Izizathu ze-Ascites kunye neengozi

Umxholo

• Ushwankathelo
• Oonobangela bee-ascites
• Imiba yomngcipheko we-ascites
• Nini ukubiza ugqirha wakho
• Ukuchonga ii-ascites
• Unyango lwe-ascites
• Womchamo
• IParacentesis
• Ugqirha
• Iingxaki ze-ascites
• Yise kude

Ushwankathelo

Xa ngaphezulu kweemililitha ezingama-25 (mL) zolwelo lukhula ngaphakathi esiswini, kwaziwa njengee-ascites. I-Ascites zihlala zenzeka xa isibindi siyeke ukusebenza kakuhle. Xa ukungasebenzi kakuhle kwesibindi, ulwelo luzalisa indawo phakathi kwesisu esiswini kunye namalungu.

Ngokwezikhokelo zeklinikhi ka-2010 ezipapashwe kwiJenali yeHepatology, iminyaka emibini yokusinda yiipesenti ezingama-50. Ukuba ufumana iimpawu ze-ascites, thetha nogqirha wakho ngokukhawuleza.

Oonobangela bee-ascites

I-Ascites zihlala zibangelwa kukuqhawuka kwesibindi, kungenjalo kwaziwa njenge-cirrhosis. Ukuqhekeka kwandisa uxinzelelo ngaphakathi kwimithambo yegazi yesibindi. Uxinzelelo olonyukayo lunokunyanzela ulwelo kwisisu esiswini, kukhokelela kwii-ascites.

Imiba yomngcipheko we-ascites

Ukonakala kwesibindi yeyona nto iphambili kubungozi be-ascites. Ezinye zezinto ezibangela ukonakala kwesibindi zibandakanya:

• ukuqina kwesibindi
• hepatitis B okanye C
• imbali yokusetyenziswa kotywala

Ezinye iimeko ezinokunyusa umngcipheko we-ascites zibandakanya:

• I-ovari, ipancreatic, isibindi, okanye umhlaza we-endometrium
• ukusilela kwentliziyo okanye kwezintso
• ukudumba komzimba
• isifo sephepha
• hypothyroidism

Nini ukubiza ugqirha wakho

Iimpawu ze-ascites zinokuvela kancinci okanye ngequbuliso, kuxhomekeke kwisizathu sokwakhiwa kolwelo.

Iimpawu azisoloko zibonisa imeko kaxakeka, kodwa kuya kufuneka uthethe nogqirha wakho ukuba unamava alandelayo:

• isisu esikhubazekileyo, okanye esidumbileyo
• ukukhawuleza ukutyeba
• ubunzima bokuphefumla xa ulele phantsi
• ukuncipha kokutya
• intlungu zesisu
• ukudumba
• isicaphucaphu nokugabha
• isilungulela

Gcina ukhumbula ukuba ukunyuka kweempawu kunokubangelwa zezinye iimeko.

Ukuchonga ii-ascites

Ukuchonga i-ascites kuthatha amanyathelo amaninzi. Ugqirha wakho uya kuqala ahlole ukudumba esiswini sakho.

Emva koko baya kuthi basebenzise imaging okanye enye indlela yokuvavanya ukukhangela ulwelo. Uvavanyo onokulufumana lubandakanya:

• Ultrasound
• Ukuskena i-CT
• IMRI
• iimvavanyo zegazi
• laparoscopy
• umfanekiso

Unyango lwe-ascites

Unyango lwe-ascites luya kuxhomekeka kwinto ebangela imeko.

Womchamo

I-diuretics isetyenziselwa ukunyanga ii-ascites kwaye iyasebenza kubantu abaninzi abanemeko. La machiza anyusa isixa setyuwa namanzi eshiya umzimba wakho, nto leyo enciphisa uxinzelelo ngaphakathi kwemithambo ejikeleze isibindi.

Ngelixa ukwi-diuretics, ugqirha wakho unokufuna ukubeka esweni ikhemistri yakho yegazi. Kuya kufuneka ukuba unciphise ukusebenzisa kwakho utywala kunye nokutya ityuwa. Funda ngakumbi malunga nokutya okune-sodium encinci.

IParacentesis

Kule nkqubo, kusetyenziswa inaliti ebhityileyo, ende ende ukususa ulwelo olugqithisileyo. Ingeniswa ngesikhumba nakwisisu esiswini. Kukho umngcipheko wosulelo, ke abantu abafumana i-paracentesis banokumiselwa i-antibiotics.

Olu nyango luqhele ukusetyenziswa xa ii-ascites zinzima okanye ziphindaphindeka. I-diuretics ayisebenzi kakuhle kwiimeko ezinjalo.

Ugqirha

Kwiimeko ezigabadeleyo, ityhubhu esisigxina ebizwa ngokuba yi-shunt ifakwe emzimbeni. Ibuyisa ukuhamba kwegazi kujikeleze isibindi.

Ugqirha wakho unokucebisa ukufakelwa kwesibindi ukuba i-ascites ayiphenduli kunyango. Oku kusetyenziswa ngokubanzi kwisifo sokuphela kwesibindi.

Iingxaki ze-ascites

Iingxaki ezinxulumene ne-ascites zibandakanya:

• intlungu zesisu
• ukungxola, okanye "amanzi emiphungeni"; oku kungakhokelela kubunzima bokuphefumla
• i-hernias, efana ne-inguinal hernias
• Usulelo lwebhakteria, njenge-bacterial peritonitis (SBP)
• I-hepatorenal syndrome, uhlobo olunqabileyo lokungaphumeleli kwezintso

Yise kude

I-Ascites ayinakunqandwa. Nangona kunjalo, ungawunciphisa umngcipheko we-ascites ngokukhusela isibindi sakho. Zama ukwamkela le mikhwa isempilweni:

• Sela utywala ngobungcathu, oku kunokunceda ekuthinteleni ukuqina kwesibindi.
• Gonyelwa i-hepatitis B.
• Ziqhelise ukulala ngesondo kunye nekhondom. I-Hepatitis inokudluliselwa ngesondo.
• Gwema ukwabelana ngeenaliti. I-Hepatitis inokudluliselwa ngeenaliti ezabelwana ngazo.
• Yazi iziphumo ezinokubakho zamayeza akho. Ukuba umonakalo wesibindi unobungozi, xela ugqirha wakho malunga nokuba umsebenzi wakho wesibindi kufuneka uvavanywe.