Edematous syndrome: Oonobangela, Iimpawu and Treatment

Uluhlu izifo uzama ukuhlasela impilo yomntu mihla esitalatweni, ebanzi ngokwaneleyo. Omnye yingozi ubuncinane xa kufunyaniswa isifo lokuqala edematous syndrome, oonobangela apho inokuba nomahluko ngokupheleleyo. Kodwa ukuba uye nzulu le ngxaki, kuvela kukuba ukuqokelela ulwelo emzimbeni kaninzi kwenzeka sizoku lwisana iingxaki zempilo ezinzulu ezifuna ukuba ungenelelo booogqirha abafanelekayo.

Yintoni nokudumba syndrome?

Phantsi kwesi sifo iqondwa cluster protein osisityebi ulwelo kwi imibhobho alveolar, alveolar, Embi izicwili kunye bronchi (nokuqina). Unobangela ukudumba uthathwa ukuba abe permeability nemithambo ukwanda. Ngenxa yoko, ukubonakala amaqela ezinjalo kunokuba nemingxuma serous ukuncipha kwisikhundla okanye ukwandisa umthamo kwithishyu.

Nokudumba syndrome kwakhona kunokukhokelela utshintsho iimpawu ebonakalayo Amalungu nezihlunu, kwakunye nokuphazanyiswa umsebenzi wabo.

Xa yezonyango, ukwahlukanisa iindlela ezimbini nokudumba:

• Ngokubanzi. Kuyinto njengokubonisa eqhelekileyo kwityala lamanzi HIV emzimbeni.
• Local leyo nokwanda fluid kwi site-ngqo ilungu okanye kwithishyu.

Xa inkqubo kuxilongo oogqirha syndrome edematous ukuphelisa ukudumba kakhulu (xa ucinezela eluswini ngomnwe, akusekho mingxuma). Ngokubanzi, ukufumanisa ngokuchanileyo imeko yomguli isebenzisa iziphumo wohlalutyo umsebenzi lengqula kunye nokumisela izinga ekumisweni nokudumba.

Ziintoni iimpawu syndrome ebantwaneni?

Ngelishwa, abazali ezijongene ngamanye amaxesha kunye nesibakala ezingemnandi njengoko ukuqokelelana kolwelo zomzimba okanye amalungu abantwana babo. Esona sizathu eqhelekileyo ukuba ukuxilongwa ezinjalo isifo aphezulu sezintso.

syndrome Edematous kubantwana kubalulekile eyaboniswa ngokuvela nokudumba ngokukhawuleza phambi kokuba ugalele inyama Embi ekhaya yaye nkqu izithuba inxenye umngxuma ezifana pleura, peritoneum kunye kwisingxobo samatyhalarha. Inyaniso yokuba kwiindawo ezithile ukuqokelela izixa ezikhulu ascites, maxa wambi nzima kakhulu inkqubo lokuphuma lwemithambo, okubangela isigulane asakhasayo ukusilela intliziyo.

Nokudumba yabantwana zenzeka ngenxa yomonakalo emithanjeni, nto leyo kwiimeko ezininzi zibangelwa nephritis. Kulo mzekelo, umntwana kukho iindumbisa iinkophe, uze emva koko kwi kwamaqatha kunye umphezulu ngaphambili idolo. A phawu yale syndrome imiphakamo ngokupheleleyo eqhelekileyo umchamo kunye noxinzelelo lwegazi.

Ngokuphathelele iintsana, kunokubonakaliswa ukuba nokudumba syndrome sele ngemini 3-4th. Ngokuqhelekileyo, kwiimeko ezinjalo sinako ukubona uphuhliso yale ingxaki kwiintsuku nje ezimbalwa, emva koko kukho ayaphela. Njengomgaqo, kwindawo apho kukho ukudumba, itywina ngokuphawulekayo engaqhelekanga kumalungu athile omzimba, giperemirovannost, isiyezi okanye Imivumbo esikhumbeni. Nayiphi neonatologist onamava ekuchongeni iimpawu ezinjalo ukukhomba nokudumba syndrome in kubelekwa. Ngokubanzi nathi sithi isifo efana kungakhokelela kubunzima ezinzulu. Ngenxa yesi sizathu, kubalulekile ukuba kwiintsuku ezimbalwa zokuqala emva kokuzalwa, umntwana phantsi kweliso unyango rhoqo.

Izinto ezibangela nokudumba syndrome

Ukudumba ukuze aphuhlise kwisiqalo kwezifo ze nemilenze, ibonwa nemithambo kwangaphakathi ezithile okanye iingxaki ezimbi ezahlukeneyo.

