Mbibi siri ike nke mkpụrụ ndụ na-agwọ ọrịa n'ụdị cirrhosis bụ ọrịa na-adịghị ala ala, bụ nke a na-apụghị ịgwọta ugbu a. Ọbụna ụda nkwụsịtụ nke a nchoputa na nhụba nke ọtụtụ nsogbu nke ọrịa. Otu n'ime ihe ndị kachasị emetụta bụ na-arị elu na cirrhosis - mmadụ ole na-ebute ọrịa a, na-adabere n'ọtụtụ ihe, ma, dịka iwu, ndị dọkịta na-enye amụma dị njọ.
Kedu ihe dị ize ndụ maka ascites na cirrhosis?
A na-eji nwayọọ nwayọọ dochie mkpụrụ ndụ hepatic dịka cirrhosis nke mkpụrụ ndụ fibrotic jikọrọ aka, na-ebute mgbanwe mgbanwe ọrụ ndị a:
- mmebi nke ọgwụ lymphatic;
- mgbatị ọbara na-arịwanye elu na nkwụsịtụ na veal portal;
- abawanye permeability nke ụgbọ mmiri na-ekwo ekwo;
- enweghị akụrụ.
N'ihi ya, ọbara mgbali elu na-ebili, nke na-eme ka nnukwu mmiri dị na ohere nke nnukwu oghere abdominal na mmụba nke afo, ya na-agbada.
Ya mere, ascites bụ ihe mgbagwoju anya na cirrhosis nke imeju n'oge ikpeazụ, nke nwere ike iduga na nsonaazụ ndị a:
- nhazi nke umbilical, inguinal na femoral hernias;
- ọrịa nke mmiri ozuzo;
- nnukwu peritonitis ;
- mmepe nke etuto ọjọọ na usoro usoro hepatological.
Kedu ka ịgwọ ọrịa ascites na cirrhosis nke imeju dị irè?
Ozugbo nkwenye nke nchoputa na ajụjụ, ndị ọkachamara na-amalite ozugbo. Ọgwụgwọ na-agụnye ọgwụ:
- osisi na skeptic hepatoprotectors;
- ọgwụ antiviral;
- mkpa phospholipids;
- ọgwụ steroidal ọgwụ ọjọọ;
- amino acids bupatoprotective;
- nhazi;
- albumin.
Ndepụta ndị e depụtara na-eme ka:
- ike nke nsogbu;
- normalization nke metabolic usoro;
- eweda cholesterol ala ;
- mkpochapu oke mmiri;
- nchedo imeju site na mmetụta nke bile acids;
- mmelite nke mgbasa ọbara;
- mweghachi nke phospholipids mebiri emebi;
- iwepu ihe mgbaàmà nke ịṅụbiga mmanya ókè;
- mgbapụta nke ọrịa mgbu;
- mkpali nke hepatocyte uto;
- mmezi nke nrụgide colloid;
- nyochaghachi ụkọ protein n'anụ ahụ;
- igbochi nje nje na nje bacteria.
N'otu oge ahụ, onye ọrịa ahụ kwesịrị ịgbaso nri pụrụ iche, nọmba nọmba nọmba ahụike dịka Pevzner si kwuo. Nri ahụ na-egosikwa ọnụ ọgụgụ dị n 'ụtụtụ nke mmiri na-egbu egbu, ọ bụghị karịa 1.5 lita kwa awa 24.
Ọ dị mma ịkwado ụra ezumike. Site na njedebe nke ahụ, arụ ọrụ nke akụrụ na usoro urinary na-arụ ọrụ, n'otu aka ahụ, nchịkwa ọbara ka mma, edema na-ebelata, na mmiri na-ekpuchi na-ekpochapụ ahụ.
O di nwute, usoro ọgwụgwọ na-agbanwe agbanwe n'oge na-adịghị anya ma ọ bụ emesịa kwụsị ọrụ, ya mere, a na-eji usoro ịwa ahụ - laparocentesis - mee ihe iji kpochapụ oke mmiri. A na-eji ahulu pụrụ iche wepu mmiri. Na otu usoro egosipụta
Prognosis maka cirrhosis nke imeju na ascites
Ọbụna na ọgwụgwọ zuru oke na oge, oge ndụ na-achọpụta na ọ bụ mkpụmkpụ. N'ọtụtụ ọnọdụ (ihe dị ka pasent 75) ndị ọrịa na-anwụ n'ime afọ 1-2 mgbe ụrọ na-egbu.
Ma enwere amụma dị mma ma ọ bụrụ na a chọpụtara na cirrhosis na ascites, na ole ha na-ebi na-adabere n'ụdị imebi imeju. Site na ụdị ọrịa a na-akwụ ụgwọ, ndụ ndụ nwere ike karịa karịa afọ 8-10.