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Batında Serbest Sıvı

Batında Serbest Sıvı

Batın gövdede göğüs ve pelvis bölümlerinin arasındaki kısımdır. Burada belli rahatsızlıklardan ötürü vücudumuzun her yerinde olabileceği gibi sıvı birikimi olması durumu söz konusudur.

Asit ise (Ascite) tıp dilinde içi su ile dolu kese anlamını taşımaktadır. Karın boşluğunda sıvı birikmesi demektir. Böbrek yetmezliği, kanser, kalp ve karaciğer hastalıklarından ötürü vücutta asit gelişebilir.

Asit dediğimiz gibi daha çok kalp, karaciğer, böbrek rahatsızlıkları ve kanserde ötürü gelişmektedir. Bunlardan en sık rastlanan neden ise ‘Karaciğer Sirozu’dur. Gerekli incelemeler sonunda asit teşhisi konan hastaların çoğu (yüzde seksen) karaciğer sirozudur. Mideden, bağırsaktan, pankreas ve dalaktan karaciğere kan getirmek için olan toplar damarlarda yani venlerde sirozdan kaynaklanan bir basınç artışı ve albüminin serum seviyesindeki düşüş onkotik basıncın azalmasına sebebiyet verir ve suyun karın boşluğuna kaçmasına sebep olur. Sirozdan kaynaklı bazı nedenlerden ötürü lenf damarlarından karın boşluğuna lenf sıvısının sızması da söz konusu olabilir. Ayrıca karaciğerdeki sirozdan ötürü vücuttaki dolaşan kan hacmi azalır ve buna bağlı olarak da böbreklere giden kan azalır. Haliyle bu durumda böbreklerin su ve tuz tutma kapasitesi artmış ve birikim olmuştur. Böbreklerin fazla su ve tuz tutması nedeniyle de karın boşluğunda asit gözlenir.

Böbrek rahatsızlıklarında böbreğin su ve tuz tutması ve protein yani albümin kaybından ötürü karın boşluğunda asit gelişebilir.

Kalp yetersizliği olan hastalarda da karında sıvı birikmesi ve bacaklarda ödem olması söz konusudur.

Pankreasta tiroid hormonu eksikliklerinde yani hipotiroidide de karın boşluğunda asit görülür. Bunların dışında kanserden kaynaklı da asit gözlenir.

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