Koj puas tau muaj mob txawv txawv hauv koj lub hauv siab, xws li hnov qhov hnyav lossis siab, lossis ua pa nyuaj? Qee zaum, tom qab cov tsos mob no, tej zaum yuav muaj mob hnyav uas peb tsis paub. Cardiac Tamponade yog qhov xwm txheej ceev heev uas xav tau kev kho mob tam sim ntawd. Cia peb tham txog qhov no yooj yim thiab meej.
Cardiac Tamponade yog dab tsi? Cia peb nkag siab yooj yim.
Xav txog tias peb lub siab nyob hauv ib lub hnab tiv thaiv. Peb hu lub hnab no ua pericardium. Nws muaj ob txheej. Muaj cov kua me me ntawm ob txheej no los pab lub plawv txav mus zoo thiab yooj yim thaum nws dhia.
Qhov mob plawv txhaws tshwm sim thaum muaj ntshav, kua qaub, lossis lwm yam kua ntau dhau hauv lub hnab ntawd. Tom qab ntawd, vim tias cov kua ntawd tsis muaj qhov chaw mus, nws pib nias thiab nias lub plawv.
Qhov kev siab no ua rau cov chav ntawm lub plawv tsis puv zoo. Yog tias lub plawv tsis puv ntshav zoo, nws yuav tsis tuaj yeem nqus cov ntshav uas lub cev xav tau. Yog li ntawd, koj cov ntshav siab yuav poob qis tam sim ntawd . Hauv kev sim tswj qhov mob no, lub plawv pib dhia sai dua, ntau dua 100 zaug hauv ib feeb.
Qhov no yog ib qho xwm txheej ceev heev thiab muaj peev xwm ua rau tuag taus, yog li kev kho mob tam sim ntawd yog qhov tseem ceeb.
Qhov txawv ntawm Pericardial Effusion thiab Cardiac Tamponade yog dab tsi?
Tej zaum koj twb tau hnov lo lus Pericardial Effusion . Hais yooj yim xwb, nws yog qhov sib sau ua ke ntawm cov kua dej hauv lub hnab ncig lub plawv uas peb hu ua Pericardial Effusion hauv kev kho mob.
Tiam sis nco ntsoov, tsis yog txhua qhov Pericardial Effusion dhau los ua Cardiac Tamponade. Xav txog nws li no, cov kua dej no maj mam tsim, dhau ntau lub hlis. Tom qab ntawd lub hnab nyob ib puag ncig lub plawv muaj sijhawm ncab me ntsis thiab loj dua. Yog li koj yuav tsis muaj cov tsos mob loj.
Txawm li cas los xij, yog tias cov kua dej no ua rau lub plawv muaj zog, cuam tshuam nws txoj haujlwm , thiab tiv thaiv nws kom tsis txhob nqus ntshav kom raug, ces qhov ntawd yog qhov peb hu ua cardiac tamponade.
Cov tsos mob ntawm Cardiac Tamponade yog dab tsi?
Cov tsos mob no muaj ob pawg raws li lawv tshwm sim li cas. Yog li ntawd, cov tsos mob yuav txawv nyob ntawm seb qhov mob tshwm sim tam sim ntawd lossis loj hlob qeeb qeeb raws sijhawm.
| Cov tsos mob | Xav paub ntxiv |
|---|---|
| Cov tsos mob uas tshwm sim thaum tus mob tshwm sim sai sai | |
| Mob hauv siab ntse | Qhov mob no yuav kis mus rau thaj chaw xws li caj npab, nraub qaum, caj dab, lossis xub pwg. Qhov mob yuav nce ntxiv thaum ua pa tob tob, pw hauv av, lossis hnoos. |
| Ua pa nyuaj los yog ua pa sai | Zoo li koj ua tsis taus pa. |
| Tsis nco qab, kiv taub hau | Nws tuaj yeem tshwm sim los ntawm lub hlwb tsis tau txais cov pa oxygen thiab cov ntshav tsim nyog. |
| Kev hloov xim ntawm daim tawv nqaij | Tawv nqaij yuav daj ntseg, xim grey, los yog xiav. |
| Kev mob plawv dhia | Lub plawv dhia hauv ib txoj kev uas zoo li nws tus kheej. |
| Lub siab tsis meej pem | Qhia tus cwj pwm ntxhov siab, tsis coj tus cwj pwm li qub. |
| Cov tsos mob uas maj mam tshwm sim raws sijhawm | |
| Ua tsis taus pa | Ua pa nyuaj, tshwj xeeb tshaj yog thaum nkees. |
| O ntawm lub plab lossis ob txhais ceg | Vim yog kev sib sau ua ke ntawm cov kua dej hauv lub cev. |
| Kev qaug zog thiab kev qaug zog | Qaug zog ntau dhau los ntawm kev tsis tau txais cov ntshav txaus rau lub cev. |
| Mob hauv siab | Qhov kev tsis xis nyob no yuav txo qis thaum koj khoov koj lub cev mus tom ntej lossis zaum. |
Dab tsi ua rau muaj qhov xwm txheej no?
Muaj ntau yam ua rau lub plawv tamponade.
Kev raug mob
- Kev Raug Mob: Kev raug mob rau hauv siab los ntawm qee yam zoo li kev sib tsoo tsheb lossis kev poob.
- Kev raug mob los ntawm riam phom ntse: Kev raug mob hauv siab los ntawm ib yam dab tsi zoo li riam chạy.
Cov mob nkeeg
- Kev txiav tawm ntawm lub plawv (aorta) .
- Mob qog noj ntshav siab heev .
- Mob plawv nres .
- Kab mob ntsws (TB) .
