Ngaba wakha weva ngolwelo oluzalisa intliziyo? Kuvakala ngathi kuyoyikisa kancinci, akunjalo? Le meko inokuba yingozi kakhulu ngamanye amaxesha. Kodwa ungakhathazeki, kukho unyango olukhethekileyo olunokusindisa ubomi kwiimeko ezinjalo. Lolo nyango siza kuthetha ngalo namhlanje.
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Yintoni iPericardiocentesis? Masiyiqonde ngokulula
I-Pericardiocentesis yinkqubo esusa ulwelo olugqithisileyo kwisingxobo esijikeleze intliziyo yakho (esibizwa ngokuba yi-pericardium ngokwezonyango). Le yinkqubo ebaluleke kakhulu, njengoko olu hlobo lolwelo ngamanye amaxesha lunokubangela ukuba intliziyo ime.
Khawuthelekelele ukuba intliziyo yethu ingaphakathi kwengxowa ekhuselayo. Ngokwesiqhelo kukho ulwelo oluncinci ngaphakathi kwengxowa ukunceda intliziyo ishukume kwaye ibethe. Oko akuyongxaki. Kodwa ukuba ngesizathu esithile olu lwelo lunyuka kakhulu, silubiza ngokuba yiPericardial Effusion .
Oku kwanda kwamanzi kufana nokufaka intliziyo yakho kwibhaluni yamanzi uze uzalise ibhaluni ngamanzi amaninzi. Kancinci kancinci, intliziyo ilahlekelwa ngamandla ayo okubetha, kwaye intliziyo iyaxinana.
Olu xinaniso lolona luyingozi kakhulu. Silubiza ngokuba yiCardiac Tamponade . Olu lungxamiseko lwezonyango. Kuba lunokubangela ukuba intliziyo iyeke ukusebenza, kwaye ukufa kunokubakho kwiiyure ezimbalwa okanye kwimizuzu embalwa.
Ngoko ke, kunyango lwePericardiocentesis, kufakwa inaliti encinci esifubeni, kwingxowa ejikeleze intliziyo, kwaye ulwelo olugqithisileyo luyasuswa. Ngamanye amaxesha kunokufakwa ityhubhu yokususa ulwelo oluthile.
Ngubani ofuna olu nyango? Zithini izizathu?
Kunokubakho izizathu ezininzi zokuba ulwelo lunokuqokelelwa entliziyweni ngale ndlela. Nazi ezinye zezizathu eziphambili zokuba olu nyango lunokuba yimfuneko.
| Isizathu | Inkcazo |
|---|---|
| Imeko yomhlaza | Ingakumbi umhlaza onzima kunye nomhlaza wentliziyo. |
| Ukuhlaselwa yintliziyo | Kwiimeko ezifana nalapho udonga lwentliziyo lugqabhuka ngenxa yokuhlaselwa yintliziyo. |
| Iintsholongwane | Usulelo lwengxowa ejikeleze intliziyo olubangelwa sisifo sephepha, usulelo lweebhaktheriya okanye iintsholongwane (ezifana ne-COVID-19, i-HIV). |
| Izifo zomzimba ezibangelwa kukuzikhusela komzimba | Izifo ezifana neLupus kunye neRheumatoid Arthritis. |
| Ezinye iimeko zonyango | Ukungasebenzi kakuhle kwentliziyo okanye kwezintso, i-hypothyroidism. |
| Ezinye izizathu | Amanye amayeza, unyango lwemitha, okanye ngamanye amaxesha akukho sizathu sifumanekayo. |
Kwenzeka ntoni ngaphambi konyango?
Ngokuxhomekeke ekubeni le yingxamiseko okanye akunjalo, inkqubo yokulungiselela inokwahluka kancinci. Ukuba ayingxamiseko, ugqirha wakho uya kukunika usuku nexesha. Amaxesha amaninzi, uya kucelwa ukuba uyeke ukutya nokusela iiyure ezisi-8 ngaphambi kwenkqubo.
Makhe sijonge ezinye zezinto ezidla ngokwenziwa ngaphambi konyango.
- Ukufaka umgca we-IV: Ityhubhu encinci (umgca we-IV) ifakwa emthanjeni wakho ukuze kunikwe izinto ezifana ne-saline okanye amayeza.
- Ukulungiswa kwesikhumba: Indawo apho inaliti iza kufakwa khona iyachetywa kwaye indawo leyo ihlanjululwe kakuhle ngesisombululo sokubulala iintsholongwane. Oku kwenzelwa ukuthintela usulelo.
- Ukujonga iimpawu ezibalulekileyo: Iisensor ziya kuqhotyoshelwa ukujonga uxinzelelo lwegazi lakho, ukuphefumla, izinga lokubetha kwentliziyo, kunye namanqanaba eoksijini . Uza kuqhagamshelwa kwi- ECG (i-electrocardiogram) ukujonga umsebenzi wombane wentliziyo yakho.
- Ukunikezelwa kweoksijini: Ukuba kuyimfuneko, ioksijini ifakwa ngetyhubhu encinci efakwe empumlweni.
Kwenzeka ntoni ngexesha lonyango?
Olu nyango lwenziwa liqela loogqirha, abahlengikazi, kunye nabanye oochwephesha.
