Txhua txhua xyoo, cov neeg mob uas tau kuaj pom mob stenosis yog nce zuj zus ntawm cov lumens ntawm lub cev vim ua raws li cov phab ntsa ntawm cov hlab ntsha ntawm atherosclerotic plaques. Tsim los ntawm kev ua txhaum ntawm cov ntshav yuav ua rau qaug zog thiab puas tsuaj rau lub plawv mob, mus rau qhov chaw necrosis ntawm qee qhov chaw ntawm lub plawv - kev mob plawv tsis zoo ntawm kuv lub cev . Ntau tus tau hnov txog qhov kev lag luam xws li coronary artery bypass grafting, tiam sis tsis yog txhua tus muaj ib lub tswv yim rau lub hom phiaj no qhov kev pab cuam phais yog ua li cas.
Dab tsi yog qhov kev phais mob bypass?
Ua ib qho kev khiav hauj lwm, tus kws kho mob bypass phais yog tswj kev tsim tshiab bypasses (shunts) nrog kev pab los ntawm kev noj qab haus huv cov hlab ntsha uas txuas nrog rau cov hlab ntsha ntawm coronary. Lub hom phiaj tseem ceeb ntawm aortocoronary shunting yog kho cov ntshav ncig tom qab lub plawv nres los yog tiv thaiv kom txhob muaj plawv nres. Txoj hlab ntaws yog, feem ntau, cov kab mob hauv lub cev ntws ua rau cov hlab ntsha lub cev, cov hlab ntsha los yog cov hlab ntsha ntawm tus neeg mob.
Mob hlab ntsws coronary bypass grafting tau ua nyob rau hauv ob qho tib si thiab muaj ntau yam kev ntshaw.
Nqa tawm ntawm kev khiav hauj lwm ntawm kev mob ntsws
Hauv kev npaj rau kev khiav hauj lwm, muaj ntau cov ntawv xeem:
- X-ray;
- electrocardiogram ;
- Coronary angiogram rau qhov chaw xauv cov hauv cov hlab ntsha thiab lawv qhov kev nyuab siab heev.
Kev kho phais mob yog ua raws li tshuaj loog xwb, thaum tus neeg mob pw tsaug zog. Lub plawv rau lub sijhawm ntawm kev lag luam yog tso tseg, thiab qhov ua haujlwm ntawm lub plawv thiab lub ntsws yog ua los ntawm lub cuab yeej ntawm cov khoom pov thawj. Feem ntau, cov txheej txheem ntawm coronary shunting yuav siv li 5 teev.
Thaum ua tiav ntawm qhov kev khiav dej num, tus neeg mob tau muab tso rau hauv qhov kev pabcuam lossis kev pabcuam khomob, uas nws txuas nrog rau kev tswjhwm uas tswj kev ua haujlwm tseemceeb thiab saib xyuas cov cim tseem ceeb.
Rehabilitation tom qab coronary artery bypass grafting
Tom qab kev phais mob hlab ntsha coronary, nws tsim nyog kom muaj txoj kev ua neej kom pom zoo los ntawm ib tus kws kho mob tshwj xeeb thiab noj tshuaj. Li ntawd, nyob hauv tsev kho mob, koj yuav tsum:
- Ua kom ua pa ua kom txo cov kua hauv lub ntsws, piv txwv, ua kom lub zais pa lossis ua 15 mus rau 20 nqus pa txhua teev.
- Tom qab tshem cov hlab ntsha ua pa thiab ua pa, koj yuav tsum taug kev los ntawm tag nrho cov txhais tau tias.
Thaum rov qab mus tsev, nws raug nquahu:
- Ua ib pawg qoj ib ce.
- Tsis txhob haus luam yeeb lossis haus dej haus cawv.
- Saib qhov nyhav.
- Tsis txhob muaj teeb meem hauv lub cev.
Txawm hais tias, raws li txoj cai, tus neeg mob yuav tsum tau ua hauj lwm rau ib lub hlis los yog ob zaug tom qab kev khiav hauj lwm, qhov kev kho ntawm tus pob txha ntawm lub cev tawv nqaij yuav siv sij hawm ntev dua: txog li rau lub hlis. Txhawb txoj kev, nws yog ntshaw kom hnav ib lub hnab hauv siab, thiab kom tiv thaiv tau tus kab mob venous, nws tau pom zoo kom taug kev hauv kev kho mob nkeeg.
Ib qho tseem ceeb hauv txoj kev kho kom zoo dua tomqab kev tuag phais plab yog kev noj haus. Thaum xaiv khoom noj khoom haus, koj yuav tsum:
- Muab cov paj txiv hmab txiv ntoo, zaub, khoom noj khoom haus, mis nyuj muaj roj, nqaij qaib.
- Rho txoj rog, qab ntsev, zaub mov qab zib heev.
Yuav kom tiv thaiv tau kev txhawj xeeb ntawm cov ntshav, nws yog qhov yuav tsum muaj xws li cov khoom noj uas muaj iron. Qhov no micronutrient yog tam sim no nyob rau hauv tseem ceeb qhov ntau ntawm cov khoom nram qab no:
- by-products (daim siab, lub raum, lub ntsws);
- nqaij nruab deg;
- taum (lentils, taum, peas);
- zaub (spinach, carrots, cauliflower, beetroot);
- txiv hmab txiv ntoo (txiv apples, peaches, apricots, bananas);
- berries (raspberry, blueberries, strawberries);
- ceev.