Reconstruction of the heart
The most valuable thing a man can have - is the heart and soul. And if the healing of the soul can help a lot: from religion to books for the proper operation of the heart surgeons are responsible. In this feature, we look to you to AlmatySemaHospital and go with the patient all the difficult stage of heart surgery.
Warning! Fasting is not for impressionable.
Zhamaldin Bolush in search of the best surgeons arrived from Kyrgyzstan: "At home, I was looking for good doctors, but my cardiologist suggested to be treated in this clinic." Extract from history Zhamaldin: "Coronary heart disease Angina three-vessel coronary artery disease, comorbid diagnoses:... Type II diabetes mellitus, severe course Decompensation chronically obstructive pulmonary disease.."
- Heart problems I started because of prolonged smoking (I have experience of 30 years). In 2008 came the first pain in the heart, in that year, the first time I had a heart attack, and the second was this summer. In Bishkek revealed lesions 3 main blood vessels of the heart, it is urgently recommended to be operated. In addition, I have four years of diabetes ...
On the day of surgery preparation process begins at 8 am
The wife helps Zhamaldinov change into a special form
Prayer before the patient takes a bit of excitement and relatives
Tansel Turkoglu - experienced cardiovascular surgeon, backed by 15 years of working in prestigious Turkish hospitals. Working in Turkey, he spent 800 similar transactions per year. Since the spring of this year Tansel works in Almaty
In just a few minutes before Zhamaldin taken away for surgery, he quietly about something talking with his wife
Zamir: ". All in the hands of Allah on him only, and we hope ..."
The doctor in charge of a hospital, explains the close of the patient where it is sent, and about when they will be able to see him again
Heart surgery requires preparation vysokoprofessionnalnoy Anesthesiologists
When applying anesthesia administered drugs, relaxing all muscles of the body, including those responsible for respiratory activity
After you install the breathing tube is connected ventilator. Anesthesiologist Feruz Babashov presses the mask-to-face for better oxygen saturation light
After connecting the systems of artificial respiration Feruz checks lung function in a patient
For administration of drugs used during surgery large vessels
There is a puncture of the jugular vein for the subsequent injection solutions
Operating room nurse is waiting for the completion of anaesthesiologists to start processing the surgical field and the patient. Around it all sterile, touch the table, the nurse and the instruments are strictly prohibited. If this rule has been broken, it would have to postpone the operation for a new sterilization
The tools used in cardiac surgery
nurse holding a tray with a solution of iodine
The operating field must be sterile in order to avoid festering wounds after surgery
The legs are processed for subsequent capture of vessels
After the surgical field is processed, go beyond a certain limit in addition to the operating surgeon and nurses strictly prohibited
The first step begins nurse Yasemin Selcuk. It should take saphenous veins from the legs to replace the blood vessels in the heart. At Yasemin behind 12 years of experience in cardiac surgery, because of the great experience of the surgeon trust her responsible operating stages
At that time, a heart surgeon Tansel Turkoglu coronary angiography looks into another room to refine the places vascular transplantation
When everything is ready, he goes into the operating room. Wash hands with a special solution, then handles liquid having a high alcohol content
He puts on sterile gown and sterile gloves. The operation can begin!
