ʻOki kino bypass - minimally invasive

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.

E hana i kēia ʻoki kino:

• E hana ka mea hōʻoki puʻuwai i kahi ʻoki ʻoki ʻekolu a 5 paha (8 a 13 mau kenimika) ma ka ʻaoʻao hema o kou umauma ma waena o kou iwi ʻaoʻao e hiki ai i kou puʻuwai.
• E kipaku ʻia nā mākala ma ia wahi. E hoʻoneʻe ʻia kahi ʻāpana liʻiliʻi o mua o ka iwi ʻaoʻao, i kapa ʻia ʻo ka cartilage kumu.
• E ʻike a hoʻomākaukau ke kaukipoki i kahi aʻa ma kou paia umauma (arter mammary artery) e hoʻopili i kāu aʻa ākea i ālai ʻia.
• ʻO ka mea aʻe, e hoʻohana nā kaukōkō i nā sutures e hoʻohui i ka aʻa o ka umauma i hoʻomākaukau ʻia i ke aʻa coronary i ālai ʻia.

ʻAʻole ʻoe ma ka mīkini puʻuwai no kēia ʻoki kino. Eia nō naʻe, he anesthesia ākea ʻoe no laila ʻoe e hiamoe ai a ʻaʻole ʻeha. E hoʻopili ʻia kahi hāmeʻa i kou puʻuwai e hoʻokūpaʻa iā ia. E loaʻa iā ʻoe ka lāʻau e hoʻolohi i ka puʻuwai.

Hiki paha iā ʻoe kahi pahu i kou umauma no ka hoʻoiho wai. E hoʻoneʻe ʻia kēia i hoʻokahi lā a ʻelua paha.

Hiki i kāu kauka ke koi aku i kahi bypass coronary arra invasive minimally invasive inā loaʻa iā ʻoe kahi ālai i hoʻokahi a i ʻole ʻelua mau aʻa coronary, pinepine i mua o ka puʻuwai.

Ke lilo kekahi a ʻoi paha o nā aʻa coronary i hapa a i ʻole ālai ʻia, ʻaʻole lawa ke koko i kou puʻuwai. Kapa ʻia kēia he maʻi naʻau ischemic a i ʻole maʻi maʻi coronary. Hiki iā ia ke hōʻeha i ka umauma (angina).

Ua hoʻāʻo mua paha kāu kauka e mālama iā ʻoe me nā lāʻau. Ua hoʻāʻo paha ʻoe i ka hoʻoponopono hou ʻana o ka puʻuwai a i ʻole nā ​​mālama ʻē aʻe, e like me ka angioplasty me ka stenting.

Hoʻololi ka maʻi ʻaʻa coronary mai kekahi kanaka i kekahi kanaka. ʻO ke kīpoki bypass puʻuwai kahi ʻano lapaʻau wale nō. ʻAʻole kūpono ia no nā mea āpau.

ʻO nā ʻoki a me nā kaʻina hana i hana ʻia ma kahi o ka bypass puʻuwai invasive minimally are:

• Hoʻonohonoho Angioplasty a me stent
• Holo Coronary

E kamaʻilio pū kāu kauka iā ʻoe e pili ana i nā pilikia o ke ʻoki ʻana. Ma ke ʻano laulā, ʻoi aku ka haʻahaʻa o nā pilikia o ka bypass invasive artery coronary artery ma mua o ka ʻoki ʻana o ke aniani coronary open.

ʻO nā pōʻino e pili ana i nā ʻoki āpau me:

• Hoʻopaʻa ke koko i nā wāwae e hele paha i nā akemāmā
• Lilo ke koko
• Nā pilikia hanu
• Ka hōʻeha puʻuwai a i ʻole hōʻeha
• ʻO ka maʻi o ka maʻi māmā, ka mimi, a me ka umauma
• Hōʻeha kūlohelohe a paʻa mau paha

Nā pilikia paha o ka bypass artery coronaary bypass:

• Ka nalo ʻana o ka hoʻomanaʻo, ka nalowale ʻana o ka mōakāka o ka noʻonoʻo, a i ʻole ka "fuzzy thinking." ʻOi aku ka liʻiliʻi o kēia i ka poʻe i loaʻa i ka bypass invasive coronary artery bypass ma mua o ka poʻe i loaʻa ka bypass coronary open.
• Nā pilikia puʻuwai puʻuwai (arrhythmia).
• Maʻi maʻi ʻeha. ʻOi aku paha kēia inā he obese ʻoe, loaʻa i ka maʻi diabetes, a i ʻole ke ʻoki ʻana o ka coronary bypass i ka wā i hala.
• ʻO ke kuni haʻahaʻa a me ka ʻeha o ka umauma (i kapa ʻia ʻo postpericardiotomy Syndrome), hiki ke hala i 6 mau mahina.
• ʻEha ma ke kahua o ka ʻoki.
• Hiki ke hoʻolilo i ka hana maʻamau me ka mīkini bypass i ke kahakaha ʻana.

E haʻi mau i kāu kauka i nā lāʻau āu e lawe nei, ʻo nā lāʻau a lāʻau paha āu i kūʻai ai me ka ʻole o ka lāʻau.

