Medusa head symptom. Symptom "jellyfish head": causes, exuberance

Such a deputy is covered with snakes, which are called.

dilatation of the inferior veins of the anterior abdominal wall with serpentine-like expansions near the umbilicus; watch out for portal hypertension.


1. Small medical encyclopedia. - M: Medical Encyclopedia. 1991-96 2. Persha is medical help. - M: Great Russian Encyclopedia. 1994 3. Encyclopedic dictionary of medical terms. - M: Radianska Encyclopedia. - 1982-1984 rr..

Synonyms:

Marvel at the "Head of a Medusa" in other dictionaries:

    MEDUZA HEAD- (caput Medusae), signified, given to the expansion of subshkirnym venous vessels of the anterior abdominal wall, which are guarded against in case of difficult portal blood circulation [div. vіd. tab. (to Art. granulomi), fig. four]. Name the stench like that for someone who guesses ... Great medical encyclopedia

    Ex., kіl at synonyms: 1 algol (2) Glossary of synonyms ASIS. V.M. Trishin. 2013 ... Glossary of synonyms

    - (caput Medusae; Medusa is a mythical miracle, the head of which deputy is covered with coiling snakes) expansion of the lower veins of the anterior vein of the anterior ventral wall with a snake similar to the folds around the navel; watch out for portal hypertension. Great medical dictionary

    Astrophytum head of a jellyfish ... Wikipedia

    The head of the Gorgon is viraz, tied with the cut head of the Gorgon Medusa by Perseus and gets used to different meanings. The figurative sensi has a symbol of the stingy chogos (the look of the mythological head of the beast at her in the stone and after…).

    The head of Medusa, cut by Perseus, is placed at the shield of Minervi. Explanation of 25,000 foreign words that have become familiar with the Russian language, with the meaning of their root. Mikhelson A.D., 1865. Dictionary of foreign words of Russian language

    This term may have other meanings, div. Medusa (meaning). Which term has other meanings, div. Gorgoni.

    - "Medusa", Caravaggio, 1598 99, Uffizi. The image of the carved head of the Gorgon Gorgon Medusa (Greek Μέδουσα, more precisely Medusa "guard, guardian, sovereign") is found among the Gorgon sisters, miraculously with women's guises, those snakes replace hair ... Wikipedia

    - "Medusa", Caravaggio, 1598 99, Uffizi. The image of the carved head of the Gorgon Gorgon Medusa (Greek Μέδουσα, more precisely Medusa "guard, guardian, sovereign") is found among the Gorgon sisters, miraculously with women's guises, those snakes replace hair ... Wikipedia

    - (Γοργόνες). Three terrible monsters, one look at some kind of animal people by the stone: Euryala, Sthenia and Medusa. Stinks were the daughters of Forkis and Keto. Their heads were covered with snakes, they had hair, they had winged wings, terrible teeth and azure. Three three Gorgons alone ... Encyclopedia of mythology

Books

  • Head of Medusa, King Stephen, Clive Barker, Campbell Ramsey. In the light of the masters of the genre Howard Philips Lovecraft, Stephen King, Robert Eikman, Richard Methison, Charlotte Perkins…

Having eliminated its name, the symptom through those that have a large number of hairs on the skin of the abdomen guess the character from the myths - Medusa Gorgon, whose hair was growing snakes.

Cause

The reason for the appearance of the head of a jellyfish on the stomach is the disruption of the collateral flow of venous blood from the emptying of the veins through the veins. It is blamed for the appearance of a transition for a normal blood stream in the portal vein system. Most often it is used in atrophic cirrhosis of the liver.

Through those that cross the blood flow, at the portal vein system there are bypass paths that are vicarious for blood circulation.

Qi collateral judges appear on the skin of the abdomen and connect with the navco-umbilical vein.

In the course of the year, the veins grow, all the veins expand and become kindly remembered, guessing the head of a jellyfish.

If you blame the tightness of the rіdini in the empty stomach (ascites), then the volume of the abdomen also greatly increases, the skin becomes thin, shine and shine through, with which the vessel becomes more beautiful.

You can tell about ailments

Expansion of veins on the abdomen can be blamed for such illnesses, such as:

  • Hepatosis. It develops as a result of supra-world fat to the liver, or it is difficult to get out of the liver. Fat accumulates and expands the hepatocyte (liver cells). Adipose tissue replaces the liver.
  • Amyloidosis. Systemic illness, in which the robot's immune system is destroyed, and in the walls of the liver vessels and gallbladder passages, an indeterminate protein is deposited. With this impairment, judges cannot normally treat and blame portal hypertension.
  • Carbohydrate dystrophy of the liver. And here glycogen accumulates in the nucleus of hepatocytes, and in its own it significantly decreases and dies.
  • Hepatitis. Virus infection that attacks the liver and calls out the ignition process;
  • Worm infestation. Sipping to the liver, helminths live there for three hours and multiply without interruption. The stench can crush the liver judges and take the stagnation of the stomach, which leads to portal hypertension;
  • Sarcoidosis. Systemic inflammation of the disease, in which the leukocytes become more active and vibrate the speech, so that the granulomas (inflammation) are established.
  • Thrombosis of the portal or lower articular vein;
  • Cirrhosis of the liver. Ailment, for which the death of the liver tissue is due to the stepwise replacement of the scar tissue;
  • pericarditis;
  • cardiomyopathy;
  • Heart valve malformations.
  • Cruvel's ailment of Baumgarten. Tse vada development, when the umbilical vein does not overgrow (which ensures the life in the womb of the mother with living speeches) in congenital hypoplasia of the vein.
  • Cruvelier Baumgarten Syndrome. In the presence of ailments, the syndrome is not a congenital state, but develops in older patients due to cirrhosis of the liver. Most of the vins are seen in young women.
  • Liver cancer and metastases. Cancerous cells grow and crush hepatocytes, with which the liver cannot overcome its functions.

Accompanying symptoms

The presence of a “jellyfish head” on the stomach can be accompanied by the following symptoms:

  • Hepatomegaly (liver enlargement);
  • ascites
  • Zamorochennya;
  • silliness;
  • sleep disorder;
  • damage to the arterial vice;
  • arrhythmia;
  • Bleeding;
  • Weakness;
  • Nudota;
  • vomit;
  • Zhovtyanitsya;
  • enlargement of the spleen;
  • Damage to the robotic nervous system;
  • Zadishka;
  • Cough;
  • M'yazova weakness;
  • Darkening section;
  • Lightening feces;
  • Bіl at the right pіdreber'ї;
  • Sverblyachka of furry coats;
  • Decreased appetite;
  • Weakness;
  • Body temperature rise.

Celebration

In order to get rid of the “jellyfish head” symptom, all susilla should be directed to the succumbing to illness, as it became its cause. There is no okremoї terapії for usunennia "jellyfish head".

With the surgical method, one-piece slabs are formed between vessels (vicory shunts), which help to reduce blood pressure at the portal vein and prevent bleeding.

In the therapeutic method, patients are advised to prescribe drugs that help reduce pressure on the portal vein system. To such faces one can bring:

  • Direct vasoconstrictors (terlipresin, vasopressin). The stench pours in without a trace on the m'yazovі walls of the ships;
  • Indirect vasoconstrictors (somatostatin). To pour into the speech, to spriyat the expansion of the ships.

similar statistics

Tsі prepare vikoristovuyut, sob sound judges at the selezintsі, in such a rank lowering the pressure.

Also, for the treatment of portal hypertension, stop vasodilators (sound nitrate), which allow you to relax the m'yazovі walls of the vessels of the portal system.

To restore the function of the liver, prescribe:

  • Hepa-Merz, Arginine - to improve the function of the digestion of sechovin with ammonia;
  • Vitamins group;
  • Essential, Lipoid, Liv-52 - hepaprotectors, restore cells of the liver and support normal functioning;
  • Amino acids;
  • Lactulose - prescribe a change in soaking in the intestines.

Lasts

Shards of expansion of the veins of the abdominal wall are a serious symptom, then the symptoms of illness, which can be called out, can be serious.

Therefore, when a symptom is manifested, it is necessary to turn around to the doctor and proceed to the liquor. Most of the time, getting sick is like changing a sick person for the minds of a hospital.

Symptom "head of a jellyfish": causes, excess and manifestation, diagnostics, treatment

"The head of a jellyfish" is a clinical sign of portal hypertension, bounded by the movement of the vice at the portal vein and stifles. This symptom, having taken away its name, has a similarity with the mythical character - Medusa the Gorgon, who did not grow hair on her head, but a snake. Expanded subcutaneous veins run along the anterior surface of the abdomen and wind up in the navco-umbilical dilyance. In medicine, the "head of a jellyfish" is a clinical manifestation of cirrhosis of the liver and other diseases.

The portal vein (portal vein) is a blood-bearing vessel that collects blood from the organs of the empty cervix and goes to the "gate" of the liver, zavdyaki why the veins and otrimav its name. In the hepatic tissue, the portal vein becomes reddened, the blood is filtered from toxins and metabolic products. Cleaned blood in legenia becomes sour and spreads to the internal organs and tissues.

Portal hypertension is a symptom complex that is manifested by dyspeptic signs, dilated abdominal veins, hepatosplenomegaly, ascites. Diagnosis of pathology is improved by X-ray and ultrasonic examinations, transdermal splenomanometry, gastroduodenoscopy. In order to get rid of the “jellyfish head”, it is necessary to create a bypass path for the blood stream with an anastomosis path. Portal hypertension aggravates gastroenterological, cardiovascular and hematological diseases.

abdominal judges that form the "jellyfish head" syndrome

Etiology

When the venous blood flow is damaged, the unpaired internal organs of the empty stomach on the stomach become “head of a jellyfish”. Crossings, which are near the bloodstream of the portal system, are made until the appearance of bypass ways - collaterals. Behind them there is a bloody bar'er. The collaterals expand, grow and become kindly remembered on the stomach, suggesting the “head of a jellyfish”. Due to the presence of ascites, the skin on the abdomen becomes thicker and translucent, due to which the vessel line is filled with clear outlines. Ascites in this pathology is a pathognomonic sign, which is saved for a long time and is rotten to be treated.

direct blood flow through the veins of the cranial wall with obstruction of the portal vein (levohand), with obstruction of the lower empty vein (right hand).

"Head of a jellyfish" appears at different camps:

  • Liver dysfunction - cirrhosis, hepatosis, hepatitis, sarcoidosis,
  • Pathology of the heart and vessels - endophlebitis and thrombosis of the portal vein, pericarditis, cardiomyopathy, congenital heart disease;
  • Metabolic disorders - amyloidosis, carbohydrate degeneration of the liver;
  • Helminthiasis;
  • Oncopathology - swelling and polyp of the liver, cancer and metastases in the liver;
  • Trivaliy vpliv toxic speeches - hepatotropic otrut;
  • Chemotherapy - treatment with cytostatics;
  • Complicated operations, traces of injuries and opikiv;
  • Infectious disease of the herbal system;
  • intrauterine thrombosis of the hepatic veins;
  • Bleeding from the duct and intestines;
  • Treating with shock doses of tranquilizers and sechoginic diseases;
  • Regular vzhivannya mіtsnih napoїv

Symptoms

"The head of a jellyfish" is not the only symptom of pathology. Hypertension of the portal type is manifested by various clinical signs.

