Ama-Ascite Angabangelwa Isifo Sezinso, Ukuhluleka Inhliziyo, I-Cancer Nokuningi
Ama-Ascite (abizwa ngokuthi i-sight-eez) ayesetshenziselwa uketshezi okwedlulele esikhaleni phakathi kwezicubu ezithwala isisu nesitho esiswini esiswini (njengesibindi, isitha , isisu). Lesi sikhala esiphakathi kwezicubu sibizwa ngokuthi i-peritoneal cavity. Omunye ungqimba wezinhlayiya zezicubu ngaphakathi kwodonga lwesisu nesinye isendlalelo semigqa yamathishu ngaphandle kwezingxenye.
Lezi zigaba ezimbili empeleni ziyingqimba eyodwa eqhubekayo efana ne-wraps ezungeze noma kabili emuva kwayo, kodwa umqondo obalulekile wukuthi kukhona isikhala phakathi kwalezi zendlalelo ezivame ukugcwalisa inani elincane lomthamo (okuthiwa i- peritoneal fluid ) elisiza ukugcoba izitho njengoba zihamba ngaphakathi ngaphakathi kwesisu sakho. Ngezinye izikhathi, izifo zingabangela uketshezi okweqile ukuqoqa emgodini we-peritoneal. Lokhu ketshezi oluthe xaxa kubangela isimo se-ascites.
Isifo Sezilonda Sesizathu Sinikeza I-Ascites?
Ama-ascite abangwa izifo eziningi, kuhlanganise nezifo zesibindi, ukwehluleka kwenhliziyo ye-congestive , i-nephritis, ukutheleleka, nomdlavuza, ukubiza ezinye zezinto ezivame kakhulu. Enye yezinkinga ze- cirrhosis , isifo esibangelwa i-hepatitis engapheli , isifo somfutho wegazi obizwa ngokuthi i-portal, okuyinto ukwanda kwengcindezi ohlelweni lwe-vein system. Omunye wemisebenzi yesibindi ukukhipha izinhlobo ezithile zemfucuza ezivela egazini lokunikezwa kwegazi elingadlula esibindi sakho njalo imizuzu emihlanu.
Isibindi sinikwe ngegazi kusuka enhliziyweni nge-artic hepatic kanye negazi kusuka emanzini (isimiso sokugaya) kanye nama-pancreas ngokusebenzisa imithwalo ye-portal. Lapho i-cirrhosis iqala, uhlelo lwe-vein ye-portal alukwazi ukuhlunga ngokuphumelelayo ngesibindi se-cirrhotic ne-nodular esibangela ukwanda okwedlulele kwegazi eligeleza ngesistimu yokugaya.
Lokhu kakhudlwana kwengcindezi kubangela uketshezi (okwakhiwa ngamanzi kanye namaprotheni) ngaphandle kwemithambo yegazi eqoqa emgodini wesisu.
Isizathu esiphelele se-ascites sinzima futhi kuhilela izinhlelo eziningana. Enye yalezo zinhlelo yizinso , ezidlala indima enkulu ngokugcina amanzi. Njengokuvuza okuketshezi kwesibindi, ivolumu yegazi incishisiwe. Ukuze uhlawule, izinso ziqala ukugcina i-sodium egcina amanzi futhi igcine izinga elivamile legazi.
Nakuba imbangela evamile kakhulu ye-ascites yi-cirrhosis, ezinye izizathu kudingeka zicatshangelwe. Enye indlela udokotela angakwenza ngayo lokhu ngokususa isampula ketshezi usebenzisa inaliti bese uyithumela ebhodini lokuhlola. Ochwepheshe bangatshela eziningi ze-pathologies nje ngokubheka ukubonakala komswakama. Isibonelo, "ukushisa" kuphakamisa ukutheleleka ngenkathi "igazi" lingasikisela isisu noma ibhethri elihlukumezayo (okungaphakathi ngaphakathi kwegazi kusayithi lensiza yokukhishwa).
Kungani U-Ascites Inkinga?
Ama-Ascites ngokuvamile aholela ezinkingeni zokuphefumula (njengokuphefumula), ukungondleki nokukhathala okukhulu.
Ukuxilongwa: Indlela odokotela abayithola ngayo ama-Ascites
Umuntu onokwenyuka angase abe nokwanda kwebhande elizungezile esiswini futhi lokhu kungenele ukunquma ascites.
Kungenzeka ama-20 amalitha amanzi (cabanga ngamabhodlela angu-10, ama-2-litre ama-soda!) Ukuqoqa emgodini wesisu, kanti ilitha elilodwa nje lesigamu liyadingeka ukuze litholakale emitholampilo. Odokotela abasola ukuthi baphakanyiswa bazobheka izindawo ezikhukhulayo esiswini esisodwa sizwakala sizwakala lapho sidonwe ngeminwe. I-ultrasound isiza ukucacisa imiphumela yokuhlolwa ngokomzimba yabantu abane-ascites abanobucayi noma obucashile.
Ukwelapha: Indlela Ongayiphatha ngayo Ama-Ascite Akho
Ama-ascites abangelwa yisifo sesibindi ayinakwenzeka ukuphulukisa ngoba kuzodinga ukususa i-cirrhosis engaphansi. Noma kunjalo, ama-ascites amancane angaphathwa ngokuphumelelayo ngokuvimbela i-sodium ekudleni ibe ngaphansi kuka-2 amagremu ngosuku ngalunye.
Ukufeza le namba okuhlosiwe kuyinkimbinkimbi ngoba ngokuvamile kudinga ushintsho olukhulu emidlalweni yokudla , njengokugwema ukudla okucutshungulwa kakhulu nokudla okuningi okulungiselelwe ukudla.
Ukuze ukhuphuke ngokwanele futhi okweqile, udokotela wakho cishe uzomisa imithi yokwelashwa okubangela ukuthi ukwandise ukuchama kwakho. Uma i-ascites yakho ingalawulwa ngokudla noma imithi, udokotela wakho angakhetha inqubo ebizwa nge-paracentesis (esebenzisa inaliti ukuqoqa uketshezi) noma ukusebenzisa i-shunt (I-TIPS, i-transjugular intrahepatic portosystemic shunt) ukusiza ukukhipha uketshezi.
Imithombo
I-Bacon BR. I-cirrhosis nezinkinga zayo. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Izimiso zikaHarrison zika-Internal Medicine , 17e. ENew York, McGraw-Hill, 2008. 1978-1979.
I-Glickman RM, i-Rajapaksa R. Abdominal Ukukhulelwa, nama-Ascite. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Izimiso zikaHarrison zika-Internal Medicine , 17e. ENew York, McGraw-Hill, 2008. 266-268.