Edematous syndrome: Ua, Cov tsos mob thiab kev kho mob

Daim ntawv ntawm cov kab mob uas tseem tabtom mus tua lub noj qab haus huv ntawm niaj hnub tug txiv neej nyob rau hauv txoj kev, dav txaus. Ib tug ntawm cov yam tsawg kawg yus thaum xub thawj mob yog edematous syndrome, cov ua uas tej zaum yuav sib txawv kiag li. Tiam sis yog tias koj mus ntxaum mus rau hauv qhov teeb meem, nws hloov tawm hais tias lub hnab khib kua nyob rau hauv lub cev feem ntau tshwm sim tawm tsam lub backdrop ntawm kev mob loj uas yuav tsum tau cov kev pab uas tsim nyog cov kws kho mob.

Yuav ua li cas yog edema syndrome?

Nyob rau hauv no kab mob no yog to taub pawg protein nplua nuj kua nyob rau hauv lub alveolar ducts, alveolar, interstitial (connective) cov ntaub so ntswg thiab bronchi. Qhov ua rau ntawm lub o yog pom tias yuav ua tau ib tug muaj zog vascular permeability. Raws li ib tug tshwm sim, cov tsos ntawm xws pawg yuav ua tau serous kab noj hniav yuav txo tau nyob rau hauv lub peev xwm los yog ua rau kom nyob rau hauv cov ntaub so ntswg volume.

Edema syndrome kuj yuav ua tau kom ib tug kev hloov nyob rau hauv lub cev cov khoom hauv nruab nrog cev thiab cov nqaij mos, raws li zoo raws li kev cuam tshuam ntawm lawv muaj nuj nqi.

Nyob rau hauv kev kho mob xyaum, paub qhov txawv ob hom ntawm edema:

• Generalized. Nws yog ib qho manifestation ntawm zoo dej tshuav nyiaj li cas nyob rau hauv lub cev.
• Local uas yog kua txuam nyob rau hauv lub site-kev hloov khoom nruab nrog los yog nqaij.

Nyob rau hauv tus txheej txheem ntawm diagnostics ntawm edematous syndrome cov kws kho mob feem ntau tshem tawm o (Yog hais tias koj nias rau ntawm daim tawv nqaij ntawm tus ntiv tes, muaj tseem tsis muaj qhov). Nyob rau hauv kev, los yog txiav txim lub mob ntawm tus neeg mob siv cov kev tshwm sim ntawm analyses ntawm lub qog muaj nuj nqi thiab kev txiav txim rau tus nqi ntawm tsim ntawm edema.

Yuav ua li cas yog cov tsos mob syndrome nyob rau hauv cov me nyuam?

Tu siab, cov niam txiv tej zaum yuav raug tej kev tsis kaj siab fact li txuam nrog kua nyob rau hauv ntaub so ntswg los yog nruab nrog lawv cov me nyuam mos. Feem ntau yog vim li cas rau xws li ib tug mob muaj siab raum kab mob.

Edematous syndrome nyob rau hauv cov me nyuam yog feem ntau manifested los ntawm tus sawv ntawm edema tam sim ntawd ua ntej sau tus interstitial cov ntaub so ntswg kaw ntom nti thiab txawm tej hollow tej qhov chaw xws li cov pleura, peritoneum thiab scrotum. Qhov tseeb hais tias nyob rau hauv tej qhov chaw rau sau cov loj nyiaj ntawm ascites, tej zaum ho complicates tus txheej txheem ntawm venous outflow, uas ua rau tus neeg mob tsim lub plawv tsis ua hauj lwm.

Edema nyob rau hauv cov me nyuam muaj peev xwm kuj tshwm sim vim kev puas tsuaj rau cov hlab ntsha, uas nyob rau hauv feem ntau yog tshwm sim los ntawm nephritis. Nyob rau hauv cov ntaub ntawv no, tus me nyuam muaj o ntawm lub muag daj, thiab ces nyob rau hauv lub pob taws thiab rau pem hauv ntej saum npoo ntawm lub hauv caug. Ib tug feature ntawm no syndrome yog kiag li ib txwm theem ntawm cov zis thiab ntshav siab.

Nrog kev xav txog cov me nyuam mos, nws yuav tsum tau qhia lawv muaj edema syndrome twb nyob rau hauv lub 3-4th hnub. Feem ntau, nyob rau hauv tej lub sijhawm nws yog tau mus soj ntsuam txoj kev loj hlob ntawm no yam tab kaum nyob rau hauv ob peb hnub, tom qab uas muaj yog fading. Raws li ib tug txoj cai, nyob rau hauv ib thaj chaw uas muaj yog o, noticeably coj txawv txawv tsiaj hiav txwv rau kev qhov chaw ntawm lub cev, giperemirovannost, tawv nqaij dawb los yog blueness ntawm daim tawv nqaij. Tej txog tej neonatologist nyob rau hauv paub xws tej yam tshwm sim muaj peev xwm uniquely taw edema syndrome nyob rau hauv cov me nyuam mos. Nyob rau hauv kev peb yuav hais tias zoo xws li cov kab mob no yuav ua rau loj teeb meem. Vim li no, nws yog ib qho tseem ceeb tias cov thawj ob peb hnub tom qab yug tus me nyuam, tus me nyuam yog nyob rau hauv qhov kev kho mob saib xyuas.

Cov ua rau edema syndrome

O tej zaum yuav tsim nyob rau hauv lub keeb kwm yav dhau ntawm cov kab mob ntawm lub sab nqua, vascular ces tej internal los yog teeb meem uas muaj ntau yam pathologies.

1. Nce ntawm venous siab. Ntawm no ib tug tseem ceeb luag hauj lwm nyob rau hauv lub tsim ntawm edema plays ib tug tsis ua hauj lwm ntawm venous li qub, cov teebmeem ntawm mob venous thrombosis, varicose leeg thiab venous compression los ntawm sab nraum vim txoj kev loj hlob ntawm cov qog.
2. Mob hauv lub plawv tsis ua hauj lwm.
3. Kev ua txhaum ntawm lymphatic kua. Nyob rau hauv cov ntaub ntawv no, cov tsos mob xws li rhuav txhua ntawm cov lymphatic filarial huam, elephantiasis nrog recurrent erysipelas, posttraumatic lymphedema, uas lub neej coj venous thiab lymphatic rhuav txhua, raws li zoo raws li kev puas lymphostasis.
4. Raum tsis ua hauj lwm nrog mob nephritic thiab nephrotic syndrome. Nws yog ib yam uas xws kab mob raws li mauj lupus erythematosus, ntshav qab zib glomerulosclerosis, raum amyloidosis, Hodgkin tus kab mob, mob caj dab rheumatoid, lymphocytic leukemia, nephropathy cev xeeb tub.
5. Hypoproteinemia, uas tau tsim rau cov nram qab no yog vim li cas:

• albumin synthesis mob;
• tsis protein;
• maldigestion dab (exocrine pancreatic insufficiency);
• nephrotic syndrome;
• tsis txaus protein tsawg (tsis tsim nyog noj cov zaub mov los yog deprivation);
• Puas protein zom cov zaub mov (resection ntawm lub lesion thiab cov hnyuv phab ntsa, gluten enteropathy).

6. Mixed o.

Nta ascitic syndrome

Qhov no hom ntawm edema, nyob rau hauv qhov tseeb, yog tsub zuj zuj ntawm cov kua nyob rau hauv lub plab kab noj hniav. Lo lus ascites yog teem rau "lub hnab hnab". Edematous-ascitic syndrome feem ntau tshwm sim nyob rau hauv cov neeg uas muaj mob npuas paug ntawm lub siab. Nws zoo nkaus li tus kab mob no feem ntau yog ceev, tiam sis tus txheej txheem ntawm nws ntxiv txoj kev loj hlob tej zaum yuav muab ib lub sij hawm ntawm ob lub lis piam mus rau ob peb lub hlis. Yog vim li cas rau lub cia li tsos ntawm edema yuav ua tau ib tug kab mob xws li qaug cawv, ib tug manifestation ntawm hepatocellular tsis ua hauj lwm nrog poob siab thiab hemorrhagic syndrome.

Edematous-ascitic syndrome tau muab txhais los ntawm hauv qab no nta:

• ua tsis taus pa;
• mob plab distension;
• tshwm sim ntawm flatulence.

