I-Peritoneal fluid iyinhlangano evamile, i-lubricating fluid etholakala emgodini we-peritoneal - isikhala phakathi kwezingxenye zezicubu ezihamba odongeni lwesisu nezitho zangasese (njengesibindi, isitha, isisu nesisu). Umswakama ikakhulukazi ngamanzi ane-electrolytes, ama-antibodies, amaseli egazi amhlophe namanye amakhemikhali e-biochemicals.
Iyini Inhloso Ye-Peritoneal Fluid?
Umsebenzi oyinhloko we-peritoneal fluid ukunciphisa ukungqubuzana phakathi kwezitho zomzimba lapho behamba ngesikhathi sokugaya .
Emuntwini onempilo, kuvame ukuba nesilinganiso esincane se-peritoneal fluid esivela emgodini we-peritoneal. Kodwa-ke, ezinye izinkinga emzimbeni zingabangela uketshezi oluthe xaxa ukuqoqa emgodini. Lo mketshezi ubizwa ngokuthi i-ascitic fluid futhi uholela kuma- ascites , enye yezinkinga ze-cirrhosis.
Ama-Ascite athuthukisa kanjani?
Ama-ascites avame kakhulu kwiziguli ezinezifo ezithinta isibindi. Ukulimala kwesibindi kungabangela ukucindezela kwegazi eliphezulu emithanjeni ehambisa igazi esibindi, isimo esaziwa ngokuthi i-portal hypertension. Kodwa-ke, ezinye izinkinga eziningi zingabangela ascites kanye, kuhlanganise nomdlavuza, ukwehluleka kwenhliziyo, ukwehluleka kwezinso, ukuvuvukala kwamaphancate (pancreatitis), kanye nesifo sofuba esithinta uketshezi kwesisu.
Izimpawu zama-Ascites
Uma isimo sinomusa, kungase kube khona izimpawu ezibonakalayo. Kodwa-ke, uma inani elilinganiselwe lomswakama likhona esiswini, umuntu angabona ukuthi ubukhulu bakhe bunobukhulu buye banda futhi kungenzeka ukuthi ube nesisindo.
Amanani amakhulu adala izimpawu eziningi, kufaka phakathi ukuvuvukala kwesisu nokungahambi kahle. Kulezi ziguli, isisu singase sibe nomuzwa oqinile futhi welule, njengokukhulelwa, futhi isisu singase siqale ukuqhuma.
Lapho i-ascites ifinyelela ezingeni eliphezulu, ukuvuvukala esiswini kubeka ingcindezi esiswini, okungaholela ekulahlekeni kokudla, kanye namaphaphu, okungaholela ekuphefumuleni.
Ezinye iziguli ziqaphela ukuvuvukala kwezinye izingxenye zomzimba kanye, njengama-ankle.
I-compites ye-ascites, i-peritonitis yebhaktheriya, iyisifo esingaba nesisindo somzimba nesisa kanye nesifo somkhuhlane kanye ne-malaise. Ukudideka, ukudikibalazeka nokulalaza kungathuthukisa futhi, uma kungalashwa, lesi simo singaba yingozi.
Ukubona ama-Ascites
Ngokujwayelekile, umlando kanye nomzimba owenziwe udokotela wakho kuyokwanela ukuphakamisa ukusola kwama-ascites. Ukuqinisekisa ukuxilongwa, i-ultrasound noma i- CT scan ingalawulwa . Futhi isampula encane ye-ascitic fluid ingahlaziywa ngokuyihoxisa ngokusebenzisa inaliti efakwe odongeni lwesisu. Le nqubo ibizwa ngokuthi i-diagnostic paracentesis.
Ukwelapha ama-Ascites
Ukwelapha ama-ascites kuqala ngokudla okuphansi kokuphumula kwe-sodium nokulala. Uma lezo zindlela zingenelutho, udokotela angase anikeze ukusetshenziswa kwezidakamizwa ukuze kusize izinso zifake i-sodium namanzi amaningi emcinini.
Kulezi ziguli ezithokozeka kakhulu noma labo abangenakuphefumula noma badle ngaphandle kobunzima, uketshezi kungasuswa ngenqubo ebizwa ngokuthi i-paracentese yezokwelapha, lapho inaliti ifakwa khona esiswini. Ezimweni ezingavamile, kwenziwa ukuhlinzekwa ukuvuselela ukugeleza kwegazi usebenzisa i-shunt futhi, ezimweni zokudlwengula, ukufakelwa kwesibindi kuyadingeka.