Gbasara obi

Cardiac tamponade bụ nrụgide na mkpụrụ obi nke na - eme mgbe ọbara ma ọ bụ mmiri na - eto n'ime oghere dị n'etiti akwara obi na akpa mkpuchi nke obi.

N’ọnọdụ a, ọbara ma ọ bụ mmiri na-anakọta n’ime akpa dị n’akụkụ obi. Nke a na-egbochi obi obi ịgbasa n'ụzọ zuru ezu. Nrụgide dị ukwuu site na mmiri na-egbochi obi ịrụ ọrụ nke ọma. N’ihi ya, ahụ anaghị enweta ọbara zuru ezu.

Cardiac tamponade nwere ike ime n'ihi:

• Kesa aortic aneurysm (thoracic)
• Ọgwụgwụ nke ngụgụ akpa ume
• Ọrịa obi (nnukwu MI)
• Surgerywa ahụ obi
• Pericarditis nke nje na-efe efe ma ọ bụ ọrịa nje na-akpata
• Ogbugbu obi

Ihe ndị ọzọ nwere ike ịgụnye:

• Obi etuto
• Adịghị arụ ọrụ thyroid gland
• Akụrụ ọdịda
• Ọrịa leukemia
• Ntinye nke eriri etiti
• Ọkụ radieshon na obi
• Usoro mmebi obi n'oge na-adịbeghị anya
• Lupus erythematosus sistemụ
• Ọrịa Dermatomyositis
• Obi mgbawa

Cardiac tamponade n'ihi ọrịa na-eme n'ihe dị ka 2 n'ime mmadụ 10,000.

Mgbaàmà nwere ike ịgụnye:

• Nchegbu, enweghị ike
• Mgbu mgbu na-egbu mgbu nke a na-eche n'olu, ubu, azụ, ma ọ bụ afọ
• Obi mgbu na-akawanye njọ na miri iku ume ma ọ bụ ụkwara
• Nsogbu iku ume
• Erughị ala, mgbe ụfọdụ ị na-enwe ahụ efe site na ịnọdụ ala ọtọ ma ọ bụ ịdabere n'ihu
• Faining, lightheadedness
• Ichacha, isi awọ, ma ọ bụ acha anụnụ anụnụ
• Ulo elu
• Na-eku ume ngwa ngwa
• Mgbapu ụkwụ ma ọ bụ afọ
• Jaundice

Mgbaàmà ndị ọzọ nwere ike ịdaba na nsogbu a:

• Dizzziness
• Ụra
• Adịghị ike ma ọ bụ na-anọghị usu

Echocardiogram bụ ule ịhọrọ iji nyere aka mee nchoputa. Enwere ike ime ule a n'akụkụ akwa n'okwu mberede.

Nyocha nke anụ ahụ nwere ike igosi:

• Ọbara mgbali elu nke dara mgbe ọ na-eku ume nke ukwuu
• Na-eku ume ngwa ngwa
• Mkpụrụ obi karịrị 100 (nke nkịtị bụ 60 ka 100 na-akụ kwa nkeji)
• A na-anụ ụda olu naanị site na stethoscope
• Ọkpụkpụ olu nke nwere ike ịmalite (agbatị) mana ọbara mgbali dị ala
• Adịghị ike ma ọ bụ na-anọghị ya pulses

Ule ndị ọzọ nwere ike ịgụnye:

• Igbe CT ma ọ bụ MRI nke obi
• Igbe x-ray
• Ọkpụkpụ akwara
• ECG
• Ezi obi catheterization

Cardiac tamponade bụ ọnọdụ mberede chọrọ ka a gwọọ ya n'ụlọ ọgwụ.

Mmiri dị gburugburu obi ga-agbarịrị ngwa ngwa o kwere mee. Usoro nke eji agịga iji wepu mmiri site na anụ ahụ nke gbara obi gburugburu ga-eme.

A nwekwara ike ime usoro ịwa ahụ iji belata ma wepụ akụkụ nke ihe mkpuchi nke obi (pericardium). A maara nke a dị ka ịwa ahụ pericardiectomy ma ọ bụ windo pericardial.

A na-enye mmiri ka mmiri ọbara ọgbụgba dịrị nkịtị ruo mgbe mmiri ahụ ga - amịpụta site n’obi. Ọgwụ ndị na-eme ka ọbara mgbali elu pụkwara inye aka mee ka mmadụ dịrị ndụ ruo mgbe mmiri ahụ gwụrụ.

Enwere ike inye oxygen iji nyere aka belata oke ọrụ na obi site na ibelata anụ ahụ chọrọ maka mmụba ọbara.

Ihe kpatara tamponade ga-achọta ma gwọọ ya.

Ọnwụ n'ihi ọrịa obi nwere ike ime ngwa ngwa ma ọ bụrụ na ewepụghị mmiri ma ọ bụ ọbara ngwa ngwa na pericardium.

Ihe na-esi na ya pụta na-adịkarị mma ma ọ bụrụ na a gwọọ ọnọdụ ahụ ngwa ngwa. Agbanyeghị, tamponade nwere ike ịlaghachi.

Nsogbu nwere ike ịgụnye:

• Obi mgbawa
• Akpa ume edema
• Ọbara ọgbụgba
• Ujo
• Ọnwụ

Gaa na ụlọ mberede ma ọ bụ kpọọ nọmba mberede mpaghara (dịka 911) ma ọ bụrụ na mgbaàmà amalite. Cardiac tamponade bụ ọnọdụ mberede chọrọ nlekọta ahụike ozugbo.

Enweghị ike igbochi ọtụtụ ikpe. Mara ihe ndị nwere ike ibute gị nwere ike inyere gị aka ịmalite nchoputa na ọgwụgwọ n'oge.

Tamponade; Tamponade nke Pericardial; Pericarditis - tamponade

• Obi - echiche dị n'ihu
• Pericardium
• Gbasara obi

Hoit BD, Oh JK. Ọrịa Pericardial. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi nke 68.

LeWinter MM, Imazio M. Ọrịa Pericardial. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 83.

Mallemat HA, Tewelde SZ. Pericardiocentesis. Na: Roberts JR, Custalow CB, Thomsen TW, eds. Usoro ọgwụgwọ Clinical nke Roberts na Hedges na Medicine Mberede na Nnukwu Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 16.