E aʻo kākou e pili ana i ke kūlana weliweli o ka wai a puni ka puʻuwai (Cardiac Tamponade)

Ua loaʻa anei iā ʻoe kahi ʻeha ʻē i loko o kou umauma, e like me ke kaumaha a i ʻole ke kaomi, a i ʻole ka paʻakikī o ka hanu ʻana? I kekahi manawa, ma hope o kēia mau hōʻailona, ​​aia paha kahi maʻi koʻikoʻi a mākou i ʻike ʻole ai. ʻO ka Cardiac Tamponade kahi pilikia e pono ai ka mālama koke ʻana. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka pololei.

He aha ka Cardiac Tamponade? E hoʻomaopopo maʻalahi kākou.

E noʻonoʻo ʻoe aia ko kākou puʻuwai i loko o kahi ʻeke pale. Kāhea mākou i kēia ʻeke ʻo ka pericardium. He ʻelua papa kona. He wahi liʻiliʻi loa ka wai ma waena o kēia mau papa ʻelua e kōkua i ka puʻuwai e neʻe mālie a maʻalahi i ka wā e paʻi ai.

Hana ʻia ka tamponade puʻuwai ke nui loa ke koko, ka pus, a i ʻole nā ​​​​wai ʻē aʻe e hōʻiliʻili i loko o kēlā ʻeke. A laila, no ka mea ʻaʻohe wahi e hele ai ka wai, hoʻomaka ia e ʻomi a ʻomi i ka puʻuwai.

ʻO kēia kaomi e pale aku ai i nā keʻena o ka puʻuwai mai ka hoʻopiha pono ʻana. Inā ʻaʻole i hoʻopiha pono ʻia ka puʻuwai me ke koko, ʻaʻole hiki iā ia ke pamu i ka nui o ke koko e pono ai ke kino. ʻO ka hopena, hāʻule koke kou koko . I ka hoʻāʻo ʻana e kāohi i kēia kūlana, hoʻomaka ka puʻuwai e kuʻi wikiwiki, ʻoi aku ma mua o 100 mau manawa i kēlā me kēia minuke.

He aha ka ʻokoʻa ma waena o ka pericardial effusion a me ka cardiac tamponade?

Ua lohe paha ʻoe i ka huaʻōlelo Pericardial Effusion . I ka ʻōlelo maʻalahi, ʻo ia ka hōʻiliʻili ʻana o ka wai i loko o ka ʻeke a puni ka puʻuwai a mākou e kapa nei i ka lāʻau lapaʻau ʻo Pericardial Effusion.

Akā e hoʻomanaʻo, ʻaʻole lilo nā Pericardial Effusion āpau i Cardiac Tamponade. E noʻonoʻo i kēia ʻano, hōʻiliʻili mālie kēia wai, i nā mahina. A laila loaʻa i ka ʻeke a puni ka puʻuwai ka manawa e kīkoʻo iki a nui aʻe. No laila, ʻaʻole paha ʻoe e loaʻa i nā hōʻailona nui.

Eia nō naʻe, inā kau kēia wai i hōʻiliʻili ʻia i ke kaomi ma ka puʻuwai, hoʻopilikia i kāna hana , a pale iā ia mai ka pamu ʻana i ke koko pono, a laila ʻo ia ka mea a mākou e kapa nei he cardiac tamponade.

He aha nā hōʻailona o ka Cardiac Tamponade?

Hiki ke hoʻokaʻawale ʻia kēia mau hōʻailona i ʻelua mau māhele ma muli o ke ʻano o ko lākou hiki ʻana mai. ʻO ia hoʻi, hiki ke ʻokoʻa nā hōʻailona ma muli o ka hiki koke ʻana mai o ke kūlana a i ʻole ka ulu mālie ʻana i ka hala ʻana o ka manawa.

He aha ke kumu o kēia kūlana?

Aia kekahi mau kumu o ka tamponade cardiac.

ʻEhaeha

• Ulia: ʻEha i ka umauma mai kahi mea e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana.
• Nā ʻeha o kahi mea kaua ʻoi: Nā ʻeha o ka umauma mai kahi mea e like me ka ʻō ʻana o ka pahi.

Nā kūlana olakino

• Ka ʻoki ʻana o ke aorta .
• Ka maʻi ʻaʻai holomua .
• Maʻi hohola .
• ʻO ka maʻi puʻupuʻu (TB) .
• Nā maʻi a i ʻole ka mumū o ka ʻeke a puni ka puʻuwai.
• ʻO kekahi mau maʻi autoimmune, no ka laʻana, lupus a me ka rheumatoid arthritis .
• Ka maʻi ʻaʻai o ka puʻuwai.
• Ka hemahema o ka puʻuwai a i ʻole nā ​​puʻupaʻa.
• Ka emi ʻana o ka hana o ka thyroid (Hypothyroidism) .

