ʻO ka hāʻule o ka ʻōpū i nā ʻīlio: nā kumu, nā hōʻailona, ​​​​ka maʻi a me ka mālama ʻana

ʻO Dropsy i nā ʻīlio (aka ascites) kahi maʻi e hōʻiliʻili ai ka nui o ka wai i loko o ka ʻōpū o ka ʻōpū. Hiki iā ia i loko o kahi ʻīlio olakino, akā liʻiliʻi loa kona nui. ʻO ka hōʻiliʻili nui o ka wai e hoʻopau i ka hana o nā ʻāpana āpau o ka ʻōpū o ka ʻīlio, hoʻomaka ia e ʻeha. Hoʻomaka ka pōkole o ka hanu e hōʻeha iā ia, hoʻemi ka hana, hiki mai ka luhi, hoʻomaka ka emi ʻana o ke kaumaha.

ʻO nā kumu o ka maʻi pehu

He hōʻailona ka Ascites, ʻaʻole he maʻi. Aia kekahi mau kumu no ia mea, eia nā mea maʻamau:

• ʻōpū;
• maʻi maʻi akepaʻa;
• maʻi puʻuwai;
• maʻi maʻi ʻōpū;
• ka maʻi maʻi maʻi.

ʻO ka manawa pinepine ke kumu o ka ulu ʻana o ka dropsy i nā ʻīlio he maʻi koko o nā ʻāpana like ʻole o ka ʻōpū o ka ʻōpū. Ke ulu nei, hoʻomaka ka ʻōpū e kau i ke kaomi ma luna o nā kīʻaha, ka hopena i ka piʻi ʻana o ke kahe koko, kahi e alakaʻi ai i ka hōʻiliʻili o ka wai i loko o ka ʻōpū o ka ʻōpū.

Eia kekahi, wehe koke ʻia ka ʻōpū i loko o kahi ʻīlio a hoʻomaka e puka ikaika loa, ʻo ia ka hopena i loko o ka peritoneum, hoʻopilikia ʻia ka puka ʻana o ka lymph a i ʻole ka nui o ka wai i hoʻokumu ʻia ma muli o ka ʻona o ke kino i hoʻokumu ʻia e ka ʻōpū.

Hoʻomaka pinepine ʻia ka dropsy o ka ʻōpū e nā maʻi o ke ake. Ke hana nei kēia kino i ka kānana ʻana i ke koko a me ka lymph, ka hoʻomaʻemaʻe ʻana iā lākou a me ka synthesizing protein. Ke maʻi koke ke ake, hoʻopilikia ʻia kāna mau hana a pau. ʻAʻole hiki iā ia ke kānana maʻamau i ka nui o ke koko a me ka lymph, ma muli o ka hoʻomaka ʻana o ka stagnate, hoʻomaka ka wai e kahe i loko o nā paia o nā moku a hiki mai nā ascites. ʻAʻe i ka synthesis protein ke alakaʻi nei i ka emi ʻana o ke kaomi protein plasma ke koko, ma muli o ka puka ʻana o ka ʻāpana wai o ke koko i loko o nā ʻiʻo a me nā lua kino a ʻike ʻia ka wai manuahi.

I nā ʻīlio, hoʻonāukiuki ka puʻuwai maʻi i ka stagnation o ke koko i ke kahe ʻana o ka ʻōnaehana, kahi e hoʻoulu ai i ka ascites i loko o ka ʻōpū o ka ʻōpū ma muli o ke kahe ʻana o ka moena vascular.

Hoʻoponopono nā puʻupaʻa i ka wai o ke kino a me ke kaulike electrolyte a hoʻoikaika i ka hoʻokuʻu ʻana i nā huahana metabolice like me ke ake. ʻAʻole pono i loko o nā puʻupaʻa olakino nā protein plasma i loko o ka mimi, akā naʻe, hoʻomaka ka huna ʻana o ka ʻiʻo ʻāʻī i kēia protein i nā mea nui. ʻO kēia nalowale o ka protein, me ka paʻa ʻana o ka sodium nui i loko o ke kino, kōkua i ka ulu ʻana o ka dropsy i loko o ka holoholona.

ʻO ka peritonitis kahi mumū o ka peritoneum. Hiki ke hana ia no nā kumu he nui a kokoke i nā manawa a pau e hele pū me nā ascites. Hoʻomaka ka nui o ka wai e hōʻiliʻili i loko o ka peritoneum ma muli o ka ʻeha koʻikoʻi, ma muli o ka nalowale ʻana o nā pā vascular i ko lākou paʻa ʻana a piʻi ka permeability.

Nā hōʻailona o ka hoʻohuhū

Pehea ʻoe e ʻike ai inā he ascites kāu ʻīlio? Pono ʻoe e ʻike i kāna mau hōʻailona nui:

• ʻo ka hōʻailona nui he ʻōpū ʻōpū. I nā holoholona momona, hōʻike nāwaliwali kēia hōʻailona, ​​no laila hiki ke maʻalahi ke nānā ʻole ʻia;
• ma muli o ka nui o ka wai i loko o ka puaʻa, hoʻomaka nā pilikia hanu, hiki ke pōkole o ka hanu, a hoʻomaka nā mucous membranes e loaʻa i kahi ʻulaʻula. Inā loaʻa ka ascites i ka maʻi o ka ate, hiki i ka mucous membranes ke icteric. Hoʻomaka ka nui o ka wai i loko o ka ʻōpū o ka ʻōpū e hoʻokau i ke kaomi ma ka diaphragm a me nā māmā, no laila koi ʻia ka ʻīlio e nohoe maʻalahi ka hanu;
• Hiki ke ʻike ʻia ka edema e like me ka dropsy, akā ma ke ʻano he maʻi kūʻokoʻa. ʻO ka Edema me nā ascites e hōʻike ana i ka hiki ʻana mai o kahi maʻi e like me ka hypoalbuminemia a i ʻole ka hana ʻole o ka renal. Loaʻa pinepine nā ascites i loko o ka lua pleural;
• hoʻomaka ka ʻīlio e inu nui a hele pinepine i ka lua i kahi ala liʻiliʻi. Loaʻa kēia mau hōʻailona i ka hana ʻole o ka renal;
• ua emi ka hana a ka ilio. Lilo ʻo ia i ka lethargic a me ka manaʻo ʻole i nā mea āpau. Lilo loa ka holoholona, ​​ʻaʻole ʻai i kekahi mea, hiamoe i nā manawa a pau, neʻe me ka paʻakikī;
• hoʻomaka ka ʻiʻo i ka atrophy piʻi ke kaumaha o ka ʻīlio ma muli o ka hōʻiliʻili ʻana o ka nui o ka wai i loko o ka ʻōpū o ka ʻōpū;
• me ka ascites, hiki i ka pipi ke luaʻi pinepine, i wehewehe ʻia e ka loaʻa ʻana o kahi maʻi i lalo (kidney, maʻi ate, kaʻina paraneoplastic).

Pehea e ʻike ai i ka dropsy?

Ua ʻike ʻia ka Ascites penei:

• ka hoʻolohe pono ʻana i nā ʻōhumu a ka mea nāna ka ʻīlio;
• ka nānā 'ana i nā hō'ailona;
• ma muli o nā hopena o nā hoʻokolohua koko laboratory;
• e like me nā hopena o ke aʻo ʻana i ka wai i lawe ʻia mai ka ʻōpū o ka ʻōpū;
• lawe i nā x-ray a i ʻole nā ​​ultrasounds.

Ma hope o ka hoʻolohe pono ʻana i ka mea nona a nānā i ka holoholona, ​​​​hoʻoholo ka mea lapaʻau inā he ascites a ʻaʻole paha. No ka hōʻoia ʻana a hōʻole paha i kā lākou kānalua, hana ʻia kahi ultrasound a i ʻole x-ray o ka ʻōpū o ka ʻōpū. Eia naʻe, hiki i kēia mau haʻawina ke hōʻike wale inā he nui ka wai a i ʻole.

ʻAʻole ia he ʻoiaʻiʻo ʻo ka wai i hōʻike ʻia i loko o ka ʻōpū o ka ʻōpū he kulu. me he wai la hiki ke koko me ke koko o loko, ka mimi, inā ma muli o kahi ʻeha i haki ʻia ai ka ʻōpū a i ʻole ka lymph, me ka pōʻino i nā moku lymphatic.

