Tus Sau: Gregory Harris
Hnub Kev Tsim: 14 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 20 Lub Kaum Ib Hli Ntuj 2024
Anonim
ASCITES - Serum Ascites Albumin Gradient (SAAG) | Ascites Pathophysiology | Ascites Causes
Daim Duab: ASCITES - Serum Ascites Albumin Gradient (SAAG) | Ascites Pathophysiology | Ascites Causes

Ascites yog cov kua nruab nrog cev nyob rau hauv qhov chaw nruab nrab hauv ob sab phlu hauv plab thiab plab hnyuv plab.

Ascites tshwm sim los ntawm kev muaj ntshav siab hauv cov hlab ntshav ntawm lub siab (portal hypertension) thiab qis ntawm cov protein hu ua albumin.

Cov kab mob uas tuaj yeem ua rau lub siab puas tsuaj tuaj yeem ua rau ascites. Cov no suav nrog:

  • Kab mob siab hom B los yog mob B
  • Kev haus dej cawv tau ntau xyoo
  • Kab mob siab ua rog (tsis yog cawv steatohepatitis lossis NASH)
  • Kab mob viav voos tshwm sim los ntawm cov kab mob caj ces

Cov neeg muaj qee yam mob qog nqaij hlav hauv plab yuav tsim muaj ascites. Cov no suav nrog qog nqaij hlav ua hnyuv tws, hnyuv tuv, zes qe menyuam, tsev me nyuam, kab mob ua paug, thiab mob siab.

Lwm cov xwm txheej uas tuaj yeem ua rau cov teebmeem no suav nrog:

  • Kaus nyob rau hauv cov leeg ntawm daim siab (portal hlab ntsha thrombosis)
  • Congestive lub plawv tsis ua haujlwm
  • Kev mob caj dab
  • Thickening thiab scarring ntawm lub hnab-zoo li npog ntawm lub siab (pericarditis)

Kev lim ntshav hauv raum kuj tseem yuav txuas rau ascites.


Cov tsos mob yuav pib maj mam los sis sai raws li qhov ua kom muaj mob ascites. Koj yuav tsis muaj tsos mob dab tsi yog tias tsuas muaj qee yam kua dej hauv lub plab.

Raws li cov kua dej ntau ntxiv, koj yuav ua kom mob plab thiab tsam plab. Cov kua dej ntau tuaj yeem ua rau ua pa luv, Qhov no tshwm sim vim tias cov kua pawm tawm ntawm lub caj pas, uas ua kom lub ntsws qis dua.

Ntau lwm cov tsos mob ntawm daim siab ua haujlwm kuj tseem tuaj yeem.

Koj tus kws kho mob yuav soj ntsuam lub cev kom txiav txim siab tias puas yog o vim cov kua dej hauv koj lub plab.

Koj kuj tseem yuav muaj cov kev sim hauv qab no los soj ntsuam koj lub siab thiab lub raum:

  • Kev khaws zis 24 xuab moos
  • Cov theem hluav taws xob
  • Kuaj lub raum kev ua haujlwm
  • Kev kuaj mob siab ua haujlwm
  • Kev ntsuam xyuas los ntsuas kev pheej hmoo ntawm ntshav thiab qib protein hauv cov ntshav
  • Mob Lub Hlaus
  • Mob plab hauv ultrasound
  • CT scan ntawm lub plab mog

Koj tus kws kho mob kuj tseem tuaj yeem siv ib rab koob nyias nyias kom tshem cov kua dej tawm hauv koj lub plab. Cov kua txiv yog kuaj los mus nrhiav qhov ua kom muaj cov ascites thiab kuaj seb lub kua puas muaj kua.


Yuav kho cov mob uas ua rau ascites.

Cov kev kho rau kev tsim ua kua dej tuaj yeem suav nrog kev hloov pauv hauv lub neej:

  • Zam kev haus cawv
  • Txo cov ntsev rau hauv koj cov khoom noj (tsis pub ntau tshaj 1,500 mg / hnub ntawm sodium)
  • Txwv kev haus dej tsawg

Koj tseem yuav tau cov tshuaj los ntawm koj tus kws kho mob, suav nrog:

  • "Dej tshuaj" (diuretics) kom tshem tawm cov kua dej ntxiv
  • Tshuaj tua kab mob rau kev kis mob

Lwm yam koj tuaj yeem ua los pab saib xyuas koj lub siab mob yog:

  • Mus txhaj tshuaj tiv thaiv kab mob xws li mob khaub thuas, kab mob siab A thiab kab mob siab B, thiab mob ntsws
  • Tham nrog koj tus kws kho mob txog txhua yam tshuaj koj noj, suav nrog tshuaj ntsuab thiab tshuaj ntxiv thiab cov tshuaj tsis tom khw

Cov txheej txheem uas koj yuav muaj yog:

  • Tso rab koob rau hauv plab kom tshem tawm cov kua dej ntau (hu ua paracentesis)
  • Tso lub raj tshwj xeeb los yog txav tawm hauv koj lub siab (TIPS) txhawm rau kho ntshav ntws mus rau lub siab

Cov neeg muaj kab mob siab kawg yuav xav tau lub siab hloov ntshav.


Yog tias koj muaj kab mob siab, tsis txhob noj tshuaj tiv thaiv kab mob tsis zoo xws li ibuprofen (Advil, Motrin) thiab naproxen (Aleve, Naprosyn). Acetaminophen yuav tsum noj kom tsawg.

Teeb meem yuav suav nrog:

  • Tus kab mob peritonitis tshwm sim (muaj mob tuag ntawm tus mob ascitic kua)
  • Hepatorenal syndrome (raum tsis ua haujlwm)
  • Kev hnyav hnyav thiab protein tsis txaus
  • Kev puas siab puas ntsws tsis meej, hloov rau theem ntawm qhov paub tab, lossis hnov ​​qab (mob hepatic encephalopathy)
  • Los ntshav tawm ntawm sab saud lossis qis dua hauv txoj hnyuv plab
  • Ua kua nruab nrog cev hauv qhov chaw ntawm koj lub ntsws thiab lub hauv siab kab noj hniav (pleural effusion)
  • Lwm yam teeb meem ntawm daim siab ua kab mob siab

Yog tias koj muaj ascites, hu rau koj tus neeg saib xyuas kev noj qab haus huv yog tias koj muaj:

  • Kub taub hau tshaj 100.5 ° F (38.05 ° C), lossis ua npaws kub uas tsis ploj mus
  • Tus mob plab
  • Cov ntshav hauv koj cov quav lossis xim dub, tarry tso quav
  • Cov ntshav hauv koj ntuav
  • Ua kom ntshav lossis ntshav los uas yooj yim tshwm sim
  • Ua kua nruab nrog hauv koj lub plab
  • O o lossis qij taws
  • Cov teeb meem ua pa
  • Tsis meej pem lossis teeb meem nyob ntsiag to
  • Cov xim daj hauv koj cov tawv nqaij thiab ntsiab muag ntawm koj lub qhov muag (daj)

Ntshav siab plov portal - ascites; Kab mob ntsws - ascites; Daim siab ua haujlwm - ascites; Kev siv dej cawv - ascites; Kab mob siab kawg rau qib - ascites; ESLD - ascites; Pancreatitis ascites

  • Ascites muaj mob ntawm zes qe menyuam - CT scan
  • Digestive system plab hnyuv siab raum

Garcia-Tsao G. Kab mob ntsws thiab nws cov theem qaij. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 144.

Koom lub koom haum ntshav qab zib thiab lub plab thiab lub raum mob lub vev xaib. Kab mob ntsws. www.niddk.nih.gov/health-information/liver-disease/cirrhosis/all-content. Hloov kho thaum Lub Peb Hlis 2018. Nkag mus rau Lub Kaum Ib Hlis 11, 2020.

Sola E, Gines SP. Ascites thiab spitaneous kab mob peritonitis. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 93.

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