Pericardiocentesis

Pericardiocentesis maitiro anoshandisa tsono kubvisa furuidhi kubva muparicardial sac. Ichi ndicho chidimbu chakakomberedza moyo.

Maitiro acho anowanzoitwa mune yakasarudzika nzira mukamuri, senge yemoyo catheterization rabhoritari. Izvo zvinogona zvakare kuitwa padivi pemubhedha wemuchipatara. Anopa hutano anoisa IV muruoko rwako kuitira kuti mvura kana mishonga inoda kupihwa kuburikidza netsinga. Semuenzaniso, unogona kupihwa mishonga kana kurova kwemoyo wako kuchinonoka kana BP yako ichidonha panguva yekuita.

Iye mupi anochenesa nzvimbo iripazasi chete kana padhuze nepfupa rechipfuva kana pazasi penyatso yeboshwe Unyanzvi hwekurapa (anesthetic) huchaiswa kunharaunda.

Chiremba anozoisa tsono uye oitungamira munyama yakakomberedza moyo. Kazhinji, echocardiography (ultrasound) inoshandiswa kubatsira chiremba kuti aone tsono uye chero mvura yemvura. Iyo electrocardiogram (ECG) uye x-ray (fluoroscopy) inogona zvakare kushandiswa kubatsira nekumisikidza.

Kana tsono yasvika panzvimbo chaiyo, inobviswa yoiswa netubhu inonzi catheter. Mvura inoyerera kuburikidza neiyi chubhu kupinda mumidziyo. Kazhinji yenguva, iyo pericardial catheter inosara munzvimbo saka kudhonza kunogona kuenderera kwemaawa akati wandei.

Dhizaini yekuvhiya inogona kudikanwa kana dambudziko rikaoma kugadzirisa kana kudzoka. Iyi ndiyo nzira inoparadza iyo iyo pericardium inodururwa mubhokisi (pleural) mhango. Neimwe nzira, iyo fluid inogona kudururwa mukati me peritoneal cavity, asi izvi hazvisi zvakajairika. Maitiro aya angangoda kuitwa pasi peanesthesia.

Unogona kusakwanisa kudya kana kunwa kwemaawa matanhatu muyedzo usati waitwa. Iwe unofanirwa kusaina fomu yekubvuma.

Unogona kunzwa kumanikidzwa sezvo tsono inopinda. Vamwe vanhu vane kurwadziwa pachipfuva, izvo zvingangoda mushonga wekurwadziwa.

Muedzo uyu unogona kuitwa kuti ubvise uye woongorora mvura irikumanikidza pamoyo. Izvo zvinowanzoitwa kazhinji kutsvaga chikonzero chechirwere chisingaperi kana chinowanzoitika.

Izvo zvinogona zvakare kuitwa kurapa moyo tamponade, inova inotyisidzira hupenyu mamiriro.

Iko kunowanzo kuve nehuremu hushoma hwakajeka, hwakasvibira-husavara munzvimbo yeparicardial

Zviwanikwa zvisingawanzo zvinogona kuratidza chikonzero cheparicardial fluid kuunganidzwa, senge:

• Gomarara
• Mwoyo pendi
• Kushungurudzika kwemoyo
• Kuunganidzwa kwemoyo kukundikana
• Pericarditis
• Renal kutadza
• Utachiona
• Kubvaruka kweanricysm ventricular

Ngozi dzinogona kusanganisira:

• Kubuda ropa
• Mapapu akadonha
• Kumira kurova kwemoyo
• Utachiona (pericarditis)
• Kusajairika kurova kwemoyo (arrhythmias)
• Kubaya kwetsandanyama yemoyo, tsinga yemwoyo, mapapu, chiropa kana dumbu
• Pneumopericardium (mweya mune pericardial sac)

Pericardial pombi; Percutaneous pericardiocentesis; Pericarditis - pericardiocentesis; Pericardial effusion - pericardiocentesis

• Moyo - pamberi pekutarisa
• Pericardium

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.