Gbasara obi Tamponade

Ndinaya

• Gịnị Na-akpata Obi Tamponade?
• Kedu ihe mgbaàmà nke Cardiac Tamponade?
• Kedụ ka E Si achọpụta Ọrịa Tamponade?
• Kedụ ka esi emeso Tamponade Cardiac?
• Gịnị Bụ Echiche Nke Ogologo Oge?
• Isi mmalite nke edemede

Kedu ihe bụ Cardiac Tamponade?

Cardiac tamponade bụ ọnọdụ ahụike siri ike nke ọbara ma ọ bụ mmiri mmiri jupụtara n'ime oghere n'etiti akpa nke na-ekpuchi obi na akwara obi. Nke a na-etinye oke nrụgide n'obi gị. Nsogbu a na - egbochi oghere obi site ịgbasa n'ụzọ zuru oke ma mee ka obi gị ghara ịrụ ọrụ nke ọma. Obi gị enweghị ike ịmịnye ọbara zuru oke na ahụ gị niile mgbe nke a mere. Nke a nwere ike ibute ọdịda akụkụ ahụ, ujo, na ọbụna ọnwụ.

Cardiac tamponade bụ mberede ahụike. Ọ bụrụ na gị ma ọ bụ onye ị maara malitere ịmalite ihe mgbaàmà, chọọ enyemaka ahụike ozugbo.

Gịnị Na-akpata Obi Tamponade?

Cardiac tamponade na-abụkarị nsonaazụ nke pericardium, nke bụ obere ahụ, akwa nwere okpukpu abụọ nke gbara obi gị gburugburu. Oghere dị gburugburu obi gị nwere ike ijupụta n'ọbara zuru oke ma ọ bụ mmiri anụ ahụ ndị ọzọ iji kpokọta obi gị. Ka mmiri ahụ na - edo gị n’obi, obere ọbara ga - abanye. A na-agba ọbara na-erughị ikuku oxygen n'akụkụ nke ọzọ nke ahụ n'ihi nke a. Enweghị ọbara ibata n'obi na akụkụ ahụ gị niile nwere ike mechaa mee ka ihe wutere gị, ka akụkụ ahụ gị ghara ịrụ ọrụ, wee mechie obi gị.

Ihe kpatara ọnye mmiri ma ọ bụ nchịkọta mmiri nwere ike ịgụnye:

• ogbugbu ma ọ bụ mmerụ ahụ
• ụgbọ ala ma ọ bụ ihe mberede ụlọ ọrụ mepụtara trauma obi ọjọọ
• perforation na mberede mgbe cardiac catheterization, angiography, ma ọ bụ ntinye nke pacemaker
• punctures mere n'oge a pụrụ isi chọta nke a Central akara, nke bụ ụdị catheter na-enye ihe mmiri mmiri ma ọ bụ ọgwụ
• cancer nke gbasaa na akpa anụ ahụ, dị ka ara ma ọ bụ cancer cancer
• a gbawara aortic aneurysm
• pericarditis, mbufụt nke pericardium
• lupus, ọrịa na-afụ ụfụ nke usoro ahụ ji alụso ọrịa ọgụ na-eji ọgụ eme ka anụ ahụ dị mma
• ọkwa dị elu nke radieshon na obi
• hypothyroidism, nke na-eme ka ohere nke ọrịa obi na-arịwanye elu
• nkụchi obi
• akụrụ ọdịda
• ọrịa na-emetụta obi

Kedu ihe mgbaàmà nke Cardiac Tamponade?

Cardiac tamponade nwere ihe mgbaàmà ndị a:

• nchegbu na obi erughị ala
• ọbara mgbali elu
• adịghị ike
• obi mgbu na-egbukepụ n'olu, ubu, ma ọ bụ azụ
• nsogbu iku ume ma ọ bụ iku ume miri emi
• iku ume ngwa ngwa
• ahụ erughị ala nke ahụrụ ma ọ bụ ịnọdụ ala na-eche ihu
• ịda mba, anya-mmiri, na ịchezọ

Kedụ ka E Si achọpụta Ọrịa Tamponade?

