Coronary artery holo alaʻokoʻaʻoki kino - He aha ka mea? Coronary holo alaʻokoʻa na moku o ka naau

Coronary naau maʻi mea he maoli hahau o ka 21st kenekulia. Ua aneane na lua o kanaka e loaʻa mai i kēia maʻi. Kekahi e hana i ka maʻi a me ka lapaʻauʻia, akā, i ka mea a kekahi e pōʻinoʻoki kino. Kekahi o na kumu o hana, hoemi koko i loko o nā ipu o ka naau, he coronary holo alaʻokoʻa.

He aha ka mea?

Kēia manawa, hoomaka ae la e hele mai ma na mea he nui 'inikua kumu no ka hala loa kekahi manawa. Currently, ka hana mea kokoke i ka wale kekahi o kona ano. Wahi a ka 'ikepili helu, a puni ka honua malaila ma kahi o hoʻokahi miliona mau kaʻina hana o ka makahiki.

E like me ka olelo, i ka hapanui o nā mea maʻi me ka coronary artery maʻi coronary artery holo alaʻokoʻaʻoki kino ka pono. He aha ka mea - ike hoi, Eia naʻe, i na mea he nui.

Coronary artery holo alaʻokoʻaʻoki kino komo ai i ke kau ana o detours ma luna o nā ipu naau.

Ke hana nei nō nui a me ka loa.

Wahi a ka 'ikepili helu, keia hana ua lawe mai wale 12 pakeneka o ka mea a pau ka poe i nele. I kekahi manawa, ua contraindications i kona hana ana, oiai kekahi poe e ole mau imi 'inikua kōkua.

Once ka hana ua ikea, ua hōʻike hoihoi nui no ka mea he nui pookelaʻepekema, nae, elua makahiki ma hope o kona hanaia'na, i ka hana i pāpā. Re-hoʻolauna ia i loko o pono kekahi mau makahiki, i ka wa a ka hana i hoomaka ai e hele mai i loko o ke ao nei Media. Mai laila, kona hoʻohana ua lilo kokoke i kela la, a me ka mai ole ho i na kauka i hiki hoolaia coronary artery maʻi, akā, e hoʻomaka i kēia hana.

Ke pathogenesis o coronary artery maʻi

Coronary artery maʻi e hoʻomōhala ana i ka wā o ka coronary arteries e hoomaka ana e 'ike i ka oxygen deficiency. Kēia ia lŘlŘ ma muli o ka hou ana o ka lumen. Ke kumu alakai i ka hou, he nui - HEN, mai ka hanau ana mā a me'āno'ē hou mai ka hānauʻana a pau me ka emi i loko o ka lumen ku i ka ka hoʻonuiʻana o atherosclerotic plaques.

Maʻamau, IBS symptoms mai e hoike ia lakou iho a hiki i laila, a hiki i ka lumen ua i hou ia e oi aku mamua o 70 pakeneka. Ke? Aaieou ke hōʻike wale i ka hihia o ka nui physical haʻawina.

Ke kumu nui hiʻona o ka ulu ana o coronary naau maʻi ka umauma eha pu ma ka pokole o ka hanu, a me ka manao o ka makau. Me ka nui hou ana o na moku coronary maoli i ka pilikia o ka naau hoouka.

I ka makeʻe kulana Inc mea ineffective (? Eaia vasodilator ai ') lawe coronary artery holo alaʻokoʻa pakuiia auanei lakou.

papa no ka hana

Ke hana ua hana hamama-naauʻoki kino, 'ole. E. He pono e wehe i ka pahu. Ke incision ua ana i ma ka costal cartilages ma ka hema.

Ke hoomanawanui i ka manawa o ka 'uao i pili i ka naau-akemāmā mīkini.

Ke hana ua hana ma lalo o kekahi mau anesthesia.

