Cardiology. coronary tsinga yokunzvenga kusonanidzwa

Mumwe mukuru uye vakawanda zvirwere vanhu anoonekwa kuti mwoyo usisashandi. Zvisinei, sezvo tsika inoratidza kazhinji, vanhu vane chimiro kusagadzikana kana kunyange marwadzo ari mubhokisi, kunzwa kusava okisijeni kana kuomarara mweya, kwete kukurumidza kugadzirisa nenyanzvi, vachisarudza havo kubatwa pachako. Kucherechedza kuratidzwa chirwere chakakomba rokutanga, ivo saizvozvo kuchidzivisa kwazvo kumwe kurapwa uye kupora. Panguva Chaiyo kuwana chiremba chendangariro nomazvo chirwere uye inonyorwa munhu anokwanisa kurapwa. Zvinofanira kucherechedzwa kuti zviratidzo zvemwoyo chirwere, mangwanani kuvhiya (kuvhiyiwa kuti paumbwe imwe workaround, kuti constriction pakati njodzi mudziyo) anokwanisa kuponesa upenyu uye agodzoka murwere kuti upenyu hwakanaka uye hunogutsa.

zvirwere zvemwoyo vari pamwe (marwadzo) mumwe kana kupfuura nhumbi kuti zvinopa kunovaka muviri mwoyo tsandanyama. Coronary tsinga yokunzvenga chendangariro hwakanaka ropa aibuda mune imwe tsinga kana tsinga zvakawanda. Saka, mwoyo tsandanyama achagamuchira hwandaiva ropa rive.

Kuti kuwana mwoyo incision pakati pechipfuva. Uyezve vakatapwa vendu (maronda) pamusoro anyatsoronga nzvimbo iyo chiremba achacheka tsinga nokuda yokunzvenga.

More vaifarira vanoonekwa zvemukati thoracal tsinga kana TOUR tsinga maoko. Vanogona kupa kupfuura functionality uye mukurumari yacho shunt. Previous kwokushandisa TOUR tsinga maoko pasi mamwe kuongorora kubatsira kudzivirira matambudziko akasiyana-siyana kuti anogona nechokuita kwayo fenzi.

Dzichibvisa mammary tsinga rinoitwa pasi sternum. Kazhinji, kushandisa rworuboshwe tsinga, asi tsika uye kushandisa zvakanaka. Patinoita angiography kwakaratidza pasina (kuvapo) pakati atherosclerotic maronda uye zvakakwana dhayamita yacho tsinga.

Vanachiremba vaiita somunhu tsinga yacho gumbo fenzi.

Ndavhiyiwa mwoyo une marudzi makuru matatu. nzira yokutanga inoshandisa rakagadzirwa nevanhu kweropa, rechipiri - kupindira rinoitwa pasina kushandisa "stabilizer." Chechitatu mhando remapazi kunze shoma zvomusejari cheka (endoscopic kuvhiyiwa).

Kusarudza imwe mhando kunogona chete kubva musi migumisiro coronary angiography nokuongorora arterial chirwere.

Coronary tsinga ndavhiyiwa pamwe Moyo yokunzvenga ndiye chete kubatanidzwa mwoyo chirwere (postinfarction wakasiya ventricular aneurysm, akawana kana vachiberekwa mwoyo chirwere chinoda kuvhiya kupindira), kana iri nyaya multifocal maronda ose coronary arteries. In iyi, kuvhiyiwa kunogona kuitwa cardiac kusungwa. Kupa chakagadzirwa kuparadzirwa mwoyo tsandanyama vari kubatana cannulas, izvo chokuita mudziyo. Panguva ino, chiremba pave ane anastomosis pakati tsinga uye coronary tsinga. Pashure paizvozvo, yavaipora mwoyo uye yeropa iri sutured kusvikira pakatarisana kumugumo tsinga. Ya Kupindira ichi zvinoenderana wayo kunzwisisa uye munhu zvechadenga murwere.

Normal kushanda kuvhiya unyanzvi kunoita kuti aite coronary tsinga yokunzvenga kusonanidzwa naye achirova mwoyo. It anoshandisa nzira kuti kunoderedza vibrations panguva cardiac kupindira.

Kushandisa usingashandi cheka pakuvhiya ane zvakawanda zvakanaka. Chekutanga, kashoma murwere utachiona. Chechipiri, coronary tsinga ndavhiyiwa kuburikidza cheka zviduku kunoderedza kurasikirwa neropa. Mukuwedzera, murwere ane mukana kukosora ufuridzire mu zvikuru ari postoperative nguva.