I-coliary colic yimeko engxamisekileyo

I-coliary colic ibonakaliso lwe- cholelithiasis . Kubonisa ukuhlaselwa okubuhlungu, okungahlala kumzuzu emininzi ukuya kwiiyure eziliqela. Ziyabonakala kwi-quadrant ephezulu, kwaye zisasazeka kuzo zonke izibilini. Ukuba umntu unobungozi bebhiliyari, unonophelo lwengxamiseko kufuneka lunikezwe ngokukhawuleza. Ngaphandle koko, kuya kuba ne-pancreatitis, i-cholecystitis, isithintelo semathumbu kunye nezinye iingxaki.

Iimpawu ze-biliary colic

Unonophelo olungxamisekileyo kufuneka lunikezwe emva kokubonakala kweempawu ze-colic bilic:

• ukuhlanza okuphindaphindiweyo;
• isicefe
• Intlungu enzima phantsi kombhobho ongakwesokudla (unokunika emva, entanyeni, emagxeni, ehlathini elisekunene, kwaye ngamanye amaxesha usasaza yonke isisu).

Uhlaselo lweentlungu, njengomthetho, luqala ebusuku. Iba namandla ngexesha lokuphefumlelwa kwaye xa umntu ejika kwicala lasekhohlo. Intlungu iyancipha xa ilele kwicala lasekunene (unokugoba imilenze yakho emathangeni).

Kwakhona kuyimfuneko ukubiza oogqirha kwaye ngokukhawuleza unike inkxaso ngoncedo oluxakekayo xa kukho ukuhlaselwa kwe-biliary colic, xa intlungu ihamba kunye nomkhuhlane, i-pallor okanye i-jaundice yesikhumba. Ezinye izigulane ziyaqhawula. Esi sisinye uphawu oluphazamisayo, nokuba ngaba intlungu ayichazwanga.

Unonophelo olungxamisekileyo kwi-colic bilic

Abo banikela ngononophelo lwengxamiseko kwi-colic bili kufuneka balandele i-algorithm yezenzo ezinjalo:

1. Gcoba isigulane esesimweni sokuphazamiseka.
2. Yibeke ngakwesokudla, ubeke umfudumala phantsi komzimba (ubushushu buya kuphelisa i-spasms kwi-muscle elula).
3. Mnike i-antitispasmodic drug (No-shpu, Atropin, Promedol, Pantopon, njl.).

Ukuba isigulane sihlamba ngokuphindaphindiweyo, ngoko kufuneka ungene kwi-spasmodermal intramuscularly. Ukukhululeka kwentlungu 0.1% I-Atropine kumlinganiselo we-0.5-1.0 ml kunye ne-2% ye-Pantopone kwisilinganiso se-1 ml. Kwiimeko ezinzima, faka 1 ml yesisombululo se-1% seMorphine Hydrochloride nge-Atropine. Xa kukho ukusuleleka kwiphepha lebhiliyari kwaye ekungabikho ukuhlanza, amayeza okulwa neentlobo ezininzi zezenzo, umzekelo, uNikodin, unokusetyenziswa. Ukususela ekudleni, kufuneka ubaleke nangona zonke iimpawu zokugula okunjalo ziyabonakala.

Ukunyamekelwa kwekhaya lexakeka kwe-colic bili kufuneka kugqitywe, ngoko i-algorithm yesenzo ihlinzekela ukubhedlelelwa esibhedlele, kwaye ngamanye amaxesha, ukungenelela okutyathwayo. Ukuba isigulane kufuneka sithunyelwe ixesha elide, ukunyuka kwesisombululo se-glucose nesisombululo se-novocaine kunye ne- antispasmodics sifakwe kwi-ambulensi.