Cardiac tamponade

Cardiac tamponade kumanikidza pamoyo kunoitika kana ropa kana mvura inovaka munzvimbo iri pakati pemhasuru yemoyo uye yekunze yekuvhara saga yemoyo.

Mune mamiriro aya, ropa kana mvura inoungana musaga rakakomberedza moyo. Izvi zvinodzivirira ma ventricles emoyo kubva mukuwedzera zvizere. Kumanikidza kwakanyanya kubva kuhumvura kunotadzisa moyo kushanda nemazvo. Nekuda kweizvozvo, muviri hauwane ropa rakaringana.

Cardiac tamponade inogona kuitika nekuda kwe:

• Kuparadzanisa aortic aneurysm (thoracic)
• End-nhanho kenza yemapapu
• Kurwadziwa kwemoyo (acute MI)
• Kuvhiya kwemoyo
• Pericarditis inokonzerwa nehutachiona kana hutachiona hutachiona
• Maronda kumoyo

Zvimwe zvinokonzeresa zvinosanganisira:

• Mamota emwoyo
• Isingashande thyroid gland
• Itsvo kutadza
• Leukemia
• Kuiswa kwepakati mitsara
• Radiation kurapa kuchipfuva
• Munguva pfupi yapfuura inoparadza maitiro emoyo
• Systemic lupus erythematosus
• Dermatomyositis
• Kutadza kwemoyo

Cardiac tamponade nekuda kwechirwere inoitika mune vangangoita 2 pavanhu zviuru gumi.

Zviratidzo zvinogona kusanganisira:

• Kufunganya, kusagadzikana
• Sharp kurwadziwa kwepfupa kunonzwika mumutsipa, pabendekete, musana, kana mudumbu
• Kurwadziwa pachifuva kunonyanya kuwedzera nekufema kwakadzika kana kukosora
• Matambudziko kufema
• Kusagadzikana, dzimwe nguva kununurwa nekugara wakamira kana kusendamira kumberi
• Kufenda, huremu hushoma
• Pale, grey, kana bhuruu ganda
• Palpitations
• Kukurumidza kufema
• Kuzvimba kwemakumbo kana dumbu
• Jaundice

Zvimwe zviratidzo zvinogona kuitika neichi chirwere:

• Dzungu
• Kukotsira
• Kushaya simba kwakadzika kana kusipo

Echocardiogram ndiyo bvunzo yesarudzo kubatsira kuita kuti kuongororwa. Bvunzo iyi inogona kuitwa padivi pemubhedha mune emergency emergency.

Kuongorora kwepanyama kunogona kuratidza:

• Ropa kumanikidza iyo inodonha kana uchifema zvakadzama
• Kukurumidza kufema
• Kurova kwemoyo pamusoro pezana (zvakajairika makumi matanhatu kusvika zana kurova paminiti)
• Mheremhere mhere inongonzwikwa zvishoma kuburikidza neiyo stethoscope
• Neck tsinga dzinogona kunge dzichiputika (dzakatenderedzwa) asi iro reropa rakaderera
• Kusina simba kana kusavapo kwemipendero inokanganisa

Mimwe bvunzo inogona kusanganisira:

• Chest CT kana MRI yechifuva
• Chest x-ray
• Coronary angiography
• ECG
• Right moyo catheterization

Cardiac tamponade ndiyo emergency mamiriro anoda kurapwa muchipatara.

Mvura inenge yakatenderedza moyo inofanira kudururwa nekukurumidza sezvazvinogona. Maitiro anoshandisa tsono kubvisa fluid kubva munyama yakakomberedza moyo ichaitwa.

Maitiro ekuvhiya ekucheka nekubvisa chikamu chekufukidza kwemoyo (pericardium) anogona zvakare kuitwa. Izvi zvinozivikanwa sekuvhiya pericardiectomy kana pericardial hwindo.

Mvura inopihwa kuti irambe ichibuditsa BP zvakajairika kudzamara mvura yacho yaburitswa kubva kwakatenderedza moyo. Mishonga inowedzera kuwedzera kweropa inogona zvakare kubatsira kuti munhu arambe ari mupenyu kusvikira mvura irasike.

Okisijeni inogona kupihwa kubatsira kudzikisira iro basa rebasa pamoyo nekuderedza zvinyowani zvinyowani zveropa kuyerera.

Chikonzero chetamponade chinofanira kuwanikwa uye kurapwa.

Rufu nekuda kwemoyo tamponade inogona kuitika nekukurumidza kana iyo fluid kana ropa isina kubviswa nekukurumidza kubva kune pericardium.

Mhedzisiro yacho inowanzo kuve yakanaka kana mamiriro acho akarapwa nekukurumidza. Zvisinei, tamponade inogona kudzoka.

Zvinetso zvinogona kusanganisira:

• Kutadza kwemoyo
• Pulmonary edema
• Kubuda ropa
• Shock
• Rufu

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana zviratidzo zvikaitika. Cardiac tamponade ndeye emergency mamiriro anoda emergency kurapwa.

Zviitiko zvakawanda hazvigone kudzivirirwa. Kuziva kwako pachako njodzi zvinogona kukubatsira iwe kuti utange kuongororwa uye kurapwa.

Tamponade; Pericardial tamponade; Pericarditis - tamponade

• Moyo - pamberi pekutarisa
• Pericardium
• Cardiac tamponade

Hoit BD, Ah JK. Zvirwere zvepericardial. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 68.

LeWinter MM, Imazio M. Zvirwere zvepericardial. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 83.

Mallemat HA, Tewelde SZ. Pericardiocentesis. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 16.