Kodi mudamvapo za madzi odzaza mumtima? Zikumveka zoopsa pang'ono, sichoncho? Matendawa nthawi zina amakhala oopsa kwambiri. Koma musadandaule, pali chithandizo chapadera chomwe chingapulumutse moyo pazochitika zotere. Ndi chithandizo chomwe tikambirane lero.

Kodi Pericardiocentesis ndi chiyani? Tiyeni timvetse mosavuta

Pericardiocentesis ndi njira yochotsera madzi ochulukirapo m'thumba lozungulira mtima wanu (lotchedwa pericardium m'mawu azachipatala). Iyi ndi njira yofunika kwambiri, chifukwa mtundu uwu wa madzi nthawi zina ungayambitse mtima kuima.

Tangoganizani kuti mtima wathu uli mkati mwa thumba loteteza. Nthawi zambiri mumakhala madzi ochepa mkati mwa thumba ili kuti mtima usunthe ndi kugunda. Si vuto. Koma ngati pazifukwa zina kuchuluka kwa madzi kumeneku kumawonjezeka kwambiri, timatcha Pericardial Effusion .

Kutsekeka kumeneku ndiko koopsa kwambiri. Timatcha izi Cardiac Tamponade . Izi ndi zadzidzidzi zachipatala. Chifukwa zimatha kupangitsa mtima kusiya kugwira ntchito, ndipo imfa imatha kuchitika mkati mwa maola ochepa kapena mphindi zochepa.

Choncho, pochiza matenda a Pericardiocentesis, singano yopyapyala imalowetsedwa kudzera pachifuwa, m'thumba lozungulira mtima, ndipo madzi ochulukirapo amachotsedwa. Nthawi zina chubu chingaikidwe kuti chichotse madzi ena.

Ndani akufunikira chithandizochi? Kodi zifukwa zake ndi ziti?

Pakhoza kukhala zifukwa zingapo zomwe madzi amatha kudziunjikira mozungulira mtima motere. Nazi zina mwa zifukwa zazikulu zomwe chithandizochi chingakhale chofunikira.

Kodi chimachitika ndi chiyani musanalandire chithandizo?

Kutengera ngati izi ndi zadzidzidzi kapena ayi, njira yokonzekera ingasiyane pang'ono. Ngati si zadzidzidzi, dokotala wanu adzakupatsani tsiku ndi nthawi. Nthawi zambiri, mudzapemphedwa kuti musiye kudya ndi kumwa maola 8 musanachite opaleshoniyi.

Tiyeni tiwone zina mwa zinthu zomwe zimachitika nthawi zambiri musanalandire chithandizo.

• Kuika mzere wa IV: Kachubu kakang'ono (mzere wa IV) kamaikidwa mumtsempha wanu kuti zinthu monga saline kapena mankhwala ziperekedwe.
• Kukonzekera khungu: Malo omwe singano idzalowetsedwe amametedwa ndipo malowo amatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda. Izi zimachitika kuti tipewe matenda.
• Kuyang'anira zizindikiro zofunika: Ma sensor adzalumikizidwa kuti aziyang'anira kuthamanga kwa magazi anu, kupuma kwanu, kugunda kwa mtima wanu, ndi kuchuluka kwa mpweya . Mudzalumikizidwanso ndi ECG (electrocardiogram) kuti muziyang'anira momwe magetsi a mtima wanu amagwirira ntchito.
• Kupereka mpweya: Ngati pakufunika, mpweya umaperekedwa kudzera mu chubu chaching'ono chomwe chimayikidwa m'mphuno.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Chithandizochi chimachitidwa ndi gulu la madokotala, anamwino, ndi akatswiri ena.

Kugwiritsa ntchito ukadaulo wojambulira zithunzi kuti zithandize

Dokotala asanaike singano, amagwiritsa ntchito ukadaulo wojambulira zithunzi.Dokotala amagwiritsa ntchito singano kuti apeze malo enieni a madzi ozungulira mtima. Kawirikawiri amagwiritsa ntchito ultrasound (echocardiogram) . Izi zimagwiritsidwa ntchito kudziwa malo otetezeka komanso osavuta kuyika singano. Izi zimachepetsa kwambiri chiopsezo cha kuwonongeka kwa mtima kapena ziwalo zina.

Momwe mungaikire singano

Pokhapokha ngati pachitika ngozi, mankhwala oletsa ululu adzaperekedwa m'dera lomwe singano yalowetsedwa. Kuti musamve kupweteka kulikonse. Mungamve kupanikizika pang'ono.

Pali malo angapo komwe singano ingalowetsedwe. Malo ofala kwambiri ndi pansi pa fupa lapakati la chifuwa (sternum). Kuchokera pamenepo, imatha kulowa mosavuta m'thumba lozungulira mtima.

Singano ikalowetsedwa bwino m'thumba, dokotala amagwiritsa ntchito sirinji kuti atulutse madzi pang'onopang'ono. Izi nthawi zambiri zimatenga pafupifupi mphindi 10-20. Ngati pali madzi ambiri, chubu chaching'ono (catheter) chingalowetsedwe kuti chitulutse madzi kwa tsiku limodzi kapena awiri.

Ntchito ikatha, pini kapena chubucho chimachotsedwa ndipo chidutswa chaching'ono cha pulasitala chimayikidwa kuti chiphimbe malowo.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Gulu lachipatala lidzakusamalirani bwino mukalandira chithandizo.

• Kuyesa madzimadzi: Chitsanzo cha madzimadzi chomwe chatulutsidwa chimatumizidwa ku labotale kuti chidziwe chomwe chachititsa kuti madzimadzi azisonkhana.
• Kujambulanso: Kujambulanso kwa ultrasound (echocardiogram) kudzachitika kuti muwone ngati madzi onse achotsedwa.
• Kuchira: Mudzauzidwa kuti mupumule kwa maola pafupifupi 12-24. Mudzayamba kumva bwino kwambiri madziwo akangochotsedwa.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Ubwino

• Kungapulumutse miyoyo: Ichi ndi chithandizo chopulumutsa moyo pa nthawi yadzidzidzi monga Cardiac Tamponade.
• Choyambitsa matendawa chingapezeke: Pofufuza madzi, chomwe chimayambitsa matendawa chingapezeke. Izi ndizofunikira kwambiri pa chithandizo chamtsogolo.
• Mwachidule komanso mophweka: Izi ndi zachangu kuposa opaleshoni yayikulu. Popeza palibe kudula kwakukulu, nthawi yochira imakhala yochepa.

Zoopsa

Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zina zomwe zingachitike. Koma kumbukirani kuti zoopsazi ndizochepa kwambiri chifukwa ukadaulo monga ultrasound umagwiritsidwa ntchito.

• Kuwonongeka kwa ziwalo zapafupi monga mtima, mapapo, kapena chiwindi kuchokera ku chipolopolo (izi sizimachitika kawirikawiri).
• Kusakhazikika kwa mtima kumachitika pamene magetsi a mtima akhudzidwa.
• Matenda pamalo pomwe singano inalowetsedwa.
• Kuwonongeka kwa mtsempha waukulu wamagazi.

Nthawi yoti mupemphenso upangiri wa dokotala

Ngati mukumva zizindikiro zilizonse mutabwerera kunyumba mutalandira chithandizo, muyenera kupita ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo .

Kodi chithandizochi chimapweteka?

Simudzamva kupweteka kulikonse chifukwa singano yabayidwa ndi mankhwala oletsa kumva dzanzi. Mungamve kupanikizika pang'ono singano ikalowa, koma siipweteka.