Ukwelashwa kwe-Coronary Artery Bypass Graft (CABG)

Imithi yokwelashwa yaseCoronary Artery Bypass Graft (CABG) phesheya

Isifo semithambo yegazi (CAD) ngesinye sezimo zesifo senhliziyo esivame kakhulu futhi kwenzeka lapho i-cholesterol nezinye izinto zakha ezindongeni zemithambo, zinciphisa umthambo futhi zinciphise ukuhanjiswa kwegazi okuya enhliziyweni. Lokhu kuholela ezinhlungwini zesifuba futhi ezimweni ezimbi kakhulu kushaywe unhlangothi, okungalimaza ikhwalithi yempilo yesiguli noma kube nemiphumela emibi kakhulu. Enye indlela yokwelapha lesi simo ukuhlinzeka ngegazi indlela entsha yokufinyelela eziko. Umthambo weCoronary udlula ukuhlinzekwa ngokuxhunyelelwa (okubizwa nangokuthi yi-CABG), uqukethe ukususwa kwesitsha segazi esingavela esifubeni, emilenzeni noma ezingalweni zesiguli, bese sibekwa ngokulandelayo ezindaweni ezinciphile ukuze kudlule umthambo ovinjiwe futhi uqinisekise ukugeleza kwegazi eziko.

Lokhu kungenelela kubhekwa njengezinto ezithatha indawo ephelele njengoba kungezona ukuphela kwezindlela eziletha igazi nomoya-mpilo kulezo zicubu, ngakho-ke zingafakwa lapho kudingeka khona. Ngaphambi kokwenza i-CABG, udokotela uzothatha igazi eliningi nokunye ukuhlola ukubona ukuthi umzimba wesiguli unamandla anele yini ukubhekana nokuhlinzwa. Iziguli ezinomlando wokopha nowokuvala igazi bezingafanele ukusebenza. Inqubo yenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi iqala ngokusikwa esifubeni ukuze kufinyeleleke ku-sternum, ngemuva kwalokhu, i-sternum iyasikwa futhi iveze inhliziyo. I- i-aorta (umthambo omkhulu) uyaxinwa ukuze kuqinisekiswe ukuthi indawo ayinalo igazi nokuthi isiguli asophi kakhulu.

Udokotela ohlinzayo uzobe esesusa ukufakelwa endaweni anqume ukuthi ifaneleke - isikhathi esiningi umthambo we-saphenous emlenzeni - bese unamathisela okuxhunywe ezindongeni ze-aorta nasemithanjeni yodonga lwesifuba. Ngale ndlela, igazi lingadlula ukuvinjelwa futhi ligeleze liye e-aorta nasendaweni yeziko. Konke ukuhlinzwa kuthatha cishe amahora ama-4, kepha kungahlala ngaphezulu uma kudingeka ama-grafting amaningi, kuma-facs kungenzeka.

Ngingakutholaphi iCoronary Artery Bypass Graft Surgery (CAGB) phesheya?

I-Coronary Artery Bypass Graft Surgery (CAGB) emitholampilo nasezibhedlela eNdiya, eCoronary Artery Bypass Graft Surgery (CAGB) emitholampilo nasezibhedlela eJalimane, eCoronary Artery Bypass Graft Surgery (CAGB) emitholampilo nasezibhedlela eTurkey, eCuraryary Artery Bypass Graft Surgery (CAGB) emitholampilo nasezibhedlela eThailand, Ukuthola eminye imininingwane, funda Umhlahlandlela Wezindleko zeCoronary Artery Bypass Graft Surgery (CABG).,

Izindleko Zokuhlinzwa Kwe-Coronary Artery Bypass Graft (CABG) emhlabeni jikelele

# Izwe Izindleko ezilinganiselwe Izindleko zokuqala Izindleko eziphakeme kakhulu
1 India $6800 $6000 $7600
2 INingizimu Korea $40000 $40000 $40000

Yini ethinta izindleko zokugcina zeCoronary Artery Bypass Graft (CABG) Surgery?