Yog hais tias tus nqi ntawm cov ascites kua yuav ntau tshaj 20 litres, ces cov tsos ntawm lwm yam kev mob:

• hernia hemorrhoidal leeg;
• inguinal hernia;
• Gastroesophageal reflux;
• jugular hlab ntsha;
• txoj hlab hernia;
• ua lub siab nyob rau hauv lub jugular hlab ntsha;
• xaav ntawm lub diaphragm.

npaum mob

Ib qho ntawm feem txhim khu kev qha txoj kev uas koj yuav qhia hais tias tus edema syndrome - differential mob. Nws essence boils down mus rau lub ntsiab txhais ntawm lub yam nram qab no:

• hauv lub xub ntiag ntawm atypical hlwb (ib nrab ntawm cov sij hawm uas lawv yuav tshwm sim nyob rau hauv HCC thiab 22% tiv thaiv metastatic siab txhab);
• triglycerides (nyob rau hauv kev poob plig lymphatic khiav);
• amylase (pab tsim kom muaj kev sib txuas lus ascites nrog portal hypertension);
• glucose (defining edema syndrome, differential mob nyob rau hauv cov ntaub ntawv no ua hauj lwm nrog oncopathology thiab perforation ntawm lub hollow lub cev);
• bilirubin (perforation biliary ib ntsuj av tau);
• Xim ascitic kua (ntais, daj, tsaus xim av, liab), thiab lwm tus neeg.

Muab lub fact tias cov ua rau ntawm edema syndrome tej zaum yuav sib txawv kiag li, nws tseem ceeb heev kom raug ua differential mob.

Edema uas ua los ntawm lub raum kab mob

Ib tug txawv feature ntawm no hom ntawm edema syndrome yog nws ceev ceev tshwm sim thiab kev loj hlob. Yog hais tias tus neeg mob yog feem ntau nyob rau hauv ib ntsug txoj hauj lwm, nws yog yuav luag ib txwm o ob txhais ceg. Nyob rau hauv cov ntaub ntawv no, nws yog kev tsis pom nrias tawv nqaij daj, thiab o rau tej tes thiab ntsej muag.

Muaj ntau ntau cov kab mob txuam nrog rau ob lub raum, uas yuav ua rau ntev li txuam nrog kua nyob rau hauv cov ntaub so ntswg ntawm lub cev:

• jade;
• tumoral dab nyob rau hauv lub raum;
• vasculitis;
• nephrosis;
• amyloidosis;
• glomerulonephritis;
• raum insufficiency.

Edematous syndrome nyob rau hauv lub raum tus kab mob feem ntau muaj yog hais tias tus lub cev muaj mob, kev ua xua, lub cev qauv kev txawv txav thiab intoxication. Feem ntau, cov protein muaj pes tsawg leeg nyob rau hauv lub xub ntiag ntawm cov ntshav yog ntxhov xws yam thiab ions noog. Nyob rau hauv tus ntawm cov kab mob edema yog manifested tsuas yog nyob rau thaum sawv ntxov.

Tsis tas li ntawd, cov neeg uas muaj kev nyuaj siab nrog raum tus kab mob, tej zaum manifested nephrotic syndrome, nyob rau thaum lub sij hawm txhua tso zis yog ib tug tsis txog 60 grams ntawm cov protein.

Yuav ua li cas yog lub mechanism ntawm txoj kev loj hlob?

Ua ntej edema raum syndrome yuav muaj ib cov nyhuv, ib co kev hloov tshwm sim nyob rau hauv tib neeg lub cev, ua rau tej kab mob:

1. Ua ntej ntawm tag nrho cov, qhov no nce siab intracapillary. Thaum lub xeev no tshwm sim nyob rau hauv cov ntaub so ntswg kua filtering nce, thiab txo nws reabsorption.
2. Nws cuam tshuam lub raum excretory system.
3. Ib tug tseem ceeb yuav txo tau ntawm cov ntshav proteins. Ib tug rau txim ntawm lawv tsis muaj kev txhaum yuav dej tso zis los ntawm lub intercellular qhov chaw.
4. Nce capillary permeability. Xws li ib tug lub xeev yog cov yam ntxwv ntawm cov neeg uas tau raug tshuaj lawm pathologic mob los yog glomerulonephritis.
5. Ib tug ntxaug nyob rau hauv cov kev cai ntawm cov dej-ntsev metabolism. Nyob rau hauv cov ntaub ntawv no, ncua sij hawm ntawm sodium ions thiab dej tau nyob rau hauv ntau zog secretion ntawm cov hormone aldosterone.

Nws yuav tsum tau muab sau tseg tias rau edema tshwm sim los ntawm lub raum tus kab mob, yus muaj los ntawm teeb tis thoob plaws hauv lub kua txuam nrog subcutaneous cov ntaub so ntswg nto.

