Ascites Inogona Kukonzerwa Nechirwere Chirwere, Kushaya Mwoyo, Kenza uye Zvimwe
Ascites (inonzi a-sight-eez) inowedzera mvura mukati mezvinyuchi zvinoputira mimba uye nhengo dziri mudumbu (sezvakaita chiropa, spleen , mumimba). Iyi nzvimbo pakati pematumbu inonzi "peritoneal cavity". Chimwe chinyorwa chemiviri yechipfu mukati mukati mechidziro chemuviri uye imwe mhete yemiganhu yezvinyama kunze kwezvikamu.
Izvo zvidimbu zviviri ndezvechokwadi chimwe chenguva yakasenderera yakasiyana-siyana yakapoteredza kana kavirizve kumashure payo, asi pfungwa inokosha ndeyokuti pane nzvimbo pakati pezvikamu izvo zvinowanzozadzwa nechinguva chemvura (inonzi peritoneal fluid ) inobatsira kuisa nhengo kana vachifamba-famba mukati memimba yenyu. Dzimwe nguva, zvirwere zvinogona kukonzera kuwandisa kwemvura kunowedzera mu peritoneal cavity. Izvi zvinowedzera mvura inokonzera mamiriro e ascites.
Chiropa Chirwere Chikonzero Sei Ascites?
Ascites inokonzerwa nehosha dzakawanda, kusanganisira chirwere chechiropa, congestive moyo kusakundikana , nephritis, hutachiona, uye kenza, kutora zvimwe zvezvinowanikwa. Imwe yezvinetso zvevirrhosis , chirwere chinokonzerwa nekugara kwenguva refu hepatitis , inonzi portal hypertension iyo inowedzera kukanganiswa mumusana wehutachiona. Imwe yemabasa echiropa ndeyekubvisa mamwe marudzi emarara kubva mumuviri weropa iro rinogona kudarika muchiropa chako maminitsi mashanu.
Chiropa chinowanikwa neropa kubva mumoyo kuburikidza nemharo yakanyanyisa uye neropa kubva mumatumbo (chirwere chekudya) uye pancreas kuburikidza nehutachiona. Apo cirrhosis inokura, chirwere chemasuo chinoshandiswa hachigoni kufuta zvakanaka kuburikidza nechiropa chinonzi cirrhotic uye nodular chinoita kuti kuwedzerwa kuwedzerwa kweropa rinopinda kuburikidza nekugadzirisa chirongwa chekudya.
Izvi zvinowedzera kukonzera simba remvura (yakaumbwa nemvura uye mapuroteni) kunze kwemidziyo yeropa inounganidza mudumbu remuviri.
Chikonzero chakakwana che ascites chakaoma uye chinosanganisira maitiro akawanda. Imwe yezvirongwa izvi isso , iyo inoita basa guru nekuchengetedza mvura. Sezvo mvura inonaya ichidonha kubva pachiropa, ropa redu rakaderedzwa. Kuti zvikwanise kubhadhara, itsvo dzinotanga kuchengetedza sodium inochengetedza mvura uye inochengetedza chirwere chemazuva ose.
Kunyangwe chikonzero chinonyanya kukosha che ascites chirwere chesrhosis, zvimwe zvikonzero zvinofanira kuonekwa. Imwe nzira iyo chiremba anogona kuita izvi ndeyokubvisa samuti yemvura inoshandisa soro uye kuitumira kubhii yekuedza. Nyanzvi dzinogona kutaurira zvakawanda zvehutachiona chete nekutsvaga chitarisiko chemvura. Semuenzaniso, "gore" rinoratidzira hutachiwana apo "ropa" rinogona kuratidza chiremera kana kuti tsvimbo inopisa (iyo iri mukati mukati mekubuda ropa panzvimbo yesimbi inoputika).
Nei Ascites Inetso?
Maascite anowanzoendesa kune zvinetso zvokufema (zvakadai sokupfupika kwemhepo), kusagadzikana uye kuneta zvakanyanya.
Kuongororwa: Vanachiremba Vanowana Sei Ascites
Mumwe munhu ane ascites angave ane kuwedzera kwebhande kumativi ose mudumbu uye izvi zvinogona kukwana kuti uone ascites.
Zvinogona kuwanika makiro makumi maviri emvura (funga nezve 10, 2-litre mabhodhoro e soda!) Kuunganidza mudumbu remuviri, uye hafu imwe hafu yemita yakakosha kuti chiremba chionekwe. Vanachiremba vanofungidzira kuti ascites vachatarisa nzvimbo dzinenge dziri mumudumbu iyo inzwi inoramba ichiderera kana yakagadzirwa neminwe. An ultrasound inobatsira kutsanangurira migumisiro yekuongorora kwevanhu vanhu vane ascite bonyoro kana vakavanzika.
Kurapa: Maitiro Aungaita Sei Ma Ascites Ako
Ascites inokonzerwa nechiropa chechiropa haigoni kurapa nokuti inoda kubvisa chirwere chepirhosis. Zvisinei, unyoro ascites unogona kunyatsogadziriswa nekugadzirisa sodium muzvokudya kusvika pasi pe2 gramu zuva rimwe nerimwe.
Kubudirira kwezvinangwa izvi zvakaoma nokuti zvinowanzodikanwa kuchinja kukuru mukudya , zvakadai sekudzivisa kudya zvakanyanya kushandiswa uye zvekudya zvakawanda zvakagadzirirwa.
Kuti uenzanise uye wakakura ascites, chiremba wako angangodaro anonyora duretic me dication iyo inokuita kuti uwedze kuve kwako. Kana yako ascites isiri kutarisirwa nekudya kana mishonga, chiremba wako angasarudza nzira inonzi paracentesis (iyo inoshandisa nheyo yekuunganidza mvura) kana kushandisa shunt (TIPS, transjugular intrahepatic portosystemic shunt) kubatsira kubvisa mvura.
Sources
Bacon BR. Cirrhosis uye Matambudziko Ayo. Mune: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine , 17e. New York, McGraw-Hill, 2008. 1978-1979.
Glickman RM, Rajapaksa R. Abdominal Kutinhira, uye Ascites. Mune: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine , 17e. New York, McGraw-Hill, 2008. 266-268.