Edematous syndrome: Izimbangela, Izimpawu kanye Ukwelashwa

Uhlu izifo ezisihlaselayo impilo yomuntu yesimanje emgwaqweni, ebanzi ngokwanele. Omunye okungenani ibe yingozi ngesikhathi uphethwe sokuqala edematous syndrome, izimbangela zezinkumbulo bangahluka ngokuphelele. Kodwa uma uya ujule inkinga, kuvela ukuthi ukuqongelela uketshezi emzimbeni ngokuvamile kwenzeka ngaphansi kwesimo nezinkinga zempilo ezingathí sina okudinga kokungenela lodokotela oqeqeshiwe.

Kuyini edema syndrome?

Ngaphansi kwalesi sifo siqondwa cluster amaprotheni uketshezi abacebile Amapayipi alveolar, alveolar, interstitial (zezinzwa) kwezicubu bronchi. Imbangela yale ukuvuvukala ubhekwa i permeability semithambo anda. Ngenxa yalokho, ukubukeka amaqoqo enjalo kungaba izimbotshana serous wehlise ngokwesikhundla noma ukwandisa kwezicubu ivolumu.

Edema syndrome futhi kungaholela ushintsho Izakhiwo lezitho nezicubu, kanye ukuphazamiseka umsebenzi wabo.

Zokwelapha, ukuhlukanisa izinhlobo ezimbili edema:

• Generalized. Kuyinto ukubonakaliswa ezivamile omuhle amanzi ibhalansi emzimbeni.
• okuyinto zasendaweni ekuqongeleleni uketshezi isitho site eqondene noma izicubu.

Ngo inqubo ukuhlola of edematous syndrome odokotela ngokuyinhloko ukuqeda ukuvuvukala (uma ucindezela esikhumbeni umunwe, akusekho izimbobo). Ngokuvamile, ukunquma ngokunembile isimo isiguli isebenzisa imiphumela cwaningo umsebenzi yegilo futhi ekunqumeni izinga kumiswa edema.

Ziyini izimpawu sifo ngo izingane?

Ngeshwa, abazali ngezinye izikhathi bebhekene Iqiniso elibuhlungu njengoba ukuqongelela uketshezi ezicutshini noma izitho abantwana babo. Isizathu ezijwayeleke kakhulu kokutshelwa ngokukhubazeka kwengane ziphezulu isifo so-renal.

syndrome Edematous ezinganeni ngokuvamile owabonakaliswa ukuvelela edema ngokushesha ngaphambi kokugcwalisa nezicubu interstitial Friend ngisho izikhala ngokwengxenye eziyize ezifana pleura, peritoneum futhi scrotum. Iqiniso lokuthi ezindaweni ezithile ukuqoqa inani elikhulu ascites, ngezinye izikhathi kakhulu inkimbinkimbi inqubo outflow emithambo yegazi, okuholela isiguli ekuthuthukiseni senhliziyo.

Edema e izingane zingakwazi zenzeka ngenxa ukulimala capillary, okuyinto ezimweni eziningi zibangelwa nephritis. Kulokhu, ingane kukhona ukuvuvukala Isivalo, bese ngesikhathi nokwephuka phambili kobuso kwedolo. Isici yalesi syndrome amazinga ngokuphelele evamile umchamo futhi wegazi.

Ngokuphathelene izinsana, kungashiwo kuboniswe banayo edema syndrome kakade ngosuku 3-4th. Ngokuvamile, izimo ezinjalo kungenzeka ukuba bagcine kakhulu ekuthuthukeni kwale inkinga ezinsukwini ezimbalwa, ngemva kwalokho lapho ayaphela. Njengomthetho, endaweni lapho kukhona ukuvuvukala, uphawu kubonakale ongaziwa ku izingxenye ezithile zomzimba, giperemirovannost, paleness noma blueness kwesikhumba. Noma yimuphi neonatologist abanolwazi ekukhombeni izibonakaliso ezinje kungaba ngokuhlukile edema sifo ngo izinsana. Ngokuvamile singasho ukuthi isifo esifanayo kungaholela eziyingozi. Ngenxa yalesi sizathu, kubalulekile ukuthi ngemva kwezinsuku ezimbalwa zokuqala lokuzalwa, umntwana ngaphansi kweso lwezokwelapha njalo.

Izimbangela edema syndrome

Ukuvuvukala angagcina ku ngemuva izifo yezingalo nemilenze ephansi, ukubonakaliswa semithambo eminye yangaphakathi noma yezinkinga pathologies ezehlukene.

