Ascites: Gwaro riri nyore rezvikonzero, zviratidzo, uye kurapwa

Wakambozvimba dumbu here, mbatya dzichioma, uye uchinzwa sewaguta nemvura? Dzimwe nguva izvi zvakajairika, asi dzimwe nguva zvinogona kuva chiratidzo chedambudziko guru rehutano. Nhasi tichataura nezvechimwe chirwere chakadai, "Ascites." Apa ndipo apo mvura, kana kuti mvura chete, inoungana munzvimbo isina chinhu yakakomberedza nhengo dziri mudumbu redu.

Chii chinonzi ascites?

Zvichitaurwa zviri nyore, ascites kuungana kwemvura zvisina kujairika munzvimbo iri pakati pedumbu (peritoneum) nenhengo dzedumbu. Izvi hazviwanzoitika kumunhu ane hutano hwakanaka. Kungoti mvura shoma mudumbu hazvirevi kuti i ascites. Vanachiremba vanotsanangura chirwere ichi se ascites kana paine mvura inosvika 25 milliliters (0.8 ounces).

Dambudziko iri rinonyanya kuitika kuvanhu vane chirwere chechiropa chakakomba. Vanhu vanosvika 80% vane ascites vane cirrhosis yechiropa. Pamusoro pezvo, ascites inogonawo kukonzerwa nezvimwe zvirwere, zvakaita sekenza, chirwere chemwoyo, TB, uye chirwere cheitsvo.

Ndezvipi zviratidzo zvechirwere ichi?

MaAscites angasaratidza zviratidzo zvikuru pakutanga. Nekuti huwandu hwemvura inoungana mudumbu hushoma, ungasazviona. Asi sezvo huwandu hwemvura inoungana huchiwedzera zvishoma nezvishoma, uchaona kuti dumbu rako riri kukura uye kuzvimba. Bhurugwa rako richatanga kunzwa rakamanikana.

Heano mamwe ezviratidzo zvinogona kukubatsira kuona chirwere ichi zvakajeka. Tarisa kana uine chimwe kana zvimwe zvacho.

Ndezvipi zvikonzero zvikuru zve ascites?

Sezvatakambotaura, chikonzero chikuru chirwere chechiropa chinonzi cirrhosis. Asi izvi zvinoitika sei?

Funga nezvechiropa chedu sesefa. Ndicho chinochenesa ropa mumuviri. Tsinga huru inounza ropa kuchiropa inonzi Portal Vein. Kana chiropa chikakuvara nekuda kwechirwere checirrhosis, ropa rinoyerera nemutsinga iyi rinovharika. Kungofanana nepombi yemvura inonamira pakati, ropa harigone kufamba nemuchiropa uye kumanikidzwa kunowedzera.

Kuwedzera kwedzvinyiriro uku kunogonawo kukanganisa itsvo nekufamba kwenguva. Kana itsvo dzikatadza kubvisa munyu wakawedzerwa mumuviri nemazvo, mvura inotanga kuungana mumuviri. Mvura iyoyo yakawedzerwa inobuda mutsinga dzeropa youngana mudumbu.

Zvimwe zvikonzero:

• Gomarara: Mamwe magomarara anoitika mudumbu anogonawo kukonzera kuti mvura iungane mudumbu. Masero egomarara pachawo anoburitsa mvura mudumbu.
• Kukundikana kwemoyo: Mune mamwe mamiriro ekushaya simba kwemoyo kwakanyanya, moyo haugone kupomba ropa rakakwana. Muviri unobva wagadzira mahormone ekuyedza kuchengetedza mvura. Mvura iyi inogonawo kuungana mudumbu.

Nzira yekuongorora chirwere ichi sei?

Kana ukaenda kuna chiremba, achakuongorora uye achakubvunza nezvezviratidzo zvako. Zvadaro, anogona kuita mimwe miedzo yekusimbisa chirwere chako.

• Paracentesis: Izvi zvinosanganisira chiremba kuisa tsono diki mudumbu uye kutora mvura shoma yaunganidzwa ipapo kuti iongororwe. Mvura iyi inogona kuongororwa kuti ione kana paine hutachiona kana masero ekenza.
• Kuongororwa kweropa: Izvi zvinogona kubatsira kuona kana uine zvimwe zvirwere, zvakaita sechirwere cheshuga, kana kuti une hutachiona.
• Kuongororwa kwemifananidzo: X-ray, ultrasound scan, kana CT scan zvinogona kuona mamiriro enhengo dziri mudumbu.
• Kuongororwa kweSAAG: Uku kuongororwa kwakakosha. Kunoenzanisa huwandu hweprotein inonzi albumin muropa rako nemvura iri mudumbu mako. Albumin rudzi rweprotein inogadzirwa nechiropa. Kana kukosha uku kwakakwira, zvinoreva kuti kumanikidzwa mutsinga dzinounza ropa kuchiropa kwakawedzera.

