Cholecystitis olunamandla: ukunakekelwa okwengeziwe esikhathini prehospital

Serious ngokwanele, futhi ngesikhathi esifanayo, inkinga evamile iwukuthi cholecystitis oyingozi. usizo oluphuthumayo enikeziwe kahle futhi ngesikhathi, ngezinye izikhathi okunqumayo kule okunye ukwelashwa.

Kuyini cholecystitis neso elibukhali kangaka?

Kuvele ukuvuvukala udonga esinyeni nenyongo libhekene cholecystitis oyingozi. ezosizo oluphuthumayo ngokuvamile linendima ebalulekile ekulondolozeni impilo isiguli. Lesi sifo ngokuyinhloko oluthathwa ngesihloko ezifana khona noma ukungabi khona amatshe. Ngakho, endabeni yokuqala sikhuluma calculous, kanti eyesibili - mayelana nekalkuleznogo cholecystitis. Futhi, zokugula libhekwa ngokuvumelana degree of lesion we gallbladder:

• catarrhal cholecystitis - gallbladder kungaphezu evamile egcwele uketshezi, futhi izindonga embozwe slime;
• Ithumba - yisishiso, ephelezelwa ukwakheka kobovu;
• gangrenous - ifomu emibi kakhulu cholecystitis, okuyinto kuhambisana necrosis.

Izimbangela zesifo

Kunezici eziningana kungabangela inkinga ezifana cholecystitis oyingozi. ukunakekelwa eziphuthumayo buvezwa kubo. Ngakho, kuqhamuka khona inkinga kanje:

• khona amatshe ukuthi vimbela ukugeleza Bile;
• goba mapayipi.

Ngakwelinye ihlangothi, ukuvela lezi zinkinga kubangele lezi zinto ezilandelayo:

• ukuhlinzwa;
• ukulimala ngemishini;
• Ukudla ngendlela elukhuni noma indlala;
• izinkinga ipheshana wokugaya ukudla;
• isifo sokuqina kwemithambo yegazi;
• indlela engafanele aphume Ukudla (waba ukwanda okukhulu kwezincwadi ukudla);
• sepsis;
• nomfutho wegazi ophezulu Bile Amapayipi;
• caries umkhankaso;
• ukhuluphele;
• ngemva kweminyaka ema-45;
• izifo eziningi ezingapheli.

Izimpawu main

Siza ukuhlonza acute izimpawu cholecystitis. usizo oluphuthumayo kungadingeka esimweni lapho kukhona izimpawu ezifana:

• ubuhlungu obuhlabayo ngakwesokudla quadrant engenhla (umfutho wabo futhi imvamisa njalo ezikhulayo);
• nomlomo owomile kanye kumiswa nezimagqabhagqabha mhlophe olimini;
• ukwandisa izinga lokushisa emzimbeni kuze kube degrees 38;
• Ukugodola futhi ukujuluka;
• ukuvuvukala;
• isicanucanu nokuhlanza;
• umqondo umunyu umlomo;
• isikhumba ezimpofu;
• ukukhathala noma ukuba buthakathaka;
• palpitations inhliziyo;
• nobunzima orientation emkhathini.

Kumele kuqashelwe ukuthi lezi zimpawu kungenziwa kahle esibonakala eziningi ezinye izifo ngendlela acute (pancreatitis, isibindi ithumba, isilonda, njll D.), Hhayi kuphela ngoba inkinga ezifana cholecystitis oyingozi. usizo oluphuthumayo liyadingeka, uma ngizwa ingcindezi ku endaweni nenyongo sesinye ubuhlungu inyuka kakhulu. A ukusabela okufanayo kwenzeka uma uthephwe endaweni okubuhlungu ngesikhathi ugqozi.

cholecystitis olunamandla: ukunakekelwa okwengeziwe esikhathini prehospital

Ukuhlasela kwenzeka ngokuzumayo futhi kuthatha ngokuphelele kanzima ngokwanele futhi eside. Kodwa musa ancike isinqumo esizimele izinkinga ezifana cholecystitis oyingozi. "Ambulensi" kumelwe ubizwe ngokushesha ngemuva ukubonakala izimpawu zokuqala. Futhi ngaphambi kokufika odokotela kufanele sithathe izinyathelo ezilandelayo:

• into yokuqala ukusiza isiguli ukuba ulale phansi bese ukuthatha isikhundla ukhululekile (kangcono ukuthi wayelele ngohlangothi kwesokudla);
• Kuvumeleke ukunikeza isiguli amaminerali carbonated kancane (noma ibilisiwe) amanzi noma itiye eliluhlaza ofudumalayo;
• ukuba kancane lula ukugeleza kuhlasela, phansi, ohlangothini lokunene kudingeka nibeke esikhwameni egcwele iqhwa.

