Ngenxa yokuphulwa kwe-bile ye-bile okanye ukucinywa kwe-bile duct, i-cholecystitis, ngezihlandlo kukho i-colic hepatic. Ingakhokelela ekuhambeni kwamatye kunye nesihlabathi, esineengxaki ezinzulu, ukuxiliswa komzimba kunye neentlungu. Ngoko ke, kuyimfuneko ukuyeka ngokukhawuleza ukuhlaselwa nokukhusela ukuba kwenzeke kwixesha elizayo.
I-hepatic colic ibangela
Ngenxa yezithintelo ngendlela ye-bile (ngamatye, isanti, ukuxinwa kwe-bile duct), i-fluid igxobhoza kwindawo enye, eyenza ukululalwa okunzulu kwezicubu kunye nesifo se-syndrome. Njengomthetho, kubangele i-spasms ye-muscle ephosakeleyo ye gallbladder, ukucasula kwayo. Izizathu ze colic zivame ukuba:
- ukunyamezela, uxinzelelo kunye nokungabikho kokulala;
- kwamkela utywala;
- ukusetyenziswa kwamanxeba, ukutya okunesonka okukhuthaza ukugcinwa kwe-bhile ngokweqile;
- midlalo e
- Umsebenzi owenziwe ixesha elide kwisithuba esithobelayo;
- ixesha lokuhamba emva okanye iintsuku zokuqala ngaphambi kwabafazi.
Iimpawu ezinobungozi obuphambili
Izimpawu zaseprayimari zingabonakala ngosuku okanye iintsuku eziliqela:
- isicefe
- uvakalelwa ngogonyamelo wokunyusa phantsi kwembambo ecaleni lasekunene;
- intlungu ;
- emva kwexesha elimnandi, ngokuqhelekileyo lusizi, emlonyeni;
- kunciphisa ukutya;
- ukungcola;
- buthathaka;
- kulala;
- iingxaki ngamathumbu nesigxina, ngokuphindaphindiweyo - ukuzithiba.
Ukuhlaselwa ngokuthe ngqo kwe-cop hepatic kunezibonakaliso ezinjalo zeklinikhi:
- ubuhlungu obukhali obubukhali kwicala elifanelekileyo, elirradiates phantsi kwe-scapula, ihlombe kunye nezantsi;
- ukusasazeka kwemvakalelo engavumelekanga kuyo yonke indawo ye-epigastric;
- ukuhlanza okukhulu kunye nokungcola kwamanzi;
- ubude besikhumba, i-cyanosis yomlomo;
- ukukhupha;
- ukushisa komzimba;
- eminqubeni ebandayo;
- ukubetha, ukuxhatshazwa kwayo;
- izidumbu ze-muscle ngexesha lokubamba;
- kumnyama komchamo;
- Umbala ogqithisileyo weemfesi;
- ukuphuka kwe-sclera kunye nesikhumba (i-jaundice ye-mechanical nature);
- I-Ortner's syndrome (intlungu engenakulibala kunye neembambo ezixubha ngakwesokudla kwinqanaba);
- umkhuhlane.
I-colic ye-Hepatic ibonisa unyango ngokukhawuleza, njengoko iimpawu ezingentla zingaphelela iiyure ezingama-24 kwaye zikhokelela ekubandezelweni kweentlungu, ukutyhefuza umzimba, ukulimala kwiindawo ezisondeleneyo kunye ne-hematopoiesis, kunye nokunyanzelisa amanzi.
I-Hepatic colic - uncedo lokuqala
Okokuqala, awukwazi ukwenza oku kulandelayo:
- Faka isicelo sokutshisa ipakethe ukuya kwicala lasekunene.
- Hambisa, thinta, cinezela kwingingqi ebuhlungu.
- Thatha ukutya okanye usele nasiphi na isiselo ngaphandle kwamanzi.
Oku kunokunyusa nje imeko kwaye kwandise ukukhutshwa kwe-bile.
Ukunyamekela kwangxamisekileyo kwexesha eliphuthumayo kwi-colic hepatic:
- Ukubonelela ngomzimba ngokuthula, ukuthatha isikhundla esingqongqo, kukulungele ukulala ngasekunene kwakho.
- Thatha naluphi na izidakamizwa ze-antispasmodic, umzekelo, akukho-Shpu, Promedol, Papaverin, Atropine, Pantopone. Kufuneka kuqatshelwe ukuba unyango lwengamela alukwazi ukusebenza ngokufanelekileyo, ngoko ke, kwi-colic hepatic, kuyinqweneleka ukwenza injoviso ye-intravenous enye yeziyobisi.
- Shayela iqela lezobugcisa.
- I-Soothe inkqubo yesantya nge-gymnastics yokuphefumula.
Amanyathelo okuqhubekayo ekupheliseni imeko ekuqwalaselwa ngayo iqhutyelwe kwiimeko zeklinikhi yokugula ngenxa yonyango (gastroenterologist). Ukumisa intlungu yesifo esibuhlungu, i-blockades ye-novocaine isetyenziswa rhoqo, emva koko iimvavanyo zelabhoratri zegazi, umchamo kunye neminyama yesigulane zihlolwa kakuhle. Ulwazi olongezelelweyo lunokufumaneka nge-ultrasound diagnostics.