Calool kelyaha. daryeelka degdegga ah ee calool kelyaha.

Inta badan calool kelyaha uu yeesho sabab u ah ee hortaagan in dheecaanka ka ah miskaha kelyaha kaadida. Intii lagu guda jiray dhagxan ay ureteral horumarinta dhaqdhaqaaqa dhacdaa, kiristaalo cufan, iyo ayna si kala duwan iyo patency ureteral (geedi socodka bararka, laalaab).

Weerarkii bilaabmaa, sida caadiga ah, si lama filaan ah, inta badan sida natiijo ah oo stress jirka. Waxa kale oo weerar ah calool kelyaha dhici kartaa inta kale - ka dib markii la cabbo culus, oo inta la hurdo. Bukaan-socodka, xilliyada ay u dhaqmaan baaxaa, daba-wareegida, raadinaya meel jidhka, kaas oo awoodi doonaan in ay fududayso dhibaatada, halka kulma jarida xanuun la xilliyo sii daridda iyo is dajiyaan.

Inta badan weerarrada qaadato nooca dheer, waxay leeyihiin dembidhaafka gaaban oo socon dhowr maalmood. Tan iyo gobolka lumbar, xanuun caloosha iyo Ballaariyay hypochondrium, kaadi haysta ay weheliyaan ureter ah, galay Xiniinyaha in dibnaha iyo bawdada ah. Xaaladaha intooda badan, xanuun waxaa u ururay heer ka mid ah xubnaha taranka ee caloosha, laakiin ma aha in goobta kelyaha, la socday la rabitaanka soo noqnoqda in ay ku kaadiyaan xanuunka jarida in kaadi mareenka.

Muddada dheer calool kelyaha la socda dhiig karka, iyo hurgumada kilyaha - kordhiyo heerkulka.

calool Kelyaha: daryeelka degdegga ah

Waxay ka kooban tahay in waca dhakhtar, kuwaas oo soo bandhigi doonaa atropine iyo opioids. Haddii bukaanka si lama filaan ah waxay bilaabeen calool kelyaha, gargaar la eegaayo in dhakhtar waa in la koobnayn daaweyn kaamerada - tuubbooyinka biyaha kulul, dhalooyinka biyaha kulul. Sidaas aad toogasho karo yar diskofmort ah, kaas oo keena calool kelyaha. Gargaarka degdegga ah ee ka mid noqon kara helo golaha dawo hore u heli karaa xanuun joojiyaha iyo antispasmodics: kiniin baralgina; papaverine (0.04 g); avisan (0.5-1 g); Cystenalum (10-20 dhibcood).

Haddii aad qabto calool kelyaha, gargaarka degdegga ah iyo isbitaal degdeg ah - in ay fure u ah guul laga gaaro daawayntaada iyo wanaagsan. Marka guriga, waxay bixiyaan daaweynta si loo ogaado sababaha weeraro xanuun waa u. weerar xanuun ba'an u baahan tahay dhakhtar ogaanshaha hore ee calool kelyaha iyo codsiga tallaabooyin degdeg ah. takhasus leh ee isbitaalka isbitaalka Kaliya xaqiijin karaa ama meesha ka saaro cudurka. In marxaladda tallaabooyin daweynta prehospital in bukaanka qaba calool kelyaha waa la ogolaan karo oo keliya marka cudurka ma aha in shaki.

Sidaas daraaddeed, caawimo ee daaweynta bilaabataa xanuun joojiyaha. Taana waxaa lagu gaarayaa iyada oo la isticmaalayo kulaylka daawaynta, xanuun joojiyaha iyo antispasmodics. Waxa ay ahayd inta lagu jiro xilliga this sida kor ku xusan waa muhiimad weyn u bukaanka: Marka calool ah kelyaha, daryeelka degdegga ah ee muddada prehospital waa kululaaneysa xoog (pads kulaylinta, oo bad kulul, ciid - 40-50 digrii). Xaaladaha intooda badan, kuwaas oo hawlaha ama yareeyo xanuunka, ama gebi ahaanba ka saartid. Waxa ay ahayd oo keliya marka ay isticmaalka ma keeni saamaynta jeclaystay, inta ay sugayaan dhakhtarka bilaabaan inay isticmaalaan daroogada caafimaad. Sida caadiga ah bilaabaan gpazmoliticheskie intramuscularly maamulo iyo suuxinta. Isticmaalka mukhaadaraadka waa la ogol yahay oo kaliya laga saaro cudurka ee caloosha, oo inta badan u sameeya iyaga oo aan.

Mid ka mid ah daawooyinka ugu wanaagsan ee cudurka "calool kelyaha" gargaar deg-deg ah ee yareeya xanuunka - baralgin (shan millilitir). The daroogada ugu waxtarka uu leeyahay saamayn marka intravenously maamulo, waa u ay u isticmaalaan bukaanka qaba dareen diidmo oo xasaasiyadeed in analgesics.

In isbitaalka gargaarka ee kelyaha ka fiican in la isticmaalo "darka lytic" calool xanuun.

Si loo gaaro himilooyinka kala duwan-baadhista iyo daweynta mararka qaadeen makaanka Go'doominta jilibka wareega ama xadhig spermatic - 10-30 millilitir novocaine (1%). Markaas muddo 20 daqiiqo ah calool kelyaha Dantana marka laga reebo - cudurrada ba'an ee saabka caloosha. Mararka qaarkood, halkii Go'doominta novocaine codsatay chloroethyl Go'doominta paravertebral.

Sidaas daraaddeed, haddii adiga ama qof aad jeceshahay qabtay la calool kelyaha, daryeelka degdegga ah, waqtiga iyo sida saxda ah, kordhinayaan in dib u soo kabashada degdeg ah hawlaha jidhka, ka hortagtaa dhacdo ee dhibaatooyinka daran. Ka dib markii laga reebay Champions bukaanka kelyaha calool u baahan kaadimareenka baaritaan faahfaahsan.