Contents
Menene ascites
- Ascites na rami na ciki - yanayin lokacin da tarin kwayoyin cuta na ruwa ya samo asali a cikin rami na ciki. Cutar tana tasowa a hankali, tana ci gaba a cikin makonni da yawa, watanni. Sau da yawa, marasa lafiya da yawa ba su ma san cewa suna ci gaba da ascites ba. Marasa lafiya suna tunanin sun sami sauki kawai, don haka ciki ya girma. A cikin 75% na lokuta, ascites yana hade da cirrhosis na hanta, a cikin sauran 25% shine ciwon daji, matsalolin zuciya, in ji shi. Masanin ilimin gastroenterologist Olga Smirnova.
Likitan ya lura cewa ra'ayin "cirrhosis yana haifar da shan barasa" kuskure ne, saboda ciwon hanta na yau da kullum, lalacewar hanta na autoimmune da ciwon hanta mai kitse kuma yana haifar da cirrhosis na hanta.
Dalilan ascites a cikin cirrhosis na hanta a cikin manya
Lokacin da mai haƙuri ya fara zuwa wurin likita, kuma yana zargin ascites, na gaba a ƙarƙashin tuhuma shine cirrhosis na hanta. Amma lura cewa idan kuna da cirrhosis, wannan baya nufin cewa ascites zai faru 100%.
Akwai dalilai da yawa waɗanda zasu iya ƙara yiwuwar haɓaka cutar. Masana sun yi imanin cewa a cikin haɗari sune mutanen da ke jagorantar salon rayuwa mara kyau - amfani da kwayoyi da barasa. Wannan kuma ya haɗa da mutanen da suka kamu da cutar hanta, waɗanda aka gano suna da kiba iri-iri, masu fama da babban cholesterol, nau'in 1 da ciwon sukari na 2.
Alamun ascites a cikin cirrhosis na hanta a cikin manya
– A farkon cutar, mara lafiya bai ma san cewa yana da ascites ba. Domin majiyyaci ya lura da shi da wuri, ya zama dole a kalla lita daya na ruwa ya taru a cikin ciki. Wannan shine lokacin da sauran alamun ascites tare da cirrhosis na hanta zasu fara bayyana, likita ya ce.
Sauran bayyanar cututtuka za a iya danganta su da ciwo mai tsanani a cikin ciki, tarawar iskar gas (lokacin da mahaukaciyar guguwa ta faru a cikin ciki), belching akai-akai, yawan ƙwannafi, mutum ya fara numfashi mai nauyi, kafafunsa sun kumbura.
– Idan mutum yana da ruwa mai yawa a ciki, ciki ya fara girma, kuma majiyyaci yakan fara wahala idan ya lankwashe. Ciki ya zama kamar ƙwallon ƙwallon ƙafa, alamun shimfidawa suna bayyana, saboda fatar jiki ta tashi sosai. Har ila yau, wasu daga cikin jijiyoyi a kan ciki suna fadada, gwani ya ci gaba. – A cikin yanayin cutar musamman mai tsanani, majiyyaci kuma na iya samun jaundice, mutum zai ji rashin lafiya, amai da tashin zuciya.
Jiyya na ascites a cikin cirrhosis na hanta a cikin manya
Lokacin da ascites ke tasowa akan bangon cirrhosis, ana amfani da hepatoprotectors a cikin jiyya. Tare da wannan, likitoci sun ba da izinin maganin bayyanar cututtuka ga marasa lafiya da ascites.
Da farko, mai haƙuri zai daina gishiri. Likitan zai rubuta abinci mai ƙarancin gishiri, wanda dole ne a kiyaye shi sosai. Yana nuna cikakken kin gishiri ko amfani da 2 g kawai kowace rana.
Har ila yau, likita zai rubuta magungunan da suka hada da rashi na potassium a cikin jiki, da magungunan diuretic don edema. Likitan zai kula da yanayin jiyya, da kuma nauyin mai haƙuri.
kanikancin
Kamar yadda aka ambata a sama, idan adadin ruwa a cikin ciki bai wuce 400 ml ba, ascites kusan ba a gani ba. Amma ana iya gano shi tare da taimakon nazarin kayan aiki. Saboda haka, yana da mahimmanci a yi gwajin jiki akai-akai, musamman idan kuna da cirrhosis.
