{"id":259,"date":"2020-07-22T18:12:55","date_gmt":"2020-07-22T17:12:55","guid":{"rendered":"https:\/\/www.kardiohirurgija.rs\/edukacija\/"},"modified":"2020-08-19T23:03:05","modified_gmt":"2020-08-19T22:03:05","slug":"education","status":"publish","type":"page","link":"https:\/\/www.kardiohirurgija.rs\/en\/education\/","title":{"rendered":"Education"},"content":{"rendered":"

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PREPARE FOR SURGERY<\/h2><\/div><\/div>[vc_column_text]Cardiac surgery is an essential and sometimes inevitable step in your life. The best results and quality of life afterward are achieved if elective heart surgery is done on time because one of its most important goals is to prevent further heart dysfunction. In unstable or emergency cases, of course, life-saving is of paramount importance. You should accept forthcoming surgery only as a job that for the best of your well being. Such an approach will help you to be mentally and physically prepared for the operation and to build and grow most than needed positive attitude.<\/p>\n

Your heart surgeon will provide you a list of necessary tests and exams to do preoperatively. Please stop smoking as soon as possible and leave it not just for the surgery but for a lifetime. If you have lung function impairment or smoking history, two weeks of pre-op respiratory physiotherapy will ease your breathing afterward. Dentist clearance for valve surgery patients to exclude root or gum infection, in particular, is necessary for cardiac surgery departments. Only mind physical activity is allowed preoperatively.[\/vc_column_text]

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SURGERY<\/h2><\/div><\/div>[vc_single_image image=”347″ img_size=”large”][vc_column_text]You will receive some sedation before entering the operating room. That will calm you and make anxiety to disappear. Please listen to what the operative room staff will tell you. Some i.v. lines will be placed as well as other OR setting. You will breathe oxygen through a face mask, and slightly fall asleep once the anesthesiologist gives you anesthetics.[\/vc_column_text][vc_single_image image=”348″ img_size=”large”][vc_column_text]Cardiac operation is demanding procedures and lasts from 3 to 6 hours, or even more depending on the surgery. Your family should not be upset if you stay in OR more than predicted, which is generally quite common. A surgeon is going to inform your close ones about your condition once you arrive in ICU.[\/vc_column_text]
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INTENSIVE CARE UNIT<\/h2><\/div><\/div>[vc_column_text]You will wake up in ICU during the day, sometimes till the morning, depending on your surgery and your condition. You will also realize the presence of a plastic tube coming out of your mouth, a tube tube for lung ventilation. Be relaxed because the doctor will remove it as soon as possible once you are fully awake and capable of breathing yourself.<\/p>\n

Some chest pain is normal after the surgery, and ask for painkillers to relieve it. A urine catheter placed during the operation will still be in your urethra. Tubes for chest drainage will be removed while in ICU.[\/vc_column_text][vc_single_image image=”349″ img_size=”large”][vc_column_text]ICU stay after the heart surgery is between 24 to 48 hours, or even longer depending on your condition[\/vc_column_text]

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FLOOR UNIT<\/h2><\/div><\/div>[vc_column_text]Your condition is improving while in the floor unit. A nurse will help you get out of bed for the first time after the surgery.\u00a0\u00a0 Always take a seat for a while before standing up to avoid dizziness and falling.[\/vc_column_text][vc_single_image image=”350″ img_size=”large”][vc_column_text]Number check-ups like ECG, x-rays, and blood tests will be done during ward stay. Try to sleep on your back if operated through a median sternotomy. If operated by video-assisted or other minimally invasive heart surgery, sleeping on your side is allowed.[\/vc_column_text]
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ODLAZAK KU\u0106I<\/h2><\/div><\/div>[vc_single_image image=”351″ img_size=”large”][vc_column_text]Sa daljim oporavkom bli\u017ei se i dan va\u0161eg odlaska iz bolnice. Bolovi \u0107e polako prestati. Osta\u0107e slabi – tupi bolovi koji mogu potrajati mesec do dva. Takodje mo\u017eete ose\u0107ati utrnulost leve strane grudnog ko\u0161a ukoliko vam je radjen bypass. To je posledica kori\u0161\u0107ena mamarne arterije za bypass, i polako \u0107e prestati. Povremeno mo\u017eete imati ne\u0161to povi\u0161enu temperaturu. To je uglavnom bezazlena temperatura koja nestane do otpusta.<\/p>\n

Do odlaska ku\u0107i uradi\u0107e se nekoliko analiza krvi, rentgenskih snimaka plu\u0107a i ultrazvuk srca. Bi\u0107ete otpu\u0161teni stabilnog zdravstvenog stanja, bez temeprature, sposobni da se sami opslu\u017eujete. Rane moraju da budu suve i uredne na otpustu.\u00a0 Otpust se predvidja od 7 do 10-og postoperativnog dana. Bolesnic operisani endoskopskim putem opu\u0161taju se ranije. Konci ostaju u rani na otpustu. Skidaju se 10 do 14 dana nakon operacije u mestu stanovanja ili lokalnoj hirur\u0161koj ambulanti.<\/p>\n

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Transport do ku\u0107e bi trebalo da bude organizovan od strane slu\u017ebe hitne pomo\u0107i i bolnice. Kola hitne pomo\u0107i nisu neophodna za prevoz do ku\u0107e za sve bolesnike. Ukoliko imate mogu\u0107nost sopstvenog prevoza kolima obavestite na vreme bolni\u010dko osoblje. Nemojte odlaziti iz bolnice bez pratnje.<\/p>\n

Na izlasku iz bolnice dobi\u0107ete otpusno pismo u kome \u0107e biti detaljno opisana va\u0161a bolest, operacija i postoperativni tok sa svim daljim uputstvima. Takodje \u0107e biti prepisani i potrebni lekovi. Dozu za taj dan \u0107ete dobiti od bolnice, nakon \u010dega trebate sami da nabavite lekove kod va\u0161eg lekara op\u0161te prekse.<\/p>\n

Po dolasku ku\u0107i pona\u0161ajte se u skladu sa svojim sposobnostima. Nemojte previ\u0161e le\u017eati, ali ni previ\u0161e se forsirati. Jedite normalno u skladu sa dijetetskim re\u017eimom sa za sr\u010dane bolesnike koji uglavnom predvidja hranu sa manje soli, sa manje \u017eivotinjskih masti. Ishrana treba da bude oboga\u0107ena maslinovim uljem, morskom ribom, vo\u0107em i povr\u0107em. Bolesnici na antikoalgulantnoj terapiji (ve\u0161ta\u010dki zalisci, atrijalna fibrilacija i sl.) ne bi trebalo da uzimaju previ\u0161e zeleni\u0161a i morske ribe jer to mo\u017ee smanjiti vrednmosti INR-a.\u00a0 Nemojte pu\u0161iti. Alkohol se generalno ne preporu\u010duje, ali minimalne doze ne bi trebale da vam \u0161kode. Sa seksualnom aktivnosti nastavite za otprilike dva meseca.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

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