Iyo madonhe (ascites) ndeyekuunganidza mukati mechidziro chemuviri chekusununguka kwemvura, iyo iyo iyo, zvichienderana nekuoma kwechirwere chepakati, inogona kubva kubva pa3 kusvika ku 30 litita. Kazhinji kacho, ascites inoratidzika ne cirrhosis yechiropa - kufungidzira kwehutano kwakaipa zvikuru. Muhafu yematambudziko kune kufa kwechirwere mukati memakore maviri mushure mekuonekwa kwechidonho.
Zvinokonzera kudonha
Ascites in cirrhosis inobudirira nekuda kwekusakwanisa kwechiropa chakakanganiswa ku "firisa" yakawanda yeropa. Nokudaro, chikamu chayo chemvura chinoputika mumidziyo, ichizadza mimba yemimba.
Kubudirira kwe ascites kunokonzerwa nezvinhu zvakadai sokuti:
- kukwikwidza kwakanyanya mumusana wemasuo - kunowedzera muchero wekusununguka kwemvura;
- Kusakwana kweprotheni-yakagadzirisa basa - nekuda kwekushaya kwe albumins, ropa rinorega kukwanisa kwayo kuchengeta chiduku chemuviri;
- Kushaya kukwana kwe-lymphatic system - nekuda kwekusakwanisa kwechiropa chinorwara kurarama nemararamiro epanguva ino, iyo inoshambira kubva pamusoro peganda, ichipinda mumimba.
Zviratidzo zvepamusoro kune chiropa chinonzi cirrhosis
Sekunyorwa kwechirwere, kudonha mu 50% yevarwere kunoitika mukati pemakore gumi mushure mekuongororwa. Ascites inoratidzwa nekuwedzera kwehutano hwemuviri uye kumimba kwemuviri. Murwere anonyunyuta nezvekuora mukati mudumbu, kuora mwoyo, kupfugama kwemagumo. Nechirwere chinononoka (volume ye fluid kupfuura mamita 3), dumbu rinosungirirwa pachigaro. Kana murwere akarara, dumbu rinopararira kumativi. Apo rumwe rutivi rwunopinza runoumbwa, mhinduro yekupikisana inopesana. Nokukwirira kwakanyanya (kurema kwemvura 20-30 litita), mimba inenge yakanyorova, ganda iri pairi rakajeka uye rakatambanudzwa, mvere dzakawedzerwa, kunyanya yakakomberedza maruva, zvinonyatsooneka.
Kurapa kwe ascites nechirwere chechiropa
Kana chirwere chinonzi dropsy chinangwa chekurapa chiropa chairo, uye kuderedza kusagadzikana kunokonzerwa nemurwere ane ascites, kushandiswa kumatanho anotevera:
- kudya;
- kugamuchirwa kwe diuretics;
- puncture.
Kudya
Zvokudya mu ascites uye zvinowanzoita chiropa chinonzi cirrhosis zvinoreva kuderera muwandu wemunyu muzvokudya kusvika 5.2 g Izvi zvinoreva kuti zvokudya hazvidi kuwedzera munyu, pamwezve, zvakakosha kuregawo mafuta akawanda. Varwere havakwanisi kutora inopfuura 1 litre yemvura inonaya zuva, kunyange zvazvo, maererano nedzimwe nyanzvi, kuregererwa uku hakugadziri maitiro ekudonha. Mukudya kunofanira kuva:
- hove, nyama yakaonda;
- cottage cheese;
- miriwo, michero;
- greens;
- zviyo.
Muchiitiko ichi, zvinodikanwa kubika zvokudya zvevakaroorana. Doro, ndiro yakasvibirira, kofi, tiyi yakasimba uye zvinonhuwira zvine ascites zvinopesana!
Diuretics
Kana kudya kusingabatsiri, kurapwa kwe ascites nechirwere chechiropa ndiko kutora diuretics:
- Spironolactone;
- Furosemide;
- Ectric acid;
- Amyloride nevamwe.
Varwere vanoratidzwa kuzorora kwevheche, sezvo muchimiro chemuviri chemuviri kune kuderera mumhinduro kune diuretics, iyo inotonyanya kutaurwa neyokuenzanisa.
Kugadziriswa kwehuwandu hwekusununguka kwemvura kunofanirwa kuitika zvishoma nezvishoma: 1 kg pazuva muhupo hweEdema uye 0.5 kg, kana pasina kuvhara.
Puncture
Kana chikamu chekupedzisira chechirrhosis chikaitika, ascites inogona kuderedzwa ne puncturing mimba yemimba. Nguva inobatwa nekucherechedza mitemo ye aseptic nekushandisa nhare yakareba. Iko kunenge kuchiitwa pasi pechidziro, uye pane imwe nguva, sekutonga, zvinogona kubuda mumhepo yose yemvura. Kuti kudzivirira kudonha kubva pakufambira mberi, diuretics inorayirwa uye zvakare kudya pamwe nehuwandu hwemunyu huri muzvokudya.
Pamwe chete nemvura yakabviswa, purogiramu yakawanda inobuda mumuviri, saka varwere vanorayirirwa albumin infusions: kugadzirira kune anenge 60% eeplasma mapuroteni.