I-dropsy (ascites) iqoqa emgodini wesisu we-fluid yamahhala, umthamo wayo, ngokuya ngobukhulu besifo esiyisisekelo, ungaba u-3 kuya ku-30 amalitha. Ngokuvamile, ama-ascites abonakala nge-cirrhosis yesibindi - ukubikezelwa kokwelashwa akubi kakhulu. Ezingxenyeni zamacala kukhona ukufa okuvela e-cirrhosis kungakapheli iminyaka emibili ukuvela kwe-dropsy.
Izimbangela ze-dropsy
Ama-Ascite e-cirrhosis athuthuka ngenxa yokungakwazi kwesibindi esithintekile ukuba "ukuhlunga" inani elifanele legazi. Ngakho-ke, ingxenyana yayo ye-liquide igxuma emithonjeni, igcwalisa isisu esiswini.
Ukuthuthukiswa kwama-ascites kuthonywe yizinto ezifana nalokhu:
- ukucindezela okukhulu emzimbeni wesango - kuthuthukisa umkhiqizo we-fluid yamahhala;
- Ukungakwazi ukusebenza kwamaprotheni-zokwenziwa komsebenzi - ngenxa yokuntuleka kwama-albinini, igazi lilahlekelwa ikhono layo lokugcina ingxenyana yamanzi;
- Ukuntuleka kwesistimu ye-lymphatic - ngenxa yokungakwazi kwesibindi esiphelele ukubhekana nesimo samanje lymph, sisuka ebusweni begland, singene emgodini wesisu.
Izimpawu ze-ascites ngesibindi se-chirrisi
Njengengxube ye-cirrhosis, i-50% yeziguli zihlaselwa eminyakeni engaba yishumi ngemuva kokuxilongwa. Ama-Ascite abonakala ngokunyuka kwesisindo somzimba kanye nomthamo wesisu. Lesi siguli sikhala ngesisindo esiswini, ukushaya inhliziyo, ukuvuvukala kwamaphethelo . Nge-dropsy elinganiselayo (ivolumu yamanzi abilayo ngaphezu kwamalitha amathathu), isisu sisilinda esimweni sokuma. Lapho isiguli sigula, isisu sisakazeka ezinhlangothini. Uma kuthathwa umthelela ohlangothini, umvuthwandaba wokuphendula uphambene. Njengoba i-ascites enamandla (ivolumu yamanzi angama-20-30 amalitha), isisu sesithatha ubushelelezi, isikhumba kuso sikhanya futhi sithwetshiwe, imithanjeni ekhulisiwe, ikakhulukazi eduze neveli, ibonakala ngokucacile.
Ukwelashwa kwe-ascites nge-cirrhosis yesibindi
Uma ukwelashwa kwe-dropsy kuhloswe ukwelapha isibindi ngokwawo, nokunciphisa ukukhathazeka kubangelwa isiguli nge-ascites, sebenzisa lezi zinyathelo ezilandelayo:
- ukudla;
- ukwamukelwa kwezidakamizwa;
- ukuphumula.
Ukudla
Ukudla ku-ascites futhi ngokujwayelekile nge-cirrhosis yesibindi kusho ukwehla kwenani likasawoti ekudleni kuya ku-5.2 g. Lokhu kusho ukuthi ukudla akuthandeki ukwengeza usawoti, ngaphezu kwalokho, kufanelekile ukuyeka ukudla okunamafutha kakhulu. Iziguli azithandeki ukuthatha amahora angaphezu kuka-1 oketshezi ngosuku, nakuba, ngokusho kwabanye ochwepheshe, lo mkhawulo awuphazamisi inkambo yehla. Ekudleni kufanele kube:
- inhlanzi, inyama enomzimba;
- i-cottage shizi;
- imifino, izithelo;
- imifino;
- okusanhlamvu.
Kulesi simo, kuyadingeka ukupheka ukudla kwabashadile. Utshwala, izitsha zokupheka, ikhofi, itiye eliqinile kanye nezinongo ezine-ascites ziphikisana!
I-Diuretics
Uma ukudla kungenzi umphumela, ukwelashwa kwe-ascites ne- cirrhosis yesibindi kuthatha izidakamizwa:
- I-spironolactone;
- I-Furosemide;
- I-ectric acid;
- U-Amyloride nabanye.
Iziguli ziboniswa ukuphumula kombhede, ngoba esikhundleni sokuma komzimba kunciphisa ekuphenduleni izidakamizwa, okukhulunywa nakakhulu ngokuzikhandla ngokomzimba.
Ukunciphisa ivolumu ye-fluid yamahhala kumele kwenzeke kancane kancane: 1 kg ngosuku ngosuku lwama-edema no-0.5 kg, uma kungekho ukuvuvukala.
I-Puncture
Uma isiteji sokugcina se-cirrhosis senzeka, ama-ascites angancishiswa ngokugubha isisu esiswini. Isikhathi senziwa ngokugcina imithetho ye-aseptic nokusebenzisa inaliti ejulile. I-puncture yenziwe ngaphansi kwenkaba, futhi ngesikhathi esisodwa, njengombuso, kungenzeka ukuba ikhuphule yonke ivolumu yetshezi. Ukuze uvimbele ukuhlaselwa kwe-dropsy ekuqhubekeni, ama-diuretics anqunyelwe futhi aphinde adle ngokuqukethwe okwephuzi kasawoti ekudleni.
Kanye ne-liquid esusiwe, inani elikhulu lamaprotheni liphuma emzimbeni, ngakho-ke iziguli zibekwa i-albinin infusions: ukulungiselela kuqukethe amaphesenti angu-60 e-plasma.