Cardiac Tamponade

Anter

• He aha ke kumu o ka Cardiac Tamponade?
• He aha nā hōʻailona o ka Cardiac Tamponade?
• Pehea e hōʻoia ai i ka Cardiac Tamponade?
• Pehea e mālama ai i ka Cardiac Tamponade?
• He aha ka hiʻohiʻona lōʻihi?
• Nā Kumuwaiwai ʻatikala

He aha ka Cardiac Tamponade?

ʻO ka tamponade Cardiac kahi ʻano olakino koʻikoʻi kahi e hoʻopiha ai ke koko a i ʻole nā ​​wai i ka hakahaka ma waena o ka ʻeke e hoʻopili i ka puʻuwai a me ka puʻuwai puʻuwai. Kuhi kēia i kou puʻuwai nui loa. Pale ke kaomi i ka ventricle o ka puʻuwai mai ka hoʻonui ākea a mālama i kou puʻuwai mai ka hana kūpono. ʻAʻole hiki i kou puʻuwai ke paipū i ke koko i ke koena o kou kino ke kū kēia. Hiki i kēia ke alakaʻi i ke kīnā ʻole o ke kino, haʻalulu, a me ka make pū kekahi.

ʻO ka tamponade Cardiac kahi pilikia olakino. Inā ʻoe a ʻo kekahi mea paha āu e ʻike e hoʻomaka nei e ʻike i nā ʻōuli, e ʻimi koke i ke kōkua lapaʻau.

He aha ke kumu o ka Cardiac Tamponade?

ʻO ka tamponade Cardiac ka hopena o ke komo ʻana o ka pericardium, ʻo ia ka ʻeke lahilahi a pā ʻelua e hoʻopuni ana i kou puʻuwai. Hiki i ka hakahaka a puni kou puʻuwai ke hoʻopiha me ke koko a i ʻole nā ​​wai ʻē aʻe e kāpili ai i kou puʻuwai. Ke kaomi nei ka wai i kou puʻuwai, hiki ke emi a emi iho ke koko. Hoʻemi ʻia ke koko momona o ka oxygen i ke koena o kou kino i hopena. ʻO ka loaʻa ʻole o ke koko i ka puʻuwai a me ke koena o kou kino e hiki ke kumu i ka haʻalulu, ka maikaʻi ʻole o ka lālā, a me ka hopu ʻia o ka naʻau.

ʻO nā kumu o ke komo ʻana i pericardial a i ʻole ka hōʻuluʻulu wai e hoʻopili pū paha:

• kī pū a i ʻole ʻeha ʻeha
• hōʻeha kūpilikiʻi i ka umauma mai kahi kaʻa a ʻoihana ulia hana
• ʻaʻano perforation i loaʻa ʻole ma hope o ka catheterization o ka naʻau, angiography, a i ʻole ka hoʻokomo ʻana o kahi pacemaker
• nā punctures i hana ʻia i ke kau ʻana o kahi laina waena, kahi ʻano catheter e lawelawe i nā wai a i ʻole nā ​​lāʻau
• ʻo ka maʻi ʻaʻai i pālahalaha aʻe i ka ʻeke pericardial, e like me ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻa
• kahi aneurysm aortic ruptured
• pericarditis, kahi hoʻāhu o ka pericardium
• lupus, kahi maʻi hōʻeha kahi e kuhi hewa ai ka ʻōnaehana pale i nā kino ola
• kiʻekiʻe o ka pāhawewe i ka umauma
• hypothyroidism, kahi e hoʻonui ai i ka makaʻu no ka maʻi puʻuwai
• he puʻuwai puʻuwai
• hakuʻala ʻole
• nā maʻi i hoʻopili i ka puʻuwai

He aha nā hōʻailona o ka Cardiac Tamponade?

Loaʻa i ka tamponade Cardiac nā hōʻailona aʻe:

• hopohopo a me ka hoʻomaha ʻole
• haʻahaʻa haʻahaʻa haʻahaʻa
• nāwaliwali
• ʻeha ka umauma i kou ʻāʻī, poʻohiwi, a i hope paha
• pilikia i ka hanu ʻana a i ʻole ka hāpai ʻana i ka hanu hohonu
• hanu wikiwiki
• hōʻoluʻolu hoʻomaha ʻia e ka noho ʻana a i ʻole ke hilinaʻi ʻana i mua
• maule, poniuniu, a me ka nalo o ka ʻike

Pehea e hōʻoia ai i ka Cardiac Tamponade?

