Ascites, otchedwa ah-sy-tees, ndilo mankhwala omwe amamasulira kuwonjezereka kosadziwika kwa madzi m'mimba. Ngakhale kuti ascites ndi omwe amayamba chifukwa cha chiwindi , khansara ikhoza kukhala chifukwa cha ascites. Phunzirani zomwe ascites amamva, momwe amapezera, ndi momwe madokotala amachitira.
Zotsatira za Zamankhwala
Pali zinthu zowononga kapena zopanda khansa zomwe zingayambitse ascites ndi chiwindi kulephera, kapena kupwetekedwa, kukhala wamba.
Zitsanzo zina zazifukwa zosakhala ndi khansa zimaphatikizapo mtima kulephera , matenda, ndi kupweteka .
Pafupifupi 10 peresenti ya milandu, ascites imayamba ndi khansa, malinga ndi kafukufuku wakale ku New England Journal of Medicine . Mitundu ya khansa yomwe imayambitsa ascites imaphatikizapo ovari , colon , pancreatic , ndi khansa ya uterine . Lymphoma , khansara yamapapo , ndi khansa ya m'mawere ingathenso kufalikira pamimba, kuchititsa ascites.
Pofuna kusiyanitsa pakati pazirombo ndi zoopsa kapena khansa ascites, dokotala adzachita ndondomeko yotchedwa paracentesis. Mwa njirayi, singano imalowetsedwa m'mimba ndipo mankhwala amchere amachotsedwa. Chitsanzo cha mchere chimayang'aniridwa pang'onopang'ono. Zizindikiro zina za madzi, monga kukhalapo kwa maselo a khansa, zingathandize kudziwa chifukwa cha ascites.
Kodi Ascites Amamva Bwanji?
Ngakhale kuti ascite wofatsa sungapangitse zizindikiro, kupititsa patsogolo kwa ascites kungakhale kosasangalatsa, kumapanga maonekedwe owoneka pamimba.
Zizindikiro zamakono za ascites zokwera ndizo:
- ululu wamimba
- kupuma kwafupipafupi chifukwa kuponderezedwa kwa madzi kumaphatikizapo chithunzithunzi
- kunyoza
- kusanza
- kusowa kwa njala
Chithandizo
Chithandizo cha ascites chimadalira kukula kwa ascites ndipo cholinga chake ndi kuchepetsa zizindikiro za munthu ndikuwathandiza kukhala omasuka.
Mankhwala amaphatikizapo zakudya zodyedwa ndi mchere, diuretics , ndi arapeutic paracentesis, momwe madzi ambiri amachotsedwa pamimba. Si zachilendo kwa munthu yemwe ali ndi ascites akusowa nthawi zonse kuti achotse madzi. Nkhani yabwino ndi yakuti njirayi ndi yoopsa kwambiri komanso yothandiza.
Izi zikunenedwa kuti, ngati ascites sakuyendetsedwa bwinobwino ndi mankhwalawa, shunt ikhoza kuchitidwa opaleshoni-ngakhale kuti njirayi ndiwopseza kwambiri ndipo sichimachitika kawirikawiri.
Pankhani ya ascites yoopsa, dotolo wa munthu angagwiritse ntchito opaleshoni yotchedwa cytoreductive and chemotherapy yomwe imatumizidwa mwachindunji m'mimba-yotchedwa directradioitoneal chemotherapy. Izi zimangoganiziridwa ndi odwala ena ndipo zimafuna kukambirana mosamalitsa ndi madokotala a munthu kuti aone zomwe zingakhale zoopsa komanso zopindulitsa.
Zotsatira:
Runyon BA. Kusamalira odwala okhala ndi ascites. N Eng J Med. 1994 Feb 3; 330 (5): 337-42.
Sangisetty SL & Miner TJ. Malignant ascites: Kubwereza zowonongeka, matenda ndi matenda. Zochitika Padzikoli J Zowonongeka . 2012 Apr 27; 4 (4): 87-95.