Edema Syndrome: Zvinokonzera, Zviratidzo uye Kurapa

Urongwa hwezvirwere huri kuedza kurwisa hutano hwevagari vemazuva ano hwakafara zvakakwana. Chimwe chezvinhu zvisinganyanyi kuipa pakutanga pakuona zvirwere zvinonzi edematous syndrome, zvikonzero zvingave zvakasiyana zvachose. Asi kana iwe ukapinda mudambudziko, zvinowanzoitika kuti kuunganidza kwemvura mumutumbi kazhinji kunoitika kunopesana nemamiriro ematambudziko makuru ehutano anoda kupindira kwevanachiremba vanokwanisa.

Chii chinonzi edematous syndrome?

Pasi pechirwere ichi ndechokunzwisisa kuunganidza kweprotein-rich fluid mumasangano e-alveolar, alveoli, interstitial (connective) tissue uye mubronchi. Chikonzero chekuzvikudza chinowedzera vascular permeability. Somugumisiro wekuonekwa kwemasumbu akadaro, simba revhariyiti rinogona kuderera kana mutema wevhesi inogona kuwedzera.

Iyo edema syndrome inogonawo kutungamirira kuchinjwa mumamiriro ezvinhu emuviri nemaviri, pamwe nekuputsa kwemabasa avo.

Mukurapa, kune marudzi maviri edema:

• Generalized. Ichi chiratidzo chinowanzoonekwa chemvura yakanaka mumutumbi.
• Nharaunda, iyo inounganidza mvura inoshandiswa mune imwe nzvimbo yomuviri kana mhuka.

Muchiitiko chekuongororwa edematous syndrome, vanachiremba vanonyanya kusabvisa kuvhara (kana iwe ukasunga paganda nemunwe wako, ipapo hakuna fossa). Muzvizhinji, kunyatsoziva mamiriro ehutano wehutachiona, zviitiko zvehutachiona hwekushanda kwemashoko uye kusarudza kwehuwandu hweodema yekugadzirisa hunoshandiswa.

Ko chirwere chinoratidzwa sei nevana?

Zvinosuruvarisa, dzimwe nguva vabereki vanofanira kutarisana nechokwadi chakadai chisingafadzi sekuti kuunganidza kwemasvikiro mumatumbu kana nhengo dzevana vavo. Chikonzero chinonyanya kukosha chekuongororwa uku kune zvirwere zvakasiyana-siyana zvepfungwa.

Ocular syndrome muvana kazhinji Inoratidzwa kuburikidza nekukura kweedema chaiyo pachayo kusvika pakuzadzwa kwakasimba kwemuviri wepakati uye kunyange pamwe kune nzvimbo dzisina kukwana se pleura, scrotum uye peritoneum. Ichokwadi kuti huwandu hwepamusoro hwemvura inounganidza mune dzimwe nzvimbo dzimwe nguva zvinonyanya kuoma kushandiswa kweropa rinoputika, sechigumisiro icho murwere anoita kuti mwoyo usakundikana.

Kukurira vana kunogona kuitika nekuda kwekukuvadza kune capillaries, iyo yakawanda inokonzerwa nephritis. Muchiitiko ichi, mwana ari kuzvirumbidza mumakumbo emawere, uye ipapo pamakumbo uye mberi kwemabvi. Ihwo humwe hutachiona hwechirwere ichi ndechechokwadi urinhi uye urwere hweropa.

Kana vari vacheche, vanogona kuva nechirwere chekudzimara kakatova zuva rechitatu-4. Sezvo mutemo, mumamiriro ezvinhu akadaro zvinokwanisika kucherechedza kukurudzirwa kwechikumbiro ichi kwemazuva anoverengeka, mushure mokunge kudonha kuchiitika. Sezvo mutemo, mune imwe nzvimbo umo kune kuvhara, zvinowanzoonekwa zvisingawanzogadziriswa pane zvikamu zvakasiyana zvemuviri, hypermia, pallor kana cyanosis yeganda. Chero ani zvake ane ruzivo rweononatologist achakwanisa kugadzirisa edematous syndrome mumavangwana pavanenge vachiziva zviratidzo zvakadaro. Pakati pese, tinogona kutaura izvozvo Chirwere chakadaro chinogona kutungamirira kumatambudziko makuru. Nokuda kwechikonzero ichi, zvinokosha kuti mazuva mashomanana okutanga mushure mokuberekwa, mwana akanga ari pasi pekuchengetedzwa nguva dzose kwechiremba.

Zvinokonzera oedematous syndrome

Edema inogona kukurwisana nechekudzika kwezvirwere zvechirwere chepasi, mubhedha wevasculasi, kuratidzwa kwezvimwe zvinetso zvemukati kana zvirwere zvakasiyana-siyana.

