Ngaba wakha waba nentlungu engaqhelekanga esifubeni sakho, njengokuziva unzima okanye uxinzelelo, okanye ubunzima bokuphefumla? Ngamanye amaxesha, emva kwezi mpawu, kunokubakho imeko yezempilo embi esingayiqondiyo. I-Cardiac Tamponade yimeko engxamisekileyo efuna unyango olukhawulezileyo. Makhe sithethe ngale nto ngokulula nangokuchanekileyo.
Yintoni iCardiac Tamponade? Masiyiqonde ngokulula.
Khawuthelekelele ukuba intliziyo yethu ingaphakathi kwingxowa ekhuselayo. Le ngxowa siyibiza ngokuba yi-pericardium. Ineengqimba ezimbini. Kukho ulwelo oluncinci kakhulu phakathi kwezi ngqimba zimbini ukunceda intliziyo ihambe kakuhle kwaye ngokulula xa ibetha.
I-cardiac tamponade yenzeka xa igazi elininzi, ubomvu, okanye olunye ulwelo luqokelelana ngaphakathi kweso singxobo. Emva koko, kuba ulwelo lungenandawo yokuya, luqala ukucinezela nokucinezela intliziyo.
Olu xinzelelo luthintela amagumbi entliziyo ukuba angazali kakuhle. Ukuba intliziyo ayizaliswanga ligazi ngokufanelekileyo, ayinakukwazi ukupompa inani legazi elifunekayo emzimbeni. Ngenxa yoko, uxinzelelo lwakho lwegazi luyehla ngequbuliso . Ekuzameni ukulawula le meko, intliziyo iqala ukubetha ngokukhawuleza, ngaphezulu kwe-100 amaxesha ngomzuzu.
Le yingxamiseko yezonyango eyingozi kakhulu kwaye inokuba yingozi ebomini, ngoko ke unyango olukhawulezileyo lubalulekile.
Yintoni umahluko phakathi kwePericardial Effusion kunye neCardiac Tamponade?
Usenokuba ukhe weva igama elithi Pericardial Effusion . Ngamafutshane, kukuqokelelwa kolwelo ngaphakathi kwingxowa ejikeleze intliziyo esikubiza ngokuba yiPericardial Effusion ngokwezonyango.
Kodwa khumbula, ayizizo zonke iiPericardial Effusion eziba yiCardiac Tamponade. Cinga ngale ndlela, olu lwelo luqokelelana kancinci, kwiinyanga ezininzi. Emva koko ingxowa ejikeleze intliziyo inexesha lokunwebeka kancinci kwaye ibe nkulu. Ngoko ke usenokungabi nazo naziphi na iimpawu ezinkulu.
Nangona kunjalo, ukuba olu lwelo luqokelelweyo lubeka uxinzelelo entliziyweni, luphazamise ukusebenza kwayo , kwaye luyithintele ekumpompeni igazi ngokufanelekileyo, yiloo nto siyibiza ngokuba yi-cardiac tamponade.
Zithini iimpawu zeCardiac Tamponade?
Ezi mpawu zinokwahlulwa zibe ngamacandelo amabini ngokwendlela ezenzeka ngayo. Oko kukuthi, iimpawu zinokuhluka ngokuxhomekeke ekubeni imeko yenzeka ngequbuliso okanye ikhula kancinci ngokuhamba kwexesha.
| Uphawu | Iinkcukacha ezithe xaxe |
|---|---|
| Iimpawu ezibonakala xa imeko isenzeka ngequbuliso | |
| Intlungu ebukhali esifubeni | Le ntlungu ingasasazeka kwiindawo ezifana nengalo, umqolo, intamo, okanye igxalaba. Intlungu inganda xa uphefumla nzulu, ulala phantsi, okanye ukhohlela. |
| Ubunzima bokuphefumla okanye ukuphefumla ngokukhawuleza | Ndiziva ngathi uyafuthanisela. |
| Ukulahlekelwa zingqondo, isiyezi | Ingabangelwa kukuba ingqondo ayifumani ioksijini negazi elifunekayo. |
| Ukutshintsha kombala wolusu | Ulusu lujika lube ngwevu, lube mdaka, okanye lube luhlaza okwesibhakabhaka. |
| Ukubetha kwentliziyo | Intliziyo ibetha ngendlela evakala ngathi yiyo. |
| Imeko yengqondo edidekileyo | Ukubonisa isimo sengqondo sokucaphuka, ukungaziphathi ngendlela eqhelekileyo. |
| Iimpawu ezikhula kancinci kancinci ngokuhamba kwexesha | |
| Ukuqhawukelwa ngumphefumlo | Ubunzima bokuphefumla, ingakumbi xa udiniwe. |
| Ukudumba kwesisu okanye imilenze | Ngenxa yokuqokelelana kolwelo emzimbeni. |
| Ukudinwa nokudinwa | Ukudinwa kakhulu okubangelwa kukungafumani igazi elaneleyo emzimbeni. |
| Ukungonwabi esifubeni | Oku kungakhululeki kuncipha xa ugoba phambili okanye uhlala phantsi. |
Yintoni ebangela le meko?
Kunokubakho izizathu ezininzi ze-cardiac tamponade.
Ukonzakala
- Ingozi: Ukwenzakala esifubeni ngenxa yento efana nengozi yemoto okanye ukuwa.
- Ukulimala kwezixhobo ezibukhali: Ukulimala esifubeni ngenxa yento efana nokuhlatywa ngemela.
Iimeko zonyango
- Ukuqhekeka kwe-aorta .
- Umhlaza oqhubele phambili .
- Ukuhlaselwa yintliziyo .
- Isifo sephepha (TB) .
- Iintsholongwane okanye ukudumba kwengxowa ejikeleze intliziyo.
- Ezinye izifo ezibangelwa kukuzikhusela komzimba, umzekelo, i-lupus kunye ne -rheumatoid arthritis .
- Umhlaza wentliziyo.
- Ukungasebenzi kakuhle kwentliziyo okanye kwezintso.
- Ukungasebenzi kakuhle kwe-thyroid (Hypothyroidism) .
Emva konyango lwezonyango
Ngamanye amaxesha le meko inokubakho njengesiphumo esingesihle sonyango.
- Utyando entliziyweni okanye olunxulumene nayo.
- Iinkqubo ezisekelwe kwi-catheter .
- Ukufakelwa kwesixhobo esifana ne- pacemaker .
- Unyango lwemitha kwindawo yentliziyo.
Ifunyanwa Njani I-Cardiac Tamponade?
Xa usiya esibhedlele, ugqirha uza kuqala akuhlole.
- Ndijonge izinga lokubetha kwentliziyo yakho.
- Uxinzelelo lwegazi luyalinganiswa.
- Uhlola ukuphefumla.
- Intliziyo kunye nemiphunga ziphulaphulwa nge-stethoscope.
- Bajonga uphawu olubizwa ngokuba yi -pulsus paradoxus , apho uxinzelelo lwakho lwegazi luyehla ngendlela engaqhelekanga ngalo lonke ixesha uphefumla.
UBeck's Triad
Kukho iimpawu ezintathu ezikhethekileyo ezisetyenziswa ngoogqirha ukuxilonga esi sifo. Siyibiza ngokuba yi- Beck's triad .
- Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi) .
- Imithambo entanyeni ibonakala ngathi iyavuvukala.
- Ukuva ukubetha kwentliziyo kude kakhulu, kusezantsi, xa umamele nge-stethoscope.
Kodwa ezi mpawu zintathu azibonakali kubo bonke abaguli.
Uvavanyo lokuxilonga
- I-Echocardiogram (Echo): Olu lolona vavanyo lubalulekileyo. Lufana nokuskena intliziyo. Lunokubona ngokucacileyo ukuba lungakanani ulwelo olujikeleze intliziyo kunye nokuba intliziyo iqine kangakanani.
- I-X-ray yesifuba: Uvavanyo lwe-X-ray yesifuba.
- I-CT scan: I-computerized tomography scan.
- I-Electrocardiogram (EKG): Uvavanyo lomsebenzi wombane wentliziyo.
- Ukufakwa kwe-catheter entliziyweni: Ukufaka i-catheter entliziyweni kunye nokulinganisa uxinzelelo.
Iphathwa njani?
Unyango oluphambili nolukhawulezileyo loku kukususa ulwelo oluqokelelene entliziyweni .
Oogqirha badla ngokwenza inkqubo ebizwa ngokuba yi -pericardiocentesis , equka ukufaka inaliti kwisingxobo esijikeleze intliziyo nokususa ulwelo olugqithisileyo.
Kodwa ngamanye amaxesha utyando luyimfuneko.
- Ukuba le meko ibangelwe yingozi.
- Ukuba ufuna ukulungisa umonakalo wangaphakathi.
- Ukuba inaliti ayikwazi ukufikelela kwindawo apho ulwelo luqokelele khona.
- Ukuba ufuna ukususa ingxowa ejikeleze intliziyo yakho.
Kwiimeko ezinzima kakhulu, umzekelo xa intliziyo sele iza kuma, i-thoracotomy inokwenziwa, kwanakwiSebe leNgxamiseko (ETU) .
Ukongeza, unobangela oyintloko we-cardiac tamponade nawo kufuneka unyangwe. Ngoko ke, uza kunikwa amayeza okudambisa iintlungu, amayeza okubulala iintsholongwane, okanye amanye amayeza.
Ukubuyisela kwimeko yesiqhelo kunye nento omawuyenze ngokulandelayo
Uza kuziva ukhululekile ngoko nangoko emva kokuba ulwelo olongezelelekileyo olujikeleze intliziyo yakho lususiwe. Ukuba ulwelo oluninzi luqokelelana, umbhobho wokukhupha amanzi ungashiywa endaweni yawo usuku okanye ezimbini ukuze ukhuphe amanzi.
Emva kokuba ubuyele ekhaya uvela esibhedlele, kubaluleke kakhulu ukusela amayeza owanikwe ngugqirha wakho ngexesha elifanelekileyo . Kwakhona, qiniseka ukuba uyaya kwintlanganiso zokulandelela. Le meko inokuphinda ivele. Ke ngoko, kubalulekile ukuqhubeka nokujonga imeko engundoqo.
Umyalezo Wokuya Ekhaya
- I-Cardiac Tamponade yimeko engxamisekileyo yezonyango esongela ubomi apho ulwelo luqokelelana lujikeleze intliziyo, nto leyo ebangela ukuba ivaleleke.
- Ukuba ufumana iimpawu ezifana nentlungu ebukhali esifubeni, ubunzima bokuphefumla, isiyezi, okanye ukulahlekelwa zingqondo, musa ukuzityeshela. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Unyango oluphambili loku kukususa ulwelo olungaphezulu olujikeleze intliziyo ngenaliti okanye ngotyando.
- Ukuthintela ukuba le meko ingaphindi ivele, kubalulekile ukuyinyanga ngokufanelekileyo le meko ingundoqo.
- Nokuba uphumile esibhedlele, landela imiyalelo kagqirha wakho kanye njengoko inikwe. Yiya kwiikliniki ngemihla emiselweyo.
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