Cholecystitis Acute: unonophelo etsolo kwi prehospital

Eli likhulu ngokwaneleyo, kwaye ngexesha elinye, ingxaki woluntu cholecystitis oyingozi. uncedo olungxamisekileyo ngaphandle ngokuchanekileyo nangexesha, maxa wambi yayibaluleke kwi unyango olungaphezulu.

Yintoni cholecystitis oyingozi?

Inkqubo yokukrala eludongeni lwesinye inyongo luphawulwa cholecystitis oyingozi. zoncedo olungxamisekileyo kudla idlala indima ebaluleke kakhulu ekulondolozeni ubomi umguli. Isifo kuqala zihlelwa ngesihloko ezifana ubukho okanye ukungabikho ngamatye. Ngoko ke, kwimeko yokuqala sithetha calculous, kwaye eyesibini - malunga nekalkuleznogo cholecystitis. Kwakhona, lo ngezifo zihlelwe ngokungqinelana iqondo sisilonda esidumbileyoesingaphakathi le senyongo:

• catarrhal cholecystitis - senyongo ingaphezulu kakhulu norm, ezele ulwelo, neendonga zambethe ngebhitumene;
• ithumba - nangokurhala, sikhatshwe ekumisweni ubofu;
• xuki - ifomu ezimbi kakhulu cholecystitis, nto leyo sikhatshwa necrosis.

Ezibangela isifo

Ziliqela izinto kunokubangela ingxaki ezifana cholecystitis oyingozi. Emergency Care luqinisekiswa kakhulu ngabo. Ngenxa yoko, le ndawo le ngxaki ngolu hlobo lulandelayo:

• phambi yamatye kuphazamisa ukuhamba enyongweni;
• Mani yobisi.

Naye, ukuba ukuvela ezi ngxaki ukuba zinto zilandelayo:

• utyando;
• ukulimala mechanical;
• ukudla ngqwabalala okanye indlala;
• iingxaki wokugaya;
• yamafutha;
• ngendlela engalunganga yokuphuma ekutyeni (ukwanda elibukhali kwi ekudleni);
• nokudumba;
• imigudu BP enyongweni;
• yidityaniso iqalisiwe;
• luphele;
• emva kweminyaka engama-45 ubudala;
• izifo ezingapheliyo.

The main Iimpawu

Nceda ukuchonga iimpawu cholecystitis oyingozi. uncedo Emergency kuya kufuneka kwimeko apho kukho iimpawu ezifana:

• okubuhlungu kwi ekunene ikota yesangqa eliphezulu (namandla kunye rhoqo ukhula rhoqo);
• umlomo owomileyo kwaye ukuyilwa amabala amhlophe elwimini;
• ukwanda lobushushu emzimbeni ukuya degrees 38;
• Ukugodola kunye ukubila;
• ukuqumba;
• isicaphucaphu nokugabha;
• ingqondo ubukrakra emlonyeni;
• isikhumba yellow;
• ukukhathala kanye buthathaka;
• iyangongoza intliziyo;
• ubunzima kuzo emajukujukwini.

Kufanele kuphawulwe ukuba ezi mpawu ingachazwa kakuhle ukuba inani nezinye izifo ngohlobo etsolo (pancreatitis, isibindi ithumba, isilonda, njl D.), kungabi kuphela ingxaki ezifana cholecystitis oyingozi. kufuneka uncedo olungxamisekileyo, ukuba uxinzelelo indawo ukunyuka iintlungu inyongo lwesinye kakhulu. A ukusabela okufanayo kwenzeka xa yasentabeni kwindawo buhlungu ngexesha iphefumlelwe.

cholecystitis Acute: unonophelo etsolo kwi prehospital

Attack lwenzeka ngesiquphe kwaye ithatha ngokupheleleyo nzima ngokwaneleyo elide. Kodwa musa athembele izigqibo ngokuzimeleyo iingxaki ezifana cholecystitis oyingozi. "Ambulance" kufuneka Ibizwa ngokukhawuleza kwi imbonakalo iimpawu kuqala. Yaye ngaphambi kokufika oogqirha kufuneka athathe la manyathelo alandelayo:

• into yokuqala kukuba ukunceda isigulane ukuba ndilale phantsi kwaye uthathe indawo obutofotofo (ngcono ukuba silele ngecala lasekunene);
• Kuvumeleke ukuba isigulane ngezimbiwa encinane nezihlwahlwazayo (okanye ebilisiweyo) amanzi okanye iti eluhlaza eshushu;
• ukuba lula kancinci ukuhamba ukuhlasela, ngaphantsi kwicala lasekunene kufuneka sifake ingxowa ezele ngumkhenkce.