Kunezici eziningi ezingathinta izindleko

  • Izinhlobo Zokuhlinzwa ezenziwe
  • Okuhlangenwe nakho kukadokotela ohlinzayo
  • Ukukhethwa kwesibhedlela nobuchwepheshe
  • Izindleko zokuvuselela ngemuva kokuhlinzwa
  • Ukutholakala Kwomshuwalense kungathinta izindleko zomuntu eziphuma ephaketheni

Thola Ukubonisana kwamahhala

Izibhedlela zeCoronary Artery Bypass Graft (CABG) Ukuhlinzwa

Chofoza lapha

Mayelana nokuhlinzwa kweCoronary Artery Bypass Graft (CABG)

Umthambo weCoronary udlula ukuhlinzwa ngokuxhunyelelwa kwenziwa ukwelapha isifo semithambo yenhliziyo, ngokususa imithambo evalekile nemithambo yegazi ethathwe kwezinye izindawo zomzimba. Isifo semithambo yeCoronary (CAD), senzeka lapho kunenqwaba yamafutha emithanjeni ye-coronary, evimbela imithambo yegazi ekujikelezeni ngokwanele umoya-mpilo oya enhliziyweni. Iziguli eziphethwe yisifo semithambo yegazi zizozwa ubuhlungu besifuba, ukuphefumula okuncane, ukungajwayelekile esigqini senhliziyo, ukushaya kwenhliziyo, nokukhathala. Izigaba zokuqala zalesi sifo kungenzeka zingakhombisi zimpawu, noma kunjalo, uma nje izimpawu seziqala ukukhombisa futhi lesi sifo siqhubeka, iziguli kufanele zihlinzwe ngokuhlwanyelwa ngamathambo ukuze kuvinjelwe isifo senhliziyo.

Odokotela abahlinzayo bangashintsha imithambo yenhliziyo eminingi kokuhlinzwa okukodwa. Kunconyelwe Iziguli ezinama-blockages emthanjeni we-coronary Izidingo zesikhathi Inani lezinsuku esibhedlela 1 - 2 amasonto Isilinganiso sobude bokuhlala phesheya 4 - 6 amasonto. Ngemuva kokuhlinzwa kweCABG, udokotela kufanele aqinisekise ukuthi isimo sesiguli sizinzile ngaphambi kokuba baye ekhaya. Inani lohambo lwaphesheya oludingekayo 1. Isikhathi ongasebenzi ngaso amasonto ayisithupha kuya kwayi-6. Ukuhlinzwa kokudlula kweCoronary kuthuthukisa ukugeleza kwegazi kuye enhliziyweni futhi kulaphe isifo senhliziyo. Izidingo zesikhathi Inani lezinsuku esibhedlela 12 - 1 amasonto Isilinganiso sobude bokuhlala phesheya 2 - 4 amasonto.

Ngemuva kokuhlinzwa kweCABG, udokotela kufanele aqinisekise ukuthi isimo sesiguli sizinzile ngaphambi kokuba baye ekhaya. Inani lohambo lwaphesheya oludingekayo 1. Isikhathi ongasebenzi ngaso amasonto ayisithupha kuya kwayi-6. Izidingo zesikhathi Inani lezinsuku esibhedlela 12 - 1 amasonto Isilinganiso sobude bokuhlala phesheya 2 - 4 amasonto. Ngemuva kokuhlinzwa kweCABG, udokotela kufanele aqinisekise ukuthi isimo sesiguli sizinzile ngaphambi kokuba baye ekhaya. Inani lohambo lwaphesheya oludingekayo 6. Isikhathi ongasebenzi ngaso amasonto ayisithupha kuya kwayi-1. Ukuhlinzwa kokudlula kweCoronary kuthuthukisa ukugeleza kwegazi kuye enhliziyweni futhi kulaphe isifo senhliziyo.,

Ngaphambi Kwenqubo / Ukwelashwa

Ngaphambi kokuhlinzwa, udokotela uzokwenza izivivinyo ezahlukahlukene ukuthola ukuthi mangaki ama-grafti adingekayo nokuthi isiphi isiza esifanele ukuvunwa kuso. Iziguli ezinezimo eziyinkimbinkimbi zingazuza ngokufuna umbono wesibili ngaphambi kokuqala uhlelo lokwelashwa.