1. Yandisa yokucindezelwa emithambo yegazi. Lapha indima ebalulekile ekwakhekeni edema udlala ukwehluleka valve emithambo yegazi, imithelela acute thrombosis emithambo yegazi, varicose emithanjeni kanye kokucindezelwa emithambo yegazi evela ngaphandle ngenxa ukuthuthukiswa izimila.
2. Okungalapheki yokumelwa yinhliziyo.
3. Ukwephula amanzi lymph. Kulokhu, izimpawu ezifana isimiso se-lymph ipheshana filarial, elephantiasis nge Erysipelas yansukuzonke, abe nenkinga yokuvuvukala kwezicubu posttraumatic, lapho emithambo yegazi ehlanganisiwe isimiso se-lymph, kanye lymphostasis esibuhlungu.
4. ukwehluleka kwezinso ephelezelwa nephritic oyingozi futhi nephrotic syndrome. Kuyinto izifo ezifana omzimba izicubu erythematosus, glomerulosclerosis sikashukela, amyloidosis kwezinso, isifo Hodgkin sika, i-rheumatoid arthritis, wegazi lymphocytic, nephropathy abakhulelwe.
5. Hypoproteinemia, eye yathuthuka ngenxa yezizathu ezilandelayo:

• albumin zamagama iziyaluyalu;
• ukulahlekelwa amaprotheni;
• izinqubo maldigestion (exocrine esingamahlalakhona pancreatic);
• syndrome nephrotic;
• enganele amaprotheni eyanele (Ukudla okungafanele noma nokuswela);
• Engasebenzi kahle amaprotheni ukugaya (resection we lesion nabancane amathumbu odongeni, gluten enteropathy).

6. ezixutshiwe ukuvuvukala.

Izici ascitic syndrome

Lolu hlobo lwe-edema, eqinisweni, ukunqwabelana uketshezi ngaphakathi komgodi ongaphakathi kwamathumbu. I ascites izwi kusethelwe ku- "isikhwama isikhwama". Edematous-ascitic syndrome ngokuvamile iningi kwenzeka kubantu abane-isifo sokusha kwesibindi. Kubonakala lesi sifo ngokuvamile iyashesha, kodwa inqubo yentuthuko yayo okwengeziwe kungase kuthathe isikhathi esingamasonto amabili kuya ezinyangeni ezimbalwa. Isizathu sokuba ukuvela ngasikhathi sinye edema kungaba isifo esinjengo ukudakwa, ibonakalisa ukwehluleka hepatocellular ngenxa yokushaqeka futhi oluhambisana syndrome.

Edematous-ascitic syndrome ingachazwa izici ezilandelayo:

• iphika;
• distension besisu;
• okuvela ukubuyisa.

Uma inani ascites uketshezi kuzodlula umkhawulo 20 amalitha ke ukubukeka ezinye izimpawu:

• hernia hemorrhoidal emithanjeni;
• hernia inguinal;
• Reflux gastroesophageal;
• umthambo jugular;
• hernia enkabeni;
• senyusa izinga lomfutho womoya e vein jugular;
• ukufuduka diaphragm.

uphethwe kahle

Eyodwa yezindlela onokwethenjelwa kunayo ngalo ungakwazi ukuhlonza edema syndrome - ukuxilongwa umehluko. essence yayo yangempela kwencazelo lezi zinto ezilandelayo:

• khona amangqamuzana atypical (isigamu isikhathi bona kungavuka HCC no-22% ngokumelene izilonda isibindi metastatic);
• triglyceride (e ukuhlukumezeka ukugeleza lymph);
• Amylase (kusiza ukuthola uxhumano ascites nge nomfutho wegazi ophezulu portal);
• glucose (belinganisa edema syndrome, umehluko ukuxilongwa kulokhu isebenza nge oncopathology futhi perforation komzimba eziyize);
• bilirubin (perforation ipheshana biliary);
• Umbala ascitic uketshezi (Milky, ophuzi, onsundu amnyama, obomvu), kanye nabanye.

Sikhishwe yokuthi izimbangela edema syndrome zingase zihluke ngokuphelele, kubaluleke kakhulu ukuba kahle enze ukuxilongwa umehluko.

Edema okubangelwa isifo sezinso

Isici esiphawulekayo lolu hlobo edema syndrome ukuvela yayo okusheshayo nokuthuthukiswa. Uma isiguli ngokuvamile esimweni mpo, kuba pheze njalo umlenze uvuvukele. Kulokhu, akunakugwemeka isikhumba eliphaphathekile ukuvuvukala izandla nobuso.

