Yu dɔn ɛva gɛt wan strenj pen na yu chɛst, lɛk we yu fil se yu de fil ebi ɔ yu de prɛs, ɔ yu nɔ ebul fɔ blo? Sɔmtɛm, biɛn dɛn sik ya, wan siriɔs mɛrɛsin kin de wae wi nɔr kin no. Cardiac Tamponade na dis kayn imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. Lɛ wi tɔk bɔt dis simpul wan ɛn kɔrɛkt wan.
Wetin na Kadiak Tamponade? Lɛ wi ɔndastand am simpul wan.
Imajin se wi at de insay wan sak we de protɛkt wi. Wi kin kɔl dis sak di pɔrikardiɔm. I gɛt tu layers. sכ m sכm wata de bitwin dεn tu layεr dεm ya fכ εp di at fכ muv fayn fayn wan εn izi we i de bit.
Cardiac tamponade kin apin we tumɔs blɔd, pus, ɔ ɔda wata kin gɛda insay da sak de. Dɔn, bikɔs di wata nɔ gɛt say fɔ go, i kin bigin fɔ kɔmprɛs ɛn swɛt di at.
dis prεshכn de mek di chεmba dεm na di at nכ de fulכp fayn fayn wan. If di at nɔ ful-ɔp wit blɔd fayn, i nɔ go ebul fɔ pɔmp di blɔd we di bɔdi nid. Dis kin mek yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm . Fɔ tray fɔ kɔntrol dis sik, di at kin bigin fɔ bit fast fast, pas 100 tɛm insay wan minit.
Dis na mɛdikal imejensi we rili denja ɛn we kin mek pɔsin in layf de pan denja, so i impɔtant fɔ gɛt tritmɛnt wantɛm wantɛm.
Wetin na di difrɛns bitwin Pericardial Effusion ɛn Cardiac Tamponade?
Yu go dɔn yɛri di wɔd Pericardial Effusion . Fɔ tɔk am simpul wan, na di wata we de gɛda insay di sak rawnd di at we wi kin kɔl Pɛrikardial Ɛfyushɔn pan mɛrɛsin.
Bɔt mɛmba se nɔto ɔl Pɛrikardial Ɛfyushɔn kin bi Kadiak Tamponade. Tink bɔt am dis we, dis wata kin bɔku smɔl smɔl, fɔ sɔm mɔnt. Dɔn di sak we de rawnd di at kin gɛt tɛm fɔ strɛch smɔl ɛn big. So yu nɔ go gɛt ɛni big big sayn.
Bɔt if dis wata we dɔn gɛda de put prɛshɔn pan di at, ambɔg di wok we i de du , ɛn mek i nɔ de pamp blɔd fayn fayn wan, dat min se na dat wi kin kɔl kadyak tamponade.
Wetin na di sayn dɛm fɔ Cardiac Tamponade?
Dɛn kin sheb dɛn sik ya to tu kategori bay aw dɛn kin apin. Dat min se, de sik kin difrɛn difrɛn wan fɔ no if de sik kin apin wantɛm wantɛm ɔr kin kam smɔl smɔl as tɛm de go.
| Di sayn we de sho se di sik de | Mɔ infɔmeshɔn |
|---|---|
| Simptom dɛm wae kin apun wae de sik kam wantɛm wantɛm | |
| Shap pen na yu chɛst | Dis pen kin pas na say dɛm lɛk di an, bak, nɛk, ɔr sholda. Di pen kin bɔku we yu de tek dip briz, ledɔm, ɔr yu de kɔf. |
| I nɔ izi fɔ blo ɔ fɔ blo kwik kwik wan | Fɔ fil lɛk se yu de swɛla. |
| Lɔs pan kɔnshɛns, diziz | I kin bi bikɔs di bren nɔ de gɛt di ɔksijɛn ɛn blɔd we i nid. |
| Di kɔlɔ we di skin kin chenj | Skin de tɔn pale, grey, ɔ blu. |
| Di we aw pɔsin de blo | Di at we de bit di we aw i de fil lɛk insɛf. |
| Kɔnfyus stet ɔf maynd | Sho se yu gɛt agitated atitudi, nɔ de biev nɔmal wan. |
| Simptom dɛm wae kin kam sloslo as tɛm de go | |
| Shot we yu de blo | I nɔ kin izi fɔ yu fɔ blo, mɔ we yu taya. |
| Di bɛlɛ ɔ di leg dɛn we de swel | Bikɔs ɔf di wata we de gɛda na di bɔdi. |
| Taya ɛn taya | Taya pasmak we kin kam bikɔs i nɔ kin gɛt inof blɔd na di bɔdi. |
| Diskɔmfɔt na di chɛst | Dis diskɔmfɔt kin stɔp we yu bɛn fɔ go bifo ɔ sidɔm. |
Wetin kin mek dis kayn tin apin?
Bɔku tin dɛn kin de we kin mek pɔsin in at pwɛl.
Shɔk
- Aksidɛnt: Injury na di chɛst frɔm sɔntin lɛk motoka aksidɛnt ɔ fɔdɔm.
- Shap wɛpɔn injuri: Chɛst injuri frɔm sɔntin lɛk naif stab.
Di kɔndishɔn dɛn we de na di mɛrɛsin
- Disekshɔn na di aɔta .
- Advans kansa .
- At atak .
- Tubakulosis (TB) .
- Infεkshכn כ inflameshn na di sak we de rawnd di at.
