Pachimake cholecystitis: chisamaliro pachimake mu prehospital ndi

Akuluakulu mokwanira, ndipo pa nthawi yomweyo, vuto wamba pachimake cholecystitis. thandizo Emergency anapereka molondola ndi nthawi, nthawi zina chinthu molimba mankhwala ndi zina.

Kodi pachimake cholecystitis?

An ndondomeko yotupa mu mpanda wa chikhodzodzo ndulu amakhala ndi cholecystitis pachimake. Thandizo zambiri imathandiza kwambiri mu chosunga moyo wa wodwalayo. Matendawa makamaka wachinsinsi ndi mutu monga kupezeka kapena kusapezeka kwa miyala. Choncho, m'nkhani yoyamba tikulankhula calculous, ndipo chachiwiri - pafupi nekalkuleznogo cholecystitis. Komanso, kudwala ndi zimagawidwa monga mlingo wa chotupa cha ndulu ndi:

• catarrhal cholecystitis - ndulu zambiri kuposa mwakale, wodzazidwa ndi madzi, ndi makoma okutidwa ndi amatope;
• abscess - kutukusira, limodzi ndi mapangidwe mafinya;
• gangrenous - mawonekedwe akuluakulu a cholecystitis, amene anatsagana ndi necrosis.

Zimayambitsa matenda

zingapo zimene zingachititse vuto monga cholecystitis pachimake. chisamaliro Emergency makamaka anatsimikiza mtima iwo. Motero, chiyembekezo cha vutoli motere:

• pamaso pa miyala obstruct otaya ya ndulu;
• unakhota ducts.

Zinachititsa kuti zikamera mavutowa chifukwa zinthu zotsatirazi:

• opaleshoni;
• mawotchi choipa;
• okhwima zakudya kapena njala;
• mavuto kapepala kakuti m'mimba;
• atherosclerosis;
• njira yolakwika mwa zakudya (a kuwonjezeka lakuthwa mu kudya chakudya);
• sepsis;
• oopsa ya ndulu ducts;
• anapezerapo caries;
• onenepa;
• pambuyo zaka 45;
• matenda aakulu.

Zizindikiro zazikulu

Kuthandiza kuzindikira zizindikiro pachimake cholecystitis. thandizo Emergency ukafunidwe ngati pamene pali zizindikiro amenewa:

• kupweteka kwambiri mu lamanja nusu chapamwamba (mwamphamvu zawo ndi pafupipafupi nthawi zonse kukula);
• youma pakamwa ndi mapangidwe yamawangamawanga woyera pa lilime;
• kuwonjezera thupi kutentha kwa madigiri 38;
• kuzizira ndi thukuta;
• bloating;
• kunyansidwa ndi kusanza;
• lingaliro la kuwawa pakamwa;
• khungu lachikasu;
• kutopa ndi kufooka;
• palpitations mtima;
• bvuto ndi lathu mu mlengalenga.

Tikumbukenso kuti zizindikiro zimenezi zikhoza bwino yodziwika kwa chiwerengero cha matenda ena mu mawonekedwe pachimake (kapamba, chiwindi abscess, chilonda, etc. D.), Ndipo osati kwa vuto monga cholecystitis pachimake. thandizo Emergency chofunika, ngati kuthamanga pa malo a ndulu ululu umachuluka kwambiri. A zotani zofanana kumachitika pamene amapatutsidwa pa malo chopweteka pa kudzoza.

Pachimake cholecystitis: chisamaliro pachimake mu prehospital ndi

Kuukira umafika mwadzidzidzi ndipo kwathunthu amatenga yovuta mokwanira ndi yaitali. Koma usadalire zochita osadalira pa mavuto monga cholecystitis pachimake. "Ambulansi" atchedwe pomwepo maonekedwe zizindikiro woyamba. Ndipo isanafike madokotala ayenera miyeso zotsatirazi:

• chinthu choyamba ndi kuthandiza wodwalayo kuti pogona ndi kutenga malo omasuka (bwino kuti atagona pa mbali lake lamanja);
• Ndi chovomerezeka kwa wodwalayo pang'ono enaake mchere (kapena yophika) madzi kapena ofunda tiyi zobiriwira;
• kuti pang'ono tisaletse otaya kuukira, pansi kumanja muyenera kuika thumba lodzala ndi ayezi.

