Ascites kwesibindi ukuqina. Unyango: iziyobisi, amayeza abantu. Ukudla, sase-

isibindi Human ngcembe kutshatyalaliswa yimiba eyahlukeneyo ndlongondlongo, ezifana ubuthi, ihepatitis C ntsholongwane, utywala. Xa le nkqubo iqala iiseli ezilandelelanayo ukufa welungu. Bona indawo kwizicwili. Kodwa ke yokugqibela akakwazi ukwenza ngokupheleleyo yonke imisebenzi esibindini. Ngenxa yoko, umntu iphuhlisa ukuqina. Le ngezifo ezinzima kakhulu. Ngokufuthi oko kukhatshwa iingxaki ezinzulu. Eyona ngxaki yokuwa phantsi kwale nto ascites xa ukuqina kwesibindi. Unyango umguli enjalo kufuna inoxanduva ngakumbi, yaye mandundu kakhulu abantu abane.

zokugula Uphawu

Makhe sijonge oko ascites na esiswini. Le ngezifo akwenzeki ngokwabo. Oku ukuvela imvelaphi kwesibindi okanye nezinye izinto ezimbi. Ascites - ingxaki apho ulwelo oluhlala em- peritoneal.

Kufuneka kuqatshelwe ukuba iiseli isibindi babe nako elikhethekileyo ukuntshula. Kodwa ke, ngelishwa, phantsi kwempembelelo zizinto ezimbi, ixesha elide okanye ukusebenza isigxina emzimbeni, koovimba lwangaphakathi zithathelwa sona. iiseli Enhle kufa. Bona indawo kwizicwili.

isibindi Dieback kukhokelela kukwehla yokusulungekiswa igazi. Umzimba womntu bandisa ezahlukeneyo izinto eziyingozi. Isihluzo loqobo alinjalo esikwaziyo ukuvelisa inani elifunekayo enqanda kunye neeproteni. Kwaye zinika umzimba ukuhamba kweenkqubo ezininzi ezibalulekileyo.

Ngenxa kokupheliswa yemveliso elaneleyo iiprotheni iphazamisekile ezizeni zolwelo ngokusebenzisa inyama kunye isitya iindonga. Oku kukhokelela ekubeni esigcina uqalisa yande fluid kwi kwisisu. Kanye oko ekuphuhliseni ascites e zesibindi ukuqina. Unyango kufuneka uqale ngoko nangoko, kuba iingxaki eziyelelene kwesibindi, siqhubele phambili ngokukhawuleza.

Izinto ezibangela izifo

Kutheni kukho ascites? Le ngezifo ubukhulu becala ngenxa yokungeneli protein yokuqaphela. Yokunqongophala albumin kunciphisa ubuchule igazi ukuba babe egazini. Ngamanye amazwi, oku kukhokelela kukuba ngenxa kulwelo vein eludongeni iqalisa ukuba angene lula ukuya kwisisu.

isiqulatho sodium High Bamqumbisa ukungakwazi isibindi Nokwethisa izinto ezithile kukhokelela ukuba ukugcinwa okukhulu ulwelo.

Ngaphezu koko, ucinga izinto ascites kwi esibindini kwesibindi kufuneka zikhankanyiwe esinye isizathu. iingxaki ezinjalo kuxhokonxwa ukusilela kwinkqubo emithanjeni. Isikakhulu esibindini avelise nkovu. Ukuphuhlisa kwesibindi kunye nzulu kukwaphulwa nkqubo. Oku kwandisa uxinzelelo nkovu, kwaye ulwelo ungena peritoneum. Ukususela inkqubo eziphango engundoqo lokucoca ayipheli, le incindi yomzimba ebegqwese wayiqokelela.

Ngenxa yoko, ngenxa ascites e kwesibindi kukuba zimeko ezininzi:

1. Le permeability ukwanda nobeempahla hepatic.
2. Iqondo eliphezulu nkovu.
3. umsebenzi sezintso kakuhle na uphawu ngokoma. Ngenxa yoko, utshintsho ukuhamba kwegazi yabonakala ukugcinwa sodium emzimbeni.
4. Ukwandisa uxinzelelo kwi izitya hepatic. Oku kukhokelela kwii-ulwelo isixa esikhulu kwithishyu.

zesifo kwesibindi

Ekuqaleni, makhe sihlolisise oko yayingako imiqondiso ibonisa isifo sesibindi ngokwaso. Hi ndlela leyi, ngokufuthi ubunzima ngenxa isifo yabantu. isifo yabo banesifo phantse 3 kaninzi ngaphezu abafazi. Kungenxa yoko le nto sihlolisise iimpawu ezichaza uphuhliso sifo kwindawo kwisiqingatha olomeleleyo.

