I-colic ye-Biliary iyisimo esiphuthumayo

I-colic ye-biliary yi-manifestation ye- cholelithiasis . Kubonakala njengokuhlaselwa okubuhlungu, okungahlala kumaminithi ambalwa kuya emahoreni amaningana. Zivela ngakwesokudla esiphezulu se-quadrant, bese zisakazwa kulo lonke isisu. Uma umuntu ene-biliary colic, kufanele anikezwe ukunakekelwa okuphuthumayo ngokushesha. Uma kungenjalo, kuyoba ne-pancreatitis, i-cholecystitis, ukuvimbela emathunjini nezinye izinkinga.

Izimpawu ze-colic biliary

Ukunakekelwa okuphuthumayo kufanele kuhlinzekwe ngemuva kokubonakala kwezimpawu ze-colic biliary:

• ukuhlanza okuphindaphindiwe;
• isicasuli;
• ubuhlungu obukhulu ngaphansi kombambo olungakwesokudla (unganikeza ngemuva, entanyeni, ehlombe, ehlombe lokunene, futhi ngezinye izikhathi usakaze yonke isisu).

Ukuhlaselwa ubuhlungu, njengombuso, kuqala ebusuku. Iba namandla ngesikhathi sokuphefumulelwa futhi lapho umuntu ephendukela ngakwesokunxele. Ubuhlungu buyancipha kancane uma ulele ngakwesokudla (ungakwazi ukugoba imilenze yakho emathangeni).

Kudingeka futhi ukubiza odokotela futhi ngokushesha unikeze usizo oluphuthumayo uma kwenzeka ukuhlaselwa kwe-biliary colic, lapho ubuhlungu buhambisana ne-fever, i-pallor noma i-jaundice yesikhumba. Ezinye iziguli ziye zahluma. Lesi esinye isibonakaliso esiphazamisayo, ngisho noma ubuhlungu bungabonakali.

Ukunakekelwa okuphuthumayo kwe-colic biliary

Labo abanikeza ukunakekelwa okuphuthumayo kwe-colic yezinkokhelo kufanele balandele i-algorithm enjalo yezenzo:

1. Gcoba isiguli esesimweni sokukhathazeka.
2. Beka ngakwesokudla, ukubeka imfudumalo ngaphansi komzimba (ukushisa kuzoqeda izigaxa emisipha ebushelelezi).
3. Mnike umuthi we-antispasmodic (No-shpu, Atropin, Promedol, Pantopon, njll).

Uma isiguli sihlanza ngokuphindaphindiwe, khona-ke kufanele ufake i-spasmodermal intramuscularly. Umsizi omuhle wobuhlungu 0.1% I-Atropine emthamo we-0.5-1.0 ml no-2% we-Pantopone kumthamo we-1 ml. Ezimweni ezimbi, faka 1 ml isisombululo se-1% se-Morphine Hydrochloride ne-Atropine. Lapho kukhona ukutheleleka kwegciwane lesibhilidi futhi lapho kungekho ukuhlanza, ama-antibiotic ezinhlobonhlobo zezenzo, isibonelo, Nikodin, angasetshenziswa. Kusukela ekudleni, kufanele ubale ngisho noma zonke izibonakaliso ze-pathology enjalo ziyabonakala.

Lokhu ukunakekelwa okuphuthumayo ekhaya kwe-colic biliary kufanele kugcwaliswe, ngakho-ke i-algorithm yesenzo ihlinzekela ukugcinwa esibhedlela, futhi ngezinye izikhathi, ukungenelela kokuhlinzwa. Uma isiguli sizothunyelwa isikhathi eside, ukuxoshwa kwesisombululo se-glucose nesisombululo se-novocaine ne- antispasmodics sitholwa ku-ambulensi.