Ma ka hōʻailona ʻokoʻa, hana ʻia kahi puncture ma ka paia o ka ʻōpū e lawe i kahi wai no ka hoʻāʻo ʻana. Inā ʻaʻohe kala o ka ʻōpala i lawe ʻia, a laila ma 100% o nā hihia he ascites. Inā he wai ke koko, ʻo ia hōʻike i ka hemorrhage ma ka ʻōpū o ka ʻōpū, hōʻike ka mimi i ka haki ʻana o ka ʻōpū a i ʻole ka ureter, a ʻo ka wai waiu keʻokeʻo he lymph. Inā loaʻa ka mumū purulent i loko o ka ʻōpū o ka ʻōpū, ʻokoʻa ka wai me kahi ʻala maikaʻi ʻole. Hana ʻia kahi hōʻoia pololei ma hope o nā hoʻokolohua laboratory.

ʻO ka wai i aʻo ʻia i loko o ke keʻena keʻena he pololei loa i ka ʻike ʻana i ke kumu kumu o ka maʻi. Ma muli o ka haku mele, ua māhele ʻia ka wai i:

• exudate;
• hemorrhagic exudate;
• transudate;
• hoʻololi ʻia ka transudate.

Inā hōʻike nā haʻawina i kahi transudate, a laila hana ʻia nā maʻi e like me nā maʻi koko, nā helminthiases, nā maʻi o ke ake, nā ʻōpū, ka hypertension portal, a me ka hana ʻole o ka renal.

Inā hoʻopaʻa ʻia kahi transudate i hoʻololi ʻia, e loaʻa ana paha ka ʻīlio i ka hāʻule ʻole o ka naʻau, kahi ʻōpū, a i ʻole ke kiʻekiʻe o ka portosystemic hypertension. Puka mai ka exudate mai ka peritonitis a i ʻole nā ​​ʻōpū. ʻO ke koko i loko o ka exudate e hōʻike ana i ka pōʻino i nā kino o loko o ka holoholona.

Ka lapaʻau ʻana i nā ascites

ʻO kēia maʻi maʻi he hopena ia o kekahi kaʻina inflammatory i loko o ke kino o ka ʻīlio. Ma hope o ka pau ʻana o ke kumu, e nalowale hoʻi ka dropsy. Inā he maʻi koʻikoʻi ka holoholona, ​​hana ʻia ka laparocentesis no ka hoʻohaʻahaʻa ʻana iā ia, ʻo ia hoʻi ka hoʻokuʻu ʻana i ka wai nui mai ka ʻōpū o ka ʻōpū. Eia naʻe he manawa pōkole kēia ana., no ka mea, e hoʻomaka hou ka wai, a ʻo kona hoʻokuʻu mau ʻana e kōkua i ka hoʻomaka ʻana o ke kino o ka ʻīlio e nalowale i ka protein i nā mea nui, e hoʻonui hou ana i ke kūlana maʻamau o ka holoholona.

No ka hoʻopaʻi ʻana i ka nalowale o ka protein, hāʻawi ʻia kahi solution albumin a i ʻole e hoʻokomo hou ʻia ka wai i hoʻomake ʻia. I ka hihia hope, hoʻohui ʻia he 50 mau ʻāpana o ka heparin i 500 ml o ka wai a lawelawe ʻia i loko o ka intravenously no ʻelua a ʻekolu mau lā. Ua hiki mai ʻO ka wai paila i loko o nā toxins a me nā bacteriaNo laila, hoʻohana ʻia nā antibiotic e like me cephalosporins. Hoʻomaopopo ʻia kēia ʻano e ka mea e hoʻolōʻihi i ke ola o ka ʻīlio a hiki i ka hoʻomaka ʻana o ke kala ʻana.

Eia kekahi, pono e hāʻawi ʻia nā diuretics e wehe i ka wai, akā i kēia hihia, ua hoʻokuʻu ʻia ka nui o ka potassium mai ke kino. No ka mālama ʻana, ua kuhikuhi ʻia nā diuretics e mālama iā ia, akā ʻaʻole kēia he koho. Hoʻokumu lākou i ka maʻi dyshormonal.

Hāʻawi ʻia nā hopena maikaʻi e ka cardio a me nā hepaprotectors e kākoʻo ana i ka ʻiʻo puʻuwai a me ka hana o ka ate. ʻAʻole paʻakai ka ʻai a ka holoholona, ​​a e hoʻemi ʻia ka nui o ka wai e ʻai ʻia.

ʻOiai e loaʻa pinepine ana ka dropsy me nā maʻi hiki ʻole ke hoʻōla ʻia, hiki i ka mea nona ka ʻīlio a me ke kauka lapaʻau e hana pū ana ke mālama i ka holoholona i kahi kūlana ʻoluʻolu no kekahi manawa, e hoʻomaikaʻi ai i ka maikaʻi o ke ola.