Ascites: chimene icho chiri, zizindikiro zazikulu ndi chithandizo

Zamkati

• Ascites zizindikiro
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Ma Ascites kapena "mimba yamadzi" ndi kudzikundikira kosazolowereka kwamadzimadzi okhala ndi mapuloteni mkati mwa mimba, pakati pamatumba omwe amayenda pamimba ndi m'mimba. Ascites sichiwoneka ngati matenda koma chodabwitsa chomwe chimapezeka m'matenda angapo, omwe amapezeka kwambiri kukhala chiwindi cha chiwindi.

Ma Ascites alibe mankhwala, komabe amatha kuchiritsidwa ndi mankhwala okodzetsa, kuletsa mchere pazakudya komanso kusamwa zakumwa zoledzeretsa, kuti athetse madzi am'mimba.

Madzi omwe amatha kudziunjikira m'mimba atha kukhala madzi am'magazi, lomwe ndi dzina lopatsidwa madzi amwazi, ndi ma lymph, omwe ndi madzi owonekera pathupi lonse lomwe ndi gawo loyenda kwamadzi.

Ascites zizindikiro

Zizindikiro za ascites ndizokhudzana ndi kuchuluka kwa madzimadzi mkati mwa mimba. Poyambirira, ma ascites nthawi zambiri samakhala ndi zisonyezo, komabe, ngati kuli ma ascites akulu, zizindikiro monga:

• Kutupa ndi kukula kwa m'mimba;
• Kupuma kovuta;
• Kupweteka pamimba ndi kumbuyo;
• Kutaya njala;
• Kunenepa popanda chifukwa chilichonse;
• Kumverera kwa kulemera ndi kupanikizika m'mimba;
• Kulimbikitsidwa pafupipafupi kukodza;
• Kudzimbidwa;
• Nseru ndi kusanza.

Ma Ascites amatha kutsagana ndi zizindikilo zina monga kukulitsa chiwindi, kutupa m'miyendo ndi kumapazi kapena m'maso ndi khungu lachikasu, kutengera chifukwa chake.

Zomwe zingayambitse

Ena mwa matenda ofala kwambiri omwe angayambitse ascites ndi matenda a chiwindi, chiwindi chodzaza chiwindi, kuchedwa kapena kulepheretsa kutuluka kwa magazi a chiwindi, kugundika mtima, kulephera kwa mtima, kupweteketsa mtima, matenda a Budd-Chiari, matenda opatsirana, zotupa, chifuwa chachikulu, Fitz -Hugh-Curtis matenda, Edzi, impso, endocrine, matenda a kapamba ndi biliary ndi lupus.

Momwe mankhwalawa amachitikira

Chithandizo cha ascites kapena mimba yam'madzi chimadalira matenda amtunduwu, omwe atha kuphatikizira:

• Pumulani, makamaka ndi munthu amene wagona;
• Zithandizo za diuretic, monga spironolactone (Aldactone) ndi / kapena furosemide (Lasix);
• Kuletsa mchere pazakudya, zomwe siziyenera kupitirira 2 g / tsiku, kudzera mu dongosolo lakudya lomwe wowonetsa zaumoyo amadya;
• Kusokoneza zakumwa zoledzeretsa;
• Kuletsa kudya madzimadzi, pamene seramu sodium imakhala yochepera 120 g / mL;
• M'mimba paracentesis, pamavuto akulu pomwe chithandizo cha mankhwala okodzetsa sichikugwira ntchito, yomwe ndi njira yothandizira ndi mankhwala oletsa ululu am'deralo, momwe singano imalowetsedwa m'mimba kuti itulutse madzi kuchokera ku ascites;
• Maantibayotiki pamene matenda a ascites madzimadzi, otchedwa spontaneous bacterial peritonitis, ndi vuto lalikulu lomwe limatha kubweretsa imfa, ndipo munthuyo amayeneranso kukhala m'chipatala.

Zithandizo zina zapanyumba zokhala ndi diuretic zitha kuthandizanso pochiza ma ascites, onani njira zanyumba zomwe zikuwonetsedwa kwa ascites.