Ukuhlinzwa nge-Bypass (saphenectomy): izingozi, ukuthi kwenziwa kanjani, nokululama

-Delile

• Lapho kuboniswa ukuhlinzwa
• Izingozi zokuhlinzwa ukususa umthambo we-saphenous
• Lulama kanjani ngemuva kokususwa kwe-vehen saphenous
• Ukuhlinzwa kususa kanjani umthambo we-saphenous

Ukuhlinzwa ukususa i-saphenous vein, noma i-saphenectomy, kuyindlela yokwelashwa yemithambo ye-varicose emilenzeni nokuthola ubumbano lwemithambo ukudlula i-aortocoronary, ngoba kuyadingeka ukususa lo mthambo, kunzima kakhulu kunezinye izinqubo, njengokujova amagwebu noma i-radiofrequency, ngokwesibonelo, kepha, ngakolunye uhlangothi, kuyindlela yokwelashwa eqondile yemithambo ye-varicose.

Ukubuyiselwa emuva kulokhu kuhlinzwa kwe-varicose vein kuthatha cishe amasonto ayi-1 kuye kwayi-2, futhi imisebenzi yomzimba ikhishwa ngemuva kwezinsuku ezingama-30. Ngalesi sikhathi, ukusetshenziswa kwamasheya okunwebeka nemithi yokudambisa izinhlungu, njengezidakamizwa ezilwa nokuvuvukala noma ama-analgesics, kunqunywa udokotela ohlinzayo wemithambo.

Lapho kuboniswa ukuhlinzwa

I-Saphenectomy ikhonjiswa kwezinye izimo, njenge:

• Lapho kunengozi yokuthi imithambo evuvukele ngeke imelane futhi iqhume;
• Ukuphulukiswa okuphuzile kwemithambo ye-varicose;
• Ukwakhiwa kwamahlule ngaphakathi kwemithambo ye-varicose.

Lezi zimo kufanele zihlolwe ngudokotela we-angiologist noma ukuhlinzwa kwemithambo, ongoti ekunakekeleni lolu hlobo lwesimo, ozonquma ukuthi ngabe i-saphenectomy izodingeka nini.

Izingozi zokuhlinzwa ukususa umthambo we-saphenous

Yize kungukuhlinzwa okunezingozi ezimbalwa, i-saphenectomy ingaba nezinkinga ezithile ezingavamile, njengokulimala kwezinzwa ezisondele emthanjeni, ezingadala ukudlikizela nokulahlekelwa ukuzwa, ngaphezu kokuphuma kwegazi, i-thrombophlebitis, i-thrombosis yomlenze noma i-pulmonary embolism.

Bona ukunakekelwa okufanele kuthathwe ngaphambi nangemva kokuhlinzwa ukuze ugweme lezi zinhlobo zezinkinga.

Lulama kanjani ngemuva kokususwa kwe-vehen saphenous

Esikhathini sokusebenza ngemuva kokususwa kwe-vein saphenous, kuyalulekwa ukuthi uphumule, uncamela ukukhuphula imilenze, isonto eli-1, ngokungeziwe ku:

• Sebenzisa amasokisi anwebekayo ukucindezela imilenze;
• Sebenzisa imishanguzo yokulawula izinhlungu, njenge-anti-inflammatories ne-analgesics, enqunywe udokotela;
• Ungazivocavoci umzimba noma uziveze elangeni inyanga e-1.

Ngaphezu kwalokho, izindawo ezinamabala kufanele zigcinwe zihlanzekile futhi zomile.Amafutha nawo angasetshenziselwa ukukhulula imihuzuko, efana ne-hirudoid, isibonelo.

Ukuhlinzwa kususa kanjani umthambo we-saphenous

Ukususwa komthambo we-saphenous kukhonjiswa ukwelapha imithambo ye-varicose lapho umthambo we-saphenous uvalekile ngenxa yokweluleka ngokweqile kwalesi sitsha, noma lapho umthambo we-saphenous ungasasebenzi ngendlela okufanele ubuyise ngayo igazi lisuka emilenzeni liye enhliziyweni, ngaphakathi nemithambo yangaphandle ye-saphenous. Inqubo yenziwa egumbini lokuhlinza, ngomgogodla noma i-anesthesia ejwayelekile, futhi isikhathi sokuhlinzwa imvamisa cishe amahora amabili.

Umthambo we-saphenous wumthambo omkhulu ophuma esiswini, udlule edolweni, lapho uhlukana khona kabili, umthambo omkhulu we-saphenous kanye nomthambo omncane we-saphenous, oqhubeka uze ufike ezinyaweni. Ngaphandle kobukhulu bayo, ukususwa kwe-vein saphenous akulimazi empilweni, njengoba kukhona ezinye, izitsha ezijulile ezibaluleke kakhulu ekubuyiseleni igazi enhliziyweni.

Kodwa-ke, uma imithambo ye-saphenous isasebenza, ukususwa kwayo kufanele kugwenywe, ngoba umthambo we-saphenous ulusizo ekwenzeni ukwedlula, uma kunesidingo, okuwukuhlinzwa lapho umthambo we-saphenous ufakwa khona enhlizwini ukufaka imithambo yegazi evalekile yenhliziyo.

Bona ukuthi yiziphi ezinye izinketho zokuhlinzwa zemithambo ye-varicose egcina umthambo we-saphenous.