Ascites, iyo inowanzozivikanwa sezita re dropsy, ndiyo inoratidzwa nekubatanidza mumakumbo emimba, iyo inonzi yakasununguka fluid. Kurongeka kwaro kunobva pane zvakabva ku ascites, zviratidzo uye zvinokonzera izvo zvichataurwa pasi apa. Nhamba yemvura inogona kusvika 25 litita.
Zvinokonzera ascites
Zvimwe zvikonzero zvikuru zvekudonha zvinosanganisira zvinotevera:
- kukwirira kwepamusoro mumusana wemasuo, izvo zvinowanzoita kuti zvipfekedze nemarimu emakona akawedzerwa kana chironda, thrombosis, hepatitis, cirrhosis;
- kudzvinyirira kwezviputi zvinokonzerwa nemhepo inokonzera kusangana nemwoyo kusakundikana kana kukonzera pericarditis;
- kukanganisa lymph drainage;
- kuderera kwe-oncotic, izvo zvinoitika nephrosis, cachexia, zvokudyaary dystrophy;
- kubuda mukati mechidzamu chemuviri;
- kuvhiringidza nzira.
Kuvhiringidza kwehutachiona hunopararira, hunoita kana husingaperi, hunova chikonzero chemuviri wepamusoro ascites mu tuberculosis ye peritoneum. Utachiona hwehutachiona hwehutachiona hunokonzerwa nekuwedzera kwemitsipa yeropa hunokonzera kudonha mumagetsi anonzi glomerulonephritis , collagenoses. Iko kune zviratidzo zve ascites uye nekenza peritonitis, iyo inokonzera kusapindira kwechirwere.
Zviratidzo zvekukwira kuvanhu
Chiratidzo chikuru chedorosi ndekuwedzera kwehukuru hwemuviri. Ganda riri pairi rakatambanudzwa, rinopenya, mitsetse inooneka zvakajeka, kunyanya pamhazha. Muchigadziko, dumbu rakazadzwa nemvura rinosungirirwa pasi uye rinofamba mberi, kana murwere akaiswa pamusana wake. Zvimwe zvinoratidza zviratidzo zve ascites zvemuviri mimba ndezvokufambisa kwenharaunda yenharaunda, uyewo ruzha rune ruzivo neruzhinji. Munzvimbo yakatarisa, inowanikwa munzvimbo dze lateral. Kana murwere akaiswa kuruoko rwake rworudyi, kupikisana kucharatidza ruzha rwemutsara kuruboshwe uye kune rumwe rutivi. Ichi chiratidzo che ascites hachisi chimiro che hydrocephalus chekuvhiringidza kwakabva nekuda kwekuchepeta kwemasentery nekukanganiswa kwemasango ematumbo pamwe nemadziro emimba uye pakati pavo.
Paanoongorora hydrocephalus, chiremba matepi mudumbu, achiisa rumwe rutivi kune rumwe rutivi: izvi zvinobatsira kuona kuvepo kwekuchinja kwezvinhu, ndiko kuti, kuchinja kwehuwandu hwehuwandu.
Kana chikonzero che ascites chiri carcinomatosis ye peritoneum, zvinobvira kutsvaga zvisimbiso, zvinoshandiswa nyore nyore; kana kubuda ropa kunowanikwa mu peritoneum - ganda rakakomberedza ruvhudzi rinova bluish.
Kujekeswa kwemaitiro e ascites
Kugadzirisa zviratidzo zve ascites, chiremba haazoregi kurapwa kusvikira gumbo raitwa. Iyi nzira inosanganisira kuvharwa kwemuviri pasi pevheji uye inoitwa zvose pakurapa (zvinokwanisika kuderedza kushamwaridzana kune vena cava yepamusoro nekuvandudza kupararira kweropa) uye mukuongorora.
Mvura yakawanda yehupenyu hwayo inorongedzerwa kuva muhombodo uye yakasununguka. Exudate inogona kuva serous, hemorrhagic, fibrinous, uye chyle. Iyo transudate, inoshaya mumapuroteni, pakupedzisira inowedzera pamwe chete navo, uye mvura yakasununguka inowana unhu hwe "transudate exudate".
Transudate inofanirwa ne ascites inokonzerwa nekushaya simba kwemoyo, kushaya chiropa chechiropa, kukonzera pericarditis, chirwere chemuviri, nephrotic syndrome, hepatic vein thrombosis, kenza (muhafu yezviitiko), uye zvokudyaary dystrophy.
Exudate inowanikwa ne collagenoses, peritonitis nekuda kwechirwere chepachifu, kenza, utachiona. Kana yakawana mvura
Chileous exudate ine maitiro madonhesi anowanikwa kana kukanganisa lymph drainage kuburikidza nemugwagwa we thoracic nemhaka yekumanikidzwa nemakirini ayo akawedzerwa kana tumarara. Pusudo-Cholesteric exudate nezvinyorwa zviduku zvinokonzerwa nemafuta zvinoratidza kuparara kwemavhisi emasikati. Kana bheri rinowanikwa mumvura, iyo bile duct rupture inoratidzwa, kunyange zvisingawanzoitiki iyo inoonekwa mushure mekushaya chiropa.