Wakambonzwa kurwadziwa kusinganzwisisike muchipfuva chako here, sekunzwa kuremerwa kana kumanikidzwa, kana kuoma kufema? Dzimwe nguva, shure kwezviratidzo izvi, panogona kunge paine chirwere chakakomba chatisingazive. Cardiac Tamponade idambudziko guru rinoda kurapwa nekukasika. Ngatitaurei nezvazvo zviri nyore uye nemazvo.
Chii chinonzi Cardiac Tamponade? Ngatizvinzwisise zviri nyore.
Fungidzira kuti mwoyo wedu uri mukati mebhegi rinodzivirira. Tinoti bhegi iri rinonzi pericardium. Rine zvikamu zviviri. Pane mvura shoma pakati pezvikamu zviviri izvi inobatsira mwoyo kufamba zvakanaka uye zviri nyore kana uchirova.
Kurova kwemoyo kunoitika kana ropa rakawanda, hurwa, kana zvimwe zvinwiwa zvikaungana mukati mebhegi iroro. Zvadaro, nekuti mvura yacho haina kwekuenda, inotanga kudzvanya nekudzvanya moyo.
Kumanikidzwa uku kunodzivirira makamuri emwoyo kuti asazare zvakanaka. Kana moyo usina kuzadzwa neropa zvakanaka, haugone kupomba huwandu hweropa hunodiwa nemuviri. Nekuda kweizvozvo, BP yako inodzikira kamwe kamwe . Mukuedza kudzora chirwere ichi, moyo unotanga kurova nekukurumidza, kanopfuura zana paminiti.
Iyi injodzi huru yekurapa uye inogona kuisa hupenyu panjodzi, saka kurapwa nekukurumidza kwakakosha.
Ndeupi musiyano uripo pakati pePericardial Effusion neCardiac Tamponade?
Ungave wakambonzwa izwi rekuti Pericardial Effusion . Zvichitaurwa zviri nyore, kuunganidzwa kwemvura mubhegi rakatenderedza moyo ndiko kwatinodaidza kuti Pericardial Effusion.
Asi yeuka, haasi maPericardial Effusion ese anova Cardiac Tamponade. Funga nezvazvo nenzira iyi, mvura iyi inoungana zvishoma nezvishoma, kwemwedzi yakati wandei. Ipapo saga rakatenderedza moyo rine nguva yekutambanudza zvishoma uye kukura. Saka ungasava nezviratidzo zvikuru.
Zvisinei, kana mvura iyi yakaungana ikaisa kumanikidzwa pamoyo, ikakanganisa mashandiro awo , uye ikaudzivisa kupomba ropa nemazvo, saka ndizvo zvatinodaidza kuti cardiac tamponade.
Ndezvipi zviratidzo zveCardiac Tamponade?
Zviratidzo izvi zvinogona kukamurwa kuita mapoka maviri zvichienderana nekuti zvinoitika sei. Kureva kuti, zviratidzo zvinogona kusiyana zvichienderana nekuti chirwere ichi chinoitika kamwe kamwe here kana kuti chinokura zvishoma nezvishoma nekufamba kwenguva.
| Chiratidzo | Mamwe mashoko |
|---|---|
| Zviratidzo zvinoonekwa kana chirwere ichi chikaitika kamwe kamwe | |
| Kurwadziwa kwakanyanya pachipfuva | Marwadzo aya anogona kupararira kunzvimbo dzakadai seruoko, musana, mutsipa, kana pfudzi. Marwadzo anogona kuwedzera kana uchifema mweya wakadzika, wakarara pasi, kana kukosora. |
| Kuoma kufema kana kufema nekukurumidza | Kunzwa sekunge uri kudzipwa. |
| Kurasikirwa nepfungwa, dzungu | Zvinogona kukonzerwa nehuropi husina kuwana okisijeni neropa rinodiwa. |
| Kuchinja ruvara rweganda | Ganda rinoshanduka kuita grey, grey, kana bhuruu. |
| Kurova kwemwoyo | Moyo uchirova nenzira inoita seyakafanana neyawo. |
| Kuvhiringidzika kwepfungwa | Kuratidza hunhu hwekushatirwa, kusazvibata zvakanaka. |
| Zviratidzo zvinokura zvishoma nezvishoma nekufamba kwenguva | |
| Kushaya mweya | Kutadza kufema zvakanaka, kunyanya kana wakaneta. |
| Kuzvimba kwedumbu kana makumbo | Nekuda kwekuungana kwemvura mumuviri. |
| Kuneta uye kuneta | Kuneta kwakanyanya kunokonzerwa nekusawana ropa rakakwana mumuviri. |
| Kusagadzikana pachipfuva | Kusagadzikana uku kunoderera kana ukakotama mberi kana kugara pasi. |
Chii chinokonzera mamiriro ezvinhu aya?
Panogona kuva nezvikonzero zvakasiyana-siyana zvinokonzera cardiac tamponade.
Kushungurudzika
- Njodzi: Kukuvara pachipfuva nekuda kwechinhu chakaita setsaona yemotokari kana kudonha.
- Kukuvara kwezvombo zvakapinza: Kukuvara pachipfuva nekuda kwechinhu chakaita sekubaiwa nebanga.
