Pericardiocentesis

Pericardiocentesis bu ihe n’eji eji ogwu ogwu wepu mmiri mmiri n’akuko pericardial. Nke a bụ anụ ahụ nke gbara obi gburugburu.

A na-eme usoro ahụkarị n'ime ụlọ ọrụ pụrụ iche, dị ka ụlọ nyocha carheterization cardiac. Enwere ike ịme ya n'akụkụ akwa ụlọ ọgwụ nke onye ọrịa. Onye nlekọta ahụike ga-etinye IV n'ime ogwe aka gị ma ọ bụrụ na ọ dị mkpa ka e nye mmiri ma ọ bụ ọgwụ site na akwara. Iji maa atụ, enwere ike inye gị ọgwụ ma ọ bụrụ na obi otiti gị belata ma ọ bụ ọbara mgbali elu gị mgbe ị na-eme ihe ahụ.

Onye ahụ na-eweta ọrụ ga-ehicha otu ebe dị n'okpuru ma ọ bụ na-esote ọkpụkpụ obi ma ọ bụ n'okpuru ọnụ ara ekpe. A ga-etinye ọgwụ ngụ (anestetiiki) na mpaghara ahụ.

Dọkịta ahụ ga-etinye agịga ma duzie ya n’ime anụ ahụ nke na-agba obi gburugburu. Ọtụtụ mgbe, a na-eji echocardiography (ultrasound) enyere dọkịta aka ịhụ agịga na ọwara mmiri ọ bụla. Enwekwara ike iji electrocardiogram (ECG) na x-ray (fluoroscopy) nyere aka na nhazi.

Ozugbo agịga ahụ ruru ebe ziri ezi, a na-ewepụ ya ma jiri tubị a na-akpọ catheter dochie ya. Mmiri mmiri na-asọba n'ime tube a n'ime ihe. Ọtụtụ oge, a na-ahapụ catheter pericardial na ebe ka ịgbapụ mmiri nwere ike ịga n'ihu ruo ọtụtụ awa.

Enwere ike ịmepe mmiri ịwa ahụ ma ọ bụrụ na nsogbu ahụ siri ike idozi ma ọ bụ laghachi. Nke a bụ usoro na-emebi emebi nke a na-agbanye pericardium n'ime oghere (pleural). N'aka nke ọzọ, mmiri ahụ nwere ike ịbanye n'ime oghere peritoneal, mana nke a adịkarịghị. Usoro a nwere ike ịdị mkpa ime n'okpuru anesthesia izugbe.

Gaghị enwe ike iri nri ma ọ bụ drinkụọ ruo awa 6 tupu ule ahụ. Ga-abịanye aka na akwụkwọ ikike.

I nwere ike inwe nrụgide ka agịga ahụ na-abanye. Fọdụ ndị nwere ihe mgbu obi, nke nwere ike ịchọ ọgwụ mgbu.

Enwere ike ime nnwale a iji wepu ma nyochaa mmiri mmiri na-akụchi obi. A na-emekarị ya iji chọpụta ihe kpatara ọrịa na-adịghị ala ala ma ọ bụ na-agagharị.

Enwere ike ime ya iji gwọọ obi, nke bụ ọnọdụ na-eyi ndụ egwu.

A na-enwekarị obere ntakịrị nke mmiri doro anya, ahịhịa na-acha ahịhịa na oghere pericardial.

Nchọpụta na-adịghị mma nwere ike igosi ihe kpatara ọnụọgụ mmiri, dị ka:

• Ọrịa cancer
• Gbasara obi
• Cardiac trauma
• Ọrịa obi na-akụda mmụọ
• Ọrịa
• Gbasara akụrụ
• Ofufe Ọrịa
• Rupture nke ventricular aneurysm

Ize ndụ nwere ike ịgụnye:

• Ọbara ọgbụgba
• Akpịrị akpa ume
• Obi nkolopu
• Ofufe Ọrịa (pericarditis)
• Oge ufodu obi (arrhythmias)
• Ọkụ nke akwara obi, akwara akwara, akpa ume, imeju, ma ọ bụ afọ
• Pneumopericardium (ikuku dị na sac pericardial)

Pericardial mgbata; Percutaneous pericardiocentesis; Pericarditis - pericardiocentesis; Ọrịa Pericardial - pericardiocentesis

• Obi - echiche dị n'ihu
• Pericardium

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.