ʻEkolu mau hōʻailona o ka Cardiac tamponade i hiki i kāu kauka ke hoʻomaopopo. Hoʻomaopopo pinepine ʻia kēia mau hōʻailona ʻo Beck's triad. Pākuʻi ʻia lākou:

• ke koko haʻahaʻa a me ka pulupulu nāwaliwali no ka mea ua hoʻemi ʻia ka nui o ke koko e kuʻi nei kou puʻuwai
• ua hoʻonui ʻia nā ʻāʻī o ka ʻāʻī no ka mea paʻakikī lākou i ka hoʻihoʻi ʻana i ke koko i kou puʻuwai
• kahi puʻuwai wikiwiki i hui pū ʻia me nā leo puʻuwai muffled ma muli o ka hoʻonui ʻana o ka wai i loko o kāu pericardium

E alakaʻi hou aku kāu kauka e hōʻoia i ka hōʻoia tamponade cardiac. ʻO kekahi o ia mau hoʻāʻo he echocardiogram, kahi ultrasound o kou puʻuwai. Hiki iā ia ke hualoaʻa inā he distic ka pericardium a inā ua hiolo nā ventricle ma muli o ka haʻahaʻa o ke koko. Hōʻike paha kou mau kukuna X i kahi puʻuwai i hoʻonui ʻia a puni ka honua inā he tamponade naʻau kou. Hiki i nā hoʻokolohua diagnostical ʻē aʻe ke:

• kahi scan CT thoracic e nānā i ka hōʻiliʻili wai i kou umauma a i ʻole hoʻololi i kou puʻuwai
• he angiogram resonance ʻume mākenēki e ʻike i ke kahe ʻana o ke koko i loko o kou puʻuwai
• kahi electrocardiogram e nānā i kou puʻuwai puʻuwai

Pehea e mālama ai i ka Cardiac Tamponade?

ʻO ka tamponade Cardiac kahi pilikia olakino e koi ai i ka haukapila. ʻO ka mālama ʻana i ka tamponade cardiac he ʻelua mau kumu. Pono ia e hoʻomaha i ke kaomi i kou puʻuwai a laila mālama i ke ʻano o ke kumu. Hoʻopili ka hana mua i kāu kauka e hōʻoia ana ua kūpaʻa ʻoe.

E kahe ana kāu kauka i ka wai mai kāu ʻeke pericardial, maʻamau me kahi nila. Kapa ʻia kēia kaʻina hana pericardiocentesis. Hiki paha i kāu kauka ke hana i kahi hana hou aku i kapa ʻia he thoracotomy e hoʻokahe i ke koko a hemo paha i nā kahe o ke koko inā loaʻa iā ʻoe kahi ʻeha komo. Hiki iā lākou ke wehe i kahi o kāu pericardium e kōkua ai i ka hoʻoluhi i kou puʻuwai.

E loaʻa nō hoʻi iā ʻoe ka oxygen, nā wai, a me nā lāʻau e hoʻonui ai i kou kahe koko.

Ke kāohi ʻia ka tamponade a kūpaʻa kou ʻano, hiki i kāu kauka ke hana i nā hoʻokolohua hou e hoʻoholo ai i ke kumu kumu o kou ʻano.

He aha ka hiʻohiʻona lōʻihi?

ʻO ka nānā ʻana i ka wā lōʻihi e pili ana i ka wikiwiki e hiki ai ke hana i ke kuhi, ke kumu kumu o ka tamponade, a me nā pilikia ma hope. Maikaʻi loa kāu kuanaʻike inā ʻike koke ʻia ka tamponade cardiac a mālama ʻia.

Pili kāu nānā i ka wā lōʻihi i ka wikiwiki o kou loaʻa ʻana i ka lāʻau. E ʻimi koke i ka lāʻau lapaʻau inā manaʻo ʻoe he ʻano kēia kou.

Nā Kumuwaiwai ʻatikala

• Markiewicz, W., et al. (1986, Iune). ʻO ka tamponade Cardiac i nā mea maʻi: ka mālama ʻana a me ka wānana ʻana i ka wā echocardiographic.
• Pericardiocentesis. (2014, Kekemapa). http://www.mountsinai.org/patient-care/health-library/treatments-and-procedures/pericardiocentesis
• Ristić, A. R., et al. (2014, Iulai 7). ʻO ka hoʻolālā hoʻomaha no ka mālama wikiwiki ʻana i ka tamponade cardiac: kahi ʻōlelo ma ke ʻano o ka European European of Cardiology Working Group on Myocardial and Pericardial Diseases. http://eurheartj.oxfordjournals.org/content/early/2014/06/20/eurheartj.ehu217.full
• Spodick, D. H. (2003, ʻAukake 14). ʻO ka tamponade cardiac koʻikoʻi. http://www.nejm.org/doi/full/10.1056/NEJMra022643