Cardiac Tamponade

Zvemukati

• Chii Chinokonzera Cardiac Tamponade?
• Ndeapi Zviratidzo zveCardiac Tamponade?
• Cardiac Tamponade Inoonekwa Sei?
• Cardiac Tamponade Inoitiswa Sei?
• Ndeapi Maonero Ekureba-Kure?
• Chinyorwa zvinyorwa

Chii chinonzi Cardiac Tamponade?

Cardiac tamponade chirwere chakakomba umo ropa kana zvinwiwa zvinozadza nzvimbo iri pakati pehomwe inovhara moyo nemhasuru yemwoyo. Izvi zvinoisa kumanikidza kwakanyanya pamoyo wako. Iko kumanikidza kunotadzisa ma ventricles emoyo kuti asawedzere zvizere uye nekuchengetedza moyo wako kuti usashande nemazvo. Moyo wako haugone kupomba ropa rakaringana kune iro rese remuviri wako kana izvi zvikaitika. Izvi zvinogona kutungamira kukundikana kwenhengo, kuvhunduka, uye kunyangwe kufa.

Cardiac tamponade chirwere chekukurumidzira. Kana iwe kana mumwe munhu waunoziva akatanga kuona zviratidzo, tsvaga rubatsiro rwechiremba nekukasira.

Chii Chinokonzera Cardiac Tamponade?

Cardiac tamponade inowanzo kuve mhedzisiro yekupinda kwepericardium, inova iyo yakatetepa, yakapetwa kaviri-yakakomberedzwa sac iyo yakakomberedza moyo wako. Iyo mhango yakakomberedza moyo wako inogona kuzadza neropa rakaringana kana zvimwe zvinwiwa zvemuviri kumanikidza moyo wako. Sezvo mvura inosvinira pamwoyo wako, ropa shoma uye shoma rinogona kupinda. Rashoma oksijeni-yakapfuma ropa inoputirwa kune imwe muviri wako semhedzisiro. Kushaikwa kweropa kusvika pamwoyo uye nemuviri wako wese kunogona kuparira kukatyamara, kutadza kwemuviri, uye kusungwa kwemoyo.

Izvo zvikonzero zve pericardial kupinda kana kuunganidzwa kwemvura zvinogona kusanganisira:

• pfuti kana maronda ekubaiwa
• kushungurudzika kwakashata kuchifuva kubva pamotokari kana tsaona mumaindasitiri
• netsaona kupwanywa mushure memwoyo catheterization, angiography, kana kuiswa kwepacemaker
• punctures inogadzirwa panguva yekuiswa kwepakati mutsetse, inova mhando yekateti iyo inopa zvinwiwa kana mishonga
• kenza yakapararira kune iyo pericardial sac, senge kenza yemazamu kana yemapapu
• rakaputika aortic aneurysm
• pericarditis, kuzvimba kweiyo pericardium
• lupus, chirwere chinoputira umo immune system inorwisa zvisirizvo zvinyama zvine hutano
• mazinga akakwirira emwaranzi kuchipfuva
• hypothyroidism, iyo inowedzera njodzi yechirwere chemwoyo
• chirwere chemwoyo
• itsvo kutadza
• hutachiona hunokanganisa moyo

Ndeapi Zviratidzo zveCardiac Tamponade?

Cardiac tamponade ine zvinotevera zviratidzo:

• kushushikana uye kusagadzikana
• yakaderera BP
• kushaya simba
• kurwadziwa kwepfupa kuchipenya kumutsipa wako, mapendekete, kana musana
• kunetseka kufema kana kutora mweya wakadzika
• kukurumidza kufema
• kusagadzikana uko kurerukirwa nekugara kana kusendamira kumberi
• kufenda, dzungu, uye kurasikirwa kwekuziva

Cardiac Tamponade Inoonekwa Sei?