Dyspeptic disorders are early clinical signs of portal hypertension. Before them one can see:

  1. Waste of appetite
  2. Bloated stomach
  3. Shut up, who are changed by drifts,
  4. Pochuttya perepovnennya when living in a small number of hedgehogs,
  5. Bіl in the stomach.

manifest the "head of Medusa"

Signs of asthenia and intoxication:

  • Zamorochennya,
  • mlyavist,
  • sleeplessness,
  • Cleavage of the arterial vice,
  • M'yazova weakness,
  • Arthralgia and mialgia,
  • Vipadanya hairy, light nails,
  • Vaga vtrata,
  • Fever.

Signs of mechanical zhovtyanitsa:

  1. Cutting a dark color,
  2. Light feces,
  3. Zhovtiy vіdtinok shkіri and ikterichnіst sclera,
  4. Sverblyachka shkiri,
  5. Bіl at the right pіdreber'ї.

Symptoms of multiple organ failure:

  • Hepatosplenomegaly,
  • Dysfunction of the nervous system
  • zadishka,
  • Bleeding of the mucous membranes of the nose and mouth,
  • Cough,
  • arrhythmia,
  • Dropsy of the abdomen with swollen brushes.

Diagnostics

Diagnostics come in with illnesses, which are manifested as a symptom of "jellyfish head":

  1. Vislukhovuvannya skarg sick,
  2. Selection of anamnestic data,
  3. Visual examination of the patient
  4. Palpation and percussion of the liver,
  5. Global clinical blood tests and sections,
  6. Instrumental methods.

Signs of collateral blood flow, which are visualized visually: winding and widened veins on the abdomen belly button - "jellyfish head", ascites, navcolopubkovy hryvium, swelling of the umbilical cord.

Hepatosplenomegaly is indicated by palpation: the hepatic edge is sharp and hostile, protruding from the edge of the costal arch, the surface is hard, humpbacked.

Laboratory diagnostics is useful in paraclinical blood and blood tests, coagulograms, anti-hepatitis antibodies. In the blood, there is a decrease in leukocytes, erythrocytes, platelets,

Instrumental methods of diagnostics: angiography, scintigraphy of the liver, ultrasound of the organs of the empty stomach, dopplerometry of the vessels of the liver, esophagoscopy, FGDS, sigmoidoscopy, contrast radiographic follow-up. Computer and magnetic resonance tomography reveals nodules in liver tissue, neoplasms, hepatolienal anastomoses. If necessary, conduct a biopsy of the liver and histological follow-up of the biopsy.

Due to the presence of timely exuberance of portal hypertension, patients may develop encephalopathy, which manifests itself in drowsiness, drowsiness, decreased memory and concentration of respect. Such patients are referred for a consultation to a psychoneurologist.

Celebration

It is easy to deal with the symptom of "jellyfish head". For whom it is necessary to vilify the main pathology, which has become the primary cause of this problem, the path for conservative therapy and surgical treatment.

Medicamentous treatment is directed at lowering the pressure at the portal vein, if the problem has not yet started. We are ill to prescribe:

  • Vasoconstrictor - "Vasopressin", "Somatostatin". The stench sounds arterioles and reduces the pressure on the portal vein system.
  • Nitrati - "Nitroglycerin". Drain the accumulated blood in the ancient vessels, which causes the bleeding in the liver to change.
  • β-blockers - Metoprolol, Anaprilin. The stench reduces the frequency of heart rates, may have a hypotensive effect, reduce OPSS, increase tissue resistance in hypoxia.
  • ACE inhibitors - "Lizinopril", "Captopril". Change OPSS, reduce arterial pressure and improve blood circulation in peripheral arteries and veins.
  • Diuretics "Furosemide" and "Lasiks" change drugs and remove toxins from the body.
  • "Lactulose" purifies the intestines from toxic speeches and toxins.
  • Hepatoprotectors - "Esentiale forte", "Karsil".
  • Vitamins group St.

Dietotherapy is also friendly to the burning camp of ailments with portal hypertension. Fahіvtsі recommend maximally changing the amount of added salt, as zatrimuє homeland in the body, which is not important for patients, yakі mаyut bumps and ascites. The amount of protein in the diet can also be fraught. Low-protein eating reduces the risk of hepatic encephalopathy. For any disease of the herbal system, categorically fenced in fat, grease, gostr, smoked herbs, alcohol, canned spices.

Prompt introduction in more common terms allows you to reach the desired result. It will help the piecework between the vessels, which allows you to reduce the pressure of blood at the portal vein. Surgeons impose a portocaval anastomosis, which creates a bypass for the blood flow. Shunting of pathological vessel vessels is sutured or bandaged, sclerotherapy is performed and rings are installed, which are tightened, or arches, electrocoagulation is carried out. In advanced depressions, if conservative surgical intervention does not give positive results, splenectomy or liver transplantation should be performed.

In particular, due to the meritorious recognition of portal hypertension in female women, the pathology can be seriously recognized in the health of not only a mother, but also a child.

Folk medicine can be supplemented with basic medicine by medical methods. Zastosuvannya folk remedies for portal hypertension is allowed only after consultation with a doctor. Particularly worth the cost of female women.

The most wide-ranging recipes among the people for the treatment of dilated abdominal veins:

  1. Vidvar kulbabi is taken from a warm looking trichi for a day. For yoga preparation, the syrovina is poured with sprinkles, insisted for the first time and drink it.
  2. Fresh sik beetroot is taken in half a bottle up to їzhі.
  3. Medicinal selection from a tree, chamomile, sprinklings, herbs, pour hot water, warm up thirty quills in a water bath and take 2 tablespoons of trichi for doba.

Illness, which is a symptom of "jellyfish's head", may be trivaly and overwhelmed. With an unfavorable result, the death of the sick comes from internal bleeding. Timely application of porto-caval anastomoses, the prognosis of pathology is favorable, it will improve the quality of life of patients and continue their life for a dozen years. With the appearance of the first clinical signs of pathology, it is necessary to refer to the doctor in terms of terms and to recognize the therapy.

Prevention

Preventive visits that allow you to get away with the appearance of the “jellyfish head” symptom:

  • Fighting the causes that provoke the development of portal hypertension syndrome,
  • Regularly give blood tests and sections,
  • At the same time, go through the refreshment for an hour of perebuvannya at the risky group,
  • That’s right, it’s balanced to eat,
  • Take vitamins
  • Do not burn and do not drink alcohol,
  • Lead a healthy way of life.

And the most important thing is to remember: there are no innocent ills, as if the lives of important organs are hanging around. Only the pathologies revealed in due course can be used for additional adequate therapy, which gives effective results.

Medicine 2.0

Categories

How to overcome the symptom of "Gorgoni Medusa" - a red-blue mesh of capillary viserunks.

Do you know the story about the Gorgon jellyfish, mythical fury, merciless and deadly? Now її іm'yam is named a symptom, which medicine zarakhovuє up to the category of terrible ailments, on kshtalt tієї most kazkovoї jellyfish. If the skin of your legs is “painted” in the red-blue mesh of capillary viseruncles - then, the body signals about the destruction of the blood circulation and ahead of those that varicose ailments overtook you (it’s true, at the bud stage).

greasy pieces of greased meat, smoked meats, cowbass and sirs, "seasoned" with saltpeter and other preservatives, completing the whole "toxic benquet" with supernatural doses of alcohol.

Unfortunately, the liver cannot give a signal about those that the hour has come to swell. It is not for nothing that it is called a “mother's” organ, the fragments do not have nerve endings and these pain signals cannot enter our brain. Ale, early on, it’s too early, yet she still gives a zbіy, її clitiny start suffering and make them die irrevocably; toxic hepatitis is developing and all the signs that you can see it. The classic signs of problems in the liver kingdom are weakness and constant malice. The same humiliation has become more typical for a situation of overdrinking or overflowing.

Cirrhosis of the liver

symptoms

"Head of a Medusa"

Expansion of the veins around the umbilicus. Beware of cirrhosis of the liver.

Gilbert-Gano symptom, or a symptom of the "ship's star"

Small angiomy with a vein of spider-like widened vessels, which bulge around the neck on the nose, forehead, cheeks, and sometimes on the upper surface of the hands.

"Floating bridge" symptom

For the presence of significant ascites, the liver is smeared near the right subcostal ribs with nothing more than stovkal hands of bent fingers. Beware of cirrhosis of the liver.

"Toad lives"

Symptom of liver cirrhosis. Due to the presence of ascitic radii at the position of the sick back, the anterior hip wall flattens in the middle and expands from both sides.

Undulation symptom

I place the left hand on the left half of the abdomen, and with the fingers of the right hand, hit the right wall of the abdomen. Urvchasti postovh, svoryuvaniya fingers, priymaєtsya for the presence of the native land of the left hand. Beware of cirrhosis of the liver.

SYNDROMES

Abram syndrome (Bruly and Garbon symptom)

Endogenous infection with intestinal stick, yak, swallowing in the blood, concentrates in the liver, causing inflammation of the gallbladder (enterohematic colisepsis).

Hemorrhagic syndrome

Bleeding from varicose veins to the stravokhod, the sac and other organs with changes in the throat system. Beware of chronic hepatitis, especially in liver cirrhosis.

Hepato-linal syndrome

When the liver is damaged, the spleen is enlarged, and when the spleen is damaged, the liver is enlarged.

Hepato-renal syndrome

Є 2 options. In the first case, the main symptom is a rise in temperature, which is likely to happen in the next 1-2 days after the operation, then awakening, coma, azotemia, zhovtyanitsa and death follow. Nirks are changed little by little. The result is often called liver death. In another case, zhovtyanitsa, oliguria, albuminuria, hematuria, nareshti, anuria and uremia are blamed for 5-8 days after the operation. In fluctuations, I will become ill for anuria for 5-14 days, change to oliguria and polyuria.

Hepato-cerebral syndrome

Various lesions of the central nervous system, which are guarded against in case of liver disease.

Portal hypertension syndrome

It is characterized by the movement of the vice in the system of the portal vein. Vinikaє vnaslіdok change to one of the gatekeepers of the gate and її gіlok. It is clinically manifested by splenomegaly, stravochid-shlunkovo-intestinal bleeding, ascites, manifestation of the "jellyfish head".

Dubinin-Johnson syndrome

It is characterized by a post-hemolytic zhovtyanitsa and the presence of a large amount of pigment in liver cells, which has not been exactly identified. Repent from childhood, become overwhelmed by the long stretch of life, periodically succumb; liver samples - at the borders of the norm or with small respirations. During laparotomy, the liver of dark green color with brown color was enlarged with a large amount of pigment in liver cells.

Sickness

Botkin's disease

Weilya-Vasilyeva sickness

Gostry hepatonephritis, which is due to poisoning with chotirichloride coal.

Wilson-Konovalov ailment or hepato-lenticular syndrome

Pigmented bronze cirrhosis of the liver. It is characterized by the presence of a large amount of saline pigment in the skin, liver, spleen, subcutaneous duct with a further development of diabetes.

Glycogen ailment, Girka ailment

Disorder in carbohydrate metabolism leading to disruption of the reverse processes of glycogenolysis and glycogenesis with one-hour disruption of protein and fat metabolism. The reason is unknown.

