Ukuba sele ziphuhlisiwe ascites in esibindini kwesibindi

Ascites - le Ukhuliso lwe ulwelo kwemfuneko esiswini, nto leyo amaninzi kwingxaki lwesifo zesibindi - ukuqina kunye lwegazi. Ibonakala ngesiquphe okanye ukuphuhlisa ngokuthe ngcembe kweenyanga eziliqela, ehamba kunye nokwanda ukuqunjelwa emathunjini. Kodwa kwakhona zenzeka kunye ascites xa umhlaza zamaqanda.

Ascites akufuneki ngokuba isifo sesibindi. Oku kuphosakele ngokupheleleyo. Nakuba kunjalo, phantse lonke kuvela esi sifo ngenxa severe izifo zesibindi, umz, ukuqina. Ngoko ke, Ngokwezibalo Oogqirha isiqingatha izigulana ukwehla kwiminyaka engaphezu kweshumi kunye ascites kwenzeka. Ukuba sele ziphuhlisiwe ascites kunye kwesibindi, oko kusenokubonisa ukuba isifo kakhulu kwaye nkqu ingozi wafa kwangoko. Isiqingatha kwezi zigulane kufa kwisithuba seminyaka emibini emva kokuba ekufumanekeni iingxaki. Iingcali ungakwazi ngqo kutheni ngokusondeleyo edityaniswe izifo ezimbini.

Kutheni na, kwaye apho kukho khona ulwelo? njani yonke inkqubo imeko nezintso? Ngelishwa, le meko ayiqondakali yaziwa. Ukuba ukuvela kweempawu enjalo kwizigulane kunye nesifo sentliziyo olufundwa kakuhle, liphuhlise schemes unyango kunye nolondolozo ezi zigulane, kunokwenzeka ukuba abantu bebeye ascites e esibindini kwesibindi, bonke eyahlukileyo ngokupheleleyo.

Le yaziwa jikelele ukuba ukuvela kuba kubi kwesibindi elirhoxisa fluid emithanjeni negazi lwemithambo into enegalelo ekwenzeni inkangeleko kungekho kukhula. Xa kwesibindi phantse kusoloko kukho lwegazi, nto leyo nayo inxulumene kokoma kolwelo. Kwakhona maxongo flow igazi kwezintso kunye nomsebenzi wabo. Yeyona imbonakalo iingxaki zezintso kunye nokwanda kumzimba iityuwa sodium ayanceda isisiqalo ukuya ascites kuphuhliswa. Xa olu ngezifo kuyanqweneleka ukunciphisa ukuhanjwa engamanzi (hayi ilitha ngaphezu kwesinye ngamnye ngosuku).

Ngoku makhe sithethe kancinci malunga unyango lwesi sifo. Kakade ke, akukho mfihlakalo ukuba ukunyanga nasiphi na isifo kwindawo yokuqala, ubonelela ngokuba nokuphelisa ingcambu esamcaphukisayo nto. Ngoko ke, ukuba iphuhlise ascites e esibindini kwesibindi, unyango lwesifo iqala kwindawo yokuqala, kunye nesifo ephambili. Ukunciphisa ascites, oogqirha amisele iziyobisi umchamo, kwakunye uchithe amanye amanyathelo ezikhethekileyo ejolise uzinzo ukwehluleka ukutya ngamanzi netyuwa kunye nokuncitshiswa noxinzelelo lwegazi.

Ukuba sele ziphuhlisiwe ascites e esibindini kwesibindi, kodwa ixesha elithile unyango yakhe ayiniki oko akufunayo, ngoko ke iingcali ziziqhube ukususa isixa ezingaphezu ulwelo esebenzisa okuhlatywa kwi kwisisu. Le nkqubo ibizwa ngokuba paracentesis. Kuliwa kuphela emva kokukhutshwa phambi lwesinye, oluqhutywa kwindawo zokuhlala isigulane. Musa ukoyika, wena ngokuqinisekileyo uya kwazisa zonke ezifunekayo amayeza kubola kunye aseptic ezinceda kulula kakhulu ukuba ungadlulisela oku mnandi kakhulu, inkqubo.

Le okuhlatywa lwenziwa yi kwisixhobo eyodwa ebizwa ngokuba a trocar. Zokuhlatywa le ifowuni amaninzi eveliswa ecaleni komgca usembindini esisu. Kubalulekile ukuba okuhlatywa yokuqala kwenziwa kakuhle, kuba xa ezi ukuhlatywa isigulane sinokufumana ukudumba peritoneum, okanye ngxubevange esinobubovu namathumbu waya eludongeni esiswini.

Kuyenzeka ukuba unyango lwe ascites e zesibindi kwesibindi kwakhona kwenzeka kunye kotyando, kodwa oko kuphela kwiimeko ezinzima kakhulu. Lo msebenzi kuthiwa omentogepatofrenopeksiya yaye abelwe oko kuphela kwimeko ezinzima portal lwegazi.