If you are assigned to coronary artery bypass surgery , postoperative period and the subtleties of the rehabilitation process should be studied to the smallest detail, so that later to know what to do with the manifestation of certain symptoms. In developed countries, coronary heart disease is a leader among the other states with lethal outcome.
According to medical statistics, it takes a year to 2.5 million lives. More than a third of patients - people of working age. Prediction during CABG depends on several factors:
- clinic level and qualification of doctors performing the operation.
- Features of the procedure, interference technology (autoarterial, autovenous).
- Health of the patient, presence of chronic diseases that complicate the process (myocardial infarction, heart failure, diabetes mellitus).
- Age of the patient, the individual characteristics of the organism.
- Compliance with the recommendations after CABG surgery on the heart, strict adherence to the advice of the attending physician, specialist cardiac surgery department.
- The quality of the recovery period, a set of measures of rehabilitation nature. A combination of medication and psychological methods, well-developed plan for physical activity.
World practice based on specific approaches of regenerative therapy, where activation of undergoing bypass people begins with the first days after surgery.
The duration of rehabilitation after bypass surgery on the heart
The average patient recovery takes 3 to 5 weeks after surgery. drug treatment program is developed individually, taking into account individual patient data. Of great importance is the degree of severity of the condition, the susceptibility to the reception of certain drugs. After the intervention assigned massage, gymnastic exercises. From the first days the patient sits down, gets up and starts to move.
First, the trajectory of its movement is limited to walking around the room, then he goes out into the hallway, each time increasing the distance. As directed by the physician supervising the condition after coronary artery bypass surgery is permitted showering. With a favorable condition seams permission is given a couple of weeks. Increasing the load is accompanied by careful monitoring by a physician. The map indicates the patient's heart rate before, during and after physical activity.
The doctor controls the load based on the patient's condition, especially of the heart muscle. On a par with walking on a flat surface practiced ascents, descents on the stairs. The recovery process may include periods of improvement and deterioration in health. It is normal to be frightened of such a situation is not worth it. The Israeli clinic Assuta performed nursing after coronary artery bypass surgery, when well-trained medical staff monitors the condition of the patient, adjusting a rehabilitation program, if necessary. Patients are always in the area of attention of specialists, do not experience discomfort when performing self-care actions and the implementation of the recovery program.
Emotional background of patients
Many patients experience emotional difficulties in the rehabilitation period. Doctors are sensitive to mood swings, lack of appetite, unwillingness to make an effort to return to the familiar life. These states receive timely correction thanks to the work of experienced psychologists, classes which should be included in a set of measures for rehabilitation.
The first months after the surgery are observed symptoms of pain, leg swelling, cough. Afraid of these states do not need more of them to tell the doctor. The patient is taught to breathe correctly, to perform special exercises for the normalization of the lung, eliminate swelling of tissue. Patients prescribed painkillers, relieving discomfort, a burning sensation in the chest, pain symptoms. The beneficial effect is spa, massage.
In the postoperative period of CABG should wear elastic stockings to reduce the risk of clot formation. From the day of surgery compression bandages and products are used from 2 to 6 weeks, they put on at night. A healthy foot is also bandaged. For the healing of the sternum bone, use a medical corset (brace).
Other components of successful rehabilitation
It is important to comply with dietary restrictions, exclude from the diet of junk food, fast foods, animal fats, sweets, caffeine and alcohol. With excess weight need to reduce the amount of calories. Prohibited large amounts of salt, fried foods. Should adhere to the diet.
The patient should learn self-management skills to measure the post-discharge pulse, blood pressure, observe changes in health. Load after discharge is also recommended by doctors. Therapeutic exercises should ever enter into the life of a person surviving the operation. Return to the sex life is also worth to discuss with your doctor. Here, there is no specific time frame, the conclusions made with the assessment of health status. In most cases, after the operation is allowed to get behind the wheel after 4-5 weeks. The ban imposed on air travel early. Before air travel is better to get the approval of a cardiologist.
Ability to work is reduced at the intellectual work of persons with a sedentary lifestyle within 1.5-2 months. Those whose work involves physical exertion, recovered to return to his duties longer. If return to work is not possible, the patient receives a disability. To do this, pass the relevant committee. Life expectancy after surgery is not limited to a specific timetable. It is important to follow the recommendations of doctors, and care for health. Then perhaps prolong life for decades.