Ascites of black emptying, ICD code 10.

The treatment of ascites in liver cirrhosis is carried out secretly. tse unfinished mill, Zdatne is the cause of the lethal result of the ailing. The appearance of ascites (code for MKH 10 - R18) with such ailments is like cyrosis, є on the right side, however, there is no threat to life, that is necessary for the nobility, in which ways it is possible to see it, how to process it accumulate in the black empty and symptoms of ailment. It is important to note the first signs, the nobility, how to perform laparocentesis, where people can get rid of ailments in the home minds. Krym tsyo korisnym bude rosumiti, yak pouring into the development of the ailments of the child correct eating, As uniqueness of the decompensation of the organism and as the stage of engaging nevilikovnoy.

Why is ascites and cirrhosis so widespread?

On the other hand, because of the fixed tributes, 75% of cases of ascites develop in patients with liver cirrhosis, including through alcohol malignancies. In the period of systematic implantation of alcohol for ten years, up to 25% of alcoholics are ill for alcoholic cirrhosis. The reason for the aggravation of the disease is bezposeredno tied with the implantation of spirits and drinks. If Lyudin doesn’t take alcohol, then it’s easy to feel self-esteem, the symptoms are smoothed out, and the zagalny camp is stabilized.

If there is nothing to spoil a man, if he does not diagnose and drink alcohol, then hypoalbuminemia will begin to develop (in other words, an imbalance). In the endocytic bag, the patient with cirrhosis has ascites.

Before discussing that, it is possible to develop ascites in case of liver cirrhosis, as well as symptoms that need to be affected in the cause of the ailment. If a lyudin does not come in alive, then the result can be irreversible.

signs of cirroz

Provide tight factors vvazayutsya:

  1. Having shown a hostile pechinkovoi lack.
  2. Adjust the grip, yak directly tied with the ears, blood circulation in the veins of the vipykannya resting on the court.

This manifestation carried snakes behind it in the peripheral, blood-forming, myazovoi systemі CNS. Peripheral neuritis flows into alcoholic polyneuropathy, which goes to atrophy lower kintzivok and m'yaziv of the shoulder girdle.

At the stage of decompensation of clinical manifestations, it is no longer possible to lie down for this reason. It is possible to manifest a depletion of pinkish health, a lesion of the brain, a diagnosis of bleeding from the depleted veins of the shlunk and the stratohode. On the side of the organs in the slunk-intestinal tract, it is possible to promote gastritis, swelling and pancreatitis.

Most of the patients are suffering from B-12 deficient and zalizodeficitnoy anemia... The reasons behind the symptoms are:

  • Toxic to ethanol in the oven.
  • Poor food is kept until the deficit of vitamins and microelements.
  • Marriage zaliza.
  • Bleeding in the organs of the gastrointestinal tract or the supine.

Unskinchennі zapalennya lead hyperleukocytosis, changes in the development of leukocytes and bіlkovo starvation.

It is necessary for nobility, scho cyrosis is the last stage of ailments, before which there is fatty degeneration and hepatitis.

Signs and symptoms of ascites

The third stage of alcoholic hepatitis can lead to ascites. Dana get sick even more seriously and lead a fatal result. If the patient will be jealously put to the tsy factor and do not become likuvatis, then on the dovga life rozrahovuvati is not varied.

Rise of ascites in liver cirrhosis is possible only, if in the black empty, you accumulate more than a liter of secret. The bully was fixed in the fall, if from the black empty of the patient they were taken close to 25 liters of birth, conducting laparocentesis and paracentesis.

In the presence of a lyudin vertical position And the navel becomes saggy, the navel becomes vitrified through the onslaught of the transudate. When placed horizontally: the sides are swollen, and the live is puffy.

Small venous images on the stretched black empty, the yak is concentrated in the umbilical zone.

If the disease progresses through accelerated heart failure, the accumulated secretion in the pleura appears, and the stagnation of hydrothorax is also prevented. The diaphragm is brought into the sternum region, where the x-ray is taken. As a result, a lack of legeneva develops through those whose lungs are constrained. The appearance of ailments in the stage of decompensation can be caused by acceleration, if there is a lack of it.

Ascites in case of liver cirrhosis

Lіkuvannya zavzhdi maє na uvazі drug therapy, Yaka includes the implantation of the APF, as well as the implementation of the manipulations, the building up of the water-salt exchange.

If the medication does not bring any good results, laparocentesis of the cranial wall comes into effect. To draw ascitic ridin from the black emptying, to carry out laparocentesis. For a person to be afraid, there is a small puncture-puncture in the area of ​​the queue. Laparocentesis is performed on a cyclical basis in polyclinic minds. However, part of the carrying out of such manipulations should be produced before adhesions appear in the intestines, which may cause difficulties for those who have been involved in it.

If, after a little hour, the secret to accumulate in the black emptying, then the chances for the disease to grow up to the minimum.

Code for MKX 10

The abbreviation of the ICD 10 is deciphered, as the international classification of the tenth glance. On the ear of 2007, the rock was recognized as a zagalnopriyataya classification for koduvannya zhvoryuvan. From that moment on, the skin ailment carries its own code.

Class ICD 10 (XVIII - symptoms, causes and damage, such as bullets for the hour of laboratory and clinical analyzes).

Symptoms and signs that may be directly related to the grass system and black waste (R 10-R 19).

Diagnostic code in ICD section 10 - R 18.

dyeta

I will look at those who are caught up in the main cause of the disease and the symptoms of the disease can be lost, in the deyakiy world, depressing for the skin, the child also grows individually, spiraling on the cause of the disease. Najvazhlivishe, shob kharchuvannya included three speeches that did not vistachaє in the weakened body of people.

Even if there is a large presence of cirrosis, then the child is guilty even more. For example, there is a deficiency of a bile, which is supervised by alcoholic deterioration of the stove, it is harmed, which includes it without the need for food in the back room. You can get the Komov camp behind you. To that, the block is introduced at the viglyadі injections.

Diet, scho vyklyuchaє sіl yes, you can go without interruption of rіdini from the vessel channel and small voids. At the same time, you may need to eat a lot of carbohydrates, and even if the food is included, then only in the quality of vegetables, cereals and fruits.

Diet is also not guilty of bearing fat. Dobre bulo used to prepare herbs on rose oil.

However, one child cannot polish the zagalny camp of the people, as there will be a great number of children alive. The maximum amount of living water and birth, as to enter the warehouse of bagatokh stravs and drinks, is not guilty of changing 1 liter.

lykuvannya ascites folk zasob in the home minds can not be carried out. Only qualified to help people in their ability to save people from their development, even the rest of the stage is fatal. Then it will inevitably turn up to the drug, and you will immediately see the disease and reconsideration, whose presence is in the area of ​​the queue.

All materials on our site are designed to be quiet, who write about their health. Alem is not recommended to engage in self-care - the skin of a person is unique, and without the advice of a doctor, it is impossible to fix these methods. Good luck!

ascites- the purchase of rіdini in the black empty. It is possible to win in any country, to be supervised by generalized sketches. In older people, ascites is most often associated with liver cirrhosis, heart defects, and nephrotic syndrome. In children, ascites are often diagnosed with nephrotic syndrome and malignant new conditions.

Code for the international classification MKH-10 ailment:

cause

Ethiology and pathogenesis. Addition of hydrostatic pressure .. Hepatic cirrhosis .. Occlusion of hepatic vein (Budd-Kyar syndrome) .. Obstruction of the lower empty vein .. constrictive pericarditis .. congestive heart failure .. Heart defects (stenosis of the heart disease) Lowering coloïdno - osmotic vice (vm_st albuminiv<20 г/л) .. Терминальная стадия заболевания печени со снижением белоксинтетической функции.. Нефротический синдром с потерей белка.. Нарушения питания.. Энтеропатии с потерей белка.. Белковое голодания. Повышение проницаемости капилляров брюшины.. Туберкулёзный перитонит.. Бактериальный перитонит.. Злокачественные заболевания брюшины.. Метастазы в брюшину (рак яичников, толстой кишки, поджелудочной железы и т.п.) .. Непроходимость лимфатических путей (лейкоз, лимфома) . Истечение жидкости в worms.. Chilious ascites (secondary in case of lymph duct development in case of lymphoma or injuries). Sychovy ascites. Інші reasons .. Міxedema .. Syndrome Meigen .. Chronic hemodialis.

Ridini type To take revenge in the black empty space. Transudate (with congestive heart failure, hemodynamic, liver cirrhosis, nephrotic syndrome, hypoalbuminemia) .. Indicators typical for transudate: ...<2,5 г% . Относительная плотность 1,005-1,015 ... Соотношение альбумины/глобулины: 2,5-4,0 ... Лейкоциты до 15 в поле зрения... Проба Ривальта отрицательна. Экссудат (при опухоли, туберкулёзе, панкреатите, микседеме, билиарной патологии, синдроме Бадда-Киари) .. Показатели, характерные для экссудата: ... Белок >2.5 g% ... Accuracy> 1.015 ... Album / globulin maturity: 0.5-2.0 ... Leukocytes at 15 in the field ... Rivalt test is positive.

Symptoms (signs)

Klinichna picture. Discomfort for abdominal pain. Zbіlshennya obsyagu belly. Zbilshennya masi tila. Anorexia, nudota, oven. Shvidke is pleased with the hunger for an hour. Zbilshennya masi tila. Expansion of veins on the anterior abdominal stance (portocaval and cavacaval anastomoses). Dullness of the percussion sound in the lateral sides of the abdomen, which moves when the position of the body changes (when the ascitic line is not less than 2 liters). The abscess of the statuary member, scrotum, lower marks. Osvita of umbilical, inguinal, stegnous grids. With stressed ascites - a positive symptom of fluctuations. Zadishka, inodі zadishka. Osvita pleural vipot, you can hear wheezing in the legends. Swelling of the veins.

diagnostics

Diagnostics. On ascites abdomen increase, a positive symptom of fluctuations or dullness changes, which appear by physical methods. At ultrasonic scanning, one should know the groove in the empty queue. It is possible to carry out paracentesis with further analysis of the ascitic age. Diagnostic sign of eksudative ascites - improvement instead of zagalnaya bottle in syrovattsi ponad 2.5 g%; get spontaneous for chills, infections and miksedemi. Growth between albumin and albumen in syrovatics and in the place of a bottle in ascitic age less than 1 g / l, depending on the high degree of malignant nature of ascites, more than 1.1 g. With pancreatic ascites of p_disctions instead of amylazi in exudate. With chilious ascites, the concentration of fat is increased (in vigorous chilomikrons), chilly ascites develops with cirrhosis of the liver or lymphoma. Malignant puffins show cytological preliminaries of ascitic ridin, malignant ascites is also characterized by an increase in cholesterol intake of 50 mg%. The number of leukocytes in the ascitic lineage, which changes 500 / μl, transmission of infection. The revaluation of neutrophils allows the detection of bacterial infection, the revaluation of lymphocytes is most important for tuberculosis and fungal infections. The number of erythrocytes, scho perevysh 50 000 / μl, in addition to hemorrhagic ascites, invoke delusions of malignant illnesses, tuberculosis or trauma. Hemorrhagic pancreatitis, opening up aortic aneurysms or liver swelling may appear to be bleeding into the empty stomach. frankness bacterial infections Confirm bacteriological pre-examinations. pH of ascitic ridin<7 предполагает наличие бактериальной инфекции.

Laboratory Doslidzhennya. Ascitic rіdina .. Indicators that start in the general order of viscous: ... The number of cells ... The number of neutrophils ... The number of neutrophils ... The number of neutrophils ... The seed for cultivation (not less than 10 ml) .. Indicators that will undergo diagnostics: ... Zmіst LDH ... Zmіst amilazi ... Cultivation of acid-resistant and fungal flora ... Cytology ... Zmіst triglycerides .. Dodatkovy pre-delayed ascitic rіdina ... Helminti, granulated blood ... Embryonic oncological Ag> 10 ng / ml (10 μg / L). Blood - creatine (<1,4 мг%), электролиты. Моча.. содержание натрия в одной пробе: ... <10 мЭкв/л (диуретики неэффективны) ... 10-70 мЭкв/л (назначают диуретики) ... >70 mEq / L (diuretics not indicated).

Special doslіdjennya. Laparoscopy. Ultrasound or CT. Diagnostic paracentesis.

lykuvannya

LIKUVANNYA to lie down cause ascites.

dyeta with low sodium content (not more than 0.5 g / add) and a small amount of sodium up to 1 l / day. All gravy can be cooked without salt. Viklyuchuyut .. Products to take revenge on baking powder and pitna soda (tistechka, cake, vipichka, specialty bread, etc.) .. Salt, pickle, canned food, chop, pâté, cowbasi, siri, sauces, mayonnaise, frosty .. Zuckerki, marshmallow, milk chocolate .. All cereals, crumb of mannoi and rice. Allow .. Salt-free hlib and butter .. Yalovich, rabbit meat, chicken, riba (100 g / day), one egg / day .. Sour cream, milk (1 glass / add) .. Vegetables and fruits are fresh or in the viglyad compote.

Lykarska therapy

With an additional sodium concentration of 5-25 mmol, it is indicated that there are calcium-free diuretics: spironolactone 100-200 mg / day. After 4 days of treatment, it is necessary to show up to the appointment of furosemide at 80 mg / day.

With an additional sodium chloride less than 5 mmol, it is indicated that there are high-energy and loop diuretics - furosemide 40-160 mg / add every other day in addition to calcium chloride - 50 mmol calories for add.

Leave a sick person іsnyuyu nabrya, dobovy dіurez up to 3 liters є without baking (permissible consumption of mass is not more than 1.0 kg / dobu). When the amount of fat is consumed, the dobovy dyuresis is not guilty of changing 800-900 ml (the optimal є intake of mass is close to 0.5 kg / dobu).

In case of stressed ascites, it is necessary to show it up to lymphatic paracentesis .. Stress ascites .. Ascites with ridges. Prototypic indication to lymphatic paracentesis .. Hepatic cirrhosis of group C according to Child .. Blood bilirubin in the blood is 170 μmol / l .. Prothrombin index (PTI) is lower than 40% .. The number of platelets is less than 40 '109 / l .. Creatine is 3% in blood. ... Dobova excretion sodium less than 10 mmol.

Lykuvalny paracentesis .. Obsyag is seen ridini 5-10 years. One hour from the seen rіdini it is necessary to inject i / v without salt albumin - 6 g per 1 liter of valenoї rіdini.

Khirurgichesky lykuvannya. In case of chronic ascites, which does not lead to lykuvannya, it is possible to cranially - jugular shuntuvannya (Levin's shunt), altogether, a high rhizic infection and ICE.

Folding that їх lіkuvannya. Spontaneous bacterial peritonitis .. Develop in 8% of the ailments for cirrhosis of the liver with ascites .. In 70% of the ailments there are pains in the abdomen, fever, abdominal ailments on palpation, dysfunction of the disease. .. The most frequent cyclications of gram-negative pathogens from the intestinal group .. Negatively prescribed antibacterial therapy is necessary when the number of neutrophils in the ascitic age is more than 250 in microliters. Development of hepatorenal syndrome (div. Hepatorenal syndrome).

prophylaxis... Don't force the therapy with diuretics!

Overrun and forecast. The prognosis lies in the cause of ascites. In case of liver cirrhosis, the prognosis is unpleasant (yardliness - 40%). The evidence of hepatocellular insufficiency is significantly worse than the prognosis. Mortality in spontaneous bacterial peritonitis is 50%, in hepatorenal syndrome - 95%.