Kukhona izifo eziningana ezihlobene kanye nezinso, okungase kubangele ekuqongeleleni ngokweqile emzimbeni zomzimba:

• jade;
• izinqubo tumoral ku izinso;
• vasculitis;
• nephrosis;
• amyloidosis;
• glomerulonephritis;
• esingamahlalakhona kwezinso.

syndrome Edematous e isifo so-renal ngokuvamile eba uma umzimba kukhona izifo, komzimba, isakhiwo umzimba kwezinso futhi ukudakwa. Ngokuvamile, ukwakheka amaprotheni ebukhoneni igazi kuyaphazamiseka izinto ezifana ne-ion buthelela. Ngaphansi kwethonya lezi zifo edema ziyabonakala ikakhulukazi ekuseni.

Futhi, labo ababhekene nezimo isifo sezinso, ngezinye izikhathi kubonakala khona syndrome nephrotic, lapho phakathi ukuchama ngayinye ukulahlekelwa ngu-60 amagremu amathathu amaprotheni.

Iyini indlela yentuthuko?

Ngaphambi edema syndrome kwezinso kuyowuthonya, izinguquko ezithile zenzeka emzimbeni womuntu, okuholela izifo ezifana:

1. Okokuqala, lokhu kwandisa ingcindezi intracapillary. Uma lokhu isimo kwenzeka izicubu uketshezi zokuhlunga ukwanda, kunciphe reabsorption yayo.
2. It kwaphazamisa kwezinso uhlelo excretory.
3. • Ukunciphisa enkulu amaprotheni oketshezi olungenambala olusegazini. Ngenxa yalo ukuntula kwabo ukwephulwa iba namanzi okukhipha isuke endaweni intercellular.
4. capillary Ukwandiswa permeability. isimo esinjalo nobuntu ezigulini eziye kwatholakala isimo pathologic noma glomerulonephritis.
5. A kuliphazamise ukulawulwa kwamanzi-usawoti umzimba. Kulokhu, ukubambezeleka sodium ion nemiphumela amanzi e uketshezi okwandisiwe aldosterone hormone.

Kufanele kuqashelwe ukuthi i-edema kubangelwa isifo sezinso, libhekene ukusatshalaliswa iyunifomu lonke uketshezi ekuqongeleleni izicubu ongama ebusweni.

disorder Immunoinflammatory njengoba imbangela edema

Ngokuvamile edema syndrome umphumela inkinga ezifana glomerulonephritis. Leli gama kufanele kuvisiswe isifo immunological lapho kukhona ukulahleka izicubu interstitial, ukuthi ijabulise futhi apharathasi glomerular. Ukuthuthukiswa esigabeni acute lesi sifo ezivamile nezingane abaneminyaka engama 2.

syndrome Edematous e glomerulonephritis uvame ukubonakala ebusweni. Uma ngabe uthuthukisa amafomu ezinzima kakhulu lesi sifo, kungase kubangele ascites, futhi gidrotorakasa hydrops. Imbangela eyinhloko yezifo ezithathelwanayo kukhona glomerulonephritis (adenovirus, ukusha kwesibindi kohlobo B, imizuzu 12 iqembu uhlobo beta-hemolytic A streptococci nabanye.).

Ukuthuthukiswa lesi sifo yisifo senhliziyo

Kwezinye izimo, ukuvuvukala kungenzeka ngenxa kancane ukugeleza kwegazi e kwezitho nezicubu. isimo esinjalo kungukuphula inhliziyo. Ngenxa yalokho, uketshezi aqoqana kwezicubu, okwandisa isisindo sesiguli. Kamuva edema avele isiqu nasemilenzeni aphansi.

Phawula ushintsho olunjalo, unga kalula. Futhi edema sifo ngo ukuhluleka kwenhliziyo kuholela Ukwehliswa isikhumba kuyaqina. Uma lesi sifo eshiwo ngokucacile, isikhumba zingavela imifantu lapho uketshezi trickles.

Ngo ukumelwa inhliziyo, ngaphambi kokuvela ukuvuvukala, iphika eba nesineke lubonakale. Ngokuphathelene ekuqongeleleni uketshezi, le nqubo iqale kabusha kusuka phansi futhi kancane kancane evuka emzimbeni. Ngaphezu kwalokho, lezi ukuvuvukala kukhona lesinesitfombe-sibuko futhi aqale kancane. Uma isiguli ngokuvamile kuba, isikhumba ukuvuvukala kuyoba obonakalayo esifundeni lumbar. Labo phila ngakhethi izimpilo kuqhathaniswa sedentary - ngezinyawo zabo.