1. Ukwandisa xi lwemithambo. Apha indima ephambili ebangela ukuba kusekwe nokudumba edlala ukusilela semigudu lwemithambo, imiphumo thrombosis etsolo lwemithambo, imithambo varicose kunye ucinezelo lwemithambo ukusuka ngaphandle ngenxa kuphuhliso yamathumba.
2. senhliziyo Chronic.
3. Ukophulwa sokuhambisa emithanjeni. Kulo mzekelo, iimpawu ezifana ekuphazamiseni phecana emithanjeni filarial, elephantiasis kunye erysipelas nezolo, lymphedema posttraumatic, apho lwemithambo ezidibeneyo isithintelo emithanjeni, kwakunye lymphostasis esibuhlungu.
4. ukusilela kwezintso ekhatshwa nephritic etsolo kunye nephrotic syndrome. Kuyinto kwezifo ezifana lupus zomzimba systemic, glomerulosclerosis seswekile, amyloidosis sezintso, isifo Hodgkin kaThixo, isifo samathambo, leukemia lymphocytic, nephropathy abakhulelweyo.
5. Hypoproteinemia, nto leyo eye yakhula ngenxa yezi zizathu zilandelayo:

• ukuphazamiseka albumin yokuqaphela;
• ukulahleka protein;
• iinkqubo maldigestion (exocrine insufficiency pancreatic);
• syndrome nephrotic;
• zaneleyo protein ekudleni (ukutya engafanelekanga okanye nokuswela);
• Ezineziphene protein kokudla (resection le sisilonda esidumbileyoesingaphakathi kunye nodonga emathunjini amancinci, gluten enteropathy).

6. Ukudumba Mixed.

Iimpawu ascitic syndrome

Olu hlobo nokudumba, enyanisweni, ukuqokelelela ulwelo kwi kwisisu. Le ascites gama imiselwe ku "ingxowa bag". Edematous-ascitic syndrome kaninzi kwenzeka kubantu babe kwesibindi. Kubonakala ukuba sifo idla olukhawulezayo, kodwa inkqubo yophuhliso yayo engaphezulu ingathatha isithuba seeveki ezimbini ukuya iinyanga eziliqela. Isizathu sokuba imbonakalo ngesiquphe nokudumba inokuba isifo ezifana ukunxila, wabona ukusilela hepatocellular ngokothuka kunye ukopha syndrome.

Edematous-ascitic syndrome inokuchazwa yi ezi mpawu zilandelayo:

• ukuphelelwa umoya;
• distension esiswini;
• ivela flatulence.

Ukuba isixa ascites ulwelo wayeza ngaphezu kweelitha ezingama-20, ngoko ke ukubonakala ezinye iimpawu:

• emithanjeni Ithemba hemorrhoidal;
• Ithemba inguinal;
• reflux gastroesophageal;
• ndlela jugular;
• Ithemba yosana;
• ukwandisa xi Kusenjalo jugular;
• ukubana abantu uvalo.

diagnosis eyiyo

Enye yezona ndlela inokuthenjwa, owosindiswa ngawo wena uyakwazi ukubona nokudumba syndrome - isifo umahluko. kubume bayo amathumba phantsi inkcazelo kwezi zinto zilandelayo:

• ubukho iiseli Nedlac (isiqingatha ixesha ukuba kwenzeka HCC ne-22% xa kuthelekiswa izitshanguba isibindi kuwenza);
• triglycerides (in trauma flow emithanjeni);
• amylase (inceda ukuseka ascites zonxibelelwano kunye lwegazi portal);
• glucose (ukuchaza nokudumba syndrome, ezohlukileyo uphethwe kulo mzekelo usebenza oncopathology kunye perforation umzimba umngxuma);
• yibilirubin (perforation iphecana biliary);
• Umbala ascitic fluid (njengamasi, etyheli, limnyama, obomvu), kunye nabanye.

Ngenxa yokuba oonobangela nokudumba syndrome inokuba nomahluko ngokupheleleyo, kubaluleke kakhulu ukuba enze ngokuchanekileyo diagnosis umahluko.

Nokudumba evela isifo sezintso

A isici esasenza olu hlobo nokudumba syndrome na ukuvela ngamandla kunye nophuhliso. Ukuba isigulana idla kwindawo nkqo, kuza kusoloko imilenze idumbile. Kulo mzekelo, ukuba ulusu kunqandwa libunile, kwaye ukudumba izandla kunye nobuso.

