Syndrome Edematous: Sababaha, Calaamadaha iyo Daaweynta

Liiska cudurrada yihiin in ay isku dayayaan in ay weeraraan caafimaadka ee nin casriga ah ee wadada, balaadhan oo ku filan. Mid ka mid ah ugu yaraan khatar ah ee cudurka ugu horeeya waa edematous syndrome, sababaha taas oo laga yaabaa in aad u kala duwan. Laakiin haddii aad u tagto qoto dheer galay dhibaatada, waxaa soo baxday in raasamaal ah ee dareeraha ee jirka waxay badanaa ka dhacdaa tixraacayo dhibaatooyin caafimaad oo halis ah oo u baahan waxqabadka dhakhtarro u qalma.

Waa maxay bararka syndrome?

Under cudurkan ayaa la fahamsan yahay protein cluster dheecaan hodan ku marinnada alveolar, alveolar, interstitial (connective) unug oo hawomareenno. Sababta oo ah bararka waxaa loo arkaa inay ah permeability vascular kordhay. Sidaas darteed, muuqaalka kore ee ay kooxahaasi sida uu noqon karaa mid godadka nabarrada yaraado in awoodda ama la kordhiyo mugga unugyada.

Barar syndrome ayaa sidoo kale keeni kara in ay isbadal ku dhacay guryaha jirka ah ee xubnaha iyo unugyada, iyo sidoo kale in ay carqalad ah oo ay shaqo.

In dhaqanka caafimaad, la kala saaro laba nooc oo ah bararka:

• Guud. Waa muuqaal caadi ah dheelitirka biyaha wanaagsan ee jirka.
• Local kuwaas oo dheecaan in xubinta site-gaar ah ama unugyada.

In geeddi-socodka of Baadhista dhakhaatiir syndrome edematous ugu horrayn la baabi'iyo barar (haddii aad riix on maqaarka ee farta, waxaa weli godad jirin). Guud ahaan, in si sax ah loo ogaado xaaladda bukaanka isticmaalaa natiijada falanqaynta function thyroid iyo go'aaminta heerka of formation of bararka.

Maxay yihiin calaamadaha syndrome ee carruurta?

Nasiib darro, waalidiinta waxaa mararka qaarkood soo food leh xaqiiqda xun sida raasamaal ah dheecaan oo ku jira unugyo ama xubno ka mid ah ilmahooda. Sababta ugu badan ee cudurka noocan oo kale ah waa cudurka kelyaha sare.

syndrome Edematous in caruurta inta badan waa muujiyey by kaca ee barar si degdeg ah ka hor inta buuxinta nudaha interstitial dhagan iyo xataa meelaha qayb godan sida pleura, peritoneum iyo xiniinyaha. Xaqiiqada ah in meelaha qaarkood si ay u ururiyaan xaddi badan oo ascites, mararka qaarkood si weyn u adkaynaysaa geeddi-socodka dheecaanka arooriyaha, taasoo keentay in bukaan-socodka horumarinta wadnaha ah.

Barar carruurta sidoo kale dhici karaa sabab u waxyeello ku qalintaanka, oo kiisaska intooda badan waxaa sababa kelyo xanuun. Xaaladdan oo kale, ilmaha waxaa barar xirribaha, ka dibna at the kuraamaha iyo dusha hore ee jilibka. feature A of this syndrome waa heer gabi ahaanba caadiga ah ee kaadida iyo dhiig karku.

Iyadoo la tixgelinayo dhallaanka, waa la arki karo in ay leeyihiin bararka syndrome horeba in maalinta 3-4th. Sida caadiga ah, xaaladaha sida waxaa suurtagal ah si ay u dhawraan horumarinta dhibaato this in dhawr maalmood, ka dib markii taas waxaa engegay. Sida caadiga ah, meel ay halkaas waa barar, seal dareemi qalaad on qaybaha gaarka ah ee jirka, giperemirovannost, midabka ama buluugnimo maqaarka. Dhakhtarka dhalaanka kasta oo khibrad leh in la aqoonsado calaamadaha sida gaar ah tilmaami karaa barar syndrome ee dhallaanka. Guud ahaan waxaan dhihi karaa in cudur la mid ah waxay keeni kartaa dhibaatooyin daran. Sababtan darteed, waxaa muhiim ah in ugu horeeya ee maalmood ka dib dhalashada, ilmuhu ka yar kormeer caafimaad joogto ahaa.

Sababaha bararka syndrome

Barar ama waxaa laga yaabaa in ku saabsan asalka ah cudurada ka mid ah addimada hoose, daliilka vascular of qaarkood gudaha ama dhibaatooyin ah heley kala duwan.

