UPericardiocentesis

I-Pericardiocentesis inqubo esebenzisa inaliti ukususa uketshezi esikhwameni se-pericardial. Lesi isicubu esizungeze inhliziyo.

Inqubo ivame ukwenziwa egumbini elikhethekile lenqubo, njengelebhu ye-catheterization yenhliziyo. Kungenzeka futhi kwenziwe eceleni kombhede wesiguli. Umhlinzeki wezokunakekelwa kwempilo uzofaka i-IV engalweni yakho uma kwenzeka uketshezi noma imithi idinga ukunikezwa ngomthambo. Isibonelo, unganikezwa imithi uma ukushaya kwenhliziyo yakho kuhamba kancane noma umfutho wegazi wehla ngesikhathi senqubo.

Umhlinzeki uzohlanza indawo engezansi noma eduze kwesifuba sesifuba noma ngaphansi kwengono yesobunxele. Umuthi wokugunyaza (izinzwa) uzosetshenziswa endaweni.

Udokotela uzobe esefaka inaliti ayiqondise ezicutshini ezizungeze inhliziyo. Imvamisa, i-echocardiography (i-ultrasound) isetshenziselwa ukusiza udokotela ukuthi abone inaliti nanoma imuphi umsele oketshezi. I-electrocardiogram (ECG) kanye nama-x-ray (i-fluoroscopy) nayo ingasetshenziswa ukusiza ngokuma.

Lapho inaliti isifikile endaweni efanele, iyasuswa bese kufakwa ishubhu elibizwa ngokuthi i-catheter. Uketshezi ludonsa ngale tube ngokuya ezitsheni. Esikhathini esiningi, i-catheter ye-pericardial ishiywe endaweni ngakho ukukhipha kungaqhubeka amahora amaningi.

Ukudonsa okuhlinzekwayo kungadingeka uma inkinga kunzima ukuyilungisa noma ibuya. Le yinqubo ehlasela kakhulu lapho i-pericardium idonswa khona esifubeni (isikhalazo). Ngaphandle kwalokho, uketshezi lungakhishwa emgodini we-peritoneal, kodwa lokhu akuvamile. Le nqubo ingadinga ukwenziwa ngaphansi kwe-anesthesia ejwayelekile.

Ungahle ungadli noma uphuze amahora ayisithupha ngaphambi kokuhlolwa. Kufanele usayine ifomu lokuvuma.

Ungazizwa unengcindezi njengoba inaliti ingena. Abanye abantu banezinhlungu esifubeni, ezingadinga umuthi wezinhlungu.

Lokhu kuhlolwa kungenziwa ukususa nokuhlola uketshezi olucindezela enhliziyweni. Kuvame ukwenziwa ukuthola imbangela yokuchithwa okungapheli noma okuphindaphindekayo kwe-pericardial.

Kungenziwa futhi ukwelapha i-tamponade yenhliziyo, okuyisimo esisongela impilo.

Ngokuvamile kunesilinganiso esincane soketshezi olucacile, olunotshani esikhaleni se-pericardial.

Ukutholwa okungavamile kungakhombisa imbangela yokuqongelela uketshezi lwe-pericardial, njenge:

• Umdlavuza
• Ukwenziwa kwenhliziyo
• Ukuhlukumezeka kwenhliziyo
• Ukwehluleka kwenhliziyo yokubopha
• I-Pericarditis
• Ukwehluleka kwezinso
• Ukutheleleka
• Ukudabuka kwe-aneurysm ye-ventricular

Izingozi zingafaka:

• Ukopha
• Iphaphu eliwile
• Isifo senhliziyo
• Ukutheleleka (i-pericarditis)
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmias)
• Ukubhoboza imisipha yenhliziyo, umthambo we-coronary, iphaphu, isibindi noma isisu
• I-Pneumopericardium (umoya esikhwameni se-pericardial)

Umpompi wepericardial; I-pericardiocentesis engokwemvelo; I-Pericarditis - i-pericardiocentesis; Ukukhishwa kwe-Pericardial - pericardiocentesis

• Inhliziyo - ukubuka kwangaphambili
• I-Pericardium

Hoit BD, Oh JK. Izifo ze-Pericardial. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 68.

I-Lewinter MM, Imazio M. Izifo zepericardial. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 83.

IMallemat HA, iTewelde SZ. UPericardiocentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 16.