I-Ascites, eyaziwa ngokuba yi-dropsy, yimeko ebonakaliswa ngokuqokelela kwisisu esiswini, okubizwa ngokuba yi-free fluid. Ukubunjwa kwalo kuxhomekeke kwimvelaphi ye-ascites, iimpawu kunye nezizathu eziza kuxutyushwa ngezantsi. Umthamo wamanzi ufikelela kuma-lititha ezingama-25.
Iingxaki ze-ascites
Izizathu eziphambili ze-dropsy ziquka ezi zilandelayo:
- Umxinzelelo ophezulu kwi-portal vein, ebonakalayo yokuyifakraza kunye ne-lymph nodes ephakamileyo okanye i-tumor, thrombosis, hepatitis, cirrhosis;
- ukunyanzeliswa kweemvumba ze-hepatic ngenxa yokudibanisa kwintlungu kunye nokungaphumeleli kwintliziyo okanye i-pericarditis engqongqo;
- ukuphulwa komlambo wamanzi;
- ukunciphisa uxinzelelo lwe-oncotic, okwenzekayo nge-nephrosis, i-cachexia, ukutya kwesondlo;
- ukuphuma kumda wesisu;
- inkqubo yokuvuvukala.
Ukuvuvukala kwesimo esithathelwanayo, esiqatha okanye esingapheliyo, siba sisisusa se-ascites esiswini kwisifo sofuba se-peritoneum. Inkqubo evuthayo yokunyamezela nokunyuka kweemithanjeni yegazi ibangela ukuba i- glomerulonephritis enamandla , i-collagenoses. Kukho imiqondiso ye-ascites kunye nomhlaza we-peritonitis, ophazamisa ukuvuvukala okungenasifo.
Iimpawu ze-ascites kubantu
Uphawu oluphambili lwe-dropsy lonyuka ngobukhulu besisu. Ulusu phezu kwalo ludwelwe, lukhanya, imifuno ibonakala ngokucacileyo, ngokukodwa kwintonga. Kwiindawo ezimileyo, isisu esigcwele isalathisi sitshitshisa siphinde siphumelele emva koko, ukuba isigulane sifakwe emva. Ezinye izibonakaliso zeziganeko ze-ascites zesigxina sesisu esisisigxina sommandla weeveli, kunye nesandi esincinci nge-percussion. Kwimeko echanekileyo, ikwafumaneka kwiindawo ezisemgangathweni. Ukuba isigulane sifakwa kwicala lakhe lokunene, ingqungquthela iya kubonisa isandi esincinci ngakwesobunxele nangokwempela. Lo mqondiso we-ascites awukho uphawu lwe-hydrocephalus yemvelaphi evuthayo ngenxa yokunciphisa i-mesentery kunye nokuhlanganiswa kwezibilini zamathumbu kunye nodonga lwesisu kunye phakathi kwabo.
Xa ufumanisa i-hydrocephalus, ugqirha ugqirha kwisisu, ubeka enye icala kwicala eliphambeneyo: oku kunceda ukufumanisa ukuba kukho ukuguqulwa kwamanzi, oko kukuthi, ukuguqulwa kwendalo.
Ukuba imbangela ye-ascites i-carcinomatosis ye-peritoneum, kunokwenzeka ukuba uhlolisise iimpawu, ezihamba ngokulula; ukuba ukuphuma kwegazi kwenzeka kwi-peritoneum - ulusu olujikeleze inkaba yebhola luba luhlaza.
Ukucaciswa kohlobo lwe-ascites
Ukulungiswa kweempawu ze-ascites, ugqirha akayi kunika unyango de kube yinto eyenziwa. Le nkqubo ibandakanya ukugqithwa kwesisu esezantsi kwintonga kwaye kwenziwa ngenjongo yezifo (kunokwenzeka ukunciphisa uxinzelelo kwi-vena cava ephantsi kunye nokuphucula umjikelezo wegazi) kunye nokuxilonga.
Umbane oqokelelweyo wohlobo lwawo uhlelwa kwi-exudate kunye ne-exudate. I-exudate yinto enokuthi i-serous, i-hemorrhagic, i-fibrinous ne-kyle. I-transudate, ihlwempuzekileyo kwiprotheni, ekugqibeleni iyaba negalelo kunye nabo, kwaye amanzi akhululekileyo athola uhlamvu lwe "transudate exudate".
I-Transudate ibonisa ukunyuka kweentliziyo ezibangelwa ukuhluleka kwentliziyo, i-cirrhosis yesibindi, i-pericarditis engqongqo, isifo se-mediastinal, i-nephrotic syndrome, i-neprotic syndrome, i-hepatic vein thrombosis, umhlaza (kwisiqingatha samatyala), kunye ne-dietary dystrophy.
I-exudate ifumaneka kunye ne-collagenoses, i-peritonitis ngenxa yesifo sofuba, umhlaza, ukusuleleka. Ukuba i-liquid accumulated
I-Chileous exudate kunye namaconsi e-fat ephawulekayo xa kuthe kwaphulwa i-lymph drainage kwi-tract thoracic ngenxa yokunyanzeliswa yi-lymph nodes okanye i-tumor. I-pseudo-Cholesteric exudate kunye nomxholo omncinci wamanxuwa atshisayo ngumpawu zokuqhekeza ama-cyst ovarian. Ukuba i-bile itholakala kwintsholongwane, i-buct buct rupture iboniswe, nangona kwiimeko ezinqabileyo zibonakala emva kwesibindi se-foopsy.