Biliary colic ndidzidzidzi

Coli ya Biliary ndi chiwonetsero cha cholelithiasis . Zikuwoneka ngati zopweteka zopweteka, zomwe zingakhalepo kwa mphindi zingapo mpaka maola angapo. Zikuwonekera pamtundu wapamwamba wa quadrant, ndiyeno zimafalikira pamimba. Ngati munthu ali ndi biliary colic, chithandizo chadzidzidzi chiyenera kuperekedwa mwamsanga. Apo ayi, padzakhala chifuwa chachikulu, cholecystitis, kutsekula m'mimba komanso mavuto ena.

Zizindikiro za coliary colic

Chisamaliro chadzidzidzi chiyenera kuperekedwa pambuyo pa zizindikiro zotero za biliary colic:

• kusanza mobwerezabwereza;
• chisokonezo;
• nthiti yoyenera pansi pa nthiti yoyenera (ingapereke kumbuyo, khosi, paphewa, tsamba lamanja, ndipo nthawi zina imafalikira pamimba).

Kuwidwa kupweteka, monga lamulo, kumayamba usiku. Amakhala amphamvu pa kudzoza komanso pamene munthu akutembenukira kumanzere. Ululu umachepa pang'ono ngati wagona kumanja (mukhoza kugwada miyendo m'magolo).

Ndi kofunikanso kuitana madotolo ndipo nthawi yomweyo amapereka thandizo lachangu ngati vuto la biliary likuukira, pamene ululu umakhala ndi fever, pallor kapena jaundice khungu. Odwala ena amabala. Ichi ndi chizindikiro china chodetsa nkhawa, ngakhale kuti ululu sutchulidwa.

Kusamalidwa kosavuta kwa coliary colic

Amene amapereka chithandizo chadzidzidzi kwa colic biliyary ayenera kutsatira njirayi:

1. Limbikitsani wodwalayo amene ali muchisokonezo.
2. Ikani ku dzanja lamanja, kuika kutentha pansi pa thupi (kutentha kumathetsa mpweya wa minofu yosalala).
3. M'patseni mankhwala osokoneza bongo (No-shpu, Atropin, Promedol, Pantopon, etc.).

Ngati wodwala akusanza mobwerezabwereza, ndiye kuti muyenera kulowa mofulumira. Mpumulo wabwino 0.1% Atropine pa mlingo wa 0.5-1.0 ml ndi 2% Pantopone mu mlingo wa 1 ml. Mu milandu yovuta, lowani 1 ml ya 1% yankho la Morphine Hydrochloride ndi Atropine. Pamaso pa matenda a biliary komanso popanda kusanza, antibiotics a zochitika zosiyanasiyana, mwachitsanzo, Nikodin, angagwiritsidwe ntchito. Kuchokera kudya, muyenera kupewa ngakhale zizindikiro zonse za matendawa zikutha.

Kusamalira kwadzidzidzi kwa colic biliary kukamalizidwa, ndiye kusintha kwa ntchito kumapereka chithandizo cha kuchipatala, ndipo nthawi zina, opaleshoni yopita kuchipatala. Ngati wodwalayo akuyenera kutengedwa kwa nthawi yayitali, kulowetsedwa kwa njira yothetsera shuga ndi yankho la novocaine ndi antispasmodics likulowetsedwa mu ambulansi.