Renal colic: sei kuderedza marwadzo? Zviratidzo renal colic vakadzi nevarume

Renal colic - chaiwo mufananidzo kuratidzwa pamusoro urolithiasis, chirwere kupfuura kwakapararira neitsvo. Inenge 70-75% wevarwere muchipatara Urological zvipatara vane chirwere chakadai.

Kutaura zvazviri, tiri kutaura pamusoro zvirwere dzakati siyana mavambo uye dzisakarurama kukura nzira, asi vakabatana nomumwe kuratidzwa - renal colic. tsananguro yokutanga chirwere ichi zvatakawana Hippocrates, asi kusvikira zvino masayendisiti kukwanisa kugadzirisa chirahwe kuti nei zvimwe zvacho zviri kuumbwa, izvo vasiri pasi mukuru kwebasa weti, uye nokukurumidza kukura kubva sekristaro kuti akaora akakodzera saizi?

Mhinduro yomubvunzo uyu, zvichida, vangadai vakasarudza nyaya, asi nhasi tinogona chete cherechedza varambe ikure chirwere. Uye kana yapfuura nayo kunyanya inobata vanhu vakura, ikozvino kazhinji akaonekwa kunyange maviri dzavo.

Kurwadziwa, muvhangeri chirwere ichi, kunokonzerwa kwete "scratching" chakasvika inofamba calculus, sezvo vakawanda vanofunga. The mashandiro pamusoro parinowanika riri chokuita kutyora water drainage kuti weti somugumisiro zvinyama edema uye venous stasis. Kuzvimba itsvo rinenge runonditsikirira ari fibrous Kamudzira ane uremu marwadzo receptors, zvichikonzera unopinza urwere yakadaro.

Zvaipesana water drainage anogona kukonzerwa kwemutemo mabwe, calculi diki (muchimiro jecha), clot ropa, madzihwa kana pus. Chikonzero zvinogona kuva nebundu kwacho, uye kunyange kuzvimba zvisaitike pedyo nhengo: ichi zvose zvinogona kuva chinodiwa kuti compression yacho ureter. Asi vakawanda chikonzero - iyi ndiyo blockage nezvezvimwe zvinetso zvedundira turakiti ibwe.

Kuratidzwa renal colic

Kakawanda, anotanga Jeff pasina yambiro ipi zviratidzo. Marwadzo anobva musana, pakutanga avhiringidzwa achidhonza. Zvisinei, pasina nguva refu rwunotanga kukura uye zvishoma inofamba rimwe divi uye kuti dumbu, "zvishoma nezvishoma mumatope" pasi achitevedza ureter.

Kugona localize marwadzo kwete chete mudumbu, zvinogona tichiratidza kuti groin kana kuzasi, anowanzopa yehudyu muchiuno uye podrobernuyu wongoramba. Kana isu kutaura pamusoro kusimba kutambura, vari kungoti "ngano": Vanhu achiumburuka pasi, anenge arasikirwa kuziva, ari vava kuda kuvhunduka.

Havashanduki muviri nzvimbo kunogona kuderedza kupisa kuderedza kurwadza nezvekufadza kunowanzoitwa chete marwadzo zvinodhaka. Kurwadziwa mu renal colic kunokonzera bloating, spazmiruyutsya tsandanyama, zvakaoma bowel masangano. Man akagadzirira kugamuchira kunyange uturu kugumisa dzikirira ichi!

Ndicho chokwadi chisingafadzi chaizvo chiratidzo - renal colic. How kuderedza marwadzo? Kugadzirisa Dambudziko iri zvinova fanira uye kukoshesa. Zvisinei, izvi handizvo chete nokuratidzwa chirwere. Varwere tinganetseka kuda kurutsa, kurutsa rinowanzoberekera, dzimwe nguva tembiricha inogona nokukwirira kwazvo.

Akacheneruka chiso, ziya mabasa, zvikanganiswe kuziva, kwemwoyo kuchinja, kumanikidza inowedzerawo. Weti kakawanda uye chinorwadza, asi inogona kuputswa kupedza anuria. Kazhinji, ya colic kurwisa hakuna kupfuura zuva, asi pane dzimwe nguva apo anopfuurira kwenguva refu, pamwe chete yatinenge kanganwiro kwaizotevera Kushatiswa ehurumende.

