I-Tamponade yentliziyo

Umxholo

• Yintoni ebangela iTamponade yentliziyo?
• Ziintoni Iimpawu zeCardiac Tamponade?
• Ichongwa njani iTamponade yeCardiac?
• Iphathwa njani iTamponade yeCardiac?
• Yiyiphi imbono yexesha elide?
• Imithombo yenqaku

Yintoni iTamponade yeCardiac?

I-tamponade ye-Cardiac yimeko enzima yonyango apho igazi okanye ulwelo luzalisa indawo phakathi kwengxowa evala intliziyo kunye nesihlunu sentliziyo. Oku kubeka uxinzelelo olukhulu entliziyweni yakho. Uxinzelelo luthintela ii-ventricle zentliziyo ekwandiseni ngokupheleleyo kwaye igcina intliziyo yakho ingasebenzi kakuhle. Intliziyo yakho ayinakupompa igazi eloneleyo kuwo wonke umzimba wakho xa kusenzeka oku. Oku kunokukhokelela ekusileleni komzimba, ukothuka, kunye nokufa.

I-tamponade ye-Cardiac ingxamisekileyo kwezonyango. Ukuba wena okanye umntu omaziyo uqala ukufumana iimpawu, khangela uncedo lwezonyango ngokukhawuleza.

Yintoni ebangela iTamponade yentliziyo?

I-tamponade ye-Cardiac ihlala isisiphumo sokungena kwe-pericardium, eyingxowa encinci, enodonga kabini ejikeleze intliziyo yakho. Isisu esijikeleze intliziyo yakho sinokugcwalisa igazi elaneleyo okanye olunye ulwelo lomzimba ukucinezela intliziyo yakho. Njengoko ulwelo lucinezela entliziyweni yakho, igazi elincinci nelincinci linokungena. Igazi elincinci le-oxygen-rich lifakwe kuwo wonke umzimba wakho ngenxa yoko. Ukunqongophala kwegazi ukuya entliziyweni nasemzimbeni wonke kungagqibela kubangele ukothuka, ukungaphumeleli komzimba kunye nokubanjwa kwentliziyo.

Unobangela wokungena kwe-pericardial okanye ukuqokelelwa kolwelo kunokubandakanya:

• ukudutyulwa okanye amanxeba okuhlatywa
• ukwenzakala buthuntu esifubeni kwimoto okanye kwingozi yemizi-mveliso
• Ukubakho ngengozi emva kokuthanjiswa kwentliziyo, i-angiografi, okanye ukufakelwa kwesixhobo sokucima ukomelela
• ukugqobhoza okwenziwe ngexesha lokubekwa komgca osembindini, oluhlobo lwecatheter elawula ulwelo okanye amayeza
• umhlaza osasazeke kwingxowa ye-pericardial, njengomhlaza wamabele okanye wemiphunga
• i-aneurysm eqhekekileyo
• i-pericarditis, ukudumba kwe-pericardium
• I-lupus, isifo esivuthayo apho amajoni omzimba ahlasela ngempazamo izicwili ezisempilweni
• amanqanaba aphezulu emitha esifubeni
• hypothyroidism, eyonyusa umngcipheko wesifo sentliziyo
• isifo sentliziyo
• ukusilela kwezintso
• usulelo oluchaphazela intliziyo

Ziintoni Iimpawu zeCardiac Tamponade?

I-tamponade yentliziyo ineempawu ezilandelayo:

• unxunguphalo kunye nokungazinzi
• uxinzelelo lwegazi oluphantsi
• ubuthathaka
• Intlungu yesifuba ikhupha entanyeni yakho, emagxeni, okanye ngasemva
• ingxaki yokuphefumla okanye ukuphefumla nzulu
• ukuphefumla ngokukhawuleza
• ukungakhululeki okuyekiswa kukuhlala okanye uncike phambili
• Ukuphelelwa ngamandla, isiyezi, kunye nokulahleka kwengqondo

Ichongwa njani iTamponade yeCardiac?

I-tamponade ye-Cardiac ihlala ineempawu ezintathu ugqirha wakho anokuziqonda. Le miqondiso yaziwa njenge-Beck's triad. Ziquka:

• uxinzelelo lwegazi olusezantsi kunye nokubetha okubuthathaka kuba umthamo wegazi intliziyo yakho iyampompa iyancitshiswa
• Imithambo eyandisiweyo yentamo kuba kunzima ukubuyisa igazi entliziyweni yakho
• ukubetha kwentliziyo okukhawulezileyo okudityaniswe nezandi zentliziyo enganyibilikiyo ngenxa yolwandiso lolwelo ngaphakathi kolusu lwakho

Ugqirha wakho uya kuqhuba ezinye iimvavanyo ukuqinisekisa isifo se-tamponade diagnostic. Olunye uvavanyo olunjalo yi-echocardiogram, eyi-ultrasound yentliziyo yakho. Iyakwazi ukubona ukuba i-pericardium iphazamisekile kwaye ukuba ii-ventricles ziwile ngenxa yevolumu yegazi esezantsi. Isifuba sakho X-reyi sinokubonisa eyandisiweyo, intliziyo emilise okwe globhu ukuba une-tamponade yentliziyo. Olunye uvavanyo lokuqonda isifo lunokubandakanya:

• i-CT thoracic scan ukukhangela ukuqokelelana kolwelo esifubeni sakho okanye utshintsho kwintliziyo yakho
• i-angioogram yemagneti yokujonga ukuba igazi ligijima njani entliziyweni yakho
• i-electrocardiogram ukuvavanya ukubetha kwentliziyo yakho

Iphathwa njani iTamponade yeCardiac?

I-tamponade ye-Cardiac ingxamisekileyo yezonyango efuna ukulaliswa esibhedlele. Unyango lwe-tamponade yentliziyo ineenjongo ezimbini. Kuya kufuneka ikhuphe uxinzelelo entliziyweni yakho kwaye inyange imeko engaphantsi kwayo. Unyango lokuqala lubandakanya ugqirha wakho uqinisekisa ukuba uzinzile.

Ugqirha wakho uya kukhupha umbane kwisikhwama sakho se-pericardial, ngokuqhelekileyo ngenaliti. Le nkqubo ibizwa ngokuba yi-pericardiocentesis. Ugqirha wakho unokwenza inkqubo engenayo ngakumbi ebizwa ngokuba yi-thoracotomy yokucoca igazi okanye ukususa amahlwili egazi ukuba unesilonda esingena ngaphakathi. Banokususa inxenye ye-pericardium yakho ukukunceda ukunciphisa uxinzelelo entliziyweni yakho.

Uyakufumana ioksijini, ulwelo, kunye namayeza okwandisa uxinzelelo lwegazi.

Nje ukuba i-tamponade iphantsi kolawulo kwaye imeko yakho izinzile, ugqirha wakho unokwenza uvavanyo olongezelelweyo ukumisela oyena nobangela wemeko yakho.

Yiyiphi imbono yexesha elide?

Umbono wexesha elide uxhomekeke ekubeni uxilongo lunokukhawuleza lwenziwe njani, unobangela we-tamponade, kunye nazo naziphi na iingxaki ezilandelayo. Umbono wakho ulungile ukuba i-tamponade yentliziyo ikhawuleze ifunyaniswe kwaye inyangwe.

Imbono yakho yexesha elide ixhomekeke kakhulu kukhawuleza ufumana unyango. Funa unyango ngokukhawuleza ukuba ucinga ukuba unale meko.

Imithombo yenqaku

• UMarkiewicz, W., et al. (Ngo-1986, ngoJuni). I-tamponade ye-Cardiac kwizigulana zonyango: unyango kunye nokuxelwa kwangaphambili kwi-echocardiographic era.
• UPericardiocentesis. (2014, Disemba). http://www.mountsinai.org/patient-care/health-library/treatments-and-procedures/pericardiocentesis
• IRistić, A. R., okqhubekayo. (2014, Julayi 7). Isicwangciso sokulungiswa kolawulo olukhawulezileyo lwe-tamponade yentliziyo: Isiteyitimenti sobume be-European Society of Cardiology Working Group kwiMyocardial nakwiPericardial Diseases. http://eurheartj.oxfordjournals.org/content/early/2014/06/20/eurheartj.ehu217.full
• Spodick, D.H (2003, Agasti 14). I-tamponade enentliziyo. http://www.nejm.org/doi/full/10.1056/NEJMra022643