Ascites inokonzerwa nehutachiwana hwehutachiwana mumudumbu, iyo inowanzotanga sechinhu chinokonzerwa nekenza mumukumbo, mudumbu, chiropa, mapapu, mammary gland, mavari.
Zvikonzero zvinokonzera ascites mu oncology
Ascites inobudirira semugumisiro wekuti lymph nodes dzinorwara haigoni kubvisa lymph kubva panzvimbo ye retroperitoneal, i.e. inokanganisika lymphatic drainage munzvimbo ino. Uyewo, kenza dzemasero dzinopararira kuburikidza ne peritoneum nemhaka yemamota masastasis.
Izvi hazviiti kungoita kuzadza kwemuviri nemvura, asiwo kunobatsira kuwedzera mukati-mumimba kudzvinyirira, izvo zvinokonzera kuti mutsara upinde muchipfuva. Nokudaro, ascites kubva mudumbu remuviri, iyo inowanzokonzerwa neoncology, zvakare, inoputsa maitiro ezvomukati uye inokonzera matambudziko anokonzerwa nemwoyo, maitiro ekufema, kugadzirisa zvirwere, nezvimwewo.
Dzimwe nguva ascites inokura mushure mekuvhiyiwa kubvisa tsvina iyo masero asina kujairika anowanikwa mu peritoneum, uye izvi zvinogona kukanganisa nekemikirini yechemotherapy, umo kudhakwa kwakanyanya kwemuviri kunoitika.
Zviratidzo zvepamuviri ascites mune inocology
Nekadiki ascites, mimba yevarwere, zvikurukuru avo vane rusvingo rwemimba isina simba, inopararira munzvimbo ye supine, inoputira gareally ("frog dumbu"), uye panzvimbo yakamira pamusana pekufamba kwemvura mumudumbu wepamuviri, dumbu rinowedzera mumhepo uye rinowedzera muzasi. Kana iyo ascites inokosha, mudumbu, pasinei nechinzvimbo chemuviri, inoratidzwa nechimiro chakasimba, uye ganda pairi rinotambanudzwa, rinopenya.
Mukuwedzera pane zviratidzo zvinoratidzika, zviratidzo zvikuru mumatambudziko aya ndezvokuti:
- general malaise;
- kunetseka kufema;
- kupfupika kwemhepo;
- manzwiro ekutanga satiety;
- kurwadziwa kwemarwadzo;
- kunzwa kwe raspiraniya mudumbu;
- nausea;
- kuora mwoyo uye zvakadaro.
Zvirwere zvepamuviri zvinokwidzika mumakumbo ekudenga
Mune zvimwe zviitiko zvinotyisa zvakadai sepamuviri ascites mune zvekunyengedza, zvakakosha kune varwere uye hama dzavo kuti vazive kuti vanogara sei nehutachiona. Maererano nehuwandu hwemakore maviri, kuponeswa kwemakore maviri, kwakapa kurapwa panguva yakakodzera inenge 50%.
Chirwere che ascites chemuviri mudumbu neoncology
Kubviswa kwemvura inobva mumimba mimba kunonetsa zvikuru, kunyanya kana uchitanga kurapwa kwemavhiki maviri kana kupfuura mushure mekutanga kwezvinetso. Nzira dzinotevera dzinoshandiswa:
- Kubvuma kwezvinodhaka zvinodhaka (Lasix, Diacarb, Furosemide, Veroshpiron, etc.) - inosarudzwa nekanguva refu ine nguva shomanana uye inoitwa kunze kwekusavapo kwechiitiko chaicho chinoonekwa. Zvinotarisirwa kuunganidza diuretics ne potassium maitiro ekuchengetedza mvura-electrolyte muyero mumuviri.
- Laparacentesis inzira inoshandiswa iyo inosanganisira kubviswa kwezvakawanda zvakasvibiswa nekugadzirisa dumbu remuviri uye kuputira kunze. Iyi nzira inobatanidza nehuwandu hwehutambudziro hwakadai sekubatanidza, kukanganisa kwemidyo yeropa uye nhengo dzomukati, zvirwere zvinotapukira, kupera kwakanyanya kweropa, etc. Pashure pekushanda, varwere vanopiwa plasma kana albumin solution yekubhadhara mapuroteni kurasikirwa. Dzimwe nguva mushure mokuputira kunze kwemvura, catheters inogadzirwa kuti iwedzere kuibvisa.
- Kudya ne ascites yemakumbo emimba neo oncology - inenge yakakwana yekuregererwa kwemunyu, kuderedza kukuru kwekudya kwemvura, kushandiswa kushandiswa kwezvokudya zvebiki, zvigadzirwa zvinowedzera kubudisa gesi.
Inokurudzirwa kuwedzera kushandiswa kwemiti yakadaro:
- Asparagus;
- sipinashi;
- bakate mbatata;
- mazambiringa akaomeswa;
- karoti.