Cardiac tamponade inowanzo kuve nezviratidzo zvitatu izvo chiremba wako anogona kuziva. Zviratidzo izvi zvinowanzozivikanwa seBeck triad. Zvinosanganisira:

• kuderera kweropa uye kushaya simba kwekushaya simba nekuti huwandu hweropa moyo wako uri kupomba hwaderedzwa
• yakawedzera mitsipa mitsipa nekuti vari kunetseka kudzosa ropa kumoyo wako
• kurova kwehana kwakakurumidza kwakasanganiswa nemanzwi emoyo akasanzwika nekuda kwekuwedzera kwemvura mukati me pericardium yako

Chiremba wako achaitisa mimwe bvunzo kuti asimbise yemoyo tamponade kuongororwa. Imwe bvunzo dzakadai echocardiogram, inova iyo ultrasound yemoyo wako. Inogona kuona kana iyo pericardium yakamonyaniswa uye kana ma ventricles akadonha nekuda kwekudzikira kweropa. Chifuva chako X-rays inogona kuratidza yakawedzera, yakaita moyo wepasi kana uine moyo tamponade. Mimwe bvunzo yekuongorora inogona kusanganisira:

• thoracic CT scan kuti utarise kuwanda kwemvura muchipfuva chako kana shanduko kumoyo wako
• magnetic resonance angiogram kuti uone kuyerera kweropa kuburikidza nemoyo wako
• electrocardiogram kuti uongorore kurova kwemoyo wako

Cardiac Tamponade Inoitiswa Sei?

Cardiac tamponade chirwere chekukurumidzira chinoda kurapwa. Kurapa kwemoyo tamponade kune zvinangwa zviviri. Inofanira kubvisa kumanikidza pamoyo wako uyezve kurapa mamiriro ari pasi. Kutanga kurapwa kunosanganisira chiremba wako kuve nechokwadi kuti wakadzikama.

Chiremba wako achaburitsa iyo fluid kubva kune yako pericardial sac, kazhinji ine tsono. Iyi nzira inonzi pericardiocentesis. Chiremba wako anogona kuita imwe inopinda nzira inonzi thoracotomy kubvisa ropa kana kubvisa kuwanda kweropa kana uine ronda rinopinda. Ivo vanogona kubvisa chikamu cheako pericardium kubatsira kubvisa kushushikana pamoyo wako.

Iwe zvakare uchagamuchira okisijeni, zvinwiwa, uye mishonga yekuwedzera yako BP.

Kamwe iyo tamponade iri pasi pekutonga uye mamiriro ako akagadzikana, chiremba wako anogona kuita mimwe bvunzo kuti aone chinokonzera chinzvimbo chemamiriro ako.

Ndeapi Maonero Ekureba-Kure?

Maonero kwenguva refu anoenderana nekukurumidza kuti kuongororwa kunogona kuitwa sei, chinokonzera kukonzera tamponade, uye chero matambudziko anotevera. Maonero ako akanyatsonaka kana moyo tamponade ikakurumidza kuongororwa uye kurapwa.

Maonero ako kwenguva refu anoenderana nekukurumidza kwaunowana kurapwa. Tsvaga kurapwa kwenguva pfupi kana iwe uchifunga kuti une mamiriro aya.

Chinyorwa zvinyorwa

• Markiewicz, W., et al. (1986, Chikumi). Cardiac tamponade mune vekurapa varwere: kurapwa uye kufungidzira mune echocardiographic nguva.
• Pericardiocentesis. (2014, Zvita). http://www.mountsinai.org/patient-care/health-library/treatments-and-procedures/pericardiocentesis
• Ristić, A. R., et al. (2014, Chikunguru 7). Nzira yekutengesa yekukurumidza manejimendi yemoyo tamponade: Chirevo chechinzvimbo cheEuropean Society yeCardiology Working Group paMyocardial uye Pericardial Zvirwere. http://eurheartj.oxfordjournals.org/content/early/2014/06/20/eurheartj.ehu217.full
• Spodick, D.H (2003, Nyamavhuvhu 14). Acute cardiac tamponade. http://www.nejm.org/doi/full/10.1056/NEJMra022643