Ascites mumbwa (abdominal dropsy)

Muridzi wemhuka iyi achakwanisa kufungira chirwere ichi ega - nehuwandu hwedumbu huchiwedzera zuva nezuva. Izvi zvinokonzerwa nekuungana kwemvura mudumbu redumbu. Mvura yakadaro inogona kuva lymph, exudate, transudate, modified transudate, ropa.

Ascites inoonekwa sechiitiko chepathological umo huwandu hwakawandisa hwezvikamu zvemvura zvinoungana mudumbu rembwa. Huwandu hwavo hunogona kubva kune mashoma milliliters mumhando diki uye, nekuda kwezvikonzero zvisiri-nengozi, kusvika kumarita makumi maviri mumbwa huru kana neakawanda emvura secretions. Ichi chiitiko chine njodzi pakukura kwematambudziko, pamwe nenjodzi yekufa.

Zvikonzero zve ascites mumbwa

Kudonha mumbwa kunogona kukonzerwa nezvikonzero zvakasiyana-siyana. Kazhinji inowanzoitika pamusoro pemamiriro ekudyisa kusina kunaka. Kuderera kweprotein mukudya kwemhuka kunotungamirira pakuumbwa uye kuunganidza kwepathological fluid mudumbu remimba.

Panguva imwecheteyo, chirwere ichi chinokonzerwawo nekusakwana kusungirirwa kwemunyu we sodium mumatumbu embwa. Zvakakwana kuenzanisa kudya - uye muridzi wemhuka haazotarisana nemigumisiro yacho. Zvisinei, ascites mumbwa inokonzerwa nezvikonzero zvakakomba:

• Oncological neoplasms. Kazhinji kacho, mapundu akashata anotsamwisa ascites, asi panguva imwe chete, mvura iri mudumbu remudumbu inogona kuungana kubva kune benign mumbwa;

• Chiropa pathologies, kunyanya cirrhosis uye hepatitis. Mhedzisiro yezvirwere izvi inodonha muchikamu cheprotein mu serum yeropa, iyo inotungamirira pakuumbwa uye kusunungurwa kwehuwandu hwemvura mu peritoneum;

• Kutyora kweiyo physiology yeitsvo, semugumisiro wekuti iyo yakagadziriswa fluid haina kubviswa zvachose kubva mumuviri. Kupesana neizvi, kuwedzera kudhakwa kwematishu uye nhengo kunoitika neyakagadziriswa zvigadzirwa, chepfu, slags, munyu;

• Anomalies mukuvhara ropa nekuda kwechepfu, semuenzaniso, chepfu yemakonzo;

• Peritonitis. Kuzvimba muitiro mu peritoneum, achiperekedzwa kuvuza ari intestinal zviri mukati;

• Kukundikana kwemoyo, umo zvikamu zvemvura zvinobudiswa mugomba kuburikidza nemadziro akaonda emidziyo yeropa;

• Kukuvadza kwenhengo dzomukati: itsvo, spleen, chiropa, gallbladder.

Tichifunga nezvekusiyana kwakasiyana-siyana kwezvikonzero zve ascites mumbwa zvinogona kuva, misiyano mumufananidzo wekiriniki ndeyezvisikwawo.

Zviratidzo zvekudonha

Zvinokwanisika kuona uye kusiyanisa ascites mumbwa kunyange kumba nemuridzi wemhuka pachake. Kuti uite izvi, unofanirwa kusimudza imbwa nemakumbo epamberi uye kutarisa chimiro chedumbu. Muchinzvimbo chakatwasuka chemuviri, dumbu rinodonha pasi kunharaunda yepelvic uye rinotora chimiro chakaita pear. Nezvimwe zviratidzo zvakafanana uye zvirwere, izvi hazviitiki. Chete nekuda kwekuunganidzwa kwehuwandu hwemvura yakawanda, dumbu, pamwe chete nezviri mukati, rinova mobile. Uye zvakadaro zvingave zviri nani kuve nechokwadi chekuti mhedziso dzako dzakarurama uye kuwana humbowo nekusiyanisa nzira dzekuongorora. Inosanganisirawo huwandu hwezviratidzo zve ascites mumbwa:

• Kutora chimiro chisina kujairika munzvimbo yekugara;

• gait disorder;

• Kuonekwa kwekupfupika kwakanyanya kwekufema kunyange pasina kushanda kwemuviri;

• Kusava nehanya uye kusava nehanya nezvokudya uye kufamba;

• Kakawanda kuputika kwekusvotwa;

• Defecation yakaoma;

• Nekuda kwekushaikwa kweokisijeni nekuwanda kwemvura, ruvara rwemucous membranes yemhino, muromo uye maziso anoshanduka. Vanotora tint bluish.

Pamusana pekuwedzera kwehuwandu hwemimba, panogona kuva nekuoma mukumedza reflex, kuoma mukutsenga zvokudya.

Izvi zviratidzo zvekudonha muimbwa zvinogona kuva hunhu hwezvimwe zvirwere, saka zvinofanirwa kutariswa mumamiriro eiyo yakazara kiriniki mufananidzo. Zvakakosha kumisa chikonzero chemvura yakawandisa mudumbu remudumbu. Nokudaro, zvakakosha kufunga nezvezviratidzo zvezvimwe zvirwere zvinokonzera ascites mumbwa.

Semuenzaniso, munharaunda ye hypochondrium yakarurama, muchikamu chayo chepamusoro, kusuruvara, colic inogona kuonekwa kana kukanganisa kwechiropa. Vanogonawo kukonzera mhedzisiro yeyero ye mucous membranes uye kunyangwe ganda munzvimbo dzine mwenje pigmentation. Muchiitiko chekutyorwa kwebasa reitsvo, pachava nekubuda kwakawanda kweweti, pamwe chete nemaitiro ekuita weti. Mukuwedzera, kazhinji, zviratidzo zvinowanzoonekwa zvezvirwere zvakawanda zvichaonekwa. Vanogona kuva fivha, kutonhora, fivha, kurasikirwa kwechido, kufunganya.

Diagnostics

Kana ascites ichifungidzirwa, chidzidzo chekuongorora chinoitwa. Chinangwa chekuongorora kuongororwa kwembwa ndechekusimbisa zvikonzero zvechokwadi zvekuumbwa kwepathological fluid mudumbu remudumbu. Panguva imwecheteyo, pakuita chirwere chekuongorora, zvakakosha kusimbisa chimiro chemvura - inogona kuva ropa, lymph, zvinwiwa zvenyama, transudate kana exudate. Naizvozvo, pakugadzirisa kwakaringana kwekuongororwa kwekupedzisira, seti yezviyero uye zvidzidzo zvinoshandiswa:

• Kuongororwa kwekliniki;

• Tsvakurudzo yerabhoritari;

• Hardware-zviridzwa nzira.

Munguva yekuongororwa kwekliniki, kana ascites ichifungidzirwa, dumbu rembwa rinoputika. Paunoidzvanya, kudonha kucharatidzwa nekunzwika kwekuchinja (kuwedzerwa), kufamba kwemadziro edumbu, uye nekukurumidza kudzoreredzwa kwechimiro. Mune mafomu asingagumi uye kufambira mberi kwakasimba, mamiriro ezvinhu anorwadza anogona kuitika. Kuonekwa, kune kuwedzera kwehuwandu hwemimba. Uyezve, zviyero zvechimiro chayo zvinogona kunge zvakafanana. Mukuwedzera, chiremba wemhuka anotora anamnesis (nhoroondo yechirwere chechirwere) kuti aone zvikonzero zvinokonzera ascites mumbwa.

Laboratory diagnostics yakagadzirirwa kuona chimiro chemvura uye zvirimo. Izvi zvinoitwa kuburikidza nenzira yakapfava yekuvhiya. - kuputika (abdominocentesis kana laparocentesis). Nemamwe mashoko - kuboorwa kwemadziro edumbu kunogadzirwa uye sampuli yemvura inotorwa muhuwandu hunosvika makumi maviri ml yetsvakurudzo yemurabhoritari. Mu laboratori, chinhu ichi chinoongororwa kuvapo uye chiyero cheprotein, kusvibiswa kwezvikamu zveropa, kuvapo kwezvirwere zvinotapukira uye zvigadzirwa zvehutachiona. Maererano nemigumisiro iyi, chimiro chechirwere chechirwere chinotaridzirwa uye kuoma kwayo kunowanikwa.

