Owesifazane oneminyaka engu-85 ulethwa emnyangweni wezimo eziphuthumayo e-Indraprastha Apollo Hospitals ngamalungu omndeni wakhe onezinhlungu ezinzima zesifuba ezithatha isigamu sehora futhi ziphuma ehlombe langakwesokunxele. Ubeselashelwa umfutho wegazi ophezulu kanye nesifo sikashukela iminyaka engu-15. Ithimba lomnyango wezimo eziphuthumayo esibhedlela i-Indraprastha Apollo lihlola isiguli futhi linikeze ukunakekelwa okuyisisekelo okusindisa ukuphila. I-ECG yesiguli yabonisa izinguquko ezisikisela ukuhlaselwa yinhliziyo. Isiguli sibe sesihlolwa nguDokotela Wenhliziyo esibhedlela i-Indraprastha Apollo. Isiguli kutholakala ukuthi sinesifo senhliziyo. Udokotela wenhliziyo wenza i-angiogram esigulini ukuze ahlole imithambo yegazi ehlinzeka ngenhliziyo. I-angiogram yabonisa ukuthi imithambo emithathu ephakela inhliziyo yayivalekile. Ithimba le-Cardiothoracic Surgery libe selibandakanyeka ekunakekeleni isiguli. Isiguli sithathwa ukuze kutholwe inqubo ye-Coronary Artery Bypass Graft (CABG). Ithimba lezinhlaka eziningi okuhlanganisa Odokotela Abahlinza I-Cardiothoracic, Odokotela Benhliziyo, Odokotela Ababulala Izinzwa kanye nabahlengikazi Benhliziyo benza ukuhlinzwa okuthatha amahora ama-4. Phakathi nokuhlinzwa, ingxenye yomthambo yakhishwa emlenzeni wesiguli futhi yasetshenziselwa ukudlula imikhumbi evinjiwe enhliziyweni. Ngemva kokuhlinzwa, isiguli sasiqashwe ophikweni lweCardiac Post-Anaesthesia. Ngemva kwalokho isiguli sithuthelwa egunjini elivamile lewadi egunjini lenhliziyo futhi sikhishwe ngemva kwezinsuku eziyi-10 ngemva kokuhlinzwa. Azikho izinkinga phakathi nenkathi yangemva kokuhlinzwa.
Ngenyanga elandelayo, isalukazi esineminyaka engu-80 sangeniswa ngezikhalazo ezifanayo e-Indraprastha Apollo Hospitals. Welashwa nge-CABG futhi wadedelwa ngaphandle kwezinkinga.
Imisipha yenhliziyo ihlinzekwa yimithambo yegazi eminingana. Le mikhumbi ingaba mincane noma ivinjwe amafutha. Izizathu eziyinhloko zihlanganisa ukubhema, ukukhuluphala, umfutho wegazi ophakeme, isifo sikashukela, i-cholesterol ephezulu egazini, nokungawuvivinyi umzimba njalo. Ukuvaleka kwale mikhumbi kubangela ukulimala kwemisipha yenhliziyo futhi lesi simo sibizwa ngokuthi isifo se-coronary artery noma i-CAD. Ukusabalala kwesifo se-coronary artery kukhula ngokuya ngeminyaka. Asebekhulile bathambekele kakhulu ekuvinjweni kwemikhumbi eminingi kanye nomthambo omkhulu wesokunxele.
