Tamponade ea pelo

Tamponade ea pelo ke khatello ea pelo e hlahang ha mali kapa mokelikeli o haella sebakeng se pakeng tsa mesifa ea pelo le mokotla o kantle oa pelo.

Boemong bona, mali kapa mokelikeli o bokella mokotleng o potileng pelo. Sena se thibela li-ventricle tsa pelo ho hola ka botlalo. Khatello e feteletseng e tsoang mokelikeli e thibela pelo ho sebetsa hantle. Ka lebaka leo, 'mele ha o fumane mali a lekaneng.

Tamponade ea pelo e ka hlaha ka lebaka la:

• Ho senya aortic aneurysm (thoracic)
• Kankere ea matšoafo ea ho qetela
• Tlhaselo ea pelo (acute MI)
• Ho buuoa ka pelo
• Pericarditis e bakoang ke tšoaetso ea baktheria kapa vaerase
• Maqeba ho pelo

Lisosa tse ling tse ka bang teng li kenyelletsa:

• Lihlahala tsa pelo
• Tšoelesa ea qoqotho e sa sebetseng
• Ho hloleha ha liphio
• Lefuemia
• Ho beoa ha mela e bohareng
• Phekolo ea mahlaseli sefubeng
• Mekhoa ea morao-rao e hlaselang pelo
• Sesebelisoa sa lupus erythematosus
• Dermatomyositis
• Ho hloleha ha pelo

Tamponade ea pelo ka lebaka la mafu e hlaha ho batho ba ka bang 2 ho ba 10,000.

Matšoao a ka kenyelletsa:

• Matšoenyeho, ho se phomole
• Bohloko bo bohloko ba sefubeng bo utluoang molaleng, lehetleng, mokokotlong kapa mpeng
• Bohloko ba sefuba bo mpefalang ka ho hema haholo kapa ho hohlola
• Mathata a ho hema
• Ho se utloise bohloko, ka linako tse ling ho imoloha ka ho lula u otlolohile kapa ho sekamela pele
• Ho tepella, hlooho e bobebe
• Letlalo le leputsoa, ​​le leputsoa kapa le putsoa
• Liphetolelo
• Ho hema ka potlako
• Ho ruruha ha maoto kapa mpa
• Jaundice

Matšoao a mang a ka bang teng ka bothata bona:

• Botsoa
• Ho otsela
• Pelo e fokang kapa e sieo

Echocardiogram ke teko ea khetho ho thusa ho etsa tlhahlobo. Teko ena e ka etsoa haufi le bethe maemong a tšohanyetso.

Tlhahlobo ea 'mele e ka bonts'a:

• Khatello ea mali e oang ha u hema ka botebo
• Ho hema ka potlako
• Ho otla ha pelo ho feta 100 (ho tloaelehileng ke ho otloa ha 60 ho isa ho 100 ka motsotso)
• Melumo ea pelo e utluoa habonolo feela ka stethoscope
• Metsing ea methapo e kanna ea phatloha (ea sotheha) empa khatello ea mali e tlase
• Makhopho a sefahleho a fokolang kapa a sieo

Liteko tse ling li ka kenyelletsa:

• Sefubeng CT kapa MRI ea sefuba
• X-ray sefubeng
• Angiography ea Coronary
• ECG
• Catheterization ea pelo e nepahetseng

Tamponade ea pelo ke boemo ba tšohanyetso bo hlokang ho phekoloa sepetlele.

Mokelikeli o pota-potileng pelo o tlameha ho tšeloa kapele kamoo ho ka khonehang. Mokhoa o sebelisang nale ho tlosa mokelikeli liseleng tse potileng pelo o tla etsoa.

Mokhoa oa ho buoa oa ho seha le ho tlosa karolo e koahelang pelo (pericardium) le eona e ka etsoa. Sena se tsejoa e le pericardiectomy ea ho buoa kapa fensetere ea pericardial.

Maro a fuoa metsi ho boloka khatello ea mali e tloaelehile ho fihlela mokelikeli o ka tsoa ka ntle ho pelo. Meriana e eketsang khatello ea mali le eona e ka thusa ho boloka motho a phela ho fihlela mokelikeli o tsoa.

Oxyjene e ka fanoa ho thusa ho fokotsa boima ba mosebetsi pelong ka ho fokotsa litlhoko tsa lisele tsa phallo ea mali.

Sesosa sa tamponade se tlameha ho fumanoa le ho phekoloa.

Lefu ka lebaka la tamponade ea pelo le ka hlaha kapele haeba mokelikeli kapa mali a sa tlosoe hanghang ho tsoa ho pericardium.

Phello hangata e ntle haeba boemo bo phekoloa kapele. Leha ho le joalo, tamponade e ka khutla.

Mathata a ka kenyelletsa:

• Ho hloleha ha pelo
• Edema ea pulmonary
• Ho tsoa mali
• Ho tshoha
• Lefu

E-ea kamoreng ea maemo a tšohanyetso kapa letsetsa nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba matšoao a hlaha. Tamponade ea pelo ke boemo ba tšohanyetso bo hlokang tlhokomelo ea bongaka hanghang.

Maemong a mangata a ke ke a thibeloa. Ho tseba maemo a hao a kotsi ho ka u thusa ho fumana kalafo le kalafo kapele.

Tamponade; Tamponade ea Pericardial; Pericarditis - tamponade

• Pelo - pono e ka pele
• Pericardium
• Tamponade ea pelo

Hoit BD, Oh JK. Maloetse a Pericardial. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 68.

LeWinter MM, Maloetse a Pericardial. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 83.

Mallemat HA, Tewelde SZ. Pericardiocentesis. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 16.