Koj puas tau hnov txog cov kua dej puv nkaus hauv lub plawv? Nws zoo li ntshai me ntsis, puas yog? Qhov mob no yeej muaj peev xwm ua rau muaj kev phom sij heev rau qee lub sijhawm. Tab sis tsis txhob txhawj, muaj kev kho mob tshwj xeeb uas tuaj yeem cawm tau ib tug neeg txoj sia nyob rau hauv cov xwm txheej zoo li no. Ntawd yog kev kho mob uas peb yuav tham txog hnub no.
Pericardiocentesis yog dab tsi? Cia peb nkag siab yooj yim
Kev kuaj plawv (pericardiocentesis) yog ib txoj kev kho mob uas tshem cov kua dej ntau dhau ntawm lub hnab uas nyob ib puag ncig koj lub plawv (hu ua pericardium hauv kev kho mob). Qhov no yog ib txoj kev kho mob tseem ceeb heev, vim tias hom kua dej no qee zaum ua rau lub plawv nres.
Xav txog tias peb lub plawv nyob hauv ib lub hnab tiv thaiv. Feem ntau muaj me ntsis kua dej hauv lub hnab no los pab lub plawv txav thiab dhia. Qhov ntawd tsis yog teeb meem. Tab sis yog tias muaj qee qhov laj thawj uas cov kua dej no nce ntau dhau, peb hu nws ua Pericardial Effusion .
Qhov dej nce ntxiv no zoo li muab koj lub siab tso rau hauv lub pob dej thiab muab dej ntau ntxiv rau hauv lub pob. Maj mam, lub plawv poob nws lub peev xwm dhia, thiab lub plawv yuav txhaws.
Qhov kev txhaws no yog qhov txaus ntshai tshaj plaws. Peb hu qhov no ua Cardiac Tamponade . Qhov no yog xwm txheej ceev hauv kev kho mob. Vim tias nws tuaj yeem ua rau lub plawv tsis ua haujlwm, thiab kev tuag tuaj yeem tshwm sim hauv ob peb teev lossis txawm tias feeb.
Yog li ntawd, hauv kev kho mob Pericardiocentesis, ib rab koob nyias nyias raug ntxig rau hauv lub hauv siab, rau hauv lub hnab ncig lub plawv, thiab cov kua dej ntau dhau raug tshem tawm. Qee zaum yuav muaj ib lub raj tso rau kom tshem tawm qee cov kua dej.
Leej twg xav tau kev kho mob no? Yog vim li cas?
Muaj ntau yam ua rau cov kua dej hauv lub plawv sib sau ua ke li no. Nov yog qee qhov laj thawj tseem ceeb uas yuav tsum tau kho qhov no.
| Vim li cas | Kev piav qhia |
|---|---|
| Mob qog noj ntshav | Tshwj xeeb tshaj yog cov mob qog noj ntshav hnyav thiab mob qog noj ntshav plawv. |
| Mob plawv nres | Hauv cov xwm txheej zoo li thaum phab ntsa ntawm lub plawv tawg vim yog mob plawv nres. |
| Kev kis kab mob | Kev kis kab mob ntawm lub hnab nyob ib puag ncig lub plawv vim yog mob ntsws (tuberculosis), kab mob bacterial lossis viral (xws li COVID-19, HIV). |
| Cov kab mob ntawm lub cev tiv thaiv kab mob | Cov kab mob xws li Lupus thiab Rheumatoid Arthritis. |
| Lwm yam mob nkeeg | Lub plawv lossis lub raum tsis ua haujlwm, hypothyroidism. |
| Lwm yam laj thawj | Qee cov tshuaj, kev kho mob hluav taws xob, lossis qee zaum tsis muaj qhov ua rau. |
Ua ntej kev kho mob muaj dab tsi tshwm sim?
Nyob ntawm seb qhov no puas yog xwm txheej ceev lossis tsis yog, cov txheej txheem npaj yuav txawv me ntsis. Yog tias nws tsis yog xwm txheej ceev, koj tus kws kho mob yuav muab ib hnub thiab lub sijhawm rau koj. Feem ntau, koj yuav raug hais kom tsum tsis txhob noj thiab haus 8 teev ua ntej txoj kev kho mob.
Cia peb saib qee yam uas feem ntau ua ua ntej kev kho mob.
- Ntxig ib txoj kab IV: Ib lub raj me me (txoj kab IV) raug ntxig rau hauv koj cov leeg ntshav kom cov khoom xws li saline lossis tshuaj tuaj yeem muab tau.
- Kev npaj daim tawv nqaij: Yuav muab rab koob tso rau hauv daim tawv nqaij kom raug txiav thiab ntxuav kom huv si nrog cov tshuaj tua kab mob. Qhov no yog ua kom tsis txhob muaj kev kis kab mob.
- Kev soj ntsuam cov cim tseem ceeb: Yuav muaj cov sensors txuas nrog los saib xyuas koj cov ntshav siab, ua pa, lub plawv dhia, thiab cov pa oxygen . Koj kuj tseem yuav txuas nrog ECG (electrocardiogram) los saib xyuas kev ua haujlwm hluav taws xob ntawm koj lub plawv.
- Kev muab pa oxygen: Yog tias tsim nyog, yuav muab pa oxygen los ntawm ib lub raj me me uas muab tso rau hauv lub qhov ntswg.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Kev kho mob no yog ua los ntawm ib pab kws kho mob, kws tu mob, thiab lwm cov kws tshaj lij.