Gano cirrhosis of the liver

Primary biliary hypertrophic cirrhosis of the liver.

Deverzhi ailment

Changes in the amount of vitamin A in blood syrovattsy due to liver disease. Viyavlyaetsya dribny humps, scho avenge the horn test on the original surfaces of the kіntsіvok.

Lederer-Brill ailment (Fissinger-Decourt-Laura ailment)

Shvidko progressing zhovtyanitsya nez'yasovanoї etiologii. It is accompanied by headaches, vomiting, diarrhea, high temperature with mild chills, enlargement of the spleen, liver and significant undercrowding with high leukocytosis.

Chiari ailment, Buddha-chiari ailment, obliterating phlebitis of hepatic veins

Vrodzhen or nabute sounding of the mouth of the hepatic veins, which develops after the transferred thrombophlebitis of the hepatic veins.

Medusa head symptom is characteristic for

c) liver cirrhosis

d) Virazkovy ailment

Vessel marks on the upper part of the tubule are typical for

c) liver cirrhosis

d) Virazkovy ailment

c) liver cirrhosis

Compounding cirrhosis of the liver

a) stravochidna bleeding

b) perforation of the tube

In case of hypertensive-hyperkinetic streak of dykinesia of the zhovchovivіdnyh tracts for the usunennya pain is effective

Acute chronic cholecystitis provokes

d) intake of fatty їzhi

With duodenal sounding, magnesium sulfate should be instilled for withdrawal

a) instead of a hose

Indications for duodenal sounding

Zhovchoginnu deyu maє

Mechanical zhovtyanitsya develops when

Pechinkova how much to be afraid of when

For clarification of the diagnosis of zhovchnokam'yanoy ailment to be carried out

When likuvanni zhovchnokam'yanoy ailments zastosovuyut

b) increase in the flow of livestock

c) changing the flow of living

Improvement of the superciliary arches, external conchas, nose, lips, tongue

b) diffuse toxic goiter

When treating obesity, stop the preparations

a) exchange of physical rights

b) fat promotion

c) promotion of carbohydrate intake

Vytchiznyany vcheniy, who described the triad of symptoms in case of illness on the thyroid lesion

What does "jellyfish head" mean?

Glossary of medical terms

mythical miracle, the head of some kind of deputy is haired with snakes, which vibrate.

Wikipedia

The head of a jellyfish (lat. caput medusae) is the name given to the widened winding sub-shear veins on the anterior vertebral column, which means a roundabout way for the flow of venous blood from the system of the portal vein (vena portae). A similar name was given to the one who, in a similar vein depression near the navel, expanding, guesses the image of the head of the mythological Medusa - the largest of the three gorgon sisters, the monster with womanly guise, whose deputy hair from the head grew, zmіy.

Rodschishnye Venznikh is of bleeding Sudin on the front cherry stains to row the overgrown of venous blood in the Obhіdni port-shuttle and kavali anastomosi, the illegal gap of the Vennoye Venniye Venniye Pereshkiy, in the vinnicenniy, in the Summer Perekhodni for the Normal Perekheny, in the very normal passage of the normal passage of the normal passage Similar impairments to the flow of venous blood through the portal vein are most often developed in pathologies that complicate the passage of blood through the liver: in cirrhosis of the liver, including alcoholic cirrhosis of the liver, as well as oncological disease of the liver.

Normally, at the portal vein, blood vein is visible in the left unpaired organs of the empty stomach (the sac, small and large intestines, the spleen, and the scrotum), behind the vein of the liver and the lower third of the rectum. In these organs, the blood vein through the portal vein is located near the liver, and then along the hepatic veins near the lower empty vein. In the venous system, supplementary pathways for the blood flow, the cream of the main deep veins and tributaries, serve as a superficial, superficial vein, and are widely distributed in the human venous plexus. The most important in clinical practice is the intersystem venous anastomosis, for the help of such tyings between the system of the upper and lower empty and common veins. As a result, portocaval, cavo-caval, and also cavo-cavoportal anastomoses are established. All stinks may mean the significance of the collateral pathway for the flow of blood around the main veins. Portocaval anastomoses are normally weak in humans, proteo when the blood flow through the portal vein system is disturbed, the stench significantly expands. In this way, the stench will ensure the process of “skidding” blood around the liver from the system of the portal vein into the system of the upper and lower empty veins.

Pathological camp, which affects over 75% of the functional tissue (the so-called nephrons) nirok. As a result, the organ can no longer completely overcome its function of vision, so part of the by-products of life (such as sechovin, sechoic acid and others) are trapped in the body. These words of speech are osmotically active (to attract the motherland to oneself) and, when penetrated into the interstitial space of tissues, lead to the development of swelling.

This disease is characterized by low nirk filter (which is normally impenetrable for proteins and other large-molecular speeches), due to which the body consumes a large amount of plasma proteins (more than 3 g per doba). Already after a few days, it can lead to a significant decrease in the oncotic pressure of blood, as a result of which a rare part can no longer settle in the vessel bed and leak into the empty stomach, causing ascites to develop.

Ascites in pancreatitis

Ascites in peritonitis

  • opening an empty organ (shlutka, intestines, sieve abozhovchny mіkhur);
  • penetratingly wounded empty stomach;
  • having broken through the sluice of the intestinal tract;
  • decay of the swelling of the intestines from the soft tissue of the yogo wall;
  • migration of bacteria from other secondary infections;
  • expansion of the ignition process from the sudіdnіh organіv.

As it was said before, the line is to take revenge on the great number of blood-bearing and lymphatic vessels. With the development of an infectious or other ignition process, migration to the inflamed cavity of a large number of leukocytes is indicated, which induces the expansion of the vessel and the exhalation of the nerve to the empty stomach.

Ascites in anasarcia

  • Heart failure. In this case, swellings and ascites develop through the manifestation of an increase in the hydrostatic pressure in the venous and lymphatic systems, which is caused by the absence of cardiac fluid to pump blood.
  • Nir's deficiency. With this pathology, the reason for the blockage of water in the body is the impaired function of vision.
  • Infection of the liver. With severe cirrhosis and liver failure, the concentration of proteins in the blood decreases, which can cause the development of generalized swelling.
  • Myxedema. It is characterized by a decrease in the concentration in the blood of hormones in the thyroid gland (thyroxine and triiodothyronine), which manifests itself in a change in the number of proteins that are absorbed in the body, and lead to the exit of the radivi from the vessel bed.
  • Hyperaldosteronism. Dane disease is characterized by an overabundance of the hormone aldosterone in the epidermal cavities (endocrine cavities). In normal minds, this hormone is found to stimulate the flow of circulating blood at a fasting rate, and in case of excess secretion, there is a marked increase in sodium and water in the body, which reduces the development of swelling and ascites.

Chylous ascites

  • wounding of the great lymph vessels;
  • anomalies in the development of the organs of the empty stomach;
  • transferred earlier than the operation on the empty stomach;
  • puhlinni disease (systemic lymphangiosis);
  • chronic inflammation of the intestines.

Ascites in the fetus

  • Hemolytic ailment of the new people. Dane disease develops in that case, as a mother with a negative Rh factor (Rh factor is a special antigen that is present on red blood cells in singing people) is guilty of a fetus with a positive Rh factor. Under the hour of the first pregnancy of the next few days, there will be no normal, during the next hour there will be a contact with the blood of the mother of the fetus, which will lead to sensitization of the maternal organism (antibodies against the Rh factor are seen in the new one). In case of repeated vaccination, Rh-positive fetus gives antibodies to begin to attack the cells of the blood of the fetus, disrupting the functions of all organs and tissues and leading to the development of generalized swelling and ascites. Without timely healing, it is possible to bring illness to the death of the fetus.
  • Genetic disease. The human genetic makeup consists of 46 chromosomes, which result in 23 maternal and 23 paternal chromosomes. Poshkodzhennya odnієї chi kіlkoh їх can be shown by different ailments, yakі can be passed on to offspring. Ascites in the intrauterine period may be manifested by Down's syndrome (which has a 21-pair chromosome), Turner's syndrome (for which a characteristic defect of the state X-chromosome) and other recessive ailments.
  • Intrauterine anomalies of development. The cause of intrauterine anomalies may be infection, radiation or trauma. Ascites in this case may be due to damage to the normal development of the liver, heart-vascular or lymphatic system, with an under-diagnosed zhovchovidilny system and other malformations of the development.
  • The placenta is the organ that is found in the body of a vagit woman and ensures the life (delivery of sour and living speeches) to the fetus during the entire intrauterine period of development. Damage to the blood flow in the placenta or the umbilical cord can put pressure on the blood-bearing system of the fetus, thereby creating a change of heart for the development of swelling and ascites.

Ascites in children

  • Defects in the development of the heart. In this case, they suffer from anomalies in the development of the heart mass, which leads to damage to the pumping function of the heart (valve defects, defects in the interventricular and interperitoneal septa). In the intrauterine period, these anomalies may not show themselves, but after the birth (if the heart is growing) there may be swelling, ascites and other signs of heart failure.
  • Defects in the development of nirok. In the intrauterine period, the function of the placenta is visible, so in case of important anomalies, the development of the nirk system, signs of nirk deficiency in the fetus can be daily. After the birth of a child, toxic speech and metabolism products accumulate in the blood in the tissues of a baby, which can lead to the development of swelling and ascites.
  • Infectious disease. Infection of the fetus with various viruses (rubella virus, herpes, cytomegalovirus, enterovirus) or bacteria (for example, with syphilis) can lead to damage to internal organs and the development of multiple organ failure. Tse mozhe buti ascites, which z'appear in the intrauterine period, or again after the birth of a child.
  • Pukhlini. The newlyweds among the new people grow very rarely, as an hour is needed for the development of the plump process. Tim is not less, the appearance of a swell (malicious or benign) in the intrauterine period or early child age is possible. Puhlin, as it grows, can squash blood-bearing or lymphatic vessels in children, squash various organs and tissues (liver, spleen), which can cause ascites to develop from the first days of life.
  • Anemia is the common name of the state, which is characterized by a decrease in the concentration of erythrocytes (black blood cells) and hemoglobin (which is found in erythrocytes of the dishal pigment) in the blood. Some types of anemia (sickle cell anemia, hemoglobinopathy, anemia with enzyme deficiency and so on) are characterized by deformity and collapse of erythrocytes. Ruinyuyuyutsya stench is important in the liver and spleen, which can lead to damage to these organs and development of swollen and ascites.

Ascites with vagity

  • Dihal deficiency. The enlargement of the uterus in terms of vagity should be brought to the displacement of the diaphragm (the main dichal mass, which opens up the empty stomach from the chest), to lead to a change in the dichal volume of the leg. The appearance of a large amount of rіdini in the empty chervnіnі is more powerful in this process, scho to produce sourness in the blood of the mother of the fetus.
  • Heart failure. As it has already been said, the growth of that development of the fetus should be brought up to the rise of the vice in the empty chervniy. As a result of this, a bloody vice is moving in the blood-bearing vessels that are rotting there. To overcome the vice, to torment the heart to work on the enforced regime. The appearance of ascites in terms of vagity is even more stressful on the heart, which can cause damage to its function. Tse, in his court, can lead to insufficient blood supply to the placenta and become the cause of intrauterine fetal death.
  • Zdavlyuvannya fetus, scho growth. With ascites, a small amount of rіdin, which accumulates in the empty stomach, can reach a dozen tens of liters. This led to a pronounced increase in the intracranial pressure and pressure on all internal organs, including the uterus with the fetus that is developing. As a rule, such a camp makes it difficult to further develop vaginess.

