Binciken ruwa na Peritoneal
Binciken ruwa na Peritoneal gwajin gwaji ne. An yi shi ne don duban ruwan da ya ɗora a cikin sararin samaniya a kewayen gabobin ciki. Ana kiran wannan yanki sararin samaniya. Ana kiran wannan yanayin ascites.
Jarabawar kuma ana kiranta da paracentesis ko bugun ciki.
Ana cire samfurin ruwa daga sararin samaniya ta amfani da allura da sirinji. Ana amfani da duban dan tayi sau da yawa don jagorantar allurar zuwa ruwan.
Mai ba da lafiyarku zai tsabtace kuma ya raunana wani karamin yanki na yankinku (ciki). An saka allura ta cikin fatar ciki sannan a ciro wani ruwa mai ruwa. An tattara ruwan a cikin bututu (sirinji) haɗe zuwa ƙarshen allurar.
Ana aika ruwan zuwa dakin gwaje-gwaje inda ake duba shi. Gwaje-gwaje za'a yi akan ruwa don auna:
- Albumin
- Furotin
- Kwayar jinin ja da fari
Gwaje-gwaje kuma za a bincika kwayoyin cuta da sauran nau'ikan kamuwa da cuta.
Hakanan za'a iya yin gwaje-gwaje masu zuwa:
- Alkalfin phosphatase
- Amylase
- Cytology (bayyanar kwayoyin)
- Glucose
- LDH
Bari mai baka ya sani idan ka:
- Kuna shan kowane magunguna (gami da magungunan ganye)
- Shin akwai wata damuwa ga magunguna ko magungunan numfashi
- Samun kowane matsalolin zub da jini
- Kuna da ciki ko shirin yin ciki
Kuna iya jin jin zafi daga magungunan numfashi, ko matsi yayin da aka sanya allurar.
Idan aka fitar da ruwa mai yawa, zaka iya jin jiri ko annuri. Faɗa wa mai samarwa idan kun ji jiri.
An gwada gwajin don:
- Gane cutar peritonitis.
- Nemi dalilin ruwa a ciki.
- Cire ruwa mai yawa daga sararin samaniya a cikin mutanen da ke da cutar hanta. (Ana yin wannan don sanya numfashi cikin kwanciyar hankali.)
- Duba ko rauni a ciki ya haifar da zubar jini na ciki.
Sakamako mara kyau na iya nufin:
- Ruwan da ke da tabon abu mai ma’ana yana iya nufin kuna da matsalar gallbladder ko matsalar hanta.
- Ruwan jini na iya zama alamar ƙari ko rauni.
- Babban ƙididdigar ƙwayar jinin jini na iya zama alamar peritonitis.
- Ruwa mai laushi mai launi na madara na iya zama alamar carcinoma, cirrhosis na hanta, lymphoma, tarin fuka, ko kamuwa da cuta.
Sauran sakamakon gwajin da ba na al'ada ba na iya zama saboda matsala a cikin hanji ko gabobin ciki. Manyan bambance-bambance tsakanin adadin albumin a cikin ruwa da ke cikin jini kuma na iya nuna zuciya, hanta, ko gazawar koda. Differencesananan bambance-bambance na iya zama alamar cutar kansa ko kamuwa da cuta.
Risks na iya haɗawa da:
- Lalacewa ta hanji, mafitsara, ko jijiyoyin jini a cikin ciki daga hujin allura
- Zuban jini
- Kamuwa da cuta
- Pressureananan hawan jini
- Shock
Paracentesis; Fitsarin ciki
- Binciko cututtukan fata - jerin
- Al'adun Peritoneal
Chernecky CC, Berger BJ. Paracentesis (peritoneal ruwa bincike) - bincike. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2013: 849-851.
Garcia-Tsao G. Cirrhosis da kuma bayanansa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 153.
Miller JH, Moake M. Tsarin aiki. A cikin: Asibitin Johns Hopkins; Hughes HK, Kahl LK, eds. Littafin Harriet Lane. 21st ed. Philadelphia, PA: Elsevier; 2018: babi na 3.
Runyon BA. Ascites da kwatsam na kwayar cutar peritonitis. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 93.