- Sɔm sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, fɔ ɛgzampul, lupus ɛn rεumatoid at .
- Kansa na di at.
- At ɔ kidni nɔ de wok fayn.
- Di tayroyd nɔ de wok fayn (Hypothyroidism) .
Afta dɛn dɔn trit am wit mɛrɛsin
Sɔmtɛm dis sik kin apin bak as sayd ɛfɛkt fɔ mɛrɛsin.
- Ɔpreshɔn pan ɔ we gɛt fɔ du wit di at.
- Di we aw dɛn kin du tin we dɛn kin yuz kateshɔn .
- Implant wan divays lɛk pesmɛka .
- Radieshɔn tɛrapi to di at eria.
Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Cardiac Tamponade?
We yu go na ɔspitul, di dɔktɔ go chɛk yu fɔs.
- A de wach yu puls rate.
- Dɛn kin mɛzhɔ di blɔd prɛshɔn.
- I de chɛk aw yu de blo.
- Dɛn kin lisin to di at ɛn di lɔng dɛn wit stetɔskɔp.
- Dɛn kin chɛk fɔ wan sayn we dɛn kɔl pulsus paradoxus , we na we yu blɔd prɛshɔn kin go dɔŋ nɔmal wan ɛvri tɛm we yu de blo.
Triad we Beck bin mek
Tri patikyula tin dɛn de we dɔktɔ dɛn kin yuz fɔ no dis sik. Wi kɔl am Beck in triad .
- Lɔw blɔd prɛshɔn (haypɔtɛnshɔn) .
- I tan lɛk se di vein dɛn na di nɛk de bɔl.
- Fɔ yɛri di at bit rili fa, smɔl, we yu de lisin wit stetɔskɔp.
Bɔt dɛn tri sayn ya nɔ kin apin to ɔlman we sik.
Test dɛn fɔ no if pɔsin gɛt di sik
- Echocardiogram (Echo): Dis na di tɛst we impɔtant pas ɔl. I tan lɛk se dɛn de skan di at. I kin si klia wan aw bɔku wata de rawnd di at ɛn aw di at stif.
- Chɛst X-ray: Na ɛkstrem rayt fɔ chɛk di chɛst.
- CT scan: Na kɔmpyuta tomografi skan.
- Ilɛktrokardiogram (EKG): Na tɛst fɔ no aw di at de wok wit ilɛktrik.
- Hat kateshɔn: Fɔ pas kateshɔn insay di at ɛn mɛzhɔ di prɛshɔn.
Aw dɛn kin trit am?
Di men ɛn kwik tritmɛnt fɔ dis na fɔ pul di wata we dɔn gɛda rawnd di at .
Bɔku tɛm, dɔktɔ dɛn kin du wan tin we dɛn kɔl pericardiocentesis , we na fɔ put nidul insay di sak we de rawnd di at ɛn pul di wata we pasmak.
Bɔt sɔntɛnde, i kin nid fɔ du ɔpreshɔn.
- If dis sityueshɔn dɔn apin bikɔs ɔf aksidɛnt.
- If yu nid fɔ mek di tin dɛn we dɔn pwɛl insay yu os.
- If di nidul nɔ ebul fɔ rich di say we di wata dɔn gɛda.
- If yu nid fɔ pul di sak we de rawnd yu at.
If i rili bad, fɔ ɛgzampul we di at de kam fɔ stɔp, dɛn kin du wan tɔraktɔmi, ivin na di Imejɛnsi Dipatmɛnt (ETU) .
Apat frɔm dat, di ɔndalayn kɔz fɔ di kadyak tamponade nid fɔ trit bak. Fɔ du dat, dɛn go gi yu mɛrɛsin fɔ mɛn pen, antibayɔtik, ɔ ɔda mɛrɛsin.
Fɔ wɛl ɛn wetin fɔ du nɛks
Yu go fil fridɔm wantɛm wantɛm afta dɛn dɔn pul di ɛkstra wata we de rawnd yu at. If mɔ wata bɔku, dɛn kin lɛf wan drenaj tiub na in ples fɔ wan ɔ tu dez fɔ mek i pul am.
Afta yu dɔn go na os frɔm ɔspitul, i rili impɔtant fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm . Dɔn bak, mek shɔ se yu atɛnd di apɔntinmɛnt dɛn we dɛn kin gɛt fɔ fala yu. Dis kɔndishɔn kin kam bak. So, i impɔtant fɔ kɔntinyu fɔ wach di ɔndalayn kɔndishɔn.
Mɛsej we dɛn kin kɛr go na os
- Cardiac tamponade na wan mɛrɛsin we kin mek pɔsin in layf de pan denja we wata kin gɛda rawnd di at, ɛn dis kin mek i trɔp.
- If yu gɛt sɔm sayn dɛm lɛk shap pen na yu chɛst, i nɔ izi fɔ blo, yu ed de tɔn, ɔ yu nɔr de no natin, nɔr ignore dɛm. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Di men tritmɛnt fɔ dis na fɔ pul di ɛkstra wata we de rawnd di at wit nidul ɔ tru ɔpreshɔn.
- Fɔ mek dis sik nɔ kam bak, i impɔtant fɔ trit di sik we de ɔnda am fayn fayn wan.
- Ivin afta yu dɔn kɔmɔt na ɔspitul, fala wetin yu dɔktɔ tɛl yu jɔs lɛk aw dɛn tɛl yu. Atɛnd klinik dɛn di de dɛn we dɛn dɔn sɛtul.
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