E ho okumu i ka shunt ua hoʻohana IeAUPIIe, IAa IO superficial moku (subcutaneous Vienna wāwae a me na mammary artery). Ke kūpono shunt, hookahi wehe 'ia, ua pili ma luna a ma lalo o ka hou o coronary arteries a sutured i loko o ka moku. Kēia kōkua ai i nā i ke kahe o ke koko ma na loli ana o artery, a leie aku oe e wehe myocardial ischemia.

I kekahi manawa e akoakoa ai e transplant i ka kahahānai artery like i ke koko ma na arteries mea nui maikaʻi ala.

Currently, hou ihola e hoʻomaka ana me ka hoʻohana 'ana o cardiopulmonary holo alaʻokoʻa, me ke koko a pau ma keia pa alima ka poʻea pau i kaʻulaʻula koko aeea poino a me ka hemolysis.

Nāʻikepili e Kai

Coronary holo alaʻokoʻa na moku o ka naau ua hoike mai ia ma ka mea i kēia hihia.

• Hoemiia ke koko patency o ka hema coronary artery ma ma ka liʻiliʻi 50 pakeneka. Kēia moku He He nui infarction i loko o kou kino. Ka hapa nui o ke koko o ka ninau no ia ia, no ka mea, o ka mea i ka aeie kiʻekiʻe o ka ipu mea fraught me ka loa a me ka ischemia myocardial infarction.
• Ke emi ma ka lumen o na moku coronary i 70 pakeneka.
• Ke alo aku o ka stenosis o ka anterior interventricular artery (oi loa ma ka wahi o ka bifurcation).

Mauʻikepili i walaʻauʻana no ka coronary holo alaʻokoʻaʻoki kino.

Ma waho ia ma laila i adverse, symptomatic nāʻikepili. Ka mea, i ke kumu ma ka pinepine bouts o angina (ʻeha, aloha o constriction i loko o ka pahu), a ua IeAUPIIe, IAa IO paʻapū ka lapaʻauʻia. Eia naʻe, no ka pilikia i oi nui i loko o ka hihia ma ka lapaʻauʻia haalele i kona laulā, a me ka ho'āhewa wale e lilo hou pinepine. I loko o keia hihia e ua hoala mai ke kahe o ke shunting.

Contraindications

Aie i ka laulā laha o ka 'ike loea, aʻo e pili ana coronary artery holo alaʻokoʻaʻoki kino - mea ia mea, i kona hoike - mea,ʻaʻole paʻakikī. A pau Ua oi huikau me contraindications.

Akä naÿe i na nāʻikepili no kaʻoki kino, a pau contraindications e pili ana, mai kēlā hoomanawanui ka ninau e pili ana i ka hana e e noonoo puka mai kona kekahi ikepili.

Ua Ua manaoio aku i ke ahonui o ka makahiki, o ka oi aku maluna o 70 makahiki, o ka prohibitive ololi e hoʻomaka uao ai '. I keia wa, he nui loa nā mea maʻi e kūpuna tolerate 'ākeʻakeʻa i loko o ka naʻau (ia mea ku pono i ka wa e kaawale aku o concomitant maʻi mai ka hoohuoi ana hemodynamics). No ka poe i ka maʻi, kauka i oi kaʻauiʻana o ka naʻau transplant a me ka vascular (ole loaʻa decompensated Hawaii).

Mua, coronary holo alaʻokoʻaʻoki kino o ka ipu naau i mālama 'ia ma kaʻaʻa puʻuwai ka hoʻokō' ole 'oleʻeleu oncological kaʻina. Ano, e hiki loaʻa 'ikepili ma luna nani ana mālama' uao ai 'i loko o kēia mau hoʻomanawanui iki mai i ka maikaʻi hoʻokūkū, a me ka prolongation o ke ola no ka oi mamua o 10 makahiki.

hoʻopulapula o nā mea maʻi

Mai ka hana mea he nui, a ke koʻikoʻi, nui kākauʻana mea pono hooponopono ana o nā mea maʻi undergoing coronary artery holo alaʻokoʻa pakuiia auanei lakou. Ma hope oʻoki kino pinepine hoʻomōhala complications e like me ke kumulilo o ka akemāmā hoʻokomo ea (ma muli i ka noho lōʻihi o ke hoʻomanawanui i ka ventilator) a me ka infectious complications.

