I-Ascites enja (i-abdominal dropsy)

Umnikazi wesilwane uzokwazi ukusola lesi sifo eyedwa - ngomthamo wesisu okhuphuka nsuku zonke. Lokhu kubangelwa ukunqwabelana koketshezi emgodini wesisu. Uketshezi olunjalo kungaba lymph, exudate, transudate, transudate modified, igazi.

I-Ascites ibhekwa njengento ye-pathological lapho inani eleqile lezinto eziwuketshezi linqwabelana emgodini wesisu wenja. Ivolumu yabo ingaba ngamamililitha ambalwa ezinhlotsheni ezincane futhi, ngenxa yezizathu ezingezona eziyingozi, kuze kufike kumalitha angu-20 ezinjeni ezinkulu noma ngoketshezi oluningi. Lesi simo siyingozi ekuthuthukiseni izinkinga, kanye nengozi yokufa.

Izimbangela ze-ascites ezinjeni

I-dropsy ezinjeni ingabangelwa izizathu ezihlukahlukene. Ngokuvamile kwenzeka ngokumelene nesizinda sokudla okungalungile. Ukuncipha kwamaprotheni ekudleni kwesilwane kuholela ekwakhekeni nasekuqoqweni koketshezi lwe-pathological emgodini wesisu.

Ngesikhathi esifanayo, lesi simo se-pathological sibangelwa ukugcwala okunganele kosawoti we-sodium ezicutshini zenja. Kwanele ukulinganisa ukudla - futhi umnikazi wesilwane ngeke abhekane nemiphumela. Kodwa-ke, okungenani ama-ascites ezinjeni abangelwa izimbangela ezimbi kakhulu:

• I-Oncological neoplasms. Imvamisa, izimila eziyingozi zivusa ama-ascites, kepha ngasikhathi sinye, uketshezi olusesiswini lwesisu lunganqwabelana lusuka ezinjeni ezingezinhle;

• I-pathologies yesibindi, ikakhulukazi i-cirrhosis ne-hepatitis. Umphumela walezi zifo ukwehla kwenani lamaprotheni ku-serum yegazi, okuholela ekwakhiweni nasekukhululweni komthamo omkhulu woketshezi ku-peritoneum;

• Ukwephulwa kwe-physiology yezinso, ngenxa yalokho uketshezi olucutshungulwayo alukhishwa ngokuphelele emzimbeni. Ngokumelene nalesi sizinda, ukudakwa okwengeziwe kwezicubu nezitho kwenzeka ngemikhiqizo ecutshungulwayo, ubuthi, ama-slags, usawoti;

• I-anomalies ekuhlulekeni kwegazi ngenxa yobuthi, isibonelo, ubuthi bamagundane;

• I-Peritonitis. Inqubo yokuvuvukala ku-peritoneum, ehambisana nokuvuza kokuqukethwe kwamathumbu;

• Ukuhluleka kwenhliziyo, lapho izingxenyana zoketshezi zikhishwa emgodini ngokusebenzisa izindonga ezincishisiwe zemithambo yegazi;

• Ukulimala kwezitho zangaphakathi: izinso, i-spleen, isibindi, i-gallbladder.

Uma sibheka ukuthi izimbangela ze-ascites enja zingahluka kanjani, umehluko esithombeni somtholampilo nawo ungokwemvelo.

Izimpawu ze-dropsy

Kungenzeka ukunquma nokuhlukanisa ama-ascites enja ngisho nasekhaya ngumnikazi wesilwane ngokwakhe. Ukuze wenze lokhu, udinga ukuphakamisa inja ngezidladla zangaphambili futhi ubheke ukuma kwesisu. Esimeni esiqondile somzimba, isisu siwela phansi endaweni ye-pelvic futhi sithatha isimo esimise okwepheya. Ngezinye izimpawu nezifo ezifanayo, lokhu akwenzeki. Kuphela ngenxa yokuqoqwa komthamo omkhulu woketshezi, isisu, kanye nokuqukethwe, sihamba. Futhi nokho kungaba ngcono ukwenza isiqiniseko sokuthi iziphetho zakho zilungile futhi uthole ukuqinisekiswa ngezindlela zokuxilonga ezihlukene. Kuhlanganisa nenombolo yezimpawu ze-ascites enja:

