Ascites: kuyini, izimpawu eziyinhloko kanye nokwelashwa

-Delile

• Izimpawu ze-Ascites
• Izimbangela ezingaba khona
• Yelashwa kanjani

Ama-Ascites noma "isisu samanzi" ukuqoqwa okungajwayelekile kuketshezi olunothe ngamaprotheni ngaphakathi kwesisu, esikhaleni esiphakathi kwezicubu ezigcwele isisu nezitho zesisu. Ama-Ascites awathathwa njengesifo kepha yinto ekhona ezifundweni eziningana, okuvame kakhulu ukuba yi-cirrhosis yesibindi.

Ama-Ascites awanalo ikhambi, noma kunjalo, angalashwa ngamakhambi okwehlisa isisu, ukuvinjelwa kasawoti ekudleni nokungangenisi iziphuzo ezidakayo, ukuqeda uketshezi oluningi esiswini.

Uketshezi olunganqwabelana ngaphakathi esiswini kungaba yi-plasma yegazi, okuyigama elinikezwa uketshezi lwegazi, ne-lymph, okuwuketshezi olusobala olukhona emzimbeni wonke oluyingxenye yokujikeleza kwamanzi.

Izimpawu ze-Ascites

Izimpawu zama-ascites zihlobene nomthamo woketshezi ngaphakathi kwesisu. Ekuqaleni, ama-ascites ngokuvamile awanazo izimpawu, noma kunjalo, uma kwenzeka ama-ascites amakhulu, izimpawu ezinjengezi:

• Ukuvuvukala nokukhula kwesisu;
• Kunzima ukuphefumula;
• Ubuhlungu esiswini nasemhlane;
• Ukuphelelwa isifiso sokudla;
• Ukuzuza kwesisindo ngaphandle kwesizathu;
• Ukuzwa isisindo nokucindezela esiswini;
• Ukukhuthaza njalo ukuchama;
• Ukuqunjelwa;
• Isicanucanu nokuhlanza.

Ama-Ascites angahambisana nezinye izimpawu nezimpawu ezifana nesibindi esandisiwe, ukuvuvukala emilenzeni nasezinyaweni noma emehlweni nesikhumba esiphuzi, kuya ngokuthi imbangela iyini.

Izimbangela ezingaba khona

Ezinye zezifo ezivame kakhulu ezingadala i-ascites yi-cirrhosis, ukwehluleka kwesibindi okugcwele, ukubambezeleka noma ukuvimba ukuphuma kwegazi le-hepatic, ukuminyanisa kwenhliziyo, i-pericarditis ebophelelayo, i-cardiomyopathy evimbelayo, i-Budd-Chiari syndrome, isifo se-venous esijwayelekile, ama-neoplasms, isifo sofuba se-peritoneal, i-Fitz -I-Hugh-Curtis syndrome, i-AIDS, izinso, i-endocrine, izifo zepancreatic kanye ne-biliary kanye ne-lupus.

Yelashwa kanjani

Ukwelashwa kwama-ascites noma isisu samanzi kuya ngesifo esiyimbangela, esingafaka phakathi:

• Ukuphumula, okungcono nomuntu olele phansi;
• Amakhambi we-diuretic, njenge-spironolactone (Aldactone) kanye / noma i-furosemide (Lasix);
• Ukuvinjelwa kasawoti ekudleni, okungafanele kudlule u-2 g / ngosuku, ngohlelo lokudla olukhonjiswe ngongoti wokudla;
• Ukuphazanyiswa kotshwala;
• Ukuvinjelwa kokudla uketshezi, lapho i-serum sodium ingaphansi kuka-120 g / mL;
• I-paracentesis yesisu, ezimeni ezinzima lapho ukwelashwa ngamakhambi we-diuretic kungasebenzi, okuyinqubo yezokwelapha ene-anesthesia yendawo, lapho kufakwa khona inaliti esiswini ukukhipha uketshezi kuma-ascites;
• Imithi elwa namagciwane lapho ukutheleleka kuketshezi lwe-ascites, olubizwa nge-spitaneous bacterial peritonitis, kuyinkinga enkulu engaholela ekufeni, kanti futhi umuntu kufanele alaliswe esibhedlela.

Amanye amakhambi asekhaya anezakhiwo zomchamo nawo angasiza ekwelapheni ama-ascites, bona ukuthi yimaphi amakhambi asekhaya akhonjisiwe kuma-ascites.