Pericardiocentesis

Pericardiocentesis ndi njira yomwe imagwiritsa ntchito singano kuti ichotse madzimadzi m'thumba la pericardial. Izi ndiye minofu yozungulira mtima.

Njirayi imachitika nthawi zambiri m'chipinda chapadera, monga labotale ya mtima. Zitha kuchitikanso pafupi ndi bedi la wodwalayo. Wothandizira zaumoyo adzaika IV m'manja mwanu ngati madzi kapena mankhwala akufunika kuperekedwa kudzera mumtsempha. Mwachitsanzo, mungapatsidwe mankhwala ngati kugunda kwa mtima wanu kukuchepetsa kapena kuthamanga kwa magazi mukuchita izi.

Woperekayo amatsuka malo omwe ali pansipa kapena pafupi ndi chifuwa cha bere kapena pansi pamabele a kumanzere. Mankhwala osungitsa dzanzi adzagwiritsidwa ntchito m'derali.

Dokotala amalowetsa singano ndikuwongolera mu minofu yomwe ili mozungulira mtima. Nthawi zambiri, echocardiography (ultrasound) imagwiritsidwa ntchito kuthandiza dokotala kuwona singano ndi ngalande iliyonse yamadzi. Ma electrocardiogram (ECG) ndi x-ray (fluoroscopy) atha kugwiritsidwanso ntchito kuthandizira pakuika.

Singanoyo ikafika pamalo oyenera, imachotsedwa ndikuikapo chubu chotchedwa catheter. Zamadzimadzi zimadutsa mu chubu ichi kupita muzitsulo. Nthawi zambiri, catheter ya pericardial imatsalira m'malo kotero kuti kukhetsa kumatha kupitilira kwa maola angapo.

Ngalande za opaleshoni zitha kukhala zofunikira ngati vutoli ndi lovuta kukonza kapena kubwereranso. Iyi ndi njira yowopsa kwambiri yomwe pericardium imatsanulidwa mu chifuwa (pleural) patsekeke. Kapenanso, madzimadzi amatha kulowa mu peritoneal cavity, koma izi sizodziwika kwenikweni. Njirayi ingafunike kuchitidwa pansi pa anesthesia wamba.

Simungathe kudya kapena kumwa kwa maola 6 mayeso asanayesedwe. Muyenera kusaina fomu yovomerezeka.

Mutha kumva kupanikizika pamene singano imalowa. Anthu ena amamva kupweteka pachifuwa, omwe angafunike mankhwala opweteka.

Kuyesaku kungachitike kuti muchotse ndikuwunika zamadzimadzi zomwe zikukakamiza pamtima. Nthawi zambiri zimachitika kuti tipeze chifukwa cha kuwonongeka kwakanthawi kapena kobwerezabwereza.

Zingathenso kuchitidwa ndi matenda a mtima, omwe ndi owopsa.

Nthawi zambiri mumakhala madzi akumwa owoneka ngati udzu pang'ono.

Zotsatira zosazolowereka zitha kuwonetsa chomwe chimayambitsa kuchuluka kwa madzimadzi, monga:

• Khansa
• Kuwonongeka kwamtima
• Kusokonezeka kwa mtima
• Kulephera kwa mtima
• Matenda a m'mapapo
• Aimpso kulephera
• Matenda
• Kutuluka kwa aneurysm yamitsempha yamagazi

Zowopsa zingaphatikizepo:

• Magazi
• Mapapu atagwa
• Matenda amtima
• Matenda (pericarditis)
• Kugunda kwamtima kosafunikira (arrhythmias)
• Kuboola kwa minofu yamtima, mtsempha wamagazi, mapapo, chiwindi, kapena m'mimba
• Pneumopericardium (mpweya mu thumba la pericardial)

Kupopera kwapadera; Zowonjezera pericardiocentesis; Matenda a Pericarditis - pericardiocentesis; Kutulutsa kwapericardial - pericardiocentesis

• Mtima - kuwonera kutsogolo
• Zowonjezera

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.