1. Kordhi cadaadis arooriyaha. Halkan door muhiim ah in formation of bararka ciyaara failure ka mid ah khaanadaha arooriyaha, saamaynta thrombosis ba'an arooriyaha, xididdada qaradhku iyo riixo arooriyaha ka baxsan ay sabab u tahay horumarinta burooyinka.
2. Chronic wadnaha.
3. Ku xadgudubka dheecaan durey. Xaaladdan oo kale, calaamadaha sida xanibaadii mareenka lymphatic filarial, elephantiasis leh erysipelas soo noqnoqonaysa, limfadeema qoonmay, at taas oo arooriyaha isku dhafan oo xirma lymphatic, iyo sidoo kale lymphostasis argagaxa leh.
4. kelyaha Ulasocto kilida ba'an iyo nephrotic syndrome. Waxaa ka mid ah cudurada sida erythematosus oo nidaamsan lupus, glomerulosclerosis diabetic, amyloidosis kelyaha, cudurka Hodgkin, rheumatoid arthritis, leukemia lymphocytic, nephropathy uurka leh.
5. Hypoproteinemia, kaas oo uu sameeyay sababahan soo socda:

• xanuunada Avv albumin;
• luma protein,
• geeddi socodka maldigestion (exocrine la'aan ganaca);
• nephrotic syndrome,
• qaadashada protein ku filnayn (cunto aan habooneyn ama amuur);
• dheefshiidka haleysan protein (resection ee dhaawaca iyo derbiga xiidmaha yar-yar, enteropathy gluten).

6. barar Mixed.

Features ascitic syndrome

Noocan ah barar, dhab ahaantii, waa raasamaal ee dareeraha ee saabka caloosha. ascites Eraygii ayaa lagu wadaa inuu "bac bac". Edematous-ascitic syndrome waxay badanaa ka dhacdaa dadka qaba cirrhosis of beerka. Waxay u muuqataa in cudurka sida caadiga ah waa deg deg ah, laakiin habka ay horumar dheeri ah laga yaabaa inay qaadato muddo laba todobaad ilaa dhawr bilood. Sababta muuqaalka lama filaan ah barar uu noqon karaa jirro sida sarkhaan, muujinta ah failure hepatocellular lama filaan iyo dhiigbaxa syndrome.

Edematous-ascitic syndrome waxaa lagu qeexi karaa by sifooyinka soo socda:

• neefta oo ku qabata;
• barar caloosha;
• dhacdo of yaaqyaaqsi.

Haddii tirada dareerka ascites ay dhaafto 20 litir, ka dibna muuqaalka kore ee calaamadaha kale:

• xididdada hemorrhoidal Sheelada,
• Sheelada inguinal;
• reflux gastroesophageal;
• Annagaana ugsa dhaw xididka;
• Sheelada xudunta;
• cadaadis sii kordhaya ee xididka Annagaana ugsa dhaw;
• barakaca ee diaphragm ka.

cudurka hufan

Mid ka mid ah hababka ugu kalsoonaan karo by kaas oo aqoonsan kartaa syndrome barar - cudurka kala duwan. Its nuxurka, booguhu waxay ku dhaadhacay qeexidda arrimaha soo socda:

• joogitaanka of unugyada atypical (qeybtii ay ku dhici kara HCC iyo 22% ka dhanka ah lesions beerka xadka-);
• triglycerides (murugo socodka lymphatic);
• amylase (caawisaa dhiso ascites xidhiidhka la hypertension portal);
• glucose (qeexaya bararka syndrome, cudurka kala duwan haddii ay taasi la oncopathology iyo daloolin ee jirka godkii shaqeeya);
• bilirubin (daloolin mareenka biliary);
• ascitic Color dheecaan (caanno, jaalle ah, madow cawlan, oo cas), iyo kuwa kale.

Marka la eego xaqiiqada ah in sababaha bararka syndrome waxaa laga yaabaa in gebi ahaanba ka duwan, waa mid aad u muhiim ah in aad si sax ah u qabtaan cudurka kala duwan.

Barar ka dhasha cudurka kelyaha

feature A ee kala duwan ee noocan ah ee bararka syndrome waa ay soo bixitaanka deg deg ah iyo horumarinta. Haddii bukaanka inta badan waa in meel taagan, waxa ay had iyo jeer waa lugaha oo barara. Xaaladdan oo kale, waa jirka oo caddaado lama huraan, iyo barar gacmaha iyo wejiga.

