Ruwa (ascites) shine haɗuwa a cikin rami na ciki na ruwa mai laushi, wanda girmansa, dangane da tsananin mummunan cutar, zai iya zuwa daga 3 zuwa 30 lita. Mafi sau da yawa, ana nuna hawan hauka tare da cirrhosis na hanta - alamar maganin ba shi da kyau. A cikin rabin shari'ar akwai mace mai mutuwa daga cirrhosis a cikin shekaru biyu bayan bayyanar rashin lafiya.
Dalilin dropsy
Ascites a cirrhosis ci gaba saboda rashin yiwuwar hanta da ke ciki don "tace" adadin jini. Sabili da haka, ragowar ruwa na ruwa ya shiga cikin tasoshin, ya cika ɗakun ciki.
Ci gaban ascites yana rinjayar dalilai kamar:
- matsin lamba a cikin tashar tashar jiragen ruwa - yana inganta yawan amfanin ruwa kyauta;
- Insufficiency na gina jiki-synthesizing - saboda rashi na albumins, jini ya rasa ikonsa na riƙe da kashi-kashi na ruwa;
- Rashin ingancin tsarin lymphatic - saboda rashin yiwuwar hanta mai haɗari don magance lymph na yanzu, yana gudana daga gefen glandan, yana shiga cikin rami na ciki.
Bayyanar cututtuka na ascites a cikin hanta cirrhosis
A matsin lamba na cirrhosis, saurara a cikin kashi 50 cikin 100 na marasa lafiya ya faru a cikin shekaru goma bayan ganewar asali. Ascites suna halin karuwa a jikin nauyin jiki da ƙananan ciki. Mai haƙuri yana cikin damuwa da nauyi a cikin ciki, ƙwannafi, kumburi na tsauraran. Tare da matsakaicin matsakaici (ƙarar ruwa a kan lita 3), ciki yana rataye a matsayin tsaye. Lokacin da mai haƙuri ya kwanta, ciki yana yada zuwa ga tarnaƙi. Lokacin da aka kafa tasiri na gefe, ƙwaƙwalwar amsawa ta bambanta. Tare da tsananin hawan ruwa (ƙarar ruwa 20-30), ciki ya zama mai santsi, fata a kanta yana da haske kuma ya shimfiɗa, daɗaɗɗa daɗaɗɗa, musamman ma a cikin cibiya, suna bayyane bayyane.
Jiyya na ascites tare da cirrhosis na hanta
Yayin da ake amfani da farfadowa na sauƙi don kula da hanta kanta, kuma don rage rashin jin daɗi da ke sa masu haƙuri tare da ascites, kuyi matakan da suka dace:
- abinci;
- liyafar diuretics;
- fashewa.
Abinci
Cin abinci a cikin hawan da kuma gaba ɗaya tare da haɗin gwiwar hanta yana nuna ragewa a cikin yawan gishiri cikin cin abinci zuwa 5.2 g Wannan yana nufin cewa abinci ba shine wanda ake so don kara gishiri, banda haka, yana da daraja ya daina ci abinci maras kyau. Wadanda ba a ke so su dauki fiye da lita 1 na ruwa a kowace rana, ko da yake, a cewar wasu masana, wannan ƙuntatawa ba zai shafar tafarkin dropsy ba. A cikin abinci ya zama:
- kifi, naman alade;
- gida cuku;
- kayan lambu, 'ya'yan itatuwa;
- Ganye;
- hatsi.
A wannan yanayin, yana da kyawawa don dafa abinci ga ma'aurata. Barasa, cakulan kaza, kofi, karfi shayi da kayan yaji tare da ascites suna contraindicated!
Diuretics
Idan rage cin abinci baiyi tasiri ba, jiyya na ascites tare da cirrhosis na hanta shine ya dauki diuretics:
- Spironolactone;
- Furosemide;
- Ectric acid;
- Amyloride da sauransu.
Ana nuna alamun gado da sauran gado, tun da yake a cikin matsayi na tsaye na jiki akwai ragewa a cikin amsa ga diuretics, wanda aka fi maimaita shi tare da matsakaicin jiki.
Rage ragowar ruwa kyauta ya kamata ya faru a hankali: 1 kg kowace rana a gaban edema da 0.5 kg, idan babu kumburi.
Puncture
Idan mataki na karshe na cirrhosis ya faru, za'a iya rage hawan hawa ta hanyar tarawa cikin ɓangaren ciki. Ana yin fashewa ta hanyar lura da ka'idoji da amfani da allurar matako. An yi fashewa a ƙasa da cibiya, kuma a wani lokaci, a matsayin mai mulkin, yana yiwuwa a kwashe dukan ƙarar ruwa. Don hana dropsy daga cigaba, an tsara diuretics kuma a sake rage cin abinci tare da rage gishiri cikin abinci.
Tare da ruwan da aka cire, babban adadin sunadarai ya fita daga jiki, saboda haka marasa lafiya sunyi amfani da infusions albumin: shirye-shiryen yana dauke da 60% na sunadaran plasma.