• Ukwamukela isimo esingesona semvelo endaweni yokuhlala;

• ukuphazamiseka kokuhamba;

• Ukubonakala kokuphefumula kanzima ngisho nalapho kungabikho ukuzikhandla ngokomzimba;

• Ukunganaki nokungabi nandaba nokudla nokuhamba;

• Ukuqunjelwa kaningi kwesicanucanu;

• Ukukhipha indle okunzima;

• Ngenxa yokuntuleka komoya-mpilo ngobuningi boketshezi, umbala wolwelwesi lwamafinyila wekhala, umlomo namehlo uyashintsha. Bathatha umbala oluhlaza okwesibhakabhaka.

Ngenxa yokwanda komthamo wesisu, kungase kube nobunzima ekugwinyeni kwe-reflex, ubunzima bokuhlafuna ukudla.

Lezi zimpawu ze-dropsy enja zingase zibe yizimpawu zezinye izifo, ngakho-ke kufanele zicatshangelwe kumongo wesithombe somtholampilo jikelele. Kubalulekile ukusungula imbangela ye-fluid ngokweqile emgodini wesisu. Ngakho-ke, kuyadingeka ukucabangela izimpawu zezimpawu zezinye izifo ezibangela ama-ascites enja.

Isibonelo, esifundeni se-hypochondrium efanele, engxenyeni yayo engenhla, ubuhlungu, i-colic ingase iphawulwe uma kwenzeka ukwephulwa kwesibindi. Bangaphinde babangele umphumela wokuphuzi kolwelwesi lwamafinyila ngisho nesikhumba ezindaweni ezine-pigmentation ekhanyayo. Uma kwenzeka ukwephulwa komsebenzi wezinso, kuzoba nokuphuma okukhulu komchamo, kanye nezenzo ezivamile zokuchama. Ngaphezu kwalokho, ezimweni eziningi, izimpawu ezivamile zezifo eziningi zizophawulwa. Kungaba imfiva, ukugodola, imfiva, ukungakuthandi ukudla, ukukhathazeka.

Diagnostics

Uma kusolwa i-ascites, kwenziwa ucwaningo lokuxilonga. Inhloso yokuhlolwa kokuxilonga inja ukusungula izimbangela zangempela zokubunjwa koketshezi lwe-pathological emgodini wesisu. Ngesikhathi esifanayo, lapho wenza ukuxilongwa, kuyadingeka ukusungula uhlobo loketshezi - kungaba igazi, i-lymph, uketshezi lwezicubu, i-transudate noma i-exudate. Ngakho-ke, ukwakhiwa okulungile kokuxilongwa kokugcina, isethi yezinyathelo nezifundo zisetshenziswa:

• Ukuhlolwa komtholampilo;

• Ucwaningo lwaselabhorethri;

• Izindlela ze-Hardware-instrumental.

Ngesikhathi sokuhlolwa komtholampilo, uma kusolwa i-ascites, isisu senja siyashaywa. Uma uyicindezela, i-dropsy izobonakala ngemisindo yokuguquguquka (ukumpontshelwa), ukuhamba kodonga lwesisu, nokubuyiselwa okusheshayo kwesimo. Emafomu angapheli kanye nokuqhubekela phambili okujulile, izimo ezibuhlungu zingase zenzeke. Ngokubukeka, kukhona ukwanda komthamo wesisu. Ngaphezu kwalokho, izilinganiso zokuma kwayo zingafana. Ngaphezu kwalokho, udokotela wezilwane uthatha i-anamnesis (umlando wenkambo yesifo) ukuze anqume izimbangela ezingenzeka ze-ascites enja.

Ukuxilongwa kwaselabhorethri kuklanyelwe ukucacisa uhlobo loketshezi kanye nengqikithi yalo. Lokhu kwenziwa ngenqubo elula yokuhlinzwa. - ukubhoboza (abdominocentesis noma laparocentesis). Ngamanye amazwi - ukubhoboza udonga lwesisu kwenziwa futhi isampula yoketshezi ithathwe ngevolumu efinyelela ku-20 ml ukuze kwenziwe ucwaningo lwaselabhorethri. E-laboratory, le nto ihlolwe ukuba khona kanye nenani lamaprotheni, ukungcola kwezingxenye zegazi, ukuba khona kwama-agent athathelwanayo kanye nemikhiqizo yenqubo yokuvuvukala. Ngokwale miphumela, uhlobo lwenkambo yesifo luyasungulwa futhi ukuqina kwayo kutholakala.

