Ascites: nws yog dab tsi, cov cim tseem ceeb thiab kev kho mob

Zoo Siab

• Ascites cov tsos mob
• Cov teeb meem muaj peev xwm
• Yuav kho tus mob li cas

Ascites lossis "water plab" yog qhov sib txuam ntau ntawm cov protein uas muaj kua dej hauv lub plab, hauv qhov chaw nruab nrab ntawm cov ntaub so ntswg uas ua rau lub plab thiab lub plab zom mov. Ascites tsis yog suav tias yog kab mob tab sis ib qho kev tshwm sim uas muaj nyob hauv ob peb yam kab mob, feem ntau tshwm sim yog daim siab ua haujlwm.

Ascites tsis muaj ib qho kev kho tau, txawm li cas los xij, nws tuaj yeem kho nrog diuretic tshuaj, kev txwv ntsev rau hauv kev noj zaub mov thiab tsis haus dej haus cawv, kom tshem tawm cov kua dej ntau hauv lub plab.

Cov kua dej uas muaj peev xwm nthuav tawm hauv lub plab yuav yog cov ntshav ntshav, uas yog lub npe muab cov kua ntshav, thiab cov qog ntshav, uas yog cov kua dej uas muaj pob tshab thoob plaws lub cev uas yog ib feem ntawm cov ntshav ncig mus ncig.

Ascites cov tsos mob

Cov tsos mob ntawm ascites muaj feem xyuam nrog qhov ntim ntawm cov kua dej hauv plab. Thaum pib, ascites feem ntau tsis muaj tsos mob, txawm li cas los xij, nyob rau hauv rooj plaub ntawm cov ascites loj heev, cov tsos mob xws li:

• Kev o thiab kev loj hlob ntawm lub plab;
• Ua pa nyuaj;
• Mob hauv plab thiab sab nraud;
• Tsis qab los noj mov;
• Lub cev hnyav hnyav yam tsis muaj qhov pom tseeb;
• Zoo nkaus li qhov hnyav thiab mob hauv plab;
• Nquag tso zis;
• Cem quav;
• Xeev siab thiab ntuav.

Ascites tuaj yeem nrog lwm cov cim thiab cov tsos mob xws li ua mob siab, o rau ceg thiab ko taw lossis qhov muag thiab tawv nqaij daj, nyob ntawm seb yog vim li cas.

Cov teeb meem muaj peev xwm

Qee qhov kev mob tshwm sim tshaj plaws uas tuaj yeem ua rau ascites yog kab mob siab, ntshav tsis txaus lub siab tsis ua haujlwm, ncua lossis txhaws tawm ntawm cov ntshav mob ntshav txhaws, mob plawv tsis ua haujlwm, mob pericarditis, ua rau mob plawv, mob ntshav siab, Budd-Chiari syndrome, cov kab mob venous, muaj kab mob hauv lub ntsws, mob peritoneal tuberculosis, Fitz -Hugh-Curtis syndrome, AIDS, raum, endocrine, kab mob pancreatic thiab biliary thiab lupus.

Yuav kho tus mob li cas

Kev kho mob rau ascites los yog dej plab nyob ntawm tus kab mob pib, uas yuav suav nrog:

• So, uas zoo dua nrog tus neeg pw;
• Cov tshuaj kho Diuretic, xws li spironolactone (Aldactone) thiab / lossis furosemide (Lasix);
• Kev txwv ntsev nyob hauv kev noj haus, uas yuav tsum tsis pub ntau tshaj 2 g / hnub, los ntawm kev noj zaub mov noj los ntawm cov kws qhia noj haus;
• Kev cuam tshuam cov dej cawv;
• Txwv cov kua dej tsawg, thaum cov dej ntshiab ntsev tsawg dua 120 g / mL;
• Mob plab paracentesis, nyob rau hauv qhov mob loj heev uas kev kho mob nrog tshuaj diuretic tsis ua haujlwm, uas yog kev kho mob nrog tshuaj loog hauv zos, uas ib rab koob tau ntxig mus rau hauv plab kom tawm cov kua dej los ntawm ascites;
• Cov tshuaj tua kab mob thaum kis tus mob ascites kua, hu ua spontaneous kab mob peritonitis, nws yog qhov mob hnyav tuaj yeem ua rau tuag taus, thiab tus neeg yuav tsum tau mus pw hauv tsev kho mob.

Qee qhov kev kho mob hauv tsev nrog diuretic yam ntxwv tseem tuaj yeem pab kho tus mob ascites, saib seb cov tshuaj hauv tsev tau qhia rau ascites.