Ngenxa yokwephulwa kwe-bile noma ukuvinjelwa kwe-bile duct, i-cholecystitis, ngezikhathi ezithile kukhona i-colic hepatic. Kungabangela ukuhamba kwamatshe nesihlabathi, okubhekene nezinkinga ezinkulu, ukudakwa komzimba nokudabuka kobuhlungu. Ngakho-ke, kubalulekile ukuyeka ngokushesha ukuhlasela nokuvimbela okwenzekayo esikhathini esizayo.
I-colic ye-Hepatic ibangela
Ngenxa yezithiyo endleleni ye-bile (amatshe, ishlabathi, ukugoba kwe-bile duct), i-fluid igxuma endaweni eyodwa, okubangela ukuthulula okunamandla kwama-tissu nobuhlungu be-syndrome. Njengomthetho, kubangele ukuphazamiseka kwemisipha ebushelelezi ye-gallbladder, ukucasula kwayo. Izimbangela ze-colic ngokuvamile:
- ukusebenza ngokweqile, ukucindezeleka nokuntuleka kokulala;
- ukwamukela utshwala;
- ukusetshenziswa kwe-oily, ukudla okunomsoco okukhuthaza ukuvinjelwa kwe-bile ngokweqile;
- ezemidlalo ngokweqile;
- umsebenzi owenziwe isikhathi eside ngesikhathi sokuthutha okulandelwe;
- inkathi yokuhamba kwesikhathi noma izinsuku zokuqala ngaphambi kwabafazi.
I-colic - izimpawu eziyingozi ze-hepatic
Izimpawu eziyisisekelo zingavela ngosuku noma ezinsukwini ezimbalwa:
- isicasuli;
- umuzwa wokucindezela ngamandla ngaphansi kwezimbambo ngakwesokudla;
- ubuhlungu bokubuyela emuva ;
- i-aftertaste engathandeki, ngokuvamile ebabayo, emlonyeni;
- ukunciphisa ukudla;
- isiyezi;
- ubuthakathaka;
- ukulala;
- izinkinga ngamathumbu nesitokisi, kaningi - ukuqotshwa.
Ukuhlaselwa ngokuqondile kwe-colic hepatic kunezibonakaliso ezifana nemitholampilo:
- ubuhlungu obunzima obubukhali ohlangothini olungakwesokudla, obufaka i-irradiates ngaphansi kwe-scapula, ehlombe nasemhlane ophansi;
- ukusakazwa kwemizwelo engathandeki kuyo yonke indawo ye-epigastric;
- ukuhlanza okukhulu kanye nokungcola kwe-bile;
- isikhumba sesikhumba, i-cyanosis yezindebe;
- ukuthuthumela;
- ukushisa komzimba kwehla;
- iziphetho ezibandayo;
- ukuvimbela, ukuphazamiseka kwayo;
- imisipha ye-muscle ngenkathi i-palpation;
- ukumnyama komchamo;
- umbala ogqamile wesikhumba;
- ukuphuza okwesibhakabhaka nesikhumba (i-jaundice yemvelo yemvelo);
- I-Ortner's syndrome (ubuhlungu obungenakubekezelelwa nezimbambo ezixubha ngakwesokudla ezingeni lesikhumba);
- umkhuhlane.
I-helicatic colic iphakamisa ukwelashwa ngokushesha, njengoba izimpawu ezingenhla zingadlulela amahora angaphezu kuka-24 futhi ziholele ekuhluphekeni komzimba, ubuthi obunobuthi, ukulimaza izitho zokugaya eziseduze kanye ne-hematopoiesis, nokuphelelwa amandla kwamanzi.
I-Hepatic colic - usizo lokuqala
Okokuqala, awukwazi ukwenza okulandelayo:
- Faka isicelo sokushisa iphampi ngakwesokudla.
- Hambisa, thinta, cindezela endaweni ebuhlungu.
- Thatha noma uphuze noma yiziphi iziphuzo ngaphandle kwamanzi.
Lokhu kungenza ngcono isimo futhi kwandise ukuvinjwa kwebhala.
Ukunakekelwa okuphuthumayo kwangaphambi kokuphuthumayo kwe-colic hepatic:
- Nikeza umzimba ngokuthula, uthathe isikhundla esingezansi, kungcono ukulala ngakwesokudla sakho.
- Thatha noma yikuphi umuthi we-antispasmodic, isibonelo, u-No-Shpu, Promedol, Papaverin, Atropine, i-Pantopone. Kumele kuqashelwe ukuthi ukwelashwa kobuholi kungase kungasebenzi kahle, ngakho-ke, ku-colic hepatic, kuyinto efiselekayo yokwenza umjovo we-intravenous weyodwa yalezi zidakamizwa.
- Shayela ithimba lobuchwepheshe.
- Soothe isimiso sezinzwa nge-gymnastics yokuphefumula.
Izinyathelo eziqhubekayo zokuqeda isimo esicatshangelwayo zenziwa ezimweni zesitholampilo esibhedlela ngenxa yokungena odokotela (gastroenterologist). Ukumisa ubuhlungu obukhulu be-syndrome, ngokuvamile i-novocaine blockades isetshenziselwa, ngemva kwalokho ukuhlolwa kwe-laboratory yegazi, umchamo kanye nesikhumba sesiguli kuhlolwa ngokucophelela. Ulwazi olungeziwe lungatholakala ngokusebenzisa ukuhlolwa kwe-ultrasound.