Wake wazizwa sengathi isisu sakho sivele sikhukhumele, sisinda kakhulu, futhi izingubo ozigqokayo zizwakala ziqinile ngokuzumayo? Mhlawumbe isisindo somzimba wakho sikhuphuke ngokuzumayo ngekhilogremu elilodwa noma amabili ezinsukwini ezimbalwa. Lokhu akusikho ukwanda okuvamile, lokhu kungase kube ngenxa yesimo esibizwa ngokuthi 'ama-ascites', okuyisimo lapho isisu sigcwala khona amanzi. Lokhu kuvame ukubonakala njengophawu lwesinye isifo esibi emzimbeni wethu. Ngakho ake sixoxe ngalokhu namuhla.
Kuyini ngempela ama-Ascites?
Kalula nje, i-ascites ukuqongelela koketshezi oluningi esiswini sakho, noma esiswini. Lokhu kungenzeka kancane kancane, noma kungenzeka konke ngesikhathi esisodwa.
Cabanga nje, kukhona ulwelwesi oluncane oluzungeze izitho ngaphakathi kwesisu sethu, njengesisu, amathumbu, isibindi, nezinso. Lokhu sikubiza ngokuthi i-peritoneum. Inezendlalelo ezimbili. Ngokuvamile, kunenani elincane kakhulu loketshezi phakathi kwalezi zendlalelo ezimbili, ukuze izitho zikwazi ukuhamba kalula ngaphandle kokushayisana. Kodwa uma kwenzeka ama-ascites, inani elingavamile loketshezi liqongelela phakathi kwalezi zendlalelo ezimbili. Yilapho isisu sikhula khona futhi sizizwe sengathi kukhona ibhola lamanzi ngaphakathi kwesisu.
Bheka ukuthi unazo yini lezi zimpawu.
Izimpawu eziyinhloko ze-ascites ukwanda okungazelelwe kosayizi wesisu kanye nokwanda okungazelelwe kwesisindo somzimba zingakapheli izinsuku ezimbili kuya kwezintathu. Abanye abantu bangase babe nokuvuvukala kwemilenze (i-edema).
| Isibonakaliso | Incazelo |
|---|---|
| Ubunzima bokuphefumula | Njengoba inani lamanzi esiswini sakho landa, licindezela amaphaphu akho, okwenza kube nzima ukuphefumula. |
| Ubunzima bokuhambahamba nokuhlala phansi | Umzimba uzizwa ungakhululekile njengoba isisu sikhula. Kuba nzima ukwenza izinto ezifana nokuhlala, ukuhamba, nokugoba. |
| Izinkinga zokugaya ukudla | Ukuqunjelwa, ubuhlungu besisu, ukulahlekelwa yisifiso sokudla, kanye nokuqunjelwa kungase kwenzeke. |
| Ukuhlungu obusemhlane | Ukwanda kwesisindo esiswini kungabeka ingcindezi eyengeziwe emhlane futhi kubangele ubuhlungu emhlane. |
| Ukuzizwa ukhathele | Ungase uzizwe ukhathele ngaso sonke isikhathi ngenxa yokungakhululeki ngokomzimba nokugula. |
Kungani isisu sami sizizwa sigcwele amanzi kangaka? Yiziphi izizathu eziyinhloko?
Imbangela eyinhloko nevame kakhulu ye-ascites yi -cirrhosis yesibindi . Lokhu kusho ukuthi amangqamuzana esibindi ayabhujiswa futhi athathelwe indawo yizicubu ezine-fibrous (izibazi) ezivimbela isibindi ekusebenzeni kahle. Kodwa lokhu akuyona yodwa imbangela.
Kungase kube nezinye izizathu:
- Ukwehluleka kwenhliziyo okubangelwa ukuminyana
- Ukwehluleka kwezinso
- Umdlavuza wezitho zesisu nezesinqe
- Isifo sofuba
- Akuvamile kakhulu ukuthi isifo sezinso esibizwa ngokuthi i-nephrotic syndrome naso singaba imbangela.
Ama-ascites akhula kanjani ngenxa ye-cirrhosis yesibindi?