Renal colic: sei kuderedza marwadzo munguva kurwisa?

Muchidimbu zvinoratidza nzira zviito, chichagamuchirwa runoratidzwa munzira nhatu:

1. Kushanda kupisa.
2. Analgesics.
3. Antispasmodics.

Ngatitange kupisa. Zvaizoratidza sokuti inopisa tabhu pachiuno nemvura tembiricha muganhu, rinogona kuraramisa murwere chete, inodziya iri lumbar nharaunda kana yemasitadha - uye nyaya yave kugadziriswa. Zvisinei, havasi vose nyore. Pane zvinhu zvinoverengeka, uye tinofanira zvechokwadi kunzi.

Somuenzaniso, hazvibviri kushandisa rinopisa kugeza pamwe cardiac chirwere kana mukuru tembiricha. Nzira iyi pa ezvinhu chokuita zvakanaka kuziva. Uyezve, panofanira kuva chivimbo hwakasimba kuti ichi chinhu renal colic, asi kwete peritonitis kunokonzerwa kuzvimba okuwedzera, kana chimwe chinhu haabvumiri kushandisa kupisa.

Kana renal colic zvakarurama kuisa, inopisa sitz kugeza - yakanaka kwazvo chishandiso kurapwa kurwadziwa. Kana pane contraindications kuti bhati anogona kushandisa netsanga kana kudziyisa ikanyanya.

Dzokutindivadza kushandiswa kakawanda, "Analgin" uye "Baralgin". Chero mushonga akasuma muchimiro ane jekiseni, ane simba uye dzichimhanya kushanda pane pamahwendefa.

Asi haufaniri kutora marwadzo ari renal colic pamberi kuongororwa nachiremba. Chinogona "tsvedzesa" mufananidzo uye kuti zvakaoma kugadzirisa kuongorora chirwere.

Antispasmodics mu renal colic pasi chete chinodiwa. Kana nechirwere hakusi mubvunzo, ivo unobvumirwa kubatsira richikura, usanetseka madziro ureter, zvichiita kuti zvive nyore kuti weti tsvina uye pakudaro kuvandudza murwere ezvinhu. Kazhinji, chinangwa zvakadaro kugadzirira zvakanaka "No-Spa", uye zvinokosha kuti kutora guru dose of zvinodhaka - kusvika mahwendefa mana.

Pane zviitiko apo mari idzi havagoni kuderedza marwadzo. Pakadaro, unogona kubatsira chiremba ane zvayo zvinodhaka zvombo marwadzo, akadai zvinodhaka "Promedol". Nokuti munhu kusangana renal colic, sei kubvisa marwadzo ndiyo nyaya huru, zvisinei, chinofanira kutanga zvisinei pamwe kuongororwa zvakarurama.

Surveys nokuti kuongorora chirwere

Zviratidzo colic anogona kufanana "rikwanise dumbu". Pfungwa iyi zvinosanganisira boka zvirwere. Kunze appendicitis, zvakafanana nayo anotarisa hepatic colic, zvakakodzerawo kuti asava rikwanise pfungwa nomuviri zvemwana asati uye cholecystitis.

Kukanganisa anogonawo kuitika pamberi nemaronda mudumbu kana duodenum. Zviratidzo anenge akafanana vamwe chirwere, intestinal mhingaidzo, tisingatauri zvirwere vakadzi. Zviratidzo renal colic vakadzi vane chaizvo zvavo, saka nyaya iyi vakazvipira chinokosha chikamu.

Kuwedzera "rikwanise dumbu", ipai yakafanana mufananidzo herniated Disc, Sciatica, shingles, kana kunyange zvake intercostal neuralgia. Kutopedza madimbu zviratidzo zvinoitika intestinal mhingaidzo.

Zvirwere zvakawanda izvi zvinoda kukurumidzirwa chiito. Saka dambudziko Chiremba, yokutanga nguva kuona murwere, hazvisi nyore chete. Ndokusaka usingafaniri kuramba chikumbiro kuenda kuchipatara uye vanopedza zvakazara vaongo-. In renal colic kwakakwana, mumwe zana muzana kuverenga.

