Zina mwachitsulo. Kusamala koopsa kwa renal colic.

Nthaŵi zambiri, colic yamphongo imayamba chifukwa cha zomwe zimalepheretsa kutuluka pamphuno yamphuno ya mkodzo. Pochita chitukukochi, pali kuyenda kwa miyala, makina akuluakulu, komanso zovuta zosiyanasiyana komanso kutayika kwa ureter (kutupa njira, kinks).

Kuukira kumayamba, monga lamulo, mwadzidzidzi, nthawi zambiri chifukwa cha kupsinjika maganizo. Komanso, kugwidwa kwa renal colic kungabwere ndi kupumula - pambuyo kumwa mowa kwambiri komanso pogona. Odwala panthawi yomwe amachitiridwa amachitira mofulumira, akufulumira, kufunafuna malo a thupi, omwe angachepetse mavuto awo, pamene akuvutika ndi kupweteka komanso nthawi yowonjezereka.

Kawirikawiri kugwidwa kumatenga khalidwe lachidule, kukhala ndifupipafupi komanso kumatha masiku angapo. Kuyambira ku dera la lumbar, kupweteka kumafalikira pamimba ndi hypochondrium, mu chikhodzodzo pamtunda, kumalo osungira, kumalo otsekemera komanso m'chiuno. Kawirikawiri, kupweteka kumawonjezeka pamimba ya ziwalo zoberekera komanso m'mimba, osati m'maganizo a impso, kuphatikizapo kawirikawiri kukakamiza kukodza ndi kupweteka mu urethra.

Colic ya nthawi yayitali ikuphatikizidwa ndi kupanikizika kwa magazi, ndi pyelonephritis - kutuluka kwa kutentha.

Renal colic: chisamaliro chapadera

Ndiko kukuitanidwa kwa dokotala yemwe angayambitse atropine ndi analgesics za mankhwala osokoneza bongo. Ngati wodwalayo anadzidzimutsa colic, amathandiza kuyembekezera dokotala ayenera kumangokhalira kutentha - mabotolo otentha, mabotolo a madzi otentha. Kotero mutha kuchotsa chotupa chaching'ono, chomwe chimayambitsa colic renal. Chithandizo choyamba chingaphatikizepo kutenga mankhwala a anesthetics ndi antispasmodics omwe alipo kale mu kabati ya mankhwala: piritsi ya baralgina; Papaverine (0.04 g); Opusa (0.5-1 g); Kutseketsa (madontho 10-20).

Ngati muli ndi colic renal, chithandizo choyamba ndi kuchipatala mwamsanga - ndicho chinsinsi cha chithandizo chabwino ndi choyenera. Kunyumba, kuchita chithandizo asanadziwe zomwe zimayambitsa kupweteka kumatsutsana. Kupweteka kwakukulu kumafuna dokotala kuti azindikire mwamsanga msanga colic wa impso ndikuchitapo kanthu mwamsanga. Katswiri yekha m'chipatala cha chipatala amatha kutsimikizira kapena kusasamala matendawa. Mu nthawi yachipatala chisanafike, mankhwala opatsirana ndi coal colic amaloledwa kokha pamene matendawa samapangitsa kukayikira.

Choncho, chithandizo chamankhwala chimayamba ndi kuchotsa ululu wa syndromes. Izi zimapindula pogwiritsa ntchito njira zamagetsi, analgesics ndi antispasmodics. Panthawiyi zomwe zatchulidwazi ndi zofunika kwambiri kwa wodwala: pamene coal coal inayamba, chisamaliro chadzidzidzi mu prehospital chiyenera kukhala ndi kutentha kwakukulu (mabotolo a madzi otentha, kusambira, mchenga - 40-50 madigiri). Nthaŵi zambiri, izi zimachepetsa kupweteka, kapena kuchotsa kwathunthu. Ndipo pokhapokha ngati ntchito yawo siimapereka zotsatira, podikirira dokotala, amayamba kugwiritsa ntchito mankhwala. Kawirikawiri amayamba jekeseni wamatenda a khunyu ndi analgesics. Kugwiritsa ntchito mankhwala osokoneza bongo amaloledwa kokha ndi kuchotsedwa kwa matenda m'mimba mwa m'mimba, makamaka popanda iwo.

Imodzi mwa mankhwala abwino kwambiri omwe amagwiritsidwa ntchito pa matenda a "renal colic", ndi thandizo ladzidzidzi lopwetekedwa mtima - baralgin (mamililitita asanu). Zotsatira zogwira mtima kwambiri za mankhwalawa pamene zimagwiritsidwa ntchito mwachangu, zimatsutsana kuti zigwiritsidwe ntchito ndi odwala omwe ali ndi vuto la mankhwalawa.

Mu chipatala kuti azitsatira za coal colic, ndi bwino kugwiritsa ntchito "zowonongeka".

Kuti athandizidwe mosiyana ndi kafukufuku ndi mankhwala, nthawi zina kutsekemera kwa chiberekero kapena chingwe cha spermatic kumachitika - 10-30 milliliters a novocaine (1%). Pambuyo pa mphindi 20, colic yamphongo imasiya, kupatulapo matenda oopsa a ziwalo za m'mimba. Nthawi zina paralatebral imatetezedwa ndi chloroethyl imagwiritsidwa ntchito mmalo mwa novocaine blockade .

Choncho, ngati inu kapena munthu wina pafupi ndi inu mwapeza coal renal, chisamaliro chofulumira, chochitidwa mwanthawi yake ndi cholondola, chimalimbikitsa kubwezeretsa mofulumira ntchito za limba, kumateteza kuchitika kwa mavuto aakulu. Pambuyo pochotsa renal colic, wodwalayo amafunika kufufuza mwatsatanetsatane ndi wa urologist.