Ama-Ascite anengxaki rhoqo yezifo ezahlukahlukeneyo zamalungu angaphakathi. Kule meko, i-fluid kwisigxina esiswini isenokuguqulwa kunye nokugqithisa. Kwimeko yokuqala, iqokelela ngenxa yokuphazamiseka kwimijikelezo kunye nokuhamba kwe-lymph, okwesibini - iqulethe inani elikhulu lama-leukocytes kunye neeprotheyini eziyinkqubo ngenxa yokuphuhliswa kweenkqubo ezinokukhupha.
Iimbangela zokubuthelwa kwamanzi kwisisu esiswini
Phantse i-80% yazo zonke i-ascites yimiphumo ye-cirrhosis yesibindi. Kwimigangatho ekupheleni kwesi sifo kukho ukuphazamiseka okukhulu kweendleko zegazi, ukunyuka kwe-biological fluid.
Kwi-10% yamatyala, i-fluid kwisisu esiswini ifunyaniswa kwi-oncology. Njengomthetho, i-ascites ihamba nomhlaza we-ovari kwaye ithathwa njengesifo esichukumisayo. Ukuzalisa isikhala phakathi kwezitho zokugaya i-lymph okanye i-effusion ngokuvamile kubonisa inkqubo enzima yesi sifo kunye nokusondela kwesiphumo esibulalayo. Kwakhona, ingxaki ibonakalisa izicubu ezinjalo:
- i-mesothelioma eyintloko;
- lymphoma;
- carcinomatosis yesibini;
- iimitha zesistim eamasango esibindi;
- leukemia;
- pseudomixoma;
- i-carcinomatosis.
Phantse i-5% ye-ascites yimiqondiso yeentsholongwane zentliziyo:
- ukuhlaziywa kwegazi;
- i ntliziyo;
- i-pericarditis;
- izifo ezingapheliyo.
Isibonakaliso esivumelanayo kwezi zifo sisigxina esinamandla ebusweni nasemilenzeni.
Ngama-5% asele afunyanisiweyo, utywala olukhululekile kwisisu esiswini luyakhiwa emva kokuhlinzwa, malunga nemvelaphi ye:
- pancreatitis;
- isifo sikashukela;
- ukungaphumeleli kwintambo, i-systemic lupus erythematosus;
- ukuxinzeleleka kwegazi;
- Isifo seMeigs;
- isifo esinesigxina;
- i-peritonitis yemvelaphi eyahlukeneyo;
- Isifo seBadda-Chiari;
- i-cycreatic cysts ;
- I-Whipple's syndrome kunye nezinye izifo.
Ukuzimisela kobukho bomzimba kwisisu esiswini nge-ultrasound
Akunakwenzeka ukubona i-ascites ngokuzimela, ingakumbi ekuqaleni kokuqokelela kwamanzi. Kukho imiqondiso emininzi yeengxaki, umzekelo:
- ubunzima besisu ;
- ukuphulwa komthetho;
- ukusila okanye ukuthabatha intlungu;
- utshintsho kwixesha lokujikeleza kunye nomthamo we-bioava;
- ukuqhuma;
- ngamanye amaxesha - ukuphefumula ubunzima;
- ukuvuvukala kwamalungu, ubuso;
- "I-Frog" isisu.
Kodwa iimpawu ezidweliswe ziyimpawu ezininzi kwizifo ezininzi, ngoko kunzima ukuzixhuma kunye nokuqokelelwa kwamanzi asemzimbeni. Indlela yokuthembela kuphela ye-ascites i-ultrasound. Ngethuba le nkqubo kubonakala ngokucacileyo ubukho be-trans- or exudate, kodwa kunye nomthamo wayo, ngezinye iimeko ungafikelela kuma-lititha ezingama-20.
Ulwaphulo kunye nokupompoza kwamanzi okuphuma kwisisu esiswini
I-refractory, "enkulu" kunye "enkulu" i-ascites ifanele iphathwe ngokugqithiseleyo, kuba umthamo omkhulu wamanzi awukwazi ukurhoxiswa ngeendlela ezizimeleyo.
I-Laparocentesis yinkqubo yokubhoboza isisu nge-trocar, isisombululo esikhethekileyo esenziwe ngenaliti kunye nethubhu elincinci. Isiganeko senziwa phantsi kolawulo lwe-ultrasound kunye ne-anesthesia yendawo. Kwiiseshoni ezi-1, akukho ngaphezu kwama-6 ilitha omlambo ovelisayo, kwaye ngokukhawuleza. Ukukhawuleza ukupompa ngaphandle kwe-transudate kunokukhokelela ekuhlahleni okuthe ngqo kwixinzelelo lwegazi kunye
Ukuhlawulela iprotheni kunye nokulahlekelwa kweetyuwa yeramineral, isisombululo se-albin, i-polyglucin, i-aminostearyl, i-hemaccel kunye nezinye iziyobisi ezifanayo zilawulwa kanyekanye.
Ukuhlinzwa okwangoku, i-citteral isisigxina iyasetyenziswa. Ngoncedo lwaso, umbane ususwa ngokuqhubekayo, kodwa ngokukhawuleza.
Unyango olondolozo lwama-ascites lusebenza kakuhle kwizigaba eziphambili kunye neendlela zokuhlala. Kuqeshwe kuphela ngutitshala emva kokufumana izizathu zengxaki.