Ingabe isisu sakho siyakhula njengokungathi sigcwele amanzi? Ake sixoxe ngalokhu kuvuvukala kwesisu (ama-ascites)

Wake wazizwa sengathi isisu sakho sikhula ngokuzumayo njengebhaluni lamanzi, bese uzizwa sengathi uyakhuluphala? Ngisho nezingubo ozigqokile ziqala ukuzizwa ziqinile... Lokhu akuyona nje ukuqunjelwa okuvamile. Lesi simo singaba sibi kakhulu. Ngokwezokwelapha, lokhu sikubiza ngokuthi ama-ascites, noma ama-ascites. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Luyini lolu ketshezi lwesisu (ama-ascites)?

Kalula nje, i-ascites ukuqongelela koketshezi oluningi, njengamanzi, ngaphakathi kwesisu sakho, okungukuthi, ngaphakathi kwesisu sakho. Manje ungase uzibuze ukuthi amanzi angena kanjani esiswini sakho.

Cabanga nje, kukhona ulwelwesi oluncane kakhulu olubizwa ngokuthi "i-peritoneum" oluzungeze izitho ezibalulekile esiswini sethu njengesibindi, amathumbu, nezinso. Lufana neshidi le-polythene eligoqwe ngemifino. Lunezendlalelo ezimbili. Ngokuvamile, kunoketshezi oluncane kakhulu phakathi kwalezi zendlalelo ezimbili ukuvimbela izitho ukuthi zingashayisani lapho zihambahamba. Kodwa uma kwenzeka ama-ascites, isikhala esiphakathi kwalezi zendlalelo ezimbili sigcwala amanzi amaningi kakhulu. Ngemuva kwalokho isisu siyavuvukala futhi sibonakale sengathi sigwinye ikhabe noma i-basketball. Lokhu kwenza kube nzima kakhulu ukuhamba noma ukuhlala.

Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?

Imbangela eyinhloko nevame kakhulu ye-ascites emhlabeni yi -cirrhosis yesibindi . I-cirrhosis yisimo lapho isibindi sonakala futhi sinamanxeba ngenxa yezimbangela ezahlukene, ikakhulukazi utshwala, izifo ezithile ezibangelwa amagciwane (i-Hepatitis B, C), nesibindi esinamafutha. Isibindi siba nzima futhi siqine njengedwala futhi asikwazi ukusebenza kahle.

Manje ake sibone ukuthi isifo sokuqina kwesibindi sibangela kanjani ukugcinwa kwamanzi esiswini.

Kukhona umthambo wegazi oyinhloko othwala igazi eliqukethe izakhamzimba lisuka emathunjini ethu liye esibindini. Lokhu kubizwa ngokuthi i-Portal Vein. Lapho isibindi siba lukhuni ngenxa ye-cirrhosis, lo mthambo wegazi uyavinjelwa ukuthwala igazi ngendlela efanele. Bese umfutho wegazi ngaphakathi kwalo mthambo ukhuphuka ngokweqile. Lokhu sikubiza ngokuthi i -Portal Hypertension .

Lo mfutho ophezulu uthumela isignali engafanele ezinso, ezicabanga ukuthi umzimba udinga usawoti (i-sodium) namanzi, futhi esikhundleni sokuzikhipha, ziqala ukuzigcina. Ngokuhamba kwesikhathi, usawoti owengeziwe namanzi aqoqana ngale ndlela aqala ukuvuza emithanjeni yegazi aye emgodini wesisu ngenxa yomfutho ophezulu. Yile ndlela i-ascites ekhula ngayo.

Ngaphandle kwe-cirrhosis, kunezinye izimbangela ze-ascites.

Ziyini izimpawu ze-ascites? Uzibona kanjani?

Kunezimpawu eziningana umuntu onalesi simo angazizwa futhi azibone ngokushesha.

