He mea pēnei i te mirumiru wai e tata ana ki tō ngākau? Me ako tātou mō tēnei (Pericardial Cyst)!

I ētahi wā, ka puta mai ngā mea ririki i roto i ō tātou tinana, kāore tātou e mōhio, tika? Koinei te tikanga o tēnei `(Pericardial Cyst)`. Ina rongo koe i tēnei ingoa, tera pea he mea nui, engari kaua e manukanuka , i te nuinga o te wā ehara i te mea tino morearea. I tēnei rā, ka kōrerohia tēnei mea mā te ngāwari, i roto i te huarahi e mārama ai koe.

He aha tēnei `(Pericardial Cyst)`?

He whakarāpopototanga noa iho, he pūwero wai te Pericardial Cyst e hanga ana i roto i te kiriuhi angiangi rite ki te pēke e karapoti ana i tō ngākau, te pericardium. He rite te āhua ki te mirumiru wai. I te nuinga o te wā, he mate whānau mai. Ko te nuinga o ēnei pūwero he 3 ki te 5 henimita te rahi, arā, he inihi me te hawhe ki te rua inihi. Engari ko ētahi he nui ake. He porowhita, he āhua porowhita rānei te āhua. He wai mārama kei roto. Koia i mua, i ngā tau 1940, i tapaina ai rātou e ngā tākuta he "pūwero wai puna." He maha tonu te kitea i te taha matau o te ngākau. Ko te mea nui ko ēnei Pūwero Pericardial Cyst ehara i te mate pukupuku. Ko te nuinga o te tangata kāore e whakaatu i tetahi tohu. Engari whakaarohia, ki te tipu paku tēnei pukupuku, ka pēhi ki te ngākau, ki ngā pukahukahu tata rānei, tera pea ka puta ētahi tohu, ētahi raruraru rānei.

Kia pēhea te kino o te `(Pericardial Cyst)`?

I te nuinga o te wā, kāore he raruraru nui e pā mai ana i te `(Pericardial Cyst)`. He maha ngā tāngata e ora ana me te kore e mōhio kei a rātou tēnei mate. Heoi, he tino onge, ā, he tino onge, ka puta pea ngā raruraru pēnei i ēnei:

• Ngā rerekētanga o te pā o te ngakau ( Arrhythmia ): He pā o te ngakau kāore i te ōrite.
• Te tamponade o te ngākau : He āhuatanga ohorere pea tēnei.
• Pericarditis aukati: Kāore e taea e te ngākau te mahi tika.
• Te ngoikore o te ngākau .
• Te ngoikore / te koretake o te roro .
• Pūngāwerewere .
• Te aukati i te rere o te toto mai i te ventricle matau o te ngakau`(Te aukati i te rere o te toto i te taha matau o te uaua)`.
• Te matenga ohorere o te ngākau : He tino onge tēnei.
• Ko te Superior vena cava syndrome (SVCS) he mate e puta mai ana i te pēhanga o te superior vena cava (he uaua toto) .

Ahakoa te āhua whakamataku o ēnei ingoa, kia maumahara he tino onge te kitenga i ēnei ingoa.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ka taea e tēnei mate e kiia nei ko te `(Pericardial Cyst)` te whanake i roto i te tangata o ngā tau katoa. Whakaarohia, ahakoa he tangata tae atu ki te 102 tau te pakeke kua kitea kua pāngia e tēnei mate. I ētahi wā, ka taea te tautuhi i tētahi tamaiti nohinohi i roto i te kōpū o te whaea mā te `(prenatal testing)` i te wā e hapu ana. Heoi, ko te nuinga o te wā ka kitea i roto i ngā pakeke taitamariki, arā, i roto i ngā tāngata i waenga i te 20 me te 40 tau te pakeke. E kīia ana hoki he paku nui ake te tūponotanga o ngā wāhine ki te whakawhanake i tēnei mate i ngā tāne. Ki te kōrero tātou mō tōna noa, he āhua onge te `(Pericardial Cyst)`. Tata ki te kotahi i roto i te kotahi rau mano tāngata ka pāngia e tēnei mate.

He aha ngā tohu o te `(Pericardial Cyst)`?

Ko te rongo pai, ehara i te mea ko te katoa e pāngia ana e tēnei mate he tohumate. Inaa, tata ki te toru o roto i te whā o ngā tāngata kāore e pāngia e tetahi tohumate. Heoi, e ai ki te kōrero i mua ake nei, ki te nui rawa tēnei pukupuku ka pēhi i tō ngākau, i tō pukahukahu rānei, ka pāngia pea koe e ngā tohumate pēnei i:

• Mamae o te uma: Ka horapa pea tēnei mamae ki ngā wāhanga o runga o te tinana, pērā i te kaki, ngā pakihiwi, me ngā ringa.
• Maremare: Tērā pea ka mau tonu tō maremare.
• Ngā mate manawa auau: Hei tauira, ngā mate pūkahukahu .
• Te uaua ki te manawa (dyspnea): Tērā pea ka rite koe ki te mea kei te hauhau koe ahakoa he iti noa te mahi.

