Ascites isibindi sibe sesomile. Ukwelashwa: izidakamizwa, amakhambi abantu. Ukudla, umhlahlo

isibindi Human kancane kancane libhujiswa izici ezihlukahlukene nolaka, ezifana ubuthi, isifo sokusha kwesibindi kohlobo C virus, utshwala. Uma le nqubo iqale kabusha amaseli ezilandelanayo befa isitho. Bona esikhundleni ezicutshini. Kodwa yokugcina ayikwazi afeze ngokugcwele yonke imisebenzi kwesibindi. Ngenxa yalokho, umuntu eba isifo sokusha. Lena zokugula ogulisa ngokwedlulele. Ngokuvamile kuhambisana eziyingozi. Kuwa lokukhulu kwalokhu ascites e isifo sokusha kwesibindi. Ukwelashwa nokuvikelwa isiguli enjalo idinga izinto njengomuntu ohluzekile, futhi kakhulu siba sibi Izibikezelo.

zokugula isici

Ake sibheke ukuthi ascites esiswini. Lokhu zokugula ingekho bebodwa. Kutfutfukisa on isizinda isifo sokusha kwesibindi noma ezinye pathologies. Ascites - kwetintfo lapho uketshezi olwenzekayo ngaphakathi komgodi peritoneal.

Kufanele kuqashelwe ukuthi amaseli isibindi abe nekhono esiyingqayizivele yokuvuselela. Kodwa, ngeshwa, ngaphansi kwethonya izici ezilimazayo, yesikhathi eside noma umphumela unomphela emzimbeni, izinqolobane yangaphakathi ziya ngokuya ngokuya isiyaphela. amaseli Healthy afe. Bona esikhundleni ezicutshini.

isibindi Dieback kuholela ukuwohloka sokuhlanzwa igazi. Umzimba womuntu buthelela ezihlukahlukene izinto eziyingozi. Lemifanekiso eyinhloko ayikona ukuhlanganisa akwazi inani elidingekayo enzyme namaprotheni. Futhi ukunikeza umzimba ukugeleza izinqubo eziningi ezibalulekile.

Ngenxa yalokho ehushule ukukhiqizwa eyanele amaprotheni iphazamisekile seepage okusamanzi ngokusebenzisa izicubu futhi umkhumbi izindonga. Lokhu kuholela yokuthi kancane kancane iqala buthelela uketshezi ngaphakathi komgodi ongaphakathi kwamathumbu. Uqinisile ke okhula ascites e isibindi sibe sesomile. Ukwelashwa kufanele kuqale ngokushesha, ngoba ngenxa yezinkinga ezihambisana ngokoma kwesibindi, kusheshe bathuthuke.

Izimbangela isifo

Kungani kukhona ascites? I zokugula kuwumphumela we enganele amaprotheni zamagama. Nokushoda albumin kunciphisa ikhono wegazi ukuba egazini. Ngamanye amazwi, lokhu kuholela yokuthi kudlula oketshezini vein wogange uqala ukuhlaba zingene kalula ngaphakathi komgodi ongaphakathi kwamathumbu.

High sodium okuqukethwe sokucasuka ukungakwazi isibindi iwukudambisa izinto ezithile ekubeni uketshezi nokugcinwa enkulu nakakhulu.

Ngaphezu kwalokho, uma ucabanga izimbangela ascites e isibindi sibe sesomile kufanele ukhulume esinye isici. yezinkinga ababhekene nesimo esinje kungabaduduza senziwa ukwehluleka kohlelo lymph. Kuyinto ikakhulukazi kwesibindi ukhiqiza ama-lymph. Ukuthuthukisa isifo sokusha futhi sina kwephula uhlelo. Lokhu kwandisa lymph ukucindezelwa, futhi uketshezi lingena peritoneum. Njengoba inqubo main isihlungi attenuation akugcini, uketshezi emzimbeni kancane kancane zanqwabelana.

Ngakho, ngesisekelo ascites e isifo sokusha iwukuba ezicini eziningana:

1. I permeability anda imithambo hepatic.
2. Izinga eliphezulu lymph.
3. Kahle kwezinso umsebenzi sici ngokoma kwesibindi. Ngenxa yalokho, ukugeleza kwegazi izinguquko yabonakala sodium nokugcinwa emzimbeni.
4. Senyusa izinga lomfutho womoya izitsha hepatic. Lokhu kuholela kwema- ketshezi semali izicubu.

izimpawu ngokoma kwesibindi

Ekuqaleni, ake sihlole lokho okushiwo izimpawu kubonisa isifo sesibindi uqobo. By the way, ngokuvamile uhlushwa isifo sokusha amadoda. isifo sabo sitholakale cishe 3 izikhathi kakhulu ukudlula abantu besifazane. Yingakho sihlaziye izimpawu akhomba ekuthuthukiseni lesi sifo ngezinye nengxenye enamandla.

