Tamponade na Cardiac: menene menene, haddasawa da magani

Wadatacce

• Dalilin bugun zuciya
• Yadda ake ganewar asali
• Babban bayyanar cututtuka
• Yaya maganin yake

Tamponade na Cardiac wani agajin gaggawa ne na likita wanda a ciki akwai tarin ruwa tsakanin membranan biyu na kwayar halittar, waɗanda ke da alhakin rufin zuciya, wanda ke haifar da wahalar numfashi, rage hawan jini da ƙarar zuciya, misali.

Sakamakon tarin ruwa, zuciya ta kasa fitar da isasshen jini zuwa ga gabobi da kyallen takarda, wanda kan iya haifar da kaduwa da mutuwa idan ba a kula da shi a kan lokaci ba.

Dalilin bugun zuciya

Tamponade na Cardiac na iya faruwa ga yanayi da yawa wanda zai iya haifar da tara ruwa a cikin sararin samaniya. Babban dalilan sune:

• Tashin hankali a kirji saboda hatsarin mota;
• Tarihin cutar kansa, musamman na huhu da zuciya;
• Hypothyroidism, wanda ke alamta da raguwar samar da hormones ta hanyar maganin ƙwayar cuta;
• Pericarditis, wanda cuta ce ta zuciya wanda ke haifar da cututtukan ƙwayoyin cuta ko ƙwayoyin cuta;
• Tarihin gazawar koda;
• Ciwon zuciya na kwanan nan;
• Tsarin lupus erythematosus;
• Maganin radiotherapy;
• Uremia, wanda yayi daidai da daga darajar urea a cikin jini;
• Yin aikin tiyatar zuciya na kwanan nan wanda ke haifar da lalacewar kwayar cutar.

Dole ne a gano abubuwan da ke haifar da yunwa kuma a yi saurin magance su don a guje wa rikicewar zuciya.

Yadda ake ganewar asali

Binciken likitan zuciya yana yin ta ne ta hanyar likitan zuciyar ta hanyar X-ray na kirji, muryar maganadisu, electrocardiogram da transthoracic echocardiogram, wanda jarabawa ce wacce ke ba da damar tabbatarwa, a ainihin lokacin, halaye na zuciya, kamar girman, kaurin tsoka da kuma aiki na zuciya, misali. Fahimci menene echocardiogram shine da kuma yadda ake aikata shi.

Yana da mahimmanci a nanata cewa da zaran alamun cututtukan zuciya suka bayyana, ya kamata a hanzarta aiwatar da echocardiogram, saboda shi ne gwajin da aka zaba don tabbatar da cutar a cikin wadannan al'amura.

Babban bayyanar cututtuka

Babban alamun alamun cututtukan zuciya sune:

• Rage karfin jini;
• Respiratoryara yawan numfashi da bugun zuciya;
• Paradoxical bugun jini, wanda bugun jini ya ɓace ko raguwa yayin wahayi;
• Rushewar jijiyoyin cikin wuya;
• Ciwon kirji;
• Fada a matakin sani;
• Cold, purple kafafu da hannaye;
• Rashin ci;
• Matsalar haɗiye:
• Tari;
• Rashin numfashi.

Idan ana lura da alamun bugun zuciya kuma suna da alaƙa da alamun rashin saurin koda, alal misali, ana ba da shawarar a hanzarta zuwa ɗakin gaggawa ko asibiti mafi kusa don gwaje-gwaje kuma, a game da tabbatar da tabin zuciya na zuciya, ya ƙaddamar da jiyya .

Yaya maganin yake

Yakamata ayi magani na tabin hankali na zuciya da wuri-wuri ta hanyar sauya ƙwanjin jini da kwantar da kai, wanda ya kamata a ɗaga shi kaɗan. Bugu da kari, yana iya zama dole a yi amfani da maganin da ke motsa jiki, kamar su Morphine, da masu yin turare, kamar Furosemide, alal misali, don daidaita yanayin mara lafiyar har sai an cire ruwan ta hanyar tiyata. Hakanan ana amfani da Oxygen don rage nauyin akan zuciya, rage buƙatar jini ta gabobin.

Pericardiocentesis wani nau'i ne na aikin tiyata wanda ke nufin cire ruwa mai yawa daga zuciya, duk da haka ana ɗaukarsa hanya ce ta ɗan lokaci, amma ya isa ya sauƙaƙe alamun bayyanar da adana rayuwar mai haƙuri. Tabbataccen magani ana kiran shi Window na Gaban Jiki, wanda a cikin sa jijiyar jijiyoyin ta shiga cikin kogon dutsen da ke kewaye da huhu.