Contusion Myocardial

ʻO ka Myocardial contusion kahi ʻeha o ka puʻuwai puʻuwai.

ʻO nā kumu maʻamau ka:

• Hū ke kaʻa
• Kaʻi ʻana ma ke kaʻa
• Hoʻomaha hou i ka cardiopulmonary (CPR)
• Ke hāʻule nei mai kahi kiʻekiʻe, ʻoi aku ka nui ma mua o 20 kapuaʻi (6 mika)

Hiki i kahi contusion myocardial koʻikoʻi ke alakaʻi i nā hōʻailona a me nā ʻōuli o ka puʻuwai puʻuwai.

Hiki i nā ʻōuli ke hoʻohui pū:

• ʻO kaʻeha ma mua o nā iwi ʻaoʻao a i ʻole ka umauma
• Ke manaʻo nei e heihei ana kou puʻuwai
• ʻĀlohilohi
• Nausea a i ʻole ka luaʻi
• Pokole o ka hanu
• Nawaliwali

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia:

• Pākuʻi a ʻūpī paha ma ka paia umauma
• ʻO ke kuʻi ʻana i ka naʻau i ka hoʻopā ʻana i ka ʻili inā loaʻa nā iwi ʻaoʻao a me ka puncture o ka māmā
• Puʻuwai wikiwiki
• Paʻi kuʻi ʻole
• Kaomi haʻahaʻa
• Hanu wikiwiki a pāpaʻu paha
• ʻO ke aloha i ka hoʻopā
• ʻO ka neʻe ʻana o ka paia o ka umauma mai nā haʻihaʻi iwi ʻaoʻao

E komo pū paha nā hoʻāʻo:

• Nā hoʻokolohua koko (nā enzyme cardiac, e like me Troponin-I a i ʻole T a i ʻole CKMB)
• Pākuʻi x-ray
• CT scan o ka umauma
• Electrocardiogram (ECG)
• ʻEchocardiogram

Hōʻike paha kēia mau hoʻāʻo:

• Nā pilikia me ka paia o ka puʻuwai a me ka hiki i ka puʻuwai ke ʻaelike
• Fluid a i ʻole ke koko i ka ʻeke lahilahi e hoʻopuni ana i ka puʻuwai (pericardium)
• Haki ka iwi ʻaoʻao, ʻeha a ʻeha paha ke koko
• Pilikia me ka hōʻailona uila o ka puʻuwai (e like me kahi lālā lālā o ka pūʻolo a i ʻole nā ​​poli puʻuwai ʻē aʻe)
• ʻO ka wikiwiki o ka puʻuwai e hoʻomaka ana ma ka piko sinus o ka puʻuwai (sinus tachycardia)
• Hoʻomaka ka puʻuwai maʻamau i ka ventricle a i ʻole nā ​​keʻena haʻahaʻa o ka puʻuwai (ventricular dysrhythmia)

I ka hapanui o nā hihia, e nānā pono ʻia ʻoe no 24 mau hola. E hana mau ʻia kahi ECG e nānā i ka hana o kou puʻuwai.

Hiki ke hoʻopili ʻia i ka lumi lumi pilikia:

• Hoʻonohonoho Catheter ma o kahi aa (IV)
• ʻO nā lāʻau e hoʻōla i ka ʻeha, nā haunaele o ka naʻau, a i ʻole ke koko haʻahaʻa
• Pacemaker (wā pōkole, paʻa mau paha ma hope)
• Oxygen

Hiki ke hoʻohana ʻia nā hoʻoponopono ʻē aʻe e mālama i kahi ʻeha puʻuwai, e hoʻopili pū me:

• Hoʻonoho paipu umauma
• Ke kahe ʻana i ke koko mai ka puʻuwai aku
• ʻOki kino e hoʻoponopono i nā kīʻaha koko i ka umauma

ʻO nā kānaka me ka contusion myocardial māmā e hoʻōla hou i ka hapa nui o ka manawa.

Hiki i nā hōʻeha puʻuwai koʻikoʻi ke hoʻonui i kou makaʻu no ka maikaʻi ʻole o ka puʻuwai a i ʻole nā ​​pilikia o ka puʻuwai puʻuwai.

Hiki i nā ʻōlelo aʻoaʻo palekana aʻe ke pale aku i ka ʻeha o ka naʻau.

• E komo i kahi kāʻei noho ke hoʻokele.
• Koho i kahi kaʻa me nā ʻeke lewa.
• E hana i nā ala e hōʻoia ai i ka palekana ke hana i nā kiʻekiʻe.

ʻO ka hōʻeha myocardial ʻole

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua

ʻO Boccalandro F, Von Schoettler H. Nā maʻi puʻuwai traumatic. I: Levine GN, hoʻoponopono. Nā ʻōlelo huna Cardiology. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 71.

Ledgerwood AM, Lucas CE. ʻO ka hōʻeha puʻuwai puʻuwai. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 1241-1245.

Raja AS. Hōʻeha Thoracic. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 38.