Tamponade Yamtima

Zamkati

• Nchiyani Chimayambitsa Tamponade Yamtima?
• Kodi Zizindikiro za Tamponade Yamtima Ndi Ziti?
• Kodi Tamponade ya Cardiac Imadziwika Bwanji?
• Kodi Tamponade ya Mtima Imayang'aniridwa Bwanji?
• Kodi Chiyembekezo Chosakhalitsa Ndi Chiyani?
• Zolemba pazolemba

Kodi Tamponade ya mtima ndi chiyani?

Tamponade yamatenda ndimatenda akulu pomwe magazi kapena madzi amadzaza pakati pa thumba lomwe limazungulira mtima ndi minofu yamtima. Izi zimakakamiza kwambiri pamtima panu. Kupanikizika kumalepheretsa ma ventricle amtima kukulira mokwanira ndikuteteza mtima wanu kuti usamagwire bwino ntchito. Mtima wanu sungapope magazi okwanira mthupi lanu lonse izi zikachitika. Izi zitha kubweretsa kulephera kwa ziwalo, mantha, ngakhale kufa.

Tamponade yamtima ndimavuto azachipatala. Ngati inu kapena munthu wina amene mumamudziwa wayamba kukumana ndi zizindikilo, pitani kuchipatala nthawi yomweyo.

Nchiyani Chimayambitsa Tamponade Yamtima?

Tamponade yamtima nthawi zambiri imabwera chifukwa cholowa kwa pericardium, yomwe ndi thumba laling'ono, lokhala ndi mipanda iwiri yozungulira mtima wanu. Mimbayo mozungulira mtima wanu imatha kudzaza magazi okwanira kapena madzi ena amthupi kupondereza mtima wanu. Pamene madzi amadzimadzi amalowa mumtima mwanu, magazi ocheperako amatha kulowa. Magazi ochepa okosijeni amaponyedwa m'thupi lanu lonse chifukwa chake. Kusowa kwa magazi kufikira pamtima ndi thupi lanu lonse kumatha kuyambitsa mantha, kulephera kwa ziwalo, ndi kumangidwa kwa mtima.

Zomwe zimayambitsa kuchepa kwa madzi kapena kuphatikizika kwamadzimadzi zimatha kuphatikiza:

• kuwomberedwa mfuti kapena mabala akubafa
• kukhumudwa pachifuwa kuchokera pagalimoto kapena ngozi yamafakitale
• Kuwonongeka mwangozi pambuyo pa catheterization yamtima, angiography, kapena kuyika pacemaker
• zibangili zopangidwa panthawi yopangira mzere wapakati, womwe ndi mtundu wa catheter womwe umapereka madzi kapena mankhwala
• khansa yomwe yafalikira ku thumba la pericardial, monga khansa ya m'mawere kapena yamapapo
• kuphulika kwa aortic aneurysm
• pericarditis, kutupa kwa pericardium
• lupus, matenda otupa momwe chitetezo chamthupi chimagwirira molakwika matupi athanzi
• kutentha kwakukulu kwa chifuwa
• hypothyroidism, yomwe imawonjezera chiopsezo cha matenda amtima
• matenda a mtima
• impso kulephera
• matenda omwe amakhudza mtima

Kodi Zizindikiro za Tamponade Yamtima Ndi Ziti?

Tamponade yamtima ili ndi izi:

• nkhawa komanso kusakhazikika
• kuthamanga kwa magazi
• kufooka
• kupweteka pachifuwa kukuwonekera pakhosi panu, mapewa, kapena kumbuyo
• kuvuta kupuma kapena kupuma mwamphamvu
• kupuma mofulumira
• kusapeza bwino komwe kumakhazikika pokhala kapena kutsamira patsogolo
• kukomoka, chizungulire, ndi kukomoka

Kodi Tamponade ya Cardiac Imadziwika Bwanji?