Ndeipi mishonga yekurapa ascites?

Kurapwa kunoenderana nechikonzero che ascites. Zvisinei, chinangwa chikuru ndechekuderedza huwandu hwemvura inoungana mudumbu.

1. Kuderedza sodium: Munyu ndicho chinhu chikuru chinoita kuti muviri ugare usina mvura yakawanda. Chiremba wako kana nyanzvi yezvekudya achakupa mazano ekudya usina munyu wakawanda.

• Deredza kudya kwakapetwa, zvekudya zvinotengwa muchitoro, uye muto zvakanyanya sezvinobvira.
• Idya miriwo mitsva nemichero yakawanda.
• Shandisa zvinonhuwira (turmeric, pepper, cumin) panzvimbo pemunyu kuti unakidze chikafu.

2. Mishonga inobvisa mvura mumuviri: Chiremba wako achakupa mishonga inokubatsira kubvisa mvura yakawandisa nemunyu mumuviri wako kuburikidza neweti. Miviri inonyanya kushandiswa ndeyeFurosemide (Lasix) neSpironolactone (Aldactone). Iyi mishonga inofanira kutorwa chete pasi pekutarisirwa nachiremba.

3. Paracentesis: Iyi iongororo uye kurapwa. Kana paine mvura yakawanda mudumbu, tsono inoiswa kubvisa mvura kuderedza kuzvimba. Zvisinei, izvi zvinogona kukonzera kuti mvura iungane zvakare.

4. Kuvhiya neKuvhiya: Kana mamwe marapirwo akatadza kudzora dambudziko racho, chiremba wako anogona kushandisa nzira idzi.

• MATIPI (Transjugular intrahepatic portosystemic shunt): Izvi zvinosanganisira kuisa chubhu diki (stent) mukati metsinga iri muchiropa kuti ropa rifambe zvakanaka.
• Kuisirwa chiropa: Kana chiropa chave chisisina simba nekuda kwechirwere chechiropa, nzira yekupedzisira ndeyekusiira chiropa chine hutano.

Mamiriro ezvinhu aya angadzivirirwa uye kudzorwa sei?

Pane zvinhu zvakati wandei zvaunogona kuita kudzivirira ascites kuti isaitike uye kudzora kuipa kwayo kana mamiriro acho aripo.

• Rega kunwa doro zvachose:Doro ndiro chinhu chikuru chinokuvadza chiropa.
• Deredza munyu: Vanachiremba vanokurudzira kuti usadye munyu unopfuura 2,000-4,000 milligrams pazuva.
• Ramba uine huremu hwakanaka: Kufuta kwakanyanya chinhu chinokonzera ascites. Kana uine ascites, zviyere mangwanani ega ega wonyora huremu hwako. Kana ukawedzera kupfuura 1 kg (2.2 pounds) pazuva kwemazuva matatu akatevedzana kana ukangoerekana wawedzera kupfuura 4.5 pounds (10 pounds), taurira chiremba wako nekukasika.
• Mararamiro ane hutano: Idya chikafu chakakwana, kurovedza muviri, uye usasvuta fodya.
• Bonde rakachengeteka: Zvirwere zvehutachiona zvakaita seHepatitis B neC zvinogona kuitika. Izvi zvinogona kukuvadza chiropa uye kukonzera cirrhosis.

Unofanira kuona chiremba rini?

Kana uine zviratidzo izvi, tsvaga rubatsiro rwechiremba nekukasika:

• Kana ukangoerekana wawedzera uremu
• Kana dumbu rikawedzera kukura
• Kana uine kurwadziwa kwemudumbu kutsva kana kuri kuwedzera
• Kana uine fivha

Kana zviitiko zvinotevera zvakakomba, enda kuchipatara kuEmergency Department (ETU) nekukasika:

• Kana uchinetseka zvakanyanya kufema
• Kana ukarutsa ropa kana chimwe chinhu chinoita sechikafu chekofi

Ascites chirwere chakakomba. Zvinoreva kuti chiropa chako hachisi kushanda zvakanaka. Saka usafuratira zviratidzo zvacho. Nekurapwa kwakakodzera uye kuchinja mararamiro ako, unogona kudzora chirwere ichi, kudzivirira matambudziko angangoitika, uye kuramba uine hutano hwakanaka.