1. Kuwedzera kwezvinokonzera mhepo. Pano, basa rinokosha pakuumbwa kwedema ndiko kukanganisa kwevheji dzemhepo, zvinokonzerwa nehutachiona hwehutachiona, varicose veine uye kuwedzerwa kwemaketani kubva kunze nekuda kwekukura kwechirwere.
2. Chronic heart failure.
3. Kuvhiringidzika kwemuviri wecymphatic outflow. Muchiitiko ichi, zviratidzo zvakadai sekudzivirira kwe lymphatic pathways ne filarias, elephantiasis neyerisipelas yakadzoka, post-traumatic lymphedema, iyo inoputika uye inokonzera muviri, uyewo traumatic lymphostasis, inoratidzwa.
4. Pathology yeiyo tsvete, pamwe chete nephritic uye nephrotic syndrome. Izvi ndizvo zvirwere zvakadai se systemic lupus erythematosus, chirwere cheshuga chinonzi glomerulosclerosis, renal amyloidosis, lymphogranulomatosis, rheumatoid polyarthritis, lymphocytic leukemia, nephropathy yevakadzi vane pamuviri.
5. Hypoproteinemia, yakagadzirwa nekuda kwezvikonzero zvinotevera:

• Kushungurudzika muhutano hwe albumins;
• Proteine kurasikirwa;
• Kuvhiringidza kwekuchera zvinokonzera (exocrine pancreatic insufficiency);
• Nehrotic syndrome;
• Kusadya kwakakwana kweprotini (kusakondwa kana nzara);
• Kusakwanira kufanana kweprotein (resection uye chironda chemukati mudumbu mashoma, gluten enteropathy).

6. Mixed edema.

Zvikamu zve ascites syndrome

Rudzi urwu rweEdema, muzvokwadi, rwunopindirana rwemvura mumudumbu wepamuviri. Izvo shoko rokuti ascitum rinoreva "bhegi, bhegi". Otecno-ascitic syndrome inonyanya kuwanika kune avo vane chirwere chechiropa. Ichi chirwere chinoonekwa, sekutonga, nokukurumidza, asi nzira yekuwedzera kwayo inogona kutambanudza kwemavhiki maviri kusvika mwedzi yakawanda. Chikonzero chekuoneka kusingatarisirwi kwema edema kunogona kuva zvirwere zvakadai sekudhakwa, kuratidzwa kwehepatic-cell failure kune mushure mekutyisa uye hemorrhagic syndrome.

Osteo-ascitic syndrome inogona kutsanangurwa nezviratidzo zvinotevera:

• Kupfupika kwemhepo;
• Kuwedzera kwemimba mubhuku;
• Kuonekwa kwekunyengera.

Kana chikamu chemvura yakakura chinopfuura maita makumi maviri, ipapo dzimwe zviratidzo zvinogona kuoneka:

• Hernia yehemorrhoids;
• Inguinal hernia;
• Gastroesophageal reflux;
• Kuzvimba kwemuviri wemukati;
• Umbilical hernia;
• Kuwedzera kwekuwedzera mumutsipa wejugular;
• Diaphragm shift.

Kuona Kubudirira

Imwe yenzira dzakatendeseka dzaunokwanisa kuziva kuti edematous syndrome ndeyekusiyanisa kuongororwa. Chinangwa chayo ndechekuona zvinhu zvinotevera:

• Kuvapo kweatypical cells (muhafu yezviitiko zvinogona kuitika mu fcc uye 22% kurwiswa kwechiropa chechiropa);
• Triglycerides (nekutambudzika kwekuita lymphatic flow);
• Amylase (anobatsira kuumba sangano re ascites nehutachiona hwehutachiona);
• Glucose (kugadzirisa edematous syndrome, kusiyana kwekutsvaga mune izvi zvinoshanda nemasikiratori uye kuputika kwechimukati chisina kukwana);
• Bilirubin (kupera kwebhuku rebhaariary);
• Tora maruva akakwirira mvura (mukaka, tsvuku, tsvuku, tsvuku), nezvimwewo.

Tichifunga kuti zvikonzero zvinokonzera oedematous syndrome zvinogona kunge zvakasiyana zvachose, zvakakosha kuti tisiyane nekusiyanisa.

Edema, chikonzero chezvirwere zvepvo

Chimwe chikamu chedematous syndrome yemhando iyi ndechokuonekwa kwayo nekukurumidza. Kana murwere wacho kazhinji ari panzvimbo yakarurama, inenge nguva dzose makumbo anowedzera. Muchiitiko ichi, pallor yeganda, pamwe nekuputika kwemaoko uye chiso, hazvidziviriki.

