Ta yaya ne ascites ciwon daji

Kira ascites effusion ruwa bangaren na jini ko Lymph cikin kogon ciki. Wannan tsari na iya faruwa a cututtuka daban-daban da kuma pathologies, amma shi ne na hali mafi hanta cututtuka. Shi ne kuma quite na kowa ascites a daji, musamman chyloperitoneum (kunno kai toshewa da tasoshi da tukwane na lymphatic tsarin).

Hamsin bisa dari na ascites ciwon daji tasowa a sakamakon carcinomatosis parietal da visceral peritoneum ganye. Wannan tsari yana yiwuwa take kaiwa zuwa occlusion (toshewa) Lymph tasoshin.

A mita na karshe a cikin dukan malignancies jeri daga goma sha biyar zuwa hamsin da biyar bisa dari. A mafi m cigaban ascites da ovarian marurai, endometrial, ciki, da nono, Bronchial shambura da kuma sauran gabobin da kyallen takarda.

More game da goma sha biyar bisa dari na rauni a kafa a lokacin da ƙari hanta parenchyma. Matsawa daga jikin venous tsarin da zai kai ga m samuwar exudate a cikin kogon ciki, a Bugu da kari, a cikin irin wannan marasa lafiya ba kafa furta hepatomegaly.

Pathogenesis da kuma cututtuka na ascites ciwon daji

Ascites bayyanar cututtuka na hali da shi - kaifi karuwa a ciki, kazalika da haƙuri da janar nauyi. A ƙara matsa lamba a cikin kogon ciki take kaiwa zuwa wani babban mataki ne na tsaye diaphragm, wanda a bi sa bayyanar cututtuka na gastro-oesophageal reflux (regurgitation, kuma ƙwannafi, tashin zuciya da kuma amai), orthopnea da dyspnea, matsa ciki ciwo (m jikewa na abinci da kuma tashin zuciya).

Jiki jarrabawa a kananan adadin ascites (200 milliliters) ne kusan ba zai yiwu a gano. Effusion girma daga ɗari biyar zuwa dubu milliliters gano gani a sakamakon bulging yankin na gefen sãshinansu da ciki, wani alama shakka - tabbatacce. Akwai halayyar ascites "motsa" wawanci da sãshinansu da bãyayyakinsu ta canza matsayin da na jiki a lokacin feat. Irfan.

Ascites ciwon daji lalacewa ta hanyar occlusion na venous tsarin a cikin hanta bayyana tsawo na waje jijiyoyinmu daga cikin ciki bango. A baya matakai na samuwar halayyar "kai jellyfish" (bulging agara na ciki bango a ascites da dilated jijiyoyinmu da kuma bayyana a cikinta).

Gane ma extraperitoneal hadaddun cututtuka: ruwa a cikin pleural kogo, da biya diyya koli kidan na zuciya, kazalika da busa Tila ƙananan rabo (zai fi dacewa wata gabar jiki da kuma ciki).

Lokacin da m matakai na ciwon daji ascites matsakaici ba worsen haƙuri da yanayin da bai halicci Hazard zuwa rayuwa, don haka da far kawai diuretic kwayoyi, wanda kara da tukar tumbi da ruwaye daga jiki da kuma ta haka ne rage ciki effusion.

Idan ganewar asali ascites, magani ne da za'ayi veroshpironom (spironolactone) wanda aka gane a matsayin "likita misali" da magani daga irin wannan yanayi. Manufar wannan magani a hade tare da furosemide (madauki diuretic), damar kara excrete har zuwa 1000 milliliters na ruwa kowace rana.

Lokacin da wani pronounced zafi da kuma gaban ascites da tachypnea, yin ciki paracentesis (huda na ciki bango ga manufar magudanun ruwa rami). Draining ne da za'ayi domin a kalla shida hours kuma har irin wannan lokaci kamar yadda ascites ruwa ne ba daga ƙarƙashinsu a cikin ganga. A sakamakon ruwa da aka aika zuwa da bincike da dudduba shi a kan jimlar gina jiki da abun ciki, a kan fractional abun da ke ciki na LDH da quantification na leukocytes. Bugu da kari, seeding aka yi a kan ruwa matsakaici.

Yana bada pronounced kyau sakamako a kan tasiri etiological factor (kai tsaye zuwa ƙari kanta). Saboda haka, tuki memba ne shafe da kuma a cikin pathogenesis na ascites ciwon daji wuraren.