Peritoneal fluid kuongorora

Peritoneal fluid kuongorora ibvunzo yebazi. Izvo zvinoitwa kutarisa fluid iyo yakavakirwa munzvimbo mudumbu yakatenderedza nhengo dzemukati. Iyi nharaunda inonzi iyo peritoneal space. Mamiriro acho anonzi ascites.

Iyo bvunzo inozivikanwa zvakare separacentesis kana yepamu pombi.

Muenzaniso wemvura inobviswa kubva munzvimbo yeperoone uchishandisa tsono nesirinji. Ultrasound inowanzoshandiswa kutungamira tsono kune iyo fluid.

Anokuchengetedza hutano anozochenesa uye nekupwanya nzvimbo diki yedumbu rako (mudumbu). Tsono inoiswa kuburikidza neganda redumbu rako uye muyedzo yemvura inodhonzwa. Mvura yacho inounganidzwa muhubhu (sirinji) yakasungirirwa kumagumo kwetsono.

Mvura yacho inotumirwa kubazi uko kunoongororwa. Miedzo ichaitwa pane inoyerera kuyera:

• Albumin
• Mapuroteni
• Tsvuku uye chena masero eropa kuverenga

Miedzo inoongororawo mabhakitiriya uye mamwe marudzi ehutachiona.

Iyi bvunzo inotevera inogona kuitwawo:

• Alkaline phosphatase
• Amylase
• Cytology (kuoneka kwemasero)
• Glucose
• LDH

Rega mupi wako azive kana iwe:

• Uri kutora chero mishonga (kusanganisira mishonga yemakwenzi)
• Iva nechero allergiki kumishonga kana chiveve mushonga
• Iva nezvinetso zvekubuda ropa
• Une nhumbu kana kuronga kubata pamuviri

Iwe unogona kunzwa kunzwa kunorwadza kubva kumushonga unonetesa, kana kumanikidza senge tsono inoiswa.

Kana huwandu hwakawanda hwemvura hunotorwa kunze, unogona kunzwa dzungu kana musoro usina musoro. Udza mupi kana iwe uchinzwa dzungu.

Muedzo unoitwa ku:

• Tsvaga peritonitis.
• Tsvaga chinokonzera kuyerera mudumbu.
• Bvisa huwandu hwakawanda hwemvura kubva munzvimbo yeperitoneal mune vanhu vane chirwere chechiropa. (Izvi zvinoitwa kuti kufema kugadzikane.)
• Tarisa uone kana kukuvara mudumbu kwakonzera kubuda kweropa mukati.

Mhedzisiro isina kujairika inogona kureva:

• Bhairi-yakasviba fluid inogona kureva kuti une nduru kana dambudziko rechiropa.
• Ropa remvura rinogona kunge riri chiratidzo chebundu kana kukuvara.
• Yakakwira chena masero eropa kuverenga kunogona kuve chiratidzo cheperitonitis.
• Mukaka-mavara peritoneal fluid inogona kunge iri chiratidzo checarcinoma, cirrhosis yechiropa, lymphoma, tibhii, kana hutachiona.

Mimwe mhedzisiro yemiedzo isingaite inogona kunge iri nekuda kwedambudziko mumatumbu kana nhengo dzemudumbu. Misiyano yakakura pakati pehuwandu hwealbumin mu peritoneal fluid uye muropa rako inogona kunongedzera pamoyo, chiropa, kana itsvo kutadza. Misiyano midiki inogona kunge iri chiratidzo checancer kana hutachiona.

Ngozi dzinogona kusanganisira:

• Kukuvara kwechipfuva, dundira, kana tsinga yeropa mudumbu kubva kubaya kwetsono
• Kubuda ropa
• Utachiona
• Kuderera kweropa
• Shock

Paracentesis; Turu yepamuviri

• Kuongorora peritoneal lavage - akateedzana
• Peritoneal tsika

Chernecky CC, Berger BJ. Paracentesis (peritoneal fluid kuongorora) - kuongororwa. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. Philadelphia, PA: Elsevier Saunders; 2013: 849-851.

Garcia-Tsao G. Cirrhosis uye sequelae yayo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 153.

Miller JH, Moake M. Maitiro. Mune: The Johns Hopkins Hospital; Hughes HK, Kahl LK, eds. Iyo Harriet Lane Handbook. 21st ed. Philadelphia, PA: Elsevier; 2018: chits. 3.

Runyon BA. Ascites uye otomatiki bhakitiriya peritonitis. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 93.