Immunoinflammatory teeb meem raws li ua edema

Feem ntau edema syndrome yog lub txiaj ntsim ntawm ib qho teeb meem xws li glomerulonephritis. Qhov no lub sij hawm yuav tsum tau to taub immunological kab mob nyob rau hauv uas muaj yog tsis interstitial ntaub so ntswg, tubular thiab glomerular apparatus. Cov kev loj hlob ntawm lub mob theem ntawm tus kab mob ntau nyob rau hauv cov me nyuam laus tshaj li 2 xyoos.

Edematous syndrome nyob rau hauv glomerulonephritis yog feem ntau pom nyob rau hauv lub ntsej muag. Yog hais tias koj muaj mob loj heev ntaub ntawv ntawm tus kab mob, tej zaum nws yuav ua rau ascites, thiab hydrops gidrotorakasa. Lub hom ua ntawm kis kab mob yog glomerulonephritis (adenovirus, kab mob siab B, 12 feeb lim beta-hemolytic pab pawg neeg A streptococci thiab lwm tus neeg.).

Cov kev loj hlob ntawm lub syndrome ntawm lub plawv tsis ua hauj lwm

Nyob rau hauv tej rooj plaub, o tej zaum yuav tshwm sim raws li ib tug tshwm sim ntawm qeeb ntshav txaus nyob rau hauv nruab nrog cev thiab cov nqaij. Xws li ib tug lub xeev yog ib tug ua txhaum ntawm lub plawv. Raws li ib tug tshwm sim, kua accumulates nyob rau hauv cov ntaub so ntswg, ua luj ntawm tus neeg mob. Tom qab ntawd edema tshwm sim nyob rau hauv lub cev thiab sab nqua.

Daim ntawv ceeb toom cov kev pauv, koj yuav tau yooj yim. Tsis tas li ntawd edema syndrome nyob rau hauv lub plawv tsis ua hauj lwm yuav ua rau yuav txo tau ntawm daim tawv nqaij elasticity. Yog hais tias tus kab mob no yog qhia kom meej meej, ntawm daim tawv nqaij yuav tshwm sim tej kab nrib pleb los ntawm kev uas ua kua trickles.

Nyob rau hauv lub plawv tsis ua hauj lwm, ua ntej tshwm o, ua tsis taus pa muaj hnov mob. Nrog kev xav txog kua txuam nrog, cov txheej txheem pib los ntawm lub hauv qab thiab maj mam nce rau hauv lub cev. Ntxiv mus, cov swellings yog zoo ib yam thiab txav me ntsis. Yog hais tias tus neeg mob feem ntau yog, lub o daim tawv nqaij yuav tsum hnov nyob rau hauv lub lumbar cheeb tsam. Rau cov neeg uas ua kuj sedentary lub neej - nyob rau hauv lawv ko taw.

Edema syndrome nyob rau hauv daim siab kab mob

Yog hais tias peb tham txog hepatic edema, yog tsim nyog sau cia hais tias nws yog laus nyob rau hauv lub plab cheeb tsam. Nyob rau hauv cov ntaub ntawv no, txuam nrog kua tej zaum yuav tsum tau nrog los ntawm cov tsos ntawm cov leeg, varicose leeg yog amazed. Ntawm cov hoob kawm, nyob rau hauv lem, ua nyias, thiab lub cev yuav ib tug unnatural tsos. Hnyav, sau nrog kua pw khwb rwg thaum tsiv swaying. Nws yog ib qho tseem ceeb rau koj nco ntsoov tias nyob rau hauv tej rooj plaub tus nqi ntawm cov dej nyob rau hauv daim tawv nqaij yuav ncav cuag lub cim ntawm 25 liters. Xws li ib tug lub xeev ntawm edema syndrome yog txhais raws li ascites. Ntawm cov hoob kawm, theem no muaj peev xwm tsis tsum tsis quav ntsej li, thiab o ntawm thawj tsos mob yuav tsum hu rau ib tug kws kho mob, ib tug gastroenterologist, uas yuav tsum tau xaiv intensive kev saib xyuas.

edematous syndrome kev kho mob

Tus thawj tshaj plaws kom koj nco ntsoov thaum ib qho teeb meem xws li o - yog ua raws li cov kev txwv ntawm muaj kuab tshuaj regimen uas yuav pab ua kom ib tug tsim nyog tus kws kho mob. Yog li ntawd, ib tug neeg mob ntawm edema syndrome - qhov no yog tsis ib yam dab tsi yuav tsum tau tsis quav ntsej li. Yog hais tias lub hnab khib kua nyob rau hauv cov ntaub so ntswg muaj peev xwm yuav yus li cov lus hais, koj yuav tsum tau xa mus rau lub tsev kho mob kev kho mob.

