Yini i-anasarca, kungani kwenzeka nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Izimbangela ezingaba khona
• Izinketho zokwelashwa

I-Anasarca yigama lezokwelapha elisho ukuvuvukala, okubizwa nangokuthi i-edema, ejwayelekile emzimbeni ngenxa yokuqongelela uketshezi futhi kungenzeka ngenxa yezinkinga eziningana zempilo njengokuhluleka kwenhliziyo, izinso noma izinkinga zesibindi kanye nezifo ze-lymphatic uhlelo.

Ngaphezu kokuvuvukala emzimbeni, ama-anasarca angakhiqiza ezinye izimpawu nezimpawu kuye ngobukhulu nokuthi yiziphi izitho ezithintekile, njengokukhuphuka kwengcindezi yegazi, ukushintsha kokushaya kwenhliziyo, ubuhlungu besifuba nokuphefumula okuncane.

Ukuxilongwa kwe-anasarca kwenziwa ngudokotela ojwayelekile, i-nephrologist noma i-cardiologist ngokuhlolwa komzimba, ukubuka izici zokuvuvukala, nokuhlolwa kwegazi, i-ultrasound, i-X-ray noma i-computed tomography kunganconywa. Ukwelashwa okubonisiwe kuncike kwisifo esibangela i-anasarca, noma kunjalo, kusekelwe kakhulu ekusetshenzisweni kwezidakamizwa zokunciphisa isisu kanye nokwehliswa kukasawoti ekudleni.

Izimpawu eziyinhloko

I-Anasarca isho ukuvuvukala emzimbeni wonke futhi lolu shintsho lungaholela ekubonakaleni kwezinye izimpawu nezimpawu, njenge:

• Umfutho wegazi ophakeme noma ophansi kakhulu;
• Ukushaya kwenhliziyo okuphezulu;
• Izinkinga zesibindi noma zezinso;
• Kunzima ukuhamba;
• Kunzima ukuvula amehlo, uma ukuvuvukala kukhulu kakhulu ebusweni.

Ezimweni ezinzima kakhulu, umuntu one-anasarca angaba nobuhlungu besifuba, ukuphefumula kanzima nokuphefumula kanzima futhi uma lokhu kwenzeka kudingeka ukuthi afune usizo lwezokwelapha ngokushesha, abize i-ambulensi ye-SAMU, njengoba kungaba i-edema yamaphaphu, okuwukuqongelela ketshezi ngaphakathi kwamaphaphu. Funda kabanzi mayelana ne-edema ye-pulmonary nokuthi ungayiphatha kanjani.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-anasarca kwenziwa ngudokotela ojwayelekile, i-nephrologist noma i-cardiologist ngokuhlolwa okuningiliziwe kwe-edema, njengokwenza uphawu lwe-Godet, noma uphawu lokhiya, lapho ufaka ingcindezi emlenzeni noma engalweni ngophawu lomunwe wenkomba , imizuzwana embalwa, kuhlala dimple khona lapho.

Udokotela uzophinde ahlole umbala, ukuthungwa nokushisa kwesikhumba ezindaweni ezivuvukile, ahlaziye ukuthi ngabe kukhona yini umthambo okhubazekile emzimbeni, abuze lowo muntu ukuthi i-edema iyaqina yini endaweni ethile nokuthi usebenzisa noma imuphi umuthi ngokuqhubekayo. Ukuhlolwa okungeziwe kungacelwa ukuthola imbangela ye-anasarca, okungaba ukuhlolwa kwegazi, ukuqoqwa komchamo wamahora angama-24, i-X-ray, i-ultrasound noma i-computed tomography.

Izimbangela ezingaba khona

I-Anasarca ingenzeka ngenxa yezimo ezahlukahlukene njengokucindezela okwandayo emithanjeni yegazi, okwenza i-lymph iphume kalula egazini, ukuvinjelwa kwe-lymph noma ukugcinwa kukasawoti namanzi ngezinso. Lezi zimo zingabangelwa ezinye izifo, njenge:

• Ukungakwazi ukusebenza kwenhliziyo;
• Isifo sokuqina kwesibindi;
• Ukusha okukhulu;
• I-vein thrombosis ejulile;
• Sepsis;
• Ukusabela okweqile komzimba;
• Ukucinana kwemithambo yegazi;
• Izimila ezimbi;
• I-Nephrotic syndrome.

Lesi simo singavela futhi ngesikhathi sokukhulelwa sekwedlule isikhathi, lapho isisindo somntwana sibangela ukugcinwa okuthe xaxa emzimbeni kamama, kepha kulokhu i-anasarca izonyamalala ngemuva kokuzalwa kwengane. Umsele weLymphatic ungenziwa ukuthuthukisa izimpawu zokuvuvukala ekukhulelweni ngemuva kwenyanga yesithathu. Bona okuningi mayelana nokuthi ungenza kanjani i-lymphatic drainage lapho ukhulelwe.

Izinketho zokwelashwa

Ukwelashwa kwe-anasarca kuya ngesizathu nezimo zempilo yomuntu, kodwa-ke, ikakhulukazi kuqukethe ukusetshenziswa kwezidakamizwa zesisu, ezisiza ukuqeda uketshezi oluningi emzimbeni, njenge-furosemide ne-spironolactone. Thola eminye imithi esetshenziselwe ukunciphisa.

Kubantu abangeniswe esibhedlela abane-anasarca ngenxa ye-serum eningi kakhulu, udokotela uzonciphisa i-serum futhi angahle anikeze nemithi emthanjeni yokwandisa imvamisa yomchamo, kunciphise ukuvuvukala. Kubaluleke kakhulu ukuthi abantu abane-anasarca babe nokunakekelwa okukhethekile kwesikhumba, njengokusebenzisa okhilimu okuthambisa, ngoba kungaholela ekubonakaleni kwezilonda nezilonda ngenxa yokuthi isikhumba siselula kakhulu ngokuvuvukala.

Ukwehlisa ama-anasarca, kufanele kusetshenziswe amadivayisi wokucinana womoya, okuwukuthi lapho kufakwa khona imilenze emilenzeni egcwalisa umoya bese ingenalutho, okunikeza umuzwa wokukhama nokukhulula, kuthuthukise ukusakazwa kwemilenze, noma amasokisi okucindezelwa, kube ngcono eyaziwa ngokuthi amasheya kaKendall. Bona okuningi ukuthi amasokisi wokucindezelwa enzelwe ini.

Ngaphezu kwalokho, udokotela angancoma ukunciphisa inani likasawoti ekudleni, ngakho-ke bona le vidiyo elandelayo ukuthola amathiphu abalulekile: