I-tamponade yentliziyo

I-tamponade ye-Cardiac luxinzelelo entliziyweni eyenzeka xa igazi okanye ulwelo lusakha kwisithuba esiphakathi kwentliziyo yemisipha kunye nengxowa yokugubungela engaphandle yentliziyo.

Kule meko, igazi okanye ulwelo luqokelela kwingxowa ejikeleze intliziyo. Oku kuthintela ii-ventricles zentliziyo ekwandeni ngokupheleleyo. Uxinzelelo olungaphezulu kolwelo luthintela intliziyo ukuba isebenze ngokufanelekileyo. Ngenxa yoko, umzimba awufumani gazi laneleyo.

I-tamponade yentliziyo inokwenzeka ngenxa:

• Ukusasaza i-aortic aneurysm (thoracic)
• Umhlaza wemiphunga yokuphela
• Ukuhlaselwa yintliziyo (acute MI)
• Utyando lwentliziyo
• I-Pericarditis ibangelwa ziintsholongwane okanye intsholongwane
• Amanxeba entliziyweni

Ezinye izizathu ezinokubakho zibandakanya:

• Amathumba entliziyo
• Ukungasebenzi kwe-thyroid gland
• Ukungaphumeleli kwezintso
• Ileukemia
• Ukubekwa kwemigca esembindini
• Ukunyanga ngemitha esifubeni
• Inkqubo yeentliziyo zamva nje ezingenayo
• Inkqubo ye lupus erythematosus
• Dermatomyositis
• Ukumelwa yintliziyo

I-tamponade yentliziyo ngenxa yesifo yenzeka malunga nabantu aba-2 kwabali-10 000.

Iimpawu zingabandakanya:

• Ixhala, ukungazinzi
• Intlungu ebukhali yesifuba esivakalayo entanyeni, egxalabeni, ngasemva, okanye esiswini
• Intlungu yesifuba esiba mandundu ngokuphefumla okunzulu okanye ukukhohlela
• Iingxaki zokuphefumla
• Ukungakhululeki, ngamanye amaxesha kukhululeka ngokuhlala nkqo okanye ngokujonga phambili
• Ukudinwa, ukungabi nentloko
• Imfusa, ngwevu, okanye luhlaza
• Iipalpitations
• Ukuphefumla ngokukhawuleza
• Ukudumba kwemilenze okanye isisu
• I-jaundice

Ezinye iimpawu ezinokuthi zenzeke ngale ngxaki:

• Ukuba nesiyezi
• Ukozela
• Ukubetha okubuthathaka okanye ukungabikho

I-Echocardiogram luvavanyo lokukhetha ukunceda ukufumanisa isifo. Olu vavanyo lunokwenziwa ebhedini kwiimeko ezingxamisekileyo.

Uvavanyo lomzimba lunokubonisa:

• Uxinzelelo lwegazi oluwayo xa uphefumla nzulu
• Ukuphefumla ngokukhawuleza
• Inqanaba lentliziyo ngaphezulu kwe-100 (eqhelekileyo ngama-60 ukuya kwi-100 beats ngomzuzu)
• Izandi zentliziyo zivakala kancinci ngestethoscope
• Iimvumba zeentsimbi ezinokuthi zikhuphe (zonakaliswe) kodwa uxinzelelo lwegazi luphantsi
• Iipulipsi ezibuthathaka okanye ezingekhoyo

Olunye uvavanyo lunokubandakanya:

• Isifuba se-CT okanye i-MRI yesifuba
• I-x-ray yesifuba
• I-Coronary angiography
• ECG
• I-catheterization yentliziyo elungileyo

I-tamponade ye-Cardiac yimeko engxamisekileyo efuna ukunyangwa esibhedlele.

Ulwelo olujikeleze intliziyo kufuneka lukhutshwe ngokukhawuleza. Inkqubo esebenzisa inaliti ukususa ulwelo kwizicubu ezijikeleze intliziyo iya kwenziwa.

Inkqubo yotyando yokusika nokususa inxenye yesigqubuthelo sentliziyo (i-pericardium) nayo inokwenziwa. Oku kwaziwa njenge-pericardiectomy yokuhlinzwa okanye iwindow ye-pericardial.

Ulwelo lunikezelwa ukugcina uxinzelelo lwegazi luqhelekile kude kube kulwelo olunokutsalwa lujikeleze intliziyo. Amayeza anyusa uxinzelelo lwegazi anokunceda ukugcina umntu ephila de kuphume ulwelo.

Ioksijini inokunikwa ukunceda ukunciphisa umthwalo wentliziyo ngokunciphisa iimfuno zethishu yokuhamba kwegazi.

Unobangela we-tamponade kufuneka ufunyanwe kwaye uphathwe.

Ukufa ngenxa ye-tamponade yentliziyo kunokwenzeka ngokukhawuleza ukuba ulwelo okanye igazi alisuswanga ngokukhawuleza kwi-pericardium.

Isiphumo sihlala silungile ukuba imeko inyangwa ngokukhawuleza. Nangona kunjalo, i-tamponade inokubuya.

Iingxaki zinokubandakanya:

• Ukumelwa yintliziyo
• Ukudumba kwemiphunga
• Ukopha
• Umothuko
• Ukufa

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba iimpawu ziyavela. I-tamponade yentliziyo yimeko engxamisekileyo efuna unyango kwangoko.

Amatyala amaninzi akanakuthintelwa. Ukwazi umngcipheko wakho kunokukunceda ufumane ukuxilongwa kwangoko kunye nonyango.

ITamponade; I-tamponade yePericardial; Pericarditis - itampu

• Intliziyo - umbono wangaphambili
• IPericardium
• I-tamponade yentliziyo

Hoit BD, Oh JK. Izifo zePericardial. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 68.

I-LeWinter MM, izifo ze-Imerico M. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 83.

IMallemat HA, iTewelde SZ. UPericardiocentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 16.