I-Ascites

I-Ascites kukwakhiwa kolwelo kwisithuba esiphakathi kwempahla yesisu kunye namalungu esisu.

Iziphumo ze-Ascites zibangelwa luxinzelelo oluphezulu kwimithambo yegazi yesibindi (i-portal hypertension) kunye namanqanaba asezantsi eprotein ebizwa ngokuba yialbumin.

Izifo ezinokubangela ukonakala kwesibindi kunokukhokelela kwi-ascites. Oku kubandakanya:

• Usulelo olungapheliyo lwe-hepatitis C okanye iB
• Ukusetyenziswa gwenxa kotywala kwiminyaka emininzi
• Isifo sesibindi esinamafutha (i-steatohepatitis okanye i-NASH)
• I-Cirrhosis ebangelwa zizifo zofuzo

Abantu abanomhlaza othile esiswini banokukhulisa i-ascites. Oku kubandakanya umhlaza wesihlomelo, ikholoni, amaqanda, isibeleko, injeke kunye nesibindi.

Ezinye iimeko ezinokubangela le ngxaki zibandakanya:

• Amahlwili emithanjeni yesibindi (portal vein thrombosis)
• Ukusilela kwentliziyo
• Ipancreatitis
• Ukuqina kunye nokuqhekeka kwesigqubuthelo esifana nengubo yentliziyo (i-pericarditis)

I-dialysis yezintso inokudibaniswa ne-ascites.

Iimpawu zingakhula kancinci okanye ngequbuliso kuxhomekeka kwisizathu se-ascites. Awunakuba nazimpawu ukuba kukho inani elincinci lolwelo esiswini.

Njengoko amanzi amaninzi eqokelela, unokuba nentlungu esiswini kunye nokudumba. Amanzi amaninzi anokubangela ukuphefumla okufutshane, Oku kwenzeka ngenxa yokuba ulwelo lutyhalela kwidayaphragm, ethi yona icinezele imiphunga esezantsi.

Ezinye iimpawu zokusilela kwesibindi zinokubakho.

Ugqirha wakho uya kwenza uvavanyo lomzimba ukumisela ukuba ukudumba kunokwenzeka ngenxa yokwakheka kolwelo esiswini sakho.

Unokufumana ezi mvavanyo zilandelayo ukuvavanya isibindi sakho kunye nezintso:

• Ukuqokelela umchamo iiyure ezingama-24
• Amanqanaba e-Electrolyte
• Uvavanyo lwezintso
• Uvavanyo lomsebenzi wesibindi
• Uvavanyo lokulinganisa umngcipheko wokopha kunye neeprotein ezisegazini
• Uhlalutyo lomchamo
• I-ultrasound yesisu
• Ukuvavanywa kwe-CT kwesisu

Ugqirha wakho unokusebenzisa inaliti ebhityileyo ukukhupha i-ascites fluid kwisisu sakho. Ulwelo luvavanywa ukujonga unobangela we-ascites kunye nokujonga ukuba ulwelo losulelekile na.

Imeko ebangela i-ascites iya kunyangwa, ukuba kunokwenzeka.

Unyango lokwakha ulwelo lunokubandakanya utshintsho kwindlela yokuphila:

• Ukuphepha utywala
• Ukunciphisa ityuwa ekudleni kwakho (akukho ngaphezulu kwe-1,500 mg / usuku lwesodium)
• Ukunciphisa umda wokutya okungafunekiyo

Unokufumana amayeza kugqirha wakho, kubandakanya:

• "Iipilisi zamanzi" (umchamo) ukususa ulwelo olongezelelekileyo
• Amayeza okubulala iintsholongwane

Ezinye izinto onokuzenza ukunceda ukukhathalela isifo sesibindi zezi:

• Gonyelwa izifo ezinje ngomkhuhlane, i-hepatitis A kunye ne-hepatitis B, kunye ne-pneumococcal pneumonia
• Thetha nogqirha wakho malunga nawo onke amayeza owathathayo, kubandakanya amayeza kunye nezongezo kunye namayeza e-counter

Iinkqubo onokuthi ube nazo zezi:

• Ukufaka inaliti esiswini ukususa umthamo omkhulu wamanzi (abizwa ngokuba yiparacentesis)
• Ukubeka ityhubhu ekhethekileyo okanye i-shunt ngaphakathi kwesibindi sakho (TIPS) ukulungisa ukuhamba kwegazi esibindini

Abantu abanesifo sesibindi sokugqibela banokufuna ukufakelwa kwesibindi.

Ukuba une-cirrhosis, kunqande ukuthatha amayeza angasebenziyo, njenge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn). I-Acetaminophen kufuneka ithathwe kwiidosi ezincitshisiweyo.

Iingxaki zinokubandakanya:

• I-bacterial peritonitis engabonakaliyo (isifo esisongela ubomi kwi-ascitic fluid)
• I-Hepatorenal syndrome (ukusilela kwezintso)
• Ukwehla kobunzima kunye neeprotein zokungondleki
• Ukudideka kwengqondo, utshintsho kwinqanaba lokulumkisa, okanye ikhoma (i-hepatic encephalopathy)
• Ukopha kumantla aphezulu okanye asezantsi emathunjini
• Ukwakha umbane kwisithuba esiphakathi kwemiphunga yakho kunye nesifuba (ukungxola)
• Ezinye iingxaki zesibindi sokuqina kwesibindi

Ukuba une-ascites, tsalela umnxeba umboneleli wakho wezempilo kwangoko ukuba une:

• Umkhuhlane ongaphezulu kwe-100.5 ° F (38.05 ° C), okanye umkhuhlane ongapheliyo
• Intlungu yesisu
• Igazi kwisitulo sakho okanye emnyama, ilindle
• Igazi emhlanzweni wakho
• Ukutsala okanye ukopha okwenzeka ngokulula
• Ukwakha ulwelo kwisisu sakho
• Imilenze idumbile okanye amaqatha
• Iingxaki zokuphefumla
• Ukudideka okanye iingxaki zokuhlala uphaphile
• Umbala otyheli kulusu lwakho kunye namhlophe emhlophe kwamehlo akho (jaundice)

Uxinzelelo lwe-portal - i-ascites; Ukuqina - ascites; Ukungaphumeleli kwesibindi - i-ascites; Ukusetyenziswa kotywala - i-ascites; Isifo sesibindi sokugqibela - i-ascites; ESLD - ascites; Ipancreatitis ascites

• I-Ascites ngomhlaza we-ovari-CT scan
• Inkqubo yokugaya ukutya

UGarcia-Tsao G. Cirrhosis kunye nokulandelelana kwayo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 144.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. Isibindi. www.niddk.nih.gov/health-information/liver-disease/cirrhosis/all-content. Ukuhlaziywa ngo-Matshi 2018. Kufikeleleke ngo-Novemba 11, 2020.

USola E, iiGines SP. I-Ascites kunye ne-bacterial peritonitis. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahl. 93.