Sidee waa kansarka ascites

Loo yaqaan effusion ascites qayb dareere dhiigga ama dheecaanka galay saabka caloosha. Hawlgalkani waxa ku dhici kara cudurro kala duwan oo heley, laakiin waa caadiga ah ee cudurada beerka ugu. Sidoo kale waa ascites wax caadi ah in kansarka, gaar ahaan chyloperitoneum (xirma soo baxaya , oo weelasha oo ka mid ah lymphatic system).

Boqolkiiba konton kansarka ascites ku yeesho sida parietal natiijada carcinomatosis iyo caleemo peritoneum visceral. Hawlgalkani waxa uu ku keenaysaa in weelasha qabsamin (xirma) lymph.

Inta jeer ee la soo dhaafay oo dhan carcinogenic u dhaxeysa shan iyo toban ilaa tan iyo konton iyo shan boqolkiiba. The horumarinta u badan tahay ee ascites la burooyinka ugxansiduhu, gooba, gastric, naaska, tuubooyinka bronki iyo xubnaha kale iyo unugyada.

Badan oo ku saabsan shan iyo toban boqolkiiba dhaawaca sameeyay inta lagu guda jiro parenchyma beerka buro. Riixo jidhka nidaamka arooriyaha taasoo keentay in formation degdeg ah exudate in saabka caloosha, marka lagu daro, in bukaanka sida aan sameeyay hepatomegaly dhawaaqaa.

Pathogenesis iyo astaamaha kansarka ascites

calaamadaha ascites caadiga ah isaga u - kor u kac wayn ee caloosha, iyo sidoo kale miisaanka guud ee bukaan-socodka. Cadaadiska kordhay saabka caloosha keenaysaa in heer sare ah diaphragm taagan, taas oo iyana sababa calaamadaha reflux-pipe (regurgitation, iyo laab, lallabo iyo matag), orthopnea iyo dyspnea, Tifaftirayaasha caloosha syndrome (robab deg deg ah ee cuntada iyo yalaalugo).

Baaritaanka jirka qadar yar oo ah ascites (200 millilitir) aysan suuragal ahayn in ay aqoonsadaan waa. Effusion mugga shan boqol oo kun millilitir ogaado aragga oo sabab u ah ferjiga gobolka of xanjaadka dhinac ee caloosha, is beddel calaamad - positive. Waxaa jira sifo ka mid ah ascites "guuro" nacasnimo ah oo xanjaadka by beddelidda booska jidhka inta lagu guda jiro durbaanka ah.

kansarka ascites sababa qabsamin nidaamka arooriyaha beerka u muuqataa dheeraad ah xididdada maqaar saar derbiga caloosha. In marxaladaha ugu dambeeya ee formation of sifo "xayawaan badeed madaxa" (ferjiga darbiga caloosha oo jilibka in ascites la xididdada u furmo iyo muujiyay dhexdeeda).

Waxa kale oo lagu ogaado calaamadaha adag extraperitoneal: dheecaan in saabka pleural, ku kabayso garaaca Cardiff waxyaalaha qalbiga ku jira, iyo sidoo kale tila barar qaybo hoose (doorbidayaa addimada iyo caloosha).

Marka marxaladaha terminal ee ascites kansarka dhexdhexaad ah ma sii dari xaaladda bukaanka iyo ma abuuro halis u ah nolosha, sidaas therapy kaliya ee daroogada lagu durayo, kaas oo la kordhiyo Digo ee dheecaannada jidhka ka iyo sidaas loo yareeyo effusion intra.

Haddii cudurka of ascites, daaweynta waxaa lagu fuliyaa veroshpironom (spironolactone) kaas oo la aqoonsan yahay "Heerka caafimaadka" ee daaweynta ee xaaladaha sida. Ujeedada daroogada this isku dhafan oo furosemide (durayo loop), u ogolaanaya sii faafiso ilaa 1000 millilitir oo dareere ah maalin kasta.

Marka xanuunka a fahmayaan iyo joogitaanka ascites iyo tachypnea, oofiyey paracentesis caloosha (dillacinin derbiga caloosha ujeeddo ah dalool baxa dheecaan). Dheecaan waxaa lagu fuliyaa ugu yaraan lix saacadood iyo ilaa wakhtiga sida dareere ascites waxaa mar dambe soo qulquli weelka. dareeraha keentay waxaa loo diraa falanqaynta by it baadhaya on total content protein, ka kooban tahay jajab ee LDH iyo quantification of leukocytes. Intaa waxaa dheer, seeding lagu sameeyo dhexdhexaad ah ee dareeraha ah.

Waxaa siinayaa saamayn wanaagsan fahmayaan on factor etiological saameynta (si toos ah buro laftiisa). Sayidka, xubinta wadista waxaa la ciribtiray iyo pathogenesis ee weeynaa kansarka ascites.