Inhliziyo yomuntu, iphampu engakhathali esebenza buthule, iyinjini yobukhona bethu. Kodwa ngezinye izikhathi, le njini idinga ukulungiswa. Isifo se-artery Coronary (CAD), isimo lapho ukunqwabelana koqweqwe lwawo kuncipha imithambo ehambisa igazi enhliziyweni, kungabangela ubuhlungu besifuba, ukuphelelwa umoya, ngisho nokuhlaselwa yinhliziyo. Uma ukuguqulwa kwemithi nendlela yokuphila kunganele, ukuhlinzwa kwe-bypass kuvela njengesixazululo esingaba khona.
Lesi sihloko sikusiza ukuthi uqonde ukuhlinzwa kwe-bypass, ukuphendula imibuzo yakho mayelana nenjongo yakho, nesidingo, futhi uthole impendulo yombuzo - yimalini ukuhlinzwa kwe-bypass?

Cabanga ngomgwaqo omkhulu ovalekile. Ithrafikhi iyahamba kancane, futhi ukufinyelela lapho uya khona kuba nzima. Ngokufanayo, imithambo yegazi emincane ngenxa yokwakheka kwama-plaque ivimbela ukugeleza kwegazi emisipha yenhliziyo. Ukuhlinzwa kwe-bypass kusebenza njengokuphambuka, kudala umzila omusha wokuba igazi lifinyelele inhliziyo. Abahlinzayo sebenzisa imithambo yegazi enempilo evela kwezinye izingxenye zomzimba, isifuba noma umlenze, ukuze "udlule" imithambo evalekile. Lokhu kugeleza kwegazi okuthuthukisiwe kusiza ekudambiseni izimpawu futhi kunciphisa ingozi yezinkinga zenhliziyo ezizayo.
Ukuhlinzwa kwe-bypass akusona isixazululo esilingana konke. Odokotela bacabangela izici eziningana ngaphambi kokuyincoma. Nakhu abangazuza:
Kubalulekile ukukhumbula ukuthi ukuhlinzwa kwe-bypass kuyindlela enkulu. Odokotela bazohlola ezinye izindlela zokwelapha njengemithi, izinguquko zendlela yokuphila, noma i-angioplasty (inqubo yebhaluni yokuvula imithambo) ngaphambi kokuncoma ukuhlinzwa.
Manje, ake sithole impendulo yombuzo - kubiza malini ukuthola ukuhlinzwa kwe-bypass? Nakuba inani eliqondile linzima ukulikhomba, izindleko zokuhlinzwa zenhliziyo zingasukela noma kuphi ukusuka ku-INR 2,00,000 kanye no-INR 6,00,000. Lesi yisamba esibalulekile, kodwa uma siqhathaniswa nesilinganiso somhlaba wonke, sibiza kancane kakhulu. Kuye ngedolobha, le ntengo izoshintsha futhi. Isibonelo, izindleko zokuhlinza i-bypass e-Hyderabad zizoba ngaphezu kwalezo zedolobha lasemakhaya.
|
imizwa |
Ububanzi Bezindleko (nge-INR) |
|
Izindleko Zokuhlinza Nge-Bypass e-Hyderabad |
Rs. 3,00,000 kuya kumaRs. 5,50,000 |
|
Izindleko Zokuhlinza E-Bypass e-Raipur |
Rs. 2,20,000 kuya kumaRs. 3,50,000 |
|
I-Bypass Surgery Izindleko eBhubaneswar |
Rs. 2,90,000 kuya kumaRs. 5,00,000 |
|
Izindleko Zokuhlinza Nge-Bypass e-Visakhapatnam |
Rs. 2,20,000 kuya kumaRs. 3,80,000 |
|
Izindleko Zokuhlinza Nge-Bypass e-Nagpur |
Rs. 2,50,000 kuya kumaRs. 3,80,000 |
|
Izindleko Zokuhlinzwa Kwe-Bypass e-Indore |
Rs. 2,50,000 kuya kumaRs. 3,80,000 |
|
Izindleko Zokuhlinza Nge-Bypass e-Aurangabad |
Rs. 2,20,000 kuya kumaRs. 4,00,000 |
|
Izindleko Zokuhlinza I-Bypass eNdiya |
Rs. 2,00,000 kuya kumaRs. 6,00,000 |
Nanka amazwibela ezici ezithonya izindleko zokuhlinzwa kwe-bypass:
Kubalulekile ukuqaphela ukuthi izindleko zokuhlinzwa kwenhliziyo azihlanganisi ukuhlolwa kwangaphambi kokuhlinzwa, imithi, noma izimali zokubonisana. Ukwengeza, ezinye izibhedlela zingase zinikeze amadili ephakheji ahlanganisa ukuhlinzwa nokunakekelwa kwangemva kokuhlinzwa, anikeze isakhiwo sezindleko esisobala kakhudlwana.
Nakuba imithi kanye nezinguquko zokuphila zingaphatha i-CAD kwezinye izimo, ukuhlinzwa kwe-bypass kuyadingeka uma:
Khumbula, ukuhlinzwa kwe-bypass kuyisinqumo esikhulu. Kubalulekile ukukala izinzuzo ezingaba khona, njengekhwalithi yempilo ethuthukisiwe kanye nengozi ephansi yezinkinga zenhliziyo, ngokumelene nezingozi ezihlobene nokuhlinzwa. Ukuxoxa ngesimo sakho esithile nodokotela oqeqeshiwe kubalulekile ngaphambi kokwenza ukukhetha.
