I-Peritoneal fluid yinto eqhelekileyo, i-lubricating fluid efunyenwe kwisigxina se-peritoneal - isikhala phakathi kweendwangu zeethambo ezihamba eludongeni lwesisu kunye nezitho zangasese (ezifana nesibindi, i-spleen, i-gall bladder, nesisu). I-fluid ininzi ngamanzi kunye ne-electrolytes, ama-antibodies, amaseli egazi ezimhlophe kunye nezinye iikhemikhali ze-biochemicals.
Iyintoni Injongo yePeritoneal Fluid?
Umsebenzi oyintloko we-peritoneal fluid ukunciphisa ukungqubana phakathi kwamalungu omzimba xa behamba ngexesha lokutya .
Ngomntu onempilo, ngokuqhelekileyo kukho inani elincinci le-peritoneal fluid ekhoyo kwi-peritoneal cavity. Nangona kunjalo, ezinye iingxaki emzimbeni zinokubangela ukuba umbane ogqithiseleyo uqokelele kwisigxina. Lo mkhuhlane ubizwa ngokuba yi-ascitic umthamo kwaye ukhokelela kwi- ascites , enye yeengxaki ze-cirrhosis.
Ngaba ama-Ascites athuthukisa njani?
Ama-Asciti aqhelekileyo kwizigulane ezinezifo ezichaphazela isibindi. Ukulimala kwesibindi kungabangela uxinzelelo lwegazi oluphezulu kwimifuno ehambisa igazi kwisibindi, imeko eyaziwa ngokuba yi-portal hypertension. Nangona kunjalo, ezinye izifo ezinokubangela ukuphazamiseka zingabangela ukuba i-ascites, kwakunye nomdlavuza, ukungaphumeleli kwentliziyo, ukungaphumeleli kwezintso, ukuvuvukala kwepascreas (pancreatitis), kunye nesifo sofuba esichaphazelekayo kwisibonda esiswini.
Iimpawu zeAsciti
Xa imeko ilula, akukho mpawu ebonakalayo. Nangona kunjalo, xa ixabiso elincinci lomkhuhlane likhona kwisisu, umntu unokuqaphela ukuba ubukhulu bakhe bunyukile kwaye unokuba nesisindo.
Amanani amakhulu adala ezinye iimpawu, kuquka ukuvuvukala kwesisu kunye nokuphazamiseka. Kulezi zigulane, isisu sisenokuziva sisome kwaye solule, njengokuba ukhulelwe, kwaye isisu singaqala ukukhupha.
Xa i-ascites ifinyelela kumgangatho ophakamileyo, ukuvuvukala esiswini kubeka uxinzelelo kwisisu, oku kunokukhokelela ekulahlekeni kwesidlo, kunye nemiphunga, engakhokelela ekuphefumuleni.
Ezinye izigulane zibona ukuvuvukala kwezinye iindawo zomzimba ngokunjalo, njengama-ankle.
Inkxalabo ye-ascites, i-bacterial peritonitis, isifo esinokubangela ukungazinzi kwesisu kunye nentlungu kunye ne-malaise. Ukudideka, ukuphazamiseka, nokulala, kunokuphuhliswa kwaye, ukuba ingaphathwa kakubi, le meko ingaba yingozi.
Ukuchonga i-Ascites
Ngokuqhelekileyo, imbali kunye nomzimba owenziwe ngugqirha wakho kuya kukwanela ukuphakamisa ukungathandabuzeki kwe-ascites. Ukuqinisekisa ukuxilongwa, i-ultrasound okanye i- CT scan ingalawulwa. Kwaye isampula encinci ye-ascitic fluid ingahlaziywa ngokuyihoxisa ngenaliti efakwe eludongeni lwesisu. Le nkqubo ibizwa ngokuba yi-diagnostic paracentesis.
Ukunyanga ama-Ascites
Ukunyuka kwe-ascites kuqala ngokutya okuphantsi kweso sodiyali kunye nokuphumla kombhede. Xa ezo zicwangciso zingenakwanela, ugqirha unokumisela ukusetyenziswa kwezonyango zokunceda ukuba iintso ziphephe ngaphezulu kwe-sodium kunye namanzi kumchamo.
Kwizigulane ezinokukhathazeka okukhulu okanye abo abangenakuphefumula okanye badle ngaphandle kobunzima, i-fluid ingasuswa kwinkqubo ebizwa ngokuba yi-paracentese yonyango, apho inaliti ifakwe kwisisu. Kwiimeko ezinqabileyo, utyando luyenziwa ukubuyisela ukuhamba kwegazi usebenzisa i-shunt kwaye, kwiimeko ezidlulileyo, ukufakelwa kwesibindi kuyimfuneko.