Ngezinye izikhathi abanikazi bamakati babheka isithombe esinjalo: isilwane sabo asisebenzi futhi sicindezelekile, kanti isisu sithukuthele kakhulu futhi siphazamisa ukunyakaza. Lezi zimpawu ziwuphawu oluqondile lwamathambo. Leli gama alithathwa njengokusemthethweni. It isetshenziswa ngoba ukubonakaliswa main ukuvimba, njengokungathi igcwele ngamanzi. Igama elisemthethweni lesi sifo lizwakala sengathi "ascites", elisho ngesiGreki ukuthi "isisu", "isikhwama sesikhumba". Indlela yokwelapha amaconsi emakati futhi yiziphi izibonakaliso eziyinhloko zesifo? Ngalokhu ngezansi.
Izimpawu zokuhlaselwa emakati
Uphawu oluyinhloko lwe-ascites luyisisu esivuvukile, esiqinile kakhulu. Ubukhulu be-peritoneum buhluka ngokucindezela ketshezi elondolozwe esiswini: uma ubamba ikati endaweni yokuma imizuzu eminingana, uketshezi luzodlulela engxenyeni engezansi kwesisu, okwenze kubonakale sengathi luphakathi. Ngemuva kokuba isilwane sishiye, isisu sizophinde sibe nokuvuvukala ngokulinganayo.
Ziyini izimbangela zokugcoba emakati? Okokuqala, le nkinga yezifo ezingapheli zezitho zangaphakathi. Ingozi ekhulayo ivela ezilwaneni eziphethwe yi- pancreatitis , isifo sikashukela, i-cirrhosis, i-hepatic, i-cardiac noma i-renal insufficiency. Ukwehla kwesisu kwamakati kubonakala ngezimpawu ezilandelayo:
- ukwanda esiswini sekati ngaphandle kokubonakaliswa kwesifo somkhuhlane nomkhuhlane;
- ukuphefumula nobunzima bomzimba;
- i-anemia ne-icterus yamangqamuzana amancane;
- i-edema yedolobha;
- uhlobo lwesifuba sokuphefumula;
- flatulence;
- ukungabi nokuhamba nokucindezelwa.
Lezi zimpawu zikhombisa isifo esiyingozi, okuthi, uma ukuphuza ukwelashwa kungabangela izinkinga ngisho nemiphumela ebulalayo.
Indlela yokwelapha amahlaya emakati?
Uma kutholakala ukuthi ukuxilongwa kwamanzi kumanzini kuqinisekiswa, khona-ke ungakwazi ukunikeza ukwelashwa okufanele.
Ukunciphisa inani lokusetshenziswa kwe-diuretics okusetshenziselwa uketshezi kanye nezidakamizwa ezisekela umsebenzi wenhliziyo, ngoba ama- ascites avame ukuholela ekuhlulekeni kwenhliziyo. Uma ukuvuvukala kungadluli, khona-ke kufanele kukhishwe nge-puncture esiswini (paracentesis). Ukwelashwa okuqhubekayo kuqondiswe ukulwa nesifo esiyinhloko. Ukuze wenze lokhu, ukuxilongwa kahle komzimba kwenziwa ukuze uthole imbangela enkulu yalesi sifo. Uzonikezwa ukwenza i-ultrasound, ukuhlolwa kwezinto eziphilayo, i-radiography ne-laparoscopy.