ʻOki kino bypass Heart - minimally invasive - hoʻokuʻu

Hoʻokumu kahi ʻoki bypass puʻuwai i kahi ala hou, i kapa ʻia he bypass, no ke koko a me ka oxygen e hiki i kou puʻuwai

Hiki ke hoʻopau ʻia ke kōkō o ke aʻa liʻiliʻi (puʻuwai) me ke kāpae ʻole ʻana i ka puʻuwai. No laila, ʻaʻole pono ʻoe e kau i kahi mīkini puʻuwai puʻuwai no kēia kaʻina hana.

Kūkākūkā kēia ʻatikala i ka mea e pono ai e mālama iā ʻoe iho ma hope o kou haʻalele ʻana i ka haukapila.

Ua loaʻa iā ʻoe ka maʻi o ke aʻa koko liʻiliʻi liʻiliʻi loa ma kahi o hoʻokahi a ʻoi paha o kou mau aʻa coronary. Ua hoʻohana kāu kaukipona i ke aʻa mai kou umauma e hana i kahi alaloa, a i ʻole ke kāʻalo ʻana, a puni nā aʻa i ālai ʻia a hiki ʻole ke lawe i ke koko i kou puʻuwai. Kahi ʻoki ʻekolu a 5 mau ʻīniha (7.5 a 12.5 mau kenimika) ʻoki (ʻoki) i ka ʻaoʻao hema o kou umauma ma waena o kou iwi ʻaoʻao. Ua ʻae kēia i kāu kauka e kiʻi i kou puʻuwai.

Hiki paha iā ʻoe ke haʻalele i ka haukapila 2 a i ʻole 3 mau lā ma hope o ke kaha ʻana. Hiki paha iā ʻoe ke hoʻi i nā hana maʻamau ma hope o 2 a 3 mau pule.

Ma hope o ke kaha ʻana, he mea maʻamau ia:

• Luhi luhi.
• 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.
• E loaʻa ka ʻeha ma ka umauma ma kahi o ka ʻeha.

Makemake paha ʻoe e noho kekahi me ʻoe i kou home no ka pule mua.

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 1 a 2 mau pule mua.

Kaupaona iā ʻoe iho i kēlā me kēia lā.

ʻO Shower i kēlā me kēia lā, holoi mālie i kāu ʻokiʻoki me ke kopa a me ka wai. Mai ʻauʻau, pulu i loko o kahi pahu wela, a ʻauʻau ʻau 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 hoʻōki i ka lawe ʻana i kekahi lāʻau i ke kamaʻilio ʻole ʻana me kāu mea hāʻawi.
• Hiki i kāu mea hāʻawi ke koi aku i nā lāʻau antiplatelet (nā mea lahilahi o ke 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), loaʻa paha iā ʻoe nā hoʻokolohua koko keu e ʻike pono ua pololei kāu mahele lāʻau.

ʻIke pehea e pane ai i nā hōʻailona angina.

Noho mau i ka wā o kou ola ʻana, akā e hoʻomaka lohi. E nīnau i kāu mea nāna e hāʻawi i kāu ʻano hana.

• ʻO ka hele wāwae kahi hoʻomaʻamaʻa maikaʻi ma hope o ke kaha ʻana. Mai hopohopo i kou wikiwiki e hele. 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 papa ʻaina a me nā lole pelu 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. Hōʻalo i nā hana a me nā hoʻoikaika kino e kumu i ka huki ʻana 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 ʻokiʻoki i pale ʻia mai ka lā mai i pale i ka lā.

E makaʻala pehea ʻoe e hoʻohana ai i kou mau lima a me kou kino kiʻekiʻe ke neʻe ʻoe no 2 a 3 mau pule ma hope o kāu ʻoki. E noi i kāu mea hāʻawi ke hoʻi ʻoe i ka hana. No ka pule mua ma hope o ke kaha ʻana:

• 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 10 mau paona (4.5 kilo). (ʻOi iki kēia ma mua o ke galani, a i ʻole 4 liters o ka waiū.)
• Hōʻalo i nā hana ʻē aʻe e pono ai ʻoe e waiho i kou mau lima ma luna o kou poʻohiwi no kēlā me kēia manawa.
• Mai kalaiwa. ʻO ka wili e pili ana i ka hoʻohuli ʻana i ka huila hoʻokele e huki paha i kāu ʻokiʻoki.

E hoʻouna ʻia ʻoe i kahi polokalamu hoʻoponopono naʻau. E loaʻa ʻoe i ka ʻike a me ka ʻōlelo aʻoaʻo e pili ana i ka hana, ka papaʻai, a me ka hoʻoikaika kino.

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.
• ʻUlaʻula a pehu paha kou ʻeha, ua hāmama, a i ʻole ke kahe ʻia mai o ka wai.
• Loaʻa iā ʻoe ke anuanu a i ʻole he kuni ma luna o 101 ° F (38.3 ° C).

Hōʻalo iki ke ala hele aʻa kūpono coronary - hoʻokuʻu; MIDCAB - hoʻokuʻu; Kōkua ʻo Robot i ka bypass coronary artery - hoʻokuʻu; RACAB - hoʻokuʻu; ʻOki puʻuwai Keyhole - hoʻokuʻu; ʻO ka maʻi ahulau coronary - hoʻokuʻu MIDCAB; CAD - hoʻokuʻu MIDCAB

• ʻOki ʻoki ʻoki by Heart
• Lawe i kāu pulse carotid
• Pulse uila

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 - minimally invasive
• 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 - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean

• Ke ʻoki kino ʻana o ka Coronaary Artery Bypass