Ascites Angabwere Chifukwa cha Matenda a Chiwindi, Kulephera kwa Mtima, Khansara ndi Zambiri
Ascites (wotchulidwa kuti-sight-eez) ndiwowonjezera madzi m'kati pakati pa ziphuphu zopinda pamimba ndi ziwalo m'mimba (monga chiwindi, nthenda , m'mimba). Danga limeneli pakati pa mapepala amatchedwa peritoneal cavity. Mzere umodzi wa mizere ya minofu mkati mwa khoma la mimba ndi mndandanda wina wa minofu kunja kwa ziwalo.
Zigawo ziwirizi ndizomwe zimakhala zowonjezera zowonjezera kapena zowonjezera m'mbuyo mwake, koma lingaliro lofunika ndilo kuti pali malo pakati pa zigawo zomwe nthawi zambiri zimadzaza ndi madzi pang'ono (otchedwa peritoneal fluid ) omwe amathandiza kuti ziwalo pamene zikuyendayenda mkati mwa mimba yanu. Nthawi zina, matenda angayambitse kuchuluka kwa madzimadzi kuti asungunuke pamtunda. Madzi oterewa amachititsa vuto la ascites.
Kodi Matenda a Chiwindi Amayamba Bwanji?
Mafupa amayamba chifukwa cha matenda ambiri, kuphatikizapo matenda a chiwindi, matenda osokonezeka mtima , nephritis, matenda, ndi khansa, kutchula zina mwazofala. Chimodzi mwa zovuta za matenda a chiwindi , matenda omwe amayamba chifukwa cha matenda a chiwindi , ndi matenda oopsa omwe amachititsa kuti mitsempha ikhale yovuta kwambiri. Chimodzi mwa ntchito za chiwindi ndi kuchotsa mitundu ina ya zinyalala kuchokera ku magazi omwe amatha kudutsa pachiwindi chanu maminiti asanu.
Chiwindi chimaperekedwa ndi magazi kuchokera pansi pamtima kudzera mu mitsempha yodabwitsa komanso mwazi kuchokera m'matumbo (dongosolo la m'mimba) ndi makoswe kudzera mu mitsempha yam'nyumba. Pamene matenda a cirrhosis akuyamba, mitsempha yamakono imatha kusokoneza bwino chiwindi ndi chiwindi chomwe chimayambitsa kuwonjezereka kwa magazi omwe akuyenda kudzera m'thupi.
Izi zowonjezera mphamvu zimayambitsa madzi (zopangidwa ndi madzi ndi mapuloteni) kunja kwa mitsempha ya mitsempha yomwe imasonkhanitsa m'mimba.
Cholinga chathunthu cha ascites ndi chovuta ndipo chimaphatikizapo machitidwe ambiri. Chimodzi mwa machitidwe amenewo ndi impso , zomwe zimathandiza kwambiri powasunga madzi. Pamene madzimadzi amachoka pachiwindi, magazi amachepetsedwa. Pofuna kubwezera, impso zimayamba kusunga sodium yomwe imateteza madzi ndikusunga mbali yeniyeni ya magazi.
Ngakhale chifukwa chofala kwambiri cha ascites ndi matenda a chisokonezo, zifukwa zina ziyenera kuganiziridwa. Njira imodzi imene dokotala angakhoze kuchita ndi kuchotsa zitsulo zamadzimadzi pogwiritsa ntchito singano ndikuzitumizira ku labu yoyesedwa. Akatswiri amatha kudziwa zambiri za matendawa poyang'ana maonekedwe a madzi. Mwachitsanzo, "mitambo" imasonyeza kuti matenda ali ndi "magazi" angatanthauzire chotupa kapena phokoso losokoneza bongo (lomwe liri mkati mwa magazi pa sitepe ya singano).
Nchifukwa Chiyani Kukumana Ndi Vuto?
Ascite nthawi zambiri amachititsa mavuto opuma (monga kupuma pang'ono), kusoĊµa zakudya m'thupi komanso kutopa kwambiri.
Kudziwa: Madokotala Amapeza Bwanji Ascites
Wina wokhala ndi ascite angakhale ndi kuwonjezeka kwa girth kuzungulira mimba ndipo izi zikhoza kukwanira ascites.
Ndizotheka kwa malita 20 a madzi (kuganizira mabotolo 10, 2-lita imodzi ya soda!) Kusonkhanitsa m'mimba, ndipo hafu imodzi theka ndilofunika kuti wodwalayo aoneke. Madokotala omwe amakayikira kuti ascites adzayang'ana malo otupa m'mimba kuti phokosolo limakhala lopweteka pamene likugwedezeka ndi zala. An ultrasound amathandiza kumvetsetsa zotsatira za kuunika kwa anthu omwe ali ndi ascite ofatsa kapena obisika.
Chithandizo: Momwe Mungasamalire Maulendo Anu
Mankhwala omwe amayamba chifukwa cha matenda a chiwindi sangathe kuchiza chifukwa amafunika kuchotsa chifuwa chachikulu. Komabe, okwera ascites amatha kuyang'aniridwa bwino ndi kulepheretsa sodium mu zakudya kuti zikhale zosakwana 2 magalamu tsiku lililonse.
Kukhazikitsa chiwerengerochi ndi chovuta chifukwa nthawi zambiri kumafuna kusintha kwakukulu pa kudya , monga kupewa zakudya zowonongeka komanso zakudya zambiri zokonzedwa m'malo odyera.
Kwa ascites ochepa komanso ovuta, dokotala wanu angapereke mankhwala oletsa diuretic omwe amakupangitsani kukodza. Ngati your ascites siziyendetsedwa ndi zakudya kapena mankhwala, dokotala wanu angasankhe njira yotchedwa paracentesis (yomwe imagwiritsa ntchito singano kusonkhanitsa madzi) kapena kugwiritsa ntchito shunt (TIPS, transjugular intrahepatic portosystemic shunt) kuti ithe kukhetsa madzi.
Zotsatira
Bacon BR. Cirrhosis ndi Zovuta Zake. Mu: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine , 17e. New York, McGraw-Hill, 2008. 1978-1979.
Glickman RM, Rajapaksa R. Abdominal Kutupa, ndi Ascites. Mu: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine , 17e. New York, McGraw-Hill, 2008. 266-268.