Pericardiocentesis

ʻO Pericardiocentesis kahi hana e hoʻohana ai i ke kui kele e wehe i ka wai mai ka ʻeke pericardial. ʻO kēia ka ʻaʻa e hoʻopuni i ka puʻuwai.

Hana pinepine ʻia nā kaʻina hana i kahi keʻena hana kūikawā, e like me kahi keʻena hoʻokolohua catheterization puʻuwai. Hiki nō ke hana ʻia ma kahi moe o ka haukapila o ka mea maʻi. E hāʻawi kahi mea mālama ola i kahi IV i loko o kou lima inā pono e hāʻawi ʻia nā wai a me nā lāʻau i loko o kahi aa. ʻO kahi laʻana, hāʻawi ʻia paha iā ʻoe nā lāʻau lapaʻau inā lohi kou puʻuwai puʻuwai a hāʻule paha ke kaomi o ke koko i ka wā o ke kaʻina hana.

E hoʻomaʻemaʻe ka mea hoʻolako i kahi ma lalo a i ʻole ma ka ʻaoʻao o ka umauma a ma lalo paha o ka piko hema. E hoʻopili ʻia ka lāʻau numbing (anesthetic) i kēia wahi.

A laila e hoʻokomo ke kauka i kahi nila a alakaʻi iā ia i nāʻiʻo e hoʻopuni ana i ka puʻuwai. Pinepine, hoʻohana ʻia ka echocardiography (ultrasound) e kōkua i ke kauka e ʻike i ka nila a me nā kahe wai. Hiki ke hoʻohana ʻia kahi electrocardiogram (ECG) a me nā kukuna x (fluoroscopy) e kōkua ai i ke hoʻonohonoho ʻana.

Ke hiki aku ke kui kele i kahi kūpono, hemo ia a hoʻololi ʻia me kahi paipu i kapa ʻia he catheter. Holo ka wai i loko o kēia pahu i loko o nā ipu. ʻO ka hapa nui o ka manawa, waiho ka catheter pericardial i kahi e hoʻomau ai ka hoʻokahe ʻana no kekahi mau hola.

Pono paha ke kahawai hana inā paʻakikī ka hoʻoponopono e hoʻi a hoʻi paha ka pilikia. ʻO kēia kahi hana hoʻouka hou aku kahi i hoʻokahe ʻia ai ka pericardium i loko o ka lua o ka umauma (pleural). ʻOkoʻa, e hoʻokahe ʻia ka wai i loko o ka lua peritoneal, akā ʻoi aku ka liʻiliʻi o kēia. Pono e hana i kēia kaʻina hana ma lalo o ka anesthesia ākea.

ʻAʻole paha ʻoe e ʻai a inu paha no 6 mau hola ma mua o ka hoʻāʻo ʻana. Pono ʻoe e kau inoa i kahi palapala ʻae.

Pilikia paha ʻoe i ke komo ʻana o ka nila. Loaʻa i kekahi poʻe ka ʻeha o ka umauma, kahi e koi ai i ka lāʻau ʻeha.

Hana ʻia kēia hoʻāʻo e hemo a nānā i ka wai e kaomi ana ma ka puʻuwai. Hana pinepine ʻia e ʻike i ke kumu o kahi effic pericardial mau a i ʻole hoʻi.

Hana ʻia paha ia e mālama i ka tamponade cardiac, kahi ʻano hoʻoweliweli o ke ola.

Aia kekahi mahele maʻamau o kahi wai o ka wai aniani moʻo i ka pericardial.

Hōʻike nā ʻike kūpono ʻole i ke kumu o ka hoʻoliʻiliʻi wai pericardial, e like me:

• Kanesa
• Hoʻomaʻahaʻa Cardiac
• Hoʻopilikia Cardiac
• Hoka puʻuwai Congestive
• Pericarditis
• Hoka kōpaʻa
• Maʻi kīnā
• Wahi o kahi aneurysm ventricular

Pākuʻi ʻia paha nā pilikia:

• Kahena
• Pulupā naha
• Maʻi hohola
• Maʻiʻaʻai (pericarditis)
• Nā puʻuwai puʻuwai maʻamau (arrhythmia)
• ʻO ke kuʻi o ka puʻuwai puʻuwai, ke aʻa, ke ake, a me ka ʻōpū
• Pneumopericardium (lewa i loko o ka ʻeke pericardial)

Piʻi Pericardial; Pericardiocentesis pāhona; Pericarditis - pericardiocentesis; Pericardial effusion - pericardiocentesis

• Puʻuwai - ʻike mua
• Pericardium

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.