ʻO ka tamponade Cardiac: he aha ia, nā kumu a me ka mālama ʻana

Anter

• Nā kumu o ka tamponade puʻuwai
• Pehea e hana ʻia ai ke kuhi
• Nā hōʻailona nui
• Pehea ka lāʻau

ʻO ka tamponade Cardiac kahi pilikia olakino kahi i loaʻa kahi hōʻuluʻulu o ka wai ma waena o nā membrane ʻelua o ka pericardium, nā mea e kuleana i ka pale o ka puʻuwai, ka mea e pilikia ai ka hanu ʻana, hoʻemi i ke kahe o ke koko a hoʻonui i ka helu o ka puʻuwai, no ka laʻana.

Ma ke ʻano he hopena o ka hōʻiliʻili ʻana o ka wai, ʻaʻole hiki i ka puʻuwai ke pauma i ke koko i nā ʻokena a me nā ʻiʻo, kahi e hopena ai i ka haʻalulu a me ka make inā ʻaʻole mālama ʻia i ka manawa.

Nā kumu o ka tamponade puʻuwai

Hiki ke hana i ka tamponade Cardiac i kekahi mau hanana i hiki ke hopena i ka hōʻiliʻili ʻana o ka wai i ka wahi pericardial. ʻO nā kumu nui:

• Hoʻopilikia i ka umauma ma muli o nā ulia pōpilikia kaʻa;
• ʻO ka mōʻaukala o ka maʻi ʻaʻai, ʻoi loa o nā akemāmā a me ka puʻuwai;
• ʻO ka hypothyroidism, kahi ʻano e ka hoʻemi ʻana i ka hana o nā homone e ka thyroid;
• ʻO Pericarditis, kahi maʻi o ka puʻuwai i hopena i nā maʻi bacteria a viral paha;
• Mōʻaukala o ke kō ʻole;
• ʻAha puʻuwai hou loa;
• ʻŌnaehana lupus ʻōnaehana;
• Hoʻomaʻo Radiotherapy;
• Uremia, i kūlike i ke kiʻekiʻe o ka urea i ke koko;
• ʻO ke kīʻaha puʻuwai hou e hōʻino ai i ka pericardium.

Pono e ʻike ʻia nā kumu o ka tamponade a mālama koke ʻia i mea e hōʻalo ai i nā pilikia o ka naʻau.

Pehea e hana ʻia ai ke kuhi

ʻO ke kuhi o ka tamponade puʻuwai e hana ʻia e ka cardiologist ma o ka umauma X-ray, ka resonance magnet, electrocardiogram a me transthoracic echocardiogram, kahi hōʻike e ʻae ai e hōʻoia, i ka manawa maoli, nā ʻano puʻuwai, e like me ka nui, ka mānoanoa o ka mākala a me ka hana o ka puʻuwai, no ka laʻana. Hoʻomaopopo i ke ʻano o ka echocardiogram a pehea e hana ai.

He mea nui e hoʻokūpaʻa i ka manawa ke kū mai nā ʻōuli o ka tamponade cardiac, pono e hana i kahi echocardiogram i ka wā hiki wawe, no ka mea ʻo ia ka hōʻike o ke koho e hōʻoia i ka ʻike ma kēia mau hihia.

Nā hōʻailona nui

ʻO nā ʻōuli kuhikuhi nui o ka tamponade cardiac:

• Hoʻoemi kaomi koko;
• Hoʻonui i ka hanu a me ka helu puʻuwai;
• ʻO ka pulse paradoxical, kahi e nalo ai a i ʻole hoʻemi ai ka lāʻau i ka manawa o ka hoʻoulu;
• ʻO ka dilatation o nā uaua i ka ʻāʻī;
• ʻEha o ka umauma;
• Hāʻule i ka pae o ka ʻike;
• Anuanu, nā wāwae poni a me nā lima;
• Kaʻai ʻole;
• Hoʻopau i ka paʻakikī:
• Cough;
• Hanu paʻakikī.

Inā ʻike ʻia nā ʻōuli o ka tamponade puʻuwai a pili pū ʻia me nā ʻōuli o ke kō ʻole o ke kōkō, ʻo kahi laʻana, koi ʻia e hele koke i ke keʻena pilikia a i ʻole ka haukapila kokoke loa no nā hoʻokolohua a, i ka hihia o ka hōʻoia ʻana o ka tamponade puʻuwai, ua hoʻomaka ka lāʻau. .

Pehea ka lāʻau

Pono e hana i ka lāʻau no ka tamponade cardiac i ka wā hiki ke hoʻololi ʻia i ka nui o ke koko a hoʻomaha i ke poʻo, kahi e hoʻāla iki aʻe. Eia hou, pono paha e hoʻohana i nā analgesics, e like me Morphine, a me diuretics, e like me Furosemide, no ka laʻana, e hoʻokūpaʻa i ke ʻano o ka mea maʻi a hiki i ka hoʻohemo ʻia ʻana o ka wai ma o ka ʻoki ʻana. Hāʻawi pū ʻia ka oxygen i mea e hōʻemi ai i ka ukana ma ka puʻuwai, e hoʻemi ana i ka pono o ke koko e nā ʻokena.

ʻO Pericardiocentesis kahi ʻano o ke kaʻina hana e ʻoki ai i ka nui o ka wai mai ka puʻuwai, akā manaʻo ʻia ia he hana manawa pōkole, akā lawa ia e hōʻoluʻolu i nā ʻōuli a mālama i ke ola o ka mea maʻi. Kapa ʻia ka lapaʻau definitive ʻo Pericardial Window, kahi e hoʻokahe ʻia ai ka wai pericardial i loko o ka lua pleura e hoʻopuni ana i nā akemāmā.