ICD-10. R18 Ascites

1 year ago. ICD 10 liver cirrhosis ascites- IT'S PROBLEMS! SBP ICD code 10 ascites. Symptoms and signs that there are irreversible substitutions for parenchymal tissue of the liver of fibrosis, more severe to develop ascites people who suffer from liver cirrhosis Alcoholic liver cirrhosis code 10 according to ICD digital indicators. Ascites. This acceleration is often manifested at 2 and 3 stages of the development of cyrosis. Pechinkova coma. Liver cirrhosis of the ICD 10. Sereda, it is necessary to zaglibitsya in the cause of the ailment. 3. Code (s) ICD-10:
K70 Alcoholic liver ailment K70.0 Alcoholic fatty liver disease K70.1 Patients with liver cirrhosis and ascites may develop a high risk of development. The first ones to get sick of the stove:
refractory ascites, є on the basis of an acute right Before the discussion of how to base on the health of the liver At the various stages of the disease, the ascites develop. To establish the diagnosis, it is necessary to determine the classification of liver cirrhosis according to ICD 10. Fibrosis and liver cirrhosis (K74). Ascites (clogging of the line in the black empty) є the most frequent accelerated disease, in 25 ailments є the first symptom of ailment. Epidemiology of liver cirroses. Cody for MKX-10. At the lowest stages of liver cirrhosis, ascites develops in 50-85 liver cases, which develop into liver cirrhosis according to ICD 10. Cyrosis is called chronic liver disease, Mkb 10 tsirroz, low liver diseases there are no additional digital indicators. Ascites. This acceleration is often manifested at 2 and 3 stages of the development of cyrosis. Pechinkova coma. Code for the international classification of ailments MKH-10 Perebig and prognosis Predict whether it causes ascites In case of liver cirrhosis, the prognosis is unpleasant (nocturnal vision 40). Forecast for life. Liver cirrhosis of the viral etiology of ICD 10. At the lower stages of liver cirrhosis, ascites develops in 50-85 ailments, 06 February 2018 p 12:
39 in the quotation book. In small cases (with massive parenchymal necrosis)
portal hypertension, in 25 ailments, the first symptom of ailment. Ascites (clogging of the line in the black empty) є the most frequent accelerated, like dropsy of the abdomen. As the practice will show, when a cell's body is reborn and no longer can it be seen as a direct sign. Growth of ascites. Liver cirrhosis of the ICD 10 is fatally insecure, and of the dressings of the ICD 10. Liver cirrhosis of viral etiology. International Statistical Classification of liver cirroses (ICD-10). Fibrosis and cirrhosis of the liver (K74). Typically, an increase in ascites and peripheral embryos, ICD 10 liver cirrhosis ascites VIDMINNY BONUS, as well as those symptoms that are susceptible to liver cirrhosis, which are susceptible to liver cirrhosis, until the system is infected. Yak is carried out to treat ascites in liver cirrhosis. Why ascites and cirrhosis are so widened. Cei stan maє code MKB 10 - R18. Ascites of the blood-thinning in the people of vidomia, where they suffer from liver cirrhosis, as it is possible to develop ascites with liver cirrhosis, with any kind of cell ascites (catching of the blood in the middle of the blood) is the most frequent, accelerated The appearance of ascites (code for MKH 10 R18) with such ailments such as cirrosis, which require diuretic therapy at high doses. Classification of liver cirrhosis according to ICD 10. The situation will block the patient's death. Ascites. This acceleration is often manifested at 2 and 3 stages of development of cyrosis. Cirrhosis for chronic liver disease, classification of liver disease according to ICD 10. cirrhosis is called chronic liver disease

(Ascites) abo dropsy abdomen - tse tstorinne zvoryuvannya, as a rule, є manifestation, or accelerated deyakie serious ailments. It is characterized by the appearance and further accumulation of transudate abo eksudat (ridini) in the extra-ureal space.

For the emergence of an exudative vidpovidє ignition process in a black empty or a small basin. Until now, gostry pancreatitis, peritonitis and so far. A special form of ascites є carcinomatosis of the oleum, scho vinicaє with cancer of the ovaries.
Children of medical schools under the term "Ascites" may be on the lookout for the accumulated age of any kind, if you want to be more accurate in understanding ascites - an understanding of the transudate, so that it is a great serous age of natural walking.
The black empty ones can buy a great number of old ones, which can be up to 10, 20, and sometimes 25 years. Mechanism її appear to be overwhelmed by the nature of the affliction, which the reason for the launch of the cycle of pathology.

Classification of ascites

For the international classification of ailment ( ICD) Ascites grows on a few species:

1. Fallow from a few years old, which was picked up in a black empty:
transitory;
pomirniy;
Significant obsyag (massive, ascites stress).

2. Regularly from the visibility or from the daytime information in the place of:
sterile;
information;
Spontaneous peritonitis, accumulation of bacterial infections.

3. In fallowness, according to the option of taking medications for treatment:
Ascites, kindly drink drugs with drugs;
Refractory ascites, are not stopped by drug therapy, as well as early relapse, which does not give for additional help.

extensions and changes in the form of ascites, For example, exudative-hemorrhagic, or trasudative-exudative.

Causes the diagnosis of ailments

Before you come ascites in grown-ups to direct low pathological stanіv і sickness:
1. portal hypertension nature, for example, in case of thrombosis of the thrombosis of the liver;
2. ailments of the liver... With oncology or the remaining stages of viral hepatitis;
3. alimentary dystrophy;
4. Іnfіkuvannya of the queue in tuberculosis;
5. Decompensated heart failure, Viklikana vadami heart for rheumatism. Dropsy occurs with systemic autoimmune diseases;
6. Amiloidosis nirok, glomerulonephritisі deyakі іnshі ailments nirok with nephrotic syndrome;
7. Thermal stage nirkova lack;
8. carcinomatosis of ocerevini for the remains of the steps of the evil new uterus, the cells and the organs of the black empty;
9. bloodied Such as lymphogranulomatosis;
10. Crohn's ailment;
11. intestinal lymphoangioectasis.

cause show ascites in newborns and small children- spadkova, vrodzhena chi nabut pathology:
1. hemolytic ailment, Which appears through the insanity of the Rh factor and the blood group of the fetus and mother;
2. Natural nephrotic syndrome;
3. natryzheniy nabryak, Viklikaniy with blood loss in the fetus;
4. Striking the gum ducts and stoves are not young;
5. Spadkova exudative enteropathy;
6. kwashiorkor- the importance of dystrophy in case of deficiency of bile.

In veterinary practice there are also some dropsy at twarin... For example, in cats, vtim, yak, and in dogs, ascites can be wicked. puffs of abdominal organs... The Іnshі reasons - viznazhennya, gіdremіya, filth of the robot's stove, heart or nirkova lack. The pathology leads to persistent appearances in the portal vein, through which the peritoneal pathology is nasty to get wet.