Zvirwere
- Kutsemuka kwetsinga yeropa .
- Gomarara repamusoro .
- Kumira kurova kwemoyo .
- Chirwere cheTB (TB) .
- Kutapukirwa kana kuzvimba kwebhegi rakatenderedza moyo.
- Zvimwe zvirwere zve autoimmune, semuenzaniso, lupus ne rheumatoid arthritis .
- Kenza yemwoyo.
- Kukundikana kwemoyo kana itsvo.
- Kudzikira kwebasa re thyroid (Hypothyroidism) .
Mushure mekurapwa kwechiremba
Dzimwe nguva chirwere ichi chinogonawo kuitika semhedzisiro yekurapwa kwechiremba.
- Kuvhiyiwa pamoyo kana kuti kune chekuita nawo.
- Maitiro ekushandisa catheter .
- Kuisirwa kwemudziyo wakaita se pacemaker .
- Kurapa nemwaranzi kunzvimbo yemoyo.
Cardiac Tamponade Inoonekwa Sei?
Paunoenda kuchipatara, chiremba ndiye anotanga akuongorora.
- Ndiri kutarisa kurova kwemoyo wako.
- Kumanikidzwa kweropa kunoyerwa.
- Inoongorora kufema.
- Mwoyo nemapapu zvinoteererwa ne stethoscope.
- Vanoongorora chiratidzo chinonzi pulsus paradoxus , apo BP yako inoderera zvisina kujairika pese paunofema.
Beck's Triad
Pane zvinhu zvitatu zvinoshandiswa navanachiremba kuongorora chirwere ichi. Tinochidana kuti Beck's triad .
- Kuderera kweropa (hypotension) .
- Tsinga dziri mumutsipa dzinoita sedziri kuzvimba.
- Kunzwa kurova kwemoyo kure kure, pasi, kana uchiteerera uchishandisa stethoscope.
Asi zviratidzo izvi zvitatu hazviitike kumurwere wese.
Kuongororwa kwezvirwere
- Echocardiogram (Echo): Iyi ndiyo bvunzo inonyanya kukosha. Yakafanana nekuongororwa kwemoyo. Inokwanisa kuona zvakajeka kuti mvura yakawanda sei yakakomberedza moyo uye kuti mwoyo wakaoma sei.
- X-ray yechipfuva: Kuongorora chipfuva neX-ray.
- CT scan: Kuongororwa kwekombiyuta kwetomography.
- Electrocardiogram (EKG): Kuongororwa kwekushanda kwemagetsi kwemoyo.
- Kuisa catheter mumoyo: Kuisa catheter mumoyo uye kuyedza kumanikidzwa kwemoyo.
Inorapwa sei?
Kurapa kukuru uye nekukurumidza kweizvi kubvisa mvura yakaungana yakakomberedza moyo .
Vanachiremba vanowanzoita oparesheni inonzi pericardiocentesis , iyo inosanganisira kuisa tsono mubhegi rakatenderedza moyo uye kubvisa mvura yakawandisa.
Asi dzimwe nguva kuvhiyiwa kunodiwa.
- Kana mamiriro ezvinhu aya akaitika nekuda kwetsaona.
- Kana uchida kugadzirisa kukuvara kwemukati.
- Kana tsono ikasakwanisa kusvika panzvimbo yakaungana mvura.
- Kana uchida kubvisa bhegi rakatenderedza moyo wako.
Muzviitiko zvakakomba, semuenzaniso kana moyo wava kuda kumira, kuvhiyiwa kwechipfuva kunogona kuitwa, kunyangwe muEmergency Department (ETU) .
Pamusoro pezvo, chikonzero chikuru che cardiac tamponade chinofanirawo kurapwa. Saka, uchapihwa mishonga inoderedza marwadzo, mishonga inorwisa mabhakitiriya, kana mimwe mishonga.
Kupora uye zvekuita zvinotevera
Uchanzwa zororo ipapo ipapo mushure mekunge mvura yasara yakakomberedza moyo wako yabviswa. Kana mvura yakawanda ikawanda, chubhu yekubuditsa mvura inogona kusiiwa panzvimbo yayo kwezuva rimwe kana maviri kuti ibudise mvura.
Kana madzoka kumba kubva kuchipatara, zvakakosha kuti mutore mishonga yamakanyorerwa nachiremba panguva chaiyo . Uyewo, iva nechokwadi chekuti maenda kunoongororwazve. Dambudziko iri rinogona kudzoka. Saka, zvakakosha kuti murambe muchitarisa dambudziko riripo.
Mharidzo Yekuenda Nayo Kumba
- Cardiac Tamponade chirwere chinotyisidzira hupenyu apo mvura inoungana yakakomberedza mwoyo, zvichiita kuti ubatike.
- Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva, kuoma kufema, dzungu, kana kurasikirwa nepfungwa, usazviregeredza. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kurapa kukuru kweizvi kubvisa mvura yakawandisa yakakomberedza moyo netsono kana nekuvhiyiwa.
- Kuti chirwere ichi chisadzokorore, zvakakosha kurapa chirwere chiripo nemazvo.
- Kunyangwe mushure mekunge mabuda muchipatara, teverai mirairo yachiremba wenyu sezvayakapihwa. Endai kumakiriniki nemazuva akarongwa.
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