Waxaa jira cudurro badan oo la xidhiidha kelyaha, taasoo keeni karta raasamaal xad-dhaafka ah ee dareeraha ah ee unugyada jidhka:

• Jade;
• geeddi socodka tumoral ee kelyaha,
• vaskulitis;
• nephrosis;
• amyloidosis;
• glomerulonephritis;
• kaafi kelyaha.

syndrome Edematous in cudurka kelyaha inta badan uu yeesho haddii jidhka jiraan infections, xasaasiyad, aan caadi ahayn qaab-dhismeedka jirka iyo sarkhaan. Sida caadiga ah, oo sideeda oo protein iyadoo ay wada joogaan oo dhiiggiisa la soo dhibtay qodobo ay ka mid oo udhigo isku uruursadaan. Under saameynta ay oo ka mid ah cudurrada bararka ayaa la muujiyey inta badan subaxdii.

Sidoo kale, kuwa la soo gudboonaado cudur kalyaha ah, oo mararka qaarkood u muuqday syndrome nephrotic, kuna waari dhexdeeda marka la kaadinayo kasta waa khasaare ah oo ku saabsan 60 garaam oo protein.

Waa maxay hab ay of horumarinta?

Ka hor inta bararka syndrome kelyaha yeelan doonto saamayn, isbedel qaar ka dhaca jidhka bini'aadamka, taasoo keentay in cudurada sida:

1. First of dhan, this kordhay intracapillary cadaadis. Marka gobolka taasi dhacdo in la kordhiyo dheecaan unug shaandhaynta ah, iyo hoos u its loo nuugay.
2. Waxaa khalkhal nidaamka excretory ee kelyaha.
3. Hoos u muhiim ah borotiinada plasma ah. natiijo A of la'aantoodu ay xadgudub ku noqotaa wax soo saarka biyaha ka bannaan ee intercellular.
4. Kordhinta permeability gaddoonka ah. xaalad noocan oo kale ah waa dabeecadda dadka bukaanka ah kuwaas oo laga helay xaalada pathologic ama glomerulonephritis.
5. khalkhal A ee sharciyeynta-shiid biyo-cusbo. Xaaladdan oo kale, dib u dhac ah ee atammada sodium iyo natiijada biyaha ee dheecaan kordhay aldosterone hoormoonka.

Waa in la ogaadaa in barar sababa cudurka kelyaha, lagu gartaa qaybinta direyska oo dhan dusha raasamaal dareeraha unugyada subcutaneous ah.

disorder Immunoinflammatory sida sababta bararka

Inta badan bararka syndrome waa natiijada dhibaato sida glomerulonephritis. waa in ereyadan waxa loo fahmi cudurka difaaca taas oo ay jirto khasaaro unugyada interstitial, embriyaha iyo qalab glomerular. Horumarinta ee wajiga ba'an cudurka caadiga ah ee carruurta ka wayn 2 sano.

syndrome Edematous in glomerulonephritis waxaa inta badan lagu arko wajiga. Haddii aad yeeshaan noocyada halista ah ee cudurka, waxay taasi keeni kartaa ascites, iyo gidrotorakasa hydrops. Sababta ugu weyn ee cudurrada faafa waa glomerulonephritis (adenovirus, hepatitis B, 12 daqiiqo kooxda cadaadis beta-hemolytic streptococci A iyo kuwa kale.).

Horumarinta ee syndrome ee wadnaha

Xaaladaha qaarkood, barar laga yaabaa inuu dhaco iyadoo ay sabab u socodka dhiigga gaabis ah in xubnaha iyo unugyada. xaalad noocan oo kale ah waxay xadgudub ku tahay waxyaalaha qalbiga ku jira. Sidaas darteed, dheecaanka ururayaa in unugyo ah, kordhinta miisaanka bukaanka. bararka Later muuqan ee jirridda iyo addimada hoose.

U fiirso isbedel sida, waxaad si fudud u awoodo. Sidoo kale bararka syndrome ee wadnaha oo shaqadiisa gaba keenaysaa in hoos u of barti maqaarka. Haddii cudurka si cad u muujiyay, maqaarka u muuqan kara dildilaac kaas oo dareere trickles.

In wadnaha oo shaqadiisa gaba, ka hor muuqday barar, neefta oo ku qabata yeesho bukaanka dareemi. Iyadoo la tixgelinayo dheecaan, habka bilaabo ka hooseysa iyo si tartiib tartiib ah ku kacdaa jidhka. Waxaa intaa dheer, barar kuwanu waa symmetric iyo wax yar ka badashay. Haddii bukaanka inta badan waa, maqaarka oo barara noqon doonaa dareemi gobolka lumbar ah. Waayo, kuwa nolol xad yah - cagahoodii ku.

Barar syndrome ee cudurada beerka

Haddii aan ka hadlo bararka, cagaarshowga, waxaa xusid mudan in waxa la kooban ee degaanka caloosha. Xaaladdan oo kale, raasamaal ee dareeraha waxaa la socon kara by muuqaalka kore ee xididka, xididdada qaradhku waa yaabeen. Dabcan, markeeda, noqon khafiif ah, iyo jidhka noqdo muuqaalka ah adaanaha. Culus, ka buuxiyey caloosha dareeraha ah marka la guuro wada dhaqdhaqaaqayeen. Waxaa muhiim ah in la xasuusto in mararka qaarkood xadiga dareere ah maqaarka hoostiisa gaari karo sumadda 25 litir. xaalad ah bararka syndrome noocan oo kale ah waxaa lagu qeexaa sida ascites. Dabcan, heerka aan la iska indho tiri karin, iyo barar koowaad ee lagu garto waa inay la xiriiraan dhakhtar, dheefshiidka ayaa ah, kuwaas oo waa in magacaabi daryeelka degdegga ah.

daaweynta syndrome edematous

Waxa ugu horeeya ee ah in la ogaado marka dhibaato sida barar - waa la raacayo xadka ee mudada ku-daweyn caqligal ah oo caawin doona in la abuuro dhakhtar aqoon u leh. Sidaa darteed, ogaanshaha xirfadeed ee bararka syndrome - tani ma ahan wax in la iska indho tiri. Haddii raasamaal ah ee dareeraha ah ee unugyada la garan karo sida loogu dhawaaqo, waa in aad ka heli gudbiyo si loogu daweeyo isbitaalka.

In isbitaalka, dhakhaatiirta ay awoodaan in ay go'aan ka cudur gaar ah, kaas oo noqday sababta bararka syndrome noqon doonaa. Sidoo kale waxay awoodi doonaan in ay horumariyaan isku geynta daaweyn ah. Si loo fahmo waxa pathogenesis ee bararka syndrome keligay ma shaqayn doonaa, oo aan shaaca cudurada muhiim ah, kuwaasoo la aasaasay barar, wax ku ool ah oo weeraray dhibaatada suurtogal ma aha. Tusaale ahaan, dadka qaba cudurka beerka, pathogenesis ee ascites qariyaa saamaynta arrimo dhowr ah. Si loo garto iyaga, waxay u baahan tahay ka qaybgalka takhasus u leh.

Mabda 'Tani waa khuseeya cudurka sida syndrome xiniinyaha edematous. Xaaladdan oo kale, xaaladda waa natiijada dhowr xaaladaha bahal ah. Under qeexitaankan dhaco cudurada soo socda: gidatidy torsion iyo hydrocele, iyo sidoo kale caabuq.

Waa wax iska cad in dhibaatada noocan oo kale ah, sida syndrome ee xiniinyaha edematous, Kipury noqon doono mid aad u adag oo aan gargaar ka mid ah dhakhaatiirta u qalma. Sidaa darteed waxaa lagama maarmaan ah in ay mar kale ka dhaansado si ay xaqiiqada ah in daaweyn wax ku ool ah waa uun gargaarka ee takhasuska ah dareenka.

Si loo gaaro natiijo la doonayo in aad u baahan tahay inaad is ogow of nafaqo sax ah. Waa muhiim in la cabbo in yar oo biyo ah (ilaa 1.12 litir maalintii) iyo si weyn u yareeyo isticmaalka cusbo (wax ka badan 2 garaam). Caadi ahaan, dadka bukaanka ah ugu, hoos u dhac in qiyaasta maalinlaha ah ee cusbo waa caqabad. Si muddo qabsaneysa dhadhanka cusub oo cunto ugu raaxo leh, aad u baahan tahay in lagu daro in dhir udgoon suxuunta iyo caleemo. kor u ogol yahay in ay 6 jeer maalintii, laakiin kaliya haddii ay ku yar tahay calories oo si sahlan loo dheefshiido.

Kaddib markii ay baaraan xaaladda bukaanka shaqsi, dhakhtarka kartaa xadeynta gaar ah oo ku saabsan isticmaalka dufan, borotiin iyo carbohydrates. Waxa intaa dheer in daawaynta ku salaysan cunto, haddii ay dhacdo dhibaatooyinka sida daaweynta bararka syndrome iyo tusinayaan laga yaabaa in codsiga of medicaments saamayn lagu durayo. Waxaa muhiim ah in dhakhtarka loo tixgeliyaa oo dhan sababo iyo saamaynta on isku dhafan ee daawooyinkan, iyo sidoo kale daawooyinka kale.

Waa ay fududahay in ku tirinnaa in bararka - waa dhibaato halis ah, oo xaaladaha ugu badan waa natiijada jajaban ka sii daran ee xubnaha gudaha. Sidaa darteed, marka calaamadaha ugu horeeya ee bararka syndrome waa in la qorsheeyo booqasho dhakhtarka. Tani waxay kaa caawin doontaa in si degdeg ah oo la saamaynta ugu yar ay uga takhalusi lahaayeen dhibaatada.