Renal colic. Emergency hanya renal colic.

Ruzhinji renal colic hunotanga nokuda chidzoke nezvipingamupinyi kusvika water drainage kubva kune renal chiuno weti. Panguva ayo budiriro ureteral matombo kufamba kunoitika, gobvu crystals, uye malfunctions siyana uye ureteral patency (anogumbura urongwa, kinks).

Attack kunotanga, sezvinoita mutemo, pakarepo, kakawanda migumisiro chaiko mupfungwa. It ndeimwe kurwisa renal colic kunogona kuitika panguva zororo - pashure kunwa, uye pakurara. Varwere panguva kurwiswa kuzvibata mukuchema, nokumhanyisa kumativi, vachitsvaka nzvimbo muviri, izvo aizokwanisa kuderedza kutambura kwavo, apo kutambudzwa achicheka marwadzo chete yatinenge exacerbation uye akadzikama.

Kazhinji kurwisa vari munhu kuramba tichishanda hunhu, vane pfupi kuregererwa uye hunogara mazuva mashoma. Sezvo lumbar, nharaunda kurwadziwa mudumbu uye kunosvika hypochondrium, dundira achitevedza ureter, kupinda scrotum kuti labia uye femur. Kazhinji, marwadzo ari vaunganidza pachiyero nhengo dzokubereka nadzo mudumbu, asi kwete itsvo nzvimbo, pamwe chete kakawanda uchida urinate uye vakatema kurwadziwa urethra.

Long-izwi renal colic pamwe BP, uye pyelonephritis - kuwedzera tembiricha.

Renal colic: nechimbichimbi kutarisirwa

It kunoratidzwa kudana chiremba, uyo achasuma atropine uye opioids. Kana murwere pakarepo akatanga renal colic, kubatsirwa patinotarisira chiremba anofanira chete chafariz kurapwa - hot tabhu, hombodo hot-mvura. Saka unogona kupfura zvishoma diskofmort, izvo chinoita renal colic. rubatsiro First ingasanganisira kugamuchira mumwe mushonga cabinet kare kuwanikwa inonyaradza marwadzo omusoro uye antispasmodics: baralgina piritsi; papaverine (0.04 g); avisan (0.5-1 g); Cystenalum (10-20 madonhwe).

Kana uine renal colic, rwekutanga uye nechimbichimbi muchipatara - ndicho musimboti vanobudirira uye zvakanaka kurapwa. Kumba, kupa mishonga kuona zvinokonzera kurwadziwa kurwiswa iri contraindicated. Kurwadziwa kurwisa zvinoda chiremba mangwanani kuziva miedzo renal colic uye nokushandisa zvashata matanho. nyanzvi muchipatara muchipatara chete anogona kusimbisa kana kumutadzisa chirwere. Mugore prehospital Danho kuchirapa matanho varwere renal colic vari bvumidzwa chete kana chirwere haisi mubvunzo.

Saka, rubatsiro ari kurapwa inotanga kurwadziwa. Izvi zvakabatsira achishandisa kupisa mishonga, inonyaradza marwadzo omusoro uye antispasmodics. Zvaive munguva iyi sezvo zvambotaurwa kwakakosha kuti murwere: Kana renal colic, rikwanise kutarisirwa ari prehospital nguva inofanira kuva simba kwetembiricha (kudziyisa Mapedhi, kupisa dzokugezera, jecha - 40-50 madhigirii). Kazhinji, zvinhu izvi kana kuderedza marwadzo, kana zvachose bvisa nayo. Yakanga chete kana ravo kushandiswa haakonzeri zvinozoita, apo vakamirira chiremba kuushandisa dzokurapa zvinodhaka. Kazhinji kutanga intramuscularly achiita gpazmoliticheskie uye dzokutindivadza. Kushandiswa narcotics anobvumirwa chete achisiya zvirwere mudumbu, kunyanya kuita pasina pavo.

Imwe yakanakisisa zvapanzvimbo chirwere "renal colic" rubatsiro nokukurumidza pakuyamura marwadzo - baralgin (milliliters mashanu). Inobudirira zvikuru mushonga une kushanda kana raitongwa nomutsinga, iri contraindicated kushandiswa nevarwere vane neutachiona kuti analgesics.

Muchipatara kusunungurwa kubva renal colic dika kushandisa "lytic Mix".

Kuti vabudirire differential-chirwere uye dzokurapwa zvinangwa dzimwe nguva akatakurwa blockade uterine kumativi shwashwa kana spermatic tambo - 10-30 milliliters novocaine (1%). Zvadaro kwemaminitsi 20 renal colic aserera Kunze - chakasimba zvirwere abdominal mhango. Dzimwe nguva, pane novocaine blockade akashandisa paravertebral blockade chloroethyl.

Saka, kana iwe kana mudiwa ndokuwana renal colic, rikwanise kutarisirwa, nenguva uye zvakarurama, zvinobatsira kuti nokukurumidza kuzoita mashandiro muviri, kunotadzisa panowanikwa chakakomba yematambudziko. Pashure kubviswa pakati renal colic murwere kunoda hwakadzama kuongorora chiremba wezvedundira.