Ascites

Ascites shine haɓaka ruwa a cikin sarari tsakanin rufin ciki da gabobin ciki.

Sakamakon yana haifar da matsin lamba a cikin jijiyoyin jini na hanta (hauhawar jini ta ƙofar) da ƙananan matakan furotin da ake kira albumin.

Cututtukan da zasu iya haifar da mummunan lahani na hanta na iya haifar da ascites. Wadannan sun hada da:

• Ciwon hepatitis C ko B mai saurin faruwa
• Shan giya a cikin shekaru da yawa
• Ciwon hanta mai haɗari (steatohepatitis maras giya ko NASH)
• Cutar cirrhosis wacce cututtukan kwayoyin halitta ke haifarwa

Mutanen da ke da wasu cututtukan daji a cikin ciki na iya haifar da hauhawar jini. Wadannan sun hada da cutar daji ta shafi, ta hanji, ovaries, mahaifa, pancreas, da kuma hanta.

Sauran yanayin da zasu iya haifar da wannan matsalar sun hada da:

• Shirye-shirye a cikin jijiyoyin hanta (portal vein thrombosis)
• Ciwon zuciya mai narkewa
• Pancreatitis
• Tharfafawa da tabo na suturar jakar kamar jakar zuciya (pericarditis)

Hakanan ana iya alaƙa da wankin koda da ascites.

Kwayar cututtuka na iya haɓaka a hankali ko kwatsam dangane da dalilin ascites. Wataƙila ba ku da alamun bayyanar idan akwai ƙananan ruwa a cikin ciki.

Yayinda ƙarin ruwa ke tattarawa, ƙila ku sami ciwon ciki da kumburin ciki. Ruwa mai yawa na iya haifar da ƙarancin numfashi, Wannan na faruwa ne saboda ruwan yana matsawa a kan diaphragm, wanda hakan ke matse ƙananan huhun.

Yawancin sauran alamun rashin nasarar hanta suma na iya kasancewa.

Likitanku zai yi gwajin jiki don sanin ko kumburin mai yiwuwa ne saboda haɓakar ruwa a cikin cikinku.

Hakanan zaka iya samun gwaje-gwaje masu zuwa don tantance hanta da koda:

• Yawan fitsari awa 24
• Matakan lantarki
• Gwajin aikin koda
• Gwajin aikin hanta
• Gwaje-gwajen don auna haɗarin zubar jini da matakan sunadarai a cikin jini
• Fitsari
• Ciki duban dan tayi
• CT scan na ciki

Hakanan likitan ku na iya amfani da allura na bakin ciki don cire ruwan ascites daga cikin ku. An gwada ruwan ne don neman dalilin ciwon ascites da kuma bincika idan ruwan ya kamu.

Za a magance yanayin da ke haifar da hauhawar jini, idan za ta yiwu.

Jiyya don haɓaka ruwa na iya haɗawa da canje-canje na rayuwa:

• Guje wa shaye-shaye
• Rage gishiri a cikin abincinku (ba fiye da 1,500 mg / rana na sodium)
• Iyakance shan ruwa

Hakanan zaka iya samun magunguna daga likitanka, gami da:

• "Magungunan ruwa" (diuretics) don kawar da ƙarin ruwa
• Maganin rigakafi don cututtuka

Sauran abubuwan da zaku iya yi don taimakawa kula da cutar hanta sune:

• Yi alurar riga kafi don cututtuka irin su mura, hepatitis A da hepatitis B, da pneumococcal pneumonia
• Yi magana da likitanka game da duk magungunan da kake sha, gami da ganye da kari da kuma magunguna masu cin kasuwa

Hanyoyin da zaku iya samu sune:

• Saka allura a cikin ciki don cire manyan ruwa (wanda ake kira paracentesis)
• Sanya bututu na musamman ko shunt a cikin hanta (TIPS) don gyara gudan jini zuwa hanta

Mutanen da ke da cutar hanta a ƙarshen matakin na iya buƙatar dashen hanta.

Idan kana da cutar cirrhosis, ka guji shan magungunan da ba na cututtukan steroid ba, kamar su ibuprofen (Advil, Motrin) da naproxen (Aleve, Naprosyn). Acetaminophen ya kamata a sha a rage allurai.

Matsaloli na iya haɗawa da:

• Kwayar cututtukan kwayar cuta ba tare da bata lokaci ba (kamuwa da barazanar rai na ruwan ascitic)
• Ciwon rashin lafiyar jiki (gazawar koda)
• Rage nauyi da rashin abinci mai gina jiki
• Rikicewar hankali, canji a matakin farkawa, ko suma (cututtukan hanta)
• Zuban jini daga babba ko ƙananan hanji
• Girman ruwa a sararin samaniya tsakanin huhunka da kirjin kirji
• Sauran rikitarwa na hanta cirrhosis

Idan kuna da hauhawa, kira likitan ku nan da nan idan kuna da:

• Zazzabi sama da 100.5 ° F (38.05 ° C), ko zazzabin da baya tafiya
• Ciwon ciki
• Jini a cikin kujerunku ko baƙar fata, jinkirin ɗakuna
• Jini a cikin amai
• Bugawa ko zubar jini wanda ke faruwa cikin sauki
• Girman ruwa a cikin ciki
• Legsafafun kumbura ko ƙafafun kafa
• Matsalar numfashi
• Rikicewa ko matsaloli na kasancewa a faɗake
• Launi mai launin rawaya a cikin fata da fararen idanunku (jaundice)

Hauhawar jini ta Portal - ascites; Cirrhosis - ascites; Rashin hanta - ascites; Yin amfani da barasa - ascites; Liverarshen cutar hanta - ascites; ESLD - ascites; Pancreatitis ya hauhawa

• Hawan ciki tare da cutar sankarar jakar kwai - CT scan
• Gabobin tsarin narkewar abinci

Garcia-Tsao G. Cirrhosis da kuma bayanansa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 144.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Ciwan Cirrhosis. www.niddk.nih.gov/health-information/liver-disease/cirrhosis/all-content. An sabunta Maris 2018. An shiga Nuwamba 11, 2020.

Sola E, Gines SP. Ascites da kwatsam na kwayar cutar peritonitis. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 93.