Kunyumba ndi Banja, Ziweto zimaloledwa
Dropsy mu agalu: zizindikiro ndi chithandizo
Dropsy mu agalu ndi matenda omwe amayamba chifukwa chokhala ndi madzi ambiri m'mimba. Kwa anthu abwinobwino, angathenso kusonkhanitsidwa. Koma mpukutu wa madzi ndi wochepa.
Pomwe zimagwiritsidwa ntchito mu buku lalikulu, kugwiritsidwa ntchito kwa ziwalo zonse za m'mimba zimasokonezeka, chifukwa cha ichi galu akuvutika ntchito ya kupuma. Galu akudumphadumpha, mwamsanga watopa ndi kutaya thupi.
Nchifukwa chiyani chikuwonekera?
Matenda a m'mimba mwa agalu ndi mawonetseredwe a matenda, osati matenda omwewo.
Zinthu zochitika ndizosiyana, pali zambiri. Koma tsopano tikulemba mndandanda waukulu:
- Neoplasm.
- Matenda a chiwindi.
- Matenda a mtima.
- Matenda a impso.
- Kutupa.
Kawirikawiri galu, kugwa kwa mimba kumawonekera chifukwa cha chikhomo mkati mwake. Powonjezera kukula kwake, imakanikiza mitsempha ya magazi, kuwonjezera kuwonjezeka kwa magazi. Chotsatira chake, pamakhala mchere wambiri m'mimba.
Ngati agalu atagwa, chiwombankhanga chimatuluka mwadzidzidzi, chomwe chimayambitsa kutuluka kwa feteleza m'mimba. Zina zoterezi zingayambitsidwe ndi kutuluka kwa ma lymph kapena poizoni thupi ndi poizoni.
Zina zomwe zingayambitse matendawa
Komanso, m'mimba mwadontho amayamba chifukwa cha matenda a chiwindi. Chifukwa chimodzimodzi thupi ili limatulutsa thupi la mankhwala owopsa ndipo limapanga mapuloteni.
Ngati chiwindi chikudwala, ntchito yake imasokonezeka. Izi zikutanthauza kuti mu thupi kwambiri tizilombo tizilombo timatha. Chiwindi sichitha kuyeretsa kufunika kwa magazi ndi mitsempha. Chifukwa cha izi, amatha kupitilira ndi kudutsa mkati mwa makoma a ziwiya m'mimba, pamimba.
Ndipo pamene mapuloteni amatha kusokonezeka, kuthamanga kwa m'magazi kumachepa, madzi amadzimadzi sagwiritsanso ntchito kumene amayenera, potsirizira pake akulowa m'mimba.
Kutaya magazi kungayambenso chifukwa cha mtima wodwala. Monga chodabwitsa ichi, pali kutuluka kwa madzi ambiri m'mimba.
Impso m'thupi ndizoyendetsa mchere wa madzi ndikuthandizira kuchotsa mankhwala ogwidwa ndi chiwindi monga chiwindi. Ngati impso zili ndi thanzi labwino, ndiye kuti palibe mankhwala ena omwe amapezeka mu mkodzo, monga mapuloteni. Koma ngati minofu ikuyaka, ndiye kuti idzakhalapo. Kutayika kwa sodium ndi kuchedwa chifukwa cha madziwa posachedwapa kudzatsogolera ku ascites.
Peritonitis ndi kutupa kwa peritoneum, kuphatikizapo kumasulidwa kwa madzi amadzimadzi m'mimba. Chifukwa cha nthawi yambiri, imayamba kutuluka m'mimba.
Dropsy mu agalu. Zizindikiro za matendawa
Tsopano ganizirani zizindikiro za matendawa:
- Mimba yaikulu. Mu agalu wathunthu, izi siziwoneka. Choncho, palibe amene akuganizira za vutoli.
- Chifukwa cha kusungunuka kwa madzi m'kati mwa agalu, pali mavuto ndi kupuma ndi kupuma pang'ono.
- Mphungu zimakhala ndi mthunzi wamagetsi. Ngati madziwa akugwiritsidwa ntchito ndi matenda a chiwindi, timadzi timene timakhala ndi icteric.
- Madzi amatsitsa chifuwa ndi mapapo. Choncho, galuyo amakakamizika kukhala nthawi zonse. Chifukwa cha madontho pali edemas. Ngakhale kuti nthawi zambiri amakhala matenda osiyana.
- Ngati kutupa ndi ascites kukuwonekera, ndiye izi zikhoza kusonyeza hypoalbuminemia kapena impso kulephera.
- Madzi akhoza kusonkhanitsa phokosolo.
- Ngati galu ali ndi ludzu lalikulu, amapita kuchimbudzi m'zigawo zing'onozing'ono, ndiye ndithudi amalankhula za impso kulephera.
- Galu amapanga mankhwala. Amakhala wopanda pake ndipo alibe chidwi. Nyama imataya thupi mwamsanga, ilibe chilakolako, imagona, imangoyenda.
- Minofu ya atrophy, koma kulemera kwa galu kumakula, chifukwa pali kale madzi ambiri.
- Ku ascites, chinyama nthawi zonse chimasokoneza chifukwa chokhala ndi matenda aakulu (kupweteka kwa chiwindi, chiwindi, ndi zina zotero). Palinso vuto ndi matenda a m'mimba ndi matenda a njala amawonedwa. Kuwonjezera apo, mungathe kuzindikira kuti galu ali ndi maganizo oipa, osadziletsa, osafuna kuchita chilichonse. Chizindikiro china ndi kusuntha kwabwino, koletsedwa, kosayenera. Zikuwonekera pa kuyenda, pamene nyama yoyamba imayenda mosasamala, imapita pang'onopang'ono, siipweteka, "imakhudza" ndi mapazi ake, imapuma nthawi yomweyo.
- Kuthamanga mobwerezabwereza, tsitsi lofewa (losungunuka, losinthasintha).
Chizindikiro chachikulu ndi fumbi m'mimba
Pamene madziwa amalembedwa pang'onopang'ono, eni ake nthawi zambiri amachoka osasamala. Iwo amaganiza kuti chirombochi chimangowamba mafuta kapena kukhala ndi pakati.
Madzi akafika mofulumira kwambiri, izi sizinayambenso chidwi, zimataya zonse zokhudzana ndi kususuka, kuphulika kapena kupweteka.
Koma pali kusiyana kwakukulu pakati pa onse omwe amatchulidwa, kapena, mwa kuyankhula kwina, ndi ascites, pali matenda a mimba. Ali ndi galu kumbuyo kwake, madzi akuyenda kuchokera m'mimba kupita kumbali. Pokwezera galu, mosiyana-pansi. Kwa dokotala ndikofunikira kuyankha mofulumira, ngakhale pamene zikuwoneka kuti chinyama chimasangalala.
Madzi amadzimanga m'mimba mofulumira pa ziwalo za peritoneum, mapapo, mtima. Matenda a magazi, kupuma, chimbudzi. Kawirikawiri, zizindikirozi ndi zabwino, makamaka kwa achinyamata, koma zoipa kwa okalamba, ofooka ndi matenda. Mwachidziwikire, mofulumira mukamacheza ndi dokotala, matendawa ndi oyenera kwambiri.
Kuzindikira kwa ascites
Kodi matendawa amapezeka bwanji mu agalu? Ndikofunika kuchita zotsatirazi:
- Chitani kafukufuku kwa mwiniwake wa chinyama.
- Phunzirani zizindikiro mwatsatanetsatane.
- Mayeso a magazi.
- Chotsani madzi kuchokera pamimba pamimba kuti muyambe kufufuza.
- Mafilimu.
- Ultrasound.
Pambuyo pofufuza zotsatira za matendawa, vetoloyo idzayesa ngati ili yovuta kapena ayi.
Matsempha m'mimba. Amakonda chiyani?
Kodi mungamvetsetse bwanji chidziwitso m'mimba? Kuti muchite izi, muyenera kufufuza fungo lake ndi mtundu wake.
Ngati madzi ndi mtundu wa udzu wowala, ndiye kuti 99% ndi ascites. Ngati mtundu wofiira, ndiye ngati magazi. Mkodzo uli ndi fungo lapadera ndi mtundu wachikasu.
Mkaka wa mkaka wamchere - mphutsi.
