Izimbangela ze-Ascites kanye Nezici Zengozi

-Delile

• Ukubuka konke
• Izimbangela ze-ascites
• Izici zobungozi kuma-ascites
• Ungabiza nini udokotela wakho
• Ukuhlonza ama-ascites
• Ukwelashwa kwama-ascites
• Izidakamizwa
• I-Paracentesis
• Ukuhlinzwa
• Izinkinga zama-ascites
• Ukudla okudlela endlini

Ukubuka konke

Lapho ngaphezu kwamamililitha angama-25 oketshezi lukhula ngaphakathi esiswini, kwaziwa ngokuthi ama-ascites. Ama-Ascites avame ukwenzeka lapho isibindi siyeka ukusebenza kahle. Lapho ukungasebenzi kahle kwesibindi, uketshezi kugcwalisa isikhala esiphakathi kolwelwesi lwesisu nezitho.

Ngokuya ngemikhombandlela yomtholampilo ka-2010 eshicilelwe kwiJournal of Hepatology, izinga lokusinda kweminyaka emibili lingamaphesenti angama-50. Uma uhlangabezana nezimpawu ze-ascites, khuluma nodokotela wakho ngokushesha okukhulu.

Izimbangela ze-ascites

Ama-Ascites avame ukubangelwa ukusha kwesibindi, okunye okubizwa ngokuthi yi-cirrhosis. Ukuqubuka kwandisa ingcindezi ngaphakathi kwemithambo yegazi yesibindi. Umfutho owandisiwe ungaphoqa uketshezi ungene esiswini, okuholela kuma-ascites.

Izici zobungozi kuma-ascites

Ukulimala kwesibindi kuyimbangela eyodwa enkulu engcupheni yama-ascites. Ezinye izimbangela zokulimala kwesibindi zifaka:

• ukuqina kwesibindi
• i-hepatitis B noma i-C
• umlando wokusetshenziswa kotshwala

Ezinye izimo ezingakhuphula ubungozi bakho kuma-ascites zifaka:

• i-ovarian, i-pancreatic, isibindi, noma umdlavuza we-endometrial
• ukuhluleka kwenhliziyo noma izinso
• isifo sokuqaqamba kwamalunga
• isifo sofuba
• i-hypothyroidism

Ungabiza nini udokotela wakho

Izimpawu zama-ascites zingavela kancane noma ngokuzumayo, ngokuya ngesizathu sokwakheka kuketshezi.

Izimpawu azihlali zikhomba isimo esiphuthumayo, kepha kufanele ukhulume nodokotela wakho uma uhlangabezana nalokhu okulandelayo:

• isisu esisontekile, noma esivuvukile
• ukuzuza kwesisindo ngokungazelelwe
• ubunzima bokuphefumula lapho ulele phansi
• ukuncipha kokudla
• ubuhlungu besisu
• ukuqunjelwa
• isicanucanu nokuhlanza
• isilungulela

Khumbula ukuthi izimpawu ze-ascites zingabangelwa ezinye izimo.

Ukuhlonza ama-ascites

Ukuhlonza ama-ascites kuthatha izinyathelo eziningi. Udokotela wakho uzoqala ahlole ukuvuvukala esiswini sakho.

Ngemuva kwalokho bazosebenzisa i-imaging noma enye indlela yokuhlola ukubheka uketshezi. Ukuhlolwa ongakuthola kufaka phakathi:

• i-ultrasound
• Iskena se-CT
• I-MRI
• ukuhlolwa kwegazi
• laparoscopy
• angiography

Ukwelashwa kwama-ascites

Ukwelashwa kwama-ascites kuzoya ngokuthi yini ebanga lesi simo.

Izidakamizwa

Ama-diuretics ajwayele ukusetshenziselwa ukwelapha ama-ascites futhi ayasebenza kubantu abaningi abanalesi sifo. Le mithi inyusa inani likasawoti namanzi okushiya umzimba wakho, okunciphisa ingcindezi ngaphakathi kwemithambo ezungeze isibindi.

Ngenkathi uku-diuretics, udokotela wakho angafuna ukuqapha i-chemistry yegazi lakho. Cishe uzodinga ukunciphisa ukusebenzisa kwakho utshwala nokudla usawoti. Funda kabanzi mayelana nokudla okuphansi kwe-sodium.

I-Paracentesis

Kule nqubo, kusetshenziswa inaliti ezacile, ende ende ukususa uketshezi olweqile. Ifakwa esikhunjeni nasemgodini wesisu. Kukhona ingozi yokutheleleka, ngakho-ke abantu abathola i-paracentesis bangabelwa ama-antibiotics.

Le ndlela yokwelashwa isetshenziswa kakhulu lapho ama-ascites enzima noma ephindaphindeka. I-diuretics ayisebenzi kahle ezimweni ezinjalo zesikhathi sekwephuzile.

Ukuhlinzwa

Ezimweni ezimbi kakhulu, kufakwa ishubhu laphakade elibizwa nge-shunt emzimbeni. Ibuyisela ukugeleza kwegazi nxazonke kwesibindi.

Udokotela wakho angancoma ukufakelwa kwesibindi uma ama-ascites engaphenduli ekwelashweni. Lokhu kuvame ukusetshenziselwa isifo sesibindi sokugcina.

Izinkinga zama-ascites

Izinkinga ezihambisana nama-ascites zifaka:

• ubuhlungu besisu
• ukuxubana kwe-pleural, noma "amanzi emaphashini"; lokhu kungaholela ekuphefumuleni kanzima
• i-hernias, efana ne-inguinal hernias
• ukutheleleka kwamagciwane, njenge-bacterial peritonitis (SBP) ezenzekelayo
• i-hepatorenal syndrome, uhlobo olungavamile lokuhluleka kwezinso okuqhubekayo

Ukudla okudlela endlini

Ama-Ascites awakwazi ukuvinjelwa. Noma kunjalo, unganciphisa ingozi yakho ye-ascites ngokuvikela isibindi sakho. Zama ukusebenzisa le mikhuba enempilo:

• Phuza utshwala ngokulinganisela Lokhu kungasiza ukuvimbela ukuqina kwesibindi.
• Gomela i-hepatitis B.
• Zijwayeze ukuya ocansini nekhondomu. I-hepatitis ingadluliselwa ngocansi.
• Gwema ukwabelana ngezinaliti. I-hepatitis ingadluliselwa ngezinaliti ezabiwe.
• Yazi imiphumela emibi engaba khona yemithi yakho. Uma ukulimala kwesibindi kuyingozi, khuluma nodokotela wakho mayelana nokuthi ukusebenza kwesibindi sakho kufanele kuhlolwe yini.