Pastosity yog ib qho o ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous. Lo lus los ntawm lo lus Latin pasta - "dough". Nws yog characterized los ntawm pallor ntawm daim tawv nqaij, ib tug txo nyob rau hauv elasticity thiab zoo li tus qauv ntawm kev ntsuam xyuas ntawm palpation. Nws yog qhov ua ntej ntawm edema.
Cov tsos mob feem ntau yog kev txhawj xeeb txog kev zoo nkauj. Tej zaum yuav yog ib qho teeb meem ib ntus thiab nce mus rau cov ntaub so ntswg o.
Local txuas hauv kev txhim kho pastosity
Pathogenesis muaj tib yam txuas nrog rau edema. Qhov sib txawv nyob ntawm qhov kev hloov pauv uas tau coj los ua.
Yog li no tshwm sim:
- Nyob rau hauv hydrostatic siab nyob rau hauv lub capillaries, uas ua rau kom muaj zog pom cov dej ntawm lub cell mus rau hauv lub intercellular qhov chaw.
- Txo qis hauv hydrostatic siab hauv cov ntaub so ntswg. Txhim kho qhov tso tawm cov kua dej los ntawm cov ntshav mus rau hauv cov ntaub so ntswg.
- Ua txhaum ntawm osmotic tshuav nyiaj li cas nrog nce ntsev hauvInterstitial kua uas nyiam cov dej molecules los ntawm cov hlwb.
- Cov dej ntau ntxiv hauv qhov chaw nruab nrab vim tsis muaj cov proteins hauv cov ntshav plasma uas tuav cov dej molecules hauv cov hlab ntsha.
- nce hauv permeability ntawm phab ntsa vascular, thaum cov kua dej tuaj yeem nyab xeeb tawm ntawm cov hlwb thiab nkag mus rau cov ntaub so ntswg ib puag ncig.
- Kev ua txhaum ntawm cov qog ntshav tawm.
Cas of Pastosity
Tsuas muaj ob pab pawg ua laj thawj.
Pathological mob nrog sodium retention hauv lub cev:
- cirrhosis ntawm daim siab (hmoov nrog cov tsos mob ntawm portal hypertension);
- kab mob raum (kev ua haujlwm tsis zoo);
- ntau tshaj ntawm cov mineralocorticoids hauv lub cev, uas ua rau kev tuav cov sodium thiab dej ions hauv lub cev;
- tshuaj (NSAIDs, corticosteroids).
Txo cov protein (albumin feem):
- kab mob siab (kev cuam tshuam cov protein synthesis);
- nephrotic syndrome (protein ploj hauv cov zis).
Kev faib tawm ntawm kev noj qab haus huv
Raws ob lub hauv paus ntsiab lus: ua rau thiab lub cev.
Kev faib tawm:
- Hlub. Kev ua haujlwm contractile ntawm myocardium txo qis thiab venous congestion tshwm sim. Maj mam, cov hlab ntsha nthuav dav ntxiv, thiab ib feem ntawm cov ntshav nkag mus rau qhov chaw intercellular.
- Renal. Ob qhov xwm txheej tshwm sim: poob ntawm cov protein thiab txo qis hauv oncotic siab. Cov kua dej nkag mus rau hauv cov ntaub so ntswg ib puag ncig, ntim qiscirculating kua thiab renin-angiotensin-aldosterone system yog qhib. Tag nrho cov no ua rau sodium thiab dej tuav, ua rau cov kab mob edematous hnyav dua.
- mob. Ib qho ntawm cov khoom ntawm cov lus teb inflammatory yog cov ntaub so ntswg o vim lub zos vasodilation thiab tawm hws ntawm cov kua ib feem ntawm cov ntshav nrog tsim ntawm exudate.
- ua xua. Hauv kev teb rau kev sib cuag nrog cov allergen, cov neeg kho kom haum xeeb raug tso tawm, uas nthuav cov hlab ntsha thiab ua kom lawv cov permeability. Cov kua dej tawm mus rau hauv cov ntaub so ntswg ib puag ncig.
