Ascites: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu ze-Ascites
• Izizathu ezinokubangela
• Unyango lwenziwa njani

I-Ascites okanye "isisu samanzi" kukuqokelelwa okungaqhelekanga kweprotein-rich fluid ngaphakathi kwesisu, kwisithuba esiphakathi kwezicubu ezihambelana nesisu kunye namalungu esisu. I-Ascites ayithathwa njengesifo kodwa yinto ekhoyo kwizifo ezininzi, eyona nto ixhaphakileyo sisibindi sokuqina kwesibindi.

I-Ascites ayinalo unyango, nangona kunjalo, inokunyangwa ngamachiza okuhambisa umchamo, ukuthintela ityuwa ekutyeni kunye nokungasebenzisi iziselo ezinxilisayo, ukuphelisa ulwelo olugqithisileyo esiswini.

Ulwelo olunokuqokelelana ngaphakathi esiswini kunokuba yiplasma yegazi, eligama elinikezelwe kulwelo lwegazi, kunye ne-lymph, engulwelo olungafihliyo olukhoyo emzimbeni wonke oluyinxalenye yokuhamba kwamanzi.

Iimpawu ze-Ascites

Iimpawu ze-ascites zinxulumene nomthamo wolwelo ngaphakathi kwesisu. Ekuqaleni, ii-ascites zihlala zingenazo iimpawu, nangona kunjalo, kwimeko ye-ascites enkulu, iimpawu ezinje:

• Ukudumba kunye nokukhula kwesisu;
• Ubunzima bokuphefumla;
• Iintlungu esiswini nasemqolo;
• Ukuphelelwa ngumdla wokutya;
• Ukutyeba ngaphandle kwesizathu;
• Ukuziva ubunzima kunye noxinzelelo esiswini;
• Ukuhlala urhalela ukuchama;
• Ukuqunjelwa;
• Isicaphucaphu nokugabha.

I-Ascites inokuhamba kunye neminye imiqondiso kunye neempawu ezinje ngesibindi esandisiweyo, ukudumba emilenzeni nasezinyaweni okanye emehlweni kunye nolusu olumthubi, kuxhomekeka ekubeni yintoni unobangela.

Izizathu ezinokubangela

Ezinye zezifo zixhaphakileyo ezinokubangela i-ascites yi-cirrhosis, ukungaphumeleli kwesibindi, ukulibaziseka okanye ukuthintela ukuphuma kwegazi elinesibindi, ukungaphumeleli kwentliziyo, isifo se-pericarditis, isithintelo se-cardiomyopathy, isifo se-Budd-Chiari, isifo esivelisayo -Isifo sikaHugh-Curtis, uGawulayo, izintso, i-endocrine, izifo zepancreatic kunye ne-biliary kunye ne-lupus.

Unyango lwenziwa njani

Unyango lwe-ascites okanye isisu samanzi kuxhomekeke kwisifo esisisiseko, esinokubandakanya:

• Ukuphumla, ngokukhethekileyo nomntu olele phantsi;
• Unyango lwe-diuretic, olufana ne-spironolactone (Aldactone) kunye / okanye i-furosemide (Lasix);
• Ukuthintelwa kwetyuwa ekudleni, okungafanele kudlule kwi-2 g / ngosuku, ngesicwangciso sokutya esiboniswe sisondlo;
• Ukuphazanyiswa kotywala;
• Uthintelo lokutya okungamanzi, xa i-sodium serum ingaphantsi kwe-120 g / mL;
• Isisu paracentesis, kwiimeko ezinzima apho unyango ngamayeza womchamo awusebenzi, eyinkqubo yonyango nge-anesthesia yendawo, apho inaliti ifakwa esiswini ukukhupha ulwelo kwii-ascites;
• I-antibiotics xa usulelo lwe-ascites fluid, olubizwa ngokuba yi-bacterial peritonitis, luyinkathazo enokubangela ukufa, kwaye umntu kufuneka alaliswe esibhedlele.

Amanye amayeza asekhaya aneempawu zokuchama anokunceda kunyango lwe-ascites, jonga ukuba ngawaphi amayeza asekhaya abonisiweyo e-ascites.