Ukusebenzisa itekhnoloji yokufota ukunceda
Ngaphambi kokufaka inaliti, ugqirha usebenzisa iteknoloji yokufota.Ugqirha usebenzisa inaliti ukuze afumane indawo echanekileyo yolwelo olujikeleze intliziyo. I -ultrasound (echocardiogram) idla ngokusetyenziswa koku. Oku kusetyenziswa ukuze kuchongwe indawo ekhuselekileyo nelula yokufaka inaliti. Oku kunciphisa kakhulu umngcipheko wokonakala kwentliziyo okanye amanye amalungu omzimba.
Indlela yokufaka inaliti
Ngaphandle kokuba yingxamiseko, kuya kufakwa i-anesthetic yendawo kwindawo apho inaliti ifakwe khona. Ngoko awuyi kuva ntlungu. Ungaziva uxinzelelo oluncinci.
Kukho iindawo ezininzi apho inaliti inokufakwa khona. Eyona ndawo ixhaphakileyo ingaphantsi kwethambo eliphakathi lesifuba (sternum). Ukusuka apho, ingangena lula kwisingxobo esijikeleze intliziyo.
Nje ukuba inaliti ifakwe kakuhle kwisingxobo, ugqirha usebenzisa isirinji ukutsala kancinci ulwelo. Oku kudla ngokuthatha malunga nemizuzu eli-10-20. Ukuba kukho ulwelo oluninzi, kunokufakwa ityhubhu encinci (i-catheter) ukuze ikhuphe amanzi kangangeentsuku ezimbini.
Emva kokuba umsebenzi ugqityiwe, iphini okanye ityhubhu iyasuswa kwaye kufakwe iqhekeza elincinci leplasta ukugubungela loo ndawo.
Kwenzeka ntoni emva konyango?
Iqela lezonyango liza kukunyamekela kakuhle emva konyango.
- Uvavanyo lolwelo: Isampuli yolwelo olukhutshiweyo ithunyelwa kwilebhu ukuze kufunyaniswe unobangela wokwakheka kolwelo.
- Ukuskena kwakhona: Kuya kwenziwa iskena esiphindaphindwayo se-ultrasound (echocardiogram) ukuze kubonwe ukuba lonke ulwelo lususiwe na.
- Ukuchacha: Uza kuxelelwa ukuba uphumle malunga neeyure ezili-12-24. Uza kuqala ukuziva ungcono kakhulu emva kokuba ulwelo lususiwe.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Iinzuzo
- Ingasindisa ubomi: Olu lunyango olusindisa ubomi kwiimeko ezingxamisekileyo ezifana neCardiac Tamponade.
- Unobangela ungafunyanwa: Ngokuhlola ulwelo, unobangela oyintloko wesifo ungafunyanwa. Oku kubaluleke kakhulu kunyango lwexesha elizayo.
- Ngokukhawuleza nangokulula: Oku kukhawuleza kunotyando olukhulu. Ekubeni kungekho kusikwa okukhulu, ixesha lokuchacha lifutshane.
Iingozi
Njengakweminye inkqubo yezonyango, kukho iingozi ezithile ezibandakanyekayo. Kodwa khumbula, ezi ngozi ziphantsi kakhulu kuba kusetyenziswa ubuchwepheshe obufana ne -ultrasound .
- Ukonakala kwamalungu akufutshane njengentliziyo, imiphunga, okanye isibindi esivela kwiqokobhe (oku kunqabile kakhulu).
- I-Arrhythmia yenzeka xa inkqubo yombane yentliziyo ichaphazeleka.
- Usulelo kwindawo efakwe kuyo inaliti.
- Ukonakala komthambo omkhulu wegazi.
Kodwa xa kuthelekiswa nomonakalo onokubakho wokungafumani olu nyango, ezi ngozi zincinci kakhulu. Ugqirha wakho uya kuvavanya zonke ezi zinto aze agqibe ukuba yintoni ekulungeleyo.
Ixesha lokufuna ingcebiso yezonyango kwakhona
Ukuba ufumana naziphi na iimpawu emva kokubuyela ekhaya emva konyango, kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko .
| Iimpawu ezifuna ingqalelo ekhawulezileyo | |
|---|---|
| Iimpawu zeCardiac Tamponade | |
| |
| Iimpawu zosulelo (iSepsis) | |
|
Ingaba olu nyango lubuhlungu?
Awuyi kuva ntlungu kuba inaliti ifakwa iyeza elibangela ukuba ungabi nazimvakalelo. Usenokuva uxinzelelo oluncinci xa inaliti ingena, kodwa ayibuhlungu.
Umyalezo Wokuya Ekhaya
- I-Pericardiocentesis ngamanye amaxesha lunyango olusindisa ubomi olususa ulwelo olungafunekiyo oluqokelelana entliziyweni.
- Oku kuqokelelana kolwelo (i-pericardial effusion) kunokubangela i-cardiac tamponade, imeko engxamisekileyo.
- Olu nyango lukhuselekile kakhulu kuba lwenziwa kusetyenziswa ubuchwepheshe obufana ne -ultrasound .
- Ukuba ubonakalisa iimpawu ezifana neentlungu esifubeni, ubunzima bokuphefumla, okanye umkhuhlane emva konyango , bona ugqirha ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Ukuba unemibuzo malunga nolu nyango, ungathandabuzi ukubuza ugqirha wakho.
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