UPericardiocentesis

I-Pericardiocentesis yinkqubo esebenzisa inaliti ukususa ulwelo kwisikhwama se-pericardial. Esi sisihlunu esijikeleze intliziyo.

Inkqubo ihlala isenziwa kwigumbi lenkqubo ekhethekileyo, enje ngelebhu yentliziyo yokuthambisa. Inokwenziwa nakwibhedi yesigulana. Umboneleli wezempilo uya kufaka i-IV engalweni yakho kwimeko yokuba ulwelo okanye amayeza kufuneka anikwe ngomthambo. Umzekelo, unokunikwa amayeza ukuba ukubetha kwentliziyo yakho kuyacotha okanye uxinzelelo lwegazi luyehla ngexesha lenkqubo.

Umboneleli uya kucoca indawo engezantsi okanye ecaleni kwethambo lesifuba okanye ngezantsi kwengono yasekhohlo. Iyeza lokuthambisa (iyeza) liya kusetyenziswa kuloo ndawo.

Ugqirha uya kuthi emva koko afake inaliti kwaye ayikhokelele kwizicubu ezijikeleze intliziyo. Rhoqo, i-echocardiografi (i-ultrasound) isetyenziselwa ukunceda ugqirha ukuba abone inaliti kunye nawo nawuphi na umsele wamanzi. I-electrocardiogram (ECG) kunye ne-x-ray (i-fluoroscopy) inokusetyenziselwa ukunceda ekubekeni indawo.

Nje ukuba inaliti ifike kwindawo efanelekileyo, iyasuswa kufakwe ityhubhu ekuthiwa yi-catheter. Amanzi aphuma kule tyhubhu aye kwizikhongozeli. Uninzi lwexesha, i-catheter ye-pericardial ishiywe endaweni ukuze ukucoca kuqhubeke iiyure ezininzi.

Umjelo wokuhambisa amanzi unokufuneka ukuba ingxaki kunzima ukuyilungisa okanye ibuye. Le yinkqubo ehlaselayo ngakumbi apho i-pericardium ichithelwa kwisifuba (pleural) cavity. Ngenye indlela, ulwelo lunokuntywila kumngxunya we-peritoneal, kodwa oku akuqhelekanga. Le nkqubo inokufuna ukwenziwa phantsi kweanesthesia ngokubanzi.

Awungekhe ukwazi ukutya okanye ukusela iiyure ezi-6 ngaphambi kovavanyo. Kufuneka usayine ifom yemvume.

Unokuziva uxinzelelo njengoko inaliti ingena. Abanye abantu baneentlungu esifubeni, ezinokufuna iyeza lentlungu.

Olu vavanyo lunokwenziwa ukususa nokuvavanya ulwelo olucinezela entliziyweni. Kuqhele ukwenziwa ukufumana unobangela wokungasebenzi kakuhle okungapheliyo okanye okuphindaphindayo.

Kungenziwa kwakhona ukunyanga i-tamponade yentliziyo, imeko esisongela ubomi.

Ngokwesiqhelo kukho isixa esincinci esicocekileyo, esinombala we-straw kwindawo ye-pericardial.

Iziphumo ezingaqhelekanga zingabonisa unobangela wokuqokelelwa kolwelo lwe-pericardial fluid, njenge:

• Umhlaza
• Ukugqobhoza kwentliziyo
• Umothuko weentliziyo
• Ukusilela kwentliziyo
• Pericarditis
• Ukusilela kwezintso
• Usulelo
• Ukuqhekeka kwe-aneurysm ye-ventricular

Iingozi zinokubandakanya:

• Ukopha
• Umphunga owileyo
• Ukuhlaselwa yintliziyo
• Usulelo (i-pericarditis)
• Ukubetha kwentliziyo okungaqhelekanga (arrhythmias)
• Ukuhlatywa kwemisipha yentliziyo, umthambo wecoronary, imiphunga, isibindi, okanye isisu
• I-Pneumopericardium (umoya kwi-pericardial sac)

Impompo yepericardial; Iipercutaneous pericardiocentesis; Pericarditis - pericardiocentesis; Ukuchithwa kwepericardial-pericardiocentesis

• Intliziyo - umbono wangaphambili
• IPericardium

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, i-Imazio M. Izifo zepericardial. 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.