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SHEPHERDING CAN EVEN BE DONE AFTER SUCCESSFUL BYPASS

PROF. DR. HÜSEYİN OKUTAN

6 weeks after coronary bypass surgery, if the patient does not have a problem with wound healing, he can return to his routine life. After the recovery process, he can even do heavy work such as construction work, shepherd and factory work. Head of Department of Cardiovascular Surgery, Medical Park Antalya Heart Hospital. Dr. Hüseyin Okutan; He gave the following information about how daily life should be after coronary bypass surgery: * No matter what age it is encountered, a person who has undergone coronary bypass surgery may have to make some changes in his daily life. The 6-week early period after surgery is the boiling process of the sternum, called the 'sternum' and known to the public as the 'board of faith'. * In this period, it is not recommended to lie on your side, lift a heavy load and exercise heavily so as not to put a heavy load on the breastbone. It would be correct to call this period the recovery period after coronary bypass surgery and preparation for life after surgery. If there is no specific, mandatory condition during this period, we do not follow a heavy diet. We recommend walking as an exercise. * If the patient does not have any problem in wound healing, 6 weeks after coronary bypass surgery, his routine life before surgery can be started. During this period, it is necessary to make different recommendations for each patient. First of all, the patient's heart functions, that is, the power of contraction, should be taken into consideration. This is a lucky situation if the heart's contraction functions have been operated without impairment. There is no need to limit exercise in these patients. STRENGTHENING THE HEART IS IMPORTANT * Heavy exercise is not recommended if there is a decrease in contraction power or if the entire problem cannot be corrected by surgery. For this reason, a patient who has surgery should ask the doctor if his condition causes a deterioration in heart function. * Another question is if he has a heavy job, he should ask if he can continue this job or if he can exercise hard. To explain this subject with an example; In a patient whose heart contraction is not impaired, when all the narrowed or blocked vessels are bypassed, after the healing process, patients can even do heavy work such as construction work, shepherd, factory work. DOCTOR'S APPROVAL REQUIRED * If the heart attack suffered a significant damage to the pumping power of the heart, these patients are not allowed to do such professions. Briefly, postoperative occupational practices are related to how much the patients' heart functions are protected and how much it can be corrected with the surgery performed. DIFFICULT HEALING OF UNEXPECTED PATIENTS * The heavy burden of everyday life styles in modern life has increased the risk of coronary heart disease. It is correct to divide the patients who should have coronary bypass surgery into two groups. The first group of patients are patients who have cardiac angioma due to their complaints and who underwent coronary bypass surgery. This group of patients has time to choose the center where they will be operated, and therefore the physician they will be operated on. * The second group of patients are those who are admitted to the hospital with a sudden heart attack and have an emergency intervention. When coronary bypass surgery is recommended after cardiac angiography for these patients, the patient and family have a more limited time to think and decide. Preparing the patient and family for surgery, being aware of the process; It is very important for the patient to return to his former life after surgery. Sex life does not end after bypass Contrary to popular belief, sex life does not end after this operation. There is no problem for male and female patients to return to their preoperative sexual life after this 6-week period. If there is a newly developing erection problem, there is no harm in getting help from urology doctors and using medication due to this complaint. Sexual reluctance is more common in female patients and psychological support is sufficient for treatment. The patient should be prepared psychologically. Ideally; In both patient groups, the physician spends sufficient time for the patient to explain his situation and to answer his questions, if any. A patient with this chance would be better psychologically prepared for the operation. In addition, it should be clarified about when the patient can walk in the post-operative period, whether there will be a restriction in physical activity, and whether there will be a change in lifestyle. Absolutely checked twice a year The operation of the patient whose surgery is recommended may vary from a few hours to a few days. This period; This time must be used correctly, as it is different for each patient. Patients who do not have any additional problems are carried out within the first 24 hours after surgery and begin to be fed orally. Often the patient is taken to the room from the intensive care unit within a day or two. Patients who are able to move are discharged home on the 5th day. Olive oil and fish Patients who are not at ideal weight should not use tail fat or margarine. Prevent them from using olive oil and eating fish.