Ukuqinisekisa ukuxilongwa okusungulwe ngaphambilini, ezimweni ezinzima, izindlela zokuxilonga zehadiwe zinqunyelwe:

• I-ultrasound yesisu;

• i-rayography;

• Ukuskena kwe-CT;

• imaging resonance magnetic;

• I-Laparoscopy - ukuhlola ikhompuyutha yomgodi wesisu kanye nokuphakathi kwawo.

Ake sikhulume ngokuthi i-dropsy ezinjeni iyalashwa yini nokuthi yiziphi izindlela zokwelapha ezikhona.

Ukwelashwa kwama-ascites

Ukwelashwa kwe-ascites enja kwenziwa ngokuqinile ngokubamba iqhaza kodokotela wezilwane. Akuvunyelwe ukuzibandakanya ekwelashweni uwedwa, njengoba lokhu kungaholela emiphumeleni engenakuhlehliswa. Udokotela unquma indlela yokuphatha i-ascites enja, ecabangela ukuthi yini eyabangela lesi simo se-pathological. Kuye ngalokhu, izindlela nezindlela zokwelapha ezilandelayo zisetshenziswa:

• I-Laparocentesis - isigaba sokuqala, okuhloswe ngaso ukukhipha uketshezi ngokubhoboza odongeni lwe-peritoneum;

• Umjovo we-intramuscular of antibiotics kanye nezidakamizwa ezilwa nokuvuvukala;

• Ngesisu (ngaphakathi kwesisu esiswini) izixazululo ze-antiseptic ziyajova;

• Inkambo yokwelashwa kwezidakamizwa ngenhliziyo, ama-painkillers namaqembu e-hepatoprotective yezidakamizwa inqunyiwe.

Ngaphambi kokusebenzisa ama-agent okwelapha anconywayo kuqala, kuyadingeka ukuthola imbangela ebangele ukuqoqwa koketshezi esiswini. Futhi okokuqala kufanele ubhekane nokuqedwa kwayo, okungukuthi, ukwelapha isifo ngokwaso ukuze umise ukukhululwa kwe-exudate ye-liquid emgodini wesisu.

Ngemva kokuba inja iphulukiswe ama-ascites, izokwazi ukuqhubeka nokuphila impilo egcwele.

Kubalulekile ukukhumbula ukuthi izinqumo eziqondile zendlela yokwelapha i-dropsy zenziwa kuphela udokotela wezilwane ngokusekelwe emiphumeleni yokuxilongwa.

I-prognosis yezinja ngemva kokwelashwa kwe-ascites

Ngokufuna ukunakekelwa kwezilwane ngesikhathi esifanele nokuvimbela ukuthuthukiswa okungapheli kwezifo eziyinhloko, ukubikezelwa kokwelashwa kwe-ascites ezinjeni kuhle. Kwezinye izimo, ngezifo eziyinkimbinkimbi yizifo kanye nezinhlobo ezingapheli zezifundo, kanye nokwelashwa okungazelelwe kwe-dropsy ezinjeni, ukufa kungenzeka.

Kodwa-ke, ezimweni eziningi, ama-ascites enja angelapheka ngokubhekana nembangela eyinhloko.

Indlela Yokuvimbela Ascites Ezinjeni

Ngeshwa, ukuvimbela lesi sifo - umsebenzi onzima, uma kubhekwa umsuka wawo wesibili. Ngakho-ke, uma kukhona izifo zezitho zangaphakathi nokulimala, kuyadingeka ukuthi ufune ngokushesha usizo lwezilwane. Uma kunesibonakaliso esincane sokuvuvuka kwesisu ezinjeni, kufanele futhi uthathe isilwane sakho siyohlolwa emtholampilo.

I-athikili ayikona ukubizela esenzweni!

Ukuze uthole ukucwaninga okuningiliziwe kwenkinga, sincoma ukuthi uxhumane nochwepheshe.

Buza udokotela wezilwane

Julayi 9 2020

Kubuyekezwe: February 13, 2021