Ngemva kweminyaka engu-80, ukuxilonga nokwelapha i-CAD kuba nzima. Iziguli eziningi zingase zingakhonondi ngobuhlungu besifuba futhi zingase zibe nokuhlaselwa buthule. Ezigulini esezikhulile, i-ECG imvamisa ikhombisa ukungajwayelekile ngisho nalapho uphumule. Ukuqashelwa ngokushesha kwesimo kanye nokwelashwa kwezokwelapha kuyadingeka. I-CABG iyinqubo eyenziwayo ukuze kubuyiselwe igazi lenhliziyo. Lena inqubo yenhliziyo evulekile eyenziwa emahoreni angu-3 -4 ngaphansi kwe-anesthesia ejwayelekile. Inhloso eyinhloko ye-CABG ukuvimbela ukumelwa yinhliziyo okuqhubekayo nokufa kwesiguli ngokuzumayo ngokuqondisa kabusha ukugeleza kwegazi enhliziyweni. Kulokhu kuhlinzwa ukugeleza kwegazi emisipheni yenhliziyo kubuyiselwa ngokuxhunyelelwa. Ama-graft ayizingxenye zemithambo ekhishwa kwezinye izingxenye zomzimba futhi ixhunywe emithanjeni evinjiwe enhliziyweni. Ama-graft ngokuvamile athathwa yi-Saphenous vein kanye ne-mammary yangaphakathi eshiywe. I-Saphenous vein ikhishwa emlenzeni. Umthambo wangaphakathi we-mammary umthambo okhona ngemuva kwe-sternum. Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ukhipha umthambo okufanele usetshenziswe njenge-graft. Ngesikhathi esifanayo, isifuba sibuye sivulwe ukuze siveze inhliziyo. Lapho inhliziyo isivuliwe, inhliziyo iyamiswa futhi isiguli sixhunywe emshinini wokudlula inhliziyo namaphaphu. Khona-ke ama-graft ahlukaniswa ngama-bypasses angu-4 kuya kwangu-5, umkhawulo owodwa we-graft uboshwe ngaphezu kokuvinjelwa futhi omunye umkhawulo uboshwe ngaphansi kokuvinjelwa. Phakathi nesigaba sokululama, isiguli siyelulekwa ukuthi siphumule futhi sishintshe indlela yokuphila njengokulawula ukudla.
Isifo senhliziyo siyimbangela yokuqala yokufa emazweni asentshonalanga. Izigameko zeCAD ziyanda emhlabeni wonke ezigulini esezikhulile. Kubantu asebekhulile, i-CABG iyinqubo enzima. Izehlakalo zokuhluleka kwenhliziyo ngemva kokuhlinzwa nazo ziphezulu. Ezifundweni zasentshonalanga, amazinga okusinda kweminyaka eyi-8 ayengama-53%.
Sonke isiguli esingeniswe ezibhedlela ze-Apollo esinesifo se-coronary artery ekuqaleni siphathwa ngokwelashwa kwezokwelapha kanye nokungenelela okuyisisekelo kwe-percutaneous. Kodwa-ke, izinqubo ze-revascularization ezifana ne-coronary artery bypass grafting (CABG) noma i-percutaneous coronary intervention (PCI) yenziwa uma iphoqelekile. Ukwengeza, odokotela abahlinza i-Cardiothoracic base-Apollo Hospitals nabo benza i-off-pump CABG noma ukuhlinzwa kwenhliziyo eshayayo. Lokhu ukuhlinzwa okungavamisile okuncane okubandakanya ukusika okuncane. Kwasebekhulile kungabangela ukululama ngokushesha. Isibhedlela sase-Apollo siphinde sibe nethimba elikhethekile labahlengikazi benhliziyo abazinikele esigulini ngesikhathi nangemuva kokuhlinzwa. Baqapha ukunakekelwa kwenxeba, ubuhlungu besifuba, ukushaya kwenhliziyo nokushintsha kwezinga lokushisa.
I-CABG iyinqubo eyingozi ezigulini esezikhulile. Kulesi simo samanje, sikwazile ukusindisa impilo yesiguli ngenxa yokuxilongwa nokuphathwa ngokushesha. Iziguli esezikhulile zilulama ngokugcwele ngemva kokuhlinzwa futhi zidedelwa ngaphandle kwezinkinga ezengeziwe. Ukuhlolwa kokulandelela kuzo zombili lezi zimo ezingenhla kubonise ukusebenza okuvamile kwenhliziyo. Iziguli zikwazile ukuqhubeka nemisebenzi evamile.
Morning 
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