Cardiac tamponade na-enwekarị akara atọ dọkịta gị nwere ike ịmata. A na-akpọkarị ihe ịrịba ama ndị a dịka triad Beck. Ha gụnyere:

• ọbara mgbali elu na adịghị ike nke na-adịghị ike n'ihi na olu nke ọbara obi gị na-agbapụta na-ebelata
• agbatị akwara veins n'ihi na ọ na-esiri ha ike iweghachi ọbara na obi gị
• a obi otiti obi jikọtara na muffled obi ụda ruru ka ịgbasa oyi akwa nke ọmụmụ n'ime gị pericardium

Dọkịta gị ga-eme nyocha ọzọ iji kwado nyocha ọrịa tamponade nke obi. Otu n'ime ule dị otú ahụ bụ echocardiogram, nke bụ ultrasound nke obi gị. Ọ nwere ike ịchọpụta ma pericardium na-agbasasị ma ọ bụrụ na ventricles agbada n'ihi ụda ọbara dị ala. X-ray gị nwere ike igosi obi sara mbara, nke yiri ụwa ka ọ bụrụ na ị nwere ọgwụ mgbaaka. Nyocha nyocha ndị ọzọ nwere ike ịgụnye:

• thoracic CT scan iji lee anya maka mkpokọta mmiri n'ime obi gị ma ọ bụ gbanwee n'obi gị
• a magnetik resonance angiogram iji hụ ka ọbara na-aga n'ime obi gị
• ihe electrocardiogram iji nyochaa obi gi

Kedụ ka esi emeso Tamponade Cardiac?

Cardiac tamponade bụ mberede ahụike chọrọ ụlọ ọgwụ. Ọgwụgwọ nke tamponade obi nwere nzube abụọ. O kwesịrị ịkwụsị nrụgide na obi gị ma mesoo ọnọdụ ahụ kpatara. Usoro ọgwụgwọ mbụ gụnyere dọkịta gị ijide n'aka na ị kwụsiri ike.

Dọkịta gị ga-ekpochapụ mmiri mmiri site na akpa anụ ahụ gị, nke nwere agịga. A na-akpọ usoro a pericardiocentesis. Dọkịta gị nwere ike ịme usoro mmekpa ahụ nke a na-akpọ thoracotomy iji kpoo ọbara ma ọ bụ wepụ mkpụkọ ọbara ma ọ bụrụ na ị nwere ọnya na-abanye. Ha nwere ike wepu akụkụ nke pericardium gị iji nyere aka belata nrụgide na obi gị.

Ga-enwetakwa oxygen, mmiri mmiri, na ọgwụ iji mee ka ọbara mgbali elu gị.

Ozugbo a na-achịkwa tamponade ma ọnọdụ gị kwụsie ike, dọkịta gị nwere ike ịme nyocha ndị ọzọ iji chọpụta ihe kpatara ọnọdụ gị.

Gịnị Bụ Echiche Nke Ogologo Oge?

Uche ogologo oge na-adabere n'otú a pụrụ isi chọpụta nchoputa ngwa ngwa, ihe kpatara tamponade, na nsogbu ọ bụla na-esote. Echiche gị dị mma nke ọma ma ọ bụrụ na-achọpụta ọrịa obi wee gwọọ ya ngwa ngwa.

Uche gị ogologo oge na-adabere n'ụzọ dị ukwuu n'otú ị ga-esi nweta ọgwụgwọ ngwa ngwa. Chọọ ọgwụgwọ ozugbo ma ọ bụrụ na ị chere na ị nwere ọnọdụ a.

Isi mmalite nke edemede

• Markiewicz, W., et al. (1986, June). Cardiac tamponade na ndị ọrịa na-agwọ ọrịa: ọgwụgwọ na prognosis na oge echocardiographic.
• Pericardiocentesis. (2014, Disemba). http://www.mountsinai.org/patient-care/health-library/treatments-and-procedures/pericardiocentesis
• Ristić, A. R., et al. (2014, Julaị 7). Usoro aghụghọ maka njikwa ngwa ngwa nke obi obi: Nkwupụta ọnọdụ nke European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. http://eurheartj.oxfordjournals.org/content/early/2014/06/20/eurheartj.ehu217.full
• Spodick, D. H. (2003, Ọgọstụ 14). Nnukwu obi na-egbuke egbuke. http://www.nejm.org/doi/full/10.1056/NEJMra022643