Yintoni i-anasarca, kutheni isenzeka kunye nonyango

Umxholo

• Iimpawu eziphambili zeempawu
• Uxilongo lwenziwa njani
• Izizathu ezinokubangela
• Izinketho zonyango

I-Anasarca ligama lonyango elithetha ukudumba, ekwabizwa ngokuba yi-edema, ebanzi emzimbeni ngenxa yokuqokelelwa kolwelo kwaye inokwenzeka ngenxa yeengxaki ezininzi zempilo ezinje ngokusilela kwentliziyo, izintso okanye iingxaki zesibindi kunye nezifo ze-lymphatic inkqubo.

Ukongeza ukudumba emzimbeni, i-anasarca inokuvelisa ezinye iimpawu kunye neempawu ngokuxhomekeke kubukhali kwaye ngawaphi amalungu achaphazelekayo, njengokunyusa uxinzelelo lwegazi, utshintsho kwintliziyo, iintlungu zesifuba kunye nokuphefumla kancinci.

Ukuchongwa kwe-anasarca kwenziwa ngugqirha oqhelekileyo, ugqirha wezonyango okanye ugqirha wentliziyo ngokuhlola umzimba, ukujonga iimpawu zokudumba, kunye novavanyo lwegazi, i-ultrasound, i-X-ray okanye i-computed tomography inokucetyiswa. Unyango olubonakalisiweyo luxhomekeke kwisifo esibangela i-anasarca, nangona kunjalo, isekwe ikakhulu ekusebenziseni i-diuretics kunye nokuncitshiswa kwetyuwa ekutyeni.

Iimpawu eziphambili zeempawu

I-Anasarca ithetha ukudumba emzimbeni wonke kwaye olu tshintsho lunokukhokelela ekubonakaleni kweminye imiqondiso kunye neempawu ezinje:

• Uxinzelelo oluphezulu okanye oluphantsi kakhulu lwegazi;
• Isantya sentliziyo ephezulu;
• Iingxaki zesibindi okanye zezintso;
• Kunzima ukuhamba;
• Kunzima ukuvula amehlo, ukuba ukudumba kukhulu kakhulu ebusweni.

Kwimeko ezinzima kakhulu, umntu one-anasarca unokuba nentlungu esifubeni, ukuphefumla kancinci kunye nokuphefumla nzima kwaye ukuba oku kuyenzeka kufuneka afune uncedo kwangoko, abize i-ambulensi ye-SAMU, njengoko inokuba yi-edema yemiphunga, ulwelo ngaphakathi emiphungeni. Funda ngakumbi malunga ne-edema yemiphunga kunye nendlela yokuyinyanga.

Uxilongo lwenziwa njani

Ukuxilongwa kwe-anasarca kwenziwa ngugqirha oqhelekileyo, ugqirha wezinto ezonakeleyo, okanye ugqirha wezentliziyo ngovavanyo olunzulu lwe-edema, enjengokwenza uphawu lwe-Godet, okanye uphawu lwesitshixo, apho ufaka uxinzelelo emlenzeni okanye kwingalo ngencam yomnwe wesalathiso , imizuzwana embalwa, idimple ihlala kuloo ndawo.

Ugqirha uya kuvavanya umbala, ukuthungwa kunye neqondo lobushushu lolusu kwiindawo ezidumbileyo, ahlalutye ukuba ngaba kukho umthambo ophazamisekileyo emzimbeni, ubuze umntu ukuba ngaba i-edema iya isiba mbi kwindawo ethile kwaye ukuba usebenzisa naliphi na iyeza ngokuqhubekayo. Uvavanyo olongezelelekileyo lunokucelwa ukuba ufumanise unobangela we-anasarca, enokuba luvavanyo lwegazi, ukuqokelelwa komchamo weeyure ezingama-24, i-X-ray, i-ultrasound okanye itomography ebalwayo.

Izizathu ezinokubangela

I-Anasarca inokwenzeka ngenxa yeemeko ezahlukeneyo ezinje ngokunyuka koxinzelelo kwimithambo yegazi, eyenza i-lymph ukuba iphume lula egazini, isithintelo se-lymph okanye ukugcinwa kwetyuwa namanzi zizintso. Ezi meko zinokubangelwa zizifo ezithile, ezinje:

• Ukungoneli kwentliziyo;
• Ukuqina kwesibindi;
• Ukutsha kakhulu;
• I-vein thrombosis enzulu;
• Sepsis;
• Iimpendulo ezibi kakhulu;
• Ukuxinana kwemithambo yegazi;
• Amathumba amabi;
• Isifo seNephrotic.

Le meko inokuvela ngexesha lokukhulelwa kade, xa ubunzima bosana lubangela ukugcinwa okungaphezulu komzimba kumama, nangona kunjalo kule ndawo i-anasarca iya kunyamalala emva kokuba umntwana ezelwe. Umjelo wamanzi we-lymphatic ungenziwa ukuphucula iimpawu zokudumba ekukhulelweni emva kwenyanga yesithathu. Bona ngakumbi malunga nokwenza i-lymphatic drainage xa ​​ukhulelwe.

Izinketho zonyango

Unyango lwe-anasarca luxhomekeke kwisizathu kunye neemeko zempilo yomntu, nangona kunjalo, ikakhulu kubandakanya ukusetyenziswa kweziyobisi ezichame, ezinceda ukuphelisa ulwelo oluninzi emzimbeni, njenge-furosemide kunye ne-spironolactone. Fumana amanye amayeza asetyenziselwa ukukhupha.

Kubantu abangeniswe esibhedlele abane-anasarca ngenxa yeserum eninzi, ugqirha uya kuyinciphisa i-serum kwaye unokuyalela amayeza emthanjeni ukonyusa ukuphindaphindeka komchamo, ukunciphisa ukudumba. Kubaluleke kakhulu ukuba abantu abane-anasarca banononophelo olukhethekileyo lolusu, njengokusebenzisa amafutha okuthambisa, kuba oko kungakhokelela ekubonakaleni kwezilonda kunye nezilonda ngenxa yolusu ololule kakhulu ngokudumba.

Ukunciphisa i-anasarca, izixhobo zokunyanzeliswa kwomoya kufuneka zisetyenziswe, kulapho isixhobo sibekwa emilenzeni ezalisa umoya kwaye ingenanto, inika imvakalelo yokuncwina nokukhulula, ukuphucula ukujikeleza kwemilenze, okanye isitokhwe soxinzelelo, ngcono eyaziwa ngokuba yiKendall stockings. Bona ngakumbi ukuba zeziphi iisokisi zoxinzelelo.

Ukongeza, ugqirha unokucebisa ukunciphisa isixa setyuwa ekutyeni, ke jonga le vidiyo ilandelayo malunga neengcebiso ezibalulekileyo: