ʻO tamponade Cardiac

ʻO ka tamponade Cardiac ke kaomi ma ka puʻuwai e kū ana ke kūkulu ke koko a me ka wai i kahi ākea ma waena o ka puʻuwai puʻuwai a me ka ʻeke uhi waho o ka puʻuwai.

I kēia kūlana, ʻohiʻohi ke koko a wai paha i loko o ka ʻeke e hoʻopuni ana i ka puʻuwai. Pale kēia i ka ventricle puʻuwai mai ka hoʻonui piha ʻana. ʻO ke kaomi nui mai ka wai e pale i ka puʻuwai mai ka hana kūpono. ʻO ka hopena, ʻaʻole lawa ke koko i ke kino.

Hiki ke hana i ka tamponade Cardiac ma muli o:

• Ke kāpae ʻana i ke aneorysm aortic (thoracic)
• Ka maʻi ʻaʻai maʻi pau loa
• Puʻuwai puʻuwai (MI koʻikoʻi)
• ʻOki kino puʻuwai
• ʻO Pericarditis ka mea i hoʻokumu ʻia e nā maʻi koʻohune a viral paha
• ʻEha i ka puʻuwai

ʻO nā kumu kumu ʻē aʻe e pili pū me:

• Nā puʻuwai puʻuwai
• Pahu thyroid paʻa ʻole
• Hewa ʻole nā ​​hakuʻala
• Leukemia
• Ke kau nei i nā laina waena
• ʻO ka radiation radiation i ka umauma
• Nā kaʻina hana naʻau o kēia manawa
• ʻO ka lupus erythematosus ʻōnaehana
• Dermatomyositis
• Hewa puʻuwai

Loaʻa ka tamponade Cardiac ma muli o ka maʻi ma kahi o 2 o 10,000 mau kānaka.

Pākuʻi ʻia paha nā ʻōuli:

• Hopohopo, hoʻomaha ʻole
• ʻEha ʻeha o ka umauma i ʻike ʻia ma ka ʻāʻī, poʻohiwi, kua, a i ʻole ʻōpū
• ʻO ka ʻeha o ka umauma a ʻoi aku ka maikaʻi me ka hanu hohonu ʻana a me ka ʻūhā ʻana
• Pilikia i ka hanu ʻana
• Hōʻoluʻolu ʻole, hoʻomaha ʻia i kekahi manawa e ka noho kū ʻana a i ʻole ke hilinaʻi ʻana i mua
• Māmā, ʻālohilohi
• Pāʻū, hina, a i ʻili polū
• Palpitations
• Hanu wikiwiki
• ʻO ka pehu ʻana o nā wāwae a i ʻole ka ʻōpū
• ʻO Jaundice

Nā ʻōuli ʻē aʻe i hiki ke loaʻa me kēia maʻi:

• Puʻupuʻu
• Hiamoe
• Pulse nāwaliwali a i ʻole absent

ʻO Echocardiogram ka hoʻāʻo o ke koho e kōkua i ka hana ʻana i ke kuhi. Hana ʻia kēia hōʻike ma ka ʻaoʻao moe ma nā hihia pilikia.

E hōʻike paha kahi hōʻike kino:

• Kahe ke koko e hāʻule i ka hanu ʻana
• Hanu wikiwiki
• ʻO ka helu o ka puʻuwai ma mua o 100 (ʻo ka maʻamau he 60 a 100 mau kani i kēlā me kēia minuke)
• Lohe wale ʻia nā leo naʻau ma o kahi stethoscope
• ʻO nā ʻāʻī o ka ʻāʻī e ʻōhū ana (distended) akā haʻahaʻa ke kaomi koko
• Nāwaliwali a i ʻole nā ​​puʻukū peripheral

Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO Chest CT a i ʻole MRI o ka umauma
• Pākuʻi x-ray
• Angiography Coronary
• ECG
• Catheterization naʻau ʻākau

ʻO ka tamponade Cardiac kahi kūlana pilikia e pono ai e mālama ʻia i ka haukapila.

Pono e ninini ʻia ka wai a puni ka puʻuwai e like me ka hiki. E hana ʻia kahi kaʻina hana e hoʻohana ai i ka nila i mea e hemo ai ka wai mai nā aʻa e hoʻopuni ana i ka naʻau.

Hiki ke hana ʻia kahi hana ʻoki e ʻoki a hemo i kahi ʻāpana o ka uhi o ka puʻuwai (pericardium). ʻIke ʻia kēia ma ke ʻano he pericardiectomy a i ʻole pukaaniani pericardial.

Hāʻawi ʻia nā Fluids e mālama i ke kahe o ke koko a hiki i ka wā e hiki ai ke hoʻokahe ʻia ka wai mai a puni ka puʻuwai. ʻO nā lāʻau e hoʻonui ai i ke kaomi koko e kōkua pū paha i ka mea ola a hiki i ka wā e hoʻokahe ʻia ai ka wai.

Hāʻawi ʻia paha ka oxygen e kōkua i ka hoʻēmi i ka ukana hana ma ka puʻuwai e ka hoʻēmi ʻana i nā koi o ke aʻa no ke kahe o ke koko.

Pono e loaʻa a mālama ʻia ke kumu o ka tamponade.

Hiki i ka make ma muli o ka tamponade cardiac ke hana wikiwiki inā ʻaʻole lawe koke ʻia ka wai a me ke koko mai ka pericardium.

Maikaʻi pinepine ka hopena inā mālama koke ʻia ke ʻano. Eia nō naʻe, hoʻi paha ka tamponade.

Komo pū nā pilikia:

• Hewa puʻuwai
• Edema pulmonary
• Kahena
• Pāhaʻi
• Make

E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā ulu nā ʻōuli. ʻO ka Cardiac tamponade kahi kūlana pilikia e pono ai i ka lāʻau lapaʻau koke.

ʻAʻole hiki ke pale ʻia nā hihia he nui. ʻO ka ʻike ʻana i kāu mau pilikia pilikino e hiki ke kōkua iā ʻoe e loaʻa i ka hōʻailona mua a me ka lāʻau.

Tamponade; Hōʻailona Pericardial; Pericarditis - tamponade

• Puʻuwai - ʻike mua
• Pericardium
• ʻO tamponade Cardiac

Hoit BD, Oh JK. Nā maʻi Pericardial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 68.

LeWinter MM, Imazio M. Nā maʻi Pericardial. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 83.

Mallemat HA, Tewelde SZ. Pericardiocentesis. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 16.