Dropsy ikhoza kutsagana ndi matenda osiyanasiyana, koma nthawi zambiri imakhudza odwala matenda a chibwibwi, oncology ndi mtima wosalimba.
Kuchiza kwa ascites ndi chiwindi cha chiwindi
Chifukwa chakuti chiwindi chotheka chimalephereka "kusungunula" mphamvu yoyenera ya magazi, kachigawo kakang'ono kamadzi kamene kamasulidwa kunja kwa makoma a zombo, kulowa m'mimba. Makamaka, kuwonjezeka kwachangu mu mitsempha yam'nyumba, yomwe ili ndi chidziwitso cha kuthamanga kwa magazi, kumapangitsa kuti madzi azikhala otentha.
Malingana ndi chikhalidwe cha madzi okwanira, madonthowa amagawidwa kukhala:
- zosakhalitsa - zimatha ndi mankhwala a chiwindi;
- - ngakhale mankhwalawa, madziwo akupitirizabe kuwonjezeka;
- nthawi - mankhwala samagwira ntchito, ndipo mphamvu ya madzi imakhala ikuwonjezeka.
Mwa kuchuluka kwa madzi, pali madontho aang'ono (mpaka malita atatu), apakati ndi aakulu (20-30 malita).
Mafupa a m'kati mwa mimba amaphatikiza mankhwala ndi mankhwala omwe amagwiritsidwa ntchito makamaka pobwezeretsa chiwindi. Ndi madzi ang'onoang'ono ndi apakatikati, madziwa amachotsedwa ngati chiwindi chimawongolera, pamene wodwala akuuzidwa kuti adwale mankhwala, komanso kumwa pang'ono ndi zakudya zopanda mchere.
Ngati mankhwala opatsirana sagwira ntchito, chithandizo cha ascites chimatuluka: singano yowopsya imapanga pansi pamphuno, choncho gawo la madzi amachotsedwa, kuchepetsa chikhalidwe cha wodwalayo.
Pa milandu yoopsa kwambiri, kuikidwa kwa chiwindi kokha kungapulumutse ku ascites chifukwa cha matenda a chiwindi. Kawirikawiri, hydrocephalus ndi chizindikiro chosavomerezeka ndipo chimapangitsa kuti matenda a chiwindi asokonezeke.
Kuchiza kwa ascites mu chiphunzitso
Dontho lopweteka, monga lamulo, limadzimva kuti limakhala m'mimba yoyamba yopangidwa m'mimba, m'mimba, m'zipinda, m'matumbo, m'mimba mwake kapena pa bronchi.
Kafukufuku amasonyeza kuti mwa 65% odwala mankhwalawa amatulutsidwa mwa kutenga tizilombo toyambitsa matenda. Pochiza ascites kawirikawiri amanyamula pamimba pamimba (kutsegula m'mimba), zomwe zimangowonetsera mkhalidwe wa wodwalayo, komanso zimapangitsa kuti muyambe kuyesa mavitamini, maselo oyera, matenda (Grama njira, kufesa).
Kansalu, chithandizo cha ascites m'mimba pamimba chimaphatikizanso mankhwala a chemotherapy. Choncho mankhwala a platinamu ndi paclitaxel ndi othandizira pa masewero olimbitsa thupi, ndipo 5-fluorouracil ndi leucovorin amagwiritsidwa ntchito mu khansa yamtundu.
Nthaŵi zina, mankhwala opangidwa ndi mankhwala osagwiritsidwa ntchito mopangira mankhwala, amaphatikizapo kuchotsa madzi kuchokera m'mimba m'mimba ndikupereka kukonzekera kwa bleomycin.
Kuchiza kwa ascites ndi mtima kulephera
Vodian ikhoza kuchitidwa pamodzi ndi matenda aakulu - mtima wosalimba, ndi kuchotsedwa kwa madzi okwanira kumapangidwa ndi njira ziwiri:
- Diuretics - zotsatira za kayendetsedwe kawo siziwonetseredwa kale kuposa masabata angapo. Diuresis yabwino ndi 3 malita, ndipo n'zosatheka kukakamiza njira yochotsera madzi, thupi limatha kuona izi ngati kutaya madzi m'thupi.
- Kupuma - kumachitika pa siteji pamene diuretic sipereka zotsatira. Pambuyo pake, wodwalayo akhoza kuuzidwa kukonzekera ndi mapuloteni.
Kuchiza ascites ndi mankhwala amtundu
Mankhwala amtunduwu amasonyeza kuti akumenyana ndi madontho ndi madontho a infusions:
- Amayi ndi amayi omwe amawoneka bwino komanso otsekemera amawatenga ofanana, 500 ml madzi otentha amafunikira pa 1 supuni yazipangizo. Wothandizira amaumirira theka la ora, imwani supuni 3 katatu patsiku.
- Muzu wa angelo mu mawonekedwe ouma (supuni 2) kutsanulira madzi otentha (1 chikho), kuphika kwa mphindi 25. Imwani musanadye chakudya cha 100 ml kanayi patsiku, musanayambe kuzizira komanso musakonzekere mankhwala.
Ngati muli ndi ascites, mankhwala ndi mitundu yosiyanasiyana ayenera kuvomerezana ndi dokotala ndikupanga mankhwala othandizira kuchipatala.