Uma sicabanga izimpawu zokuqala ezibonisa isifo sokusha kwesibindi ngo-amadoda, kufanele ukugqamisa lokhu okulandelayo:

1. Ngaphansi onqenqemeni ngakwesokudla, kukhona umuzwa ongamuhle osindwayo noma ubuhlungu. Ukungakhululeki kwandisa ngemva kokuzivivinya, ethola ukudla oyingozi noma okunamafutha noma utshwala.
2. A ukunambitheka ezimbi emlonyeni - ezomile, ukunambitheka ababayo.
3. Okuvela ukucanuzela kwenhliziyo, ukuhlanza, ngokuvamile langesikhatheso ngoKukhulamungu.
4. Ukuzizwa ababuthakathaka, ukukhathala.
5. izigqiki njalo athukulule. Ukuphazamiseka okunjalo ngokuvamile ephelezelwa ukuvuvukala.
6. Sinzima kwesisindo, ngezinye izikhathi verging ku yokukhathala.
7. Ukubukeka pruritus. Skin abe umbala okhanyayo ophuzi.
8. Pathology kuzibonakalisa amadoda nokuvusa induku.
9. isibindi lakhulisiwe kuyinto selitholakala kalula ngaphansi kwesikhumba. On palpation ke kungaba azimisele ukuthi umzimba sekuyinkinga uqweqwe lumpy. Isiguli ngesikhathi ngokuthinta ubuhlungu isibindi ndawo.

Futhi, sinake izimpawu ezibukwayo isifo sokusha ezingabantu:

1. Izintende zipendwe okukhanyayo. Lokhu kungenxa komzimba okukhulu.
2. Red ozuza ulimi. It libhekene ukuvuvukala futhi abanye "varnishing" (ushintsho ukuthungwa).
3. Ukuba khona spider emithanjeni. Bangakwazi yenziwe yaba yasendaweni eduze ekhaleni, ekhoneni lika iso. Ngezinye izikhathi baqala opha.
4. Ukwandisa Usayizi webele. It libhekene izimpawu kuphela amadoda. Kulokhu, kwezitho zobulili ngendlela nesineke is kakhulu ziyancipha.

Ngaphezu kwalokho, isifo sokusha ngisho inani izimpawu ezithile:

1. Ezinganele igazi ekunqandeni kuholela ukulinyazwa kanye nokulimala.
2. Umchamo iba turbid, ithinti ensundu. Sezinyawo kuba lula.
3. imfiva Periodic livela, izinga lokushisa emzimbeni liphuma khona.
4. amasosha omzimba encishisiwe.
5. Ngezinye izikhathi kukhona hemorrhoids ne ukopha. Ngokuvamile, sibonisa ukuthi uphelelise le varices.

symptomatology ascites

Against ngemuva izici ezichazwe ngenhla ingaqala inkinga ngokwanele ezingemnandi libhekene ekuqongeleleni oketshezini peritoneum.

izimpawu ascites akuzona ngokushesha ebonakalayo. Pathology kungaba azimisele kuphela lapho peritoneum aqoqana hhayi ngaphansi kuka 1 ilitha uketshezi. Ngaphezu kwalokho, inani kwandisa. Ngezinye izikhathi isiguli iqoqa-25 amalitha uketshezi.

Ukuze zokugula libhekene zimpawu ezilandelayo:

• esiswini kwandisa ngobukhulu;
• ukuhlinza endaweni izimisele ngokweqile;
• ngesikhathi wave ukunyakaza kokuba wazizwa ngaphakathi peritoneum;
• lapho uthephwe esiswini uzwe umsindo ozwakala;
• babe emithanjeni ebonakalayo;
• zingavela isicanucanu, edema;
• isiguli sibe ubuhlungu esiswini;
• Inkinobho Belly silandela imithetho out.

Kubalulekile ukuba baqikelele izifo ezifana ascites e isibindi sibe sesomile. Ukwelashwa kufanele kuqale ngokushesha ngangokunokwenzeka. Kungenjalo, isifo bachubeka ngokushesha.

yezinkinga lesi sifo

Ngeshwa, le zokugula kungaholela emiphumeleni engathí sina. Omunye eziyingozi kakhulu kuyinto peritonitis. Yena livela zangokwasemuva zezinhlelo yokuthi uketshezi ascites gciwane. Peritonitis ngaphandle imithi yokwelashwa ngesikhathi esifanele kungaholela ekufeni.

