Za a iya samun Ascites ta hanyar cututtuka, Ciwon zuciya, Ciwon daji da Ƙari
Ascites (pronoun-a-sight-eez) yana da karin ruwa a cikin sarari a tsakanin kyamarar da ke rufe ciki da kuma gabobin a cikin rami na ciki (kamar hanta, yalwa , ciki). Wannan sarari a tsakanin kyallen takalma ana kiranta gado na peritoneal. Ɗaya daga cikin nau'i na nama yana layi cikin bangon ciki da kuma sauran layin nama wanda ke fitowa daga gabobin.
Wadannan layuka guda biyu ne ainihin abin da ke ci gaba da kwance a kan kanta, amma muhimmin ma'ana shine akwai sarari a tsakanin waɗannan layers wanda ke cike da ƙananan ruwa (wanda ake kira peritoneal fluid ) wanda ke taimakawa wajen shayar da shi. gabobin kamar yadda suke motsawa cikin ciki. Wani lokaci, cututtuka na iya haifar da wani abu mai zurfi na ruwa don tara a cikin kogin peritoneal. Wannan karin ruwa yana haifar da yanayin ascites.
Yaya cutar cututtuka ta haifar da asibiti?
Ascites ne ke haifar da cututtuka da dama, ciki har da cutar hanta, cututtukan zuciya , ƙananan kamuwa da cuta, da kuma ciwon daji, don sunaye wasu mafi yawan. Daya daga cikin rikitarwa na cirrhosis , cutar da cutar ta hepatitis ta kullum , ita ce hawan jini wanda ya kasance karuwa a cikin tsarin sakonnin portal. Ɗaya daga cikin ayyukan hanta ita ce cire wasu nau'o'in ƙura daga jinin jiki wanda zai iya wuce ta hanta kowane minti biyar.
An hanta hanta ta jini daga zuciya ta hanyar maganin ciwon daji da kuma jini daga gut (tsarin narkewa) da kuma kararrawa ta hanyar tashar portal. Yayin da cirrhosis ke tasowa, tsarin ƙwallon ƙofar ba zai iya tace ta yadda ya kamata ta hanyar hanta da kuma nodular hanta wanda zai haifar da ƙara yawan jini da ke gudana ta hanyar tsarin narkewa.
Wannan karuwar yawan matsa lamba na ruwa (wanda yake dauke da ruwa da sunadarai) daga cikin jini wanda ya tara a cikin rami na ciki.
Dalili cikakke na ascites shine hadaddun da ya shafi tsarin da yawa. Daya daga cikin wadannan tsarin shine kodan , wanda ke taka rawa wajen kare ruwa. Yayinda ake samun ruwa daga hanta, an rage yawan jini. Domin ya biya, kodan zai fara riƙe sodium wanda ke tanadar ruwa kuma yana kula da jinin al'ada.
Kodayake mafi yawan abin da ake kira ascites shine cirrhosis, wasu dalilan da ake bukata a yi la'akari. Ɗaya hanyar da likita zai iya yi shine ta cire samfurin ruwa ta amfani da allura kuma aika shi a lab don gwaji. Masu fasaha na iya fadin abubuwa masu yawa kawai ta hanyar kallon bayyanar ruwa. Alal misali, "girgije" yana nuna wani kamuwa da cuta yayin da "jini" zai iya bayar da shawarar ƙwayar cuta ko ƙwaƙwalwar motsa jiki (wanda yake cikin zub da jini a shafin yanar gizon wani gurasar allura).
Me yasa Ascites a Matsala?
Ascites yakan haifar da matsaloli na numfashi (irin su rashin ƙarfi na numfashi), rashin abinci mai gina jiki da matsanancin gajiya.
Binciken asali: Ta yaya Doctors Find Ascites
Wani mutum tare da ascites yana iya samun karuwa a cikin ciki kuma wannan yana iya isa ya ƙayyade ascites.
Zai yiwu 20 lita na ruwa (tunanin 10, 2 lita lita na soda!) Don tattarawa a cikin rami na ciki, kuma kawai rabin rabi ne wajibi ne don a iya ganewa a asibiti. Doctors wadanda ake zaton ascites za su nemo wurare masu tasowa a cikin ciki wanda yake sauti a hankali lokacin da yatsun tafe ta. Ɗaukakawa yana taimakawa wajen bayyana sakamakon binciken jiki na mutane tare da haɓaka ko tawali'u.
Jiyya: Yadda zaka iya Sarrafa Ascites
Ascites da cutar ta hanta ta kasa yiwuwa a warkar da shi domin yana buƙatar kawar da jigilar jini. Duk da haka, za a iya amfani da hawan gwaninta ta hanyar hana sodium a rage cin abinci zuwa kasa da 2 grams a kowace rana.
Samun wannan adadi mai sauki yana da wuyar gaske saboda yawanci yana buƙatar canji mai mahimmanci game da cin abinci , kamar su guje wa yawancin abincin da ake sarrafawa da abinci mafi yawan abinci.
Don matsakaicin matsayi mai tsanani, likitanku zai iya rubuta takarda mai dashi da zai sa ku kara urination. Idan ba'a sarrafa hawan kurancin abinci ko magani ba, likitanku zai iya zaɓar hanyar da ake kira paracentesis (wanda ke amfani da allura don tattara ruwa) ko amfani da shunt (TIPS, intrahepatic portosystemic shunt) don taimakawa wajen shayar da ruwa.
Sources
Bacon BR. Cirrhosis da ƙwayoyinsa. A cikin: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo, da Dokar Magungunan Harkokin Cikin Gida ta Harrison , 17th. New York, McGraw-Hill, 2008. 1978-1979.
Glickman RM, Rajapaksa R. Harshen Abdominal, da Ascites. A cikin: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo, da Dokar Magungunan Harkokin Cikin Gida ta Harrison , 17th. New York, McGraw-Hill, 2008. 266-268.