Me pēhea te hanganga o tēnei `(Pericardial Cyst)`?

I te nuinga o te wā, arā, neke atu i te 90% o ngā take, ko tēnei `(Pericardial Cyst)` he mea kei te whānau mai `(congenital)`. Arā, ka puta tēnei cyst nā te ngoikore o te hanganga o te kiriuhi tiaki `(pericardium)` e karapoti ana i te ngākau i te wā e ora ana te tamaiti i roto i te kōpū o te whaea. Tērā atu anō ngā take tino onge mō tēnei. Ko ēnei:

• Te mumura o te kiriuhi ngākau, he āhuatanga e kiia nei ko te "pericarditis".
• Nā te whara kino ki te uma (trauma).

Me pēhea koe e mōhio ai mēnā he `(Pericardial Cyst)` tōu?

He mea whakamiharo rawa tēnei. I te nuinga o te wā, ka kitea noatia tēnei `(Pericardial Cyst)` e ngā tākuta!Ko te tikanga o tēnei, ka kitea pea tēnei puku ina tangohia he hihi-X o te uma, he matawai rānei mō tētahi atu take. Koia te take e kīia ai ēnei kitenga e ngā tākuta he "kitenga tūpono". Ina kitea he puku pēnei, ka mahi te tākuta i ētahi atu whakamātautau hei whakarite he pukupuku pericardial. E hiahia ana hoki rātou kia mōhio ehara i te mea he mate kino anō. Hei tauira:

• He pupuhi te aneurysm i roto i te oko toto i te ruma o raro o te ngākau.
• He hernia i roto i te diaphragm (te uaua e wehe ana i te uma me te puku) (Morgagni hernia).
• Ētahi atu momo pukupuku, pukupuku rānei.

He aha ngā momo whakamātautau e whakaū ana i tēnei?

Ka whakamahia e ngā tākuta ēnei whakamātautau hei tātaritanga tika me te aroturuki i tēnei āhuatanga "Pericardial Cyst":

• Matawai CT o te ngākau : Ka taea e tēnei te tango pikitia mārama o te pukupuku, me te āhua hoki o te pericardium.
• Matawai MRI o te ngākau : Ka taea te whakamahi i tēnei hei tirotiro mēnā kei te pēhi te puku i te ngākau, i ngā pukahukahu, i ētahi atu whekau ora tata rānei.
• Te Echocardiography : He rite tēnei ki te matawai ultrasound o te ngākau. Ka whakamahia hei tirotiro mēnā kei te huri te rahi o te pukupuku i roto i te wā, ā, hei ārahi i te mimiti wai mai i te pukupuku mēnā e tika ana.

He aha ngā maimoatanga mō te `(Pericardial Cyst)`?

Ko te rongo pai, i te nuinga o te wā, kāore e hiahiatia he maimoatanga nui mō te Pericardial Cyst. Ka kiia tēnei e ngā tākuta he 'whakahaere ā-pūmau'. Arā, kaua e mataku, me mātakitaki noa.

• Te Aroturuki: Ki te kore he tohu, ā, kāore te pukupuku e nui haere ana, ka tirotirohia e tō tākuta te pukupuku mā te whakamahi i te echocardiogram transthoracic (TTE) i ia tau torutoru. Kāore he maimoatanga kē atu e hiahiatia ana.
• Ina hiahiatia he maimoatanga: Heoi, ki te tīmata koe ki te pāngia e ngā tohu, ki te whakaatuhia rānei e ngā matawai kei te nui haere te pukupuku, me maimoatanga.

E rua ngā tikanga matua mō te rongoā: 1. Te tango i te wai mā roto i ngā tikanga tino iti te whakaekenga:

• Te mate sclerosis o te etanoru : I tēnei, ka werohia he matū e kīia nei ko te etanoru ki roto i te pukupuku, kātahi ka tangohia te wai i roto i te pukupuku. Ka whakaitihia te tūponotanga o te tipu anō o te pukupuku.
• Te werohanga ā-kiri : Ka werohia he ngira mā roto i tētahi kōhao iti i te kiri, ā, ka tangohia te wai katoa i roto i te pukupuku.

2. Te tango pokanga i te pukupuku:

• Pokanga Laparoscopic : Ko te tikanga o tēnei ko te hanga i ētahi tapahi iti rawa ki te uma, me te whakamahi i tētahi kāmera me ngā taputapu ngawari hei tango i te pukupuku. Ka kiia hoki tēnei ko te "pokanga kōhao kī".
• Te Tātaritanga o te Pona o te Uma : He pokanga e tapahia ai te waenganui o te uma, ki raro i te wheua uma. He pokanga nui tēnei.
• Te Tākihi : He tikanga pokanga e hiahiatia ana kia tapahia he rara i waenganui i ngā rara e rua.
• Pokanga uma āwhina-ataata (VATS): He rite tēnei ki te pokanga laparoscopic, arā, ka mahia mā te whakamahi i tētahi kāmera mā roto i tētahi tapahi iti i waenganui i ngā rara.

Ka arotakehia e tō tākuta tō āhua, ka kōrerohia ēnei kōwhiringa maimoatanga katoa ki a koe, ā, ka whakatau ko tēhea te mea pai mōu, me te mea haumaru hoki . Ko te whāinga matua o ēnei maimoatanga he ārai i ngā raruraru nui ka puta mai mēnā ka pēhia e te pukupuku te ngākau, ngā pukahukahu rānei.

Ka taea te ārai i ēnei mea kei puta?

I te mea he whānau mai ngā pūkahukahu pericardial, kāore he mea e taea e tātou te mahi hei ārai i te whanaketanga o ēnei. Heoi, ki te mea kua pāngia koe e te pericarditis, he mumura o te arai o te ngākau i mua, tera pea ka pāngia koe e te pūkahukahu pericardial. He mea pai kia kōrero koe ki tō tākuta mō tēnei.

He mōrearea te Pericardial Cyst?

Anō, ehara te nuinga o ngā pūkahukahu pericardial i te mea morearea. Ka morearea noa iho mēnā ka pēhia te ngākau, ngā pukahukahu, ētahi atu whekau nui tata rānei. Mēnā he pūkahukahu pericardial tōu, ka tirotirohia e tō tākuta, ā, ka rongoāhia mēnā e tika ana. Nō reira kaua e mataku nui.

Ka aha mēnā kei ahau tēnei āhuatanga? Ka pēhea te haere tonu?

Ka taea e te nuinga o te hunga whai pukupuku pericardial te ora pai me te noho i te oranga noa . Heoi, ki te mea he tohu kei a koe, kei te nui haere rānei tō pukupuku, me rongoā pea koe hei ārai i ngā raruraru kua whakahuatia ake nei. Kōrerohia marietia ki tō tākuta mō tō āhua, te matapae, me tō mōrearea o ngā raruraru.

Āhea ahau me toro atu ki te tākuta? He aha ngā mea hei āwangawanga māku?

Kia mahara ki te tirotiro i ō niho ā-tau . Me haere hoki ki ngā tirotiro ā-tau e ai ki ngā tohutohu a tō tākuta. Kia maumahara, he tokomaha te hunga kāore e mōhio kei a rātou te Pericardial Cyst, nā te mea he maha ngā wā ka kitea noa iho. Nō reira, he mea nui kia haere koe ki ngā wā tirotiro me ngā whakamātautau katoa a tō tākuta. Kātahi ka nui ake te tūponotanga ka kitea e koe he Pericardial Cyst i mua i te raru.

Kia maumahara, mēnā kua tangohia e te tākuta te wai mai i tō `(Pericardial Cyst)`, e 30% pea te tūponotanga ka hoki mai anō te cyst. Nō reira, he mea nui ngā whakamātautau whai muri. Me aroturuki te tākuta i a koe kia kite ai mēnā ka hoki mai anō te cyst.

Āwhati! Ki te pā mai ēnei tohu, he tohu pea tēnei nō te tamponade o te ngākau.Waea atu ki te 911, ki tō tari urupare ā-rohe rānei, haere rānei ki te hōhipera tonu:

• Te panoni ohorere o te āhua hinengaro (te pōhēhē, te ohorere, te ngaro o te māramatanga).
• Te pōuriuri, te ngoikore rānei/te hemo o te manawa.
• He mamae koi, wero i te uma. Ka horapa pea tēnei mamae ki te puku, ki te tuara, ki te kaki, ki te ringa, ki te pakihiwi rānei.
• Te pikinga ake o te tere o te manawa.
• Te tere rawa o te pā o te manawa.
• Te rerekētanga o te tae o te kiri (he mā, he hina, he kikorangi rānei).
• Te uaua nui ki te manawa.

Nā, he aha ngā mea hei maumahara mā tātou? (Karere hei tango ki te kāinga)

Ahakoa te āhua whakamataku o tēnei mate e kiia nei ko te `(Pericardial Cyst)`, i te nuinga o te wā kāore e whakaatu i ngā tohu, ā, he onge noa iho te puta o ngā raruraru nui. Engari ki te mea he tohu kei a koe, ki te mea rānei kei te nui haere te cyst, kaua e manukanuka. He maha ngā maimoatanga pai a te rongoā hou mō tēnei. Kōrerohia marietia ki tō tākuta mō te maimoatanga pai mōu me te roa o te wā e ora ai. Ko te mea nui ko te whai i ō whakamātautau hauora me ngā tohutohu hauora. Kātahi, ahakoa he mate pēnei tōu, ka taea e koe te kite wawe, te mahi i ngā mea e tika ana, me te noho hauora. Pericardial cyst, heart cyst, pericardial cyst, mamae o te uma, uaua ki te manawa, mate ngakau, pericardial cyst