On ukuthuthukisa lesi sifo kuboniswa izimpawu ezilandelayo:

• kuyadamba noma ukungabi khona wamathumbu imisindo;
• eziya ziba zimbi izimpawu of encephalopathy;
• igazi waphawula leukocytosis;
• izinga lokushisa lenyuka ngo isibindi sibe sesomile nge ascites;
• kukhona imfiva.

Yiqiniso, peritonitis - akulona zokugula kuphela ezingasetshenziswa ukuthuthukisa ku ngemuva kwalesi sifo.

Ngezinye izikhathi waphawula elandelayo yezinkinga ascites e isibindi sibe sesomile:

• hemorrhoids ukubukeka ngenxa anda ingcindezi naphakathi-besisu;
• hydrothorax (lokhu effusion uketshezi kule pleura);
• Reflux ngomphimbo (okuqukethwe isisu emphinjeni);
• nokususa izitho zangaphakathi;
• avele hernia diaphragmatic.

nesigaba lesi sifo

Ngokuvamile nawu umbuzo, uma ascites sekutholakele ukuthi sine- isifo sokusha kwesibindi, njengoba siphile iziguli ezinjalo? Yiqiniso, onalesi sifo incike nesigaba lesi sifo. Yelaphani isifo sokusha ne ascites okuyinto wayevela akunakwenzeka. Kodwa uma ngesikhathi esifanele waphawula izimpawu sici, kungenzeka ukuthi lihambe kancane phambili izinkinga. In the isinyathelo sokugcina esingakanani ukululama ngemva kokuphathwa isifo esinzima kakhulu. Yingakho kubalulekile ukukhomba isifo ngendlela esifike ngesikhathi.

Ukuze ascites libhekene grade 3:

1. Esigabeni sokuqala elinesimo ukwanda kancane esiswini. Lapho ubukhulu nesineke aqoqana peritoneum mayelana 3 amalitha ketshezi. Ukubikezela - ngempela evumayo. imisebenzi zokwelapha ukusiza alibale ebangeni lelilandzelako nekunika ngaleyo ndlela isikhathi ekuphileni isiguli.
2. ukuqhubeka ascites libhekene sokuzuza peritoneum ketshezi ngaphezulu (amalitha 4 kuya ku-10). kumakwe kahle ukubonakaliswa emitholampilo ye isifo. Bona ibakhathaze ezinzima esigulini. Kakhulu zikhubazekile ukuma esiswini. Iziguli eziningi ukuthuthukisa nokwehluleka ukusebenza kwezinso.
3. Ngo isinyathelo 3 peritoneum isiguli aqoqana ezingaphezu kuka 10 amalitha ketshezi. isimo wesiguli liwohloka. Umuntu bangezwa iphika, ngoba isisu esikhulu akuvumeli evamile lula ukwandisa. Kukhona kungukuphula ukusebenza inhliziyo. Kuwo wonke umzimba avele edema.

zokugula umhlahlo

Akukho dokotela ngeke bakwazi 100% isiqinisekiso ukuthi, uma kwatholakala ukuthi nginesifo ascites e isibindi sibe sesomile, iziguli eziningi ukuphila nalesi sifo. Phela, uma ngamunye ngamunye.

Ngeshwa, ngokuvamile igcina zokugula ebulalayo ngenxa ngokulandelana ukudakwa ketone emizimbeni futhi acetone. Ngokwezibalo, mayelana 10% eziguli nale inkinga uhlala cishe inyanga eyodwa.

Nokho, ngokuvamile kakhulu odokotela ngendlela esifike ngesikhathi ukuze sivale lapho sisilela isiguli isisu, i-potassium ne-magnesium imithi. Lokhu kwenza kube nokwenzeka ukuvimbela ukuqhubeka kwesifo.

Kuyaziwa ukuthi zokukhwabanisa esifike ngesikhathi futhi abanekhono kungaba baphile isikhathi eside umuntu, ngisho noma ube nohlobo eyinkimbinkimbi yama ascites, futhi iminyaka engu-10.

ukuphathwa isifo

Imiphumela Excellent unika yokwelapha, uma waqala kusaqalwa. Kulokhu singakwazi ukubhekana ngokuphumelelayo nge zokugula ezifana ascites e isibindi sibe sesomile.

Ukwelashwa kuhlanganisa:

• imithi elawula sokuzuza uketshezi emzimbeni;
• ukudla ukudla;
• amasu ezikhethekile ukuqinisekisa kuhlengwe uketshezi peritoneum.

