Ascites mu chifuwa chachikulu - amakhala ochuluka bwanji?

Kuwonongeka kwakukulu kwa maselo opatsirana omwe ali ngati matenda a cirrhosis ndi matenda osapitirira, omwe tsopano sangachiritsidwe. Zowonjezera zowonjezereka zowonongeka kumeneku chifukwa cha kukula kwa zovuta zambiri za matenda. Chimodzi mwa zotsatira zofala kwambiri ndi kukwera kwa chiwongolero - ndi angati omwe amakhala ndi matendawa, zimadalira zinthu zambiri, koma, monga lamulo, madokotala amapereka maulosi osagwirizana.

Kodi ndi zoopsa zotani kuti ascites azisinthasintha?

Pambuyo pa maseŵera ozungulira parenchymal amadzimadzi amatsitsimutsa pang'ono pang'onopang'ono amaloŵedwa m'malo ndi maselo osakanikirana, omwe amachititsa kuti ntchito izi zikusinthika:

• mapangidwe amphamvu kwambiri a lymphatic;
• kuwonjezereka kwa magazi ndi kusefukira mu mitsempha yam'nyumba;
• kuwonjezeka kwa zombo zothamanga;
• kulephera mu impso.

Chotsatira chake, pamakhala phokoso lachiwopsezo, chomwe chimayambitsa kusungunuka kwa madzi ambiri mu malo opanda ufulu a m'mimba m'mimba komanso kuwonjezeka kwa m'mimba, kutsika kwake.

Motero, ascites ndi vuto la chiwindi cha chiwindi pachigawo chomaliza, chomwe chingabweretse zotsatira zotsatirazi:

• mapangidwe a umbilical, inguinal ndi hermia hernias;
• matenda a ascites madzi;
• piritonitis ;
• kukula kwa zotupa zowopsa m'ma hepatological system.

Kodi ndi chithandizo chotani cha mankhwala a ascites ndi chiwindi cha chiwindi?

Pambuyo pachitsimikizidwe cha matendawa, akatswiri amayamba nthawi yomweyo hydrotherapy. Chithandizo chikuphatikizapo mankhwala:

• chomera ndi zopanga hepatoprotectors;
• mankhwala osokoneza bongo;
• phospholipids;
• mankhwala osokoneza bongo a steroidal;
• mpweya wamagazi;
• diuretics;
• albumin.

Mankhwala omwe atchulidwawa amathandiza kuti:

• kulimbikitsa chitetezo;
• chizoloŵezi cha njira zamagetsi;
• kutsitsa cholesterol ;
• kuthetsa madzi ambiri;
• kuteteza chiwindi kuchokera ku zotsatira za bile acids;
• kusintha kwa magazi;
• kubwezeretsedwa kwa phospholipids;
• kuchotsa zizindikiro za kumwa mowa;
• mpumulo wa matenda a ululu;
• zolimbikitsa kukula kwa hepatocyte;
• kukonzedwa kwa mphamvu ya colloid;
• Kubwezeretsedwa kwa kusowa kwa mapuloteni mu thupi;
• kupewa matenda opatsirana ndi tizilombo.

Pa nthawi imodzimodziyo, wodwala ayenera kutsatira chakudya chapadera, nambala ya 5 malinga ndi Pevzner. Zakudya zimatanthauzanso kuchepa kwa madzi tsiku ndi tsiku moledzera, osati oposa 1.5 malita maola 24 aliwonse.

Ndibwino kuti mugwirizane ndi kupuma kwa kama. Ndi thupi lopanda malire, ntchito ya impso ndi urinary system imasinthidwa, motero, kuyera magazi kumawongolera, edema imachepa, ndipo madzi owonjezera amachotsedwa ku thupi.

Mwamwayi, mankhwala othandizira posakhalitsa amatha kukhala othandiza, motero, njira yopaleshoni - laparocentesis - imagwiritsidwa ntchito kutulutsa madzi owonjezera. Nsale yapadera imagwiritsidwa ntchito kuchotsa madzi. Njira imodzi ikuwonetsedwa osati zoposa 5 malita a madzi, kotero kuti palibe kugwa.

Matenda a chiwindi cha chiwindi ndi ascites

Ngakhale ndi chithandizo chokwanira komanso cha panthaŵi yake, nthawi yokhala ndi moyo ndi matenda omwe amawoneka kuti ndi ochepa. Ambiri (odwala 75%) amamwalira mkati mwa zaka 1-2 pambuyo pake.

Koma pali zowonjezereka zowonjezereka ngati matenda a cirrhosis ndi ascites amapezeka, ndipo momwe amachitira zimadalira mtundu wa chiwindi cha chiwindi. Ndi matenda amtundu wokwanira, nthawi ya moyo imatha ngakhale kupitirira zaka 8-10.