Nyob rau hauv ib lub tsev kho mob, cov kws kho mob yuav tsum tau los mus txiav txim ib qho kab mob, uas ua qhov ua rau ntawm edema syndrome. Lawv kuj yuav muaj peev xwm coj ib tug kev kho mob algorithm. Yuav kom to taub dab tsi yog qhov pathogenesis ntawm edema syndrome ib leeg yuav tsis ua hauj lwm, thiab tsis tau revealing tseem ceeb kab mob, tiv thaiv uas tsim o, zoo tua qhov teeb meem yog tsis tau. Piv txwv li, cov neeg txom nyem los ntawm daim siab tus kab mob, lub pathogenesis ntawm ascites conceals tej yam ntawm ob peb yam tseem ceeb. Nyob rau hauv thiaj li yuav paub lawv, yuav tsum tau kev koom tes los ntawm ib tug tshwj xeeb.

Qhov no kuj yog cov kev mob xws li syndrome edematous scrotum. Nyob rau hauv cov ntaub ntawv no, tus mob yog tshwm sim li ntawm ob peb pathological tej yam kev mob. Nyob rau hauv lub ntsiab txhais no poob lub nram qab no cov kab mob: Torsion gidatidy thiab Hydrocele, raws li zoo raws li o.

Nws yog pom tseeb tias xws li ib tug teeb meem, raws li cov syndrome ntawm edematous scrotum, neutralized yuav tsis tshua muaj neeg yooj yim tsis muaj kev pab uas tsim nyog cov kws kho mob. Yog li ntawd nws yog tsim nyog mus ib zaug dua kos xim rau lub fact tias txoj kev kho tsuas yog nrog rau cov kev pab los ntawm ib tug tshwj xeeb.

Mus cuag tej yam tshwm sim uas koj yuav tsum tau saib xyuas ntawm cov khoom noj kom. Nws yog ib qho tseem ceeb rau haus ib me ntsis dej (mus txog 1.12 litres ib hnub twg) thiab txo noj nqos tau cov ntsev (tsis muaj ntau tshaj 2 gram). Feem ntau, feem ntau cov neeg mob, ib tug txo nyob rau hauv lub hnub koob tshuaj ntsev yog ib tug kev sib tw. Nyob rau hauv kev txiav txim rau ib lub sij hawm ntawm tau siv mus rau lub tshiab saj ntawm cov khoom noj yog feem ntau xis nrog, koj yuav tsum tau ntxiv rau cov tais diav txuj lom thiab tshuaj ntsuab. Pub mus txog 6 noj mov ib hnub, tiam sis tsuas yog hais tias nws yog cov uas tsis muaj calorie ntau ntau thiab zom tau yooj yim.

Tom qab tshuaj ntsuam tus mob ntawm tus neeg mob, tus kws kho mob yuav teev tau tej yam kev txwv nyob rau kev siv ntawm cov nqaijrog, cov nqaijrog thiab carbohydrates. Nyob rau hauv tas li ntawd mus kho mob raws li kev noj haus, nyob rau hauv cov kev tshwm sim ntawm teeb meem xws li kev kho mob ntawm edema syndrome thiab tej zaum yuav tsi tau daim ntawv thov ntawm medicaments muaj ib tug diuretic nyhuv. Nws yog ib qho tseem ceeb uas tus kws kho mob pom tias tag nrho cov contraindications thiab los rau ntawm lub ua ke ntawm cov tshuaj, raws li zoo raws li lwm yam tshuaj.

Nws yog ib qho yooj yim mus xaus hais tias lub o - nws yog ib tug teeb meem loj, uas nyob rau hauv feem ntau yog tshwm sim ntawm loj breaches ntawm hauv nruab nrog cev. Yog li ntawd, thaum thawj cov tsos mob ntawm edema syndrome yuav tsum npaj mus ntsib tus kws kho mob. Qhov no yuav pab tau sai sai thiab muaj tsawg heev tej yam rau neutralize qhov teeb meem.