Symptoms and clinical manifestations of ascites

Zvychay accumulated rіdini yde steps, ale and іnshі options, for example, quickly develop a secondary thrombosis of the gall vein, with a quick statement of the transudate. Signs z'yavlyayutsya not all at once, but deprived of todi, if only one liter has been reached. Seeing rocking, importance, flatulence, belly beating. When percussion, a dull percussion sound appears in the lower part of the abdomen, which is a substitute for a change in the position of a sick person.
With a great number of births, a range of significant changes live. At the position of the patient, standing in the view of the apron, the recumbent - spread out from the sides, flattening in the navel, and by themselves, "the toad lives".
In the world of growing birth, the belly button becomes more and more vigorous, the thick wall becomes strained, the skin tightens and groans, visually looking smooth. Lack of shkіri to shvidny raztyaguvannya, to produce before the appearance of striae - shkіrny razstyazhki, so viglyadayut yak bili or bluish-purple lines. Sickness vrachak vagu, shkira nabuvak bloody-zhovtyanichny vidtinok. On the belly of the abdomen, the bends of the small ones, the venous sieve is clearly visible, scho nagadu "the head of a jellyfish."
Inevitably, I will obstruct the internal cranial grip with the appearance of hemorrhoids, umbilical or femoral grids, and rectal vipadania.
Such a key picture characteristic of ascites in liver cirrhosis.

Symptoms of buying ridini provoked by the others:
Show your ailments, wiklican portal hypertension to get excited. With such an exudate, the lower empty Vienna will grow, which complicates the blood flow from now on, and the lower prices appear. For ascites, which has become an inherited portal hypertension, it is also characterized by enlargement of veins and sudins, which have grown on the abdomen, such as with cirrhotic ascites;
ascites yak accelerated peritoneal carcinosis supervise many growths of lymph nodes, clearly palpate through the anterior cervical wall. Peritoneal vipit, in a large vipadkiv, little hemorrhagic character;
Purchase of eksudat at congestive heart failure not be surrounded by an empty stomach, some can appear in the pleural empty lungs ( hydrotorox). Ascites due to heart failure, vicious decompensation of the function of the right slug, superimposed on hepatomegaly, cramps of feet and homilies, acrocyanosis, ailments in the right ridge;
Ascites, suppurative turn of nircovy deficiency, Manifested by diffuse embryos like shkiri, as well as pedigree clitkovini;
Appearing eksudatu when thrombosis of the portal vein splenomegaly (splenomegaly), hepatomegaly (hepatomegaly). It is a good idea to jump on the bends in the projection of the liver and throughout the whole belly. Such ascites is characterized by massive bleeding from expanded hemorrhoidal institutes and reduced veins in the distal duct. Laboratory monitoring of peripheral blood reveals thrombocytopenia, anemia, leukopenia;
Khvoroba can winicati yak naslidok rheumatic fever... With such a variant, before manifesting ascites, such symptoms, such as badness, cough, characteristic of the manifestation of an empty pleura and pericardium, occur.

Statistics:
In 75% of cases of ascites of liver cirrhosis, 10% for malignant new conditions, 3% for decompensated heart deficiency as the cause of ascites, tuberculosis - 2%, pancreatitis and other officials - up to 1%.

diagnosis of ascites

First, for all the necessary differentiation of ascites from the other stanis, for an affliction, which is the cause of an abdominal increasevaginosti, obesity, pukhlin black empty, cyst yachnikiv and so far.

Please clarify the diagnosis and if there are any reasons why diagnostic methods:
1. Palpation and percussion(Postukuvannya, with the more significant character of the vidgomon) abdomen. As a rule, the sound was dulled, and the cordon of dull percussion sounds was moved at once from the transudate overflows when the sick person was put in place;

2. instrumental methods doslіdzhennya:
Ultrasound dosage(UZD) organs of the worms empty. During the hour, the state of organs begins, the size of the body, the manifestation of fatty or other pathological processes, as well as the presence of a new age in the queue;
dopplerography... Allowing the impairment of blood flow in the portal system;
Computer tomography(CT). Additional help for finding the same parameters, for ultrasound, more details;
radiography... Additional help in the importance of the position of the diaphragms, the manifestation of the origin and localization;
hepatoscintіgraphіі... It is carried out at adolescents for the disease of pechinka, which became the cause of ascites. Viznachaє the structure of the parenchyma, the size of the organ, the absorption-excretory function of the liver;
esophagogastroscopy... For the detection of varicose veins of the shlunk і stravohode;
diagnostic paracetosis... Necessary for taking on advancing and assigning the character of ascitic exudate;
laparoscopy... It is used in folding diagnostics in and out for visual inspection of the organs of the abdomen. You can punctuate the organ with a biopsy sample (tissue shmatochka) for reading under a microscope.

3. laboratory tests:
Analysis of blood and blood(Headquarters);
Biochemical analysis of blood from the pre-lid samples;
Blood on HBsAg;
Rivolt test... It is necessary for the recognition of the nature of the birth, additional assistance to the return of the transfer to the transudate;
Bacteriological analysis of detection of empty ships... For the help of a seed in the living middle-class, start a zebra, scho wiklikav zapalennya. Yak butt, Koch's stick;
Cytological analysis of ridini... For viklyuchennya ascites due to pleural carcinomatosis or a swelling process.

Ways to treat ascites

At the first stage, it is recommended to use a diet of mixed salts and ridin. Harchuvannya can be balanced, so the organism has been trimmed out by the need for a number of calories and vitamins for improved function in case of ailments. Victory gosti and greased stravi, zdatnі viclikati sprague.
The main method of treatment is drug therapy. It is meant sechogіnnі zasobi- veroshpiron, furosemid and in. Doze and the triviality of taking care of yourself when you are sick, because of your child's life and reactions to the likes.
In a complex of indications for hepatoprotectors, intravenous administration of blood cells, such as plasma or albumin.

Why robiti, how can I not be fed up with likarsky korektsii?
Treatment of ascites resistant to drug therapy:
Laparocentosis- the pumping of the line through the puncture of the cartilage;
installation peritoneovenous shunt... Vikoristovuyt for direct connection of the line;
Deperitonization(Chastkova) stinks of black empties;
Portocaval shunt, lymphovenous with abo portosystemic intrahepatic shunt with overlays of portocaval anastomoses, straightened for lowering the vice in the portal system;
liver transplantation.

Folk methods for treating ascites

Traditional drug medicine can be added to the folk medicine. Isnu bezlich roslin, which may be a sechoginny effect. Preparing food, infusions and teas from the vicinity of herbs, or combined harvests, to help improve self-esteem and taste for my own vivedenny of ridini, we know the nabrya by ourselves.
Sechogіnnі grasses: great burdock, lingonberry, blue hair, martyrdom, krіp, horsetail poloviy and іnshі.

accelerated ascites

Ailments yak also the same stage of decompensation of their ailments. Up to an acceleration of ascites, it is possible to introduce a vascularization of hemorrhoids, abo the rectum, approval of umbilical abnormal inguinal grids. Inevitably, the intracranial vise will move.
The grip of diaphragms on the lungs to a dysfunctional deficiency, and an infection - to peritonitis. Up to the last, accelerated thrombosis of the articular and splenic vein, pecin encephalopathy, massive bleeding, hepatorenal syndrome.

prevention of ascites

Prophylactic come in for a cold spot, and smut - lіkuvannі ailments, scho to produce ascites. Usunennya bureaucrats in risik, such as trivial implantation to alcohol and so far.

forecast

Most of the ailments trick: "How can you live with ascites?" The triviality of life is not to lie down ascites, but as a result of overcoming the main ailment, scho it wicked. Alle the accumulation of days, the forecast has become overwhelmed. With cirrhosis, slowed down by ascites, ailments can live no more than three months, with cancer - up to fever.
To the uncomfortable factors, they are susceptible to diabetic diabetes, lack of symptoms, hypotonia and abductions of the patient.
Dvorichna vizivanstvo is defined only in 50% of the ailments.

Stress ascites (code for MKH-10: R18) is a different row, when you see a specific line in the middle of the abdomen. Pathology rotates abdominal growths in volume, discomfort and pain, backwardness, perceived importance and signs.

In medicine, this type of illness is called a cranial dropsy, as there can be a great number of ailments from other spheres. Dropsy does not boil over self-styled ailments, but appears as a sign of an important pathology in organism.

Infographics of types of ascites means that in seventy old people, they will form in the middle of a liver disease. Cancer is caused to form ascites in 10% of situations, and 5% of seizures are on the pathology of the heart and other ailments. At the same hour, babe has ascites to talk about nirok's illness.

It has been reported that the greatest amount of water can accumulate in black empty spaces with stressed ascites (ICD-10 code: R18) in a sick person who can reach 25 years.

cause

The factor of ascites rіznomanіtnі і is dependent on ascites as a significant pathology. Cherevna empties vvazhaєtsya zakryitim mіtsam, in which it is not guilty of vynikati unutilized birth.

The butt is two shari. In the norm with these sheets, there is a small amount of water, as a result of the activity of blood-bearing and lymphatic vessels, which are spent in empty queues. However, given the birth name is not accumulated, so how can it be that the message is taken with the help of lymph capillaries. However, a small part is needed to ensure that the loops of the intestinal tract and internal organisms can easily move around the middle of the body and do not stick one to one.

If there is a breakdown of the bar'ernoy, visible and resorptive functions, the exudate ceases to normally get wet and accumulate in the stomach, in which case ascites stresses form.

Destruction in robotic ovens

On the first mіsze varto put sickness under the name cirrosis, as well as puffiness to the organ and Budd-Kіari syndrome. Cyrosis is generally progressing on aphids, hepatitis, steatosis, the implantation of toxic drugs, the development of those minds, however, it is constantly supervised to bend the hepatocytes. As a result, good cells of the liver disappear by cicatricial matter, the organ of growth is in the ligaments, which causes the formation of ascites stress. In addition, when it comes to the use of unnecessary water and a change in the oncotic grip, in addition, the stove itself is not already in the air of blood plasma and albumen. A pathological process in case of strained ascites in case of liver cirrhosis, a number of reflex interactions, which are triggered by the body in response to pechinka deficiency.

Ailment heart

Stress ascites progression through heart failure, or through constrictive pericarditis. The building is the result of cardiological ailments. Mechanism of the formation of ascites in a wide range of bandages from thymus, when the heart is hypertrophied, not in the serpentine pumping, a bit of blood is needed, as it began to accumulate in the blood-bearing vessels, including the lower ones in the system. In the end, the vise of the rіdina stun vikhoditi from the vessel channel, flaring ascites. The system of ascites formation in pericarditis is approximately the same, when the heart's ball will ignite in this vypad, making it uncomfortable with normal blood. In the fake place, the venous system is infused onto the robot.

ailing nirok

Dropsy becomes overwhelmed with chronic nircovy deficiency, which is likely to occur in children with sickness (pyelonephritis, glomerulonephritis, sechoam'yana ailment, etc.). To create an arterial grip before the arterial grip is developed, it is spilloverly covered in organisms, as a result of which ascites develops. Rapid oncotic grip of plasmas, yak produce up to ascites, is also very likely to develop on aphids of nephrotic syndrome.

інші factories

Ascites of normal progress with defects of lymphatic vessels. The price is through trauma, through the presence of chickens in the body, where metastasis occurs, through the infection of filaria (chrobaks, who lay eggs in great lymph vessels).

Rizni urazhennya urazheniya not often wicked ascites. Among them are bottled, tuberculous and fungal carcinosis, intestinal fluff, shlunka, milk frog, oysters, endometria. There should be a pseudomixoma and a mesothelioma of the neoplasm.

Polyserositis is infested with ailments, when there is dropsy in the form of a complex with other signs, from the number of pleurisy and pericarditis.

Systemic ailments are ready to lead to the accumulation of water in the wake. Tse rheumatism, rheumatoid arthritis, chervoniy vovchak and іnshe.

Ascites in newborn babies can also develop and most often get involved in a bag of hemolytic fetal disease. Vono, in its turn, is formed during intrauterine immunological conflict, as the roof of the fetus and mother do not get along with the system of antigens.

Ailments of organs etching of buildings will take the concentration of water in the black empty. Tse may be pancreatitis, prolonged diarrhea, Crohn's ailment. From here you can zarahuvati all the processes, which can be seen in the queue and the lymphatic tissue.

Localis status of stressed ascites (symptoms)

We will be familiar with ascites to get involved in the growth of the abdomen, and more specifically, in the zduttya. The main factor in the fact that there is even a lot of water left to accumulate, as there is no way to go. Lyudina has come to associate as a rule of thumb, if she did not fit into the old fashioned one, as not so long ago she went for a meal.

If ascites appears, then in the body, madly, there is a desire for two-valued, functional pathologies, which are necessary for vilikuvati. The most pathological robot of the intestinal tract, dislocation of the slunk or liver abnormalities.

Shvidk_st nastostannya sign nezposeredno tied to this, which has become a factor of ascites. The procedure can be progressing quickly, or it can take a couple of months.

Strained ascites:

  1. Heavy mill in black empty.
  2. Discomfort and pain in the abdomen and pelvis.
  3. Zduttya, signs of flatulence.
  4. Pechinnya in stravohody.
  5. Difficult to go to the toilet and take a trip.
  6. Attack the nudoti.
  7. Zbіlshennya belly in size. If there are ailments that are in a horizontal camp, then a vibuha lives on the edges and a nagadu zvnіshnіm viglyadom through a toad. Yakshcho lyudin perebu at the vertical position, live zvisє.
  8. Vipinnya navel.
  9. Symptom of abdominal dislocation or fluctuation. Gradually appear when reminiscent of the birth.
  10. The more water you accumulate in the black empty spaces, the more you get a little more bad, you get lost in the lower pictures, the ruins become hopeful. Particularly foldable, the patients nahilyatsya forward.
  11. Through the adjustment of the internal vise, the swelling of the stegovy or umbilical grizzly is introduced. On the whole background, hemorrhoids and varicocele are formed. Do not get into the rectum.

Symptoms in the presence of a factor

See the status of localized ascites, such as:

Tuberculous peritonitis. In this vipadku dropsy get involved as a result of tuberculous lesion of the state of the system and the intestinal tract. The sickness started at a rapid pace, in the amount of time, the temperature of the body rises, the signs of intoxication to the body grow. Grow lymph universities, as they pass along the breech of the intestinal tract. In the siege of the exudate taken for an additional point, except lymphocytes and erythrocytes, there will be a vision of mycobacterium tuberculosis.

Peritoneal carcinosis. If the dropsy develops according to the factor of presence in the puddle, then signs of ailments will be in the first bunch of chicks there, like the organ of the won. Tim is not the least, with ascites oncological etiology, there is a growing number of lymphatic universities, which can be passed through the wall. In siege vipot there are atypical cells.

Sertseva's lack. The patient has a blue-violet design for dermatological curves. The lower marks, especially the feet and the homosexual, become even more swollen. When the liver is growing in liaisons, there are more pains, and it is localized in the right edge.

Gateway Vienna. The sickness will be scarce on intensive pain, the liver will be reduced in debt, however, not much. Isnuє is a great risik of the form of persistent bleeding. In addition to the growth of the stove, the overflow of the spleen is quilted.

diagnosis of ascites

Diagnosis of stressed ascites (in ICD-10: R18) is to be repaired for the inclusion of other reasons, such as the development of abdominal obstruction. For example, bristles, vaginosti, pukhlin, obesity. Within the framework of the revision, the following actions should be taken:

  1. Palpation, visual look, percussion.
  2. Ultrasonic cleaning.
  3. UZDG Sudin.
  4. Scintigraphy.
  5. Laparoscopic thinning of the black emptying.
  6. Analysis of the ascitic origin.

With the percussion of the characteristic muffling of the sound, in the course of the palpation of the biculous part, the symptoms of fluctuation appear. Radiography gives the possibility of diagnosing ascites, as in the black empty it accumulates 0.5 liters of wine. As far as ultrasonic scanning is concerned, in the process of perfecting the respect I will come to the fabrics of the liver and spleen, to revise their bodies, to change the neck to the subject of fluff and mechanical battle.

Laboratory dosage

An important stage in the management of skarg in case of stressed ascites є collection of analyzes:

  1. Coagulogram.
  2. Biochemistry of the stove.
  3. Reconstruction of the level of antibodies.
  4. Zagalny analysis of the sech.

If the patient first has ascites, the lykar signifies laparocentesis for the vivchennya of self-ridini. The laboratory minds carry out a re-adjustment of the warehouse, production, level in the place of a bottle, and a bacteriological planting.

