Tamponade yamtima

Tamponade yamtima ndikumangika pamtima komwe kumachitika magazi kapena madzimadzi akamakula pakati pakati pa minofu yamtima ndi thumba lakunja lakumtima.

Momwemonso, magazi kapena madzimadzi amasonkhana m'thumba lozungulira mtima. Izi zimalepheretsa ma ventricles amtima kukula bwino. Kupanikizika kwambiri kuchokera kumadzimadzi kumalepheretsa mtima kugwira ntchito moyenera. Zotsatira zake, thupi silimapeza magazi okwanira.

Tamponade yamtima imatha kuchitika chifukwa cha:

• Kutulutsa aortic aneurysm (thoracic)
• Khansa yamapapu yomaliza
• Matenda a mtima (pachimake MI)
• Opaleshoni ya mtima
• Pericarditis imayambitsidwa ndi matenda a bakiteriya kapena ma virus
• Mabala pamtima

Zina mwazomwe zingayambitse ndi izi:

• Zotupa za mtima
• Chithokomiro chosagwira ntchito
• Impso kulephera
• Khansa ya m'magazi
• Kukhazikitsidwa kwa mizere yapakati
• Thandizo la radiation pachifuwa
• Njira zaposachedwa zowononga mtima
• Njira lupus erythematosus
• Dermatomyositis
• Mtima kulephera

Tamponade yamtima chifukwa cha matenda imapezeka mwa anthu pafupifupi 2 mwa anthu 10,000.

Zizindikiro zimaphatikizapo:

• Kuda nkhawa, kusakhazikika
• Kupweteka kwakanthawi pachifuwa komwe kumamveka pakhosi, phewa, kumbuyo, kapena pamimba
• Kupweteka pachifuwa komwe kumakulirakulira ndikupumira kwambiri kapena kutsokomola
• Mavuto kupuma
• Zovuta, nthawi zina zimakhazika mtima pansi pakakhala phee kapena kutsamira patsogolo
• Kukomoka, kupepuka mutu
• Wotuwa, wotuwa, kapena khungu labuluu
• Kupindika
• Kupuma mofulumira
• Kutupa kwa miyendo kapena pamimba
• Jaundice

Zizindikiro zina zomwe zingachitike ndi matendawa:

• Chizungulire
• Kusinza
• Kugunda kofooka kapena kwina

Echocardiogram ndiye mayeso osankhidwa kuti athandizire kuzindikira. Mayesowa atha kuchitidwa pakabedi pakagwa mwadzidzidzi.

Kuyezetsa thupi kumatha kuwonetsa:

• Kuthamanga kwa magazi komwe kumagwa mukamapumira kwambiri
• Kupuma mofulumira
• Kugunda kwa mtima wopitilira 100 (yachibadwa ndi kugunda kwa 60 mpaka 100 pamphindi)
• Phokoso la mtima limangomveka pang'ono kudzera mu stethoscope
• Mitsempha yama khosi yomwe imatha kukhala yotupa (yopindika) koma kuthamanga kwa magazi ndikotsika
• Mitengo yofooka kapena yopanda phokoso

Mayesero ena atha kuphatikizira:

• Chifuwa CT kapena MRI ya chifuwa
• X-ray pachifuwa
• Zowonera Coronary
• ECG
• Catheterization yamtima wamanja

Tamponade yamtima ndi vuto ladzidzidzi lomwe limafunikira chithandizo kuchipatala.

Madzimadzi ozungulira mtima ayenera kutsanulidwa mwachangu momwe angathere. Njira yomwe imagwiritsa ntchito singano kuchotsa madzimadzi muminyewa yozungulira mtima idzachitika.

Kuchita opaleshoni kudula ndi kuchotsa gawo lina la chophimba pamtima (pericardium) amathanso kuchitidwa. Izi zimadziwika kuti opaleshoni ya pericardiectomy kapena zenera la pericardial.

Zamadzimadzi zimaperekedwa kuti magazi aziyenda bwino mpaka madziwo atha kutuluka mozungulira mtima. Mankhwala omwe amachulukitsa kuthamanga kwa magazi amathanso kumuthandiza kuti akhalebe ndi moyo mpaka madzi atuluke.

Oxygen itha kuperekedwa kuti ichepetse kuchuluka kwa ntchito pamtima pochepetsa zofuna zamatenda kuti magazi aziyenda.

Chifukwa cha tamponade chiyenera kupezeka ndikuchiritsidwa.

Imfa chifukwa cha tamponade yamtima imatha kuchitika mwachangu ngati madzimadzi kapena magazi sanachotsedwe mwachangu ku pericardium.

Zotsatira zake nthawi zambiri zimakhala zabwino ngati vutoli lithandizidwa mwachangu. Komabe, tamponade ikhoza kubwerera.

Zovuta zingaphatikizepo:

• Mtima kulephera
• Edema ya m'mapapo
• Magazi
• Chodabwitsa
• Imfa

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati zizindikiro zayamba. Tamponade yamtima ndi vuto ladzidzidzi lomwe limafunikira chithandizo chamankhwala mwachangu.

Milandu yambiri sitingapewe. Kudziwa zomwe mungachite pachiwopsezo kumatha kukuthandizani kuti mupeze chithandizo chakuchipatala mwachangu.

Kusokoneza; Zowonongeka; Pericarditis - kusokoneza

• Mtima - kuwonera kutsogolo
• Zowonjezera
• Tamponade yamtima

Hoit BD, Ah JK. Matenda a Pericardial. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 68.

LeWinter MM, matenda a Imazio M. Pericardial. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 83.

Mallemat HA, Tewelde SZ. Pericardiocentesis. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 16.