Kufufuza kwa madzimadzi a Peritoneal

Kufufuza kwamadzi a Peritoneal ndimayeso a labu. Amatha kuyang'ana zamadzimadzi zomwe zamanga m'mimba pamimba mozungulira ziwalo zamkati. Malowa amatchedwa malo a peritoneal. Vutoli limatchedwa ascites.

Chiyesocho chimadziwikanso kuti paracentesis kapena mpopi wamimba.

Chitsanzo chamadzimadzi chimachotsedwa pamalo opitilira muyeso pogwiritsa ntchito singano ndi jakisoni. Ultrasound imagwiritsidwa ntchito kutsogolera singano kumadzi.

Wothandizira zaumoyo wanu amatsuka ndikumasalaza gawo laling'ono m'mimba mwanu (pamimba). Singano imalowetsedwa kudzera pakhungu la mimba yanu ndikutulutsa madzi amadzimadzi. Timadzimadzi timatoleredwa mumachubu (syringe) yolumikizidwa kumapeto kwa singano.

Timadzimadzi timatumizidwa ku labu komwe amakayezetsa. Kuyesa kudzachitika pamadzimadzi omwe angayesedwe:

• Albumin
• Mapuloteni
• Maselo ofiira ndi oyera amawerengeredwa

Kuyesa kumayang'ananso mabakiteriya ndi mitundu ina ya matenda.

Mayesero otsatirawa atha kuchitidwanso:

• Zamchere phosphatase
• Amylase
• Cytology (mawonekedwe a maselo)
• Shuga
• LDH

Dziwitsani omwe akukuthandizani ngati mung:

• Mukumwa mankhwala aliwonse (kuphatikizapo mankhwala azitsamba)
• Khalani ndi ziwengo zilizonse zamankhwala kapena mankhwala amanjenje
• Khalani ndi vuto lililonse lotuluka magazi
• Ali ndi pakati kapena akukonzekera kutenga pakati

Mutha kumva kumva kuwawa kuchokera kumankhwala osokoneza bongo, kapena kukakamizidwa momwe singano imayikidwira.

Ngati madzi ochuluka atulutsidwa, mutha kumva kuti muli ndi chizungulire kapena mutu wopepuka. Uzani wothandizira ngati mukumva chizungulire.

Kuyesaku kwachitika ku:

• Dziwani za peritonitis.
• Pezani chomwe chimayambitsa madzimadzi pamimba.
• Chotsani madzimadzi ochulukirapo kuchokera kumalo opezeka anthu omwe ali ndi matenda a chiwindi. (Izi zachitika kuti kupuma kumveke bwino.)
• Onani ngati kuvulala pamimba kwatulutsa magazi mkati.

Zotsatira zachilendo zingatanthauze:

• Madzi otsekemera amatha kutanthauza kuti muli ndi vuto la ndulu kapena chiwindi.
• Madzi amwazi atha kukhala chizindikiro cha chotupa kapena chovulala.
• Maselo oyera oyera amatha kukhala chizindikiro cha peritonitis.
• Mafuta amtundu wa peritoneal amadzimadzi amatha kukhala chizindikiro cha carcinoma, cirrhosis ya chiwindi, lymphoma, chifuwa chachikulu, kapena matenda.

Zotsatira zina zachilendo zitha kukhala chifukwa cha vuto m'matumbo kapena ziwalo zam'mimba. Kusiyana kwakukulu pakati pa kuchuluka kwa albumin mu peritoneal fluid ndi magazi anu kumatha kuloza mtima, chiwindi, kapena impso. Kusiyana kwakung'ono kungakhale chizindikiro cha khansa kapena matenda.

Zowopsa zingaphatikizepo:

• Kuwonongeka kwa matumbo, chikhodzodzo, kapena chotengera chamagazi pamimba kuchokera kubowola singano
• Magazi
• Matenda
• Kuthamanga kwa magazi
• Chodabwitsa

Paracentesis; Mpopi wapamimba

• Kuzindikira kutulutsa kwa peritoneal lavage - mndandanda
• Chikhalidwe cha Peritoneal

Chernecky CC, Berger BJ. Paracentesis (peritoneal fluid analysis) - kuzindikira. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2013: 849-851.

Garcia-Tsao G. Cirrhosis ndi sequelae yake. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 153.

Miller JH, Moake M. Njira. Mu: Chipatala cha Johns Hopkins; Hughes HK, Kahl LK, okonza. Buku la Harriet Lane. Wolemba 21. Philadelphia, PA: Elsevier; 2018: mutu 3.

Runyon BA. Ascites ndi mowiriza bakiteriya peritonitis. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 93.