Ma hope o ka mālama ʻana i ke olakino

I kekahi manawa hiki ke hana ʻia kēia ʻano ma ke ʻano he hopena ʻaoʻao o ka lāʻau lapaʻau.

• ʻO ke ʻoki kino ma ka puʻuwai a i ʻole e pili ana i ka puʻuwai.
• Nā kaʻina hana e pili ana i ka catheter .
• Ke hoʻokomo ʻana i kahi mea hana e like me ka pacemaker .
• ʻO ka radiation therapy i ka ʻāpana puʻuwai.

Pehea e ʻike ʻia ai ka Cardiac Tamponade?

Ke hele ʻoe i ka haukapila, e nānā mua ke kauka iā ʻoe.

• Ke nānā nei au i kou wikiwiki o ka naʻau.
• Ana ʻia ke kaomi koko.
• Nānā i ka hanu ʻana.
• Hoʻolohe ʻia ka puʻuwai a me nā māmā me ka stethoscope.
• Nānā lākou no kahi hōʻailona i kapa ʻia ʻo pulsus paradoxus , ʻo ia ka wā e hāʻule ai kou koko i ke ʻano ʻē i kēlā me kēia manawa āu e hanu ai.

ʻO ka Triad a Beck

ʻEkolu mau hiʻohiʻona kikoʻī a nā kauka e hoʻohana ai e ʻike i kēia maʻi. Kāhea mākou iā ia ʻo Beck's triad .

• Ke koko haʻahaʻa (hypotension) .
• Me he mea lā e puʻupuʻu ana nā aʻa koko ma ka ʻāʻī.
• Ke lohe nei i ka puʻuwai o ka naʻau ma kahi mamao loa, haʻahaʻa, i ka wā e hoʻolohe ai me ka stethoscope.

Akā, ʻaʻole i loaʻa kēia mau hōʻailona ʻekolu i kēlā me kēia maʻi.

Nā hoʻokolohua diagnostics

• Echocardiogram (Echo): ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ua like ia me ke scan o ka puʻuwai. Hiki iā ia ke ʻike maopopo i ka nui o ke wai a puni ka puʻuwai a me ke ʻano oʻoleʻa o ka puʻuwai.
• X-ray o ka umauma: He nānā ʻana i ka umauma me ke kiʻi X-ray.
• CT scan: He scan tomography kamepiula.
• Electrocardiogram (EKG): He hoʻāʻo no ka hana uila o ka puʻuwai.
• Catheterization puʻuwai: Ke hoʻokomo ʻana i kahi catheter i loko o ka puʻuwai a me ke ana ʻana i ke kaomi.

Pehea e mālama ʻia ai?

ʻO ka lāʻau lapaʻau nui a koke no kēia, ʻo ia ka wehe ʻana i ke wai i hōʻiliʻili a puni ka puʻuwai .

Hoʻomaʻamaʻa pinepine nā kauka i kahi kaʻina hana i kapa ʻia ʻo pericardiocentesis , ʻo ia hoʻi ke hoʻokomo ʻana i kahi nila i loko o ka ʻeke a puni ka puʻuwai a wehe i ke kahe keu.

Akā i kekahi manawa pono ke ʻoki kino.

• Inā ua kū mai kēia kūlana ma muli o kahi ulia.
• Inā pono ʻoe e hoʻoponopono i nā pohō kūloko.
• Inā ʻaʻole hiki i ka nila ke hiki i kahi i hōʻiliʻili ai ka wai.
• Inā pono ʻoe e wehe i ke ʻeke a puni kou puʻuwai.

Eia kekahi, pono e mālama ʻia ke kumu nui o ka tamponade cardiac. No laila, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha, nā lāʻau antibiotic, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

Hoʻōla hou a me ka mea e hana ai ma hope

E ʻike koke ʻoe i ka hōʻoluʻolu ma hope o ka wehe ʻia ʻana o ke wai keu a puni kou puʻuwai. Inā hōʻiliʻili hou aku ka wai, hiki ke waiho ʻia kahi ʻōmole hoʻokahe wai no hoʻokahi a ʻelua paha lā e hoʻokahe ai.

Ma hope o kou hoʻi ʻana mai ka haukapila mai, he mea nui loa ia e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono . Eia kekahi, e hōʻoia e hele i nā manawa hoʻopaʻa. Hiki i kēia maʻi ke hoʻi hou mai. No laila, he mea nui e hoʻomau i ka nānā ʻana i ke kūlana kumu.