I nā lā ma mua o ke kaha ʻana:

• No ka manawa o 2 mau pule ma mua o ke kahakaha ʻana, e noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī ai i ke kō ʻana o kou koko. Hiki paha i kēia ke hoʻonui i ke kahe i ka wā o ke ʻoki. Hoʻopili lākou i ka aspirin, ibuprofen (e like me Advil a me Motrin), naproxen (e like me Aleve a me Naprosyn), a me nā lāʻau ʻē aʻe like. Inā ʻoe e lawe ana i ka clopidogrel (Plavix), e noi i kāu kauka lā inā ʻoe e oki i ka lawe ʻana ma mua o ke kaha ʻana.
• E nīnau i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o ke ʻoki.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu kauka no ke kōkua.
• Kāhea aku i kāu kauka inā loaʻa ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe.
• E hoʻomākaukau i kou home i hiki ai iā ʻoe ke neʻe maʻalahi ke hoʻi mai ʻoe mai ka haukapila.

ʻO ka lā ma mua o kou ʻoki ʻana:

• ʻO Shower a me ka shampoo maikaʻi.
• E noi ʻia ʻoe e holoi i kou kino holoʻokoʻa ma lalo o kou ʻāʻī me kahi kopa kūikawā. E ʻānai i kou umauma i 2 a i ʻole 3 mau manawa me kēia kopa.

I ka lā o ke kaha:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea ma hope o ke aumoe i ka pō ma mua o kou ʻoki kino ʻana. Hoʻopili pū kēia me ka nau nau ʻana a me ka hoʻohana ʻana i nā mīkini hanu. E holoi i kou waha me ka wai inā e maloʻo, akā e akahele e ʻole e ale.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.

E haʻi aku kāu kauka iā ʻoe i ka wā e hōʻea ai i ka haukapila.

Hiki paha iā ʻoe ke haʻalele i ka haukapila 2 a i ʻole 3 mau lā ma hope o kāu ʻoki ʻana. E haʻi ke kauka a kahu hānai paha iā ʻoe pehea e mālama ai iā ʻoe iho ma ka home. Hiki paha iā ʻoe ke hoʻi i nā hana maʻamau ma hope o 2 a 3 mau pule.

Loaʻa ka manawa i ke ola ʻana mai ke ʻoki, a ʻaʻole paha ʻoe e ʻike i ke keu pono o kāu ʻoki ʻana no 3 a 6 mau mahina. I ka hapanui o ka poʻe i loaʻa i ka puʻuwai e kāpae i ka naʻau, noho hāmama nā grafts a hana maikaʻi no nā makahiki he nui.

ʻAʻole hiki i kēia ʻoki ke pale i kahi paʻa i ka hoʻi ʻana mai. Eia nō naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻolohi. Nā mea hiki iā ʻoe ke hoʻopili:

• Mai puhi.
• ʻAi i kahi papaʻai olakino puʻuwai.
• E kiʻi i ka hoʻoikaika kino maʻamau.
• E mālama i ke koko kiʻekiʻe, ke kō i ke koko kiʻekiʻe (inā he maʻi diabetes kou), a me ke kiʻekiʻe o ke kō.

E loaʻa paha iā ʻoe nā pilikia me kāu mau kīʻaha koko inā loaʻa ʻoe i ka maʻi puʻupaʻa a i ʻole nā ​​pilikia olakino ʻē aʻe.

Hōʻalo iki i nā by artery coronary direct invasive; MIDCAB; Holo i ke aʻa aʻa koko coronary i kōkua ʻia; KAUMAKI; ʻOki puʻuwai Keyhole; CAD - MIDCAB; ʻO ka maʻi ahulau coronary - MIDCAB

• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Angioplasty a me stent - puʻuwai - hoʻokuʻu
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ka palekana i ka lumipaku no nā mākua
• 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
• Catheterization Cardiac - hoʻokuʻu
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• 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
• Hoʻomaʻamaʻa i ka puʻuwai - hoʻokuʻu
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean
• Pāleʻa ka pale ʻana
• Mālama ʻeha ʻeha - wehe

• Puʻuwai - ʻike mua
• Nā aʻa puʻuwai posterior
• Nā aʻa puʻuwai mua
• Stent arter coronary
• ʻOki kino bypass - moʻo

Hillis LD, Smith PK, Anderson JL, et al. 2011 ACCF / AHA alakaʻi no ka coronary artery bypass graftʻoki: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force ma nā Kumu Alakaʻi. Kaapuni. 2011; 124 (23): e652-e735. PMID: 22064599 pubmed.ncbi.nlm.nih.gov/22064599/.

ʻO Mick S, Keshavamurthy S, Mihaljevic T, Bonatti J. Robotic a me nā ala ʻē aʻe i ka hoʻopili bypass artery coronary. I: Sellke FW, del Nido PJ, Swanson SJ, eds. ʻO Sabiston lāua ʻo Spencer Surgery o ka umauma. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 90.

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.

ʻO Rodriguez ML, Ruel M. Hoʻopiʻi kino i nā aʻa korona liʻiliʻi. I: Sellke FW, Ruel M, eds. ʻO Atlas o nā hana ʻoki lāʻau Cardiac. ʻElua ed. Piladelapia, PA: Elsevier; 2019: chap 5.