Ama-Ascite ukuqoqwa kwemvelo emzimbeni wesisu esiswini, okuvame ukwenzeka njengengcindezi yomdlavuza emathunjini, esiswini, isibindi, amaphaphu, isisu somzimba, ama-ovaries.
Izimbangela ze-ascites ku-oncology
Ama-Ascite athuthuka ngenxa yokuthi ama-lymph node ahluleka ukususa i-lymph kusuka esikhaleni se-retroperitoneal, e.g. amanzi e-lymphatic aphazamisekile kule ndawo. Futhi, amangqamuzana omdlavuza asakazeka nge-peritoneum ngenxa ye-metastasis ye-tumor.
Lokhu akugcini nje ukucasula isisu nge-liquid, kodwa futhi kusiza ukwandisa ingcindezi ye-intra-esiswini, okubangela ukuba isifenqemane singene emgodini wesifuba. Ngakho-ke, ama-ascites emgodini wesisu, okuyinto evame ukulandelwa kwe-oncology, futhi ephula isisindo sezitho zangaphakathi futhi kubangele izinkinga eziyingozi ezivela emzimbeni wegazi, ukuphefumula, izinhlelo zokugaya ukudla, njll.
Ngezinye izikhathi ama-ascites aqala ngemva kokuhlinzwa ukuze asuse lesi sifo lapho amangqamuzana angavamile efakwe e-peritoneum, futhi le nkinga ingacasulwa inkambo ye-chemotherapy, lapho kudla khona isidumbu esikhulu.
Izimpawu ze-ascites esisu esiswini nge-oncology
Ngama-ascites amancane, isisu sesiguli, ikakhulukazi labo abanodonga lwesisu esisemtheni, sisakazeka endaweni ephezulu, sihamba phambili kamuva ("isisu esiswini"), futhi esimweni sokuma ngenxa yokuhamba kwamanzi emzimbeni wesisu, isisu sisanda ngokweqile futhi silenga engxenyeni engezansi. Uma ama-ascites ephawulekayo, isisu, kungakhathaliseki isimo somzimba, sibonakala ngesimo sokuma, futhi isikhumba kuso sisolula, siphume.
Ngaphandle kokubonakaliswa okubukwayo, izimpawu ezisemqoka kulezi zifo zibuye:
- i-malaise jikelele;
- ubunzima bokuphefumula;
- ukuphefumula;
- ukuzwa kwe-satiety yokuqala;
- isifo sobuhlungu;
- umuzwa we-raspiraniya esiswini;
- isicasuli;
- ukushaya kwenhliziyo nokunye okunjalo.
Ukubikezelwa kwe-ascites esiswini nge-oncology
Endabeni yezifo ezinjengezifo ezinjenge-ascites esiswini esiswini, kubalulekile ukuthi iziguli nezihlobo zabo bazi ukuthi bahlala kangakanani nalesi sifo. Ngokwezibalo, isilinganiso seminyaka emibili yokusinda, sinikezwe ukwelashwa okufika ngesikhathi kunama-50%.
Ukwelashwa kwe-ascites kwesigxobo esiswini nge-oncology
Kunzima kakhulu ukukhipha uketshezi kusuka emgodini wesisu, ikakhulukazi uma uqala ukwelashwa amasonto amabili noma ngaphezulu emva kokuqala kokusebenza. Izindlela ezilandelayo zisetshenziswa:
- Ukwamukelwa kwezidakamizwa zokuzidla (uLasix, Diacarb, Furosemide, Veroshpiron, njll) - liqokwe inkambo ende enokuphumula okufushane futhi kwenziwa ngisho nangaphandle kokuthola imiphumela emihle. Kubalulekile ukuhlanganisa izidakamizwa ngamalungiselelo e-potassium ukugcina ibhalansi yamanzi e-electrolyte emzimbeni.
- I-Laparacentesis yindlela eguquguqukayo ehilela ukukhipha uketshezi oluthile ngokugubha udonga lwamathumbu nokuphuma ngaphandle. Le ndlela ihlotshaniswa nobungozi obukhulu bezinkinga ezifana nokunamathela, ukulimala emithanjeni yegazi nezitho zangaphakathi, izinqubo ezithathelwanayo, ukwehla okukhulu kwegazi, njll. Emva kokusebenza, iziguli zinikezwa isisombululo se-plasma noma i-albin ukuze zikhokhele amaphrotheni alahlekile. Ngezinye izikhathi ngemuva kokuphuma kwamanzi, ama-catheter afakwe ukuze aqhubeke nokukhipha.
- Ukudla nge-ascites yesigxobo esiswini nge-oncology - cishe ukuchithwa kosawoti okuphelele, ukunciphisa okukhulu kokudla okuketshezi, ukusetshenziswa okulinganiselwe kwemikhiqizo yokubhaka, imikhiqizo ekhulisa ukukhiqizwa kwegesi.
Kunconywa ukwandisa ukusetshenziswa kwemikhiqizo enjalo:
- i-asparagus;
- isipinashi;
- amazambane abhakiwe;
- umvini omisiwe;
- izaqathe.