Chifukwa cha kuphwanya kwa kunja kwa bile kapena kutsekedwa kwa bile njira, cholecystitis, nthawizonse pali hepatic colic. Zingayambitse kuyenda kwa miyala ndi mchenga, zomwe zili ndi mavuto aakulu, kuledzera thupi ndi kupweteka. Choncho, m'pofunika kuti nthawi yomweyo asiye chiwonongeko ndikuletsa kupezeka kwake mtsogolomu.
Colic yapamwamba imayambitsa
Chifukwa cha zovuta pa njira ya bile (miyala, mchenga, kupopera kwa mankhwalawa), madzi amadzimadzi mumadera amodzi, omwe amachititsa kuti thupi likhale lolimba kwambiri. Monga lamulo, zimayambitsa minofu ya minofu yosalala ya ndulu, yomwe imapsa mtima. Zotsatira za colic ndizo:
- kugwira ntchito mopitirira muyeso, kupanikizika ndi kusowa tulo;
- kulandira zakumwa zoledzeretsa;
- kumwa mafuta, zokometsera zonunkhira zomwe zimalimbikitsa kwambiri kuchepa ndi kuchepa;
- masewera ovuta;
- Kuchita masewera olimbitsa thupi kwanthawi yayitali;
- nthawi yoberekera kapena masiku oyambirira azimayi.
Zovuta kwambiri zamatsenga
Zizindikiro zoyambirira zingawonekere tsiku kapena masiku angapo:
- chisokonezo;
- kumverera kwa mphamvu yokoka pansi pa nthiti ku mbali yoyenera;
- ululu wammbuyo ;
- kusamvera kosautsa, kawirikawiri kowawa, pakamwa;
- kuchepetsa chilakolako;
- chizungulire;
- kufooka;
- kusowa tulo;
- mavuto ndi matumbo ndi chitseko, nthawi zambiri - kudzimbidwa.
Kuukira mwachindunji kwa hepatic colic uli ndi mawonetseredwe otere:
- kupweteka kwakukulu kumbali yowongoka, yomwe imapweteka pansi pa scapula, paphewa ndi kumbuyo mmbuyo;
- kufalikira kwa chisangalalo chosaneneka mdziko lonse lachigawo;
- kusanza kwakukulu ndi zonyansa zama;
- kupweteka kwa khungu, cyanosis ya milomo;
- thukuta;
- kutsika kwa thupi;
- mapeto ozizira;
- kuphulika, kumangirira;
- minofu ya minofu panthawi yamimba;
- mdima wa mkodzo;
- mtundu wofiira wa nyansi;
- khungu la sclera ndi khungu (jaundice ya chikhalidwe chamagetsi);
- Matenda a Ortner (ululu wosatsutsika ndi nthiti zomwe zikuphatikizira kumanja kumapazi);
- malungo.
Hepatic colic imapereka chithandizo mwamsanga, monga zizindikirozi zikhoza kuthera maola oposa 24 ndikupweteketsa thupi, kupweteka kwa thupi, kuwononga ziwalo zoberekera komanso kutaya madzi.
Hepatic colic - thandizo loyamba
Choyamba, simungathe kuchita izi:
- Ikani penti yotentha kumbali yakumanja.
- Sungani, gwirani, yesani kumalo opweteka.
- Tengani zakudya kapena kumwa zakumwa zina osati madzi.
Izi zingangowonjezera vutoli ndikuwonjezera kutsekemera kwa bile.
Kusamala kosayembekezereka kosayembekezereka kwa colic chodziwika:
- Perekani thupi ndi mtendere, kutenga malo osasinthasintha, ndi bwino kugona kumanja kwanu.
- Tengani mankhwala aliwonse a antipatasmodic, mwachitsanzo, No-Shpu, Promedol, Papaverin, Atropine, Pantopone. Tiyenera kudziƔa kuti chithandizo cha abusa sichingakhale chokwanira, choncho, mu colic hepatic, ndizofunikira kupanga jekeseni wamkati mwa mankhwalawa.
- Itanani gulu lachipatala lachipatala.
- Kuthandiza mchitidwe wamanjenje ndi kupuma ma gymnastics.
Zowonjezereka zowononga mkhalidwe woganizirawo zimapangidwa mu zikhalidwe za chipatala cha odwala matenda opatsirana pogonana ndi dokotala (gastroenterologist) omwe akupezekapo. Kuti athetse vuto lopweteka kwambiri, novocaine blockades nthawi zambiri amagwiritsidwa ntchito, pambuyo pake mayeso oyesera a magazi, mkodzo ndi nyansi zochokera kwa wodwalayo zimayang'aniridwa bwino. Zowonjezera zitha kupezeka pogwiritsa ntchito ma diagnostic ultrasound.