Hemorrhagic ascites

  • liver injury;
  • spleen injury;
  • bleeding with swelling swelling;
  • thrombosis (blockage of a blood clot) of the hepatic veins;
  • perforation (prokidannya) of the intestinal wall (for example, with viral infection).

The appearance of blood in the ascitic homeland is an unfavorable prognostic sign and requires terminological diagnostic and literal approaches.

tuberculous ascites

Ascites in endometriosis

Ascites and pleurisy

Symptoms of ascites

Swelling with ascites

  • nirkovi insufficiency (nirkovі nabryaki);
  • heart failure (heart swelling);
  • hepatic insufficiency (bezbіlkovі nabryaki).

Nirkovi tricks

Nirkovi nabryaki vinikayutsya through the blockage of water and osmotically active speech in the body. The stench (bruises) is symmetrical (they are guarded in both parts of the body), present lately, the prote can be overcome at the early hour, so that by prolonging the night’s sleep, a large number of radiance and toxic speeches accumulate in the body. On the back, the folds are localized most importantly in the area of ​​appearance, shii, upper ends, then descend into the area of ​​​​the stegon and homilok. The skin in the area may be normal, or the temperature may be slightly increased, the brightness of the skin may appear. With a trivial (with a stretch of 20 - 30 seconds) pressing on the swollen fabrics, destruction is established, as if it were right after the pressure was pressed.

Heart failures develop through those that the heart cannot pump blood from veins to arteries. The stench is more importantly blamed until the evening, the lower back is localized in the area of ​​​​the feet and homils, and then they rise to the area of ​​\u200b\u200bstegon and touluba. It is explained that during the day a person, for a 3rd hour, is resting in a vertical position, after which a hydrostatic pressure is significantly increased in the veins of the lower kinks and blood stasis develops in them. Tse to bring before the exit of the rivers from the courts at the interclear space.

With a deficiency of proteins, a small part of the blood comes out from the intercellular spaces, which manifests itself in the edge, generalized swells, which are guarded by all the relatives of the body. The skin in the area of ​​the laces is stretched, strained, the skin is dry, the temperature is low. When pressed against a swollen fabric, a dent appears for a few seconds.

Temperature with ascites

  • Peritonitis. Infection of the queue with foreign microorganism to cause activation of the immune system and increase in body temperature. The highest high figures (up to 40 and more degrees) are indicated for bacterial peritonitis, if pathogenic bacteria and toxins, which are seen by them, get wet in the blood and spread throughout the body. In case of peritonitis of tuberculosis etiology, the temperature should be no more than 37 - 39 degrees.
  • pancreatitis. In case of pancreatitis, there is a development of a non-infectious igniting process in the submucosal cavity, which is accompanied by a temperature increase of up to 38 degrees. The transition of inflammation to the peritoneum and the development of peritonitis can be accompanied by a more pronounced temperature reaction (up to 39 - 40 degrees).
  • Cirrhosis of the liver. At the early stages of the development of cirrhosis, all patients are diagnosed with subfebrile condition (body temperature rises to 37 - 37.5 degrees). As a result, cirrhosis is the result of hepatitis B and C viruses, the rise in temperature up to 37 - 39 degrees will be a natural immune reaction to the body, which is to blame for the disease of foreign agents. The rise in body temperature is higher than 39 degrees, which means that the development of bacterial conditions will require a medical term.
  • Pukhlini. With all the evil, chubby ailments, the patient is diagnosed with subfebrile condition for a long period of time or months, which sounds accompanied by a slight weakness and a decrease in body weight. When cancer metastasizes to the peritoneum, body temperature may rise to 39 - 40 degrees, which is explained by the development of an ignition reaction in the case of "foreign" (chubby) cells.

It is also important that ascites with myxedema is characterized by a decrease in temperature to 35 degrees. It is explained by the lack of hormones in the thyroid gland, which normally regulate (increase) the rate of exchange processes in the body and body temperature.

Pain with ascites

  • Cirrhosis of the liver. Cirrhosis of the liver develops step by step and sounds like the fire of the disease of the liver (hepatitis). The liver itself does not avenge pain receptors, the proteoacute organ has a bagat capsule on them. Increase the size of the liver in case of various ailments to lead to overstretching of the capsule, which is manifested by pains of varying intensity. In the cob stages of cirrhosis, patients may suffer from discomfort and mild pain in the area of ​​the right hypochondrium, which can be relieved for an hour. Also, patients can be affected by the severity of other abdominal problems. This is explained by damage to the etching, as if there is a place for cirrhosis in the early stages.
  • Syndrome (pain) Budd-Chiari. With this pathology, there is a blockage of the veins, which is the blood in the liver. As a result of this, there is a realignment of the intrahepatic blood vessels, an increase in the organ in size and a stretching of the hepatic capsule, which is accompanied by gostrimi, prickly pains in the right hypochondrium, which is seen in the right side of the back.
  • Ignition of the turn. There are a large number of pain receptors in the leaflets of the queue, which is accompanied by burning or prickly pains in the abdomen, which are exacerbated by the pressure on the anterior vertebral wall.
  • pancreatitis. The development of the ignition process in the subscapular vulva is manifested by acute pains of an operative nature, which are most pronounced in the upper part of the abdomen. Pain can radiate to the area of ​​the right or left subcostal area, back, heart.
  • Pukhlina. Pain with swelling rarely becomes strongly pronounced, which complicates the early diagnosis of malignant neoplasms. Patients can spend a few days or months feeling dull, lingering or pain in the abdomen. The intensity of the pain in one's own may miraculously increase and change.
  • Endometriosis. Pain in this pathology is localized more importantly in the lower abdomen, but in case of metastasis of clitin endometrium to other organs, it can be localized. Call the woman to complain about the aggravated pain at the hour of the state act, at the hour of menstruation, pain during the discharge or defecation. Bіl at tsimu hostry, rіzhuchy, not usuvaєtsya by taking the most pain-reducing drugs.

Abdominal enlargement with ascites

Hepatomegaly and splenomegaly with ascites

  • Cirrhosis of the liver. When cirrhosis of the liver occurs, the structure of the liver tissue is damaged and often replaced by fibrous (scar) tissue. I create a transition to the path of blood stream, after which it accumulates in the veins of the liver and in the portal veins, leading to an increase in the organ at the expansion. In order to reduce the pressure on the system of the portal vein, part of the blood is shed from the vein of the spleen vein, which also causes the blood to refill and increase the volume of blood.
  • Pukhlin. The cause of liver enlargement may be an increase in the growth of the intrahepatic tumour, or the growth of metastases in the tumescence of another localization. In case of metastasis of malignant swelling of the liver tissue, there will also be a blockage of the hepatic capillaries with plump cells, which will lead to disruption of the blood flow in the organ and may be the cause of an increase in the size of the liver.
  • Pain Budda-Kiari. In case of thrombosis of the hepatic veins, there is a redeployment of the hepatic tissue with blood and an increase in the size of the liver. The spleen in case of spleen increases less in severe cases of illness (with the development and progression of portal hypertension).
  • Heart failure. In case of heart failure, the blood stagnates in the system of the lower empty vein, pressing on it. Shards of the liver veins (which bleed the venous blood from the liver) also fall into the lower empty vein, pronounced heart failure can damage the blood flow in the liver, which will lead to an increase in blood volume.

Nudota and vomiting with ascites

"Head of a jellyfish" with ascites

Zhovtyanitsya with ascites

Ass with ascites

Stargazing in ascites

  • sprague;
  • dry mouth;
  • the dryness of the skinny curves;
  • reduced elasticity of the skins;
  • the appearance of a wrinkle in the sphere of an individual;
  • body temperature rise;
  • trap of spectacle apples;
  • change in predobovogo diuresis (number of cuts that can be seen);
  • constipation;
  • decreased arterial pressure;
  • broken witness (to the point of hallucinations).

In the presence of time and adequate exaltation, the patient can fall into a coma or die through the disruption of the life functions of important organs (brain, heart).

The head of a jellyfish is a clinical sign of hypertension, behind which a vice is sharply moving at the portal vein. The symptom has such an unnamed name, more similar to Medusa Gorgon. Nagadёmo, on her head the hair of a snake grew like a hair. Pidshkirnі veins expand on the stomach, start ringing around the navel. This is one of the manifestations of hepatic cirrhosis, other ailments.

Cause

If there is ascites in a person, the skin on the stomach begins to shine through, groans, the network of the vessels may be clearly outlined. Ascites at times is saved for a long time, not rejoicing.

The head of a jellyfish in such states: hepatitis, cirrhosis, sarcoidosis,. In addition, the symptom is characteristic of portal vein thrombosis, endophlebitis, cardiomyopathy, pericarditis, and vadus.

The symptom manifests itself in metabolic disorders - hepatic dystrophy, amyloidosis, helminthiasis. Also, an unacceptable sign is typical for oncological pathologies - hepatic polyps, cancer.

In some situations, the symptom of jellyfish develops through the influx of toxins, chemotherapy (after treatment with cytostatics), may be a result of opiku, trauma.

Pathology in some cases of late infection, intrauterine thrombosis of the hepatic vein, intestinal, ductal bleeding. Sometimes the symptom of jellyfish develops after drinking sechoginnim, tranquilizers, and also with regular drinking of alcoholic drinks.

Symptoms

We destroy your respect, the head of a jellyfish is only one sign of pathology. accompanied by other unacceptable symptoms:

  • Zduvaetsya alive.
  • People lose their appetite.
  • On the back of the head turbulent constipation, and after a deyaky hour carrying.
  • Strong pain alive.
  • It seems to be a little repetitive, if a person has a little bit of it.
  • Sleeplessness.
  • ugliness.
  • Get confused head.
  • Turbo intoxication.
  • Weakness in m'yazakh.
  • , arthralgia.
  • Swidko lamayutsya nails, falling hair.
  • Vaga is sharply reduced.
  • Dark cut, light feces.
  • Zhovt_yut skleri, shkira.
  • It's an unbearable sverbіzh.
  • Turbuє bіl pіd rule rubom.
  • The stars of the ship appear on their feet.
  • Daedalus often blames arrhythmia.
  • Bleeding mucous mouth, nose.
  • The person starts to cough.
  • Blame the failures of the nervous system.

Diagnostics

We are going to take the patient's skarga to the doctor, then we will collect the history of his ailment. Then visually look at the sick person, smear the liver. An important meaning is the analysis of the cut, the blood.

To the main signs of blood circulation one can see winding, widened veins of the navel, hernia, strongly swollen kinks. An important value is a coagulogram, a blood test for hepatitis.

Dodatkovo vikoristovuyut different instrumental techniques: liver scintigraphy, Doppler, angiography, X-ray. For the help of MRI, CT, it is possible to show nodules in the tissues of the liver, various newborns. If necessary, a liver biopsy should be performed.

If you don’t exult in portal hypertension, everything will end in encephalopathy, as it manifests itself in seemingly advanced drowsiness, drastically. So the memory is sharply reduced, the concentration of respect is broken. Here you can not do without the help of a psychoneurologist.