Drug treatment

Medication for treating ascites is caused by sechogenic diseases, as well as with drugs of calium, albumin, asparkam. Try not just like that, but for the plasma grip, by the very large amount of blood. As a patient, a very important form of ascites, at the same time with the use of medications, is directed to the procedure of laparocentesis from the use of ultrasound navigation. Prokolyuvannya trocar vivodin the line from the black empty. In some cases to put drains for a trivial delivery to an eksudate or a transudate.

For the development of ascitic birth, it is necessary:

  • change the nadkhodzhennya natriyu to organizm;
  • yakomoga shvidshe to bring sodium from the cross.

In order to change some of the sodium in the body, it is necessary to encircle it with good health. For the whole you need up to 3 grams of salt per day. It has also been announced that the presence of salt is pouring into the bloodstream of the body. The infection is often taken for the treatment of ascites such drugs as "Captopril", "Fozinopril", "Enalapril". The stench, like vіdomo, will accelerate the vivennya soda for the body and increase the number of slaughter for doba. And also take the trapped calories in the body. It’s not easy to forget it, but it’s not just to reduce the number of ascites, but to take a number of different tissues.

surgical treatment

Laparocentesis is a surgical treatment for ascites. For the elongation of the oversized line, to heal the puncture and install a special instrument - a trocar. Natural heart and with an empty slash, a sick person should be placed or put on the bik, it will induce anesthesia. In the direction of the middle line by 1-2 cm between the navel and the pubis - the place of the puncture. Obov'yazkovo dotrimuvatisya rules of antiseptics. A puncture on the shkіrі with a scalpel is used, the trocar can be inserted. Schob uniknuti a sharp drop in blood 's vice, rіdina vityagutsya step by step, with interruptions of 1-2 chilini.

For a viluchennya ridini tulub wrap a towel and make sure the patient lives. Ridina either see it at a time, or insert a permanent catheter. Tse virіshu likar. It is not recommended to use more than 5-6 years of age at a time, as it may appear slowing down, for example, a heart attack. When the trocar is used, sutures are applied. When a catheter is inserted, the development of an ascitic fistula is imperceptible. The fistula can be punctured in the puncture or with the stitches. If the ascitic rіdini is soaked it is trivial to do it, it is necessary to close the openings with knotted sutures

folk

Ascites - tse, yak vіdomo, dropsy of black emptyness, yak in the first place, the enemy is hostile to people, who suffer from heart-damn sickness, nirk deficiency and schizophrenia before the development of oncology. Likuvannya and prophylaxis of ascites take to finish an important place in medical practice, so in the most important clinical vypadki of doctors it is also recommended to prescribe unconventional medicine for a complex injecting into the problem.

How to fight against ascites transmissionє practice SHW:

  • Vikoristannya birch leaf and brunoks for preparing a birch leaf:
  1. "Dry" birch baths. Take birch leaves and put them by the bath, a large barrel, a basin. Zakryvayut polyethylene plavkoy and let insist on a light mix of years. As soon as you leave the request, you open it and dry it out. Put a sick person in such a bath as a whole and give 30-40 quills to lie down. The normal mill for dry birch baths is characterized by light pokryuvannya shkiri.
  2. Baths with birch trees. In the bathtub, pour 50 grams of dry or fresh birch leaves and pour 10 buckets of warm boiled water. If a patient with ascites is to be given 30-40 minutes of treatment. As you go out from the bath, you can see it more easily, and you can see the bright rhymes on the walls and the beaches - the effect is seen in the inflow to be positive.
  3. Obhortannya z birch vіdvarom. You can prepare for a lump in the same way as for taking a bath. Wrap the ailing one around the leaked out in the lukuvalny zilla stretched from the groin and up to the knees. Then lay it on the lid and cover the decalcom with balls on the carpet. Give 45-50 khvili to lie down in such a camp. Let me wrap myself in warm boiled water.
  • Sechogenic herbs of the present:
  1. Sechoginniy zbir, a kind of bagaty on vitamini. It will be needed in similar proportions of dried hipster berries, leaves of raspberries, lingonberries and black currants. Fill the fourth part of the bottle of cich herbs with a bottle of hot water. Boil pvgodini, if you want to cool down and take two a day.
  2. Vzhivannya birth from pods of kvassol. Take a lushpinnya from 20 pods of leaven and steam it for 10-15 chilines in a sprinkle. Draw the container, mix the substrate and let it infuse more than 30 khvili. Growth for chotiri razi and piti for six months to the reception.

What is a child with ascites?

In such a childish grudge є its own rules, which need to be drawn even more clearly, and if it is not robotic, then the ailment will quickly move into the advancing stage. One of the important rules is the implantation of small portions of skin for three years, and, moreover, the guilty ones are always warm. In any case, it is not possible to go over and over for hours and hours between the priyoms, so as it will lead to the establishment of strong bulges in the black empty.

All components for strains with ascites need to be given a minimal heat treatment, moreover, bazhano gotuvati all steamed, put oil without pickling or tushkuvati. The race of people, who suffer from dropsy, is guilty of stacking up with corny and versatile products, moreover, the emphasis is also necessary to work on spicy growing lines, so that they will have a meager effect. If dropsy appeared on the liver cirrhosis, then in the general order it is necessary to include products in the menu, bagati with easy-to-use bottles.

Allowing products with water

Among the races of people, who suffer from ascites, they are generally guilty of buty, but they include a sea of ​​riba of low-fat varieties, like a slid gotuvati without salt in the spirit, or for a couple. In the menu, it is absolutely necessary to include light rіdki stravi, such as a slіd gotuvati with such components as fennel yak, parsley or іmbir. If you eat meat, then you will need to get food from indychaty, kuryatiny or chicken without a shkirka, moreover, bazhano gotuvati gravy from tsykh species of meat for a couple. I drink a lot of gotuvati from the components, so I can drink it, for example, from a currant leaf or an іnzhiru.