Ama-Ascites angabangelwa zizifo zesibindi, ukungaphumeleli kwintliziyo, umdlavuza kunye nokunye
I-Ascites (ebizwa ngokuba yi-eyes-eez) yinkcitho ethe xaxa phakathi kwesikhumba phakathi kwezicubu ezithwala esiswini kunye namalungu kwisisu esiswini (njengesibindi, istile , isisu). Esi sikhala phakathi kwezicubu zibizwa ngokuba yi-peritoneal cavity. Olunye ugca lwemizila yesikhumba ngaphakathi ngaphakathi kwindonga yesisu kunye nolunye uhla lweetayiti zomzimba ngaphandle kwamalungu.
Ezi ziqendu ezimbini zilolu hlobo olulodwa oluqhubekayo olulolu hlobo oluthile okanye oluphindwe kabini emva kwalo, kodwa imbono ebalulekileyo kukuba kukho isikhala phakathi kwezi ziqhelo eziqhelekileyo zizaliswe umlinganiselo omncinci (obizwa ngokuba yi- peritoneal fluid ) enceda ukucoca izitho njengoko zijikeleza ngaphakathi ngaphakathi kwesisu sakho. Ngamanye amaxesha, izifo zinokubangela ukuba umbane ogqithiseleyo uqokelele kwi-peritoneal cavity. Olu lukhuni olongezelelweyo lubangela imeko ye-ascites.
Isifo Sobomi Sibangela Njani Ama-Ascites?
Ama-Ascite abangelwa zizifo ezininzi, kubandakanya izifo zesibindi, ukungaphumeleli kwintliziyo yesifo , i-nephritis, ukusuleleka kunye nomhlaza, ukubiza ezinye zezona ziqhelekileyo. Enye yeengxaki ze- cirrhosis , isifo esibangelwa i-hepatitis engapheliyo , ingumngcipheko we-portal obangela ukunyuka kwengcinezelo kwi-system vein system. Enye yemisebenzi yesibindi kukususa iintlobo ezithile zeemfucuza ezivela kumzimbeni wegazi onokudlula esibindi sakho ngemizuzu emihlanu.
Isibindi sinikezelwa ngegazi entliziyweni ngokusebenzisa umthambo ophezulu kunye negazi ukusuka kumathambo (inkqubo yokugaya ukutya) kunye neepancreas ngokusebenzisa imisonto yesango. Xa i-cirrhosis ikhula, inkqubo ye-vein ye-portal ayikwazi ukucoca ngokuphumelelayo ngesibindi sesigqirha ne-nodular esibangela ukunyuka kwengcinezelo yegazi ejikelezayo kwinkqubo yokutya.
Olu xinzelelo lukhupha umbane (olwenziwa ngamanzi kunye namaprotheni) ngaphandle kwemithambo yegazi eqokelela kwisisu esiswini.
Isizathu esipheleleyo se-ascites siyinkimbinkimbi kwaye siquka iinkqubo ezininzi. Enye yale nkqubo iinjongo , ezidlala indima enkulu ngokugcina amanzi. Njengoko ukuvuza kwamanzi kuphuma esibindi, umthamo wegazi uncitshiswa. Ukuze uhlawule, iintso ziqala ukugcina i-sodium egcina amanzi kwaye igcine izinga eliqhelekileyo legazi.
Nangona imbangela ebalulekileyo ye-ascites yi-cirrhosis, ezinye izizathu kufuneka ziqwalaselwe. Enye indlela ugqirha anokukwenza ngayo ngoku kususa isampula yamanzi ngokusebenzisa inaliti nokuyithumela ebhodini yokuvavanya. Iingcali ziyakwazi ukuxelela ezininzi iintsholongwane nje ngokujonga ukubonakala kwe-fluid. Ngokomzekelo, "ifuba" ibonisa intsholongwane xa "igazi" lingasikisela isifo okanye isampu esibulalayo (esingaphandle kwegazi kwindawo yesaliti).
Kutheni Kuthiwa Iingxaki?
I-Ascites idla ngokukhokelela kwiingxaki zokuphefumula (ezifana nokuphefumula okufutshane), ukungondleki nokukhathala okukhulu.
Ukuxilongwa: IiDokotela zifumana njani ii-Ascites
Omnye onokwenyuka unokwenyuka kwi-girth ecaleni kwesisu kwaye oku kunokwanela ukucacisa i-ascites.
Kungenzeka ukuba i-20 ilitha yamanzi (cinga ngeebhotile ze-10 ze-2-litre ze-soda!) Ukuqokelela kwisigxina esiswini, kunye neelayitha enye kuphela efunekayo ukuba ifunyanwe klinikhi. Oogqirha abanokukrokrela ukunyuka baya kukhangela iindawo ezinobunzima kwisisu esisandileyo sihlabekile xa sithinjwe yiminwe. I-ultrasound inceda ukucacisa iziphumo zokuhlolwa komzimba ngabantu abane-ascites abancinci okanye abafihlakeleyo.
Unyango: Indlela onokuLawula ngayo ama-Ascites akho
Ama-Ascites abangelwa yisifo sesibindi ayinakwenzeka ukuphilisa kuba kuya kufuna ukususa i-cirrhosis. Nangona kunjalo, ukunyuka kwe-ascites kunokulawulwa ngempumelelo ngokunciphisa i-sodium kwisondlo ukuya ngaphantsi kwama-2 grams ngosuku.
Ukufezekiswa kwesi sixa ekujoliswe kuso kulukhuni kuba lufuna ukuba utshintsho olukhulu kwiindlela zokutya , ezifana nokuphepha ukutya okucwangcisiweyo kunye neendawo ezininzi zokutya ezilungiselelwe ukutya.
Ukwenyuka ngokuthe ngqo kunye nokunyuka okunzima, ugqirha wakho uya kubeka umyalelo wesohlwayo esenza ukuba ukhulise ukuhamba kwakho. Ukuba i-ascites yakho ayilawulwa yidlo okanye amayeza, ugqirha wakho unokukhetha inkqubo ebizwa ngokuthi i-paracentesis (esebenzisa inaliti ukuqokelela umthamo) okanye ukusebenzisa i-shunt (I-TIPS, i-transjugular intrahepatic portosystemic shunt) ukunceda ukukhupha umkhuhlane.
Imithombo
Bacon BR. I-Cirrhosis kunye neengxaki zayo. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), i -Principals of Medicine Internal , 17e. New York, McGraw-Hill, 2008. 1978-1979.
I-Glickman RM, iRaapapalsa R. Abdominal, kunye neAscite. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), i -Principals of Medicine Internal , 17e. New York, McGraw-Hill, 2008. 266-268.