Ascites (watery cells) are accumulation of fluid in the abdominal cavity due to heart failure, malignant neoplasms, liver cirrhosis and other pathologies.
Ascites - a multi-faceted syndrome. It can cause compression of the portal vein trunk with its thrombosis, as well as some kidney disease. In newborns, ascites can be an expression of latent blood loss or a possible hemolytic disease.
What is ascites?
The fluid accumulated in the abdominal cavity (sometimes more than 20 liters) increases intraabdominal pressure by pushing the diaphragm up. In this case there is a violation of cardiovascular activity, lung function, organs of the abdominal cavity. When conducting the analysis of serous ascitic fluid in it, determine the protein. When repeatedly removing this fluid from the abdominal cavity of the patient there is a significant loss of protein and salts, which eventually leads to protein-salt insufficiency.
When you look at the patient, you notice an increase in the abdomen, often a protrusion of the belly button. In the position of lying stomach is flattened, and its lateral divisions explode. With pronounced portal hypertension on the skin of the abdomen, an enlarged vein mesh is formed. Swollen enlarged venous collaterals are located mostly radially around the navel, forming a picture similar to the jellyfish's head. X-ray for ascites determine the limitation of mobility of the diaphragm, its high standing.
In people suffering from heart failure, with ascites, fluid can be found in the pleural cavity.
Understanding what kind of ascites is, there should also be a certain mechanism of treatment.
In case of ascites, the main attention is paid to the treatment of the underlying disease, and then prescribe diuretics, drugs, corrective water and salt metabolism. The doctor prescribes a special diet that promotes the separation of fluid from the body.
In severe cases, when medication treatment is ineffective and does not produce positive results, the patient is removed from the fluid by means of paracentesis - puncture (percolation) of the abdominal cavity, observing all the rules of antiseptic and aseptic.
Due to the fact that the paratrophy from the body removes a large amount of potassium and protein, these substances need to be restored with the administration of appropriate medicines and products containing protein (meat, eggs, cheese, etc.).