Ukuba siqwalasele iimpawu ezisaqalayo kwesibindi ngabantu, sifanele ukuqaqambisa ezi zilandelayo:

1. Phantsi ngohlangothi kwicala lasekunene, kukho imvakalelo engasi ubunzinyana okanye intlungu. Kuyaphela kwandisa emva umthambo, efumana ukutya oyingozi okanye okunamafutha okanye utywala.
2. A incasa embi emlonyeni - owomileyo, incasa ekrakra.
3. Lubandakanywe nezenzo isicaphucaphu, ukugabha, ngokufuthi ophela.
4. Ukuziva buthathaka, ukudinwa.
5. ilindle njalo evakalala. izifo ezinjalo soloko ilandelwa yi ukuqunjelwa.
6. Ezimandundu ukwehla kobunzima, maxa wambi verging phezu komzimba.
7. Imbonakalo pruritus. Ulusu abe umbala okhanyayo omthubi.
8. Pathology esizibonakalisa amadoda induku.
9. isibindi landile kulula ubonwe phantsi kwesikhumba. On Ngokucofa kokuba ugqibe ukuba umzimba uye waba ubukhulu kunye sofele. Isigulana ngexesha uchukumisa intlungu indawo isibindi.

Kwakhona, ahlawule ingqalelo iimpawu ezibonwayo kwesibindi ngabantu:

1. Ezintendeni adyojwe ngombala obomvu eliqaqambileyo. Oku kungenxa komzimba.
2. Red uzuza ulwimi. Lubonakala ngokuthi idumbe kwaye ezinye "varnishing" (iinguqu kwinkangeleko).
3. Ukubakho spider emithanjeni. Zingakotshwa localized kufuphi impumlo, ingafikanga iliso. Ngamanye amaxesha uqale ophela.
4. Ukwandisa ubungakanani webele. Lubonakala ziimpawu kuphela abantu. Kulo mzekelo, esini xa isigulane yehla kakhulu.

Ngaphezu koko, ukuqina Kangangokuba kukho inani iimpawu ezithile:

1. igazi ekunqandeni Ukunqongophala kukhokelela bazigruzule kunye ukugruzuka.
2. Umchamo uba turbid, ithinti emdaka. Esitulweni uba lula.
3. fever Periodic livela, iqondo lobushushu emzimbeni liphume.
4. okukwazi Ukuncipha.
5. Maxa wambi kukho hemorrhoids kunye ukopha. Amaxesha amaninzi, oko likwancedisa varices.

ascites symptomatology

Ngokuchasene imvelaphi iifitsha ezichazwe ngasentla uyakwazi ukuphuhlisa ingxaki ngokwaneleyo ezingemnandi luphawulwa ukuqokelelela ulwelo kwi peritoneum.

Iimpawu Ascites alubonakali ngoko nangoko. Pathology icaciswa kuphela xa peritoneum oluhlala hayi ngaphantsi kwe-1 ilitha ulwelo. Ngaphezu koko, inani kwandisa. Ngamanye amaxesha isigulane uqokelela ukuya 25 eelitha kolwelo.

Kuba ngezifo luphawulwa mpawu zilandelayo:

• esiswini kwandisa ngobukhulu;
• isikhumba kwindawo ibheke ngokugqithiseleyo;
• ngexesha intshukumo wave ukuba wavakalelwa ngaphakathi peritoneum;
• xa yasentabeni kwi esiswini nga uve isandi emgongxweni;
• babe ngemithambo ebonakalayo;
• kubonakale isicaphucaphu, nokudumba;
• isigulane nakho iintlungu esiswini;
• iqhosha esiswini ababambelela ngaphandle.

Kubalulekile ukuthatha uxanduva lwezifo ezifana ascites kwi zesibindi ukuqina. Unyango kufuneka ziqale ngokukhawuleza kangangoko kunokwenzeka. Kungenjalo, esi sifo siya inkqubela ngokukhawuleza.

iingxaki sifo

Ngelishwa, le ngezifo kunokukhokelela kwintlekele. Enye iingxaki ezininzi kakhulu kukuba peritonitis. Uyavela kwisiqalo yokuba kulwelo ascites owosulelekileyo. Peritonitis ngaphandle unyango ngexesha kunokukhokelela ekufeni.

Ngomhla kuphuhliso sifo kubonisiwe mpawu zilandelayo:

• kuncipha okanye ukungabi namathumbu izandi;
• eziba iimpawu Encephalopathy;
• igazi waphawula leukocytosis;
• amaqondo obushushu liphuma esibindini ukuqina kunye ascites;
• kukho nomkhuhlane.

Kakade ke, peritonitis - asiyiyo ngezifo kuphela leyo ukuphuhlisa kwisiqalo kwesi sifo.

Ngamanye amaxesha waphawula ezilandelayo iingxaki ascites ku zesibindi kwesibindi:

• hemorrhoids imbonakalo ngenxa yokwanda uxinzelelo intra-esiswini;
• hydrothorax (le effusion kolwelo kwi pleura);
• reflux esophageal (isisu imixholo emphinjeni);
• shift izibilini;
• kubonakala Ithemba diaphragmatic.

Inqanaba lesi sifo

Amaxesha amaninzi umbuzo ophakamayo, ukuba ascites banesifo kwesibindi, ndihleli nje izigulane ezinjalo? Kakade ke, abantu abane ixhomekeke ibakala esi sifo. Kunyanga ukuqina kunye ascites nesuka kwenzeke. Kodwa ukuba waphawula ngexesha ezi mpawu kweempawu, kunokwenzeka ukuba ukwehlisa inkqubo iingxaki. Kule inyathelo lokugqibela lokuhlawulisa sifo kunzima kakhulu. Yiyo loo nto kubalulekile ukuba esi sifo ngendlela ngexesha.

Kuba ascites olwenze grade 3:

1. Isanda iphawulwa ukunyuka okungephi esiswini. Xa ubungakanani isigulane oluhlala kwi peritoneum malunga neelitha 3 ulwelo. Ipredikshini - kakhulu intle. Imisebenzi therapeutic usenokunceda ekulibaziseni progression yaye ngaloo ndlela ixesha elide kubomi isigulane.
2. kuphuhliso olungaphezulu ascites luphawulwa nokwanda kwi peritoneum amanzi (iilitha-4 ukuya kweli-10). ephawulwe kakuhle izinto kwezonyango sifo. Bevakalise nobunzima kakhulu isigulane. Ngamandla gqitha ukuma esiswini. Izigulane ezininzi ukuphuhlisa ukusilela kwezintso.
3. Kwinyathelo 3 peritoneum yomguli oluhlala iilitha ezingaphezu kwama-10 bolwelo. imeko yesigulane kuguga. Umntu namava ukuphelelwa umoya, kuba isisu enkulu akavumi lula ukwandisa le yesiqhelo. Kukho kukwaphula ukusebenza kwentliziyo. Kuyo umzimba kuvela nokudumba.

zokugula sase-

Akukho ugqirha bekungayi kuba nako 100% isiqinisekiso ukuze nithi, xa unesifo ascites e esibindini kwesibindi, izigulane ezininzi abaphila nesi sifo. Ngapha koko, kwimeko ngamnye ngamnye.

Ngelishwa, ngokufuthi siphela ngezifo iyingozi ngenxa ukunxila ezilandelayo imizimba ketone kunye acetone. Ngokutsho manani, malunga ne-10% ezigulane kunye nale ingxaki kuphila malunga ngenyanga enye.

Noko ke, ngokufuthi kakhulu oogqirha ngendlela kwangexesha ukuze abuyekeze isigulane womchamo, potassium nezinki namayeza. Oku kwenza kube lula ukuba ukuthintela ukunwenwa kwesi sifo.

Yinto eyaziwayo ukuba izakhi ngexesha nesemgangathweni nga kongeza ubomi bomntu, nokuba unalo uhlobo elinzima ascites, kunye neminyaka eli-10.

unyango lwezifo

iziphumo Excellent inika unyango, ukuba kwaqala usaqala. Kule meko sinakho ngempumelelo ukujongana ngezifo ezifana ascites kwi zesibindi ukuqina.

Treatment ibandakanya:

• amayeza elawula sokuzuza le incindi yomzimba;
• yokudla ukudla;
• iindlela ezizodwa ukuqinisekisa ukufudusa ulwelo ukusuka peritoneum.