Umbono wesibili usho ukuthi omunye udokotela, imvamisa uchwepheshe onolwazi oluningi, uzobuyekeza umlando wesiguli, izimpawu, ukuskena, imiphumela yokuhlolwa, nolunye ulwazi olubalulekile, ukuze ahlinzeke ngohlelo lokuxilongwa nokwelashwa. Lapho bebuzwa, ama-45% ezakhamizi zase-US abathole umbono wesibili bathi bane-diagnostic ehlukile, ukubikezela, noma uhlelo lokwelashwa. 

Kwenziwe kanjani?

Kuyasikwa endaweni yokuxhunyelelwa, imvamisa ingalo noma umlenze, nemithambo yegazi ithathwa kuleyo ndawo. Kusike kusikwe phakathi kwesifuba bese kuhlukaniswa ithambo lesifuba livulwe. Isiguli bese sifakwa emshinini odlula eceleni, okubandakanya ukufaka amashubhu enhliziyweni, ukuvumela inhliziyo imiswe nomshini wokumpompa igazi. Ama-grafti abese enamathiselwa ngenhla nangaphansi komthambo we-coronary ovinjelwe, futhi uthungelwe endaweni yawo.

Iziguli zingadinga ukufakelwa kwe-coronary umthambo owodwa, ophindwe kabili, ophindwe kathathu noma ophindwe kane, okusho ukuthi kunegraft elingaphezu kwelilodwa elingadinga ukufakwa. Lapho sekuhlanganisiwe ukufakwa endaweni efanele, kususwa amashubhu enhliziyweni, kususwe umshini odlula eceleni, bese inhliziyo iqalwa phansi ukuze ikwazi ukuqhubeka nomsebenzi wayo. Umgogodla wesifuba bese ubuyiselwa emuva futhi uvikeleke ngokuwuthunga ndawonye nezintambo ezincane bese isikhumba esifubeni sibuye sithungwe kanye nama-sutures. Amashubhu okuhambisa amanzi angafakwa esifubeni ukuze asize ukukhipha uketshezi futhi indawo bese igqokwa ngamabhandeshi.

Izinzwa; Ukubulala izinzwa okuvamile. Isikhathi sokwenza inqubo Ukuhlinzwa kweCoronary Artery Bypass Graft (CABG) kuthatha amahora amathathu kuye kwayisithupha. Imithambo yegazi ithathwa endaweni yokuxhunyelelwa futhi ifakwe kumthambo we-coronary ukubuyisela ukugeleza kwegazi emithanjeni evalekile.,

Lokubuyisela

Inqubo yokunakekelwa kweposi Iziguli zivamise ukuchitha isikhathi esifushane sokululama egumbini labagula kakhulu (i-ICU) ngaphambi kokuyiswa egumbini lokwelashwa elijwayelekile isonto elilodwa kuya kwelesibili. Ngemuva kokuphuma esibhedlela, iziguli kufanele zilindele ukuthatha izinto kalula emasontweni ambalwa okuqala.

Iziguli zizodinga ukuthatha amaviki ayisithupha kuya kwayishumi nambili emsebenzini ngesikhathi senqubo yokutakula. Ukungakhululeki okungenzeka Okungenzeka ukuthi ubuthakathaka, ukukhathala, ukungaphatheki kahle, nobuhlungu konke kulindeleke.

Izibhedlela ezi-10 eziphezulu zokuhlinzwa kweCoronary Artery Bypass Graft (CABG)

Okulandelayo yizibhedlela eziyi-10 ezihamba phambili zokuhlinza iCoronary Artery Bypass Graft (CABG) emhlabeni:

# Isibhedlela Izwe imizwa Inani
1 I-Fortis Escorts Heart Institute India New Delhi ---    
2 Isibhedlela iThainakarin Thailand Bangkok ---    
3 IMedipol Mega University Hospital igalikuni Istanbul ---    
4 Isikhungo Sezokwelapha saseSt Philippines IQuezon City ---    
5 I-Rockland Hospital, iManesar, iGurgaon India I-Gurgaon ---    
6 Isibhedlela saseNanoori INingizimu Korea Seoul ---    
7 Isibhedlela iGalenia Mexico Cancun ---    
8 Isikhungo Sezokwelapha iDaegu Catholic University INingizimu Korea Daegu ---    
9 I-Apollo Specialty Hospital, i-OMR India Chennai ---    
10 Isikhungo Sezokwelapha saseBellevue Lebanon Beirut ---    