Panyaya iyi, kuti kururama zvokuongorora zvingabudirira varasikirwe noupenyu. Somuenzaniso, kuti ureter aigona makavhara zvakakwana ibwe. Hazvibviri kuona nokuda kuongororwa zvokunze, zvisinei, zvakanaka zvingaita kuti itsvo necrosis, ayo rikwanise kukundikana. Ungafanira pinza anobudisa mushonga zvishoma nezvishoma kana oparesheni nenyere abudise. Kunenge kuti zvose izvi zvichaitwa pasina kusiya musha.

Muchipatara chiremba anogona mishonga yakasiyana-siyana vaongo-, pazvinoita, uyewo kutarisira zvakakodzera mune renal colic. Zvisinei, pakutanga kwezvose, kazhinji kuita mukuru pachisara kugadzirisa neropa nemakemikari omuviri uye, chokwadi, Ultrasound pamusoro excretory ezvinhu, uye zvichida x-ray.

"Vakadzi" specificity pamusoro renal colic

colic Zviratidzo zvinorondedzerwa pamusoro havana kurara coloring, kunze kuti dzimwe nguva irradiation kurwadziwa nevanhu rikaitika scrotum. Vakadzi, ndizvo zvinowanzoitika marwadzo munzvimbo yacho labia majora. Nokuti vamwe, izvi zvose hazvina nokudenga.

Panyaya iyi, zvakafanana zviratidzo renal colic vakadzi vanogona kupupura zvose pamusoro vamwe zvirwere kuti varume, pachisikirwo dzavo, haagoni kuva. For inobudirira kurapwa zvakakosha kuwana mumwe Kusiyanisa hwakajeka nechirwere murwere kuti hazvibatanidzi kwezvikonzero zvinotevera:

• atsamwira of fallopian chubhu;
• apoplexy pakati ovary;
• Tubhari pamuviri;
• ectopic pamuviri;
• Ovarian torsion makumbo.

Zvose izvi zvinhu zvinogona kukonzera blockage pamusoro ureter nokusika chaiwo mufananidzo colic. Panyaya iyi, zviratidzo inotinyevera:

• chando ziya;
• pallor;
• pasi kumanikidzwa;
• tachycardia;
• dzungu.

A nezveimwe dambudziko nokuda pakurapa renal colic vakadzi, kuitika pamusoro pakanyorwa pamuviri. Pacharo, ichi hazviiti kusika zvinhu kuti kukura itsvo mabwe, asi zviri iyi zvinowanzoitika exacerbation echirwere zvirwere.

Izvi zvinoshandawo, kunyange zvakatonyanya itsvo, ayo kunyanya kuitika munzvimbo mutoo rakasikwa upenyu hutsva uye kushanda pamwe kutsiva. Zvinoratidza chirwere dzakazara, asi zvombo kuti achishandisa kurwadziwa zvakakomba zvakawanda.

Chekutanga, kunze kupisa tubs, uyewo mamwe chafariz nzira iri itsvo - zvinogona kuita kuti nguva isati yakwana pakuberekwa. Nezvikonzero pachena, marwadzo analgesics mu renal colic iyi anoshandawo.

Panguva iyoyowo kwenguva refu kurwadziwa zvikuru pachayo kungamutsawo munhu vakurumidze kutanga basa basa, saka nzira bedzi kwakarurama - chiremba pakarepo. Ari zvikuru nyaya zvinobvira kugamuchirwa antispasmodics: zvinodhaka "No-Spa," "papaverine" kana "Baralgin", unogona kuva muchimiro majekiseni.

Zvokuita pakutanga pamwe renal colic?

Chokwadi, kuderedza marwadzo, kuti aponese vanhu kubva rwaityisa yokutambudzirwa. Ichi ndicho chokutanga kufunga kuti ndiuye pfungwa, asi haisi yakanakisisa. chinobatsira kuti renal colic First kunofanira inopiwa nachiremba wako.

Uyezve, asati asvika, zviri chinodiwa varegedze chero musha kurapwa kudzivisa matambudziko uye kuchengeta zviratidzo zvose zvakajeka hakutadzisi echokwadi kuongorora chirwere.

Izvi zvinonyanya kukosha vanenge kuoma: .. Colic mumwe akasara itsvo, kukwegura, mbiri-nzira kurwisa, murombo vakawanda ezvinhu, mwoyo chirwere, etc. tingaitei kana chiremba vamwe chikonzero haisi kuwanikwa? How kuvasunungura renal colic iyi? Pfungwa, dzinokosha nzira kare inorondedzerwa.

Zvakakosha kuwedzera kuti muzviitiko apo pane kupokana kuti mhaka marwadzo wechokwadi, zvingava mudukusa ngozi pakushandisa tsandanyama relaxants, kana hapana mubvunzo - unogona kushandisa bhodhoro remvura inopisa, kugeza, analgesics. Dzimwe nyanzvi dzinokurudzira kunyange chete kuwedzera poltabletki rinoreva "nitroglycerin" pasi rurimi.

Kusunungurwa vaizorwiswa muchipatara ezvinhu rinoshandiswawo novocaine blockade, jekiseni, Electro jekiseni, physiotherapy. Kana zvose matanho zvichaita kuuya kutsvakwa mugumisiro, excretion kuti weti ichadzorerwa nokubatsira anobudisa mushonga zvishoma nezvishoma. Zvinogonekawo kuparadzwa risati amabwe uchibatsirwa chinokosha michina.

Yakanga iri muchipatara nyore uye musoro narwo anonyatsotsvaka kuongorora zviri urology pashure kubviswa pfupi. Chero zvazvingava zvakafanira kuyeuka dzakakomba ngozi dzokuzvirapa pamberi muedzo Chiratidzo akadai renal colic. How kuderedza marwadzo, sei zvikuru uye zvokuita bvunzo pane mushonga - ichi zvose zvinofanira yakasarudza nachiremba.

Renal colic. ICD-10

Kusvika panguva Russian Bazi Health pachiyero mvumo mureza pakurapa chirwere ichi. Izvi zvinozoita-based system yakatanga maererano nourongwa kubatsira varwere zvakafanana zviratidzo. A hurongwa inobva Data reInternational kupatsanura pakati Diseases, Wechigumi Revision. Rine zvose nzira nechirwere uye kurapwa zvirwere. Maererano ICD renal colic N23 ane bumbiro.

Sei Idya panguva renal colic

Mushure nokubvisa marwadzo inochera kure kuda kurutsa, uye akadzokera murwere anogona kudya. Zvakakosha kunzwisisa kuti zvokudya iri renal colic kunokosha chaizvo kuti kunokurumidza kupora. Dzinenge kurumbidza pamusoro zvinogona chete kupa chiremba, nekuti anoziva makemikari anoumba nematombo. Kana mukuru nhungamiro, vari:

• kakawanda zvokudya, fractional, zvikamu zviduku;
• kuti vasadyisa, kunyanya usiku;
• siya chenjera zvakakanyiwa namafuta, aisvuta Sausages, zvokudya zvomumagaba,;
• kwete pachena zvokudya mazhinji kupisa kurapwa;
• zvakanakisisa steamed kana yakabikwa, unogona kubika.

Diet mu Renal colic rinoshanda panguva yokurwara. Nokuwedzera kuwanda zvigadzirwa kuti titungamirirwe pamwe kunenge ari utano uye kudya zvinovaka muviri sezvo itsvo kupora rishande muoti.

Izvi zvinoreva kuti, chokutanga, zvigadzirwa zvinofanira zvakakwana kupa zvose zvinodiwa muviri, asi kwete yakawandisa.

Chechipiri, zvokudya zvinofanira dzaisiyana, pamwe kwairayirwa kwebasa rinofanira "mhenyu" zvigadzirwa: mavhitamini, zvicherwa, faibha.

Chechitatu, mwero iri kudyiwa inonaka, asi haishandi zvigadzirwa.

Uye pakupedzisira, Chikurukuru, kupa muviri pamwe vakawanda mvura yakachena zvechokwadi pasina chinhu netsvina. Vazhinji vanodavira kuti kuchengetwa ichi anogona kuporesa zvachose muviri.

Traditional nzira kurapwa

Rubatsiro renal colic kutipa vakawanda vanorapa. Kunyange zvazvo achinyanya vari zano kuti chiremba. Asi panguva standby inogona kushandiswa muchiuno kana kumwa makabheji shizha aizomupa Birch wotungira.

Akaita zvakanaka horsetail, uye knotweed zvakaipa anobatsira urwere ichi. Colic kugadzira muto kubva musanganiswa centaury uye somuzivi, zviri nani kuti wedzera Daisy. Inwa mushonga uyu anogona kuva refu, kusvikira mwedzi miviri. Asi horsetail haagoni chete kunwa, asi kuwedzera kugeza.

Dzakakodzera uyewo anorumanya inopisa mbatatisi decoction kana oats. Kazhinji, pane Quick zhinji. Kana iwe kuwedzera zvose zvokudya, kubudirira anovimbiswa. Asi bedzi unodana, ndapota, chiremba!

Zvakanaka, kana uchinyatsoda chakakomba, hazvingaiti kuti nzira dzekare vapukunyuke kukwikwidzana mishonga yemazuva ano iri pakurapa rikwanise chokutambudzika chirwere. Asi pano iwe kukubvisai marwadzo kurwisa, isu akaongorora, ipai mazano muviri, mishonga inonyorwa nachiremba. Ikozvino tinofanira kushanda nesimba kubvisa neitsvo dzavo zvisingadiwi "zvinhu" kukurumidza nokudzinga zvose hazvifaniri kuva imomo. Pano panguva ino zvakaitika mushonga zvetsika ndechokungoti irreplaceable.

Zvinonzi kukwenenzverwa ne emakore mari makwenzi uye makwenzi kuchabatsira kuti chose kutaura bhayibhayi kune chirwere, uye panguva imwecheteyo kudzorera huchaita muviri. Kupfuura zvose - kuwana ruzivo N'anga uye mwoyo murefu, kuitisa yawapiwa kusvikira pakuguma, sezvo kuva.

Zvino kuva nechokwadi kuenda kuburikidza apiwa kuongororwa uye enzanisa zvabuda. Ungaita sei? Munyika ino, hatina nyore kupiwa, asi utano zviripo!

How kudzivisa renal colic

Stone inotungamirwa kunowanzokonzerwa kukonzerwa nezvirwere zviri kwemakemikari anobudiswa mumasero. Uyewo overabundance vhitamini D kana A zvakaipira anokurudzira deposition kuti munyu. Not mudukusa basa izvi iri kuridzwa uye zvirwere zvomudumbu hurongwa. Nutrition muna renal colic, kana pane, misimboti simba yakadaro inofanira kuiswa uye pashure kupora kudzivisa dzokororo chirwere chacho.

Limitation kufamba kwevanhu - ruchibatanidzwawo pangozi. Kupisa kunoita zvinhu kuti kupera mvura mumuviri uye, naizvozvovo, kuwedzera wevasungwa kuti weti. Kunyange kushandiswa kakawanda kuti chicherwa tsime anova munyu Kutarisirwa excretory hurongwa. mvura yakachena Daily zvinobata, uye vazhinji, asi zviri zvikamu zviduku, unogona kuridza munhu mutsindo basa kukunda chirwere.

Motels uye plesieroorde mu urolithiasis

Vakawanda vakanzwa sei zvakanaka kubatsira kupora panguva chicherwa mvura cheitsvo plesieroorde. Zvisinei, mvura nomumwe anoita chete pane matombo imwe mhando. In pamberi phosphates vanogona kuenda kupi kune iine acid chicherwa mvura:

• Truskavets.
• Kislovodsk.
• Zheleznovodsk.

Kana anowanikwa weti urate - nokudaro vanoda mvura alkaline :

• Borjomi.
• Zheleznovodsk.
• Truskavets.
• Essentuki.

Kana mabwe oksolatovyh vanoti:

• Pyatigorsk.
• Essentuki.
• Zheleznovodsk.