Lokhu kudinga incazelo encane. Ake sithi kukhona umthambo oyinhloko othwala igazi esibindini sethu, obizwa ngokuthi i-portal vein. Lapho isibindi siba ne-cirrhosis, okungukuthi, lapho isibindi siba nezibazi, le mithambo yegazi iyavaleka. Khona-ke umfutho wegazi ngaphakathi kwalo mthambo uyanda kakhulu. Kwezokwelapha, lokhu kubizwa ngokuthi i-portal hypertension .
Uma lokhu kucindezela kukhula, izinso zethu zithola isignali engalungile yokugcina usawoti (i-sodium) namanzi emzimbeni. Ngokuhamba kwesikhathi, usawoti namanzi agcinwa ngale ndlela, ngenxa yalokho kucindezela okwandayo, aqala ukuvuza emithanjeni yegazi futhi aqongeleleke emgodini wesisu. Yile ndlela isisu esigcwala ngayo amanzi.
Ubani osengozini enkulu yokuthola ama-ascites?
Noma ubani onokulimala kwesibindi okungaholela ekuqineni kwesibindi usengozini enkulu yokuthola i-ascites. Lezi zimo zifaka:
- Izifo ezihambisana nesibindi esinamafutha (i-steatohepatitis ehlobene nokungasebenzi kahle kwe-metabolic - MASH)
- Inkinga yokusebenzisa utshwala
- Ukutheleleka ngegciwane le-Hepatitis B kanye ne-Hepatitis C
- Izifo lapho amasosha omzimba ehlasela khona isibindi (i-Autoimmune hepatitis)
- Izifo zesibindi ezibangelwa ufuzo njenge-hemochromatosis nesifo sikaWilson
Yiziphi izinkinga ezingaba khona ze-ascites?
I-Ascites akuyona nje ukuvuvukala kwesisu. Ingabangela ezinye izinkinga ezinkulu zempilo.
I-Ascites iyisibonakaliso esingathi sína sokuthi isibindi asisebenzi kahle, ngakho ungalokothi uyishaye indiva.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Ukungakhululeki kwesisu njalo | Ubuhlungu, ukungakhululeki, kanye nobunzima bokuphefumula okubangelwa uketshezi esiswini kungenza kube nzima ukwenza imisebenzi yansuku zonke njengokudla nokuhamba. |
| Izifo | Uketshezi oluqongelela esiswini lungatheleleka ngamagciwane. Lokhu kubizwa ngokuthi i-peritonitis. Lokhu kungabangela umkhuhlane kanye nobuhlungu obukhulu besisu. Lokhu kungadinga ama-antibiotic e-IV. |
| Uketshezi oluzungeze amaphaphu (i-Hepatic hydrothorax) | Amanzi esiswini angavuza esifubeni futhi aqoqeke emaphashini. Lokhu kungabangela ubunzima bokuphefumula, ukukhwehlela, kanye namazinga aphansi omoya-mpilo egazini (i-hypoxemia). |
| I-Hernia | Ngenxa yokucindezela okukhulu esiswini, izinto ezifana namathumbu zingaphuma ezindaweni ezibuthakathaka esiswini. Lokhu kubizwa ngokuthi i-hernia. |
| Ukwehluleka kwezinso | Uma isifo sokuqina kwesibindi siba sibi kakhulu, singathinta nokusebenza kwezinso futhi siholele ekuhlulekeni kwezinso. |
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho bese ehlola isisu sakho. Ungathola umbono ongemuhle wokuthi kukhona yini uketshezi esiswini ngokuluthinta ngomunwe wakho.
Ngemuva kwalokho, ukuqinisekisa isimo esiqondile, kungenziwa izivivinyo ezilandelayo:
- I-Ultrasound noma i-CT scan: Lezi zinhlobo zokuskena zingabona ngokucacile izinto ezifana nenani lamanzi esiswini kanye nesimo sesibindi.
- I-Paracentesis: Lokhu kuhilela ukufaka inalithi encane kakhulu esiswini bese kuthathwa inani elincane loketshezi esiswini. Lolu ketshezi lungahlolwa ukuze kubonakale ukuthi luqukethe amangqamuzana omdlavuza noma amabhaktheriya. Lokhu kuhlolwa kubaluleke kakhulu ukuthola imbangela eqondile ye-ascites.
Yiziphi izindlela zokwelapha ama-ascites?
