Pehea ka ascites Ka maʻi 'aʻai

Kapa ascites effusion wai a ke keʻena o ke koko a me ka lymph i loko o ka abdominal lua. Kēia kaʻina hana ke hana i ka maʻi likeʻole a me ka pathologies, akā, ia mea typical no ka hapanui ake maʻi. He hoi loa ai, he pono ole ascites i ka maʻi 'aʻai, o ka oi aku chyloperitoneum (ka pukaʻana iaʻi o na moku o ka lymphatic nenoaiu).

Kanalima pakeneka o ka ascites Ka maʻi 'aʻai e hoʻomōhala ana i like me ka hualoaʻa carcinomatosis parietal a visceral peritoneum lau. Kēia kaʻina e ho'ōla hiki aku ai i ka occlusion (iaʻi) lymph moku.

Ke alapine (frequency) o ka hope o nā mea a pau malignancies papa koa mai ka umikumamalima a hiki i ke kanalima-kumamalima pakeneka. Ka loa paha? Acaeoey o ascites me ovarian hikoko, endometrial, gastric, umauma, bronchial paipu, a me nā loko, a nā'aʻaʻa.

More kahi o umikumamalima pakeneka o ka lesion i hanaʻia iʻeho ake parenchyma. Mīkini'opihia o ke kino o ka venous'ōnaehana alakai i ka kokololio kahua o exudate i loko o ka abdominal lua, ma ka hou, i ka mea e hoomanawanui i ua ole i hanaʻia hai hepatomegaly.

Pathogenesis a me symptoms o ascites Ka maʻi 'aʻai

Ascites symptoms typical no ia - heʻoi mahuahua i loko o ka abdomen, like hoʻi me ka hoʻomanawanui i ka mau kaumaha. Ka mahuahua puʻe i loko o ka abdominal lua hele aku ai a hiki i ke kiʻekiʻe kiʻekiʻe o ku diaphragm, a ma ka huli ke kumu o ka symptoms o gastro-oesophageal reflux (regurgitation, a me ka heartburn, nausea a me ka luaʻi), orthopnea a me ka dyspnea,'opihia'ōpū maʻi pale (kokololio saturation o ka ai, a me ka nausea).

Helu nana he uuku nui o ascites (200 mililika) mea kokoke ole i ka hōʻike. Effusion ka leo mai ka elima haneri i hoʻokahi tausani ka pono 'akomi i visually like me ka hopena o bulging māhele o kaʻaoʻao pūhaka o ka abdomen, he symptom fluctuation - maikaʻi. Aia o he ano o ascites "kolo ana" i ka stupidity o na pūhaka ma ka hoololi ana i ke kulana o ke kino i ka percussion.

Ascites Ka maʻi 'aʻai, kena ae la ia e occlusion o ka venous'ōnaehana ma ke akepaʻa' ōili mai hoʻopaneʻe o ka superficial aa koko o ka abdominal pa. Ma nā kahua o ka hoʻonaʻauao ma hope o ke kahua o ke ano "poʻo jellyfish" (bulging anterior abdominal pā i loko o ascites me dilated aa koko, a kāheaʻia ma loko o laila).

Huai ae i extraperitoneal luna 'symptoms: loli i loko o ka pleural lua, ka offset apex kui iho o ka naʻau, e like me haanou ana tila haʻahaʻa wale i kaʻai (kaʻoi loa lala a me abdomen).

I ka wā o nā kahua o ka hoʻonaʻauao maʻi o Ka maʻi 'aʻai ascites lōpū' aʻole i worsen i ke ahonui o ka kulana, a aole hoi i hana i ka p ÷ ino i ke ola, no laila, ke Inc wale diuretic ai ', a hoomahuahua i ka excretion o fluids mai ke kino, a pela emi ke kūʻai' effusion.

Inā i kaʻike, o ascites, lapaʻau ua lawe mai veroshpironom (spironolactone) a ua ike i " 'inikua hae" i loko o ka iapaau ana o ia mau rula. Ke kumu o keia k ma ka hui pu ana, me ka furosemide (loop diuretic), E ho oku ui hou excrete mai i ka 1000 ka pono o ka loli no ka lā.

I ka wā i haʻiʻeha a me ka alo ana o ascites a me tachypnea, hana abdominal paracentesis (puncture ka abdominal paia no ka mea o ka nōkahea lua). Ninini ua lawe mai no ma ka liʻiliʻiʻeono hola, a hiki i ka manawa like me ka ascites loli ua hou kahe i loko o ka ipu. Ke kūpono wai a ua hoouna mai ai i ke Ka Ikepili A ina hookolokolo ia ma huina kumuʻiʻo maʻiʻo, ma ka fractional haku mele 'ana o ka LDH a me ka quantification o leukocytes. Eia hou kekahi, seeding ua hana ma luna o ke kinowai meakino.

Ua haawi haʻi maikaʻi ia ma ka hopena etiological ololi (pololei a hiki i kaʻeho ia). Ke'ī mai, i ka holo lālā ua eliminated, a ma ka pathogenesis o ascites Ka maʻi 'aʻai he kuemi hope mai.