Qalliinka 'Pericardiocentesis'

Pericardiocentesis waa nidaam isticmaala irbad si looga soo saaro dheecaanka kiishka ku jira. Tani waa unugyada ku xeeran wadnaha.

Nidaamka waxaa badanaa lagu sameeyaa qolka habraaca qaaska ah, sida sheybaarka wadnaha ee shaybaarka wadnaha. Waxaa sidoo kale laga yaabaa in lagu sameeyo sariirta jiifka bukaanka. Bixiyaha xanaanada caafimaadka ayaa faleebada kaa ridi doona gacantaada hadii dheecaano ama daawooyin loo baahdo in lagu siiyo xididka. Tusaale ahaan, waxaa lagu siin karaa daawooyin haddii garaaca wadnahaagu gaabis noqdo ama cadaadiska dhiiggaagu hoos u dhaco inta hawshu socoto.

Bixiyaha ayaa nadiifin doona aag ka hooseeya ama ku xigta lafta naaska ama ka hooseeya ibta bidix. Dawada suuxinta (suuxdinta) ayaa lagu dabaqi doonaa aagga.

Dhakhtarku wuxuu markaa galin doonaa irbad wuxuuna ku hagi doonaa nudaha ku wareegsan wadnaha. Badanaa, echocardiography (ultrasound) waxaa loo isticmaalaa in lagu caawiyo dhakhtarka inuu arko cirbadda iyo dheecaan kasta oo dheecaan ka baxa. Qalabka korantada (ECG) iyo raajada (fluoroscopy) ayaa sidoo kale loo isticmaali karaa in lagu caawiyo meelaynta.

Marka irbadu gaarto aagga saxda ah, waa la soo saaraa waxaana lagu beddelaa tuubo la yiraahdo catheter. Dheecaanka dareeraha ee tubadan kujira weelasha. Waqtiga intiisa badan, tuubbada pericardial ayaa lagu daayaa meesha si dheecaanku u sii socdo dhowr saacadood.

Qulqulka qalliinka ayaa loo baahan karaa haddii dhibaatadu ay adag tahay in la saxo ama ay soo noqoto. Tani waa hanaan duullaan ah oo dheecaanka 'pericardium' lagu shubayo laabta (godka). Haddii kale, dheecaanka ayaa laga yaabaa in lagu shubo godka dusha sare, laakiin taasi way ku yar tahay. Nidaamkani wuxuu u baahan karaa in lagu sameeyo suuxdinta guud.

Waxaa laga yaabaa inaadan awoodin inaad wax cunto ama cabto 6 saacadood baaritaanka ka hor. Waa inaad saxiixdo foomka ogolaanshaha.

Waxaad dareemi kartaa cadaadis markii irbadda ay soo galayso. Dadka qaarkood waxay leeyihiin xanuun laabta ah, oo u baahan kara dawada xanuunka.

Tijaabadani waxaa loo samayn karaa si looga saaro oo loo baaro dheecaanka wadnaha cadaadinaya. Badanaa waxaa loo sameeyaa si loo helo sababta keenta dheecaan joogto ah ama soo noqnoqda.

Waxaa sidoo kale laga yaabaa in loo sameeyo si loo daaweeyo xinjirowga wadnaha, taas oo ah xaalad nafta halis gelisa.

Caadi ahaan waxaa jira qadar yar oo dheecaan ah, midab cawl leh oo caws ah oo ku yaal booska meertada.

Natiijooyinka aan caadiga ahayn waxay tilmaami karaan sababta dheecaanka dareeraha pericardial, sida:

• Kansarka
• Daloolida Wadnaha
• Dhaawaca wadnaha
• Wadnaha oo hawl gab ah
• Cudurka 'Pericarditis'
• Guuldarada kililka
• Caabuq
• Dillaaca xididdada wadnaha

Khataraha waxaa ka mid noqon kara:

• Dhiigbax
• Sambabka oo xumaaday
• Wadne qabad
• Caabuq (pericarditis)
• Wadne garaac aan caadi ahayn (arrhythmias)
• Daloolinta muruqa wadnaha, halbowlayaasha wadnaha, sambabka, beerka, ama caloosha
• Pneumopericardium (hawo ku jirta kiishashka pericardial)

Qasabada 'Pericardial'; Percutaneous pericardiocentesis; Pericarditis - cudurka pericardiocentesis; Dareenka 'Pericardial effusion' - 'pericardiocentesis'

• Wadnaha - aragtida hore
• Pericardium

Hoit BD, Oh JK. Cudurada faafa Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 68.

Lewinter MM, Imazio M. Cudurrada Pericardial. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 83.

Mallemat HA, Tewelde SZ. Qalliinka 'Pericardiocentesis'. Gudaha: Roberts JR, Custalow CB, Thomsen TW, eds. Nidaamka Caafimaadka ee Roberts iyo Hedges ’ee Daawada Degdegga ah iyo Daryeelka Ba’an. 7aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 16.