Ascites chiropa cirrhosis. Treatment: zvinodhaka, zvavo mishonga. Diet, kushurudzira

Human chiropa zvishoma nezvishoma yakaparadzwa siyana hasha zvinhu, zvakadai muchetura, hepatitis C utachiona, doro. Kana izvi atanga masero sequential kufa ari nhengo. Ivo kutsiva connective tishu. Asi vapedzisira haagoni zvakazara zvose mashandiro anoita chiropa. Somugumisiro, mumwe munhu ave cirrhosis. Ichi chinhu chaizvo zvikuru zvokurwara. Kazhinji achabatsirwa zvakakura matambudziko. Wakakura zvikuru izvi ascites mu cirrhosis chiropa. Vabatwe murwere kwakadaro kunoda zvakawanda mutoro, uye yekudyidzana Zvinoipisisa fungidziro.

zvokurwara mamirire

Ngatitarisei chii ascites ari mudumbu. zvokurwara Izvi hariwanikwi hwavo. Inokudziridza pamusoro pakanyorwa cirrhosis chiropa kana zvimwe pathologies. Ascites - pakava umo mvura rinoungana iri peritoneal mhango.

Zvinofanira kucherechedzwa kuti chiropa masero ane rakasiyana mano panoda. Asi zvinosuwisa, achifuridzirwa kunaka zvinhu, refu kana zvachose zvainoita muviri, dzomukati Matura zvishoma kuitwa kwezvinoshandiswa. masero Healthy kufa. Ivo kutsiva connective tishu.

Dieback chiropa inotungamirira Kushatiswa ropa kucheneswa. Muviri kuunganidza zvakasiyana-siyana zvinokuvadza. The chikuru Sefa haasi inokwanisa kubudisa runodiwa nhamba makemikari nemapurotini. Uye anopa muviri aibuda pezvakaitwa dzakawanda dzinokosha.

Somugumisiro kugumiswa yakakwana kugadzirwa mapuroteni iri kwakakanganiswa seepage emura kuburikidza zvinyama uye mudziyo masvingo. Izvi zvinotungamirira chokuti zvishoma nezvishoma anotanga kuunganidza mvura iri abdominal mhango. Chaizvo riri kukura ascites mu chiropa cirrhosis. Treatment vanofanira kutanga pakarepo, nekuti matambudziko pematanho cirrhosis, unogona kukurumidza mberi.

The zvinokonzera chirwere

Nei pane ascites? The zvokurwara zvikurukuru pamusana kukwana mapuroteni usage. Kwaiva sealbumin kunoderedza kukwanisa ropa kuti kuva muropa. Nemamwe mashoko, ichi zvinotungamirira kuti kubudikidza tsinga rusvingo Urume anotanga kupinda nyore kupinda abdominal mhango.

High yavaibvisa kugutsikana wakatsamwisa kutadza chiropa neutralize zvimwe zvinhu kungaita kuti yakakura Urume chengetedzo.

Uyezve, kukurukura zvinokonzera ascites mu chiropa cirrhosis anofanira kutaurwa chimwe chinhu. yematambudziko kwakadaro kunogona kukonzerwa kukundikana nhengo dzinobudisa hurongwa. Hazvina kunyanya chiropa anobereka node. Necirrhosis uye zvakakomba anotyora hurongwa. Izvi kunowedzera node kufurirwa, uye mvura kupinda munharaunda yacho peritoneum. Sezvo urongwa huru Sefa attenuation hazvirevi kuguma, muviri Urume iri inowanikwa zvishoma nezvishoma.

Saka, nemhaka ascites mu cirrhosis ndeyokuita zvinoverengeka:

1. The zvakawedzera permeability pamusoro hepatic midziyo.
2. Yakakwirira mwero node.
3. Vasingadzoreki itsvo basa runozivisa cirrhosis. Somugumisiro, ropa riyerere kuchinja akaona yavaibvisa chengetedzo mumuviri.
4. Kuwedzera kumanikidzwa iri hepatic midziyo. Izvi zvinotungamirira kuti kupinda emura mune yakawanda tishu.

Zviratidzo cirrhosis

Pakutanga, ngationei zviratidzo anoratidza chiropa chirwere pacharo. Zviya, kazhinji vanotambura cirrhosis varume. chirwere wavo chirwere munenge ka3 kakawanda kupfuura vakadzi. Ndokusaka kuongorora zviratidzo zvinoratidza kukura chirwere panguva simba hafu.

Kana tikafunga vokutanga zviratidzo cirrhosis chiropa nevanhu, tinofanira kusimbisa zvinotevera:

1. Under kumucheto kurudyi, pane risingafadzi kunzwa waziya kana kurwadziwa. Kusagadzikana kunowedzera pashure muviri, kugamuchira chakasimba kana mafuta zvokudya kana doro.
2. A manakiro chakaipa muromo - pakaoma, zvinovava kuravira.
3. The panowanikwa kuda kurutsa, kurutsa, kazhinji kupera.
4. Achinzwa simba, kurukutika.
5. Kakawanda uye nokusazvibata zvituru. Zvirwere zvakadai kazhinji achiperekedzwa bloating.
6. Zvakakomba uremu, dzimwe nguva verging pamusoro vaneta.
7. Nechitarisiko pruritus. Skin kuva rakachenuruka tsvuku ruvara.
8. Zvokurwara kunooneka pacharo nevanhu kusabetsera.
9. Yakakura chiropa iri nyore detectable pasi ganda. On palpation zvinogona tsunga kuti muviri zvava gobvu uye lumpy. Murwere panguva pamusoro chiropa nzvimbo marwadzo.

Uyewo, teererai kuti ziso zviratidzo cirrhosis nevanhu:

1. Nezvanza inopendwa inopenya dzvuku. Izvi nokuda hyperthermia.
2. Red anowana mutauro. It kunoratidzwa kuzvimba uye vamwe "varnishing" (kuchinja unaku).
3. Kuvapo dandemutande mutsinga. Vanogona vemunyika pedyo mhuno, pakona ziso. Dzimwe nguva vanotanga kubudisa ropa.
4. Kuwedzera kukura zamu. It kunoratidzwa zviratidzo chete varume. Panyaya iyi, nhengo dzakavandika murwere yekudyidzana ipfupi.

Uyezve, cirrhosis iri kunyange dzinoverengeka chaiwo zviratidzo:

1. Kushomeka kweropa kunotungamirira kupwanywa uye kupwanywa.
2. Weti anova turbid, mashava tint. Chitsiko anova vakareruka.
3. Periodic nefivha sokuti, tembiricha muviri rinobuda.
4. Neb kutapata.
5. Dzimwe nguva pane Mamota pamwe ropa. Kazhinji, anotsigira kuti varices.

symptomatology ascites

Tikafunga zviri pamusoro apa angatanga zvakakwana kusingafadzi kuomesa dzinoratidzwa kuunganidza mvura iri peritoneum.

Ascites zviratidzo havasi pakarepo kuoneka. Zvokurwara zvinogona vakatsunga chete kana peritoneum rinoungana haana asingasviki 1 fő kuti mvura mvura. Uyezve, nhamba inowedzera. Dzimwe murwere anounganidza kusvika 25 litres kuti mvura mvura.

Nokuti zvokurwara kunoratidzwa anotevera zviratidzo:

• dumbu kunowedzera ukuru;
• kuvhiya munharaunda zvakanyanyisa hwakakungwa;
• panguva chinozunguzirwa sangano riri vainzwa mukati peritoneum;
• kana akarova pasi dumbu kunzwa mukaha inzwi;
• kuva mutsinga zvinoonekwa;
• kuonekwe kuda kurutsa, edema;
• murwere anosangana marwadzo mudumbu;
• dumbu bhatani tumiti kunze.

Zvakakosha kuti kutora basa zvirwere zvakadai ascites mu chiropa cirrhosis. Treatment vanofanira kutanga nokukurumidza sezvinobvira. Zvikasadaro, chirwere ichava mberi nokukurumidza.

yematambudziko chirwere

Zvinosuruvarisa, zvokurwara ichi inogona kutungamirira zvakakomba. Mumwe zvakakura matambudziko ndiyo peritonitis. Agozviratidza pamusoro pakanyorwa ndechokuti ascites Urume iri chirwere. Peritonitis pasina nenguva kurapwa kunogona kutungamirira kurufu.