Dziwani kuti thandizo kwa cholecystitis ndi yochepa. Sikuti chosalanga, komanso mosasamala mpheto kungakhale ndi zotsatirapo mpaka kalekale.

zosayenera

Pali zingapo taboos, amene amakhala ndi chisamaliro pachimake mu cholecystitis pachimake. The aligorivimu Mulimonsemo Sayenera zinthu zotsatirazi:

• ziribe kanthu momwe amphamvu kapena ululu, mpaka kufika kwa zachipatala Musakhale kumwa mankhwala alionse analgesic (kuukira kwa cholecystitis pachimake, iwo nkomwe kuwaletsa koma madokotala kudzakhala kovuta kwambiri kuti apange matenda zolondola);
• Ndi zosavomerezeka kupereka zakumwa wodwala kwambiri otentha kapena ozizira kwambiri;
• Mulimonsemo si koyenera kuti kutenthetsa zinkakhala m'dera (ndi, ndithudi, mwina pang'ono kuchepetsa spasms, koma Komano, kutentha atha kutumikira ngati chothandizira kwa nkhondo).

zaumoyo

Kuitana "ambulansi" n'kofunika kwambiri mu vuto monga cholecystitis pachimake. chisamaliro Emergency kunyumba ndi zochepa kwambiri. Ntchito yaikulu ya madokotala - ndi kufotokozera momveka matenda (by kufufuza zizindikiro ndi palpation), komanso chithandizo ululu. Choncho wapadera mtsempha spasmolytic kusakaniza. Mankhwala akhoza tisaletse mongoyembekezera ndime ya ducts ya ndulu, kuchititsa zizindikiro kukhala wochepa kutchulidwa. Chotsatira adzakhala yobereka wodwala kuchipatala, kumene tikambirana ndipo anatumizidwa yotsatira chithandizo.

chithandizo

Ndikatha kumfunsafunsa mu mtima kuchipatala angathe kuchizidwa. Pankhani ya cholecystitis pachimake, mwina zikuphatikizapo zinthu zotsatirazi:

• A zakudya okhwima (mpaka njala wathunthu), amene kumatenga masiku 1-2. Komanso, mphamvu ayenera mosamalitsa zochepa ndipo zikuphatikiza makamaka mkaka ndi masamba katundu, komanso nyama Taphunzira.
• Dongosolo zokhudza zonse za wothandizila antispasmodic ndi analgesic kuti tinapangidwa kuteteza matenda chikhalidwe cha mundawo biliary ndi kuthetsa zizindikiro zosasangalatsa. Zikavuta, ngakhale mankhwala chomwa mankhwalawa mwina mankhwala.
• Pamene catarrhal cholecystitis kutumikiridwa mankhwala mu mnofu, lomwe nthawi zambiri kumayambitsa malizitsani kuchira. Koma mawonekedwe owononga matenda, njira imeneyi kungakhale operewera, monga chifukwa kusintha osachiritsika magazi m'thupi wathyoka.
• Opaleshoni alowererepo kungabweretse kuchotsa mbali ya ndulu kapena chiwalo kwathunthu. Mwatsoka, nthawi zambiri ndi muyeso zofunika, popanda zomwe n'zosatheka kupulumutsa moyo wa wodwala ndi kusintha zonse.

zodzitetezera

N'zovuta kutsutsana ndi mfundo yakuti ndi bwino kupewa pakutchulidwa matenda, kuposa kuthana ndi mankhwala. Ngakhale kuti waukulu chiopsezo gulu la cholecystitis pachimake - mkazi thupi chachikulu patapita zaka 45 Ndipotu palibe amene sangayesedwe ku vutoli. Choncho chiyenera tcheru zokwanira kuteteza, imene imakhudza zotsatirazi:

• chakudya chamagulu, womwenso munthu pazipita mankhwala othandiza;
• chithandizo yake matenda opatsirana (ili ntchito osati pa mundawo m'mimba, komanso dongosolo kupuma ndi ziwalo zina);
• kuyendera ndi mano ndi mankhwala a caries;
• Kuteteza matenda ndi tizilombo m'mimba kapena kuchotsa awo mwamsanga nkhani ya mavuto);
• moyo yogwira (onetsetsani kuti achite Zochita m'mawa, komanso kuyenda zambiri angakhale);
• wabwino zina tsiku ndi ntchito;
• zonse zachipatala tione kuti kuona zolakwika pang'ono kuchotsa awo mwamsanga.

Pomaliza

Pachimake cholecystitis - vuto loopsa kuti angasonyeze mwadzidzidzi kwathunthu. Nkofunika kwambiri kuti athe kupereka chithandizo choyamba isanafike madokotala, chifukwa cha ichi amadalira moyo wodwalayo. No zauzimu odziŵa zachipatala zifunika, monga akunja kulowelera si zosayenera okha, koma ngakhalenso oopsa.