I-tamponade yentliziyo: yintoni, izizathu kunye nonyango

Umxholo

• Oonobangela bethamponade yentliziyo
• Uxilongo lwenziwa njani
• Iimpawu eziphambili
• Unjani unyango

I-tamponade ye-Cardiac yongxamiseko kwezonyango apho kukho ukuqokelelana kolwelo phakathi kweembumba ezimbini ze-pericardium, ezijongene nokufakwa kwentliziyo, okubangela ubunzima ekuphefumlweni, ukunciphisa uxinzelelo lwegazi kunye nokunyuka kwentliziyo, umzekelo.

Ngenxa yokufumba kolwelo, intliziyo ayikwazi ukumpompa igazi elaneleyo kwizitho kunye nezicubu, ezinokubangela ukothuka kunye nokufa ukuba ayinyangwa ngexesha.

Oonobangela bethamponade yentliziyo

I-tamponade ye-Cardiac inokwenzeka kwiimeko ezininzi ezinokubangela ukuqokelelwa kolwelo kwisithuba se-pericardial. Oonobangela abaphambili zezi:

• Umothuko esifubeni ngenxa yeengozi zeemoto;
• Imbali yomhlaza, ngakumbi imiphunga nentliziyo;
• I-Hypothyroidism, ebonakaliswa kukuhla kwemveliso yehomoni kwidlala lengqula;
• I-Pericarditis, esisifo sentliziyo esibangelwa kukosuleleka ziintsholongwane okanye intsholongwane;
• Imbali yokusilela kwezintso;
• Ukuhlaselwa kwentliziyo kwangoku;
• Inkqubo ye lupus erythematosus;
• Unyango lwe-radiotherapy;
• IUremia, ehambelana nokuphakama kwe-urea egazini;
• Utyando lwamva lwentliziyo olwenza umonakalo kwi-pericardium.

Oonobangela betamponade kufuneka bachongwe kwaye baphathwe ngokukhawuleza ukuze kuthintelwe iingxaki zentliziyo.

Uxilongo lwenziwa njani

Ukuxilongwa kwe-tamponade yentliziyo kwenziwa yi-cardiologist ngokusebenzisa i-X-ray yesifuba, i-resonance magnetic, i-electrocardiogram kunye ne-transthoracic echocardiogram, oluvavanyo oluvumela ukuqinisekisa, ngexesha langempela, iimpawu zentliziyo, ezifana nobukhulu, ubukhulu bomzimba kunye nokusebenza Intliziyo, umzekelo. Qonda ukuba yintoni i-echocardiogram kwaye yenziwa njani.

Kubalulekile ukugxininisa ukuba kamsinya nje emva kokuvela kweempawu zentliziyo, i-echocardiogram kufuneka yenziwe ngokukhawuleza, kuba luvavanyo olukhethiweyo lokuqinisekisa ukuxilongwa kwezi meko.

Iimpawu eziphambili

Iimpawu eziphambili zesifo senhliziyo yitamponade zezi:

• Ukunciphisa uxinzelelo lwegazi;
• Ukwanda kwenqanaba lokuphefumla kunye nentliziyo;
• Ukubetha kwendida, apho ukubetha kwenyama kuyanyamalala okanye kunciphe ngexesha lokuphefumlelwa;
• Ukudumba kwemithambo entanyeni;
• Iintlungu zesifuba;
• Ukuwa kwinqanaba lokuqonda;
• Ingqele, imfusa iinyawo nezandla;
• Ukungabikho komdla;
• Kunzima ukugwinya:
• Khohlela;
• Kunzima ukuphefumla.

Ukuba iimpawu zethamponade yentliziyo ziyaqatshelwa kwaye zinxulunyaniswa neempawu zokungaphumeleli kwezintso, umzekelo, kuyacetyiswa ukuba uye kwangoko kwigumbi likaxakeka okanye isibhedlele esikufutshane kuvavanyo kwaye, kwimeko yokuqinisekiswa kwetamponade yentliziyo, uqalise unyango .

Unjani unyango

Unyango lwe-tamponade yentliziyo kufuneka lwenziwe ngokukhawuleza ngokubuyisela umthamo wegazi kunye nokuphumla kwentloko, ekufuneka iphakanyisiwe kancinci. Ukongeza, kunokuba yimfuneko ukusebenzisa ii-analgesics, ezinjengeMorphine, kunye ne-diuretics, ezinje ngeFurosemide, umzekelo, ukuzinzisa imeko yesigulana de ulwelo lususwe ngotyando. Ioksijini ikwalawulwa ukunciphisa umthwalo entliziyweni, ukunciphisa isidingo segazi ngamalungu.

I-Pericardiocentesis luhlobo lwenkqubo yotyando ejolise ekususeni ulwelo olugqithisileyo entliziyweni, nangona kunjalo ithathwa njengenkqubo yethutyana, kodwa yanele ukunciphisa iimpawu kunye nokugcina ubomi besigulana. Unyango oluchanekileyo lubizwa ngokuba yiPericardial Window, apho ulwelo lwe-pericardial luchithwa kumngxunya ongqonge umphunga.