Ama-Ascite, abizwa ngokuthi ah-sy-tees, ligama lonyango elichaza ukuqokelelwa okungavamile kobutyebi esiswini. Nangona i-ascites ininzi ibangelwa yi- cirrhosis , umhlaza unokuba yimbangela ye-ascites. Funda ukuba i-ascites ivakalelwa njani, indlela yokufunyaniswa ngayo, kunye nendlela odokotela abaphatha ngayo.
Izizathu Zonyango
Kukho imeko enobungozi okanye engeyiyo yomhlaza engabangela ukuba i-ascites ingaphumeleli kwesibindi, okanye i-cirrhosis, iyona eqhelekileyo.
Eminye imizekelo yezizathu ezingekho komhlaza ziquka ukungaphumeleli kwentliziyo , ukusuleleka, kunye ne- pancreatitis .
Kwimizuzu engama-10 yamatyala, i-ascites ibangelwa ngumhlaza, ngokufunda ngokudala eNew England Journal of Medicine . Iintlobo zesifo somhlaza esenza i-ascites ziquka i- ovarian , i- colon , i- pancreatic , kunye nomhlaza wesibeletho. I-lymphoma , umhlaza wamaphaphu , kunye nomhlaza wesisu unokusasazeka kwisisu, kubangele i-ascites.
Ukuze uhlukanise phakathi kokunyuka ngokubhekiselele kwintlepheko okanye i-ascites yomhlaza, ugqirha uya kwenza inkqubo ebizwa nge-paracentesis. Kule nkqubo, inaliti ifakwe kwisisu kwaye isampula elincinci isuswe. Isampuli esisetyenziswayo ihlolwe phantsi kwe-microscope. Ezinye iimpawu zomlambo, ezifana nobukho beeseli zomhlaza, lunokunceda ukucacisa imbangela ye-ascites.
Ziziphi ii-Ascites Feels Like
Nangona ukunyuka okunyanisekileyo kungabangela ukuba kubekho iimpawu, i-ascites ephakamileyo ingaba nzima, idale ukubonakala okubonakalayo kwisisu.
Izimpawu eziqhelekileyo ze-ascites eziphambili ziquka:
- intlungu zesisu
- ukuphefumla okufutshane ngenxa yokuba uxinzelelo lomkhuhlane luxinzezela isithintelo
- isicaphulelo
- ukuhlanza
- ukulahleka kwesidlo
Unyango
Unyango lwe-ascites luxhomekeke kubunzima be-ascites kwaye lujoliswe ekunciphiseni iimpawu zomntu kunye nokwenza kube lula ngakumbi.
Iipilisi ziquka iidlo ezidityanisiweyo zetyuwa, i- diuretics , kunye ne-paracentesis yonyango, apho umthamo omkhulu womkhuhlane ususwa kwisisu. Akuqhelekanga kumntu onokwenyuka ukufuna i-paracentesis rhoqo ukususa umkhuhlane. Iindaba ezilungileyo kukuba le nkqubo inobungozi obuphantsi kwaye iyasebenza.
Oko kuthethwa ukuba, ukuba i-ascites yomntu ayikwazi ukulawulwa kakuhle kunye nale miba yendabuko, i-shunt ingafakwa ukuhlinzwa-nangona le nkqubo inomngcipheko ophezulu kwaye ingaqhelekanga.
Kwimeko ye-ascites ezimbi, ugqirha lomntu unokuqwalasela ukuhlinzwa kunye ne-chemotherapy elawulwa ngqo kwisisu-esibizwa ngokuba yi-intraperitoneal chemotherapy. Oku kuhlolwe kuphela kwizigulane ezithile kwaye kufuna ukuba ingxoxo ngokucophelela kunye noogqirha bomntu ukulinganisa ingozi kunye neenzuzo.
Imithombo:
Runyon BA. Ukunyamekela kwezigulane ezinokwenyuka. N Eng J Med. 1994 Feb 3; 330 (5): 337-42.
Sangisetty SL & Miner TJ. Ukunyuka kwama-ascignant: Ukuhlaziywa kweziganeko zokuxela, ukunyanga kwezilwanyana kunye neendlela zokwelapha. Ihlabathi J Iintlungu zesifo . 2012 Apr 27; 4 (4): 87-95.