Kubalulekile ukuphawula ukuba uncedo lokuqala cholecystitis kakuhle. Akukho lutho kuphela, kodwa ukusebenzisa kakubi kunokukhokelela nemiphumo noqhekeko.

uzenze

Kukho eziliqela inyala, nto leyo luphawulwa unonophelo etsolo kwi cholecystitis oyingozi. I algorithm kuyo nayiphi na imeko akufuneki zibandakanya ezi zinto zilandelayo:

• kungakhathaliseki ukuba unamandla kangakanani okanye iintlungu, de kufike zonyango ngaphandle kokuthatha naliphi na amachiza iintlungu (kokuhlaselwa cholecystitis ludlule, baya ngenkankulu kuba nako ukuyeka, kodwa oogqirha baya kuba nzima ngakumbi ukwenza ukuxilongwa);
• Yokuba akwamkelekanga ukunika iziselo isigulane kushushu kakhulu okanye kubanda kakhulu;
• nakuyiphi na imeko akukho mfuneko ukufudumeza kummandla ochaphazelekayo (oko kukuthi, kakade, asenokusidambisa kancinane inkantsi, kodwa kwelinye icala, ubushushu unako ukukhonza ibe ngunobangela uhlaselo).

ukhathalelo lwempilo

Ikhwelo "ambulensi" elwe in ngxaki efana cholecystitis oyingozi. Emergency Care ekhaya zincinane kakhulu. Umsebenzi ophambili we negqiza loogqirha - kukucacisa uxilongo (ngokuhlola iimpawu kunye Ngokucofa), kwakunye ntlungu. Ngenxa yoko, umxube ekhethekileyo efakwa spasmolytic. Ichiza kungaba lula okwethutyana elingaphesheya bile duct, ebangela iimpawu zibe ngaphantsi kubi. Inyathelo elilandelayo liya kuba kokunikezelwa isigulane esibhedlele, apho aya kuvavanywa yaye abelwe ukuba alandele-up unyango.

unyango

Emva koviwo isigulane esibhedlele sinokunyangwa. Kwimeko cholecystitis ludlule, oko kuquka ezi zinto zilandelayo:

• Ukudla engqongqo (de indlala ngokupheleleyo), okuhlala iintsuku 1-2. Ngaphezu koko, amandla kufuneka ibe ngqongqo limited yaye ziquka ikakhulu ubisi kunye nemifuno neemveliso, kwakunye inyama ezinqinileyo.
• ulawulo lwenkqubo arhente antispasmodic kwaye iintlungu ukuba zilungiselelwe ukuba ukubuyisela imeko iphecana biliary nokuphelisa iimpawu ezingemnandi. Kwiimeko kakhulu, nkqu iziyobisi ezidakumbisayo kunokumiselwa.
• Xa catarrhal cholecystitis elawulwa antibiotics intramuscular, nto leyo ngokufuthi ekhokelela ukugqibezela alulame. Ke ukuba uhlobo etshabalalisayo sifo, le ndlela unako ingaphumeleli, njengoko ngenxa yeenguqu egazini kwegazi sisiba mandundu kwi umzimba yaphulwe.
• ungenelelo Surgical kusenokubandakanya kususwe inxalenye inyongo esinyini okanye ilungu ngokupheleleyo. Ngelishwa, kwiimeko ezininzi ngumlinganiselo kuyimfuneko, ngaphandle apho akunakwenzeka ukuba kukuhlangula ubomi yomguli kunye bachache ngokupheleleyo.

amanyathelo othintelo

Kunzima ukuba uphikise yokuba kubhetele ukuthintela ukwenzeka zezifo, kunokuba ukujongana kunye nonyango lwabo. Ngaphandle kwento yokuba iqela umngcipheko engundoqo cholecystitis etsolo - unomzimba omkhulu yomfazi emva kweminyaka engama-45, enyanisweni akukho namnye sinazo kule ngxaki. Kwaye ke ngoko kufuneka ihlawulwe ingqalelo ngokwaneleyo kuthintelo, nto leyo ibandakanya oku kulandelayo:

• ukudla okunempilo, ebandakanya ezona zininzi ziimveliso ezinoncedo;
• unyango ngexesha kwezifo ezosulelayo (oku kusebenza kuphela kwi wokugaya, kodwa inkqubo yokuphefumla kunye nezinye izigqeba);
• Utyelelo rhoqo kugqirha wamazinyo kunye nonyango yidityaniso;
• Uthintelo losuleleko amagciwane isisu okanye ukususwa zabo xa iingxaki);
• yokuphila asebenzayo (qiniseka ukuba ukwenza umthambo kusasa, kwakunye uhambe ezininzi);
• luphumlo elungileyo emva kosuku ukusebenza;
• uvavanyo lonyango rhoqo ukuze akwazi ukufumanisa zokwahluka encinane kunye nokususwa zabo.

isiphelo

cholecystitis Acute - yingxaki esiyingozi ngazo ngokwayo ngesiquphe ngokupheleleyo. Kubaluleke kakhulu ukuba bakwazi ukunika uncedo lokuqala phambi kokufika koogqirha, ngenxa yokuba oku kuxhomekeka ebomini yesigulane. Akukho izakhono zonyango angaphezu kufuneka, njengoko uphazamiseko ngaphandle nje kuphela ezingafanelekanga, kodwa kuyingozi.