On kukura chirwere yakaratidzwa anotevera zviratidzo:

• kwakaderera kana kusavapo bowel mazwi;
• kuwedzera zviratidzo encephalopathy;
• ropa vakachengeta leukocytosis;
• tembiricha inokwira muna chiropa cirrhosis pamwe ascites;
• pane fivha.

Chokwadi, peritonitis - handiyo chete zvokurwara zvinogona kuva pamusoro pakanyorwa chirwere.

Dzimwe nguva vakacherechedza anotevera matambudziko anoitika ascites mu chiropa cirrhosis:

• Mamota chitarisiko somugumisiro yakawedzera intra-abdominal kumanikidzwa;
• hydrothorax (effusion iyi mvura iri pleura);
• esophageal reflux (dumbu zviri mukati yegurokuro);
• dzinofamba zvomukati;
• kuzviratidza diaphragmatic heniya.

pavaipfuura chirwere

Kazhinji mubvunzo unomuka, kana ascites iri nechirwere cirrhosis chiropa, sezvo kurarama varwere zvakadaro? Chokwadi, fungidziro kunoenderana pavaipfuura chirwere. Ingapedza cirrhosis pamwe ascites iyo yakatanga sezvisingaiti. Asi kana nenguva kuona maitiro zviratidzo, zvinokwanisika kuti kuderedza kuchinja yematambudziko. Mumakore danho okuzorora chirwere chakaoma chaizvo. Ndokusaka zvichikosha kuziva zvirwere nenguva nenzira.

For ascites Paaiita giredhi 3:

1. The kwokutanga Danho kunoratidzwa zvishoma kuwedzera mudumbu. Kana kukura murwere rinoungana iri peritoneum anenge 3 litres emura. Kufembera - zvikuru zvakanaka. Kuchirapa mabasa kubatsira kunonotsa kunoita uye nokudaro mazhinji upenyu murwere.
2. Pakuzadzisa ascites inozivikanwa kuunganidza ari peritoneum yakawanda mvura (4 kusvika 10 litres). Well anozivikanwa zvekuchipatara zvinoratidza chirwere. Vanovata zvakakomba kusanzwa kumurwere. Zvakasimba akaremara Maumbirwe mudumbu. Varwere vakawanda vanova itsvo kukundikana.
3. In danho 3 peritoneum murwere rinoungana zvinopfuura 10 litres emura. Murwere Mamiriro kuipa. Munhu anogona kuona kupfupika mweya, nokuti dumbu guru haibvumiri inowanzotorwa nyore richikura. Pane kutyora kushanda kwomwoyo. Mumazana muviri ngapaonekwe edema.

zvokurwara kushurudzira

No chiremba haana kukwanisa 100% vimbiso kutaura, kana chirwere ascites mu chiropa cirrhosis, varwere vakawanda vanorarama nechirwere. Pashure pezvose, mumwe nyaya iri nomumwe.

Zvinosuruvarisa kazhinji painoguma ngozi zvokurwara somugumisiro anotevedzana kudhaka ketone miviri uye acetone. Maererano nenhamba, vanenge 10% varwere kuomesa ichi achararama anenge mwedzi mumwe.

Zvisinei, kazhinji kacho vanachiremba mune nenguva netsika kuripa murwere diuretics, potassium uye magnesium mishonga. Izvi zvinoita kuti tikwanise kudzivisa kuchiita chirwere.

Zvinozivikanwa kuti nenguva uye nomazvo evanhu anogona achawedzera upenyu hwomunhu, kunyange kana uine yakaoma chimiro ascites, uye makore 10.

kurapwa chirwere

zvabuda Excellent anopa mushonga, kana yakatanga tanga. Muchiitiko ichi tinogona zvinobudirira nadzo zvokurwara dzakadai ascites mu chiropa cirrhosis.

Kurapa kunosanganisira:

• mishonga kuti anodzora kuunganidza mumuviri Urume;
• Kudya zvokudya;
• chaiwo nzira kuti tibu- kubvisa zviri mvura kubva peritoneum.

