Kuparara kwakanyanya kwemasero ehepatic ari maitiro evirrhosis chirwere chisingaperi chisingarapiki, izvo zvisingagoni kupora. Kunyangwe zvinonzwika zvinonyadzisa izvi zvinoratidzika mukuona kwekugadzirwa kwezvinetso zvakawanda zvehutano. Chimwe chezvinhu zvinowanzovhiringidza ndezvekuti ascites mu-cirrhosis - vangani vanorarama nechirwere ichi, zvinoenderana nezvimwe zvinhu, asi, sekutonga, vanachiremba vanopa maitiro asina kunaka anofanirwa.
Ndeipi ngozi kune ascites mu cirrhosis?
Pamuviri we-cirrhosis parenchymal hepatic tishu zvishoma nezvishoma zvinotsiviwa nemagetsi anogadzirisa masero, zvichiita kuti kuchinja kunoshanda kunotevera:
- kuwedzerwa lymphatic formation;
- kuwedzerwa kuwedzera kweropa uye kuputika mumusana wechipata;
- kuwedzerwa kwezvinyorwa zvemidziyo yehepatic;
- kukanganisa muitsvo.
Somugumisiro, kunokonzerwa nehutachiona hwehutachiona, iyo inokonzera kuunganidza huwandu hwemvura inzvimbo isina rusununguko yechipfuva chemuviri uye kuwedzerwa mumavhu emudumbu, kuputika kwayo pasi.
Nokudaro, ascites inobatanidza mukurwara kwechiropa pachikamu chekupedzisira, chinogona kutungamirira kumigumisiro inotevera:
- kuumbwa kwembilical, inguinal nevakadzi vevakadzi;
- utachiona hwe ascites fluid;
- acute peritonitis ;
- kukura kwezvirwere zvinouraya mu hepatological system.
Inobatsira sei kurapwa kwe ascites nechirwere chechiropa?
Pakarepo mushure mekusimbiswa kwehutano huri mubvunzo, nyanzvi dzinotanga kushandisa hydrotherapy. Kurapa kunosanganisira mishonga:
- simiti uye yakagadzira hepatoprotectors;
- antiviral drugs;
- inokosha phospholipid;
- steroidal anti-inflammatory drugs;
- hepatoprotective amino acids;
- diuretics;
- albumin.
Mishonga inorongwa inoita kuti:
- kusimbisa hutachiona;
- kushandiswa kwemagetsi ekugadzirisa;
- kuderedza cholesterol ;
- kubviswa kwemvura yakakwana;
- kudzivirirwa kwechiropa kubva pamigumisiro ye bile acids;
- kubudirira kwekupararira kweropa;
- kudzorerwa kwezvinhu zvakashata phospholipid;
- kubviswa kwezviratidzo zvekudhakwa;
- kununurwa kwehutano hwemarwadzo;
- kukurudzira kwekukura kwehepatocyte;
- kugadziriswa kwekodhiidhi yezvinetso;
- Kudzokorora kweprotheni kukwana mumuviri;
- kudzivirira zvirwere zvehutachiona uye bhakitiriya.
Panguva imwecheteyo, murwere anofanira kuchengetedza kudya kwakakosha, tafura yezvokurapa nhamba 5 maererano naPevzner inokurudzirwa. Kudya kunorevawo kuderera kwehuwandu hwemazuva ose ewaini iyo inodhakwa, kwete kupfuura 1.5 litres maawa makumi maviri nemaviri.
Zvinokurudzirwa kutevera mubhedha wezororo. Nechinzvimbo chakanyanyisa chemuviri, basa reimpso uye urinary system inoshandiswa, maererano, kuchenesa ropa kunovandudza, edema inoderera, uye mvura yakawanda inobviswa kubva mumuviri.
Zvinosuruvarisa, kurapwa kwakachengetedza munguva pfupi kana kuti kunonoka kunoshanda, naizvozvo, nzira yekuvhiya-laparocentesis-inoshandiswa kupomesa kunze kwehuwandu hwemvura. Nete inokosha inoshandiswa kubvisa mvura. Pane imwe nzira inoratidzwa
Kurapa kwechirwere chechiropa ne ascites
Kunyangwe nekurapa kwakakwana uye panguva yakakodzera, tarisiro yehupenyu nehutano hunoonekwa hupfupi. Muzviitiko zvakawanda (anenge 75%) varwere vanopera mukati me 1-2 makore mushure mekudonha.
Asi kune humwe hunofanirwa kutaurira kana cirrhosis ne ascites zvikaonekwa, uye kuti zvipenyu zvakadini zvinoenderana nechimiro chekuropa kwechiropa. Nekubhadharwa kwechirwere chechirwere, tarisiro yehupenyu inokwanisa kunyange kudarika makore 8-10.