• Ukuqunjelwa kwesisu kanye nokukhuluphala okusheshayo: Lolu uphawu oluyinhloko. Ungase uthole amakhilogremu angafika ku-1 noma amabili ngesikhathi esifushane, mhlawumbe izinsuku ezintathu.
• Ukuvuvukala kwemilenze: Ukuvuvukala, ikakhulukazi endaweni yeqakala. Lokhu sikubiza ngokuthi (i-Edema).
• Ubunzima bokuphefumula: Lapho isisu sigcwele amanzi, sisunduzela esifubeni. Lokhu kwenza kube nzima ngamaphaphu ukufutha kahle. Ungase uzizwe uphefumula kanzima futhi ube nobunzima bokuphefumula ngisho nalapho uhamba noma ukhuphuka izitebhisi.
• Izinkinga zesistimu yokugaya ukudla: Ukuqunjelwa, ubuhlungu besisu, ukulahlekelwa yisifiso sokudla, kanye nokuqunjelwa kungase kwenzeke ngoba isisu sigcwala amanzi futhi sibeka ingcindezi emathunjini.
• Ubuhlungu emhlane: Isisindo esengeziwe esiswini singacindezela umhlane futhi sibangele ubuhlungu emhlane.
• Ukukhathala: Ungase uzizwe ukhathele ngaso sonke isikhathi ngenxa yokungakhululeki ngokomzimba kanye nezimo zempilo eziyisisekelo.

Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?

I-Ascites akuyona nje inkinga lapho isisu sikhula khona. Uma ingelashwa kahle, ingaholela ezinkingeni ezinkulu.

• Ukutheleleka: Kunethuba elikhulu lokuthi amagciwane angangena oketshezini oluqongeleleke esiswini futhi abangele ukutheleleka. Lokhu sikubiza ngokuthi (i-Spontaneous Bacterial Peritonitis). Ngemuva kwalokho ungase ube nomkhuhlane kanye nobuhlungu obukhulu besisu. Lesi yisimo esiphuthumayo esingasongela ngisho nokuphila.
• I-Hepatic Hydrothorax: Ngezinye izikhathi, uketshezi oluvela esiswini lungavuza lungene esifubeni futhi luqoqeke emaphashini, okwenza ukuphefumula kube nzima kakhulu.
• Ama-Hernia: Njengoba ingcindezi ngaphakathi esiswini ikhula, amathumbu angaphuma ezindaweni ezibuthakathaka esiswini (isb., inkaba). Lokhu sikubiza ngokuthi i-hernia.
• Ukwehluleka kwezinso: Uma isifo sokuqina kwesibindi siba sibi kakhulu, singathinta nokusebenza kwezinso futhi siholele nasekuhlulekeni kwezinso.

Udokotela ukuthola kanjani lokhu?

Uma unalezi zimpawu, uma ubona udokotela, uzothatha izinyathelo eziningana ukuqinisekisa isimo.

1. Ukuhlolwa komzimba: Okokuqala, udokotela wakho uzokuxilonga. Uzothinta isisu sakho futhi ahlole uketshezi. Uzohlola nokuvuvukala kwesibindi sakho kanye nemilenze.

2. Ukuhlolwa kwegazi: Kuzokwenziwa ukuhlolwa kwegazi okuningana ukuze kuhlolwe ukuthi isibindi nezinso zisebenza kanjani kanye nenani likasawoti egazini.

3. Ukuskena: Kungenziwa i -ultrasound scan noma i-CT scan ukuze kubonakale ukuthi kungakanani amanzi esiswini, ukuthi isibindi sinjani, nokuthi ngabe kukhona yini ezinye izinkinga.

4. I-Paracentesis: Lokhu ukuhlolwa okubaluleke kakhulu. Kulokhu, isikhumba sesisu siyavaleka, kufakwa inaliti encane esiswini, bese kuthathwa isampula yoketshezi oluqongelelwe bese ithunyelwa elabhorethri. Lokhu kungasiza ekunqumeni ukuthi imbangela ingumdlavuza noma ukutheleleka.

Yiziphi izindlela zokwelapha ama-ascites?

Kunemigomo emibili eyinhloko yokwelapha. Eyokuqala ukunciphisa inani lamanzi aqongeleleke esiswini, kanti enye ukwelapha isifo esiyisisekelo esibangele i-ascites.

Ukwelashwa kokuqala

Odokotela bazama lezi zindlela kuqala.