Kuti usimbise kuongororwa kwakamboitwa, mumatambudziko akaomarara, nzira dzekuongorora dzehardware dzinorairwa:

• Abdominal ultrasound;

• radiografia;

• CT scan;

• Magnetic resonance imaging;

• Laparoscopy - komputa inoongorora dumbu remudumbu uye zviri mukati maro.

Ngatitaurei nezvekuti dropsy mumbwa inorapwa uye kuti ndeapi marapirwo aripo.

Kurapa kwe ascites

Kurapa kwe ascites mumbwa kunoitwa zvakasimba nekubatanidzwa kwechiremba wemhuka. Zvinorambidzwa kuita kurapwa iwe pachako, sezvo izvi zvinogona kutungamirira kumigumisiro isingagadziriswi. Chiremba anosarudza nzira yekurapa ascites mumbwa, achifunga kuti chii chakakonzera chirwere ichi. Zvichienderana neizvi, nzira dzinotevera uye nzira dzekurapa dzinoshandiswa:

• Laparocentesis - nhanho yekutanga, yakanangana nekubvisa fluid kuburikidza nekupinza mumadziro eperitoneum;

• Intramuscular injection yemishonga inorwisa mabhakitiriya uye anti-inflammatory drugs;

• Mudumbu (mukati medumbu remudumbu) mishonga inorwisa mabhakitiriya inobayiwa;

• Nzira yekurapa zvinodhaka nemoyo, painkillers uye hepatoprotective mapoka emishonga inorayirwa.

Kusati kwatanga kushandiswa kwemishonga inokurudzirwa kunotanga, zvakakosha kuwana chikonzero chakakonzera kuunganidza kwemvura mudumbu. Uye kutanga iwe unofanirwa kutarisana nekubviswa kwayo, ndiko kuti, kurapa chirwere chacho pachako kuitira kumisa kusunungurwa kwemvura exudate mudumbu remudumbu.

Mushure mokunge imbwa yarapwa ascites, ichakwanisa kuramba ichirarama hupenyu hwakazara.

Zvakakosha kuyeuka kuti sarudzo dzakananga dzekurapa kudonha dzinoitwa chete nachiremba wemhuka zvichienderana nemhedzisiro yekuongororwa.

Prognosis yembwa mushure mekurapa ascites

Nekutsvaga kwenguva yakakodzera kutarisirwa kwezvipfuyo uye kudzivirira kukura kusingaperi kwezvirwere zvekutanga, kufungidzira kwekurapa ascites mumbwa kwakanaka. Mune zvimwe zviitiko, nezvirwere zvakaomeswa nehutachiona uye zvisingaperi mafomu ekosi, pamwe nekusavapo kurapwa kwekudonha mumbwa, kufa kunogona kuitika.

Zvisinei, muzviitiko zvakawanda, ascites mumbwa inogona kurapwa nekugadzirisa chikonzero chinokonzera.

Nzira yekudzivirira Ascites muImbwa

Zvinosuruvarisa, kudzivirira chirwere ichi - basa rakaoma, rakapiwa chechipiri mavambo. Nokudaro, kana pane zvirwere zvemukati uye kukuvadzwa, zvakakosha kutsvaga rubatsiro rwechiremba pakarepo. Pachiratidzo chidiki chekudonha mudumbu mumbwa, iwe unofanirwawo kutora chipfuyo chako kunoongororwa kukiriniki.

Chinyorwa hachisi kudana kuita!

Kuti uwane ruzivo rwakadzama rwedambudziko, tinokurudzira kubata nyanzvi.

Bvunza chiremba wemhuka

July 9 2020

Yakagadziridzwa: Kukadzi 13, 2021