Umonakalo omkhulu kwiiseli eziphambene nesimo se-cirrhosis sisifo esingasigxina, okwangoku singaphili. Eminye izandi ezidakisayo ezi zixilongo ekukhanyeni kweengxaki ezininzi zezilwanyana. Esinye seziphumo eziqhelekileyo sisenyuka kwi-cirrhosis-bangaphi abantu abahlala kwesi sifo, kuxhomekeka kwizinto ezininzi, kodwa, ngokomthetho, oogqirha banika izibikezelo ezingalunganga.
Yintoni eyingozi kwi-ascites kwi-cirrhosis?
Kwimvelaphi yesikhumba se-cirrhosis ye-parrenchymal i-hepatic ishintshiswa ngokuthe ngcembe ngamaseli e-fibrotic axhumeneyo, oku kubangela ukutshintshwa kwezinto ezilandelayo:
- ukwakheka kwe-lymphatic ngokweqile;
- ukwandiswa kwengcinezelo yegazi kunye nokunyuka kwe-vein;
- ukunyuka kweenqanawa ze-hepatic;
- ukuhluleka kwiintso.
Ngenxa yoko, kukho i-portal yongxowankulu, okubangela ukuqokelela umthamo omkhulu wamanzi kwindawo yokukhulula yesisu esiswini kunye nokunyuka kwindumbu yesisu, ukuguquka kwayo.
Ngako oko, i-ascites yinkxalabo kwi-cirrhosis yesibindi kwisigaba sokugqibela, esinokukhokelela kwimiphumo elandelayo:
- ukubunjwa kwe-herbias, i-inguinal kunye ne-feminia;
- usulelo lwe-ascites umbane;
- i- peritonitis ;
- ukuphuhliswa kwezicubu ezimbi kwi-hepatological system.
Ngempumelelo kangakanani unyango lwe-ascites kunye ne-cirrhosis yesibindi?
Ngokukhawuleza emva kokuqinisekiswa kokuxilongwa kwimibuzo, iingcali ziqala ngokukhawuleza i-hydrotherapy. Unyango luquka iyeza:
- izityalo kunye ne-synthetic hepatoprotectors;
- iziyobisi;
- iiphospholipids ezibalulekileyo;
- izidakamizwa ezichasene nezidakamizwa ze-steroidal;
- i-hepatoprotective amino acid;
- diuretics;
- i-albin.
Amayeza adwelisweyo athatha inxaxheba kwi:
- ukuqiniswa kwe-immunity;
- ngokuqhelekileyo iinkqubo zokuxilisa;
- yokunciphisa i- cholesterol ;
- ukupheliswa kwamanzi angaphezulu;
- ukukhuselwa kwesibindi kwimiphumo ye-bile acids;
- ukuphucula ukujikelezwa kwegazi;
- ukubuyiswa kwe-phospholipids eyonakalisiweyo;
- ukususwa kweempawu zokuxhatshazwa;
- ukukhululeka kwintlungu yesifo;
- ukukhuthaza ukukhula kwe-hepatocyte;
- ukulungiswa kweengcinezelo zekhollow;
- Ukuzaliswa kweephenyheni ukusilela emzimbeni;
- ukuthintela ukusuleleka kwintsholongwane kunye neentsholongwane.
Ngelo xesha, isigulane kufuneka sihambelane nesondlo esikhethekileyo, inombolo yetafile yezokwelapha inombolo ye-5 ngokucetyiswa yiPevzner. Ukutya kuthethwa nokunciphisa umthamo wansuku zonke otywala utywala, kungekhona ngaphezu kwama-1.5 ilitha nganye iiyure ezingama-24.
Kucetyiswa ukuthobela ukuphumla kombhede. Ngendawo egciniweyo yomzimba, umsebenzi wezintso kunye neenkqubo zokuvuthwa kwamanzi, kulandelelana, ukuhlanjululwa kwegazi kuphucula, i-edema iyancipha, kwaye amanzi amaninzi ayasuswa emzimbeni.
Ngelishwa, unyango olulondolozayo ngokukhawuleza luyeke ukusebenza, ngoko ke, indlela yokuhlinzwa-laparocentesis-isetyenziselwa ukupompa ngaphandle kwamanzi. Inaliti ekhethekileyo isetyenziselwa ukususa amanzi. Enye inkqubo iboniswa
Ukuxhamla kwi-cirrhosis yesibindi kunye ne-ascites
Ngona unyango olwaneleyo kunye nexesha elifanelekileyo, ukulindela ubomi kunye nokuxilongwa kuthathwa njengefutshane. Kwiimeko ezininzi (malunga ne-75%) izigulana ziyafa zingakapheli iminyaka engama-1-2 emva kokuhla.
Kodwa kukho izibikezelo ezilungileyo xa i-cirrhosis kunye ne-ascites zifunyenwe, kwaye zihlala phi zixhomekeke kwindlela yokulimala kwesibindi. Ngoluhlobo lwesifo esihlawulelwayo, ukulinda komntu kunokude kudlule iminyaka eyi-8-10.