- Kev kis kab mob lossis o ntawm lub hnab nyob ib puag ncig lub plawv.
- Qee cov kab mob autoimmune, piv txwv li, lupus thiab rheumatoid arthritis .
- Mob qog noj ntshav ntawm lub plawv.
- Lub plawv lossis lub raum tsis ua haujlwm.
- Kev ua haujlwm ntawm cov thyroid qis dua (Hypothyroidism) .
Tom qab kev kho mob
Qee zaum qhov mob no kuj tuaj yeem tshwm sim ua ib qho kev phiv ntawm kev kho mob.
- Phais rau ntawm lossis cuam tshuam nrog lub plawv.
- Cov txheej txheem siv catheter .
- Kev cog ib lub cuab yeej xws li lub pacemaker .
- Kev kho mob hluav taws xob rau thaj chaw plawv.
Yuav kuaj mob plawv tamponade li cas?
Thaum koj mus rau tsev kho mob, tus kws kho mob yuav kuaj koj ua ntej.
- Kuv tab tom saib koj lub plawv dhia.
- Ntshav siab ntsuas tau.
- Tshawb xyuas kev ua pa.
- Lub plawv thiab lub ntsws raug mloog nrog lub stethoscope.
- Lawv kuaj xyuas seb puas muaj ib qho tsos mob hu ua pulsus paradoxus , uas yog thaum koj cov ntshav siab poob qis tsis zoo txhua zaus koj ua pa.
Beck lub Triad
Muaj peb yam tshwj xeeb uas cov kws kho mob siv los kuaj mob no. Peb hu ua Beck's triad .
- Ntshav siab qis (hypotension) .
- Cov leeg ntawm lub caj dab zoo li o.
- Hnov lub plawv dhia deb heev, qis qis, thaum mloog nrog lub stethoscope.
Tiamsis peb yam tsos mob no tsis tshwm sim rau txhua tus neeg mob.
Kev kuaj mob
- Echocardiogram (Echo): Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Nws zoo li kev luam theej lub plawv. Nws tuaj yeem pom tseeb tias muaj pes tsawg cov kua dej nyob ib puag ncig lub plawv thiab lub plawv tawv npaum li cas.
- Kev Siv X-ray Hauv Siab: Kev kuaj X-ray ntawm lub hauv siab.
- CT scan: Kev luam theej duab computerized tomography.
- Electrocardiogram (EKG): Kev ntsuam xyuas kev ua haujlwm hluav taws xob ntawm lub plawv.
- Kev ntxig catheter rau hauv lub plawv: Muab ib lub catheter ntxig rau hauv lub plawv thiab ntsuas qhov siab.
Yuav kho li cas?
Qhov kev kho mob tseem ceeb thiab tam sim ntawd rau qhov no yog tshem tawm cov kua dej uas tau sib sau ua ke nyob ib puag ncig lub plawv .
Cov kws kho mob feem ntau ua ib qho txheej txheem hu ua pericardiocentesis , uas yog ntxig ib rab koob rau hauv lub hnab ncig lub plawv thiab tshem tawm cov kua dej ntau dhau.
Tiam sis qee zaum kev phais mob yog qhov tsim nyog.
- Yog tias qhov xwm txheej no tau tshwm sim vim muaj xwm txheej.
- Yog tias koj xav tau kho qhov puas tsuaj sab hauv.
- Yog tias rab koob tsis tuaj yeem mus txog thaj chaw uas cov kua dej tau sib sau ua ke.
- Yog tias koj xav tau tshem lub hnab uas nyob ib puag ncig koj lub siab.
Hauv cov xwm txheej hnyav heev, piv txwv li thaum lub plawv yuav nres, yuav muaj kev phais thoracotomy, txawm tias nyob hauv Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) .
Tsis tas li ntawd xwb, qhov ua rau lub plawv dhia tsis taus kuj yuav tsum tau kho. Yog li ntawd, koj yuav tau txais tshuaj tua kab mob, tshuaj tua kab mob, lossis lwm yam tshuaj.
Kev rov qab los thiab yuav ua li cas tom ntej
Koj yuav hnov zoo tam sim ntawd tom qab cov kua dej ntxiv nyob ib puag ncig koj lub plawv raug tshem tawm. Yog tias muaj ntau cov kua dej sib sau ua ke, koj yuav tsum tso ib lub raj xa dej rau ib lossis ob hnub kom nws ntws tawm.
Tom qab koj mus tsev los ntawm tsev kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj uas koj tus kws kho mob tau sau tseg raws sijhawm . Tsis tas li ntawd, nco ntsoov mus ntsib kws kho mob tom qab. Qhov mob no tuaj yeem rov tshwm sim dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas qhov mob tseem ceeb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev txhaws ntawm lub plawv yog ib qho xwm txheej ceev uas ua rau tuag taus uas cov kua dej sib sau ua ke nyob ib puag ncig lub plawv, ua rau nws raug kaw.
- Yog koj muaj cov tsos mob xws li mob hauv siab heev, ua pa nyuaj, kiv taub hau, lossis tsis nco qab, tsis txhob tsis quav ntsej lawv. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Txoj kev kho mob tseem ceeb rau qhov no yog siv koob los yog phais kom tshem cov kua dej ntxiv nyob ib puag ncig lub plawv.
- Yuav kom tiv thaiv tau qhov mob no kom tsis txhob rov tshwm sim dua, nws yog ib qho tseem ceeb uas yuav tsum kho qhov mob tseem ceeb kom zoo.
- Txawm tias koj tawm hauv tsev kho mob lawm los, ua raws li koj tus kws kho mob cov lus qhia raws nraim li lawv tau muab. Mus rau cov chaw kho mob raws li hnub teem tseg.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus