I-Ascite i-accumulation of pathological fluid kwisisu esiswini, esivame ukukhula njengengxaki yomhlaza emathunjini, esiswini, isibindi, imiphunga, i-mammary gland, i-ovaries.
Iimbangela ze-ascites kwi-oncology
Ama-Ascites athuthuka njengesiphumo sokuthi i-lymph nodes ezigulayo azikwazi ukususa i-lymph ukusuka kwindawo ye-retroperitoneal, i.e. iqula lymphatic drainage kule ndawo. Kwakhona, iseli zomhlaza zisasazeka kwi-peritoneum ngenxa yesifo se-metastasis.
Oku akukwenzanga nje ukuzaliswa kwesisu ngesilwanyana, kodwa kunokunceda ukwandisa uxinzelelo lwe-intra-esiswini, okubangela ukuba isithsaba singene kwisigodlo sesifuba. Ngoko ke, i-ascites yesigxina esiswini, esisiphumo esivame ukuqhutyelwa kwe-oncology, kwakhona, iphula i-anatomy yezitho zangaphakathi kwaye ibangela iingxaki eziyingozi kwi-cardiovascular, respiratory, systems digestive, njl.
Maxa wambi ama-ascites aqala emva kokuhlinzwa ukuba asuse i-tumor xa iiseli ezingaqhelekanga zingeniswa kwi-peritoneum, kwaye le nkcenkcesha inokucaphukiswa yinkqubo ye-chemotherapy, apho kutywala khona umzimba.
Iimpawu ze-ascites esiswini kwi-oncology
Nge-ascites encinci, isisu sezigulane, ngokukodwa ezinokudongxwa kwesigxina esiswini, sisasaza kwisikhundla se-supine, sichitha emva kwesikhashana ("isisu esiswini"), kwaye kwindawo emileyo ngenxa yokuhamba kwentsholongwane kwisisu esiswini, isisu sisanda ngokweqonga kwaye sixhomeke kwicandelo elincinane. Ukuba i-ascites iphawulekayo, isisu, kungakhathaliseki ukuba sisikhundla somzimba, sichazwe ngumoya omeleleyo, kwaye ulusu luya kulula, lukhazimule.
Ukongeza kwimbonakaliso ebonwayo, iimpawu eziphambili kule nkalo-ntle nazo zi:
- malaise jikelele;
- ukuphefumula;
- ukuphefumula okufutshane;
- uvakalelo lwangaphambili;
- isifo sesifo;
- uvakalelo lwe-raspiraniya kwisisu;
- isicefe
- ukuguquka nokunye.
Ukuxeliswa kwe-ascites esiswini kwi-oncology
Kwimeko yezofo ezinzulu ezifana ne-ascites esiswini kwi-oncology, kubalulekile ukuba izigulane kunye neentsapho zabo zikwazi ukuba zihlala phi nale nzala. Ngokwezibalo, umlinganiselo weminyaka emibili yokusinda, unikwe unyango olufanelekileyo ngexesha elimalunga nama-50%.
Unyango lwe-ascites yesigxina esiswini nge-oncology
Ukususwa komnatha ukusuka kwisisu esiswini kuya kunzima, ingakumbi xa uqala unyango ezimbini okanye ngaphezulu kweeveki emva kokuqala kwengxaki. Ezi ndlela zilandelayo zisetyenziswa:
- Ukwamkelwa kwezidakamizwa ze- diuretic (iLasix, i-Diacarb, iFurosemide, i-Veroshpiron, njl njl.) - ichongwa lixesha elide kunye nekhefu elifutshane kwaye lenziwa ngaphandle kokubonakala okubonakalayo. Kubalulekile ukudibanisa i-diuretics ngamalungiselelo e-potassium ukugcina ibhalansi yamanzi emzimbeni.
- I-Laparacentesis yindlela ekhethekileyo ekubandakanyeni ukususwa kwe-fluid egciniweyo ngokubethelela udonga lwesisu nokukhupha. Le ndlela ihambelana nomngcipheko ophezulu weengxaki ezifana nokunamathela, umonakalo kwimithambo yegazi kunye nezitho zangaphakathi, iinkqubo ezithathelwanayo, ukwehla okukhulu kwixinzelelo legazi, njl. Emva kokusebenza, izigulane zinikwa i-plasma okanye i-albumin isisombululo sokuhlawula ukulahlekelwa kweeprotheni. Ngamanye amaxesha emva kokupompoza i-fluid, i-catheters ifakiwe ukuze iyakususa.
- Ukutya kunye ne-ascites yesigxobo esiswini nge-oncology-phantse ukugqitywa kwetyuwa, ukunciphisa ngokukhawuleza kokungenwa kwamanzi, ukusetyenziswa okungekho kwimveliso yokubhaka, iimveliso ezandisa ukwenziwa kwegesi.
Kunconywa ukwandisa ukusetyenziswa kweemveliso ezinjalo:
- i-asparagus;
- isipinashi;
- iifatata ezibhakiweyo;
- iidiliya;
- izaqathe.