Cutar cututtukan zuciya ta gama gari
Cutar cututtukan zuciya
1. Haihuwa: lahani na haihuwa
2.Baya:
1) Ciwon zuciya
Babban dalili
Mitral stenosis / Mitral rashin iyawa
Aortic senosis / Rashin iyawa
Ragewar mitral
2) Ciwon zuciya wanda ba na rheumatic ba
Kamar tsofaffi na yau da kullun ischemia ;Coronary heart disease myocardial infarction; mummunan rauni; kamuwa da cuta na bawul
Rashin lahani na gargajiya bawul canza layi
- Ƙarfin sarrafawa mai jujjuyawar suturar kanta a kan jingina ba ta zama sifili ba.
- Alkawari yana da ingantattun jagorori da marasa kyau
-Twine ɗin suture cikin sauƙi
- Alkawari yana juyewa cikin sauki
- Alkawari yana da taushi, kuma yana da sauƙi a damfara da lalacewa yayin kulli.Bayan dinki da dunƙule, duka ƙarshen gasket ɗin suna sama kuma ba za a iya ƙarfafa su ba
Sabbin nau'ikan suturar bawul ɗin riga-kafi
● Alƙawari ba tare da shugabanci ba: Babu buƙatar gyara alƙawari na musamman
● Suture ba tare da tagwaye ba
●Mafi dacewa da likitan fiɗa don samun ƙwarewar aiki mafi kyau
●Ya dace don maye gurbin bawul ɗin bugun zuciya kaɗan
Babban tiyata maye gurbin bawul ɗin aortic Takamaiman matakai:
1. Incision da kafa extracorporeal wurare dabam dabam
2. Ciwon ciki .Bayan aikin kewayawa na zuciya, lokacin da yawan zafin jiki ya ragu zuwa 30 ℃, an toshe aorta mai hawa, kuma an shigar da cardioplegia mai sanyi, yayin da aka yi sanyi na zuciya.Bayan da aka kama zuciya, an yi wani ɓarna ko ɓarna aortic, kuma ƙananan ƙarshen ƙaddamarwa ya kasance kusan 1-1.5cm daga buɗewar jijiyoyin jini na dama. An lura da budewa na hagu da dama don tabbatar da buƙatar bawul. maye gurbin cutar bawul na aortic
3. Ana suture layin jan hankali a kowane ɗayan ƙungiyoyi uku na bawul ɗin aortic.
4. Cire bawul An cire lobes guda uku daban, barin 2mm a gefen.Sa'an nan kuma an cire calcified tissue a kan zobe.An auna zoben tare da mitar bawul don tantance adadin bawul ɗin prosthetic
5.Suture An yi amfani da zaren maye gurbin polyester 2-0 don suturar katifa mai tsaka-tsaki daga sama zuwa kasa.Bayan an dinka zobe, yakamata a rarraba layin suture daidai da daidaita tsakanin zobe da bawul ɗin zuciya na wucin gadi.Tsawon allura ya kasance gabaɗaya 2mm
6. dasa Dukan sutures an ɗora su kuma an tura bawul ɗin wucin gadi a ƙarƙashin zoben bawul don tabbatar da sanyawa a wurin kuma cewa bawul ɗin wucin gadi ba ya hana buɗewar jijiyoyin hagu da dama.Sannan aka daure kulli daya bayan daya.Jarabawar karshe ta tabbatar da cewa bubbudin jijiyoyin jini na hagu da dama sun fito fili
7. Wankewa da kyau a zubar da aorta da ventricle na hagu sama da ƙasa da bawul ɗin prosthetic kuma cika aorta da ventricle na hagu da gishiri na yau da kullun.
8.Suturing Yin amfani da 4-0 ko 5-0 polypropylene don suture, Ƙaƙƙarfan aortic guda biyu an yi suture a jere.Ya kamata a yi iska kafin a ƙara ƙarar dinkin.
Aortic bawul maye suture- Polyester, polyester tare da jingina, polypropylene
