Wake wezwa ngoketshezi olugcwala inhliziyo? Kuzwakala sengathi kuyesabeka kancane, akunjalo? Lesi simo singaba yingozi kakhulu ngezinye izikhathi. Kodwa ungakhathazeki, kukhona ukwelashwa okukhethekile okungasindisa ngisho nokuphila ezimweni ezinjalo. Yilokho ukwelashwa esizokhuluma ngakho namuhla.
Kuyini i-Pericardiocentesis? Masiqonde kalula
I-Pericardiocentesis inqubo esusa uketshezi oluningi esikhwameni esizungeze inhliziyo yakho (esibizwa ngokuthi i-pericardium ngokwezokwelapha). Lena inqubo ebaluleke kakhulu, njengoba lolu hlobo loketshezi ngezinye izikhathi lungabangela ukuba inhliziyo ime.
Ake sithi inhliziyo yethu ingaphakathi kwesikhwama esivikelayo. Ngokuvamile kuba khona inani elincane loketshezi ngaphakathi kwalesi sikhwama ukusiza inhliziyo ukuthi inyakaze futhi ishaye. Lokho akuyona inkinga. Kodwa uma ngesizathu esithile leli nani loketshezi landa kakhulu, silibiza ngokuthi i-Pericardial Effusion .
Lokhu kwanda kwamanzi kufana nokufaka inhliziyo yakho ebhaluni lamanzi bese ugcwalisa ibhaluni ngamanzi amaningi. Kancane kancane, inhliziyo ilahlekelwa ikhono layo lokushaya, futhi inhliziyo iyaminyana.
Lokhu kuvinjelwa kuyingozi kakhulu. Lokhu sikubiza ngokuthi i -Cardiac Tamponade . Lokhu kuyisimo esiphuthumayo sezokwelapha. Ngoba kungabangela inhliziyo ukuthi iyeke ukusebenza, futhi ukufa kungenzeka emahoreni ambalwa noma ngisho nemizuzu.
Ngakho-ke, ekwelashweni kwe-Pericardiocentesis, kufakwa inaliti encane esifubeni, esikhwameni esizungeze inhliziyo, bese kususwa uketshezi oluningi. Ngezinye izikhathi kungafakwa ipayipi ukuze kususwe uketshezi oluthile.
Ubani odinga lokhu kwelashwa? Yiziphi izizathu?
Kungaba nezizathu ezahlukahlukene zokuthi kungani uketshezi lunganqwabelana luzungeze inhliziyo ngale ndlela. Nazi ezinye zezizathu eziyinhloko zokuthi kungani lokhu kwelashwa kungadingeka.
| Isizathu | Incazelo |
|---|---|
| Isimo somdlavuza | Ikakhulukazi umdlavuza onzima kanye nomdlavuza wenhliziyo. |
| Isifo senhliziyo | Ezimweni ezifana nalapho udonga lwenhliziyo luqhuma ngenxa yokuhlaselwa yinhliziyo. |
| Izifo | Ukutheleleka kwesikhwama esizungeze inhliziyo ngenxa yesifo sofuba, izifo ezibangelwa amagciwane noma amagciwane (njenge-COVID-19, i-HIV). |
| Izifo zesimiso somzimba sokuzivikela | Izifo ezifana ne-Lupus kanye ne-Rheumatoid Arthritis. |
| Ezinye izimo zezokwelapha | Ukwehluleka kwenhliziyo noma kwezinso, i-hypothyroidism. |
| Ezinye izizathu | Eminye imithi, ukwelashwa ngemisebe, noma ngezinye izikhathi akukho sizathu esingatholakala. |
Kwenzekani ngaphambi kokwelashwa?
Kuye ngokuthi lokhu kuyisimo esiphuthumayo noma cha, inqubo yokulungiselela ingase ihluke kancane. Uma kungesona isimo esiphuthumayo, udokotela wakho uzokunikeza usuku nesikhathi. Ngokuvamile, uzocelwa ukuthi uyeke ukudla nokuphuza amahora angu-8 ngaphambi kwenqubo.
Ake sibheke ezinye zezinto ezivame ukwenziwa ngaphambi kokwelashwa.
- Ukufaka umugqa we-IV: Ipayipi elincane (umugqa we-IV) lifakwa emthanjeni wakho ukuze kunikezwe izinto ezifana nosawoti noma imithi.
- Ukulungiswa kwesikhumba: Indawo lapho inaliti izofakwa khona iyagundwa bese indawo ihlanzwa kahle ngesisombululo se-antiseptic. Lokhu kwenzelwa ukuvimbela ukutheleleka.
- Ukuqapha izimpawu ezibalulekile: Izinzwa zizofakwa ukuze ziqaphe umfutho wegazi lakho, ukuphefumula, izinga lokushaya kwenhliziyo, kanye namazinga omoya-mpilo . Uzoxhunywa futhi ku- ECG (electrocardiogram) ukuze kuqaphe ukusebenza kukagesi kwenhliziyo yakho.
- Ukunikezwa komoya-mpilo: Uma kudingeka, umoya-mpilo unikezwa ngepayipi elincane elifakwe ekhaleni.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kwenziwa yithimba lodokotela, abahlengikazi, kanye nabanye ochwepheshe.
Ukusebenzisa ubuchwepheshe bokuthwebula izithombe ukusiza
Ngaphambi kokufaka inalithi, udokotela usebenzisa ubuchwepheshe bokuthwebula izithombe.Udokotela usebenzisa inalithi ukuthola indawo eqondile yoketshezi oluzungeze inhliziyo. I -ultrasound (echocardiogram) ivame ukusetshenziswa kulokhu. Lokhu kusetshenziselwa ukuthola indawo ephephile nelula yokufaka inalithi. Lokhu kunciphisa kakhulu ingozi yokulimala kwenhliziyo noma kwezinye izitho zomzimba.
Indlela yokufaka inaliti
Ngaphandle kokuthi kuyisimo esiphuthumayo, kuzofakwa umuthi wokubulala izinzwa endaweni lapho kufakwa khona inaliti. Ngakho ngeke uzwe ubuhlungu. Ungase uzizwe ucindezelekile kancane.
Kunezindawo eziningana lapho inaliti ingafakwa khona. Indawo evame kakhulu ingaphansi kwethambo eliphakathi lesifuba (sternum). Ukusuka lapho, ingangena kalula esikhwameni esizungeze inhliziyo.
Uma inaliti isifakwe kahle esikhwameni, udokotela usebenzisa isirinji ukukhipha uketshezi kancane kancane. Lokhu kuvame ukuthatha imizuzu eyi-10-20. Uma kunoketshezi oluningi, kungafakwa ithubhu elincane (i-catheter) ukuze likhiphe amanzi usuku olulodwa noma ezimbili.
Ngemva kokuqeda umsebenzi, iphini noma ipayipi liyasuswa bese kufakwa ucezu oluncane lweplasta ukuze limboze indawo.
Kwenzekani ngemva kokwelashwa?
Ithimba lezokwelapha lizokunakekela kahle ngemva kokwelashwa.
- Ukuhlolwa koketshezi: Isampula yoketshezi ekhishwe ithunyelwa elabhorethri ukuze kutholakale imbangela yokunqwabelana koketshezi.
- Ukuskena kabusha: Kuzokwenziwa ukuskena okuphindaphindiwe kwe-ultrasound (echocardiogram) ukuze kubonakale ukuthi lonke uketshezi lususiwe yini.
- Ukululama: Uzotshelwa ukuthi uphumule cishe amahora ayi-12-24. Uzoqala ukuzizwa ungcono kakhulu ngokushesha ngemva kokususwa koketshezi.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Izinzuzo
- Kungasindisa izimpilo: Lokhu kuyindlela yokwelapha esindisa impilo ezimweni eziphuthumayo njenge-Cardiac Tamponade.
- Imbangela ingatholakala: Ngokuhlola uketshezi, imbangela eyisisekelo yalesi sifo ingatholakala. Lokhu kubaluleke kakhulu ekwelashweni kwesikhathi esizayo.
- Okusheshayo nokulula: Lokhu kuyashesha kunokuhlinzwa okukhulu. Njengoba kungekho ukusikwa okukhulu, isikhathi sokululama sifushane.
Izingozi
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile ezihilelekile. Kodwa khumbula, lezi zingozi ziphansi kakhulu ngoba kusetshenziswa ubuchwepheshe obufana ne -ultrasound .
- Ukulimala kwezitho eziseduze njengenhliziyo, amaphaphu, noma isibindi okuvela egobolondweni (lokhu akuvamile kakhulu).
- I-Arrhythmia yenzeka lapho uhlelo lukagesi lwenhliziyo luthinteka.
- Ukutheleleka endaweni lapho inaliti ifakwe khona.
- Ukulimala emthanjeni wegazi omkhulu.
Kodwa uma kuqhathaniswa nomonakalo ongaba khona wokungalutholi lolu hlobo lokwelashwa, lezi zingozi zincane kakhulu. Udokotela wakho uzohlola zonke lezi zici bese enquma ukuthi yikuphi okungcono kakhulu kuwe.
Nini lapho kufanele ufune khona iseluleko sezokwelapha futhi
Uma uhlangabezana nanoma yiziphi izimpawu ngemva kokubuyela ekhaya ngemva kokwelashwa, kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela .
| Izimpawu ezidinga ukunakekelwa okusheshayo | |
|---|---|
| Izimpawu ze-Cardiac Tamponade | |
| |
| Izimpawu zokutheleleka (i-Sepsis) | |
|
Ingabe lokhu kwelashwa kubuhlungu?
Ngeke uzwe ubuhlungu ngoba inaliti ijovwe ngomuthi oqeda izinhlungu. Ungase uzwe ukucindezeleka okuncane lapho inaliti ingena, kodwa akubuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- I-Pericardiocentesis iyindlela yokwelapha esindisa impilo ngezinye izikhathi esusa uketshezi olungafuneki oluqongelela enhliziyweni.
- Lokhu kuqongelela koketshezi (i-pericardial effusion) kungabangela i-cardiac tamponade, okuyisimo esiphuthumayo.
- Lokhu kwelashwa kuphephile kakhulu ngoba kwenziwa kusetshenziswa ubuchwepheshe obufana ne -ultrasound .
- Uma uba nezimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, noma umkhuhlane ngemva kokwelashwa , bona udokotela ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Uma unemibuzo mayelana nalokhu kwelashwa, ungangabazi ukubuza udokotela wakho.
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