Ascites, inonzi ah-sy-tees, ndiyo izwi rezvokurapa rinotsanangura kusagadzikana kwekushandiswa kwemvura mumimba. Kunyange zvazvo ascites yakawanda inokonzerwa ne- cirrhosis , kenza inogonawo kuva chikonzero che ascites. Dzidza kuti ascites anonzwa sei, sei anowanikwa, uye kuti vanachiremba vanobata sei.
Zvokurapa Zvinokonzera
Kune hutano hwakanaka kana husina kenza iyo inogona kukonzera ascites nechiropa kusakundikana, kana kuti chirwere chepirhosis, chiri chakanaka.
Mamwe mimwe mienzaniso yekusakonzera kenza inosanganisira moyo kusakatika , utachiona, uye pancreatitis .
Munenge 10 muzana yemakwenzi, ascites inokonzerwa nekenza, maererano nehukuru hwekudzidza muNew England Journal yeMedicine . Mhando dzekenza dzinokonzera ascites dzinosanganisira ovarian , colon , pancreatic , uye uterine kansa. Lymphoma , kenza yemapapu , uye kenza yemazamu inogonawo kupararira kumumbu, zvichikonzera ascites.
Kuti aparadzanise pakati pebeninini nevanorwara kana kenza ine ascites, chiremba achaita chirongwa chinonzi paracentesis. Mune nzira iyi, nheyo inowanikwa mukati mamuviri uye soro duku inoshandiswa. Iyo mienzaniso inoshandiswa inoshandiswa inoshandiswa pasi pechibhaksikasi. Zvimwe zviitiko zvehutachiona, sekuvapo kwekenza masero, zvinogona kubatsira kuziva chikonzero che ascites.
Zvakaita Ascites Inofanana
Kunyange zvazvo kukwira kunononoka kunogona kuita kuti zviratidzo zvirege kuitika, zvakanyanya kukwira ascites zvinogona kusanzwisisika, zvichiita kuti chimiro chemuviri chionekwe.
Zviratidzo zvinowanzoonekwa zvepamusoro zvakakwirira zvakasanganisira:
- marwadzo emudumbu
- kupfupika kwefema nokuti kusvibiswa kwemvura kunomanikidza chidimbu
- nausea
- kurutsa
- kurasikirwa nechido
Kurapa
Mushonga we ascites unobva paukuriri hweak ascites uye hunofanirwa kutadzisa zviratidzo zvemunhu nekuita kuti vave vakasununguka.
Mishonga inosanganisa kudya-kunogadziriswa kwemunyu, diuretics , uye therapeutic paracentesis, umo mukati guru remvura inobviswa kubva mudumbu. Hazvisi zvisinganzwisisiki kune munhu ane ascites anodiwa nguva dzose paracentesis kuti abvise fluid. Mashoko akanaka ndeokuti nzira inenge iri pangozi yakawanda uye inoshanda.
Izvozvo zvichiti, kana kukwira kwomunhu kusingagoni kutarisirwa zvakanaka nemitambo yezvechirongwa, shunt inogona kuiswa chirwere-kunyange zvazvo ichi chiitiko chiripamusoro dambudziko uye kwete kazhinji kuitwa.
Muzvakaitika zvinouraya ascites, chiremba wemunhu angafunga nezvekuvhiyiwa kwechitoreductive uye chemotherapy iyo inotungamirirwa zvakananga mumimba-inonzi yakananga intraperitoneal chemotherapy. Izvi zvinongoratidzwa kune vamwe varwere uye zvinoda kukurukurirana zvakanyatsobvunzwa navanachiremba vevanhu kuti vaongorore ngozi dzingangove uye dzinobatsira.
Sources:
Runyon BA. Kutarisira kwevarwere vane ascites. N Eng J Med. 1994 Feb 3; 330 (5): 337-42.
Sangisetty SL & Miner TJ. Malignant ascites: Kuongororwa kwezvirevo zvekufananidzira, chirwere chepathophysiology uye nzira dzokurapa. World J Gastrointes Surgery . 2012 Apr 27; 4 (4): 87-95.