I-dropsy (ascites) i-accumulation kwisigxina esiswini se-free fluid, umthamo wayo, ngokuxhomekeka kubukhulu besifo esisisigxina, sinokuvela kwi-3 ukuya kwi-30 ilitha. Ngokuqhelekileyo, i-ascites ibonakaliswe nge-cirrhosis yesibindi-ukugqithiswa kweyeza kunyango kakhulu. Ngesiqingatha samatyala kukho ukufa kwe-cirrhosis kwiminyaka emibili emva kokubonakala kwehla.
Izizathu zokuhlaselwa
Ama-Ascites kwi-cirrhosis athuthuka ngenxa yokungahambi kwesibindi esichaphazelekayo "ukucoca" inani elifanelekileyo legazi. Ngako oko, iqhekeza layo lexakile lihamba ngeempahla, lizalise isisu esiswini.
Uphuhliso lwe-ascites luphethwe ngumbandela onjenge:
- Uxinzelelo oluphezulu kwi-portal vein - luphucula umkhiqizo we-fluid ezamahala;
- Ukungafezeki komsebenzi weprotheni-synthesizing - ngenxa yokungabikho kwama-albin, igazi lilahlekelwa amandla alo okugcina isahlulo samanzi;
- Ukungakwazi ukusebenza kwe-lymphatic system - ngenxa yokungakwazi kwesibindi sokugula ukuhlangabezana nokukhoyo kwe-lymph, ibhukuda ukusuka ebusweni be-gland, ingena kwisigxina esiswini.
Iimpawu zokunyuka kwi-cirrhosis yesibindi
Njengengxube ye-cirrhosis, i-50% yezigulane ziyancipha zingakapheli iminyaka elishumi emva kokuxilongwa. Ama-Ascites abonakala ngokunyuka komzimba kunye nomthamo wesisu. Isigulana sikhala isikhalazo esiswini, ukuguquka, ukuvuvukala kwemida. Ngomdaka ophantsi (umthamo womninzi ngaphezu kweelitha ezingama-3), isisu sisalima kwindawo emileyo. Xa isigulane silele, isisu sisasazeka emacaleni. Xa kuthathwa umphumo wecala, umtsalane wokuphendula uhambelana. Ngokunyuka kwama-ascites (umthamo wamanzi angama-20-30 ilitha), isisu sifundeka, isikhumba sibe sinyanyisa kwaye solule, iintlaba ezikhulisiweyo, ngokukodwa malunga neenkiva, zibonakala ngokucacileyo.
Unyango lwe-ascites kunye ne-cirrhosis yesibindi
Xa unyango lwe-dropsy lujolise ekuphatheni isibindi ngokwaso, nokunciphisa ukuphazamiseka kubangelwa isigulane nge-ascites, jonga kwiimilinganiselo ezilandelayo:
- ukutya;
- kwamkela i-diuretics;
- ukugqitywa.
Ukutya
Ukutya kwi-ascites kwaye ngokuqhelekileyo nge-cirrhosis yesibindi kubonisa ukuhla kwexabiso lesityuwa ekudleni ku-5.2 g. Oku kuthetha ukuba ukutya akufuneki ukufaka ityuwa, ngaphezu koko, kukufanelekile ukuyeka ukutya okunamafutha amaninzi. Izigulane azithandekanga ukuthatha ngaphezulu kweyayi-1 ilitha yamanzi ngosuku, nangona, ngokwezinye iingcali, le miqobo ayichaphazeli inkqubela yehla. Ekudleni kufuneka kube:
- intlanzi, inyama ephilileyo;
- i-cottage cheese;
- imifuno, iziqhamo;
- imifuno;
- okusanhlamvu.
Kule meko, kuyinqweneleka ukupheka ukutya kwesibini. Utywala, izitya ezikhethiweyo, ikhofi, i-tea eqinile kunye neziqholo kunye ne-ascites zichazwe!
Diuretics
Ukuba ukutya akungenzi umphumo, unyango lwe-ascites kunye ne- cirrhosis yesibindi kukuthatha i-diuretics:
- I-Spironolactone;
- Furosemide;
- I-acric acid;
- Amyloride nabanye.
Izigulane ziboniswa ukuphumla kombhede, kuba kwindawo yokuma yomzimba kukho ukuncipha kwimpendulo kwizonyango zokutya, ezibhekiselele ngakumbi ngokunyamekela ngokomzimba.
Ukunciphisa umthamo we-free fluid kufanele kwenzeke ngokuthe ngcembe: 1 kg ngosuku ngosuku lwama-edema kunye ne-0.5 kg, ukuba akukho ukuvuvukala.
Ukuhamba
Ukuba isigaba sokugqibela se-cirrhosis senzeka, i-ascites ingancitshiswa ngokubethelwa kwesisu esiswini. Ukugqithisa kwenziwa ngokuqwalasela imithetho ye-aseptic kunye nokusebenzisa inaliti enzima. Ukugqithwa kwenzelwe ngaphantsi kweenamba, kwaye ngelo xesha, njengomthetho, kunokwenzeka ukukhupha umthamo wonke womthamo. Ukuthintela ukuhlaselwa kwezinto ezihamba phambili, i-diuretics inqunywe kwaye iphinde idle ngokutya okuncitshiswa kwetyuwa ekudleni.
Kanye kunye nombane osusiweyo, inani elikhulu leprotheni liphuma emzimbeni, ngoko ke izigulane zichazwe i-albinin infusions: ukulungiselela kuqukethe malunga nama-60% eeplasini zamaprotheni.