Ukulimala okukhulu kwamangqamuzana e-hepatic ngesimo se-cirrhosis yisifo esiqhubekayo esingapheli, okwamanje esingelapheki. Izingoma ezidumazayo nakakhulu lokhu okuxilongwa ngenxa yokuthuthukiswa kwezinkinga eziningi ze-pathology. Omunye wemiphumela evamile kakhulu i-ascites e-cirrhosis - bangaki abantu abahlala nalesi sifo, kuxhomeke ezintweni eziningi, kodwa, njengomthetho, odokotela banikeza izibikezelo ezingalungile.
Yini engozini ye-ascites e-cirrhosis?
Ngemuva kwezicubu ze-hepatic ze-cirrhosis zesikhumba se-cirrhosis zishintshwa kancane kancane ngamangqamuzana ahlangene, okuholela ekushintsheni okusebenzayo okulandelayo:
- ukwakheka kwe-lymphatic ngokweqile;
- ukwandiswa kwengcindezi yegazi nokuhlaselwa emgodini wesango;
- ukuphakama kwemikhumbi ye-hepatic;
- ukwehluleka kwezinso.
Ngenxa yalokho, kuphakama isifo somfutho wegazi, okubangela ukuqoqwa kwenqwaba yetshezi endaweni yokukhululeka kwesisu esiswini kanye nokwanda kwendumbu yesisu, ukugoba kwayo.
Ngakho, i-ascites iyinkimbinkimbi e-cirrhosis yesibindi esiteji sokugcina, esingabangela imiphumela elandelayo:
- ukwakheka kwe-herbicide, inguinal and femoral hernias;
- ukutheleleka kwe-ascites fluid;
- i- peritonitis enzima;
- ukuthuthukiswa kwezicubu ezimbi esimisweni se-hepatological.
Kuphumelela kangakanani ukwelashwa kwe-ascites nge-cirrhosis yesibindi?
Ngokushesha ngemva kokuqinisekiswa kokuxilongwa okukhulunywa ngakho, izazi ngokushesha ziqala i-hydrotherapy. Ukwelashwa kubandakanya imithi:
- plant and synthetic hepatoprotectors;
- imithi yama-antiviral;
- i-phospholipids ebalulekile;
- izidakamizwa eziphikisana nezidakamizwa ze-steroidal;
- i-amino acids ye-hepatoprotective;
- i-diuretics;
- i-albinini.
Imithi efakwe ohlwini ifaka isandla ku:
- ukuqiniswa kokuzivikela;
- ukujwayeleka kwezinqubo zokuqubuzana;
- ukwehlisa i- cholesterol ;
- ukuqedwa kwamanzi amaningi;
- ukuvikelwa kwesibindi emiphumeleni ye-bile acids;
- ukuthuthukiswa kwegazi;
- ukubuyiswa kwe-phospholipids eyonakalisiwe;
- ukususwa kwezimpawu zokudakwa;
- ukukhululeka kwesifo sobuhlungu;
- ukukhuthazwa kokukhula kwe-hepatocyte;
- ukulungiswa kwengcindezi ye-colloid;
- ukuphindwa kabusha kwamaprotheni okuntuleka emzimbeni;
- ukuvimbela ukutheleleka kwamagciwane nesifo samagciwane.
Ngesikhathi esifanayo, isiguli kufanele sibambelele ekudleni okukhethekile, inombolo yetafula yezokwelapha 5 ngokusho kwePevzner Kunconywa. Ukudla kusho nokunciphisa umthamo wansuku zonke wesikhumba ophuzile, hhayi ngaphezu kwama-1.5 amalitha njalo emahoreni angu-24.
Kunconywa ukuhambisana nokuphumula kombhede. Ngesikhundla esinqunyiwe somzimba, umsebenzi wezinso kanye nesistimu ye-urinary ivuliwe, ngokulandelana, ukuhlunga kwegazi kuthuthukisa, i-edema yehla, futhi amanzi amaningi anqunywa emzimbeni.
Ngeshwa, ukwelashwa okulondolozayo kungakapheli isikhathi eside, ngakho-ke, indlela yokuhlinza - laparocentesis - isetshenziselwa ukukhipha uketshezi oludlulele. Inaliti ekhethekile isetshenziselwa ukususa amanzi. Inqubo eyodwa iboniswa
Isibikezelo se-cirrhosis yesibindi ne-ascites
Ngisho nangokwelashwa okwanele nesikhathi esifanele, isikhathi sokuphila kanye nokuxilongwa okubhekwayo kuyifushane. Ezimweni eziningi (izifo ezingaba ngu-75%) ziyafa zingakapheli iminyaka engu-1-2 emva kokudonswa.
Kodwa kunezibikezelo ezinhle kakhulu uma i-cirrhosis ne-ascites itholakele, futhi ukuthi bahlala kangakanani kuncike ekulimaleni kwesibindi. Ngesifo esiphendulisiwe sesifo, isikhathi sokuphila singadlulela eminyakeni engu-8-10.