Ka tuyige ku mbeera ey’akabi ey’amazzi okwetoloola omutima (Cardiac Tamponade)

Wali ofunyeeko obulumi obw’ekitalo mu kifuba, ng’okuwulira ng’ozitowa oba okunyigirizibwa, oba okukaluubirirwa okussa? Oluusi, emabega w’obubonero buno, wayinza okubaawo embeera ey’obujjanjabi ey’amaanyi gye tutamanyi. Cardiac Tamponade mbeera ya mangu bwetyo eyeetaaga okujjanjabibwa mu bwangu. Ka twogere ku nsonga eno mu ngeri ennyangu era entuufu.

Cardiac Tamponade kye ki? Ka tukitegeere mu ngeri ennyangu.

Kuba akafaananyi ng’omutima gwaffe guli munda mu nsawo ekuuma. Ensawo eno tugiyita pericardium. Kirina layers bbiri. Waliwo amazzi matono nnyo wakati wa layeri zino ebbiri okuyamba omutima okutambula obulungi era mu ngeri ennyangu nga gukuba.

Cardiac tamponade ebaawo ng’omusaayi omungi, amasira oba amazzi amalala gakuŋŋaana munda mu nsawo eyo. Olwo olw’okuba amazzi tegalina we gagenda, gatandika okunyigiriza n’okusika omutima.

Puleesa eno eremesa ebisenge by’omutima okujjula obulungi. Singa omutima tegujjula musaayi bulungi, tegusobola kussa musaayi mungi omubiri gwe gwetaaga. N’ekyavaamu, puleesa yo ekka mangu . Mu kugezaako okufuga embeera eno, omutima gutandika okukuba amangu, emirundi egisukka mu 100 buli ddakiika.

Njawulo ki eriwo wakati wa Pericardial Effusion ne Cardiac Tamponade?

Oyinza okuba nga wali owulidde ekigambo Pericardial Effusion . Mu ngeri ennyangu, kwe kukuŋŋaanyizibwa kw’amazzi munda mu nsawo okwetooloola omutima kye tuyita mu by’obusawo Pericardial Effusion.

Naye jjukira nti si buli Pericardial Effusion nti efuuka Cardiac Tamponade. Lowooza ku kino, amazzi gano gazimba mpola, okumala emyezi. Olwo ensawo eyeetoolodde omutima efuna obudde okugolola katono n’okukula. Kale oyinza obutaba na bubonero bwonna bunene.

Kyokka singa amazzi gano agakung’aanyiziddwa gassa puleesa ku mutima, ne gataataaganya emirimu gyagwo , n’okugulemesa okukuba omusaayi obulungi, olwo ekyo kye tuyita cardiac tamponade.

Bubonero ki obulaga obulwadde bwa Cardiac Tamponade?

Obubonero buno busobola okwawulwamu ebika bibiri okusinziira ku ngeri gye bubaawo. Kwe kugamba, obubonero buyinza okwawukana okusinziira ku mbeera eno ebaawo mu bwangu oba ekula mpola okumala ekiseera.

Kiki ekivaako embeera eno?

Wayinza okubaawo ebintu ebiwerako ebivaako omutima okuzimba.

Okukosebwa

• Akabenje: Obuvune mu kifuba okuva ku kintu ng’akabenje k’emmotoka oba okugwa.
• Obuvune mu by’okulwanyisa ebisongovu: Obuvune mu kifuba okuva ku kintu ng’okufumita ekiso.

Embeera z’obujjanjabi

• Okusalako omusuwa gw'omusaayi .
• Kookolo agenda mu maaso .
• Omutima okulwala .
• Akafuba (TB) .
• Yinfekisoni oba okuzimba ensawo eyeetoolodde omutima.
• Endwadde ezimu ezikwatibwa abaserikale b’omubiri, okugeza, lupus ne rheumatoid arthritis .
• Kookolo w’omutima.
• Omutima oba ekibumba okulemererwa.
• Okukendeera kw’enkola ya thyroid (Hypothyroidism) .

