Ama-Ascite, athiwa ama-ah-sy-tees, igama elibizwa ngezokwelapha elichaza ukuqoqwa okungavamile koketshezi esiswini. Nakuba i-ascites ivame ukubangelwa yi- cirrhosis , umdlavuza ungase ube imbangela ye-ascites. Funda ukuthi ama-ascites azizwa kanjani, ukuthi atholakala kanjani, nokuthi odokotela bayayiphatha kanjani.
Izimbangela Zezokwelapha
Kunezimo ezinobungozi noma ezingekho komdlavuza ezingabangela ukwehla kwe-foite ngesifo sebindi, noma isifo se-cirrhosis, esivamile kakhulu.
Ezinye izibonelo zezimbangela ezingezona umdlavuza zihlanganisa ukuhluleka kwenhliziyo , ukutheleleka, nokuphazamiseka .
Ezingamaphesenti angu-10 amacala, i-ascites ibangelwa umdlavuza, ngokusho kwesifundo esidala eNew England Journal of Medicine . Izinhlobo zomdlavuza obangela ascites zibandakanya i- ovarian , colon , pancreatic , kanye nomdlavuza wesibeletho. I-lymphoma , umdlavuza wamaphaphu , nomdlavuza webele kungenzeka futhi usakaze esiswini, kubangele ama-ascites.
Ukuze ahlukanise phakathi kwe-benign ngokumelene ne-ascites engathandeki noma enomdlavuza, udokotela uzokwenza inqubo ebizwa ngokuthi i-paracentesis. Kule nqubo, inaliti ifakwa esiswini futhi isampuli encane yomthamo isusiwe. I-sampuli yamanzi iyabuye ihlolwe ngaphansi kwe-microscope. Izici ezithile ze-fluid, njengokuba khona kwamaseli omdlavuza, zingasiza ukucacisa imbangela ye-ascites.
Yimaphi ama-Ascites azwayo
Ngenkathi ama-ascites amancane angabangela izimpawu, ama-ascites amaningi kakhulu angathuthuka, aphinde avele ekubukeni kwesisu.
Izimpawu ezivamile ze-ascites eziphambili zihlanganisa:
- ubuhlungu besisu
- ukuphefumula ngoba ukucindezela ketshezi kuphazamisa umcibisholo
- isiyaluyalu
- ukuhlanza
- ukulahlekelwa ukudla
Ukwelapha
Ukwelashwa kwama-ascites kuncike ebukhulu be-ascites futhi kuhloswe ukunciphisa izimpawu zomuntu nokwenza kube lula kakhulu.
Imithi ihlanganisa ukudla okulondwe kasawoti, izidakamizwa , kanye ne-paracentesis yokwelapha, lapho umthamo omkhulu wamanzi ukhiqizwa esiswini. Akuvamile ukuba umuntu onokwenyuka adinge i-paracenteis evamile ukuze asuse uketshezi. Izindaba ezinhle ukuthi inqubo yingozi kakhulu futhi isebenza kahle.
Uma kuthiwa, uma ukhuphuka umuntu engakwazi ukulawulwa kahle ngalezi zindlela zokwelapha, ukukhishwa kwe-shunt kungenziwa ukuhlinzwa-nakuba le nqubo ingozi enkulu futhi ingejwayelekile.
Endabeni ye-ascites emangalisa, udokotela womuntu angase abheke ukuhlinzwa kwe- cytoreductive kanye ne-chemotherapy eqondiswa ngqo esiswini-esibizwa ngokuthi i-intraperitoneal chemotherapy. Lokhu kubhekwa kuphela iziguli ezithile futhi kudinga ingxoxo ngokucophelela nodokotela bomuntu ukuhlola izingozi nezinzuzo ezingenzeka.
Imithombo:
Runyon BA. Ukunakekela iziguli ezine-ascites. N Eng J Med. 1994 Feb 3; 330 (5): 337-42.
I-Sangisetty SL ne-Miner TJ. Iziphakamiso ezibuhlungu: Ukubuyekezwa kwezici zokubikezela, ukuphika kwezilwane kanye nezinyathelo zokwelapha. I-World J Yokudla Kwesisu . 2012 Apr 27; 4 (4): 87-95.