Uma uhlakulela i-ascites nge-cirrhosis

Ama-Ascite aqoqwa uketshezi okweqile emgodini wesisu, okuyinto evame ukuhlukunyezwa kwezifo zesibindi - i-cirrhosis ene-hypertension. Ivela ngokuzumayo noma ikhula kancane kancane, ezinyangeni ezimbalwa, ihambisana ne-flatulence nesisu esiswini. Kodwa futhi ama- ascites angenzeka emdlalweni we-ovarian.

Ama-Asciti akufanele abizwe ngokuthi yizifo zesibindi. Lokhu akulungile neze. Noma kunjalo, lesi sifo cishe sibheka njalo ngenxa yezifo ezinzima zesibindi, isibonelo, i-cirrhosis. Ngakho, ngokusho kwezibalo zodokotela, engxenyeni yeziguli ezine-cirrhosis iminyaka engaphezu kwengu-10, ama-ascites nawo ayenzeka. Uma uhlakulela i-ascites nge- cirrhosis yesibindi, khona-ke ingakhuluma ngesimo esibi saleso sifo ngisho nomngcipheko wokulimala kokuqala. Ingxenye yalezi ziguli ziyafa zingakapheli iminyaka emibili emva kokubona ukuthi kunzima kangakanani. Ochwepheshe ngeke bakwazi ukunquma ukuthi kungani lezi zifo ezimbili zihlobene kakhulu.

Kungani i-liquid ivela kuphi futhi kuphi? Isimo sezinso sithinta kanjani inqubo yonke? Ngeshwa, lesi senzakalo siye safundiswa kahle. Uma ukubonakala kwesibonakaliso esinjalo ezigulini ezinesifo senhliziyo kufundwe kahle, amacebo asetshenziselwe ukwelashwa nokugcinwa kweziguli ezinjalo, kanti uma kwenzeka usungula i-ascites ne-cirrhosis, konke kuhluke ngokuphelele.

Ngokuvamile, kwaziwa ukuthi ngokubonakala kwe-cirrhosis, i-lymphatic fluid kanye negazi elibi kakhulu liba libi nakakhulu, okubangela ukubonakala kwezinto eziphazamisayo. Nge-cirrhosis, cishe cishe njalo umfutho wegazi ophezulu, obuye uhlotshaniswe nokuhlaselwa okuketshezi. Ukunikezwa kwegazi ezinsoweni kanye nomsebenzi wabo nakho kubi kakhulu. Kubukeka kwezinkinga nezinso futhi ukuqoqwa emzimbeni wesawoti ka-sodium kungase kube yisiqalo sokuthuthukisa ama-ascites. Ngalesi sifo, kuyinto efiselekayo yokuzikhawulela ngokwayo (ayikho ilitha elilodwa ngosuku).

Manje ake sikhulume kancane mayelana nokwelashwa kwalesi sifo. Yiqiniso, akusona imfihlo kunoma ubani ukuthi ukwelashwa kwanoma yisiphi isifo, okokuqala, kunikezela ukuqedwa kwesizathu, okuyinto eyayikucasula. Ngakho-ke, uma uye wakhula ama-ascites nge-cirrhosis, khona-ke ukwelashwa kwe-pathology kuqala, okokuqala, ngesifo esiyinhloko. Ukuze unciphise ama-ascites, odokotela bahlinzekela imithi yokwelashwa, futhi benze nezinyathelo ezithile ezikhethekile ezihloswe ekuqiniseni ukuhluleka emzimbeni wamanzi usawoti nokunciphisa umfutho wegazi ophezulu.

Uma uhlakulela i-ascites nge-cirrhosis, kodwa isikhathi esithile, ukwelashwa kwayo akunikezi umphumela oyifunayo, khona-ke ochwepheshe bangasikisela ukususa uketshezi okwedlulele ngokugubha umgudu wesisu. Le nqubo ibizwa ngokuthi i-laparocentesis. Yenziwa kuphela emva kokukhishwa kokuqala kwesikhumba, okwenziwa endaweni yokuhlala isiguli. Ungesabi, ngokuqinisekile uzofaka yonke imithi edingekayo ye-antiseptic ne-aseptic, ezosiza ekudluliseni le nqubo, hhayi emnandi kakhulu, kulula kakhulu.

Isikhathi senziwa ngedivayisi ekhethekile ebizwa ngokuthi i-trocar. Ukufakela idivaysi nale divayisi kuvame ukuqhutshwa phakathi komugqa ophakathi kwesisu. Kubaluleke kakhulu ukuthi i-puncture yokuqala yenziwe ngokuphumelelayo, ngoba uma kuneziphuzo ezilandelayo, isiguli singase sibe nokuvuvukala kwe-peritoneum noma ukuhlanganiswa kwe-omentum namathumbu ngodonga lwangaphakathi lwesisu.

Kwenzeka ukuthi ukwelashwa kwe-ascites ne-cirrhosis kwenzeka futhi, kodwa lokhu kwenzeka kuphela ezimweni ezinzima kakhulu. Lo msebenzi ubizwa ngokuthi i-omentohepatofrenopexy futhi inqunywe kuphela uma kunesifo somfutho wegazi ophezulu kakhulu.