Kwezinso colic: izimpawu kanye nosizo lokuqala

Urolithiasis noma nephrolithiasis zenzelwe iziyaluyalu umzimba kanye kubonakala ekwakhekeni kwezinso ukhalo amatshe.

Ukubonakaliswa ejwayelekile yalesi sifo - ngokuhlasela colic kwezinso. Uma uthuthukisa nezimpawu kwezinso colic kuyaqabukela kwandulelwe ubuhlungu prodromal esifundeni lumbar. Ngokuvamile, colic kwezinso kwenzeka ngokuzumayo ngaphandle kokumethemba, okubonisa khona urolithiasis, futhi engekho akufezi a umfutho high isikhathi esifushane. ubuhlungu olunamandla iyabhebhetheka kwenye kwesigamu komgodi ongaphakathi kwamathumbu. Ukushintsha ukuma komzimba akusenzi ukushuba ubuhlungu ukuze iziguli liziphathe ukubuyisa kakhulu. ubuhlungu obukhulu uyaqhubeka imizuzu eminingana, amahora noma ngisho izinsuku ezimbalwa, isiguli kungaholela nokulahlekelwa ukwazi.

Attack of colic kwezinso uvame ukuhambisana isicanucanu, ukuhlanza, dysuria, reflex paresis emathunjini futhi imisipha ukungezwani odongeni kwamathumbu. Ngaphansi njalo angagcina anuria reflex imvelaphi. ukudakwa syndrome esashiwo ukubukeka lobuthakathaka, nomlomo owomile, ikhanda elibuhlungu, ukwanda lokushisa, Ukugodola.

colic kwezinso ekukhulelweni kungenzeka khona ezinso emlandweni. izimpawu ezinjalo kungabangela pyelonephritis acute, okuvame kuphakamisa ukuthuthukiswa yokukhulelwa. Ngokuvamile, colic kwezinso kwenzeka engxenyeni yokukhulelwa wesibili.

colic kwezinso. Izimpawu esichaziwe ocwaningweni lwezempilo

Ukuze sitholakele isifo izimpawu subjective of colic kwezinso umphelelisi ukuhlolisisa. ucwaningo Clinical kusiza ukuqinisekisa sitholakele colic kwezinso. Ubuhlungu kwanda palpation bimanual nezinso. Ezimisele ngokucijile omuhle uphawu Pasternatskogo, okuyinto ibanjiwe ngokuthinta projection izinso.

Kwezinye izimo, isisa ku ingcindezi kunqunywa udonga besisu ezingeni okubizwa ngokuthi amaphuzu ureteral:

- iphuzu engaphandle elise 7-8 cm nibonakala kusukela inkaba;

- ngokwesilinganiso - empambana we umugqa ovundlile ohlanganisa ziboya engenhla iliac thwi kuyoshaya weyesi phakathi maphakathi kanye izingxenye ezimbili kwezintathu elingaphandle Arcade fallopian;

- ephansi - at confluence we ureter ku ezingeni kwesinye.

colic kwezinso: izimpawu kuchazwe izifundo wezinsimbi

Esikhathini urinary inzika usawoti zinhlayiya noma calculi elincane urolithiasis kunqunywa. Ngemva kwesikhathi esithile ekuhlaseleni colic kwezinso e urinalysis zembula hematuria.

Ukuze sitholakele colic kwezinso usebenzisa esimweni ethafeni, kodwa kulolu cwaningo kungase kwembule amatshe radiopaque kuphela. inkomba ongaqondile zamatshe ngomgudu womchamo inani elikhulu igesi emathunjini, ikakhulukazi ohlangothini colic kwezinso. Lesi simo esiyingqayizivele sibangelwa athuthukile ngenxa paresis we izihibe ngazinye emathunjini amancane.

Lapho ultrasonic ekuxilongweni ezinso kakhulu kwisifundo sanoma imuphi Ukwakheka kwamakhemikhali, usayizi eyeqa 0,15-0,20sm.

urography Excretory kwenziwe umcimbi ukuthi udinga ukuthola umsebenzi kwezinso, isibonelo, uma uhlela uhlinzwe ukuze kwelashwe urolithiasis.

Usizo lokuqala for colic kwezinso

Uma athuthukile izimpawu kwezinso colic ukuthi kukhulunywe ngakho ngenhla, usizo lokuqala, ungaba owakho ngaphambi kokufika ambulensi. Ukuze ususe spasm we ureters nesifunda lumbar Ungabeka ibhodlela lamanzi ashisayo. Uma isimo lesiguli ivumela, ungasebenzisa kubhavu ashisayo. Amanzi ubhavu kufanele zifinyelele emagumbini ezansi izindwani. Isicelo ukushisa kubangela ukuphumula imisipha, kuhlanganise kwemisipha ungqimba ureter, okubangela colic kwezinso kungase kuphele ngokuphelele. Uma kungekho yi sisetshenziswa analgesics futhi spasmolytics. Uma colic kwezinso akagcini ngemva kokuphathwa parenteral izidakamizwa, isiguli esibhedlela.

Ngo sokukhulelwa, colic kwezinso kungaholela kuqala zomsebenzi ekuseni. Ngakho-ke, kuze kufike i-ambulensi kungekho senzo esithathwayo.