Yini i-Beck Triad

-Delile

• 1. Inhliziyo eminyene izwakala
• 2. Nciphisa umfutho wegazi
• 3. Ukwehla kwemithambo entanyeni
• Yelashwa kanjani

I-Beck Triad ibonakala ngezimpawu ezintathu ezihlotshaniswa ne-tamponade yenhliziyo, efana nemisindo yenhliziyo engafakwanga, ukwehla kwengcindezi yegazi nokuxebuka kwemithambo yentamo, okwenza kube nzima ngenhliziyo ukupompa igazi.

I-tamponade yenhliziyo iqukethe ukuqoqwa koketshezi phakathi kwezingqimba ezimbili ze-pericardium, ezibhekele ulwelwesi lwenhliziyo, okwenza izimpawu ezichazwe ngenhla nezimpawu ezinjengokwanda kwenhliziyo nokuphefumula, ubuhlungu besifuba, izinyawo ezibandayo nezinsomi nezandla , ukungathandi ukudla, ubunzima bokugwinya nokukhwehlela.

Thola ukuthi yiziphi izimbangela ezivame kakhulu ezingaba imbangela ye-tamponade yenhliziyo.

Unxantathu kaBeck angachazwa kanjena:

1. Inhliziyo eminyene izwakala

Lapho ukulimala kwenzeka enhliziyweni, ngokwesibonelo, ukwanda kwengcindezi ye-intrapericardial kungenziwa ngenxa yokuqoqwa koketshezi esikhaleni se-pericardial, okuyisikhala esiphakathi kwenhliziyo ne-pericardium, uhlobo lwesikhwama esifakwe enhliziyweni, okuyizungezile. Lokhu kunqwabelana koketshezi okuzungeze inhliziyo kuzomisa umsindo wokushaya kwenhliziyo, okuyingxenye yokuqala ye-Beck's triad.

2. Nciphisa umfutho wegazi

Lolu shintsho kumfutho we-intracardiac lubeka engozini ukugcwaliswa kwenhliziyo, ngoba inhliziyo ngeke ikwazi ukusebenza kahle, ngaleyo ndlela kwehle ukuphuma kwenhliziyo, okukhombisa ukwehla kwengcindezi yegazi, ngokusho kuka-Beck's triad.

3. Ukwehla kwemithambo entanyeni

Njengomphumela wokwehla kwenhliziyo, inhliziyo nayo izoba nobunzima ekwamukeleni lonke igazi eliyingozi, elivela emzimbeni wonke liye enhliziyweni, elizodala igazi liqoqane, okuholele kusibonakaliso sesithathu se-beck triad, ukunwetshwa kwemithambo yentamo, okwaziwa nangokuthi i-jugular turgency.

Yelashwa kanjani

Ukwelashwa kwe-tamponade yenhliziyo kufanele kwenziwe ngokuphuthumayo futhi imvamisa kuqukethe ukwenza i-pericardiocentesis, okuwuhlobo lwenqubo yokuhlinza ehlose ukususa uketshezi oluningi enhliziyweni, okuyinqubo yesikhashana, eqeda kuphela izimpawu futhi engasindisa impilo yesiguli .

Ngemuva kwalokho, udokotela angenza ukuhlinzwa okuthe xaxa ukususa ingxenye ye-pericardium, ukukhipha igazi noma ukususa amahlule egazi, ngokwesibonelo.

Ngaphezu kwalokho, ukufaka ivolumu yegazi ngeziphuzo nokuphathwa kwezidakamizwa ukwenza umfutho wegazi nokulawulwa komoya-mpilo ukuze wehlise umthwalo osenhliziyweni nakho kungenziwa.