Ukuze alwe sesibindi kwesibindi kunye ascites, ugqirha icebisa amachiza zilandelayo:

1. phospholipids Essential. La machiza inika kwakhona iimolekyuli ezonakeleyo ngamanqatha kunye carbohydrate inwebu yeseli ndizayo. La machiza "Essentiale", "Phosphogliv".
2. zemithi Antiviral. Ukuba amayeza, "Ribavirin", "Adefovir." La mayeza baqeshwa, ukuba ngezifo kwenzeka ngokuchasene nemvelaphi sohlobo wentsholongwane egazini.
3. gepatoprotektory Wokwenziwa. Bona bunjani amazinga cholesterol, kwaye ukukhusela nxamnye sesichengeni ukuba inyongo asidi hepatocytes. ummeli Zintle beli qela sisiyobisi "Ursodeoxycholic acid".
4. steroids Anti-arhabaxa. Bacebisa ukuba izigulane abaye yaqaphela isifo sesibindi sokuhlasela. izigulane ezinjalo eyabelwe ichiza "Prednisolone".
5. Womchamo. Xa kwesibindi hepatic kunye ascites ngokuyimfuneko amisiweyo womchamo. Imithi kufuneka wacebisa: "Lasix", "Diakarb", "aldactone", "Spiriks".
6. asidi Hepatoprotective acid. La machiza ukuphucula iinkqubo pathways emzimbeni. Noko ke, akukho mfuneko neziphumo hepatoprotective. La machiza amayeza, "Ornithine", "Methionine".
7. iziyobisi "albumin" oogqirha ukumisela colloidal Ukuze bunjani uxinzelelo.

Ukuba iyeza na ukunika nemiphumo emihle, utyando luyathatyathwa - paracentesis. izakhi olunjalo lubandakanya ukurhoxiswa ulwelo ukusuka peritoneum usebenzisa inaliti okhethekileyo.

ukudla olungasebenziyo

Kubaluleke kakhulu ukuba ukubandezeleka nomonde kwesi sifo, landela ukudla okuthile. Ngokuqhelekileyo, isigulane emiselweyo 5 № itafile.

Yokudla kwesibindi kunye ascites isekelwe phezu kwezi mpawu:

• ukudla uyahluka 2500-2900 kcal;
• aliquki ukutya, zivuse imveliso enzyme emzimbeni;
• ukusetyenziswa elilinganiselweyo ezinamanqatha, okuneziqholo, nokuba igcadiwe, ityuwa;
• Kucetyiswa ukuba zidle 4-5 ngosuku;
• iimveliso inyama avunyelwe, sizizifanya ngamanqatha;
• ifayibha emifuno luncedo;
• umthamo ulwelo emini - 1.5 iilitha;
• kwimeko ukuqhubela phambili sifo acetyiswayo imifuno ezicujiweyo;
• ukudla imihla ngemihla: ngeeProteni - 100 g, nenqatha - 70 g, izakha - 400-450, i

amayeza abantu

Maxa wambi kucetyiswa kuphela kwiziyobisi amayeza nedayethi ukuba umntu ene-ascites e zesibindi ukuqina. Unyango amayeza intsomi, inxalenye unyango ezintsonkothileyo, unokuzisa isiqabu kakhulu ebambekayo. Nangona kunjalo, qaphela ukuba ngezifo ichiza kuphela zokupheka namagqirha - akunakwenzeka.

Ekucetyiswa ukuba amayeza abantu abanjalo:

1. A decoction of parsley. Kwilitha 1 yamanzi kuya kufuneka i-300 g yomxhesho entsha. Kwethumba, makuthethe phisa kunye uhlobo iindlela. Lomhluzi kufuneka uthathe 0.5 Art. iyure yonke, kwisiqingatha sokuqala lemini. Uthomalaliso ihlala iintsuku ezi-3.
2. Bean imidumba. imidumba Bilisa asikwe 15 ngo-1 ilitha yamanzi, ngoko imizuzu 10 nimane kuthetha imizuzu engama-20. Uhlobo. Ithamo lokuqala (200 ml) Kucetyiswa ukuba usebenzise malunga 5 AM. Isityalo yesibini - asele kwimizuzu engama-30 phambi kwesidlo sakusasa. Okwesithathu - isiqingatha seyure phambi kokuba isidlo sakusasa. Ibhalansi ziphele ungadlulanga owe-8:00 pm.

Kufuneka kwakhona ukuba wakhumbula ukuba ascites - a ngezifo kakhulu, nto leyo ngokukhawuleza kukhokelela ekufeni. Yaye ngokufuthi kuxhokonxwa kokufa yokuthunyelwa kade izigulane koogqirha. Ngoko ke, yiba ingqalelo imeko kunye nempilo nabantu ababathandayo.