Methods of likuvannya

We destroy your respect, use the symptom - the head of a jellyfish is practically impossible. In this situation, it is necessary to talk about the exuberance of the main ailment, which caused the appearance of unacceptable signs.

Conservative therapy is given first, then surgery is performed. To change the pressure, you need to treat yourself with medicines. A sick person can be recognized:

  • Vasoconstrictors - Somatostatin, Vasopressin.
  • Hepatoprotectors.
  • Anaprilin may have hypotensive effect.
  • Diuretics, for example, Lasiks help to change the swelling, remove toxic speech from the body.
  • Nitrati - Nitroglycerin changes hepatic bleeding.
  • Vitamins St.

Diet is important. It is necessary to change the amount of salt in your diet, it won’t bring up the nits in the body, but it’s bad for people who suffer from ascites, bloating.

Varto surround the menu with a quantity of protein, so you can save a rose. For any pathology, it is necessary to live in grease, fat, smoked meat, gostra, spices, canned food.

In severe depressions, surgery is performed. Behind it, an anastomosis is pieced together by the ships. In a neglected case, if operative, conservative intervention does not give the necessary results, liver transplantation, splenectomy are required.

It is especially important to examine portal hypertension in vagits, otherwise it can be seen in a healthy child, mother. Dodatkovo vikoristovuyutsya folk methods of jubilation:

  • Bred from kulbaboy to please drink warmly. To prepare, it is necessary to prepare the syrovina of the roslin, then fill it with dill. All can stand 30 hvilin and vipiti.
  • Buryakovy sik is recommended to drink 100 ml before eating.
  • Take nettle, herb, chamomile. All herbs should be taken in the same quantity (may be 2 tablespoons in total), pour over with dill.

Like in case of ill turbulence, a symptom of the head of a jellyfish, it lasts for a long time. In times unacceptable to the result of ailments, you can die from internal bleeding. The prognosis is less favorable, as a portocuval anastomosis was applied in due course. It is also important to consult with the doctor at once, so that you can get comfortable.

Also, the symptom of jellyfish is unacceptable. Yogo is easier to beat. For whom it is necessary to take a fast analysis of the cut, blood, balanced eating, drinking cigarettes, alcoholic drinks, cultivating a healthy way of life.

thank you

The site provides additional information, including for information. It is necessary to pass the diagnosis and treatment of illness under the supervision of a specialist. Usі drugs and mayut contraindications. Consultation of an obov'yazkov specialist!

What is ascites?

Ascites- tse skuchennya rіdini in cherevnіy emptiness, scho vyyavlyаєєєє zbіlshennyam razmіrіv belly and іnshih symptoms. Ascites is self-inflicted illness, having less manifested various ailments and pathological conditions, which caused the regulation of the exchange of blood in the body to be disrupted. Tim is no less, the appearance of the native in the empty heart is a sign of a serious illness, damage to the regulatory and compensatory reactions of the body.

Development (pathogenesis) of ascites

The empty cherevna is a closed expanse, surrounded by an ocherevina (a thin, penetrating shell) and revenges various organs (slut, spleen, liver, zhovchny mikhur and deyaki intestines). The peritoneum is made up of two sheets - the parietal (surface, which attaches to the walls of the abdomen in the middle) and the visceral (internal), which adheres to the walls of the internal organs, otochyuchi їх. The main functions of the queue are the fixation of rotting in some bodies of the prosecutor's office and the regulation of the exchange of speeches, in the body.

In the queue there are silent other blood-bearing and lymphatic vessels, which ensure the exchange of speech. In normal minds, a small amount of blood is constantly found in the empty stomachs and between the leaves of the burrow, as a result of perspiration of a rare part of the blood and a singing quantity of whites through the blood-bearing vessels. However, given the motherland does not accumulate in the empty cherevnіy, to that it is practical to see it well when it is well-moistened in the lymphatic capillaries (for the extraction of the core, you can soak over 50 liters of the rodin). Lymph, which settles down in this case, comes to the venous system of the body through the lymphatic vessels, turning into the systemic blood flow to the motherland, proteins and others, different in them, microelements.

From the foregoing, it follows that the accumulation of rіdini in the empty cherevnіy can be in two cases - for increased swidkosti її omission or with a change in swidkostі її vmoktuvannya. In practice, two mechanisms are one -time, Tobto under the Riznikh Zakhoruvanni internal organ (Pechinki, pіdshlunkovo, with puffy, with the deposit of the pride of the product) blockage of other lymphatic and blood-bearing vessels by products of decay of clitin, pathogenic microorganisms or puffy clitin. In the world, the development of the ailment of the native land in the cherevniy empty becomes more and more, and it begins to squash the spread of the organs there, so, at your own hand, you can help overcome the main ailment and treat the progress of ascites.

It is also important to indicate that the cream of the radii in the empty cherevniy is trimmed with proteins (as well as other microelements). In normal minds, plasma proteins (most importantly albumin) take part in the creation of the so-called oncotic vice, so that the stench dries up the motherland in the vessels. In case of ascites, a large part of the whites are found in the ascitic tract, in connection with which the oncotic pressure of the blood decreases, which can also take the exit of the tract from the vessel bed and the progression of the disease.

With the progression of illness, there is a change in the circulation of the blood, more shards accumulate in the empty stomach. It is necessary to bring to the activation of compensatory mechanisms, directing to the blockage of water in the body (the change in the density of the established and seen sections), which further increases the hydrostatic pressure in blood-bearing vessels and the application of the established ascites.

Cause ascites

The reasons for ascites can be rich, otherwise they are associated with impaired blood flow and lymphatics in the liver or in the organs of the empty stomach.

Ascites can be caused by:

  • liver cancer;
  • ailment (syndrome) of Budd-Chiari;
  • squeezing the portal vein;
  • oncological disease (swelling);
  • sickness nirok;
  • anasarca;
  • impaired lymphatic circulation (chilous ascites);
  • damage to the development of the fetus;
  • sickness of a child's eye;

Ascites in liver cirrhosis

Cirrhosis of the liver is a chronic illness, with which the life and practically all the functions of this organ are destroyed, which leads to the progression of the disease.

In normal minds, blood flows into the liver through the portal (portal) veins into the rich internal organs (such as the sac, spleen, subscapular sac, small and large intestines). In the liver, it is possible to pass through thin tubules (hepatic sinusoids), defilter, clear and saturate with various speeches (for example, whites), after which it comes to the lower empty vein and turns to the systemic blood flow. In case of cirrhosis under the influence of various causative factors (for example, hepatitis B and C viruses), there is a decrease and destruction of a large number of hepatocytes (liver cleft). The folds of the cells are replaced by fibrous tissue, which significantly reduces the function of the liver. Tse, in his line, to bring to the activation of compensatory mechanisms, which lie in the weakened rozpodіlі clitin, which are lost (neushkozhenikh). However, the structure of the newly formed tissue is destroyed (creams are typical for a normal liver of sinusoids), as a result of which the filtration capacity of the organ decreases (so that the amount of blood changes, as it can pass through the liver in one hour).

Damage to the function of the liver, as well as changes in its structure, lead to the fact that the blood cannot be filtered from the general obyazі, after which it begins to accumulate at the portal vein. In the world of progressing illness, a hydrostatic vice (that is, a vice that causes blood on the wall of the vessel) moves at the portal vein (portal hypertension develops), which disrupts the process of blood flow from the internal organs of that intestine (sluice, intestines). As a result of stagnation of blood in them, there is an expansion of the blood-bearing vessels and an increase in the penetration of the vessel walls, which leads to sweating of a part of the rіdini into the empty chervn.

It is also important to note that the liver is the main source for the establishment of proteins in the body. At the late stages of disease (if more hepatocytes are replaced by fibrous tissue), the protein-enhancing function of the liver decreases, as a result of which hypoproteinemia (marriage of proteins in the blood) develops. Tse, with his own devil, to reduce the oncotic pressure of the blood to a lower level, which will also help to prevent the exit of a part of the motherland from the vessel bed.

Ascites in liver cancer

Cancer of the liver is a puhlinne zahvoryuvannya, like to cause the structure of the liver to collapse and the destruction of all functions. Various factors of the ovary medium (radiation, toxins, viruses, etc.) can take the development of cancer, for example, the adoption of mutant chubby cells is possible. Sound like this, the cells are immediately affected by the immune system of the body and are reduced, however, for singing minds (for example, with a weakened immune system or with a high dose of radiation)

In the course of the year, the fluff grows in roses and can squeeze the great internal liver judges. Also, cancer cells can invade the main tumor and move (metastasize) to other parts of the organ, blocking the liver sinusoids, blood-bearing and lymphatic vessels of the liver ducts. This will cause damage to all functions of the liver, increase the pressure at the portal vein and the development of ascites.

Ascites in other diseases of the liver

Crimium cirrhosis and cancer are more pathological pathologies, which can disrupt blood flow in the liver and veins and become the cause of the exit of the rіdini into the empty stomach.

The cause of ascites can be:

  • Mesothelioma. Dane zlojakіsne novootvorennya zustrichaetsya even seldom and resemble bezpomidny z kіtin ocherevina. The development of the plumpness is brought up to the activation of the immune system with the method of the decrease of plump cells, which is manifested by the development of the ignition process, the expansion of the blood-bearing and lymphatic vessels and the sweating of the radina into the empty stomach.
  • Carcinomatosis of the turn. This term denotes damage to the peritoneum with plump cells, as if metastasizing to it is plumpness of other organs and tissues. The mechanism of development of ascites in case of this is the same as in case of mesothelioma.
  • Cancer of the subshlunk's ridge. Subshlunkovy slough is the site of the establishment of herbal enzymes, which are seen from it along the protocy of podshlunkovy slough. When the duct comes out of the burrow, it rages out of the gallbladder duct (by which the zhovch comes out of the liver), after which the stench immediately flows into the small intestine. The growth and development of swelling near the area of ​​the malformation of these ducts can lead to destruction of the liver flow, which can manifest itself as hepatomegaly (increased liver growth), zhovtyanitsa, stubble stagnation and ascites (ascites develops on the liver).
  • Ovarian cancer. Wanting the ovaries and not lie down to the organs of the empty stomach, the leaves of the peritoneum take part in the fixation of these organs in the small pelvis. This explains the fact that in case of ovarian cancer, the pathological process can easily expand to the edge, which can be accompanied by an increase in the penetration of the vessels and the adopted vipota in the empty stomach. At the late stages of illness, metastasis of cancer into the leaves of the peritoneum can be indicated, which will force the exit of the mother from the vessel bed and lead to the progression of ascites.
  • Meigs syndrome. This term refers to the pathological state, which is characterized by the accumulation of radii in the lower limbs and other empty spaces in the body (for example, in the empty pleural space). The cause of the illness is the swelling of the pelvic organs (ovaries, uterus).

Ascites in heart failure

Heart failure - disease of the heart, when it does not appear in order to ensure adequate blood circulation in the body. In normal minds, with cutaneous cardiac contraction, the aorta (the largest artery in the body) shows a large amount of blood. In the world, in the distance, the heart is rozpodil aorti on the other arteries, the docks are not settled by the capillaries - the thinnest judges, in which there is an exchange of air between the tissues and tissues of the body. After passing through the capillaries, the blood is taken from the vein and delivered back to the heart. Part of the rіdini (about 10%) when it comes to the lymphatic vessels, it transforms into the lymph.