Kune zvirwere zvakawanda zvinosanganiswa neitsvo, izvo zvinogona kukonzera kuwandisa kuwedzera kwemvura mumatumbu emuviri:

• Nephrite;
• Neoplastic zvirongwa muinso;
• Vasculitis;
• Nehrosis;
• Amyloidosis;
• Glomerulonephritis;
• Kuora kweiyo.

Edema syndrome ine chirwere chepvo kazhinji inowedzera kana muviri uine zvirwere, utachiona, zvisinganzwisisiki mumuviri wemuviri, pamwe nekudhakwa. Sezvo mutemo, muhupo hwezvinhu izvi, mapuroteni yakagadzirwa neropa akavhuniwa uye ions inowanikwa. Pasi pesimba rezvirwere izvi, edema inoratidzwa kunyanya mangwanani.

Uyewo, avo vaifanira kutarisana nechirwere chepfungwa, dzimwe nguva vakaratidza nephrotic syndrome, umo panguva imwe neimwe yekuyerera kune kurasikirwa kwema 60 gramu eprotini.

Chii chinoshandiswa pakugadzirwa kwemaitiro?

Kusati kwaita shanduko yepimpinyo chirwere ichizozviita pachako, mumuviri womunhu pane zvimwe zvinotungamirira kune chirwere chakafanana:

1. Chokutanga pane zvose, izvi zvinowedzera intra-capillary pressure. Mumamiriro akafanana mumasukisi, kune kuwedzera kwekutsvina kwemvura, uye kubva kwayo kunoderedza.
2. Izvo zvinoshandiswa purogiramu yehitsvo zvinokanganiswa.
3. Kupera kunokosha kweplasma mapuroteni. Chikonzero chekushaiwa kwavo ndiko kuputsa kwekuregererwa kwemvura kubva munzvimbo inoshandiswa.
4. Izvo zvinokonzerwa nemapapuriri inowedzera. Izvi zvinowanzoitirwa varwere vakamboonekwa vane mamiriro ekurwara kana glomerulonephritis.
5. Kurwisana kwekugadzirisa kwemvura-munyu metabolism. Muchiitiko ichi, kuwedzera kwakavharwa kwehomoni aldosterone kunokonzera kunonoka kweyoniyamu uye ion mvura.

Izvo zvinofanira kuonekwa kuti nokuda kweEmema inokonzerwa nechirwere chepfungwa, kugoverwa kweunifomu yehuwandu hwemvura inounganidza mukati memusoro wehutachiona hunozivikanwa.

Chirwere chekuzvidzivirira mumuviri sechikonzero chedema

Kazhinji, edematous syndrome inokonzera dambudziko rakadai se glomerulonephritis. Nenguva iyi zvakakosha kunzwisisa chirwere chekuzvidzivirira pamuviri, panguva iyo kuparadzwa kwemakumbo, ma-tubules ne-glomerular appliances zvinoitika. Kubudirira kwechikamu chakaoma chechirwere chacho kunowanzoitirwa vana vakwegura kupfuura makore maviri.

Osteal syndrome ne glomerulonephritis inowanzoratidzirwa munzvimbo yechiso. Kana maitiro akaoma echirwere achikura, saka ascites, hydrodrugs uyeasarca inogona kukura. Chinonyanya kukonzera kukura kwegamoromonefritis zvirwere zvinotapukira (adenoviruses, hepatitis B, 12th strain ye beta-hemolytic streptococcus group A, nezvimwewo).

Kuvandudza kwechirwere mumoyo kusakatika

Mune zvimwe zviitiko, kuzvimba kunogona kuonekwa semugumisiro wokuderedza kubuda kweropa mune nhengo uye maviri. Ichi chiitiko kukanganisa kwemwoyo. Somugumisiro, iyo inotonhorera inounganidza mumatumbu, ichiwedzera kuwanda kwemurwere. Gare gare, edema inowanikwa munzvimbo ye trunk uye migwagwa yakaderera.

Zvinokwanisika kutarisa kuchinja kwakadaro pasina kuoma kukuru. Uyewo, edematous syndrome ine mwoyo kusakonzera inoita kuti kuderera kweganda kuve kwakanyanya. Kana chirwere chacho chichitumidzwa chikajeka, ipapo ganda rinogona kuoneka rakaputika, iro rinosviba mvura.

Nekushaya simba kwemoyo, kusati kwanyanya kuwedzera, kuonekwa dyspnea kunowedzera mumurwere. Kana iri yekuunganidza mvura inoshandiswa, izvi zvinotangira kubva pasi uye zvishoma nezvishoma zvinosimudza trunk. Muchiitiko ichi, edema pachayo inofananidzwa uye kushanduka kusina basa. Kana murwere achigara achireva nhema, kuzvimba kweganda kuchaonekwa munzvimbo yechipararira. Vaya vanotungamira mararamiro anonyanya kushambadzira vari pamakumbo avo.