Prophylaxis o naehana kāna hana i hana hoʻohana hoʻonui emi ka waiwai o ke kālā a me kūikawā toys. Pale aku i ka hooulu ana o infectious complications Ua oi pilikia -ʻaʻole mau manao a me ka 'eleu loli o bandages kōkua pale maʻiʻaʻai.

Mai poina e kanaka hoʻoponopono i nā mea kiko'î o ke ahonui o ka koko, e like me ka hiki i ka massiveness o ka hana hiki pinepine e malama nui ke koko me keia poho. Ma keia hihia, ke hoʻomanawanui wale e pono ai ke koko transfusions e compensate no kona hewa.

A pau nā mea maʻi i i lawe mai i kēia hana - coronary holo alaʻokoʻaʻoki kino - i ka manawa lōʻihi, e hele i ka hoʻopulapulaʻana a me ka pale aku stress. He ua hana i mea e ālai 'discrepancies metala staples kau ma luna o ka sternum.

He manao la noʻu nā mea maʻi e pili ana i hana

An e māhuahua ka helu o nā mea maʻi i 'uao i loko o ka naʻau o nā ipu. Inā na nā kahua a me nā Usenet hoolilo i keia pilikia oe ia ia, ka mea, ua ike ia he nui kanaka ka poe i undergone coronary holo alaʻokoʻaʻoki kino, he 'ano maikaʻi nāʻana. Ālai 'hou i ka pono o ke ola, a nui nā mea maʻi hiki hoʻi i ka maʻamau haʻawina (wale nō ma hope o ka hoʻopulapula wā). Ua ho'ēmi i kā ka helu o ka angina ho'āhewa wale, a me ka nui loa e loli ai i ka hana o kela la i keia ola ana.

He nui na hana mana - Pehea ka nui o o keia hana?

Ua pau hilinaʻi nui ma luna o ka mea a ke ahonui o ka moku'āina o ke ola kino i ka manawa o ka manao paa o na nāʻikepili no kaʻoki kino. Inā e hōʻike coronary artery holo alaʻokoʻaʻoki kino, i ke kumu kūʻai, e komo o nā kumumea like me ka buke o ka piʻiʻana, i ka makahiki paha o ka pae'ōnaehana surgeon, akā,ʻaneʻane nō e lawe mai i na hana me ka uku ole. I ke kala no lākou manaʻo e anao? Aou e ka moku'āina Bedroom (i loko o kekahi haukapilaʻo ka lilo o keʻoki kino papa koa mai ka 7 a hiki i 10 tausani dala, i mea nō pipiʻi).

He mea kumukuai hana keia hana?

He nui nā mea maʻi e loaa ana mai ka lōʻihi-kau angina, coronary artery holo alaʻokoʻaʻoki kino ua hōʻike. He aha ka mea - mau kanaka ike, no ka mea, o ka mea ia pono pono ia i ka piha ho'ākāka o ke kauka. Kekahi mea makau a me ka hoole ana, mai ke kaʻina hana Ua huikau a me ka paakiki, a me ka pilikia o nā complications ka'āina kiʻekiʻe. 'Ē aʻe ka noonoo e lawe ka pilikia, e ike ana ia i huli ole i ka piʻiʻana o nā mea a pau mai he nui loa.

Ina au e hana i ka hana - i ka poʻe uʻi a mea hoʻokahi wale nō kanaka. Naʻe, ina o ka hana ua hoikeia mai, ia mea maikaʻi, e lawe mai, mai ka maikaʻi hoʻokūkū (lethality i hana ka emi o 2 pakeneka) me ka nui loa hoonui ae i ke ano a me ka pono o ke ola.