I-Edema yemvelaphi yezinso - izinhlobo, ukuxilongwa, ukwelashwa

Okuqukethwe okuqinisekisiwe

I-edema yezinso ingaba umphumela wokwenyuka komthamo wegazi elijikelezayo ngenxa yokuncipha kokuhlunga noma ukumuncwa kabusha kwamanzi ezinso. Ngenxa yalokho, inani lokukhishwa komchamo lincane kakhulu. Ukwelashwa kwe-edema ngokuyinhloko ukunciphisa umthamo we-sodium kanye nokudla okuvamile kwama-diuretics.

I-Edema yemvelaphi yezinso - izici

I-Edema yisimo esibonakala ngokunqwabelana koketshezi endaweni engaphandle kwemithambo. Lezi zinguquko zingase zivele phakathi nezifo ezihlukahlukene, isb ku-hyperthyroidism kanye ne-hypothyroidism. Ngaphezu kwalokho, i-edema yemvelaphi yezinso, ngokwesibonelo, ingase ibe umphumela wokuncipha komfutho we-oncotic (okuncike ekugxilweni kweprotheni ku-plasma yegazi) njengomphumela wokulahlekelwa ngokweqile, okungezona ngokomzimba kwaleli phrotheni lingena egazini. umchamo, isb ku-nephrotic syndrome. Isici esiphawulekayo sokukhubazeka kwezinso esifweni sezinso ukuthi kwenzeka noma siba sibi kakhulu ebusuku, okungukuthi siyenyuka ikakhulukazi ekuseni (ubuso, ijwabu leso) bese siyehla kancane kancane phakathi nosuku. I-edema ingase yenzeke ngenxa yokwanda kokungena kwezindonga zomkhumbi kanye nokuvinjelwa ukuphuma kwegazi noma i-lymph.

Izinhlobo ze-edema

Ngokuvamile kunezinhlobo ezimbili ze-edema:

1. jikelele - okuvela ngesikhathi sesibindi, isifo senhliziyo noma sezinso futhi ngenxa yokuntuleka kwamaprotheni;
2. Kunqunyelwe - kwakhiwe ngenxa yokudonsa kanzima kwegazi noma i-lymph (ukuvuvukala ngokuvamile kwenzeka ngenxa yokuvuvukala kwendawo).

Kubantu abanezifo ezingelapheki, i-edema yezinso ngokuvamile ayibonakali. Zikhula ngokushesha kuphela ezimweni ezinzima futhi zingaholela ngokushesha ekuvuvukeni kobuchopho. Ukwanda kokuvuvukala kungase kubonise ukwehluleka kwezinso okungapheli, okuthinta ukuwohloka kokuhlunga. Iziguli zibe sezikhipha umchamo omncane nesodium. Lokhu akuholeli kuphela edema, kodwa futhi ku-hypertension ye-arterial.

Ukuxilongwa kwe-edema yemvelaphi yezinso

Isiguli esethula kudokotela esinenkinga ye-edema kufanele sihlolwe ngokucophelela. Ngesikhathi sokuvakasha kwezokwelapha, udokotela kuqala uhlola ukuthi ngabe kukhona yini ukunqwabelana koketshezi emgodini we-pleural, i-pericardium kanye ne-peritoneum. Ukwengeza, uqinisa amaphaphu esiguli - ukububula kwe-alveolar ngaphezu kwamaphaphu kuzoncipha uma kunoketshezi ku-pleura. Kubalulekile futhi ukuhlola isisu ukuze kutholakale ukuthi isiguli sinama-ascites. Ngaphezu kokuhlolwa okukhulunywe ngenhla, kuyadingeka ukukala umfutho wegazi (amanzi amaningi emzimbeni abangela umfutho wegazi ophakeme we-arterial).

Sikhuluma ngesifo sezinso lapho ukukhukhumala kuhambisana nezimpawu ezilandelayo:

1. amazinga aphezulu we-urea ne-creatinine,
2. ukuba khona kwamaseli abomvu egazi, i-proteinuria namaseli egazi ku-urinalysis,
3. nomfutho wegazi ophezulu.

I-Edema yemvelaphi yezinso kanye ne-nephrotic syndrome

I-Nephrotic syndrome wuphawu lwezinso olungajwayelekile lapho amaprotheni ekhishwa ngaphezu komchamo. Ezinye izici eziyinhloko zihlanganisa:

1. ukuvuvukala
2. ukuntuleka kwe-albumin ku-plasma yegazi (banesibopho somfutho we-oncotic ofanele),
3. ukuphazamiseka kwe-lipid - amazinga aphezulu e-cholesterol ne-triglycerides egazini nomchamo.

I-Nephrotic syndrome ivame ukuvela ngenxa yezifo ezifana ne-RA (isifo samathambo), i-systemic lupus, isifo sikashukela noma i-dermatomyositis. Nokho, izici ezandisa ingozi yalesi sifo zihlanganisa:

1. ukusabela kwezidakamizwa,
2. izifo zangaphambilini, isibonelo, isifo sofuba, i-toxoplasmosis,
3. ubuthi,
4. izimila zesistimu ye-hematopoietic (i-lymphoma, i-leukemia).

Ukuvuvukala okuhambisana ne-nephrotic syndrome cishe kungabonakali ekuqaleni. Iziguli zivame ukungazinaki izimpawu zokuqala, isib ukuvuvukala kwamajwabu amehlo, ezikubheka njengomphumela wemvelo wokungalali. Ngokuhamba kwesikhathi, njengoba lesi sifo sikhula, ukuvuvukala kwemilenze ephansi kanye nezindawo ezingemuva zezandla nezinyawo kuqala. Isikhumba esingaphezu kokuvuvukala ngokuvamile siqinile, sibushelelezi futhi siphaphathekile (ngezinye izikhathi kuba nama-stretch marks). Ngaphezu kwalokho, iziguli zikhononda ngokukhuphuka kwesisindo somzimba.

Idiopathic nephrotic syndrome kwenzeka ikakhulukazi kubafana abaneminyaka engu-2-7. Ngokuvamile kwandulelwa ukutheleleka okungabonakali. Ukweqisa kwamaprotheni ngaphandle kwe-albumin emchameni kungaholela kulokhu:

1. ukwanda kokungenwa yizifo;
2. i-hypothyroidism;
3. i-anemia.

I-Edema yemvelaphi yezinso kanye nesifo sezinso

Ukulimala kwe-glomeruli kwenza ikwazi ukungena kakhulu kumaprotheni angena ngomchamo ngamanani amakhulu. Ngokuvamile, i-albumin ihlungwa ngokweqile, umsebenzi wayo uwukugcina umfutho wegazi we-oncotic ojwayelekile (okungukuthi umfutho odingekayo wesilinganiso esifanele phakathi kwe-intravascular and extravascular fluid). Ukugcwala okuphansi kwe-albumin egazini kubangela ukuba umfutho we-oncotic wehle futhi amanzi aqale ukuphuma ezitsheni. Ngemuva kwalokho, ngenxa yalokho, amafomu e-edema. Ngaphezu kwalokho, lapho kunokuntuleka koketshezi ezitsheni, umzimba ushukunyiswa ukuba ugcine amanzi nesodium.

I-Edema yemvelaphi yezinso - ukwelashwa

Izinyathelo zokulwa nekhaya Ukuvela kwe-edema yemvelaphi yezinso kuhlanganisa:

1. ukuvimbela noma yikuphi ukungakhululeki kwesitho somchamo,
2. ukwelashwa okuvamile futhi okuphelele kakhulu kwezifo ezitholwe zalesi sitho, kufaka phakathi izifo zomchamo kanye nokuvuvukala,
3. nciphisa inani loketshezi oluphuzayo.

Ezigulini ezinembangela etholakele ye-renal edema, ukwelashwa kuhloswe ukuyisusa. Sonke isiguli esine-nephrotic syndrome esitholakele kufanele silandele ukudla okufanele okufanele kukhawulele i-sodium, amanzi, amafutha agcwele kanye ne-cholesterol. Ukuqeda ukuvuvukala, udokotela uncoma ukuthatha ama-diuretics (ama-diuretics). Ngakolunye uhlangothi, imvamisa isetshenziswa ku-idiopathic nephrotic syndrome ukwelashwa kwe-steroid. Ekuqaleni, umthamo womuthi uphakeme kakhulu, kodwa kancane kancane uyancipha ngokuhamba kwesikhathi.

I-edema eyenzeka ngenxa yokugcwala koketshezi oluningi kufanele ilashwe ngama-diuretics namanzi kanye ne-sodium restriction. Kungenzeka ukuthi ukwelashwa okungenhla akulethi izinzuzo ezilindelekile futhi i-edema eyingozi ikhula, njengobuchopho noma i-pulmonary edema. Khona-ke ukungenelela kukadokotela ngokushesha ngangokunokwenzeka kuyadingeka, ngoba kuyadingeka ukwelashwa kwe-dialysis. Kuhilela ukuhlunga igazi kusetshenziswa umshini okhethekile (“izinso zokwenziwa”). Ngesikhathi se-dialysis, igazi eligeleza ngolwelwesi olungenamanzi likhipha ubuthi namanzi.

Itiye le-organic lezinso ezinempilo ezinojunipha kanye ne-birch, elitholakala emakethe ye-Medonet Market, lingasekela imisebenzi yokukhipha izinso.

Funda futhi: I-Edema