Njenganoma yikuphi ukuhlinzwa okukhulu, ukuhlinzwa kwe-bypass kunezingozi ezithile. Lokhu kubandakanya:
Ukuxhumana okuvulekile nodokotela wakho mayelana nomlando wakho wezokwelapha kanye nanoma yikuphi ukukhathazeka onakho mayelana nezingozi kubalulekile ngaphambi kokuqhubeka nokuhlinzwa kwe-bypass.
Ukuhlinzwa kwe-bypass kungaba ukungenelela okusindisa ukuphila kwabantu abane-CAD enzima. Ukuqonda injongo, izinzuzo ezingaba khona, kanye nezingozi ezihlobene nakho kukuvumela ukuba wenze izinqumo ezinolwazi ngempilo yakho.
Nakuba izindleko zokuhlinzwa kwe-bypass e-India zingakhathaza, izwe linikeza inketho engabizi kakhulu uma kuqhathaniswa nezinye izifunda. Kodwa-ke, kubalulekile ukubeka phambili ukunakekelwa kwekhwalithi phezu kokukhathazeka ngokuthi zingakanani izindleko zokuhlinzwa kwe-bypass kuphela. Ukucwaninga izibhedlela ezihlonishwayo ezinodokotela abahlinzayo abanolwazi kanye nezakhiwo zamanani asobala kubalulekile.
Khumbula, ukuhlinzwa okuphumelelayo kwe-bypass kungathuthukisa kakhulu izinga lakho lokuphila futhi kunciphise ingozi yezinkinga zenhliziyo zesikhathi esizayo. Ngokusebenzisana eduze nodokotela wakho, ukuqonda izinketho zakho, futhi ucabange ngokucophelela izindleko ezihilelekile, ungenza isinqumo esingcono mayelana nempilo yenhliziyo yakho futhi uvule indlela yekusasa eliqhakazile.
Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.
Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.
Isikhathi sokuhlinzwa kwe-bypass singahluka kuye ngobunkimbinkimbi becala. Ngokujwayelekile, isukela emahoreni ama-2 kuye kwangama-4. Lokhu akubandakanyi ukulungiselela ngaphambi kokuhlinzwa kanye nesikhathi sokululama ngemva kokuhlinzwa egunjini labagula kakhulu.
Akunakuphikwa ukuthi noma yikuphi ukuhlinzwa kunengozi ethile. Nokho, intuthuko kwezobuchwepheshe bezokwelapha nezindlela zokuhlinza ikuthuthukise kakhulu ukuphepha kokuhlinzwa kwe-bypass. Ukuhlola okuphelele kwangaphambi kokuhlinzwa okwenziwa udokotela wakho kunciphisa izingozi futhi kuqinisekise ukuthi ungumuntu olungele inqubo.
Iminyaka yobudala ayiyona into enqumayo ngokuhlinzwa kwe-bypass. Sekukonke impilo, ubunzima bokuvinjwa, nezinye izimo zezempilo zidlala indima ebaluleke kakhulu. Uma une-CAD futhi uthathwa njengokufanele ukuhlinzwa, iminyaka akufanele ibe isithiyo ekutholeni ukwelashwa okudingayo.
Kokubili ama-stents kanye nokuhlinzwa kwe-bypass kuyindlela ephumelelayo yokwelapha imithambo evalekile, kodwa kufeza izinjongo ezihlukene. Ama-stents amashubhu amancane afakwe ukuze avule umthambo ovalekile. Zisebenza kahle ekuvinjweni okukodwa noma okufushane. Ngakolunye uhlangothi, ukuhlinzwa kwe-bypass kudala indlela entsha yokugeleza kwegazi ngokuxhunyelelwa imithambo enempilo evela kwezinye izingxenye zomzimba. Ngenkathi ama-stents enikeza indlela engathandeki, ukuhlinzwa kwe-bypass kunikeza isisombululo esihlala isikhathi eside sokuvinjwa okubanzi. Udokotela wakho uzophakamisa inketho efanelekile kakhulu ngokusekelwe esimweni sakho esithile.
Izici ezithile zingenza ukuhlinzwa kwe-bypass kungafaneleki. Lezi zihlanganisa ezinzima isifo samaphaphu, isifo sikashukela esingalawulwa, ukwehluleka kwenhliziyo okuphawulekayo, noma ezinye izimo zempilo ezimbi kakhulu. Udokotela wakho uzohlola lezi zici futhi axoxe ngezinye izindlela zokwelapha uma kunesidingo.
Ngeshwa, ayikho indlela ethembekile yokuxilonga ukuvinjelwa kwenhliziyo ekhaya. Izimpawu ezifana nokuphelelwa umoya, ubuhlungu besifuba, noma ukukhathala kungaba izinkomba ze-CAD, kodwa zingabangelwa ezinye izimo. Ukubonana nodokotela kubalulekile ukuze uthole ukuxilongwa okunembile. Bazokwenza izivivinyo ezifana nokuhlolwa kokucindezeleka, ama-angiogram, noma ama-CT scans ukuze bahlole ubucayi bokuvimbeka futhi batuse inkambo engcono kakhulu yokwelapha.