Ascites, omwe amadziwikanso kuti dropsy, ndi chikhalidwe chomwe chimadziwika ndi kusungunuka m'mimba, pamatope. Zomwe zimapangidwira zimadalira chiyambi cha ascites, zizindikiro ndi zifukwa zomwe zidzafotokozedwe pansipa. Mtengo wa madzi ukhoza kufika 25 malita.
Zifukwa za ascites
Zifukwa zikuluzikulu za kugwa pansi ndizo zotsatirazi:
- Kupsyinjika kwakukulu mu mitsempha yam'nyumba, yomwe imakhala yovuta kufalitsa ndi maselo akuluakulu kapena chotupa, thrombosis, hepatitis, cirrhosis;
- kupanikizika kwa mitsempha yoopsa chifukwa cha kusokonezeka kwa mitsempha ndi kuperewera kwa mtima kapena zovuta zowonongeka;
- kuphwanya madzi a lymph;
- Kuchepetsa kupsyinjika kwa oncotic, komwe kumachitika ndi nephrosis, cachexia, chakudya chokwanira;
- magazi m'mimba mwa m'mimba;
- njira yotupa.
Kutupa kwa chiwopsezo, chowopsa kapena chachilendo, chimayambitsa mimba ascites m'chifuwa chachikulu cha peritoneum. Ndondomeko yotupa yowonjezera yowonjezereka ya mitsempha ya mitsempha imayambitsa matenda oopsa a glomerulonephritis , collagenoses. Pali zizindikiro za ascites ndi khansa ya peritonitis, yomwe imayambitsa kutupa kosagwiritsidwa ntchito.
Zizindikiro za ascites mwa anthu
Chizindikiro chachikulu cha kuchepetsedwa ndi kuwonjezeka kwa kukula kwa mimba. Khungu pa ilo latambasula, limanyezimira, mitsempha imapezeka bwino, makamaka pamphuno. Pamalo oima, mimba imadzaza ndi madzi pang'ono ndipo imatuluka pang'onopang'ono, ngati wodwalayo aikidwa kumbuyo kwake. Zizindikiro zina zamakono a ascites m'mimba mwa m'mimba ndizomwe zimatuluka m'dera lamtunduwu, komanso phokoso lokhazika mtima pansi. Mwachizoloŵezi, amapezeka m'zipinda zam'mbali. Ngati wodwala atayikidwa kudzanja lake lamanja, kukambirana kumasonyeza phokoso lachidwi kumanzere ndi mosiyana. Chizindikiro ichi cha ascites sichinthu chodziwika ndi hydrocephalus chifukwa cha kuchepetsedwa kwa mitsempha ndi kusakaniza kwa matumbo a matumbo ndi khoma la m'mimba komanso pakati pawo.
Mukapeza kuti hydrocephalus, matepi a madokotala pamimba, akuika dzanja kumbali yina: izi zimathandiza kuzindikira kuti pali kusinthasintha, kutanthauza kusinthasintha kwa madzi.
Ngati chifukwa cha ascites ndi carcinomatosis ya peritoneum, n'zotheka kufufuza zisindikizo, zomwe zimangoyenda mafoni; ngati kutuluka magazi kumapezeka mu peritoneum - khungu lozungulira phokoso limakhala lopanda.
Kufotokozera za mtundu wa ascites
Kukonza zizindikiro za ascites, dokotala sangalembere chithandizo mpaka mphika utaperekedwa. Njirayi imaphatikizapo kupuma kwa mimba pansi pa phokoso ndipo kumachitidwa zonse zothandizira (ndizotheka kuchepetsa kupanikizika m'munsi mwa vena cava ndikuyendetsa kuyendetsa magazi) komanso pofufuza.
Madzi ochuluka a chikhalidwe chake amagawidwa kukhala exudate ndi exudate. Kutuluka kwina kumatha kukhala serous, kutaya magazi, fibrinous, ndi chyle. Transudate, osauka mu mapuloteni, potsirizira pake imapindula nawo, ndipo madzi omasuka amakhala ndi "transudate exudate".
Transudate ndi chikhalidwe cha ascites chomwe chimayambitsa vuto la mtima, chiwindi cha chiwindi, chiwombankhanga chowopsa, chifuwa chachikulu, matenda a nephrotic, mthenda yamtendere, kansalu (mwa theka la milandu), ndi kuperewera kwa chakudya.
Exudate amapezeka ndi collagenoses, peritonitis chifukwa cha chifuwa chachikulu, khansa, matenda. Ngati madzi opezekapo
Chilombo cha Chileous chomwe chimakhala ndi madontho a mafuta amadziwika ngati chophwanyidwa ndi lymph drainage kudzera mu khola la thoracic chifukwa cha kuponderezedwa ndi ma lymph node kapena matumbo. Kuchuluka kwa phokoso-Cholesteric exudate ndi zochepa za madontho a mafuta ndi khalidwe la kupasuka kwa ovarian cysts. Ngati bile imapezeka mu madzi, ubongo umatuluka, ngakhale kuti nthawi zambiri zimapezeka pambuyo pa chiwindi.