Mavitamini amadzimadzi ndi achilendo, amadzimadzi amadzimadzi omwe amapezeka pamtambo wa peritoneal - malo pakati pa zigawo za minofu yomwe imayendera khoma la mimba ndi ziwalo za m'mimba (monga chiwindi, spleen, chikhodzodzo cha ndulu, ndi m'mimba). Madzi amadzimadzi amakhala ndi electrolytes, antibodies, maselo oyera ndi zina zamagetsi.
Kodi Cholinga cha Kutentha kwa Peritoneal N'chiyani?
Ntchito yaikulu ya peritoneal madzi ndi kuchepetsa kusamvana pakati pa ziwalo za m'mimba pamene akuyendayenda panthawi yopuma .
Mu munthu wathanzi, kawirikawiri pamakhala pang'onopang'ono ya peritoneal fluid yomwe ilipo pa peritoneal cavity. Komabe, mavuto ena m'thupi angayambitse madzi ambiri kuti asungunuke. Madzi oterewa amatchedwa ascitic madzi ndipo amatsogolera ku ascites , limodzi mwa mavuto a chiwindi.
Kodi Ascites Amakula Bwanji?
Ascites amapezeka kwambiri kwa odwala omwe ali ndi matenda okhudza chiwindi. Kuwonongeka kwa chiwindi kungayambitse kuthamanga kwa magazi m'mitsempha yomwe imapereka magazi ku chiwindi, chomwe chimadziwika kuti portal hypertension. Komabe, matenda ena ambiri angayambitse ascites komanso kuphatikizapo khansara, mtima wosayenerera, impso kulephera, kutupa kwapascreatitis, ndi chifuwa chachikulu chokhudza chifuwa cha mimba.
Zizindikiro za Ascites
Pamene matendawa ndi ofatsa, sipangakhale zizindikiro zooneka. Komabe, ngati kuchuluka kwa madzi kumakhala pamimba, munthu akhoza kuona kuti chiuno chake chikuwonjezeka ndipo iye akhoza kukhala wolemera.
Ziŵerengero zazikulu zimayambitsa zizindikiro zambiri, kuphatikizapo kutupa kwa mimba ndi kuvulaza. Kwa odwalawa, mimba imakhala yolimba komanso yotambasula, monga mimba, ndipo mimba imayamba kuyamba.
Pamene okwera kufika pamsinkhu wopita patsogolo, kutupa m'mimba kumapangitsa kuti mimba ikhale yovuta, yomwe ingapangitse kulakalaka kudya, komanso mapapo, omwe angapangitse kupuma pang'ono.
Odwala ena amawona kutupa m'madera ena a thupi, monga mabowo.
Chovuta cha ascites, bakiteriya peritonitis, ndi matenda omwe angayambitse kupweteka kwa m'mimba ndi chikondi komanso malungo ndi malungo. Kusokonezeka, kusokonezeka, ndi kugona kungapangitse, ndipo ngati osatengeredwa, vutoli likhoza kufa.
Kuzindikira Ascites
Kawirikawiri, mbiri yakale ndi thupi lanu ya dokotala idzakhala yokwanira kukweza suspite za ascites. Pofuna kutsimikizira kuti matendawa ndi otani, akhoza kulamulidwa ndi ultrasound kapena CT scan . Ndipo kachilombo kakang'ono ka ascitic madzi akhoza kufufuzidwa ndi kuchotsa kupyolera mu singano yomwe imalowetsamo khoma la mimba. Njirayi imatchedwa kuti diagnostic paracentesis.
Kuchiza Ascites
Kuchiza ascites kumayamba ndi zakudya zochepa mu mpumulo wa sodium ndi bedi. Pamene njirazi sizikwanira, dokotala angapereke mankhwala ogwiritsira ntchito diuretics kuti athandize impso kuti zisapangitse kwambiri sodium ndi madzi mu mkodzo.
Kwa odwala omwe amavutika kwambiri kapena omwe sangathe kupuma kapena kudya mopanda mavuto, madzi amatha kuchotsedwa kudzera mu njira yotchedwa therapeutic paracentese, imene singano imalowetsamo mimba. Nthawi zambiri, opaleshoni imachitidwa kuti abwererenso kuthamanga kwa magazi pogwiritsa ntchito shunt ndipo, pamatenda ovuta kwambiri, kuikidwa kwa chiwindi ndikofunikira.