Ngati madziwo ali ndi kusakaniza kwa pus ndi fungo losasangalatsa, amatanthauza, m'mimba muli kutupa kwa magazi.
Maonekedwe a madziwa akugawidwa mu:
- Exudate;
- Mwazi wamagazi;
- Transudate;
- Transudate yosinthidwa.
Ngati zitsimikiziridwa kuti madzi ndi transudate, ndiye kuti chigamulo chingakhale motere: zotupa, mphutsi, kusokonezeka kwa chiwindi kapena matumbo, kutsekula kwa m'mimba, impso kugwira ntchito ndi zovuta.
Ngati transudate isinthidwa, izi zikhoza kusonyeza mtima wosalimba. Ngakhale izi zikhoza kukhala chizindikiro cha zotupa komanso zothamanga kwambiri.
Exudate ikuwonekera chifukwa cha peritonitis ndi zotupa. Ngati pali magazi mmenemo, izi zikuwonetsa kuchepa kwa magazi.
Dropsy mu galu. Ndiyenera kuchita chiyani? Kuchiza kwa ascites
Tsopano tiyeni tiyesere kumvetsetsa nkhaniyi mwatsatanetsatane. Ngati matendawa akugwidwa ndi agalu, chithandizochi chimagwiritsidwa ntchito movuta. Nthawi zina amagwiritsanso ntchito mankhwala opatsirana.
Kutentha kwa madzi kumapangidwa chifukwa cha kutupa kosiyanasiyana m'thupi. Ndikofunika kudziwa chomwe chimayambitsa ndi kuchiritsa icho, ndiyeno phokoso lidzatha.
Ngati matenda a chiwetowa ndi oopsa, ndiye kuti ntchito yosafunika ikufunika - laparocentesis. Pa nthawiyi, madzi amodzi amachotsedwa pamimba. Koma opaleshoniyi sikuthandiza kwa nthawi yaitali. Pambuyo pake, patapita nthawi, madziwa amasonkhanitsanso kachiwiri, kuchotsedwa kwake nthawi zonse kumachititsa kuti puloteni iwonongeke kwambiri, mkhalidwe wa chiweto umafalikira kwambiri.
Pofuna kuti pakhale vutoli, galuyo amathyola mankhwalawa, kapena amatsuka madzi omwe amachotsedwa, kenaka amalowa mu thupi.
Pambuyo poyeretsa madzi mu 50 ml imathiridwa ndi 500 IU wa heparin. Kenaka zotsatirazi zimayendetsedwa mwa intravenously kwa maola 48-72. Nthawi zina zinthu zoopsa ndi mycobacteria zimapezeka mumadzi. Choncho, kuyambitsa mankhwala osokoneza bongo ndikoyenera. Ndi chithandizo ichi galu amakula bwino kwambiri, ndipo nthawi zina kuchira kumabwera.
Kugwiritsiridwa ntchito kwa diuretics
Nthaŵi zina ma diuretics amalembedwa pochotsa madzi. Koma potaziyamu, potaziyamu yomwe imatulutsidwa motere imachotsedwa. Kuti mupulumutse, muyenera kugwiritsa ntchito mankhwala odzola kwambiri. Koma m'kupita kwa nthawi amachititsa kusamvana mu madzi-electrolyte metabolism. Choncho musawononge mankhwalawa molakwika.
Zotsatira zabwino zingapezeke pogwiritsa ntchito oteteza cardio ndi chiwindi. Amathandiza ziwalozi kugwira ntchito mwachizolowezi.
Mu zakudya za nyama musakhale mchere, ndipo kudya kwa madzi sikuyenera kukhala kochepa.
Kutsiliza
Mwamwayi, galu atasiya nthawi zonse sathandizidwa kuchipatala. Koma njira zothandizila zovuta komanso zovuta zowonongeka kwa wothandizirayo ndi dokotala zimapereka nthawi yambiri kuti azikhala ndi thupi labwino.
Kuti zikhale zosavuta kwa dokotala kuchiritsa galu, ayenera kuphunzira za matenda onse omwe mlimiyo adayambapo nawo, komanso momwe angachitire. Kawirikawiri, mankhwala amatenga nthawi yoposa mwezi umodzi. Pa nthawiyi, nyamayo iyenera kuperekedwa ndi mtendere.
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