Kuyaphawuleka ukuthi usizo lokuqala for cholecystitis ephansi. Akukhona nje lutho, kodwa futhi zokukhwabanisa budedengu kungase kube nemiphumela ungalungiseki.

lwemithetho

Kunezindlela eziningana anamahlazo, okuyinto libhekene ukunakekelwa okwengeziwe e cholecystitis oyingozi. I-algorithm noma kunjalo akumele ifake izinto ezilandelayo:

• kungakhathaliseki ukuthi unamandla kangakanani noma ubuhlungu, kwaze kwaba yilapho kufika wezokwelapha Ungafaki kokuthatha imithi analgesic (ngokuhlasela cholecystitis acute, bayoba neze ukwazi ukuyeka, kodwa odokotela kuyoba nzima kakhulu ukwenza ukusazi ngokunembile isifo esikuphethe);
• Akwamukelekile ukunikeza iziphuzo isiguli ashisayo noma okubandayo kakhulu;
• noma kunjalo akudingekile ukufudumeza endaweni ethintekile (kuba Yiqiniso, kungase kancane ekudambiseni izinhlungu zibe, kodwa ngakolunye uhlangothi, ukushisa zingakhiqiza kulethe i kuhlasela).

ukunakekelwa kwezempilo

Ikholi "ambulensi" elwe in inkinga ezifana cholecystitis oyingozi. ukunakekelwa eziphuthumayo ekhaya lilinganiselwe kakhulu. Umsebenzi oyinhloko nethimba lodokotela - kuyinto ukucacisa uphethwe (ngokuhlola izimpawu kanye palpation), kanye ukukhululeka ubuhlungu. Ngakho, ekhethekile emthanjeni ingxube spasmolytic. Umuthi engadambisa okwesikhashana ukudlula Amapayipi Bile, okubangela izimpawu ziphelelwa evelele. Isinyathelo esilandelayo kuyoba ukulethwa isiguli esibhedlela, lapho-ke zizohlolwa futhi ngabelwa ozolandela ukwelashwa.

ukwelashwa

Ngemva nokuhlolisiswa esibhedlela ingelapheka. Endabeni cholecystitis acute, kungase zihlanganisa izinto ezilandelayo:

• Ukudla okuqinile (kuze yokulamba ephelele), okuyinto Uthatha kwezinsuku 1-2. Ngaphezu kwalokho, amandla kumele kube ngokuqinile elinganiselwe futhi zihlanganisa ikakhulukazi ubisi nemifino imikhiqizo, kanye inyama ebomvu.
• ekuphathweni lefundo ejenti antispasmodic kanye analgesic ukuthi zenzelwe kujwayeleke isimo ipheshana biliary futhi kuqede izimpawu ezingezinhle. Ezimweni ezimbi kakhulu, kungase ngisho izidakamizwa kwezidakamizwa ebekiwe.
• Lapho catarrhal cholecystitis iqondiswa imithi elwa namagciwane esicutshini, okuvame ukuholela ukuqedela yokutakula. Njengoba for ifomu ebhubhisayo isifo, le ndlela kungaba ingaphumeleli, njengoba ngenxa yezinguquko esiwohlozayo kwegazi emzimbeni siphukile.
• kokungenela Steel kungabanga ukususwa ingxenye nenyongo sesinye noma isitho ngokuphelele. Ngeshwa, esikhathini esiningi kuba nesilinganiso esifanele, ngaphandle okuyinto akunakwenzeka Yenzela umphefumulo lesiguli kanye alulame ngokugcwele.

izinyathelo

Kunzima phikisana yokuthi kungcono ukuvimbela okuvela kuyo izifo, kunalokho ukubhekana imithi yabo. Naphezu kweqiniso lokuthi main ingozi iqembu cholecystitis acute - umzimba omkhulu womuntu wesifazane ngemva kweminyaka 45, eqinisweni sonke sibhekana kusukela le nkinga. Futhi ngakho-ke kufanele alalelwa ngokwanele ukuba zokuvimbela, okubandakanya lokhu okulandelayo:

• ukudla okunomsoco, okubandakanya esiphezulu imikhiqizo ewusizo;
• ukwelashwa esifike ngesikhathi kwezifo ezithathelwanayo (lokhu awasebenzi kuphela ipheshana wokugaya ukudla, kodwa futhi umgudu wokuphefumula kanye nezinye izitho);
• uvakashelwa njalo kuya wamazinyo kanye nokwelashwa caries;
• Ukuvimbela ukutheleleka yizilwanyana eziwuhlupho emathunjini noma ukususwa kwabo ngokushesha uma izinkinga);
• yokuphila asebenzayo (qiniseka ukwenza umzimba ekuseni, kanye uhambo ngaphezulu kungaba);
• ukuphumula okuhle ngemuva kosuku ukusebenza;
• njalo ngihlolwa ukuze sithole lokuchezuka kancane nokususwa yabo ngokushesha.

isiphetho

cholecystitis olunamandla - inkinga eyingozi engabangela ukuzibonakalisa ngokuzumayo ngokuphelele. Kubaluleke kakhulu ukuba sikwazi ukunikeza usizo lokuqala ngaphambi kokufika odokotela, ngoba lokhu kungase kuxhomeke endleleni yokuphila lesiguli. Ayikho ulwazi lobudokotela kwemvelo ziyadingeka, siphazanyiswe ngaphandle akuyona kuphela okungalungile, kodwa ngisho nayingozi.