Pamusana pokuputsa kwekubuda kwe bile kana kubviswa kwe bile bile, cholecystitis, nguva nenguva pane hepatic colic. Inogona kutungamirira kune kufamba kwematombo uye jecha, iro rakazara nezvinetso zvakakomba, kudhakwa kwemuviri uye kurwadziwa kunotyisa. Nokudaro, zvakakosha kumira pakarepo kurwisa nekudzivirira kuitika kwayo munguva yemberi.
Hepatic colic inokonzera
Nemhaka yezvipingamupinyi munzira yeB bile (mabwe, jecha, kuderera kweB bile duct), mvura inoputika mune imwe nzvimbo, iyo inokonzera kusimba kwakasimba kwemasumbu uye kurwadziwa chirwere. Sezvo mutemo, inokonzera marwadzo emisungo yakanyorova yeguruvladder, iyo inogumbura. Zvikonzero zvinokonzera kazhinji zvinowanzo:
- kunyanya kushanda, kushungurudzika nekushaya kwekurara;
- kugamuchira doro;
- kushandiswa kwemafuta, zvokudya zvinonaka zvinokurudzira kunyanya kuvhara uye kuvhara;
- mitambo yakawandisa;
- kugara kwenguva refu kuita zvekuita mumutambo unofunga;
- postpartum period kana mazuva ekutanga kune vakadzi.
Acute hepatic colic - zviratidzo
Zviratidzo zvepamusoro zvinogona kuonekwa kwezuva kana mazuva mazhinji:
- nausea;
- manzwiro ekumanikidzika pasi pasi pemibvu iri kurudyi;
- back pain ;
- chinhu chisingafadzi shure, kazhinji chinorwadza, mumuromo;
- kuderedza chido chekudya;
- chizoro;
- kushaya simba;
- kugona;
- matambudziko nematumbo uye chigaro, kazhinji - kuvimbiswa.
Kurwisa zvakananga kwe hepatic colic kune zviratidzo zvakadai zvechipatara:
- rinopinza kurwadziwa kwakanyanya murutivi rworudyi, iyo inopisa pasi pechipapula, pfudzi uye kuderedza shure;
- kupararira kwekunzwa kusingafadzi munzvimbo yose yepagastric zone;
- kusutsa kwakakomba ne bile zvisina kuchena;
- kupera kweganda, cyanosis yemiromo;
- sweating;
- kudonhora kwemuviri kwakaderera;
- cold extremities;
- kubvisa, kupesana kwaro;
- tsvina dzemajaya panguva yehuta;
- kurima kwemuti;
- chiedza chemafuta;
- yellowing ye sclera uye ganda (jaundice ye mechanical nature);
- Ortner's syndrome (kurwadziwa kusingatauriki nemibvu iri kubvarura rutivi rworudyi pachiyero chechiuno);
- fever.
Hepatic colic inoratidzira kurapwa nokukurumidza, sezvo zviratidzo zviri pamusoro apa zvinogona kupedza maawa makumi maviri nemasere uye zvinotungamirira kunorwadza kushungurudzika, kutyisa muviri, kuora kune dzimwe nhengo dzekudya uye hematopoiesis, uye kupera mvura.
Hepatic colic - rubatsiro rwekutanga
Chokutanga pane zvose, haugone kuita zvinotevera:
- Shandisai pfuti yekupisa kusvika kurudyi.
- Enda, tora, chengetedza panzvimbo inorwadza.
- Tora zvokudya kana kunwa chero doro kunze kwemvura.
Izvi zvinogona kungowedzera mamiriro acho ezvinhu uye kuwedzera kuchengetedzwa kwebi.
Kutanga-kutarisirwa kwekukurumidzira kwekukurumidza kwe hepatic colic:
- Kupa muviri nerugare, kutora nzvimbo isina kumira, zvakanakisisa kurara kuruoko rwako rworudyi.
- Tora chero antispasmodic drug, somuenzaniso, No-Shpu, Promedol, Papaverin, Atropine, Pantopone. Izvo zvinofanira kuonekwa kuti chirwere chemufundisi chisingave chakabudirira zvakakwana, saka, mu hepatic colic, zvinodiwa kuti uite injiramu yepravenous yeimwe yemishonga iyi.
- Dana dhigirii rezvenzvirapa.
- Soothe iyo nervous system ine kupumha gymnastics.
Zvimwe zviito zvekubvisa mamiriro ezvinhu ari kuongororwa zvakagadzirwa mumamiriro ezvinhu emakiriniki ekurapa nechiremba (gastroenterologist) anoenda. Kuvhara zvakanyanya kurwadziwa chirwere, novocaine blockades inowanzoshandiswa, mushure mokunge ma laboratory anoongorora ropa, urinhe uye mashanga omurwere anonyatsoongororwa. Zvimwe zvinowanikwa zvinogona kuwanikwa uchishandisa ultrasound diagnostics.