First retractor opened the chest and sternum
During the operation, in vessels of the heart flows the blood with a solution, suspend contraction of the heart
Heart-Lung Machine in operation. It enters the blood from the vena cava, saturated with oxygen and fed into the aorta for circulation through the body
The device plays the role of the heart and lungs of the patient at the time of surgery
The perfusionist controls the hemodynamic parameters during cardiopulmonary bypass, it is responsible for maintaining the level of gases in the blood and metabolic products
Registering a full cardiac arrest on the ECG
The apparatus for reducing the temperature of blood, since blood oxygenation occurs at low temperatures
Yasemin has almost finished its work
Veins in the legs are superficially under the skin and deep into the muscle. In step uses surface vessels. Subsequently blood flow through vessels deep
The surgeon prepares a place for suturing blood vessels in the heart
Measured length of the vessel. It is important that it was the right size, so that when the motion of the heart was not damaged or vascular stretching
The vessel was sutured over the site of narrowing of the coronary artery
When using microsurgical instruments and materials are used on vessels. Threads subsequently dissolve when the vessel is fully accustomed to the new location
Anesthesiologists watched for operation. It is important to introduce the drug in certain stages
The patient is sleeping soundly. Stable condition. During surgery, the eyes are closed, so as not to dry the cornea (which could then cause such diseases as keratitis), since in some patients during anesthesia eyelids reveals little
The clinic has a special air cleaning system: entering the operating room, the air passes through the filter and comes already clean. Subsequently, before the air is fed into the street, he again is cleaned to prevent possible spread of infections
Work on the vessels requires microsurgical precision, every millimeter counts and glasses with surgical loupes - need during surgery
surgeon's work is finished, it is removed, trusting the last stage of the operation Yasemin
- Today we had a classical operation with cardiac arrest and connecting heart-lung machine, - says the surgeon during his vacation. - We also make operation on a beating heart. Such operations have become used recently. Usually, we use them in one vessel bypass surgery, but in July, for example, we had a bypass 4 vessels on the beating heart. After these operations, the rehabilitation period decreases, the risk of complications. On the Internet there is a video with the minimally invasive access to the heart in an intercostal space
After each surgery a young surgeon Nurali asks questions that have arisen in the operation. In Turkey, the assistants after 6 years of study at the university for 5 years specialize in a narrow direction. To gain access to the operating room, an intern for one year only oversees the management of patients in the ICU, and then take it to assist in operations
are counting napkins in the operating room. This might sound a joke if it were not sad cases where the patient's body left swipe and tools
After making sure that everything is in place, Yasemin starts suturing the sternum
The skin was sutured cosmetic suture, thread subsequently resorbed
The total blood loss during surgery is on average 400 ml
The duration of the operation for 1 hour and 54 minutes
After removing clothing, Tansel goes to the patient's relatives to inform on the successful operation produced
While the surgeon is talking to relatives in the operating area continue to operate. Nurse delivers the tools used in the operation to the processing and sterilization. At this time, the clinic is able to produce 3-heart operations within days
the patient is ready for transfer to the intensive care unit
Shifting the patient from the operating table. It is very important to do it carefully, because all the muscles of the patient relaxed. It is counted "one-two-three" ..
... and the patient carefully transferred to a special bed to move
Resuscitation room is adjacent to the operating room, it has everything you need for an emergency first aid. The main clinic staff worked in hospitals in Turkey. Their main task - to provide quality health care and training of Kazakhstani specialists, for onward transmission to the clinic in good hands
Drainage tube installed in the pleural cavity, the pericardial cavity for accumulating liquid outflow in the first day after surgery
Switch monitor surveillance
The doctor controls the main vital signs
After surgery, the patient is sleeping 6-8 hours before it transferred to an independent breathing apparatus without
Waiting for the result of a complex operation exhausted all. In those few hours with relatives have time to relax
At six o'clock in the evening relatives already dress in a special form to visit the intensive care unit
The patient is prepared to receive visitors
Brother glad to see Zhamaldin in perfect health
Wife barely holding back tears
The patient should be within days in the intensive care unit for monitoring the state in the early postoperative period. Today he had a hard day ...
Exactly a week later. Zhamaldin already in the normal ward and will soon be ready to be discharged
pressure measurement in the chamber takes place every half hour
The main problem after the operation - long restoration of full pulmonary function. If the patient has smoked for many years, the recovery process is lengthened
- After the operation was all right, everything is fine ...- broken voice repeats Zhamaldin. - Changes are felt immediately, before surgery even the simple movement caused my rapid heartbeat, I felt tired, my heart was working erratically, and now nothing disturbs sleep well, walk normally. There is pain, but this is just the healing of wounds. All doctors who work here, thank you very much!