Ama-Ascite ayinkimbinkimbi ejwayelekile yezifo ezihlukahlukene zezitho zangaphakathi. Kulesi simo, uketshezi olusemzimbeni wesisu lungadluliselwa futhi luphelelwe yisikhathi. Esikhathini sokuqala, iqoqa ngenxa yokuphazamiseka kwegazi kanye nokugeleza kwe-lymph, okwesibili - iqukethe inani elikhulu lama-leukocyte nama-protein amakhemikhali ngenxa yokuthuthukiswa kwezinqubo ezivuthayo zokuvuvukala.
Izimbangela zokuqoqwa kwamanzi emzimbeni wesisu
Cishe amaphesenti angama-80 kuwo wonke ama-ascites yimiphumela ye-cirrhosis yesibindi eqhubekayo. Ezingxenyeni ezikude zalesi sifo kukhona ukuphazamiseka okukhulu kwegezi legazi, ukuguqulwa kwamanzi kagesi.
Ezingamaphesenti angu-10, amakhemikhali emgodini wesisu atholakala ku-oncology. Njengomthetho, i-ascites ihamba nomdlavuza we-ovarian futhi kubhekwa njengesifo esiyingozi kakhulu. Ukugcwalisa isikhala phakathi kwezitho zokugaya umzimba nge-lymph noma i-effusion ngokuvamile kubonisa inkinga enkulu yesifo nokusondela komphumela obulalayo. Futhi, inkinga iyisibonakaliso sezifo ezinjalo:
- i-mesothelioma eyinhloko;
- i-lymphoma;
- i-carcinomatosis yesibili;
- imishanguzo emasangweni esibindi;
- i-leukemia;
- i-pseudomixoma;
- i-carcinomatosis.
Cishe ama-5% we-ascites ayimpawu zokuhlukunyezwa kwengqondo:
- ukuchithwa kwemali yegazi;
- izinkinga zenhliziyo;
- i-pericarditis eqinisayo;
- izifo ezingapheliyo.
Isibonakaliso esivumelanayo salezi zifo ukuvuvukala okuqinile kobuso nezitho.
Ngama-diagnostic angu-5% asele, uketshezi olukhululekile emgodini wesisu luyakhiwa ngemuva kokuhlinzwa, ngaphandle kwesizinda se:
- i-pancreatitis;
- isifo sikashukela mellitus;
- ukwehluleka kwenkunzi, i-systemic lupus erythematosus;
- i-portal hypertension;
- i-Meigs syndrome;
- isifo esinezifo;
- i-peritonitis yemvelaphi ehlukahlukene;
- Isifo se-Badda-Chiari;
- i-cystreatic cysts ;
- I-Whipple's syndrome nezinye izimo ze-pathological.
Ukunqunywa kokutholakala kwamanzi abilayo emzimbeni wesisu nge-ultrasound
Akunakwenzeka ukubona ukuthi ukhuphuka ngokuzimela, ikakhulu lapho kuqala ukuqoqwa kwamanzi. Kunezici eziningana zezibonakaliso zenkinga, isibonelo:
- ukukhulula esiswini ;
- ukwephulwa kwe-defecation;
- ukugoba noma ukudweba ubuhlungu emathunjini;
- ushintsho emvamisa yokuvuthwa kanye nomthamo we-bioava;
- ukuqhutshwa;
- ngezinye izikhathi - ukuphefumula okunzima;
- ukuvuvukala kwamalungu, ubuso;
- "Frog" isisu.
Kodwa lezi zibonakaliso ezibalwe ziyizifo eziningi, ngakho-ke kunzima ukuzixhuma ngokuqoqa oketshezi esikhaleni esiswini. Indlela kuphela enokwethenjelwa yokuhlolisisa ama-ascites yi-ultrasound. Phakathi nenqubo kubonakala ngokucacile hhayi kuphela ukutholakala kokudlulisa noma ukukhipha, kodwa futhi ivolumu yayo, okungenzeka kwezinye izimo ingafinyelela amalitha angu-20.
Ukwelapha nokuphambanisa oketshezi kusuka emgodini wesisu
I-ascites, "enkulu" ne "giant" i-ascites kufanele ilashwe ngokweqile, ngoba inqwaba yemithombo yamanzi ayinakukwazi ukuhoxiswa yizindlela ezingavamile.
I-Laparocentesis iyinkqubo yokubhoboza isisu nge-trocar, idivayisi ekhethekile ehlanganisa inaliti nethubhu elincane elihlanganiswe kuyo. Umcimbi wenziwa ngaphansi kokuqondiswa kwe-ultrasound ne-anesthesia yendawo. Ngeseshini engu-1, akukho okungaphezulu kuka-6 amalitha kagesi okukhiphayo, futhi kancane kancane. Ukusheshisa ukuphuma kwe-ex- noma i-transudate kungabangela ukuwohloka okukhulu kwegazi futhi
Ukuze uhlaziye amaphrotheni kanye nokulahlekelwa kasawoti wamaminerali, isisombululo se-albin, i-polyglucin, i-aminostearyl, i-hemaccel, nezinye izidakamizwa ezifanayo ngesikhathi esisodwa.
Kuhlinzwa okwamanje, i-citter peritoneal ehlala njalo isetshenziswa. Ngosizo lwaso, uketshezi lususwa ngokuqhubekayo, kodwa kancane kancane.
Imithi yokwelapha ye-ascites isebenza ngokuphumelelayo ezimweni ezikhanyayo neziphakathi. Iqokwa kuphela ngumchwepheshe ngemuva kokuthola izimbangela zenkinga.