Kundorwa chiropa cirrhosis uye ascites, chiremba anokurudzira zvinotevera zvinodhaka:

1. Essential phospholipids. zvinodhaka izvi zvinopa kuzoita zvaparadzwa mamorekuru mafuta uye carbohydrate rukoko muchitokisi membrane. mishonga ava "Essentiale", "Phosphogliv".
2. Antiviral mishonga. Ndivo mishonga, "Ribavirin", "Adefovir." mishonga izvi vanogadzwa, kana zvokurwara kwakaitika pamusoro yaitwa nemavhairasi chiropa.
3. Chakaita zvokugadzirwa gepatoprotektory. Ivo normalize remafuta akawandisa yomuropa, uye adzivirire kuzorwa yokuwana bile acids hepatocytes. mumiririri naka boka uyu mushonga "Ursodeoxycholic asidhi".
4. Anti-anogumbura steroids. Ivo vanoti kuti varwere vanenge vanozivikanwa ane autoimmune chiropa chirwere. Vanaamai vakadaro basa zvinodhaka "Prednisolone".
5. Diuretics. Kana hepatic cirrhosis uye ascites hazvo yakatarwa diuretics. Mishonga anogona akakurudzira kuti: "Lasix", "Diakarb", "aldactone", "Spiriks".
6. Hepatoprotective amino acids. zvinodhaka izvi kuvandudza metabolic pezvakaitwa mumuviri. Zvisinei, havana hepatoprotective migumisiro. mishonga ava mishonga, "Ornithine", "Methionine".
7. zvinodhaka "sealbumin" vanachiremba varayire colloidal To normalize kumanikidzwa.

Kana mishonga haripi kunobatsirawo, kuvhiya zvakare kuchaitwa - paracentesis. bata kwakadaro kunosanganisira kurega kuti mvura kubva peritoneum uchishandisa chaiyo tsono.

haushandi chikafu

Zvakakosha zvikuru kuti murwere kutambura kubva chirwere ichi, tevera imwe kudya. Kazhinji, murwere ushandiswe 5 № tafura.

Diet mu cirrhosis pamwe ascites anobva izvi zvinhu:

• mafuta Kudya kunosiyana-siyana pakati 2500-2900 kcal;
• inosiya zvokudya, anotokonya kugadzirwa zvomudumbu makemikari mumuviri;
• shoma kudyiwa mafuta, Spicy, yakagochwa, yakarungwa nomunyu;
• zano kudya 4-5 kanomwe pazuva;
• akabvumira nyama zvigadzirwa, pamwe mitaro mafuta;
• chinobatsira muriwo faibha;
• mvura vhoriyamu masikati - 1.5 litres;
• panyaya kusembura chirwere vari rakarumbidza mashed muriwo;
• daily kudya: Protein - 100 g, mafuta - 70 g, makabhohaidhiretsi - 400-450, pasi

zvavo mishonga

Dzimwe Zvinokurudzirwa kwete chete kune mishonga uye kudya madhiragi murwere chirwere ascites mu chiropa cirrhosis. Mabatirwo chevarwere mishonga, chikamu zvakaoma kurapa, anogona kuunza zvikuru chaihwo zororo. Zvisinei, ziva kuti mushonga zvokurwara chete Quick varapi - hazvibviri.

Varumbidzwa vakadaro zvavo mishonga:

1. A decoction kuti parsley. To 1 fő chemvura kuva 300 g yakachena chikafu. Pamota, regai yokubika uye kugozha nzira. Muto vanofanira kutora 0.5 Art. awa ose, panguva yokutanga hafu yezuva. The kurapa kunotora 3 days.
2. Bean pods. Pamota husks pods 15 muna 1 fő mvura, ipapo maminitsi 10 vanosimbirira zvinoreva maminitsi 20. Epfungwa. The dose yokutanga (200 Rine mamiririta) Zvinokurudzirwa kushandisa panguva anenge 5 AM. A yechipiri chirimwa - kunwa maminitsi 30 vasati kwemangwanani. Third - hafu yeawa asati adya zvokudya. Balance apere hapana paya pane 8:00 pm.

Zvinofanira zvakare kudzoswa kuti ascites - kwakakomba zvokurwara, iyo inokurumidza kurufu. Uye kazhinji kunokonzerwa norufu mukupera zvivabatsire wevarwere kuna vanachiremba. Saka, ngadziteerere mamiriro uye utano vadiwa.