Kukho izifo ezininzi ezinxulumene kunye nezintso, esinokubangela olwenzeka ngokugqithisileyo ulwelo kwi nezihlunu umzimba:

• jade;
• iinkqubo tumoral kwi kidney;
• vasculitis;
• nephrosis;
• amyloidosis;
• glomerulonephritis;
• insufficiency kwezintso.

syndrome Edematous isifo sezintso ngokufuthi kuphuhliswa ukuba umzimba kukho zizifo, aleji, isakhiwo umzimba ukungaqheleki kunye ukunxila. Ngokuqhelekileyo, ubume iiprothini phambi igazi aphazanyiswa imibandela efana kunye ion yande. Phantsi yempembelelo ezi zifo nokudumba sibonakalalisiwe ikakhulu kusasa.

Kwakhona, abo abajongene isifo sezintso, maxa wambi wabonakalisa syndrome nephrotic, apho ngexesha ukuchama nganye ilahleko 60 iigrem protini.

Yintoni na ke indlela yophuhliso?

Phambi nokudumba sezintso syndrome iza kuba negalelo, ezinye iinguqulelo kwenzeka emzimbeni womntu, ekhokelela izifo ezifana:

1. Kuqala kwinto zonke, oku kwandisa intracapillary xinzelelo. Xa le miba yenzeka inwebu fluid ukwanda nocococ, kwaye unciphisa reabsorption yayo.
2. It ephazamisa inkqubo sezintso excretory.
3. Ukucutha ngokubonakalayo iiproteni plasma. A ngenxa yokuswela kwabo ephula uba imveliso amanzi avela kwisithuba intercellular.
4. Ukwanda permeability capillary. Loo urhulumente uphawu izigulane ziye isifo pathologic okanye glomerulonephritis.
5. A isiphazamiso ummiselo nethe amanzi amtyuba. Kulo mzekelo, kukho ukulibaziseka ion sodium kunye neziphumo amanzi ukwanda secretion le aldosterone hormone.

Kufuneka kuqatshelwe ukuba nokudumba ezibangelwa izifo zezintso, esibonakala ukusasazwa efanayo kulo lonke nokwanda engamanzi inyama ongama komhlaba.

disorder Immunoinflammatory njengakwintsusa nokudumba

Amaxesha amaninzi nokudumba syndrome kusisiphumo ingxaki ezifana glomerulonephritis. Eli gama kufuneka ziqondwe isifo ngumzimba apho kukho ilahleko yethishyu Embi, tubular kunye nezixhobo glomerular. Uphuhliso kwisigaba zale sifo eqhelekileyo kubantwana abadala ngaphezu kweminyaka 2.

syndrome Edematous kwi glomerulonephritis amaninzi kubonakala ebusweni. Ukuba ukuphuhlisa iintlobo kakhulu zesi sifo, inokuba ascites, kunye gidrotorakasa hydrops. Unobangela ephambili kwezifo ezosulelayo zezi glomerulonephritis (adenovirus, hepatitis B, imizuzu-12 iqela uhlobo beta-hemolytic A streptococci kunye nabanye.).

Uphuhliso onaso ukungaphumeleli intliziyo

Kwezinye iimeko, ehleliyo ekufukukeni apho kunokwenzeka ngenxa yegazi flow okucothayo Amalungu nezihlunu. Loo urhulumente kukwaphula intliziyo. Ngenxa yoko, ulwelo oluhlala emzimbeni, ukwandisa ubunzima malunga nesigulane eso. nokudumba kamva kuvela yomqeshi nolusezantsi omzimba.

Phawula ezinjalo utshintsho, ungakwazi lula. Kwakhona nokudumba sifo ngo ukusilela entliziyweni kukhokelela ekunciphiseni yesikhumba luthambe. Ukuba esi sifo ichazwe ngokucacileyo, nesikhumba kuvela iintanda apho ulwelo uyehla.

Xa ukusilela intliziyo, phambi ukudumba ukubonakala, ukuphelelwa umoya iphuhlisa isigulane buqapheleke. Ngokubhekiselele nokwanda fluid, inkqubo iqale ukusuka ezantsi kwaye ngcembe unyuka umzimba. Ngaphezu koko, ezi ukudumba ezi twatsa kunye nokuxhasa kancinane. Ukuba isigulana kangangokuba, isikhumba idumbile kuyoba obonakalayo kummandla empontshwa. Kuba abo phila ubomi ungenzi kakhulu - ngeenyawo.

