Tamponade na Cardiac

Wadatacce

• Menene ke haifar da Tamponade na Cardiac?
• Menene Alamun Ciwan Zuciya?
• Yaya ake bincikar Tamponade?
• Yaya ake Kula da Tamponade na Cardiac?
• Menene hangen nesa?
• Tushen labarin

Menene Tamponade na Cardiac?

Tamponade na Cardiac wani mummunan yanayi ne na likita wanda jini ko ruwa ya cika sarari tsakanin jakar da ke rufe zuciya da tsokar zuciya. Wannan yana sanya matsin lamba a zuciyar ka. Matsin lamba yana hana ƙasan zuciya daga faɗaɗa gaba ɗaya kuma yana hana zuciyarka aiki yadda yakamata. Zuciyarka ba za ta iya harba isasshen jini zuwa sauran jikinka ba idan wannan ya faru. Wannan na iya haifar da gazawar gabobi, gigicewa, har ma da mutuwa.

Tamponade na Cardiac gaggawa ne na gaggawa. Idan kai ko wani wanda ka sani ya fara fuskantar bayyanar cututtuka, nemi taimakon likita kai tsaye.

Menene ke haifar da Tamponade na Cardiac?

Tamponade na Cardiac yawanci sakamakon shigar azzakari cikin farji ne, wanda shine sikirin, jakar bango mai zagaye biyu da ke kewaye da zuciyar ku. Kogon da ke kewaye da zuciyarka na iya cika da isasshen jini ko wasu ruwan jiki don damƙe zuciyar ka. Yayinda ruwa ke danne zuciyar ka, kasa da kasa jini na iya shiga. Asa jini mai wadataccen iskar oxygen ake turawa zuwa sauran jikinka a sakamakon. Rashin jini zuwa zuciya da sauran jikinka daga karshe na iya haifar da kaduwa, gazawar sassan jiki, da kuma kamun zuciya.

Abubuwan da ke haifar da shigarwar ciki ko haɗuwar ruwa na iya haɗawa da:

• harbin bindiga ko rauni
• mummunan rauni ga kirji daga haɗarin mota ko haɗarin masana'antu
• ɓarna mai haɗari bayan an yi amfani da ƙwaƙwalwar zuciya, angiography, ko saka abun bugun zuciya
• punctures da aka yi yayin sanya layin tsakiya, wanda shine nau'in catheter wanda ke gudanar da ruwa ko magunguna
• ciwon daji wanda ya yadu zuwa cikin jakar jikin mutum, kamar kansar nono ko huhu
• wani ɓarkewar jijiyoyin jiki
• pericarditis, wani kumburi daga cikin pericardium
• lupus, cuta mai kumburi wanda tsarin garkuwar jiki yayi kuskuren kai hari da kyallen takarda
• babban matakan radiation zuwa kirji
• hypothyroidism, wanda ke ƙara haɗarin cututtukan zuciya
• bugun zuciya
• gazawar koda
• cututtukan da suka shafi zuciya

Menene Alamun Ciwan Zuciya?

Tamponade na Cardiac yana da alamun cututtuka masu zuwa:

• damuwa da rashin nutsuwa
• saukar karfin jini
• rauni
• ciwon kirji wanda yake fitowa zuwa wuyanka, kafadu, ko baya
• matsalar numfashi ko shan iska mai nauyi
• saurin numfashi
• rashin jin daɗi da ke samun sauƙi ta wurin zama ko jingina a gaba
• suma, jiri, da rashin hankali

Yaya ake bincikar Tamponade?

Tamponade na Cardiac galibi yana da alamomi uku da likitanku zai iya ganewa. Wadannan alamun ana kiran su da yawa kamar Bead's triad. Sun hada da:

• low blood pressure da rauni bugun jini saboda ƙaran jinin da zuciyar ku take bugawa ya ragu
• fadada jijiyoyin wuya saboda suna da wahalar dawo da jini zuwa zuciyar ka
• bugun zuciya mai saurin haɗewa da sautunan zuciya masu laushi saboda fadada ruɓaɓɓen ruwa a cikin mahaifar ku

Likitanku zai ci gaba da gwaje-gwaje don tabbatar da cutar bugun zuciya. Suchaya daga cikin irin wannan gwajin shine echocardiogram, wanda shine duban dan tayi na zuciyar ku. Zai iya gano ko pericardium ya ɓata kuma idan ƙyamar ta fadi saboda ƙarancin jini. X-ray dinka na kirji na iya nuna kumbura, mai kama da duniya idan kana da tabin zuciya. Sauran gwaje-gwajen bincike na iya haɗawa da:

• CT thoracic CT don bincika tarin ruwa a kirjinku ko canje-canje ga zuciyar ku
• angiogram na maganadisu don ganin yadda jini ke gudana a cikin zuciyar ka
• na'urar gwajin lantarki don tantance bugun zuciyar ka

Yaya ake Kula da Tamponade na Cardiac?

Tamponade na Cardiac likita ne na gaggawa wanda ke buƙatar asibiti. Maganin bugun zuciya yana da dalilai biyu. Ya kamata ya sauƙaƙa matsa lamba a kan zuciyarka sannan kuma ya bi da yanayin. Maganin farko ya shafi likitanka dan ka tabbata ka natsu.

Likitanka zai zubar da ruwan daga cikin jakar jikinka, yawanci tare da allura. Wannan hanya ana kiranta pericardiocentesis. Likitanku na iya yin wani abu mai saurin mamayewa da ake kira thoracotomy don zubar da jini ko cire kumburin jini idan kuna da rauni mai ratsa jiki. Suna iya cire wani ɓangare na maganin cutar ka don taimakawa matsa lamba akan zuciyar ka.

Hakanan zaku sami oxygen, ruwaye, da magunguna don ƙara hawan jini.

Da zarar an shawo kan tamponade kuma yanayinka ya daidaita, likitanka na iya yin ƙarin gwaje-gwaje don sanin ainihin dalilin yanayinka.

Menene hangen nesa?

Hangen nesa na tsawon lokaci ya dogara da yadda za a iya yin saurin ganewar asali, dalilin da ke haifar da tabon, da duk wata matsala da ta biyo baya. Halinku yana da kyau sosai idan aka gano cikin sauri da kuma kula da bugun zuciya.

Hannun ku na dogon lokaci ya dogara da saurin saurin samun magani. Nemi jinya kai tsaye idan kana tunanin kana da wannan matsalar.

Tushen labarin

• Markiewicz, W., et al. (1986, Yuni). Tamponade na Cardiac a cikin marasa lafiya na likita: jiyya da hangen nesa a cikin echocardiographic era.
• Tsarin kwayar halitta. (2014, Disamba). http://www.mountsinai.org/patient-care/health-library/treatments-and-procedures/pericardiocentesis
• Ristić, A. R., et al. (2014, 7 ga Yuli). Tsarin dabaru don gudanar da gaggawa na bugun zuciya: Bayanin matsayi na Workingungiyar Societyungiyar Turai ta cututtukan zuciya game da cututtukan Myocardial da Pericardial. http://eurheartj.oxfordjournals.org/content/early/2014/06/20/eurheartj.ehu217.full
• Spodick, D. H. (2003, Agusta 14). Ampunƙarar ƙwayar zuciya. http://www.nejm.org/doi/full/10.1056/NEJMra022643