Tamponade yamtima: ndi chiyani, zimayambitsa ndi chithandizo

Zamkati

• Zimayambitsa tamponade mtima
• Momwe matendawa amapangidwira
• Zizindikiro zazikulu
• Kodi chithandizo

Tamponade yamtima ndimavuto azachipatala momwe mumadzikundikira madzimadzi pakati pa nembanemba ziwiri za pericardium, zomwe zimayambitsa kulumikizana kwa mtima, zomwe zimayambitsa kupuma, kuchepa kwa kuthamanga kwa magazi komanso kuchuluka kwa kugunda kwa mtima, mwachitsanzo.

Chifukwa cha kudzikundikira kwamadzimadzi, mtima sungathe kutulutsa magazi okwanira m'ziwalo ndi minyewa, zomwe zimatha kubweretsa mantha komanso kufa ngati sichichiritsidwa munthawi yake.

Zimayambitsa tamponade mtima

Tamponade yamtima imatha kuchitika m'malo angapo omwe angayambitse kudzikundikira kwa madzi mumalo ozungulira. Zomwe zimayambitsa ndi izi:

• Kuvulala pachifuwa chifukwa cha ngozi zamagalimoto;
• Mbiri ya khansa, makamaka m'mapapu ndi mtima;
• Hypothyroidism, yomwe imadziwika ndi kuchepa kwa mahomoni ndi chithokomiro;
• Pericarditis, yomwe ndi matenda amtima omwe amabwera chifukwa cha bakiteriya kapena ma virus;
• Mbiri ya kulephera kwa impso;
• Matenda amtima aposachedwa;
• Zokhudza lupus erythematosus;
• Chithandizo cha ma radiation;
• Uremia, yomwe ikugwirizana ndi kukwera kwa urea m'magazi;
• Opaleshoni yamtima yaposachedwa yomwe imawononga pericardium.

Zomwe zimayambitsa tamponade ziyenera kudziwika ndikuchiritsidwa mwachangu kuti mavuto amtima apewedwe.

Momwe matendawa amapangidwira

Kuzindikira kwa tamponade yamtima kumapangidwa ndi cardiologist kudzera pachifuwa cha X-ray, magnetic resonance, electrocardiogram ndi transthoracic echocardiogram, komwe ndi mayeso omwe amalola kutsimikizira, munthawi yeniyeni, mawonekedwe amtima, monga kukula, makulidwe aminyewa komanso magwiridwe antchito a mtima, mwachitsanzo. Mvetsetsani zomwe echocardiogram ndi momwe zimachitikira.

Ndikofunikira kutsimikizira kuti zikangowonekera za matenda a mtima, echocardiogram iyenera kuchitidwa mwachangu, chifukwa ndiye mayeso osankhidwa kutsimikizira kuti ali ndi vutoli.

Zizindikiro zazikulu

Zizindikiro zazikuluzikulu za tamponade yamtima ndi izi:

• Kuchepetsa kuthamanga kwa magazi;
• Kuchuluka kupuma ndi kugunda kwa mtima;
• Zovuta zamatsenga, momwe zimakhalira kutha kapena kuchepa pakulimbikitsidwa;
• Kutalika kwa mitsempha m'khosi;
• Kupweteka pachifuwa;
• Kugwa mu msinkhu wa chikumbumtima;
• Kuzizira, mapazi ofiira ndi manja;
• Kusowa kwa njala;
• Zovuta kumeza:
• Chifuwa;
• Kuvuta kupuma.

Ngati zizindikiro za matenda a mtima zimadziwika ndipo zimakhudzana ndi zizindikiritso za impso zoyipa, mwachitsanzo, tikulimbikitsidwa kuti mupite mwachangu kuchipatala kapena kuchipatala chapafupi kuti mukayesedwe ndipo, pakatsimikizika mtima wa tamponade, adayambitsa chithandizo .

Kodi chithandizo

Kuchiza kwa tamponade yamtima kuyenera kuchitidwa posachedwa m'malo mwa kuchuluka kwamagazi ndikupumitsa mutu, womwe uyenera kukwezedwa pang'ono. Kuphatikiza apo, pangafunike kugwiritsa ntchito ma analgesics, monga Morphine, ndi diuretics, monga Furosemide, mwachitsanzo, kukhazikitsa bata wodwalayo mpaka madziwo atachotsedwa kudzera mu opaleshoni. Mpweya umaperekedwanso kuti muchepetse katundu pamtima, kuchepetsa kufunika kwa magazi ndi ziwalo.

Pericardiocentesis ndi mtundu wa opaleshoni yomwe cholinga chake ndi kuchotsa madzimadzi owonjezera pamtima, komabe zimawoneka ngati njira yakanthawi, koma yokwanira kuthetsa zizindikilo ndikupulumutsa moyo wa wodwalayo. Chithandizo chotsimikizika chimatchedwa Pericardial Window, momwe madzimadzi amadzimadzi amalowetsedwa m'mimbamo yozungulira mapapu.