• Ukulawula usawoti (i-sodium): Lokhu kuyindlela yokwelapha ebaluleke kakhulu futhi yokuqala.Usawoti uyimbangela eyinhloko yokugcina amanzi emzimbeni. Ngakho-ke, kuyalulekwa ukunciphisa inani likasawoti elidliwayo ngosuku libe ngaphansi kwama-milligram angu-2000. Lokhu kusho ukuthi udinga ukunciphisa inani likasawoti elifakwa ekudleni kwakho, futhi udinga ukuyeka ngokuphelele ukudla ukudla okunosawoti omningi ofihliwe, njengenhlanzi eyomisiwe, ama-pickle, amasoso, ama-pickle, amasoseji, kanye nesobho elithengwa esitolo.
• Ama-diuretics (noma "amaphilisi amanzi"): Sivame ukunikeza imithi ebizwa ngokuthi "ama-diuretics" esiza umzimba ukukhipha amanzi nosawoti omningi ngomchamo.

Izindlela zokwelapha ezithuthukisiwe

Ngezinye izikhathi, ngisho nokulawula ukuphuza usawoti kanye nokuphuza amaphilisi amanzi kungase kunganciphisi inani lamanzi esiswini. Ezimweni ezinjalo, kungase kudingeke ezinye izindlela zokwelapha.

• I-Paracentesis: Lokhu kokubili ukuhlolwa kanye nokwelashwa. Inani elikhulu loketshezi (ngezinye izikhathi elingaba amalitha angu-5-10) esiswini lingasuswa ngenaliti. Lokhu kunikeza impumuzo esheshayo. Lokhu kungenziwa ngokuphindaphindiwe uma kudingeka.
• I-Transjugular Intrahepatic Portosystemic Shunt (AMACEBISO): Lokhu kuyindlela yokwelapha eyinkimbinkimbi kancane. Kuhilela ukudala indlela entsha (i-shunt) yegazi ukuze ligeleze esibindini. Kufana nokudlula ukuze kudlule isiminyaminya sezimoto. Lokhu kunciphisa ingcindezi esibindini futhi kulawula ukunqwabelana koketshezi. Kunconywa kubantu abangakwazi ukuyilawula ngezinye izindlela zokwelapha.
• Ukufakelwa Kwesibindi: Kulabo abane-cirrhosis enzima kakhulu kanye nalabo abangazange basabele kwezinye izindlela zokwelapha, ukufakelwa kwesibindi kungaba yisisombululo kuphela.

Kufanele ngimbone nini udokotela?

Kudingeka uqaphele kakhulu ngalezi zinto.

Yini engingayenza ukuze ngivimbele futhi ngiphathe lesi simo?

Indlela engcono kakhulu yokuvimbela ama-ascites ukunakekela isibindi sakho.

• Gwema utshwala: Ukuphuza utshwala kufanele kuyekwe ngokuphelele. Utshwala yinto eyinhloko elimaza isibindi.
• Gwema ukudla usawoti omningi: Njengoba sixoxile ngaphambili, ukugwema usawoti omningi kubalulekile ekulawuleni ama-ascites.
• Gcina isisindo esinempilo: Ukulawula isisindo somzimba kungavimbela isibindi esinamafutha.
• Ukuzivocavoca: Kubalulekile ukwenza umsebenzi othile womzimba nsuku zonke.
• Zivikele ku-Hepatitis B no-C: Lawa ngamagciwane alimaza isibindi. Kukhona umuthi wokugomela i-Hepatitis B. Ungazivikela kulawa ngokulandela izinyathelo zokuphepha.

Uma usuvele une-ascites, qiniseka ukuthi wenza lezi zinto.

• Zikalele nsuku zonke: Zikalele njalo ekuseni ngesikhathi esifanayo, ungagqokile noma ugqoke izingubo ezifanayo, bese ubhala phansi encwadini. Uma ukhuphula ngaphezu kwekhilogremu elilodwa ngosuku izinsuku ezintathu zilandelana, tshela udokotela wakho.
• Qaphela imithi yobuhlungu: Gwema ukusebenzisa imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID), njenge-ibuprofen, i-diclofenac, ne-aspirin, njengoba lokhu kungandisa ukugcinwa kwamanzi nosawoti emzimbeni. Uma udinga ukuthatha imithi yokwelapha ubuhlungu, buza udokotela wakho ngakho.