Tamponade yamtima nthawi zambiri imakhala ndi zizindikilo zitatu zomwe dokotala angazindikire. Zizindikirozi zimadziwika kuti Beck's triad. Zikuphatikizapo:

• kutsika kwa magazi komanso kugunda kofooka chifukwa voliyumu yamagazi yomwe mtima wanu ukupopa imachepetsedwa
• mitsempha yambiri ya khosi chifukwa akuvutika kuti abwezeretse magazi pamtima pako
• kugunda kwamtima kophatikizana ndikumveka kwamtima kosafunikira chifukwa chakukula kwa madzimadzi mkati mwa pericardium yanu

Dokotala wanu adzayesa mayeso kuti atsimikizire matenda am'mimba. Chiyeso chimodzi chotere ndi echocardiogram, yomwe ndi ultrasound ya mtima wanu. Ikhoza kuzindikira ngati pericardium yasokonekera ndipo ngati ma ventricles agwa chifukwa chotsika magazi. X-ray yanu pachifuwa imatha kuwonetsa mtima wokulitsidwa, wofanana ndi dziko lapansi ngati muli ndi tamponade yamtima. Mayesero ena azidziwitso atha kukhala:

• chojambula cha thoracic CT kuti muyang'ane kudzikundikira kwamadzi m'chifuwa kapena kusintha kwa mtima wanu
• mawonekedwe owonera maginito kuti muwone momwe magazi akuyendera mumtima mwanu
• electrocardiogram kuti muwone kugunda kwa mtima wanu

Kodi Tamponade ya Mtima Imayang'aniridwa Bwanji?

Tamponade yamtima ndi vuto lazachipatala lomwe limafunikira kuchipatala. Chithandizo cha tamponade yamtima chili ndi zolinga ziwiri. Iyenera kuthetsa kupsinjika kwa mtima wanu ndikuchiza vutoli. Chithandizo choyambirira chimaphatikizapo dokotala wanu kuonetsetsa kuti mwakhazikika.

Dokotala wanu amatulutsa madzi amthumba lanu, makamaka ndi singano. Njirayi imatchedwa pericardiocentesis. Dokotala wanu amatha kuchita njira yovuta kwambiri yotchedwa thoracotomy kukhetsa magazi kapena kuchotsa magazi magazi ngati muli ndi bala lolowera. Amatha kuchotsa gawo lanu la pericardium kuti athandizire kuthana ndi mtima wanu.

Mudzalandiranso mpweya, madzi, ndi mankhwala kuti muwonjezere kuthamanga kwa magazi.

Tamponade ikayamba kulamulidwa ndipo mkhalidwe wanu ukhazikika, dokotala wanu akhoza kuyesa zina kuti adziwe chomwe chimayambitsa matenda anu.

Kodi Chiyembekezo Chosakhalitsa Ndi Chiyani?

Kuwona kwa nthawi yayitali kumadalira momwe matendawa angapangidwire mwachangu, chomwe chimayambitsa vutoli, ndi zovuta zina zilizonse zomwe zingachitike. Maganizo anu ndiabwino ngati matenda a mtima amapezeka mofulumira ndikuchiritsidwa.

Maganizo anu a nthawi yayitali amadalira momwe mumalandirira chithandizo mwachangu. Pitani kuchipatala nthawi yomweyo ngati mukuganiza kuti muli ndi vutoli.

Zolemba pazolemba

• Maliko, W., et al. (1986, Juni). Tamponade yamtima mwa odwala: chithandizo ndi kufalikira munthawi ya echocardiographic.
• Pericardiocentesis. (2014, Disembala). http://www.mountsinai.org/patient-care/health-library/treatments-and-procedures/pericardiocentesis
• Ristić, A. R., ndi al. (2014, Julayi 7). Njira yothandizira kuwongolera mwachangu matenda amtima: Ndemanga ya European Society of Cardiology Working Group pa Myocardial and Pericardial Diseases. http://eurheartj.oxfordjournals.org/content/early/2014/06/20/eurheartj.ehu217.full
• Spodick, D. H. (2003, Ogasiti 14). Pachimake pamtima. http://www.nejm.org/doi/full/10.1056/NEJMra022643