Ascites: chii, chikuru zviratidzo uye kurapwa

Zvemukati

• Ascites zviratidzo
• Zvinogona kukonzerwa
• Kurapwa kunoitwa sei

Ascites kana "dumbu remvura" ndiko kuunganidzwa zvisina kujairika kweprotein-yakazara mvura mukati medumbu, munzvimbo iri pakati pezvinyama zvinomira padumbu nenhengo dzemudumbu. Ascites haifungidzirwe sechirwere asi chiitiko chiripo muzvirwere zvakati wandei, chakanyanya kuve chiropa cirrhosis.

Ascites haina mushonga, zvisinei, inogona kurapwa nemishonga yedhiureti, kurambidzwa kwemunyu mukudya uye kusadya-zvinwiwa zvinodhaka, kubvisa zvinwiwa zvakawandisa mudumbu.

Mvura inogona kuunganidzwa mukati medumbu inogona kuva plasma yeropa, rinova iro zita rinopihwa kuyerera kweropa, uye lymph, inova mvura iripachena iripowo mumuviri unova chikamu chekufamba kwemvura.

Ascites zviratidzo

Zviratidzo zve ascites zvinoenderana nehukuru hwemvura mukati medumbu. Pakutanga, ascites kazhinji haina zviratidzo, zvisinei, kana paine ascites makuru, zviratidzo zvakaita se:

• Kuzvimba uye kukura kwedumbu;
• Kunetseka kufema;
• Kurwadziwa mudumbu uye kumashure;
• Kurasikirwa nechido;
• Kurera huremu pasina chikonzero chiri pachena;
• Kunzwa kurema uye kumanikidza mudumbu;
• Kakawanda kukurudzira kuita weti;
• Kuzvimbirwa
• Kusvotwa uye kurutsa.

Ascites inogona kuperekedzwa nezvimwe zviratidzo nezviratidzo sekukura kwechiropa, kuzvimba mumakumbo nemakumbo kana maziso uye ganda rine yero, zvinoenderana nekuti chii chiri chikonzero.

Zvinogona kukonzerwa

Zvimwe zvezvirwere zvakajairika zvinogona kukonzera ascites chirwere checirrhosis, kuzadza chiropa kukundikana, kunonoka kana kuvharidzira kubuda kweropa, hepatic confective heart kutadza, constrictive pericarditis, inorambidza cardiomyopathy, Budd-Chiari syndrome, venous disease inosangana, neoplasms, peritoneal tuberculosis, Fitz -Hugh-Curtis syndrome, AIDS, itsvo, endocrine, pancreatic uye biliary zvirwere uye lupus.

Kurapwa kunoitwa sei

Kurapa kwe ascites kana dumbu remvura kunoenderana nechirwere chiri pasi, icho chinogona kusanganisira:

• Zorora, kunyanya nemunhu akarara pasi;
• Mishonga yeDiuretic, senge spironolactone (Aldactone) uye / kana furosemide (Lasix);
• Kudzivirirwa kwemunyu mune chikafu, icho chisingafanirwe kupfuura 2 g / zuva, kuburikidza nehurongwa hwekudya hunoratidzwa neanodya;
• Kukanganiswa kwezvinwiwa zvinodhaka;
• Kudzivirirwa kwekudya kwemvura, apo serum sodium iri pasi pe120 g / mL;
• Abdominal paracentesis, muzviitiko zvakakomba uko kurapwa nemishonga yedhiureti kusiri kushanda, inova nzira yekurapa neanesthesia yemuno, umo tsono inopinzwa mudumbu kuti ibudise mvura kubva kuma ascites;
• Mishonga inorwisa mabhakitiriya kana hutachiona hweiyo ascites fluid, inonzi spontaneous bacterial peritonitis, chinetso chakakomba chinogona kutungamira kurufu, uye munhu anofanirawo kuiswa muchipatara.

Mimwe mishonga yekumba ine diuretic zvivakwa inogona zvakare kubatsira pakurapa kwema ascites, ona kuti ndeapi mishonga yekumba inoratidzwa kune ascites.