Oluvannyuma lw’okujjanjabibwa

Oluusi embeera eno era esobola okubaawo ng’ekizibu ekiva mu bujjanjabi.

• Okulongoosa omutima oba okukwatagana n’omutima.
• Enkola ezesigamiziddwa ku catheter .
• Okuteekebwamu ekyuma nga pacemaker .
• Obujjanjabi bw’amasannyalaze (radiation therapy) mu kitundu ky’omutima.

Obulwadde bwa Cardiac Tamponade Buzuulibwa Butya?

Bw’ogenda mu ddwaaliro, omusawo ajja kusooka kukukebera.

• Nze ntunuulira pulse rate yo.
• Puleesa epimibwa.
• Akebera okussa.
• Omutima n’amawuggwe biwulirwa n’ekyuma ekiwuliriza.
• Bakebera akabonero akayitibwa pulsus paradoxus , nga puleesa yo ekka mu ngeri etaali ya bulijjo buli lw’ossa.

Obusatu bwa Beck

Waliwo ebintu bisatu ebitongole abasawo bye bakozesa okuzuula embeera eno. Tukiyita triad ya Beck .

• Puleesa eya wansi (puleesa) .
• Emisuwa mu bulago girabika nga gifuukuuse.
• Okuwulira okukuba kw’omutima wala nnyo, wansi, ng’owuliriza n’ekyuma ekiwuliriza.

Naye obubonero buno obusatu tebulabika mu buli mulwadde.

Okukebera okuzuula obulwadde

• Echocardiogram (Echo): Kino kye kigezo ekisinga obukulu. Kiringa sikaani y'omutima. Kisobola okulaba obulungi amazzi amangi ageetoolodde omutima n’engeri omutima gye gukaluba.
• X-ray y’ekifuba: Okukebera ekifuba mu X-ray.
• CT scan: Sikaani ya kompyuta ey’okukebera tomography.
• Electrocardiogram (EKG): Okukebera amasannyalaze g’omutima.
• Okuyingiza omutima: Okuyisa ekituli mu mutima n’okupima puleesa.

Kijjanjabwa kitya?

Obujjanjabi obukulu era obw'amangu ku kino kwe kuggyawo amazzi agakuŋŋaanyiziddwa okwetooloola omutima .

Abasawo batera okukola enkola eyitibwa pericardiocentesis , erimu okuyingiza empiso mu nsawo eyeetoolodde omutima ne baggyamu amazzi agasukkiridde.

Naye oluusi kyetaagisa okulongoosebwa.

• Singa embeera eno eba evudde ku kabenje.
• Bw’oba ​​weetaaga okuddaabiriza ebyonooneddwa munda.
• Singa empiso tesobola kutuuka mu kifo amazzi we gakuŋŋaanyizza.
• Bw’oba ​​weetaaga okuggyawo ensawo eyeetoolodde omutima gwo.

Okugatta ku ekyo, ekivaako okuzimba omutima nakyo kyetaaga okujjanjabibwa. Okusinziira ku kino, ojja kuweebwa eddagala eriweweeza ku bulumi, eddagala eritta obuwuka oba eddagala eddala.

Okudda engulu n’eky’okuddako

Ojja kuwulira obuweerero amangu ddala ng’amazzi ag’enjawulo ageetoolodde omutima gwo gaggyiddwamu. Singa amazzi amalala gakuŋŋaana, oyinza okulekebwa ekyuma ekifulumya amazzi mu kifo okumala olunaku lumu oba bbiri okusobola okugafulumya.

Bw’omala okudda eka okuva mu ddwaaliro, kikulu nnyo okumira eddagala omusawo lye yakulagidde mu budde bwennyini . Ate era, kakasa nti ogenda ku ssaawa z’okugoberera. Embeera eno esobola okuddamu. N’olwekyo, kikulu okugenda mu maaso n’okulondoola embeera eriwo.