Don bincikar ascites, da farko, kuna buƙatar ganin likita wanda zai gudanar da gwajin gani da bugun ciki. Don tabbatar da ganewar asali, wajibi ne don gudanar da duban dan tayi na rami na ciki da kuma wani lokacin kirji. Binciken duban dan tayi zai nuna yanayin hanta kuma ya ba likita damar ganin duka ascites da kansa da kuma abubuwan da ke ciki ko canje-canje a cikin gabobin.
Dopplerography, wanda zai nuna yanayin veins.
Don tantance ainihin ascites, ya kamata a yi hoton maganadisu ko na'urar daukar hoto. Wadannan karatun zasu ba ka damar ganin kasancewar ruwa. A wasu kalmomi, don ganin abin da ba a iya gani yayin duban dan tayi.
A wasu lokuta, likitanku na iya yin laparoscopy. Kwararren zai yi huda bangon ciki, kuma za a dauki ruwan da aka tara don bincike.
Bugu da ƙari, suna yin gwajin jini na gaba ɗaya.
Magungunan zamani
Wadannan sun hada da:
- abinci maras sodium (cikakkiyar kin gishiri ko cin 2 g kowace rana);
- shan diuretics.
Idan hanyoyin da ke sama ba su da ƙarfi kuma ba su ba da wani sakamako ba, mai haƙuri ya ci gaba da shan wahala, ana iya buƙatar tiyata. Likita tare da ascites na iya cire ruwa tare da magudanar ruwa a hankali. A wannan yanayin, likitan fiɗa ya yi ɗan huda a cikin ciki kuma ya sanya bututun magudanar ruwa a ciki.
Ana iya sanya majiyyaci kuma a sanya majiyoyin catheters na ciki da kuma tashar jiragen ruwa na karkashin fata. Za a cire ruwan da zaran ya shiga cikinsu. Wannan shine ɗayan mafi kyawun hanyoyin magani - yana ba ku damar rage haɗarin lalacewar gabobin ciki da kumburi.
Rigakafin ascites a cikin cirrhosis na hanta a cikin manya a gida
Daga cikin matakan hana ascites akwai kamar haka:
- maganin cututtuka na lokaci-lokaci;
- lafiyayyen salon rayuwa;
- barin barasa, shan taba;
- motsa jiki;
- ingantaccen abinci mai gina jiki.
Marasa lafiya da ke fama da cirrhosis ya kamata ƙwararru su bincika akai-akai kuma a bi umarninsu a hankali.
Shahararrun tambayoyi da amsoshi
An amsa mashahuran tambayoyi Masanin ilimin gastroenterologist Olga Smirnova:
mai haƙuri zai iya samun rikitarwa na inji ta hanyar matsawa tare da ruwa mai ascitic;
● ruwa na iya tarawa tsakanin zanen gado - a cikin rami na pleural, a wasu kalmomi, hydrothorax yana tasowa;
● za a iya matse tasoshin (ƙananan ciwo na vena cava, matsawa na veins na koda);
● bayyanar hernias - sau da yawa na cibiya;
● ƙaura daga cikin gabobin ciki;
● shigar da kamuwa da cuta - kwatsam na kwayan cuta peritonitis;
● rikitarwa na rayuwa - cin zarafi na electrolyte metabolism;
● Ciwon hepatorenal tare da raunin aikin koda.
● ascites ya faru ba tare da bata lokaci ba, ko kuma ciki ya fara karuwa da sauri tare da bayyanar cututtuka daban-daban;
● zafin jiki mai girma ya bayyana akan bangon ascites;
● fitsari ya zama ƙasa da yawa;
Akwai rashin fahimta a sararin samaniya - mara lafiya ba zai iya kai kansa inda yake ba, ko wace rana, wata, da sauransu.
● iyakance shan ruwa - ba fiye da 500-1000 ml kowace rana;
● Ƙayyade yawan shan kitse don hana ɓarna na pancreatitis.
Mai haƙuri tare da ascites ya kamata ya sami daidaitaccen abinci mai kyau. Abincin dole ne ya sami isasshen adadin kayan lambu da 'ya'yan itatuwa, za ku iya ci duka sabo da stewed, kayan kiwo - kefir da cuku gida. Babu wani hali kada ku soya abinci, yana da kyau a tafasa ko dafa a cikin tanda, hanya mai kyau don samun abincin dare mai kyau ko abincin rana shine abincin tururi. Abincin mai mai, nama mai kitse da kifaye, abinci mai kyafaffen, kayan da aka gama da su, barasa, abincin gwangwani da abinci masu tsini an haramta su sosai.