Ascites ziikati: inkcazelo, unobangela kunokwenzeka neempawu unyango

Ascites ziikati na ukudumba ngokwendalo kwaye ibangelwa ukuqokelelana ulwelo emzimbeni wesilwanyana. Esi sifo, ekwabizwa ngokuba unegalimoya esiswini, kungekhona yokuqala, kuba - ngenxa yokugula elide. Lidla ibangela iingxaki protein futhi umzimba ngamanzi-ityuwa, yokungasebenzi emzimbeni, izifo zesibindi ezahlukeneyo kunye neengxaki kwegazi. Ukuba ngaba uqala unyango lwe ascites ngexesha, ngenene ingenzeka yesifo sentliziyo. Ukungabikho unyango ekhokelela ekufeni.

pathography

Ascites ziikati - sisifo esingapheliyo. It inxulunyaniswa resorption ezingazinzanga fluid peritoneal kwinkqubo yokujikeleza kwegazi, ngenxa apho oluhlala kwi peritoneum.

Esi sifo kuyingozi ngokwaneleyo, ngoko ke unyango kufuneka ziqale ngokukhawuleza kangangoko kunokwenzeka. Uphuhliso Isifo ngamanye amaxesha transudate umthamo angandiswa ukuba iilitha ezi-2 ngosuku.

Amaninzi kukho ascites, isisu ziikati abadala, ekhempini ndidiniwe.

oonobangela

Ascites ziikati apha luluhlu olude ezinkulu izinto. Kodwa kufuneka sinikele ingqalelo ngakumbi izilwanyana, ukhokela uhleli ungenzi nto. Iingcali waphawula ukuba ikati, ehamba esitratweni, amathuba okuhlaselwa kwesi sifo. Ukongeza, wezintso kwaye ukusilela intliziyo kukhokelela nokwanda fluid emzimbeni isilwanyana. okukwazi amandla kunye ukuphazamiseka kwenkqubo yonyango kunokukhokelela isiphumo esifanayo.

Kusenokwenzeka kakhulu ukuba nokudumba yinkomo leyo ine ngxaki zilandelayo:

• Ukophulwa yamanzi-ityuwa ziiprotein ukutya.
• Ukugcwala sodium.
• izifo Oncological.
• Amavila.

Kufuneka kuqatshelwe ukuba xi aphezulu neetyuwa egazini kwenzeka ukuze xa usebenzisa izilwanyana ngokungeyomfuneko ukutya anetyuwa kwaye kokunikeza feed zitshiphu equlathe izixa ezikhulu sodium.

iimpawu

Ezinye izifo ezilwanyaneni kwenzeka phantse nazimpawu, ngoxa abanye zibe nomfanekiso ocacileyo clinical. Le nkxalabo didi lwesibini ascites ikati. Iimpawu zesi sifo zibandakanya:

- Buze twatsa le peritoneum emacaleni.

- nokuxinana umoya.

- anozizi, uboya ruffled.

- nokuxinana umoya.

- Anemia kunye yangaphakathi ebengezelayo.

- ekweneni eziphelweni, noseko iindlebe, dewlap kunye perineum.

Ugqirha ukuba siphambanise ne ascites, peritonitis, ubambe uhlalutyo fluid, waqokelela ngaphakathi esiswini. Ukongezelela, ngokungafaniyo peritonitis, nokudumba kubushushu umzimba linyuke.

Ukuba bandisa isixa esikhulu ulwelo, ascites bedidekile kunye nezinye izifo kunzima kule peritoneum. Ukuze uqinisekise ukuba lo hydrocephalus, kuyimfuneko ukuba isilwanyana kwindawo tye, ukuthatha ezihamba ngamathupha azo ngaphambili. Ukuba esiswini "mfumba" phantsi, abe ngathi eliphakathi, kukhuselekile bathi oku ascites. Xa iikati, esi sifo leyo iphuhlise kuphela isisu akayi kuba mkhulu kangaka, kwaye ngokubanzi kakuhle-ntle kakhulu izinzile. Nangona kunjalo, ngexesha karhulumente sifo iba ngaphantsi ngokwanelisayo: ukulahlekelwa wokutya, iza bengenamdla. Kamva, usenokuba ukugabha, ukuqhina okanye isifo sorhudo, flatulence, ukuphefumla ophilisayo. Ngamanye amaxesha oku kunganyusa iqondo lobushushu.

ekuxilongweni

Ukuze ufumanise ukuba kunokwenzeka ukuba ukunyanga ascites ikati, kufuneka uqinisekise ukuba ukubandezeleka kwesi sifo. Ukuze benze oku, ukubonakala enye okanye ngaphezulu kwezi mpawu zichazwe ngasentla, kufuneka zisiwe ngesandla kwi isilwanyana ukuya wempahla. Moshilongo ingcali ndisiphumeze iimvavanyo zilandelayo:

- ukufumana ezisegumbini isilwanyana oko izifo, koda kube nini na indlela okubonakala iimpawu ascites ;

- ukuqhuba uviwo lwangaphandle efunekayo kwimeko kunikwa;

- yenza uhlalutyo umchamo negazi;

- ukuthumela isilwanyana ukuya X-reyi kunye / okanye ultrasound esiswini.

unyango

Ascites e neekati asinyangeki, kodwa kufuneka kukhunjulwe ukuba olu sifo - aphakamileyo. Oku kuthetha ukuba kufuneka wenze cupping okanye nokuzinziswa ingxaki leyo eyabangela inkangeleko yayo.

ungenelelo ngokukhawuleza kule khosi yesi sifo kube akayi. Yakhetha le nkqubo kuphela njengelinge lokugqibela, ingakumbi amatyala kakhulu. unyango ngendeb 'endala, ulondolozo wesilwanyana - yinto umthetho jikelele ukunyanga esi sifo.

Inkqubo iqhelekileyo unyango - ukususwa lulwelo. Oku kufezwa a okuhlatywa eludongeni esiswini. Kufuneka kwakhona ukuba esweni ubungakanani sodium osetyenzisiweyo zizilwanyana. Ngelo xesha kunye womchamo ziyanyuswa sodium zinomgutyulo wokuchama, evumela ukuba kuncitshiswe umthamo ulwelo bazondelele kule peritoneum.

amayeza

Ngelo xesha langoku ugqirha akazange abe kwiimveliso kwawo ukuba zilungele unyango olunzulu kunye ixesha elide ascites (kumayelana kuphela kwezifo zezilwanyana, kodwa abantu). Kwindawo yokuqala yenzeka kungenxa ukusetyenziswa kwalo naluphi na kubo kukhokelela ilahleko elibalulekileyo potassium. Ulawulo amathamo eziphakamileyo umchamo kungakhokelela Encephalopathy, nto leyo eyingozi.

Womchamo, ukukhuthaza ulondolozo potassium kunokubangela disorder dishormonal. Imixube potassium umxakatho olungasebenziyo ngokuphathelele abo apho liyafa kakhulu. Sebenzisa la machiza kunokwenzeka kuphela entsonkothileyo. Ngelo xesha linye kuyimfuneko ukunciphisa ukusebenzisa ityuwa. Iimvavanyo abantu baye babonisa ukuba "Lazartan" - iyeza elisemagqabini ascites, kodwa eli chiza kunzima ukusebenzisa amayeza lwezilwanyana.

ukumpompa fluid

Iziyobisi musa ukunqanda ascites ziikati. Indlela ukunyanga esi sifo ngezinye iindlela? Njengokuba kuthiwe, ukususwa mhlawumbi ulwelo ukusuka peritoneum ngokusebenzisa okuhlatywa. Ingozi yale nkqubo kukuba engamanzi ukunamathela ayikho ngamampunge. ukulahlekelwa wayo kunokukhokelela ekufeni ngenxa hypoxia kunye ukubuya lwemithambo. Ukongeza, ngexesha yawo yokuzalela baphulukana izinto ezibalulekileyo ebomini: acid, izakhiwo omzimba, iiprotheni kunye electrolytes. Oku kunokubangela uluhlu iziphumo ezibi.

Ngoko ke, izilwanyana, apho ascites kuyimfuneko ukulinganisa ilahleko kwezondlo sele siyakhuthazeka. Oku kwenziwa mhlawumbi ngokusebenzisa albumin okanye reinfusion ascitic transudate. Le nkqubo isikakhulu esibhedlele. Ngokuba ulwelo wabuya safakwa lweeHedfowuni in umlinganiselo we-1: 1. Kwiintsuku ezimbini okanye ezintathu, ngaba kukhawuleziwe yegazi. Gcina esingamanzi ukuba refrigerated kwiqondo lobushushu ka 3-4 degrees Celsius. Kubalulekile ukukhumbula ukuba eli ulwelo lingaba ne iintsholongwane kunye ityhefu. Ukuba urhano ezinjalo yabonakala, kuyimfuneko ukwenza kuqhawulo intlambululo yokusihlambulula ngokusebenzisa antibiotics. Noko ke, imeko elolo hlobo akuthethi kuvela rhoqo - malunga ne-5-10% amatyala.

kukhuthaza fluid nesiqiniseko kwaye wabagwebelayo, izilwanyana emva kule nkqubo kwandisa amathuba uyolule kuphela ubomi, kodwa kwezinye iimeko kuxolelwa.