Colic kwezinso. ukunakekelwa eziphuthumayo e colic kwezinso.

Iningi colic kwezinso eba ngenxa ukuvela izithiyo outflow kusuka le kwezinso ukhalo umchamo. Phakathi ukuthuthukiswa ureteral yayo amatshe ukunyakaza kwenzeka, zinhlayiya obukhulu, futhi eziyimbangela yezinkinga ezizuzwa ehlukahlukene ureteral patency (izinqubo ukuvuvukala, Kinks).

Ukuhlasela iqala, njengoba umthetho, kungazelelwe, ngokuvamile ngenxa ukucindezeleka ngokomzimba. Libuye ngokuhlasela colic kwezinso singenzeka uphumule - emva ukuphuza ngokweqile, futhi ngesikhathi sokulala. Iziguli phakathi nokuhlasela liziphathe udlubulunda, begijima, ngifuna isikhundla umzimba, okuyinto bazokwazi adambise ukuhlupheka kwabo, kuyilapho uhlangabezana ukusika ubuhlungu kanye izinkathi exacerbation nokuzola.

Umbhali wayevame ukunezela lokhu ukuhlaselwa athatha imvelo okwathatha isikhathi eside kangako, ube ukuthethelelwa esifushane futhi izinsuku ezimbalwa. Kusukela esifundeni lumbar, ubuhlungu esiswini luqhubeke hypochondrium, isinye eduze ureter, phakathi scrotum kuya labia futhi kunawo wonke. Ezimweni eziningi, ubuhlungu zanqwabelana ezingeni kwezitho zobulili lapho esiswini, kodwa hhayi kule ndawo izinso, kuxubene nesifiso sokufuna njalo zishobinge nobuhlungu ukusika ku urethra.

Yesikhathi eside colic kwezinso ephelezelwa-high blood pressure, futhi pyelonephritis - ukwanda lokushisa.

colic kwezinso: ukunakekelwa eziphuthumayo

Siqukethe e ukubiza udokotela, ngubani bayofaka atropine futhi opioids. Uma isiguli ngokungazelelwe baqala colic kwezinso, usizo ilindele udokotela kufanele igcine ukwelashwa ezishisayo - kubhavu ashisayo, amabhodlela ashisayo-amanzi. Ngakho ungakwazi ukudubula diskofmort kancane, elibangela colic kwezinso. Usizo lokuqala kungafaka ethola ekhabetheni elihlala imithi etholakalayo kakade amaphilisi ezinhlungu kanye antispasmodics: ithebhulethi baralgina; papaverine (0.04 g); avisan (0.5-1 g); Cystenalum (10-20 amathonsi).

Uma abanenkinga yokulunywa yisisu kwezinso, usizo lokuqala kanye eziphuthumayo esibhedlela - yilokho ukhiye eyinhloko yokwelashwa okuphumelelayo futhi zisekela. Ekhaya, babanikeze ukwelashwa ukunquma izizathu zokuhlaselwa ubuhlungu is contraindicated. Acute ubuhlungu kuhlasela kudinga udokotela kusenesikhathi colic kwezinso nokusebenzisa izinyathelo eziphuthumayo. Kuphela onguchwepheshe esibhedlela esibhedlela ziqinisekisa noma siqambe sifo. Esikhathini prehospital esiteji izinyathelo zokwelapha in iziguli colic kwezinso zivunyelwe kuphela uma uphethwe yini ungabaza.

Ngakho, usizo ekwelapheni iqala nge ukukhululeka ubuhlungu. Lokhu kufezwa ngokusebenzisa ukushisa ukwelashwa, amaphilisi ezinhlungu kanye antispasmodics. Kwakuphakathi nalesi sikhathi njengoba ibekwe ngenhla kubaluleke kakhulu ukuze isiguli: Lapho colic kwezinso, ukunakekelwa okwengeziwe esikhathini prehospital kufanele ibe kwembulunga eqinile (Ukushisa pads, zokugeza elishisayo, isihlabathi - 40-50 degrees). Ezimweni eziningi, le misebenzi noma ukudambisa ubuhlungu, noma ususe ngokuphelele ke. Kwakungenxa kuphela lapho ukusetshenziswa kwabo akakubangeli umphumela oyifunayo, sisalinde ukuba udokotela usisebenzise zotshwala. Ngokuvamile uqale gpazmoliticheskie intramuscularly ehanjiswa imithi ebulala izinzwa. Ukusetshenziswa nezidakamizwa kuvunyelwe kuphela ukukhishwa kwezifo esiswini, ikakhulukazi yini ngaphandle kwabo.

Omunye izidakamizwa kangcono uphethwe "kwezinso colic" usizo oluphuthumayo ekunciphiseni ubuhlungu - baralgin (namamililitha emihlanu). Umuthi ngempumelelo kakhulu has umphumela lapho zaphathwa ngemithambo yegazi, is contraindicated ukusetshenziselwa izinhlelo iziguli komzimba nezinto analgesics.

Esibhedlela i-esiqoshiwe kwezinso colic kungcono ukusebenzisa "ukuxuba lytic".

Ukuze kuzuzwe imigomo umehluko-zokuxilonga nokwelapha ngezinye izikhathi kwenziwe ukuvinjelwa lesizalo round umsipha noma intambo spermatic - ayi-10-30 namamililitha novocaine (1%). Khona-ke imizuzu 20 colic kwezinso luyaphela ngaphandle - izifo okukhulu ngaphakathi komgodi ongaphakathi kwamathumbu. Ngezinye izikhathi, esikhundleni novocaine ukuvinjelwa isicelo paravertebral ukuvinjelwa chloroethyl.

Ngakho, uma noma othandekayo imtholile colic kwezinso, ukunakekelwa okwengeziwe, esesikhathini futhi ngendlela efanele, kunomthelela ukululama ngokushesha imisebenzi umzimba, kuvimbela nesenzakalo yezinkinga ezinzima. Ngemva ukuqedwa nesineke kwezinso colic kudinga enemininingwane luhlolo Urologist.