Siv cov thev naus laus zis los pab txhawb kev thaij duab
Ua ntej muab koob txhaj tshuaj, tus kws kho mob siv cov thev naus laus zis thaij duab.Tus kws kho mob siv ib rab koob los nrhiav qhov chaw tseeb ntawm cov kua dej nyob ib puag ncig lub plawv. Feem ntau siv ultrasound (echocardiogram) rau qhov no. Qhov no yog siv los txiav txim siab qhov chaw nyab xeeb thiab yooj yim tshaj plaws los ntxig rab koob. Qhov no txo qhov kev pheej hmoo ntawm kev puas tsuaj rau lub plawv lossis lwm yam kabmob.
Yuav ua li cas ntxig lub koob
Tshwj tsis yog tias yog xwm txheej ceev, yuav muaj tshuaj loog hauv zos txhaj rau hauv qhov chaw uas koob txhaj tshuaj. Yog li koj yuav tsis hnov mob dab tsi. Tej zaum koj yuav hnov me ntsis kev nyem.
Muaj ntau qhov chaw uas koj siv tau koob txhaj. Qhov chaw uas feem ntau siv yog nyob hauv qab pob txha nruab nrab ntawm lub hauv siab (sternum). Los ntawm qhov ntawd, nws yooj yim nkag mus rau hauv lub hnab uas nyob ib puag ncig lub plawv.
Thaum twg muab koob txhaj tshuaj ntsaws rau hauv lub hnab lawm, tus kws kho mob mam li siv lub koob txhaj tshuaj maj mam rub cov kua tawm. Feem ntau yuav siv sijhawm li 10-20 feeb. Yog tias muaj kua ntau, yuav muab ib lub raj me me (catheter) ntsaws rau hauv kom nws ntws tawm ib lossis ob hnub.
Tom qab ua tiav txoj haujlwm lawm, tshem lub koob lossis lub raj thiab muab ib daim plaster me me los npog thaj chaw ntawd.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Cov neeg kho mob yuav saib xyuas koj zoo tom qab kho tas.
- Kev kuaj kua: Cov kua uas tau rho tawm lawm yuav raug xa mus rau chav kuaj mob kom paub seb yog vim li cas cov kua thiaj li sib sau ua ke.
- Rov luam theej dua: Yuav muaj kev luam theej duab ultrasound (echocardiogram) dua kom pom tias cov kua dej hauv lub cev puas tau raug tshem tawm tag nrho.
- Kev Rov Zoo: Lawv yuav hais kom koj so li ntawm 12-24 teev. Koj yuav pib zoo dua tom qab tshem cov kua dej tawm lawm.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Cov txiaj ntsig
- Yuav cawm tau txoj sia: Qhov no yog kev kho mob cawm txoj sia thaum muaj xwm txheej ceev xws li Cardiac Tamponade.
- Qhov ua rau mob yuav nrhiav tau: Los ntawm kev kuaj xyuas cov kua dej, yuav nrhiav tau qhov ua rau mob. Qhov no tseem ceeb heev rau kev kho mob yav tom ntej.
- Sai thiab yooj yim: Qhov no sai dua li kev phais loj. Vim tias tsis muaj qhov phais loj, lub sijhawm rov zoo yuav luv dua.
Kev Pheej Hmoo
Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo. Tab sis nco ntsoov, cov kev pheej hmoo no tsawg heev vim tias siv cov thev naus laus zis xws li ultrasound .
- Kev puas tsuaj rau cov kabmob ze xws li lub plawv, lub ntsws, lossis lub siab los ntawm lub plhaub (qhov no tsis tshua muaj).
- Arrhythmia tshwm sim thaum lub plawv lub zog hluav taws xob raug cuam tshuam.
- Kev kis kab mob ntawm qhov chaw ntxig koob.
- Kev puas tsuaj rau cov hlab ntsha loj.
Tiam sis piv rau qhov kev puas tsuaj uas yuav tshwm sim yog tias tsis tau txais kev kho mob no, cov kev pheej hmoo no me me xwb. Koj tus kws kho mob yuav ntsuas tag nrho cov yam no thiab txiav txim siab seb qhov twg zoo tshaj plaws rau koj.
Thaum twg yuav tsum nrhiav kev pab kho mob dua
Yog tias koj muaj cov tsos mob tom qab rov qab los tsev tom qab kho mob tas, koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob tam sim ntawd .
| Cov tsos mob uas xav tau kev saib xyuas tam sim ntawd | |
|---|---|
| Cov tsos mob ntawm lub plawv tamponade | |
| |
| Cov tsos mob ntawm kev kis kab mob (Sepsis) | |
|
Kev kho mob no puas mob?
Koj yuav tsis hnov mob vim tias koob txhaj tshuaj muaj tshuaj loog. Tej zaum koj yuav hnov me ntsis nias thaum koob nkag mus rau hauv, tab sis nws tsis mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais plawv pericardiocentesis yog ib qho kev kho mob uas qee zaum cawm tau txoj sia uas tshem tawm cov kua dej tsis xav tau uas sib sau ua ke nyob ib puag ncig lub plawv.
- Qhov kev sib sau ua ke ntawm cov kua dej (pericardial effusion) no tuaj yeem ua rau lub plawv tamponade, uas yog qhov xwm txheej ceev.
- Kev kho mob no muaj kev nyab xeeb heev vim tias nws ua tiav los ntawm kev siv tshuab xws li ultrasound .
- Yog tias koj muaj cov tsos mob xws li mob hauv siab, ua pa nyuaj, lossis kub taub hau tom qab kho mob , mus ntsib kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob.
- Yog koj muaj lus nug txog kev kho mob no, tsis txhob yig nug koj tus kws kho mob.
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