Edema syndrome ine zvirwere zvechiropa

Kana tichitaura nezvehepatic edema, zvakakosha kuti tione kuti iri mudumbu. Muchiitiko ichi, kuunganidzwa kwemvura kunogona kuendeswa nechitarisiko chemitsipa, iyo inokanganiswa nemaronda evaricose. Mitezo, pamwe nayo, yakaonda kunze, uye muviri unotora kuonekwa kwechisikigo. Mimba ine simba, inonaya mvura inodedera kana ichifamba. Zvakakosha kuyeuka kuti pane dzimwe nguva kuwanda kwemvura pasi peganda kunogona kusvika pamakiromita makumi mashanu. Iyi mamiriro edematous syndrome inotsanangurwa se ascites. Zvechokwadi, edemas eyizinga haigoni kuregererwa uye zviratidzo zvokutanga zvinofanira kutarirwa kune gastroenterologist, uyo anofanira kupa chirongwa chakasimba cherapi.

Kurapa kwe edematous syndrome

Chinhu chokutanga chaunoda kubhadhara kune dambudziko rakadaro sekudema ndekuteerera nepamusoro pemishonga yekurapa, iyo ichabatsira kugadzira chiremba anokwanisa. Nokudaro, unyanzvi hwekuongorora huwandu hweodematous syndrome haisi chinhu chingaregererwa. Kana kuunganidza kwemasvikiro mumatumbu kunogona kuonekwa sekutumidzwa, zvakakosha kugamuchira kutumirwa kunorapwa.

Pasi pemamiriro echipatara, vanachiremba vachakwanisa kuziva chirwere chakakonzera kutanga kwe edematous syndrome. Vachakwanisawo kukudziridza sargorithm yekurapa. Kuti unzwisise kuti chii chinonzi pathogenesis ine edematous syndrome, hachizoshandisi pachayo pachayo, uye pasina kuzarura chirwere chinonyanya kurwisana nezvakagadzirwa, hazvibviri kukanganisa chinetso. Somuenzaniso, kune vanhu vanotambura nechirwere cheropa, pathogenesis ye ascites inovanza migumisiro yezvimwe zvinhu. Kuti uzvizive, iwe unoda kubatanidzwa kweyanyanzvi.

Iyi nheyo inobatsirawo pakutsvaga kwakadaro sekuputika kwechirwere. Mune mhaka iyi, mamiriro acho ezvinhu ndewemigumisiro yezviitiko zvakasiyana-siyana. Pasi pemutsanangudzo iyi, zvirwere zvinotevera zvinowira: torsion ye hydatids nematsetse emvura , pamwe nekuputira maitiro.

Zviri pachena, dambudziko rakadai sokuputika kwechirwere, zvichava zvakaoma zvikuru kuregeredza pasina rubatsiro rwemakemikari anokwanisa. Nokudaro, zvakare zvakare chengetedza pfungwa yokuti mushonga unoshanda uchingova nekubatanidzwa kweumwe nyanzvi.

Kuti uwane chinangwa chaunoda, iwe unofanirwa kutarisira kudya kwakakodzera. Zvakakosha kunwa mvura shomanana (kusvika pa112 malita pazuva) uye zvakanyanya kuderedza kudya kwemanyu (kwete kupfuura 2 gramu). Sezvo mutemo, kune varwere vakawanda, kuderera kwemazuva ose emunyu weryu haisi basa rakaoma. Kuti nguva yekushandiswa kwemavara matsva ezvokudya ave akanyatsonaka, zvinokosha kuwedzera zvinonhuwira nemiriwo kune zvidyo. Inobvumidzwa kusvika kumapiro matanhatu pazuva, asi kana bedzi iyo iri pasi-koriori uye iri nyore kugora.

Ave akadzidza mamiriro emumwe murwere, chiremba anogona kugadzirisa zvimwe zvipingamupinyi pamashandisirwo emafuta, mapuroteni nemahydrohydrates. Mukuwedzera kune kudya-based-therapy, munyaya yechinetso chakadai edematous syndrome, kurapwa kunogonawo kusanganisira kushandiswa kwezvinodhaka zvinenge zvakagadziriswa. Zvakakosha kuti chiremba anofungisise zvose zvinopesana uye zvinoitika pamuviri wekubatanidzwa kwemishonga yakadaro, pamwe nemimwe mishonga.

Zviri nyore kugumisa kuti kupfutira dambudziko rakakomba rakakwana, iro kazhinji pane zvikonzero zvekuputsa kwakakomba kwemuviri. Nokudaro, nechitarisiko chekutanga zviratidzo zverematous syndrome, zvakakosha kuronga kushanyira kuchiremba. Izvi zvichakubatsira nekukurumidza uye nemigumisiro shomanana kusagadzirisa dambudziko.