a hele i waho o kahi moe.
• Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o 5 a 7 mau paona (2 a 3 kilokilo).
• Mai hana i nā hana māmā a ka hale no 2 a 3 mau pule.
• E hōʻoia me kāu mea hāʻawi ma mua o ka hoʻohana ʻana i kou mau lima a me nā poʻohiwi hou aku.

Maikaʻi ka palaki ʻana i kou mau niho, akā mai hana i nā hana ʻē aʻe e mālama i kou mau lima ma luna o kou poʻohiwi no kekahi manawa. E hoʻopaʻa i kou mau lima i kou mau ʻaoʻao ke hoʻohana nei ʻoe iā lākou e hele i waho o kahi moe a i kahi noho paha. Kūlou paha ʻoe i mua e hoʻopaʻa i kou kāmaʻa. Kū mau inā ʻoe e huki i kou umauma.

E haʻi aku kāu mea hāʻawi iā ʻoe pehea e mālama ai i kou ʻeha o ka umauma. E noi ʻia paha ʻoe e hoʻomaʻemaʻe i kāu ʻokiʻoki āpau i kēlā me kēia lā me ke kopa a me ka wai, a hoʻomaloʻo maloʻo ia. Mai hoʻohana i nā kalima, nā hamo, nā pauka, a me nā aila inā ʻaʻole e haʻi mai kāu mea lawelawe iā ʻoe ua maikaʻi.

Inā he ʻoki a ʻokiʻoki paha i kou wāwae:

• E mālama i kou mau wāwae i ka wā e noho ana.
• E komo i nā kaukā loloa TED no 2 a 3 mau pule a hiki i ka hele ʻana o ka pehu a ʻoi aku kou hana.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu e hele ʻole ke hoʻomaha ʻoe.
• Kuhi ʻole kāu pulse - lohi loa ia (ʻoi aku ma mua o 60 kani i hoʻokahi minuke) a wikiwiki paha (ma kahi o 100 a 120 mau kani i ka minuke).
• Ua luhi ʻoe, maule, a ua luhi paha ʻoe.
• He ʻeha poʻo ʻeha kou ke hele ʻole.
• He ʻūhū kāu hele ʻole
• Ke ʻeha nei ʻoe i ke koko a i ʻole ka melemele melemele a ʻōmaʻomaʻo paha.
• Loaʻa iā ʻoe nā pilikia e lawe i kekahi o nā lāʻau o kou puʻuwai.
• Piʻi kou kaumaha ma mua o 2 paona (1 kilokilo) i ka lā no 2 mau lā i ka lālani.
• Loli kou ʻeha. ʻUlaʻula a pehu paha, ua wehe aʻe ia, a i ʻole he kahe hou aʻe e puka mai ana.
• Loaʻa iā ʻoe ke anuanu a i ʻole he kuni ma luna o 101 ° F (38.3 ° C).

Holo i ke aʻa aʻa coronary off-pump - hoʻokuʻu; OPCAB - hoʻokuʻu; ʻOki kino puʻuwai - hoʻokuʻu; ʻOki kino Bypass - puʻuwai - hoʻokuʻu; CABG - hoʻokuʻu; Corpassary artery bypass graft - hoʻokuʻu; ʻOki kino by coronary artery bypass - hoʻokuʻu; ʻOki kino by Coronary - hoʻokuʻu; CAD - hoʻokuʻu i ka bypass; ʻO ka maʻi ahulau coronary - hoʻopau bypass

• Pehea e lawe ai i kou pulse pulse
• Lawe i kāu pulse carotid

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS nānā nui i ka papa kuhikuhi no ka ʻike a me ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai ischemic paʻa: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force ma nā Kūlana Kūpono, a me ka ʻAmelika Hui Pū ʻIa no ka ʻoki kino Thoracic, ʻAhahui kahu maʻi Cardiovascular Preventive, ʻAhahui no ka Angiography a me nā hana a Cardiovascular, a me ka Society of Thoracic Surgeons. Kaapuni. 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 alakaʻi no ke kuhi a me ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai ischemic paʻa: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association e pili ana i nā kulekele hana a me ke Kulanui ʻAmelika. o nā Kauka, ʻAmelika Hui Pū ʻIa no ka ʻoki kino Thoracic, ʻAhahui kahu maʻi Cardiovascular Preventive, ʻAhahui no ka Cardiovascular Angiography a me nā hana, a me ka Society of Thoracic Surgeons. Kaapuni. 2012; 126 (25): 3097-3137. PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

Fleg JL, Forman DE, Berra K, et al. Ka pale ʻana i ka maʻi atherosclerotic cardiovascular maʻi i nā mākua makua: kahi ʻōlelo ʻepekema mai ka American Heart Association. Kaapuni. 2013; 128 (22): 2422-2446. PMID: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

Kulik A, Ruel M, Jneid H, et al. ʻO ka pale ʻana i ke kula kiʻekiʻe ma hope o ke kahakaha ʻana o ke aniani coronary: kahi ʻōlelo ʻepekema mai ka American Heart Association. Kaapuni. 2015; 131 (10): 927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

ʻApōpō DA, de Lemos JA. Maʻi maʻi ischemic paʻa. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 61.

ʻO Omer S, Cornwell LD, Bakaeen FG. Loaʻa i ka maʻi puʻuwai: ka lawa ʻole o ka coronary. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 59.

• Angina
• Maʻi maʻi coronary
• ʻOki kino bypass
• Hewa puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ke hana nei ma hope o ka hōʻeha o kou puʻuwai
• Ke hana nei inā loaʻa ka maʻi puʻuwai
• ʻO ka pata, ka margarine, a me nā aila kuke
• ʻO Cholesterol a me ka nohona
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Puʻuwai puʻuwai - hoʻokuʻu
• Ka hōʻeha puʻuwai - he aha e nīnau aku ai i kāu kauka
• ʻOki kino bypass Heart - minimally invasive - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean
• Mālama ʻeha ʻeha - wehe
• Hoʻololi nā lole komo pulu-i-maloʻo

• Ke ʻoki kino ʻana o ka Coronaary Artery Bypass