Umgomo oyinhloko lapho ukwelapha ama-ascites ukunciphisa inani loketshezi oluqongelela esiswini nokuvimbela ukuthi lungaphinde luqongelele.
Izindlela zokwelapha eziyisisekelo
- Ukulawula usawoti (i-sodium): Odokotela baqale bakweluleke ukunciphisa inani likasawoti owudlayo. Ungasho ukuthi kufanele udle ngaphansi kwama-milligram angu-2000 kasawoti ngosuku. Lokhu kusho ukuthi kufanele unciphise inani likasawoti owufaka ekudleni kwakho futhi ugweme ngokuphelele ukudla okunosawoti ofihliwe, njengezithelo ezomisiwe, ama-pickle, amasoso, amasoseji, ukudla okuthengwe esitolo, kanye nokudla okupakishwe emaphaketheni.
- Ama-diuretics (amaphilisi amanzi): Le mithi ibangela ukuthi izinso zikhiphe amanzi nosawoti omningi emzimbeni ngomchamo.
- Ukwelapha isifo esiyisisekelo: Uma imbangela ye-ascites ingumdlavuza, ukuyelapha kuzonciphisa nenani loketshezi esiswini.
Ngezinye izikhathi lokhu kwelashwa kungase kunganeli...
Abanye abantu bakuthola kunzima ukulawula i-asidi yesisu sabo ngisho nangemva kokulawula ukuphuza usawoti nokuphuza amaphilisi amanzi. Ezimweni ezinjalo, kufanele basebenzise ezinye izindlela zokwelapha.
- I-Paracentesis: Lokhu kokubili ukuhlolwa kanye nokwelashwa. Le nqubo isusa inani elikhulu loketshezi esiswini kusetshenziswa inaliti. Nakuba lokhu kunikeza impumuzo esheshayo, kungase kudingeke kuphindwe njengoba uketshezi lunganqwabelana futhi.
- Inqubo ye-TIPS (Transjugular intrahepatic portosystemic shunt): Lena inqubo eyinkimbinkimbi kancane. Ihilela ukudala i-bypass encane (shunt) phakathi komthambo we-portal, ongaphansi kwengcindezi eyengeziwe, kanye nomunye umthambo othwala igazi elivela esibindini. Lokhu kuvumela igazi ukuthi lithathe indlela entsha esibindini, lidlule ukuminyana, okunciphisa ingcindezi futhi kunciphise inani loketshezi esiswini.
- Ukufakelwa kwesibindi: Kubantu abane-cirrhosis yesibindi esibi kakhulu, ukufakelwa kwesibindi kungadingeka njengendlela yokugcina.
Kufanele ubonane nini nodokotela?
Uma unesifo esifana ne-cirrhosis yesibindi, bheka udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezilandelayo:
- Uma isisindo somzimba wakho sikhuphuka ngokuzumayo.
- Uma uzizwa sengathi isisu sakho siyakhula.
- Uma unenkinga yokuphefumula.
Uma kuvela izimpawu ezilandelayo, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha ngaphandle kokulibala:
- Imfiva
- Ubuhlungu obukhulu besisu
Umlayezo Wokuya Nawe Ekhaya
- I-Ascites ukunqwabelana koketshezi esiswini. Lesi yisimo esibi esivame ukubangelwa yi-cirrhosis, isifo sesibindi.
- Izimpawu eziyinhloko isisu esikhulu, ukukhuluphala, ubunzima bokuphefumula, kanye nemilenze evuvukele.
- Ukulawula usawoti kanye nokuthatha imithi yokukhipha isisu (amaphilisi amanzi) kuyizindlela zokwelapha eziyinhloko.
- Zikalele nsuku zonke. Uma ukhuphula ngaphezu kwekhilogremu elilodwa ngosuku izinsuku ezintathu zilandelana, yazisa udokotela wakho.
- Gwema ukuphuza utshwala ngokuphelele. Lokhu kulimaza isibindi kakhulu.
- Gwema ukuthatha imithi yokunciphisa ubuhlungu ye-NSAID (isib. i-ibuprofen, i-aspirin) ngaphandle kweseluleko sikadokotela. Lokhu kwandisa ukugcinwa kwamanzi nosawoti emzimbeni.
- Uma uba nomkhuhlane kanye nobuhlungu obukhulu besisu, kungaba uphawu lokutheleleka. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment