Ukudlula emthanjeni wokudlula - umlenze - ukukhishwa

Ukuhlinzwa ngokudlula komthambo wokujikeleza kwenziwa ukuhambisa kabusha ukunikezwa kwegazi okuzungeze umthambo ovinjiwe emlenzeni. Uthole lokhu kuhlinza ngoba okunamafutha emithanjeni yakho bekuvimbela ukuphuma kwegazi. Lokhu kubangele izimpawu zobuhlungu nobunzima emlenzeni wakho okwenza ukuhamba kube nzima. Lo mbhalo ukutshela ukuthi ungazinakekela kanjani ngemuva kokuphuma esibhedlela.

Uhlinzwe ngemithambo eseceleni ukuze uvuselele ukunikezwa kwegazi ezungeze umthambo ovinjiwe komunye wemilenze yakho.

Udokotela wakho ohlinzayo usike (wasika) indawo lapho umthambo uvinjelwe khona. Lokhu kungenzeka ukuthi bekusemlenzeni wakho noma emgodini, noma engxenyeni engezansi yesisu sakho. Izibopho zazibekwa phezu komthambo ekugcineni ngakunye kwengxenye evinjiwe. Ishubhu elikhethekile elibizwa ngokuthi i- graft lathungwa emthanjeni ukuze kuthathe indawo yengxenye evinjiwe.

Kungenzeka uhlale egumbini labagula kakhulu (i-ICU) izinsuku ezi-1 ukuya kwezi-3 ngemuva kokuhlinzwa. Ngemuva kwalokho, uhlale egumbini lesibhedlela elijwayelekile.

Ukusikeka kwakho kungaba buhlungu izinsuku ezimbalwa. Kufanele ukwazi ukuhamba udlulele manje ngaphandle kokudinga ukuphumula. Ukululama ngokugcwele ekuhlinzweni kungathatha amasonto ayisithupha kuye kwayisishiyagalombili.

Hamba amabanga amafushane izikhathi ezi-3 kuya kwezi-4 ngosuku. Khulisa kancane ukuthi uhamba ibanga elingakanani isikhathi ngasinye.

Lapho uphumule, gcina umlenze wakho uphakanyisiwe ngaphezu kwezinga lenhliziyo yakho ukuvimbela ukuvuvukala komlenze:

• Lala phansi ubeke umcamelo ngaphansi kwengxenye engezansi yomlenze wakho.
• UNGAHLALI ngaphezu kwehora elilodwa ngesikhathi ufika ekhaya okokuqala. Uma ukwazi, phakamisa izinyawo nemilenze yakho lapho uhleli. Babeke kwesinye isihlalo noma isitulo.

Uzoba nokuvuvukala komlenze okuningi ngemuva kokuhamba noma ukuhlala. Uma unokuvuvukala okuningi, kungenzeka ukuthi uhamba kakhulu noma uhleli, noma udla usawoti omningi ekudleni kwakho.

Lapho ukhuphuka izitebhisi, sebenzisa umlenze wakho omuhle kuqala lapho ukhuphuka. Sebenzisa umlenze wakho owahlinzwa kuqala lapho wehla. Phumula ngemuva kokuthatha izinyathelo ezimbalwa.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokutshela ukuthi ungashayela nini. Ungathatha uhambo olufushane njengomgibeli, kodwa zama ukuhlala esihlalweni esingemuva ngomlenze wakho obe nokuhlinzwa kuphakanyiswe esihlalweni.

Uma okusikiwe kwakho kususiwe, ungahle ube neSteri-Strips (izingcezu ezincane zeteyipu) kuyo yonke imbobo yakho. Gqoka izingubo ezingahambisani nokusikeka kwakho.

Ungageza noma uthole imbobo imanzi, uma udokotela wakho esho ukuthi ungakwazi. UNGAKHAMBI, khuhla, noma ushaye ishawa ngqo kubo. Uma une-Steri-Strips, zizosonga bese ziwa zodwa ngemuva kwesonto.

UNGACAMI kubhavu wokugeza, kubhavu oshisayo, noma echibini lokubhukuda. Buza umhlinzeki wakho ukuthi ungaqala nini ukwenza le misebenzi futhi.

Umhlinzeki wakho uzokutshela ukuthi uzishintsha kangaki izingubo zakho (ibhandeshi) nokuthi ungayeka nini ukuyisebenzisa. Gcina isilonda sakho somile. Uma imbobo yakho iye ekuguleni kwakho, gcina iphedi elomile elenziwe ngayo ukuze uyigcine yomile.

• Hlanza ukusika kwakho ngensipho namanzi nsuku zonke uma umhlinzeki wakho esho. Bheka ngokucophelela noma yiziphi izinguquko. Yiphathe kahle ngomusa.
• UNGABONI umuthi wokugcoba, ukhilimu, noma amakhambi esilondeni sakho ngaphandle kokubuza kuqala ukuthi ngabe kulungile.

Ukuhlinzwa nge-Bypass akuyelaphi imbangela yokuvaleka emithanjeni yakho. Imithambo yakho ingaphinde ibe mincane futhi.

• Yidla ukudla okunempilo enhliziyweni, uvivinye umzimba, uyeke ukubhema (uma ubhema), wehlise nengcindezi. Ukwenza lezi zinto kuzosiza ukunciphisa amathuba akho okuba nomthambo ovinjiwe futhi.
• Umhlinzeki wakho wezokunakekelwa kwempilo angakunika umuthi wokusiza ukwehlisa i-cholesterol yakho.
• Uma uthatha imishanguzo yomfutho wegazi ophakeme noma isifo sikashukela, yithathe njengoba utshelwe ukuthi uyithathe.
• Umhlinzeki wakho angakucela ukuthi uthathe i-aspirin noma umuthi obizwa nge-clopidogrel (i-Plavix) lapho uya ekhaya. Le mithi igcina igazi lakho lingakhi amahlule emithanjeni yakho. Ungayeki ukuwathatha ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Shayela umhlinzeki wakho wezempilo uma:

• Umlenze wakho ohlinziwe ushintsha umbala noma upholile ukuthinta, ukuphaphatheka noma ukuba ndikindiki
• Unobuhlungu besifuba, isiyezi, unenkinga yokucabanga kahle, noma ukuphefumula okungapheli lapho uphumula
• Ukhwehlela igazi noma amafinyila aphuzi noma aluhlaza
• Unokubanda
• Unomkhuhlane ongaphezu kuka-101 ° F (38.3 ° C)
• Isisu sakho sibuhlungu noma siqunjelwe
• Amaphethelo okusika kwakho ahlukanisiwe
• Kunezimpawu zokutheleleka ezungeze ukusikeka okufana nokubomvu, ubuhlungu, ukufudumala, ukuphakama, noma ukukhishwa okuluhlaza okotshani
• Ibhandishi ligcwele igazi
• Imilenze yakho iyavuvukala

Ukudlula kwe-aortobifemoral - ukukhipha; I-femoropopliteal - ukukhishwa; Abesifazane popliteal - ukukhishwa; Ukudlula kwe-aorta-bifemoral - ukukhipha; Ukudlula kwe-Axillo-bifemoral - ukukhishwa; Ukudlula kwe-Ilio-bifemoral - ukukhipha

ILungu lePhalamende laseBonaca, uCreager MA. Izifo zemithambo eseceleni. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 64.

UFakhry F, uSpronk S, van der Laan L, et al. I-endovascular revascularization kanye nokuvivinya umzimba okubhekelwe isifo semithambo yomzimba kanye nokuhlukaniswa okuphakathi: isilingo somtholampilo esingahleliwe. JAMA. 2015; 314 (18): 1936-1944. I-PMID: 26547465 www.ncbi.nlm.nih.gov/pubmed/26547465.

UGerhard-Herman MD, uGornik HL, uBarrett C, et al. Umhlahlandlela we-2016 AHA / ACC ekuphathweni kweziguli ezinesifo semithambo esezingeni eliphansi kakhulu: isifinyezo esiphezulu: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice Guidelines. Ukujikeleza. 2017; 135: e686-e725. I-PMID: 27840332 www.ncbi.nlm.nih.gov/pubmed/27840332.

IKinlay S, iBhatt DL. Ukwelashwa kwesifo semithambo esingavaleki kahle. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 66.

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