Renal colic ndi ululu wopweteka kwambiri umene umapezeka chifukwa cha kusokonezeka mwadzidzidzi kwa mkodzo kutuluka mumtsuko wa impso zomwe zimapangitsa kuwonjezereka kwapakhosi m'mimba, komanso kuphwanya hemodynamics mu impso. Kutsekedwa kwa mkodzo wamakono nthawi zambiri kumayambitsidwa ndi kuuma kwa chiwerengero cha chiwerengero, chiphuphu, ntchentche kapena magazi, komanso chikhoza kuchitika chifukwa cha kupweteka kwa chotupacho.
Mkhalidwe woterewu ukhoza kukhala wopanda chifukwa chodziwikiratu pambali ya moyo wabwino, panthawi yoyenda ndi kupumula, masana kapena usiku. Zotsatira zake, pali kuwonongeka kwakukulu kwa ntchito ya impso, zomwe zingayambitse mavuto aakulu omwe amawopsyeza moyo (mwachitsanzo, mantha a bacteriec, picidalal phlegmon, etc.). Choncho, ngati zizindikiro za renal colic zimakhalapo, chithandizo chodzidzimutsa n'chofunika.
Kodi zizindikiro za chiwonongeko cha coal?
Monga tanena kale, colic yamphongo nthawi zambiri imapezeka mwadzidzidzi motsutsana ndi maziko a moyo wathunthu, popanda zitsimikizo. Chizindikiro chowopsa cha renal colic ndi ululu waukulu, wodziwika ndi ambiri odwala monga kupweteka, kupunduka, lakuthwa, lakuthwa. Monga lamulo, kupwetekedwa mtima kumakhala ndi chikhalidwe chokhala ndi nthawi yowonjezereka komanso yowonjezera, koma nthawi zina zimakhala zachikhalire. Zowawa sizidalira pa malo a thupi la wodwalayo, amamverera mofanana molimbika kulikonse.
Mavutowa amapezeka m'dera la lumbar mbali imodzi (motero, impso zotsekedwa), nthawi zambiri - panthawi imodzimodzi. Zotsatira zawo zimadalira kumene ureter wapita. Choncho, ngati chitetezo chikuyang'anitsitsa pafupi ndi nkhono, ululu wa ululu umafalikira m'munsi kumbuyo, akhoza kupereka mu hypochondrium. Pamene kondomu yamakono ili pamalire a chigawo chapamwamba ndi chapakati cha njira yapamwamba ya ubongo wa impso, ululuwo umayambitsidwa pamimba pamtunda ndi m'mphepete mwa chigwa, ndi kumalo ake ochepa kupita kumalo amtundu, chiwalo chogonana.
Zizindikilo zina za coal colic, malingana ndi zomwe zimayambitsa ndi malo okhala, zingaphatikizepo mawonetseredwe awa:
- chisokonezo;
- kusanza , pambuyo pake palibe mpumulo;
- zikhumbo zonyenga zotsutsana;
- kukondwa;
- chosokoneza;
- chilakolako chonyenga chokodza;
- kusintha mtundu wa mkodzo;
- kusowa mkodzo;
- kutentha kwa thupi;
- kuthamanga kwa mtima;
- kuwonjezeka pang'ono kwa kuthamanga kwa magazi;
- maonekedwe a magazi mu mkodzo;
- nkhawa;
- makina osangalatsa.
Kutalika kwa chiwonongeko cha coal chikhoza kuwerengedwa ngati maminiti angapo, ndi maola ambiri ngakhale masiku. Nthawi zina ululu wolimba, wosapweteka umapangitsa kuti pakhale vuto loopsya, lomwe likuwonetsedwa ndi zizindikiro zotere:
- blanching khungu;
- mawonekedwe a thukuta lozizira;
- kwambiri kuchepetsa kuthamanga kwa magazi;
- kupweteka kwa kupsa;
- kutaya mtima.
Kuzindikira za colic renal
Renal colic ayenera kusiyanitsidwa ndi matenda monga acute cholecystitis, appendicitis, kutsekula m'mimba, ovarian apoplexy, ectopic mimba, perforated zilonda za m'mimba, etc. Kufotokozera
- kukonzanso kwa mkodzo;
- Ultrasound ya impso ndi chikhodzodzo;
- mafilimu a m'mimba;
- chromocystoscopy;
- makanema a maginito kapena maginito a maginito a impso
- chisamaliro;
- electrocardiogram ya mtima;
- kuyesa magazi.
Ndi matenda opatsirana nthawi ndi chithandizo chamankhwala chokwanira, kufotokoza kwa matendawa ndibwino.