Nokudumba syndrome kuzo izifo zesibindi

Ukuba sithethe nokudumba hepatic, kubalulekile ukukhumbula ukuba yenzelwe kwindawo esiswini. Kulo mzekelo, ukuqokelelana ulwelo kufuneka sikhatshwe imbonakalo imithambo, imithambo varicose bayamangaliswa. Kakade ke, nayo, babe zingcakacile, umzimba ibe imbonakalo nemvelo. Enzima, ezele isisu ulwelo xa uhambisa bekwazi. Kubalulekile ukukhumbula ukuba kwezinye iimeko umlinganiselo ulwelo phantsi kwesikhumba ifikelele uphawu seelitha ezili-25. Loo imo nokudumba syndrome kuchazwa ngokuthi ascites. Kakade ke, eli nqanaba azinakho ukutyeshelwa, kwaye ukudumba kwi iimpawu kuqala kufuneka uqhagamshelane nogqirha, a gastroenterologist, kufuneka atyumbe labagula kakhulu.

unyango syndrome edematous

Into yokuqala ukuqaphela xa ingxaki ezifana ukudumba - ukungqinelana kumda we irejimeni nezinengqiqo unyango oluya kunceda ukudala ugqirha abaqeqeshiweyo. Ngoko ke, kukho uxilongo nobungcali nokudumba syndrome - oku asinto ityeshelwe. Ukuba sibe ulwelo kwi ancedisana ingachazwa njengoko zomlomo wakhe, kufuneka ufumane ekuthunyelwa ukuba unyango esibhedlele.

Esibhedlele, oogqirha baya kuba nako ukufumanisa isifo esithile, nto leyo eyaba unobangela nokudumba syndrome. Baya kuthi babe nako ukuvelisa algorithm unyango. Ukuze uqonde ukuba yintoni na Pathogenesis of nokudumba syndrome yedwa akathandi kusebenza, kwaye ngaphandle kokuxela izifo ezingundoqo, apho wambumba ukudumba, ngempumelelo ukuhlasela ingxaki akwenzeki. Umzekelo, abantu abaphethwe isifo kwesibindi, lo Pathogenesis of ascites uyayigubungela impembelelo izinto ezininzi. Ukuze kubonakale kubo, kufuna uthatho-nxaxheba yincutshe.

Lo mgaqo esihambelana moshilongo ezifana syndrome kwisingxobo samatyhalarha edematous. Kulo mzekelo, imeko kubangelwa iimeko ezininzi zophendlo lwezifo. Phantsi kwale nkcazelo kuwa zifo zilandelayo: torsion gidatidy kunye hydrocele, ngokunjalo ukudumba.

Kucacile ukuba ingxaki enjalo, njengoko syndrome of isingxobo samatyhalarha edematous, bangabi bekuya kuba nzima kakhulu ngaphandle koncedo kumagqirha abafanelekayo. Ngoko kuyimfuneko ukuba kwakhona ukutsalela ingqalelo into yokuba unyango olusebenzayo kuphela ngoncedo yincutshe.

Ukuze kufikelelwe isiphumo ndakunqwenela kufuneka uthathe unonophelo lwesondlo efanelekileyo. Kubalulekile ukuba usele amanzi (iilitha ukuya ku 1.12 ngosuku) kwaye ziyakwehlisa ngokubonakalayo ukusetyenziswa yetyuwa (ngaphezu kwe-2 grams). Ngokuqhelekileyo, izigulane ezininzi, ukuhla idosi yemihla ngemihla ityuwa kulucelomngeni. Ukuze ixesha ukuze siqhelane incasa elitsha ukutya kakuhle kakhulu nazo, kufuneka ukongeza izitya ubulawu imifuno. Kuvunyelwe kufika ku izidlo 6 ngosuku, kodwa kuphela ukuba eliphantsi calories kunye ekulula ukuba kwetyiswe.

Emva kokuhlolisisa imeko yomguli ngamnye, ugqirha ungacwangcisa imida ethile malunga nokusetyenziswa amafutha, iiprothini kunye carbohydrate. Ukongeza amayeza esekelwe ukutya, xa kuthe kwakho iingxaki ezifana ukuphathwa nokudumba syndrome kwaye elisenokubhekisela isicelo of imithi iyabuphucula umchamo. Kubalulekile ukuba ugqirha ingqalelo zonke Izimo kunye neziphumo kwi indibanisela la machiza, kunye nezinye iziyobisi.

Kulula ukugqiba ukuba ukudumba - iyingxaki enkulu, nokuthe kwiimeko ezininzi sisiphumo iintanda ezinkulu nezibilini. Ngoko ke, xa iimpawu zokuqala nokudumba syndrome kufuneka bacwangcise utyelelo kugqirha. Oku kuya kunceda ngokukhawuleza kunye nefuthe amancinane Nokwethisa le ngxaki.