An important feature of the vascular system is those that the wall of the arteries is narrow and springy, in that hour the vein wall is perceptibly thin and easily expands when the intravascular pressure is moved. With the outlet of the cervical lack (the reason for the butt of the venfart, the iz іnfetziya, the trivals of the arterial grip of the art is so dali) the downshole of the cervical m'vy, the vnaslіdovs are stroked with the Lower Porozhny. As a result of the expansion of the walls of the overflowing venous vessels, as well as through the movement of the hydrostatic pressure, a small part of the blood comes out of the vessel bed and accumulates in the empty neck.

Ascites in case of ailments of nirok

Nirki є organs of the system of vision, yakі regulate the warehouse and obsyag rіdini in the organism. However, in case of some kind of ailment, this function can be destroyed, which, in its line, can lead to the development of various complications.

Ascites may worsen:
Nir's insufficiency
Pathological camp, which affects over 75% of the functional tissue (the so-called nephrons) nirok. As a result, the organ can no longer completely overcome its function of vision, so part of the by-products of life (such as sechovin, sechoic acid and others) are trapped in the body. These words of speech are osmotically active (to attract the motherland to oneself) and, when penetrated into the interstitial space of tissues, lead to the development of swelling.

Also, in case of nirk deficiency, the blood supply of the nirk tissue is disrupted, after which compensatory mechanisms are activated, directed to the advancement of the systemic arterial pressure and an increase in the amount of blood that is delivered to the nirk. In a row, the circulating blood volume changes in nirkah, which increases the volume of circulating blood even more, pushing the venous system and advancing ascites.

nephrotic syndrome
This disease is characterized by low nirk filter (which is normally impenetrable for proteins and other large-molecular speeches), due to which the body consumes a large amount of plasma proteins (more than 3 g per doba). Already after a few days, it can lead to a significant decrease in the oncotic pressure of blood, as a result of which a rare part can no longer settle in the vessel bed and leak into the empty stomach, causing ascites to develop.

Ascites in pancreatitis

Pancreatitis is the disease of the submucosa, which is characterized by the collapse of the tissue and the expansion of the pathological process on the vascular organs. The reason for the development of this disease is the pathological activation of herbal enzymes that settle in the follicle. Normally, stinks are seen in the intestines; in an inactive form, they are activated only after mixing with the intestinal cavity. In case of various pathological conditions (with alcohol poisoning, after taking a large amount of oily skin, after abdominal injuries or after viral infections), these enzymes can be activated right in the middle of the burrow, which leads to self-healing.

Under the hour of the described process, the vessels of the sub-slunk colony are damaged, which causes the penetration of herbal enzymes in the blood. Even if you don’t immediately tell the likuvannya, the pathological process can destroy the wall of the ridge and go to the core, which can cause the development of peritonitis (inflammation of the edge) and can lead to the establishment of ascitic r_dini in the scapula.

Ascites in peritonitis

Peritonitis is inflammation of the peritoneum, which is characterized by pronounced pains in the abdomen and progressive symptoms of severe intoxication to the body (movement of body temperature over 40 degrees, accelerated breathing and heart attacks, damage to blood vessels). The whole camp develops with the penetration of pathogenic bacteria in the empty stomach.

The cause of peritonitis can be:

  • opening an empty organ (shlutka, intestines, sieve abozhovchny mіkhur);
  • penetratingly wounded empty stomach;
  • having broken through the sluice of the intestinal tract;
  • decay of the swelling of the intestines from the soft tissue of the yogo wall;
  • migration of bacteria from other secondary infections;
  • expansion of the ignition process from the sudіdnіh organіv.
As it was said before, the line is to take revenge on the great number of blood-bearing and lymphatic vessels. With the development of an infectious or other ignition process, migration to the inflamed cavity of a large number of leukocytes is indicated, which induces the expansion of the vessel and the exhalation of the nerve to the empty stomach.

Also varto signify that the extension of the infection along the line can be done quickly, through which the local (mistsevy) peritonitis in a short term can go into a diffuse (widened) form, that it affects the entire peritoneum, that without spontaneous that adequate death can lead to death godin.

Ascites in anasarcia

Anasarka is the last step of the cramp, when the motherland accumulates in the subcutaneous-fat tissue of the tube, arms and legs, and also in the empty bodies of the body (in the lower back and pleural empty, in the empty pericardium). Tsey camp will help you in terms of medical assistance, shards can lead to the death of a patient for a few years of treatment.

The cause of anasarca can be:

  • Heart failure. In this case, swellings and ascites develop through the manifestation of an increase in the hydrostatic pressure in the venous and lymphatic systems, which is caused by the absence of cardiac fluid to pump blood.
  • Nir's deficiency. With this pathology, the reason for the blockage of water in the body is the impaired function of vision.
  • Infection of the liver. With severe cirrhosis and liver failure, the concentration of proteins in the blood decreases, which can cause the development of generalized swelling.
  • Myxedema. It is characterized by a decrease in the concentration in the blood of hormones in the thyroid gland (thyroxine and triiodothyronine), which manifests itself in a change in the number of proteins that are absorbed in the body, and lead to the exit of the radivi from the vessel bed.
  • Hyperaldosteronism. Dane disease is characterized by an overabundance of the hormone aldosterone in the epidermal cavities (endocrine cavities). In normal minds, this hormone is found to stimulate the flow of circulating blood at a fasting rate, and in case of excess secretion, there is a marked increase in sodium and water in the body, which reduces the development of swelling and ascites.

Chylous ascites

This disease is characterized by accumulation in empty stomachs of milky white, blistering radii, in which the concentration of fats is increased. The reason for this is the disruption of the flow of lymph from the liver, which sounds due to squeezing or blocking the lumen of the thoracic lymphatic duct, which takes the lymph from the mouth of the lower part of the body.

Also, the reason for the passage of lymph into the empty heart can be:

  • wounding of the great lymph vessels;
  • anomalies in the development of the organs of the empty stomach;
  • transferred earlier than the operation on the empty stomach;
  • puhlinni disease (systemic lymphangiosis);
  • chronic inflammation of the intestines.

Ascites in the fetus

Accumulation of rіdini in the empty fetal neck may be associated with various pathologies of the mother and child.

The cause of ascites in the fetus can be:

  • Hemolytic ailment of the new people. Dane disease develops in that case, as a mother with a negative Rh factor (Rh factor is a special antigen that is present on red blood cells in singing people) is guilty of a fetus with a positive Rh factor. Under the hour of the first pregnancy of the next few days, there will be no normal, during the next hour there will be a contact with the blood of the mother of the fetus, which will lead to sensitization of the maternal organism (antibodies against the Rh factor are seen in the new one). In case of repeated vaccination, Rh-positive fetus gives antibodies to begin to attack the cells of the blood of the fetus, disrupting the functions of all organs and tissues and leading to the development of generalized swelling and ascites. Without timely healing, it is possible to bring illness to the death of the fetus.
  • Genetic disease. The human genetic makeup consists of 46 chromosomes, which result in 23 maternal and 23 paternal chromosomes. Poshkodzhennya odnієї chi kіlkoh їх can be shown by different ailments, yakі can be passed on to offspring. Ascites in the intrauterine period may be manifested by Down's syndrome (which has a 21-pair chromosome), Turner's syndrome (for which a characteristic defect of the state X-chromosome) and other recessive ailments.
  • Intrauterine anomalies of development. The cause of intrauterine anomalies may be infection, radiation or trauma. Ascites in this case may be due to damage to the normal development of the liver, heart-vascular or lymphatic system, with an under-diagnosed zhovchovidilny system and other malformations of the development.
  • Poshkodzhennya placenta. The placenta is the organ that is found in the body of a vagit woman and ensures the life (delivery of sour and living speeches) to the fetus during the entire intrauterine period of development. Damage to the blood flow in the placenta or the umbilical cord can put pressure on the blood-bearing system of the fetus, thereby creating a change of heart for the development of swelling and ascites.

Ascites in children

The other listed causes of ascites in adults can also be the same in children. However, in newborns and children of early age, ascites may be delusional and other illnesses.

The cause of ascites in children can be:

  • Defects in the development of the heart. In this case, they suffer from anomalies in the development of the heart mass, which leads to damage to the pumping function of the heart (valve defects, defects in the interventricular and interperitoneal septa). In the intrauterine period, these anomalies may not show themselves, but after the birth (if the heart is growing) there may be swelling, ascites and other signs of heart failure.
  • Defects in the development of nirok. In the intrauterine period, the function of the placenta is visible, so in case of important anomalies, the development of the nirk system, signs of nirk deficiency in the fetus can be daily. After the birth of a child, toxic speech and metabolism products accumulate in the blood in the tissues of a baby, which can lead to the development of swelling and ascites.
  • Infectious disease. Infection of the fetus with various viruses (rubella virus, herpes, cytomegalovirus, enterovirus) or bacteria (for example, with syphilis) can lead to damage to internal organs and the development of multiple organ failure. Tse mozhe buti ascites, which z'appear in the intrauterine period, or again after the birth of a child.
  • Pukhlini. The newlyweds among the new people grow very rarely, as an hour is needed for the development of the plump process. Tim is not less, the appearance of a swell (malicious or benign) in the intrauterine period or early child age is possible. Puhlin, as it grows, can squash blood-bearing or lymphatic vessels in children, squash various organs and tissues (liver, spleen), which can cause ascites to develop from the first days of life.
  • Congenital anemia. Anemia is the common name of the states, which are characterized by a decrease in the concentration of erythrocytes (black blood cells) and hemoglobin (which is found in erythrocytes of the dishal pigment) in the blood. Some types of anemia (sickle cell anemia, hemoglobinopathy, anemia with enzyme deficiency and so on) are characterized by deformity and collapse of erythrocytes. Ruinyuyuyutsya stench is important in the liver and spleen, which can lead to damage to these organs and development of swollen and ascites.

Ascites with vagity

Ascites in women may develop due to various diseases of the liver, heart, nirok and other organs and systems. Also, the accumulation of blood in the empty stomach spryaє growth and increase in the growth of the fetus, which can squeeze the lower empty vein (a large vessel that collects venous blood from the mouth of the lower part of the body).

Growth and development of the fetus by itself vimagaє in the presence of the organs of the prosecutor's office and systems of the female organism of intensive work. Accumulation of blood in the empty stomach and increased intracranial pressure even more increase the pressure on the organs, which can lead to decompensation of chronic disease and the development of multiple organ failure, which threatens a healthy life or a mother's life.

