Ascites ndikumana ndi madzi am'mimba m'mimba, omwe nthawi zambiri amawoneka ngati vuto la khansa m'matumbo, m'mimba, chiwindi, mapapo, mapira, mazira.
Zomwe zimayambitsa ascites mu mapulaneti
Ascites amapanga chifukwa cha kuti ma lymph node sangathe kuchotsa lymph kuchokera ku retroperitoneal space, i.e. Madzi otchedwa lymphatic drainage kuno. Komanso, maselo a khansa amafalikira kudzera mu peritoneum chifukwa cha chifuwa cha metastasis.
Izi zimangopangitsa kuti mimba ikhale ndi madzi, komanso imathandizanso kuwonjezereka kwa m'mimba, zomwe zimapangitsa kuti phokosolo lisalowe m'chifuwa. Chifukwa chake, ascites m'mimba pamimba, yomwe nthawi zambiri imakhalapo chifukwa cha oncology, imatsutsana ndi matupi a mkati ndipo imayambitsa mavuto oopsa kuchokera m'mtima, m'mimba, m'magazi, ndi zina zotero.
Nthawi zina akiti amayamba opaleshoni kuchotsa chotupacho pamene maselo osadziwika amalowa mu peritoneum, ndipo vutoli lingakwiyidwe ndi chemotherapy, yomwe thupi limakhala loledzera kwambiri.
Zizindikiro za m'mimba zakwera m'matumbo
Ndi kanyumba kakang'ono, mimba ya odwala, makamaka omwe ali ndi khoma la m'mimba yofooka, imafalikira mu supine, ndipo imawonekera pambuyo pake ("chilakolako cha m'mimba"), ndipo pamayima chifukwa cha kayendedwe ka madzi m'mimba, mimba imakula mokwanira ndipo imapachikidwa m'munsi. Ngati ascites ndi ofunika, mimba, mosasamala kanthu za thupi, imakhala ndi mawonekedwe, ndipo khungu pa ilo limayamba kutambasula, kunyezimira.
Kuphatikiza pa mawonetseredwe owonetsa, zizindikiro zazikuluzikulu za matendawa ndizo:
- chisokonezo;
- kupuma kovuta;
- mpweya wochepa;
- kumverera koyambirira;
- matenda opweteka;
- kumverera kwa raspiraniya mu mimba;
- chisokonezo;
- kupweteketsa mtima ndi zina zotero.
Matenda a m'mimba m'mimba mwa ascites m'matumbo
Pankhani ya matenda oopsa monga m'mimba m'mimba yakuthambo, n'kofunika kuti odwala komanso achibale awo adziŵe momwe akukhalira ndi matendawa. Malingana ndi chiwerengero, zaka ziwiri zomwe zimapulumuka, zimapereka chithandizo cha panthaŵi yake pafupifupi 50%.
Kuchiza kwa ascites m'mimba pamimba ndi oncology
Kuchotsa madzimadzi kuchokera m'mimba mwathu ndi kovuta kwambiri, makamaka ngati mutayamba kuchipatala patatha milungu iwiri kapena kuposerapo. Njira zotsatirazi zikugwiritsidwa ntchito:
- Kulandila mankhwala osokoneza bongo (Lasix, Diacarb, Furosemide, Veroshpiron, etc.) - amasankhidwa ndi nthawi yayitali yokhala ndi nthawi yochepa yopitilira ndipo imachitidwa ngakhale popanda zotsatira zabwino zowonekera. Ndikofunika kuphatikiza ma diuretiki ndi potassium kukonzekera kusunga madzi electrolyte muyezo mu thupi.
- Laparacentesis ndi njira yodalirika yomwe imaphatikizapo kuchotsedwa kwa madzi okwanira pogwiritsa ntchito khoma la m'mimba ndi kutulutsa kunja. Njira imeneyi imagwirizanitsidwa ndi chiopsezo chachikulu cha mavuto monga kupachikidwa, kuwonongeka kwa mitsempha ya magazi ndi ziwalo za thupi, njira zowonjezera, kuchepa kwakukulu kwa magazi, ndi zina zotero. Pambuyo pa opaleshoni, odwala amapatsidwa mankhwala a plasma kapena albumin kuti athe kulipira mapuloteni. Nthawi zina atatha kutulutsa madzi, amatha kusinthanitsa.
- Kudya ndi ascites m'mimba mwa chifuwa cha mankhwala - kuyatsala pang'ono kumwa mankhwala a mchere, kuchepa kwakukulu kwa kumwa madzi, kuchepetsa kugwiritsira ntchito mankhwala ophika mkate, zomwe zimapangitsa kuti mafuta aziwonjezeka.
Tikulimbikitsidwa kuonjezera kugwiritsa ntchito mankhwalawa:
- katsitsumzukwa;
- sipinachi;
- mbatata yophika;
- zoumba;
- kaloti.