Ukuze silwe ne isibindi sibe sesomile futhi ascites, udokotela uncoma izidakamizwa ezilandelayo:

1. phospholipids Essential. Le mithi inikeza yokutakula zishintshe ezilimele of ungqimba amanoni carbohydrate we ulwelwesi cell. Le mithi kukhona "Essentiale", "Phosphogliv".
2. imithi elwa namagciwane. Ziyakwazi nemithi, "Ribavirin", "Adefovir." Le mishanguzo ezimisiwe, uma zokugula iphutha ngokumelene ingemuva kwesifo sokusha kwesibindi sohlobo ezibangelwa amagciwane.
3. gepatoprotektory Zokwenziwa. Bona kulesetayelekile amazinga cholesterol, futhi ukuvikela ukuchayeka Bile acid hepatocytes. ummeleli kahle kakhulu leli qembu buyisidakamizwa "Ursodeoxycholic acid".
4. ama anti-inflammatory. Abazincomayo ukuthi iziguli ziye zakhomba i isifo sesibindi sokuhlasela kwamasosha omzimba. Iziguli ezinjalo wabele izidakamizwa "Prednisolone".
5. Isisu. Lapho isifo sokusha hepatic futhi ascites ngempela esimisiwe isisu. Imithi kungenzeka Kunconywa: "Lasix", "Diakarb", "aldactone", "Spiriks".
6. amino acid Hepatoprotective. Le mithi ngcono izinqubo umzimba emzimbeni. Noma kunjalo, akudingeki imiphumela hepatoprotective. Le mithi kukhona imithi, "Ornithine", "Methionine".
7. izidakamizwa "albumin" Odokotela linqume colloidal Ukuze kulesetayelekile ingcindezi.

Uma imithi alinikezi nomphumela omuhle, ukuhlinzwa kuyenziwa - paracentesis. zokukhwabanisa okunjalo kuhilela Ukuhoxiswa uketshezi peritoneum kusetshenziswa inaliti ekhethekile.

ukudla engavumelekile

Kubalulekile kakhulu isiguli lesi sifo, landela ukudla ukudla okuthile. Ngokuvamile, isiguli ezinqunyiwe 5 № etafuleni.

Ukudla e isifo sokusha ne ascites kusekelwe lezi zici:

• ukudla okwakha uyahluka 2500-2900 kcal;
• akufaki ukudla, inkanuko ukukhiqizwa ama-enzyme emzimbeni;
• ukusetshenziswa elilinganiselwe okunamafutha, okubabayo, okugazingiwe, anosawoti;
• belulekwa ukudla izikhathi 4-5 ngosuku;
• bavunyelwe imikhiqizo inyama, ne streaks fat;
• ewusizo fibre yemifino;
• umthamo liquid emini - 1.5 amalitha;
• esimweni okubi kakhulu lesi sifo yanconywa okhamiwe wahlanganiswa imifino;
• Ukudla nsuku zonke: Amaprotheni - 100 g, fat - 70 g, carbohydrate - 400-450, the

amakhambi abantu

Ngezinye izikhathi kunconywa ukuba ningabi nje kuphela imithi nokudla izidakamizwa ukuze isiguli sekutholakele ukuthi sine- ascites e isibindi sibe sesomile. Ukwelashwa nokuvikelwa amakhambi abantu, ingxenye yokwelapha eziyinkimbinkimbi, angaletha impumuzo ngempela eziphathekayo. Nokho, qaphela ukuthi zokugula ikhambi kuphela zokupheka abelaphi - akunakwenzeka.

Kunconywe ezifana amakhambi abantu:

1. A decoction of parsley. Ukuze 1 ilitha lamanzi bazodinga 300 g feed amasha. Ubilise, wasiqashisa yenza kanye uhlobo izindlela. Umhluzi kufanele uthathe 0.5 Art. njalo ngehora, phakathi nengxenye yokuqala yosuku. Therapy ihlala izinsuku 3.
2. Bean pods. Ubilise husks pods 15 e 1 litre amanzi, khona-ke imizuzu 10 bagcizelele kusho imizuzu 20. Uhlobo. Komthamo wokuqala (200 ml) Kunconywa ukuba asebenzise cishe 5 AM. A isitshalo sesibili - baphuze imizuzu engu-30 ngaphambi kokudla kwasekuseni. Okwesithathu - isigamu sehora ngaphambi kokudla kwasekuseni ukudla. Balance ziphele kungakapheli 8:00 pm.

Kufanele futhi wakhumbula ukuthi ascites - a zokugula sina, ezingashabalala masinyane ziholele ekufeni. Futhi ngokuvamile iningi senziwa kokufa yokudluliselwa ngasekupheleni iziguli kodokotela. Ngakho-ke, kufanele unake isimo kanye nempilo esibathandayo.