The most serious manifestations of ascites in the vagina can be:

  • Dihal deficiency. The enlargement of the uterus in terms of vagity should be brought to the displacement of the diaphragm (the main dichal mass, which opens up the empty stomach from the chest), to lead to a change in the dichal volume of the leg. The appearance of a large amount of rіdini in the empty chervnіnі is more powerful in this process, scho to produce sourness in the blood of the mother of the fetus.
  • Heart failure. As it has already been said, the growth of that development of the fetus should be brought up to the rise of the vice in the empty chervniy. As a result of this, a bloody vice is moving in the blood-bearing vessels that are rotting there. To overcome the vice, to torment the heart to work on the enforced regime. The appearance of ascites in terms of vagity is even more stressful on the heart, which can cause damage to its function. Tse, in his court, can lead to insufficient blood supply to the placenta and become the cause of intrauterine fetal death.
  • Zdavlyuvannya fetus, scho growth. With ascites, a small amount of rіdin, which accumulates in the empty stomach, can reach a dozen tens of liters. This led to a pronounced increase in the intracranial pressure and pressure on all internal organs, including the uterus with the fetus that is developing. As a rule, such a camp makes it difficult to further develop vaginess.

Hemorrhagic ascites

In case of hemorrhagic ascites in ascitic radii, there are red blood cells (erythrocytes) in those who have a larger number. As a rule, such a camp develops on the aphids of already obvious chronic diseases that have become the cause of ascites (liver cirrhosis, cancer, tuberculosis).

The cause of hemorrhagic ascites can be:

  • liver injury;
  • spleen injury;
  • bleeding with swelling swelling;
  • thrombosis (blockage of a blood clot) of the hepatic veins;
  • perforation (prokidannya) of the intestinal wall (for example, with viral infection).
The appearance of blood in the ascitic homeland is an unfavorable prognostic sign and requires terminological diagnostic and literal approaches.

tuberculous ascites

Tuberculosis is a causative infection, as it attacks the legenia, intestines and other organs. There is a disease caused by mycobacterium tuberculosis, which is ingested into the body by a very important povitryano-kraplinny way (when inhaled, zabrudenny zbudnik) or even more. The first center of tuberculosis is localized in the legenian tissue, more likely in the intestines. In the world, the progression of illness, and with a decrease in the protective forces of the organism, mycobacteria can expand from the primary cavity to other tissues, including up to the edge.

Tuberculosis infestation can lead to the development of a specific ignition process (peritonitis), which manifests itself in the expansion of blood vessels and perspiration of the great number of rіdini, lymph and bіlkіv in the cherevnu empty.

Ascites in endometriosis

Endometriosis is an illness, when there is a growth of endometrium (the mucous membrane of the uterus) in atypical areas for the new one (that is, in other organs and tissues). The cause of the illness may be a disruption of the hormonal background of the woman, as well as a recession.

The back of the cell and endometrium protrude between the mucous membranes of the uterus and penetrate into the mucosal ball, beginning to spread there. Under the hour of the menstrual cycle of stink (like a great endometrium) you will know the sing changes that can lead to the development of bleeding. At the late stages of infection, endometrial cells protrude beyond the uterus and can attack any tissue organ, including the peritoneum. Other symptoms (pain in the abdomen, disruption of the cervix and so on) may also be manifested by the accumulation of rіdin in the empty stomach.

Ascites and pleurisy

The light pleura is called a thin splendid tissue membrane, as it is folded from two leaves - the outer one and the inner one. The outer leaf adheres to the inner surface of the chest, and the inner one surrounds the legenev tissue. Between these leaves there is a wide space (pleural empty), where there is a small amount of space necessary for the forging of leaves in one hour of breathing.

Pleurisy is called inflamed leaflets in the legenian pleura, which sound accompanied by perspiration of the rіdini in the pleural pleura. Ascites and pleurisy can be immediately suspected in case of systemic inflammatory diseases of an autoimmune nature (if the immune system attacks the cells and tissues of the body) - with rheumatic fever, systemic worm disease, rheumatoid arthritis and so on. Varto signify that during the transfer of ailments, the accumulation of radii in the empty pericardium (heart sac) can also be indicated.

Symptoms of ascites

Symptoms of ascites are rich in what lie in the main ailment, which caused yogo viniknennya. So, for example, when the liver is ill, the patient suffers from damage to the etching, part of the bleeding (the main factors of the system of blood glottis are established in the liver) and so on. In case of diseases of the first plan, there may be symptoms of disruption of the cerebrospinal fluid and signs of intoxication of the body with by-products of the exchange of speech. In case of heart failure, sting for a rise in stomp and seem to be unsatisfactory again (especially in case of physical anxiety).

However, irrespective of the cause of the culpability, the accumulation of rіdini in the empty stomach will always show signs of symptoms, the manifestation of which allows suspecting the diagnosis at the early stages of the disease.

Ascites may be accompanied by:

  • scribbles;
  • body temperature rise;
  • abdominal pain;
  • zbіlshennyam rozmіrіv belly;
  • bigger liver;
  • enlarged spleen;
  • "The head of a jellyfish";
  • Zhovtyanitsa;

Swelling with ascites

Bruises with ascites develop as a result of the exit of the radii from the vessel bed and the transition into the intercellular space of various tissues. Mekhanіzm osvіti i character nabryakіv lie in the main ill, which caused ascites.

Bruises with ascites can be the last:

  • nirkovi insufficiency (nirkovі nabryaki);
  • heart failure (heart swelling);
  • hepatic insufficiency (bezbіlkovі nabryaki).
Nirkovi tricks
Nirkovi nabryaki vinikayutsya through the blockage of water and osmotically active speech in the body. The stench (bruises) is symmetrical (they are guarded in both parts of the body), present lately, the prote can be overcome at the early hour, so that by prolonging the night’s sleep, a large number of radiance and toxic speeches accumulate in the body. On the back, the folds are localized most importantly in the area of ​​appearance, shii, upper ends, then descend into the area of ​​​​the stegon and homilok. The skin in the area may be normal, or the temperature may be slightly increased, the brightness of the skin may appear. With a trivial (with a stretch of 20 - 30 seconds) pressing on the swollen fabrics, destruction is established, as if it were right after the pressure was pressed.

Heartbreaks
Heart failures develop through those that the heart cannot pump blood from veins to arteries. The stench is more importantly blamed until the evening, the lower back is localized in the area of ​​​​the feet and homils, and then they rise to the area of ​​\u200b\u200bstegon and touluba. It is explained that during the day a person, for a 3rd hour, is resting in a vertical position, after which a hydrostatic pressure is significantly increased in the veins of the lower kinks and blood stasis develops in them. Tse to bring before the exit of the rivers from the courts at the interclear space.

Shkira in the area of ​​the heart swellings of a bluish color, cold to the dot. With a troubling onslaught of destruction, what is settled, knows correctly.

Bezbіlkovі nabryaki
With a deficiency of proteins, a small part of the blood comes out from the intercellular spaces, which manifests itself in the edge, generalized swells, which are guarded by all the relatives of the body. The skin in the area of ​​the laces is stretched, strained, the skin is dry, the temperature is low. When pressed against a swollen fabric, a dent appears for a few seconds.

Temperature with ascites

Do not cause an increase in body temperature without any ascites. The reason for the deterioration of thermoregulation is the main illness, which became the cause of the accumulation of mother tongue in the empty stomach.

With ascites, an increase in body temperature can be manifested:

  • Peritonitis. Infection of the queue with foreign microorganism to cause activation of the immune system and increase in body temperature. The highest high figures (up to 40 and more degrees) are indicated for bacterial peritonitis, if pathogenic bacteria and toxins, which are seen by them, get wet in the blood and spread throughout the body. In case of peritonitis of tuberculosis etiology, the temperature should be no more than 37 - 39 degrees.
  • pancreatitis. In case of pancreatitis, there is a development of a non-infectious igniting process in the submucosal cavity, which is accompanied by a temperature increase of up to 38 degrees. The transition of inflammation to the peritoneum and the development of peritonitis can be accompanied by a more pronounced temperature reaction (up to 39 - 40 degrees).
  • Cirrhosis of the liver. At the early stages of the development of cirrhosis, all patients are diagnosed with subfebrile condition (body temperature rises to 37 - 37.5 degrees). As a result, cirrhosis is the result of hepatitis B and C viruses, the rise in temperature up to 37 - 39 degrees will be a natural immune reaction to the body, which is to blame for the disease of foreign agents. The rise in body temperature is higher than 39 degrees, which means that the development of bacterial conditions will require a medical term.
  • Pukhlini. With all the evil, chubby ailments, the patient is diagnosed with subfebrile condition for a long period of time or months, which sounds accompanied by a slight weakness and a decrease in body weight. When cancer metastasizes to the peritoneum, body temperature may rise to 39 - 40 degrees, which is explained by the development of an ignition reaction in the case of "foreign" (chubby) cells.
It is also important that ascites with myxedema is characterized by a decrease in temperature to 35 degrees. It is explained by the lack of hormones in the thyroid gland, which normally regulate (increase) the rate of exchange processes in the body and body temperature.

Pain with ascites

Viniknennya, the nature and localization of pain to lie down is more important as a cause of ascites, proteo in some cases, the accumulation of a large amount of rіdini in the empty stomach can lead to exacerbation of pain, zdavlyuyuchi organs of the empty stomach.

Pain syndrome with ascites can be confused:

  • Cirrhosis of the liver. Cirrhosis of the liver develops step by step and sounds like the fire of the disease of the liver (hepatitis). The liver itself does not avenge pain receptors, the proteoacute organ has a bagat capsule on them. Increase the size of the liver in case of various ailments to lead to overstretching of the capsule, which is manifested by pains of varying intensity. In the cob stages of cirrhosis, patients may suffer from discomfort and mild pain in the area of ​​the right hypochondrium, which can be relieved for an hour. Also, patients can be affected by the severity of other abdominal problems. This is explained by damage to the etching, as if there is a place for cirrhosis in the early stages.
  • Syndrome (pain) Budd-Chiari. With this pathology, there is a blockage of the veins, which is the blood in the liver. As a result of this, there is a realignment of the intrahepatic blood vessels, an increase in the organ in size and a stretching of the hepatic capsule, which is accompanied by gostrimi, prickly pains in the right hypochondrium, which is seen in the right side of the back.
  • Ignition of the turn. There are a large number of pain receptors in the leaflets of the queue, which is accompanied by burning or prickly pains in the abdomen, which are exacerbated by the pressure on the anterior vertebral wall.
  • pancreatitis. The development of the ignition process in the subscapular vulva is manifested by acute pains of an operative nature, which are most pronounced in the upper part of the abdomen. Pain can radiate to the area of ​​the right or left subcostal area, back, heart.
  • Pukhlina. Pain with swelling rarely becomes strongly pronounced, which complicates the early diagnosis of malignant neoplasms. Patients can spend a few days or months feeling dull, lingering or pain in the abdomen. The intensity of the pain in one's own may miraculously increase and change.
  • Endometriosis. Pain in this pathology is localized more importantly in the lower abdomen, but in case of metastasis of clitin endometrium to other organs, it can be localized. Call the woman to complain about the aggravated pain at the hour of the state act, at the hour of menstruation, pain during the discharge or defecation. Bіl at tsimu hostry, rіzhuchy, not usuvaєtsya by taking the most pain-reducing drugs.

Abdominal enlargement with ascites

This symptom becomes palpable with an unrecoverable eye when more than 1 liter of redine is accumulated in the empty stomach. The lower back may appear less in a standing position, if the root is accumulated in the lower ventricles of the empty stomach, zooming out of the anterior wall of the abdomen. In the position lying down, the life may be normal, the prote patient may begin to scurry on the back (almost inconsistently again), the shards of the motherland will move at the upper ventral empty, surrounding the diaphragm and the leg.