Odokotela abaphambili be-Coronary Artery Bypass Graft (CABG) Surgery

Okulandelayo odokotela abaphambili beCoronary Artery Bypass Graft (CABG) Surgery emhlabeni:

# DOKOTELA EZIKHETHEKILE ISIBHEDLELA
1 UDkt Nandkishore Kapadia I-Cardiothoracic Surgeon Kokilaben Dhirubhai Amban...
2 UDkt Girinath MR I-Cardiothoracic Surgeon I-Apollo Hospital Chennai
3 UDkt Sandeep Attawar I-Cardiothoracic Surgeon Isibhedlela iMetro kanye nenhliziyo...
4 UDkt Subhash Chandra I-cardiologist I-BLK-MAX Super Specialty H...
5 UDkt Sushant Srivastava Ukuhlinzwa Kwe-Cardiothoracic ne-Vascular (CTVS) I-BLK-MAX Super Specialty H...
6 UDkt BL Agarwal I-cardiologist I-Jaypee Hospital
7 UDkt Dillip Kumar Mishra I-Cardiothoracic Surgeon I-Apollo Hospital Chennai
8 UDkt Saurabh juneja I-cardiologist I-Fortis Hospital, Noida

imibuzo ejwayelekile ukubuzwa

Ngemuva kokuhlinzwa, kungadingeka ukuthi uhlale e-Intensive Care Unit (ICU) okungenani izinsuku ezi-2 ukugwema izinkinga. Ngemuva kwalokho, uhlelo lokuvuselela inhliziyo luzoqala ngudokotela ukuqapha ukusebenza kwenhliziyo. Izinsuku ezingama-4-5, ukuzivocavoca kanye nokudla kuzobhekwa ngenqubo yokutakula. Uma kungekho izinkinga, ungabuyela ekhaya ngemuva kwesonto.

Inqubo yokutakula imvamisa idinga isikhathi samaviki ayi-10-12 ngempilo enempilo nokunakekelwa okukhulu. Ngemuva kwalesi sikhathi, ungaqala kabusha imisebenzi yakho ejwayelekile yomsebenzi, ukuzivocavoca kanye nokuhamba.

ICoronary Artery Bypass Surgery impela ukuhlinzwa okuguqula impilo. Kuyisixazululo ezinkingeni zenhliziyo zakho ezikhona. Ngaphambi kokuyohlinzwa, qiniseka ukuthi udokotela wakho ulihlolisise kahle icala lakho futhi kwenziwa lonke uvivinyo oludingekayo. Ungadinga umuntu ozokusiza ngenkathi uhlala esibhedlela noma ngisho nasekhaya ngemuva kokuhlinzwa. Ngomusa yenza amalungiselelo wezinto zakho siqu nezinto. Futhi, gwema ukuphuza utshwala emasontweni ngaphambi kosuku lokuhlinzwa. Kubalulekile futhi ukuzilungiselela ngokwengqondo nomndeni wakho ngalesi simo.

Imvamisa ukuhlinzwa kwesibili akudingeki. Noma kwenzeka ezinye izinkinga, udokotela wakho ohlinzayo uzozama ukuzinciphisa ngemithi. Sekukonke, izimpawu ziyancipha ngemuva kokuhlinzwa, zinika amandla impilo ejwayelekile kule minyaka eyi-10-15 ezayo. Uma kwenzeka, ukuvimba kwenzeka futhi, kungenziwa okunye ukudlula noma i-angioplasty.

Ukuhlinzwa nge-Bypass kwenziwa ngenhliziyo evulekile, futhi ngenxa yalokho kuyinkimbinkimbi. Ngenkathi ukuhlinzwa okuningi kunengozi ephansi yokuthola izinkinga, izingozi ezimbalwa okungenzeka ukuthi iziguli zivezwe ukufaka: Izifo zesilonda sesifuba Izinkinga zokopha Ukuhlaselwa yinhliziyo Ukulahleka kwenkumbulo.

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