Edema sifo ngo izifo zesibindi

Uma sikhuluma edema hepatic, kuyafaneleka ukuthi itholakala endaweni besisu. Kulokhu, ukunqwabelana uketshezi kungase kuhambisane ukubukeka imithambo varicose emithanjeni bayamangala. Yiqiniso, yena, zizace futhi umzimba iba ukubukeka nemvelo. Heavy, egcwele kwesisu uketshezi lapho zithonye ezihambayo. Kubalulekile ukukhumbula ukuthi kwezinye izimo nenani uketshezi ngaphansi kwesikhumba ongafinyelela uphawu 25 amalitha. isimo okunjalo edema syndrome kuchazwa njenganoma ascites. Yiqiniso, alolu akunakugwenywa, nokuvuvukala ngesikhathi izimpawu zokuqala kumele uxhumane udokotela, gastroenterologist, ngubani kufanele aqoke esegumbini labagula kakhulu.

ukwelashwa syndrome edematous

Into yokuqala ukwazi lapho inkinga ezifana ukuvuvukala - kuyinto ukuhambisana kumkhawulo okunengqondo lwemithi zokwelapha kuzosiza ukudala kudorhodere. Ngakho-ke, ukuxilongwa zochwepheshe edema syndrome - lokhu akuyona into yokuthathwa indiva. Uma ekuqongeleleni emzimbeni kungenziwa kwachazwa ngokuthi sho kumele uthola yokudlulisela ukuze bayothola ukwelashwa esibhedlela.

Esibhedlela, odokotela bayokwazi ukunquma isifo ethize, futhi yaba imbangela edema syndrome. Bazophinde bakwazi ukuthuthukisa algorithm ukwelashwa. Ukuze siqonde ukuthi iyona pathogenesis ka edema syndrome wedwa ngeke isebenze, futhi ngaphandle kokuveza izifo ukhiye, ngokumelene okuyinto kwakhiwa ukuvuvukala, ngempumelelo ukuhlasela inkinga akunakwenzeka. Ngokwesibonelo, kubantu abaphethwe isifo sesibindi, le pathogenesis ka ascites uyazifihla umthelela ezicini eziningana. Ukuze ukuzisho, okudinga iqhaza of onguchwepheshe.

Lesi simiso siyasebenza uphethwe ezifana syndrome scrotum edematous. Kulokhu, lesi simo umphumela izimo eziningana sokugembula. Ngaphansi le ncazelo iwe lezi zifo ezilandelayo: torsion gidatidy futhi hydrocele, kanye ukuvuvukala.

Kusobala ukuthi inkinga enjalo, njengoba lesi sifo ka scrotum edematous, neutralized bekuyoba nzima kakhulu ngaphandle usizo lodokotela oqeqeshiwe. Ngakho-ke kubalulekile ukuba waphinda ukuziqhakambisa yokuthi ukwelashwa okuphumelelayo kuphela ngosizo onguchwepheshe.

Ukuze kuzuzwe yi oyifunayo udinga ukuba banakekele umsoco ofanele. Kubalulekile ingcosana yamanzi (kufika ku 1.12 amalitha ngelilanga) kanye kakhulu ukunciphisa ukusetshenziswa kasawoti (hhayi ningi than 2 amagremu). Ngokuvamile, ngeziguli eziningi, ukwehla ngo umthamo zonke izinsuku we usawoti kuyinselele. Ukuze isikhathi ukujwayelana nezinye ukunambitheka entsha wokudla wawubalulekile ukhululekile kakhulu, udinga ukwengeza izitsha izinongo kanye namakhambi. Kuvunyelwe kufika ku-6 ukudla ngosuku, kodwa kuphela uma kuba-kilojoule amancane futhi kulula ukugaya.

Ngemva kokuhlola ngezimo zesiguli ngabanye, udokotela Ungasetha ukulinganiselwa ezithile ukusetshenziswa kwamafutha, amaprotheni kanye carbohydrate. Ngaphezu zokwelapha okusekelwe Ukudla, uma kwenzeka izinkinga ezifana ekwelapheni edema syndrome ne ingase isikisele isicelo ka ukuthaka imithi nemphumela isisu. Kubalulekile ukuthi udokotela kubhekwe zonke Izimo kanye nemiphumela inhlanganisela yalezi mithi, kanye nezinye izidakamizwa.

Kulula ukuphetha ngokuthi ukuvuvukala - ke kodwa kuyinkinga enkulu, okuyinto ezimweni eziningi kuwumphumela zonakale kakhulu ngaphezulu izitho zangaphakathi. Ngakho-ke, lapho izimpawu lokuqala edema syndrome kufanele ukuhlela Ukuvakashela udokotela. Lokhu kuzosiza ngokushesha futhi kungaphazamiseki iwukudambisa inkinga.