With a slight progression of illness, the number of ascitic radii increases, due to which the anterior ventral wall vitiation becomes commemorative and in the supine position. With pronounced ascites (if more than 10 - 12 liters of fluid are accumulated in the empty stomach), the skin of the abdomen becomes taut, strained, gleaming.

Hepatomegaly and splenomegaly with ascites

An enlarged liver (hepatomegaly) and spleen (splenomegaly) can be an important diagnostic sign that indicates the same cause of ascites.

The cause of hepatomegaly and splenomegaly can be:

  • Cirrhosis of the liver. When cirrhosis of the liver occurs, the structure of the liver tissue is damaged and often replaced by fibrous (scar) tissue. I create a transition to the path of blood stream, after which it accumulates in the veins of the liver and in the portal veins, leading to an increase in the organ at the expansion. In order to reduce the pressure on the system of the portal vein, part of the blood is shed from the vein of the spleen vein, which also causes the blood to refill and increase the volume of blood.
  • Pukhlin. The cause of liver enlargement may be an increase in the growth of the intrahepatic tumour, or the growth of metastases in the tumescence of another localization. In case of metastasis of malignant swelling of the liver tissue, there will also be a blockage of the hepatic capillaries with plump cells, which will lead to disruption of the blood flow in the organ and may be the cause of an increase in the size of the liver.
  • Pain Budda-Kiari. In case of thrombosis of the hepatic veins, there is a redeployment of the hepatic tissue with blood and an increase in the size of the liver. The spleen in case of spleen increases less in severe cases of illness (with the development and progression of portal hypertension).
  • Heart failure. In case of heart failure, the blood stagnates in the system of the lower empty vein, pressing on it. Shards of the liver veins (which bleed the venous blood from the liver) also fall into the lower empty vein, pronounced heart failure can damage the blood flow in the liver, which will lead to an increase in blood volume.

Nudota and vomiting with ascites

At the cob stages, the development of ascites due to nausea and vomiting can be associated with the main illnesses (liver cirrhosis, pancreatitis, peritonitis thinly). In the world of the progression of the pathological process, the number of radii in the empty stomach is increasing, which leads to the crushing of that impaired function of rich organs (the mucosal lining of the intestines).

The pressure of the hose can significantly reduce your obsyag and disrupt motor skills, after which a person can become bored after a small number of hedgehogs. At the time of the appearance of vomit, the vomit of the masi will take revenge on the wounded, not poisoned hedgehog. When the vomit of the tubes is empty, it sounds to bring relief to the patients.

Intestinal pressure can also impair your motor skills. With pronounced ascites, the intestinal loops can squeeze with such force that they are pushed through, that they are transformed (chymus), you will become unbearable on them. As a result of this chyme, it accumulates more often than the squeezing muscle, increasing the peristalsis of this particular intestinal tract. The patient, in case of pain, suffers from pain in the abdomen, boredom. Vomiting, which is the cause of this fluctuation, is mischievous of the frequent digestion of feces products, as well as a characteristic unacceptable smell.

"Head of a jellyfish" with ascites

"The head of a jellyfish" is called the expansion of the veins of the cranial wall, which is guarded against by the accumulation of a large amount of ascitic rіdina and pronounced portal hypertension. In this way, the blood from the system of the portal vein is thrown into the systemic bloodstream for the help of the so-called anastomoses (connection between the veins), which are drained in the area of ​​the anterior wall of the abdomen. It is necessary to bring up the pressure at the veins of the cranial wall and their expansion. When the abdomen is loosened and the skin is tight, these veins are visible under the skin and establish a thick venous line on the anterior-lateral surface of the abdomen, which caused such a name for the symptom.

Zhovtyanitsya with ascites

Zhovtyanitsa (contamination of the skin and visible mucous membranes in the yellow color) is blamed for various diseases of the liver, which are accompanied by impaired functions. Accumulation of rіdini in the empty stomach on the aphids of the zhovtyanitsa allows you to admit with great ease that the cause of ascites is the pathology of the liver (cirosis or cancer).

The mechanism of reddening of yellow blood cells is attacked in the attack - when red blood cells (erythrocytes) are destroyed, the pigment of the yellow color is seen in the bloodstream - bilirubin. If you drink it with a toxic product, then in normal minds it will immediately be filled with liver cells, it will be neutralized and excreted from the body in the warehouse of the stomach. When the functions of the liver are damaged, this process is improved or, of course, it is attached, after which the concentration of bilirubin in the blood begins to increase. Year of wine penetrates into various tissues and organs and settles in them, which is the unmediated cause of the appearance of zhovtyanichny contamination of skins and mucous membranes.

Ass with ascites

Zadishka (almost missing again) with ascites and a slight increase in the tightness in the cherevniy emptiness and friability of the leg. In normal minds, for an hour in the air, the shortness of the diaphragm (the main dychal mass) is blown up, after which it moves down (at the beak of the empty stomach), ensuring the expansion of the leg that overflows to them a portion of fresh air. The accumulation of a large amount of r_dini in the empty calf and the movement of the intracranial pressure make it impossible to move the diaphragm downwards, after which, with skin breath, the patient will take off a smaller amount of air.

In the cob period, the development of ascites causes the buttocks to grow less in the lying position, if the root is shifting uphill and pressing the diaphragm. At the standing position, the motherland is swollen at the lower abdomen and the person breathes freely. At the late stages of illness (if the volume of ascitic fluid reaches 10 liters or more), the back is kept in a standing position and is assisted in a lying position, through which the patients sound like they sleep and sleep while drunk.

Stargazing in ascites

Znevodnennya is a pathological state that is characterized by a change in the amount of blood in patients and a change in the volume of circulating blood (BCC). If you want ascites, the mother's body is not used up by the body, it goes out of the vessel bed into the empty chervnina (to "leak" from the blood circulation system) because of which the bcc decreases and characteristic signs of watering appear.

Dubinchak-Muler D.M. Doctor of the ІІ-ої category

The head of a jellyfish is a clinical sign of hypertension, behind which a vice is sharply moving at the portal vein. The symptom has such an unnamed name, more similar to Medusa Gorgon. Nagadёmo, on her head the hair of a snake grew like a hair. Pidshkirnі veins expand on the stomach, start ringing around the navel. This is one of the manifestations of hepatic cirrhosis, other ailments.

Cause

If there is ascites in a person, the skin on the stomach begins to shine through, groans, the network of the vessels may be clearly outlined. Ascites at times is saved for a long time, not rejoicing.

The head of a jellyfish is typical for such states: hepatitis, cirrhosis, sarcoidosis, hepatosis. In addition, the symptom is characteristic of portal vein thrombosis, endophlebitis, cardiomyopathy, pericarditis, and vadus.

The symptom manifests itself in metabolic disorders - hepatic dystrophy, amyloidosis, helminthiasis. Also, an unacceptable sign is typical for oncological pathologies - hepatic polyps, cancer.

In some situations, the symptom of jellyfish develops through the influx of toxins, chemotherapy (after treatment with cytostatics), may be a result of opiku, trauma.

Pathology in some cases of late infection, intrauterine thrombosis of the hepatic vein, intestinal, ductal bleeding. Sometimes the symptom of jellyfish develops after drinking sechoginnim, tranquilizers, and also with regular drinking of alcoholic drinks.

Symptoms

We destroy your respect, the head of a jellyfish is only one sign of pathology. Hypertension is accompanied by other unacceptable symptoms:

  • Zduvaetsya alive.
  • People lose their appetite.
  • On the back of the head turbulent constipation, and after a deyaky hour carrying.
  • Strong pain alive.
  • It seems to be a little repetitive, if a person has a little bit of it.
  • Sleeplessness.
  • ugliness.
  • Get confused head.
  • Turbo intoxication.
  • Weakness in m'yazakh.
  • Myalgia, arthralgia.
  • Swidko lamayutsya nails, falling hair.
  • Vaga is sharply reduced.
  • Dark cut, light feces.
  • Zhovt_yut skleri, shkira.
  • It's an unbearable sverbіzh.
  • Turbuє bіl pіd rule rubom.
  • The stars of the ship appear on their feet.
  • Daedalus often blames arrhythmia.
  • Bleeding mucous mouth, nose.
  • The person starts to cough.
  • Blame the failures of the nervous system.

Diagnostics

We are going to take the patient's skarga to the doctor, then we will collect the history of his ailment. Then visually look at the sick person, smear the liver. An important meaning is the analysis of the cut, the blood.

To the main signs of blood circulation one can see winding, widened veins of the navel, hernia, strongly swollen kinks. An important value is a coagulogram, a blood test for hepatitis.

Dodatkovo vikoristovuyut different instrumental techniques: liver scintigraphy, Doppler, angiography, X-ray. For the help of MRI, CT, it is possible to show nodules in the tissues of the liver, various newborns. If necessary, a liver biopsy should be performed.

If you don’t exult in portal hypertension, everything will end in encephalopathy, as it manifests itself in seemingly advanced drowsiness, drastically. So the memory is sharply reduced, the concentration of respect is broken. Here you can not do without the help of a psychoneurologist.

Methods of likuvannya

We destroy your respect, use the symptom - the head of a jellyfish is practically impossible. In this situation, it is necessary to talk about the exuberance of the main ailment, which caused the appearance of unacceptable signs.

Conservative therapy is given first, then surgery is performed. To change the pressure, you need to treat yourself with medicines. A sick person can be recognized:

  • Vasoconstrictors - Somatostatin, Vasopressin.
  • Hepatoprotectors.
  • Anaprilin may have hypotensive effect.
  • Diuretics, for example, Lasiks help to change the swelling, remove toxic speech from the body.
  • Nitrati - Nitroglycerin changes hepatic bleeding.
  • Vitamins St.

Diet is important. It is necessary to change the amount of salt in your diet, it won’t bring up the nits in the body, but it’s bad for people who suffer from ascites, bloating.

Varto surround the menu with a quantity of protein, which can prevent the development of liver encephalopathy. For any pathology, it is necessary to live in grease, fat, smoked meat, gostra, spices, canned food.

In severe depressions, surgery is performed. Behind it, an anastomosis is pieced together by the ships. In a neglected case, if operative, conservative intervention does not give the necessary results, liver transplantation, splenectomy are required.

It is especially important to examine portal hypertension in vagits, otherwise it can be seen in a healthy child, mother. Dodatkovo vikoristovuyutsya folk methods of jubilation:

  • Bred from kulbaboy to please drink warmly. To prepare, it is necessary to prepare the syrovina of the roslin, then fill it with dill. All can stand 30 hvilin and vipiti.
  • Buryakovy sik is recommended to drink 100 ml before eating.
  • Take wood, nettle, herb, chamomile. All herbs should be taken in the same quantity (may be 2 tablespoons in total), pour over with dill.

Like in case of ill turbulence, a symptom of the head of a jellyfish, it lasts for a long time. In times unacceptable to the result of ailments, you can die from internal bleeding. The prognosis is less favorable, as a portocuval anastomosis was applied in due course. It is also important to consult with the doctor at once, so that you can get comfortable.

Also, the symptom of jellyfish is unacceptable. Yogo is easier to beat. For whom it is necessary to take a fast analysis of the cut, blood, balanced eating, drinking cigarettes, alcoholic drinks, cultivating a healthy way of life.