- Cachectic. Koom nrog qhov tsis muaj protein ntau hauv kev noj haus. Cov feem ntawm albumin khaws cov dej molecules hauv cov hlab ntsha, thiab thaum lawv tsis txaus, cov kua dej nkag mus rau hauv qhov chaw intercellular. Muaj xws li ib qho kev qhia "kom swell los ntawm kev tshaib kev nqhis", uas yog tsim nyog nyob rau hauv cov ntaub ntawv no.
- Endocrine. Nrog kev txo qis hauv cov thyroid hormones, txhua hom metabolism qeeb. Hauv daim tawv nqaij, muaj ntau dhau ntawm glycosaminoglycans, sodium thiab dej tuav. Muaj ib qho o ntawm lub ntsej muag (myxedema).
Cov tsos mob mob siab
Puffiness yog ib qho tsos mob tuaj yeem tshwm sim txhua lub sijhawm ntawm hnub.
Puffiness ntawm lub ntsej muag thaum sawv ntxov. Nws cuam tshuam nrog txoj haujlwm ntev kab rov tav thiab xoob ntawm cov ntaub so ntswg subcutaneous ntawm lub ntsej muag. Nws yog localized ntau zaus hauv cheeb tsam periorbital. Maj mam dhau, qhov no yog vim qhov kev hloov mus rau txoj haujlwm ntsug thiab maj mam tawm ntawm cov kua dej. Pathological o ntawm lub ntsej muag yog pom nyob rau hauv cov kab mob ntawm lub raum.
Puffiness yav tsaus ntuj. Nws yog pom nyob rau hauv lub plawv tsis ua hauj lwm nyob rau hauv daim ntawv ntawm gravitational pastosity ntawm qis extremities. Cov ceg qis qis poob nws txoj kev nyem thiab, thaum nias ntawm daim tawv nqaij, qhov pits ntawm tus ntiv tes tseem nyob.
Lub cev pastiness yog dab tsi? Nws tuaj yeem pom nrog kev siv ntsev thiab dej ntau dhau, thaum cev xeeb tub, lub sijhawm premenstrual, nrog insomnia, kev ua haujlwm ntau dhau. Cov kua dej sib npaug sib npaug thiab qhov o tuaj yeem tshwm sim thaum ua rau raug tshem tawm.
Kev kuaj mob ntawm pastosity
Muaj McClure-Aldrich kuaj rau cov ntaub so ntswg hydrophilicity. 0.2 ml ntawm isotonic sodium chloride tov yog txhaj intradermally. Feem ntau, cov hlwv uas tsim los daws hauv ib teev. Qhov ntau tshaj tawm qhov hydrophilicity ntawm cov ntaub so ntswg, qhov edema daws sai dua.
txhawm rau txheeb xyuas cov kab mob hauv lub cev, nws yog qhov yuav tsum tau kuaj xyuas yam tsawg kawg nkaus: kuaj ntshav thiab zis, ECG.
Thaum cov ntsuas no hloov pauv, kev tshawb nrhiav kev kuaj mob nthuav dav.
Kev kho mob ntawm pastosity
Kev kho tus kab mob hauv qab uas ua rau nws yuav tsum tau ua raws li cov lus pom zoo hauv qab no:
- Kev noj haus. Nws yog ib qho tsim nyog los txwv cov dej ntim ntawm lub cev. Saib xyuas diuresis kom cov kua dej qaug cawv yog sib npaug ntawm cov zis tawm. Nws tsis pom zoo kom haus dej haus 3 teev ua ntej yuav mus pw. txwv ntsev kom tsawg rau 3 g / hnub.
- hom kev ua haujlwm raug thiab so. Yuav tsum tau pw. Lub hauv ncoo yuav tsum yogxis.
- Massage uas pab ua kom cov qog ntshav tawm ntau ntxiv.
- Tom qab ib hnub ua haujlwm nyuaj, nws yog qhov yuav tsum tau tshem cov ceg qis, muab lawv txoj haujlwm siab. Qhov no txhim kho venous outflow ntawm cov ntshav.
Pastosity hauv tshuaj yog hais txog cov kab mob ntawm cov kabmob tseem ceeb. Xav tau kev kuaj pom ntxov thiab kev kho mob Yog qhov ua ntej rau edema.
