Biliary colic yog qhov tshwm sim ntawm cholelithiasis . Nws tshwm sim ua mob heev, uas tuaj yeem ntev li ob peb feeb mus rau ob peb xuab moos. Lawv tshwm nyob rau hauv txoj cai sab quadrant, thiab kis thoob plaws hauv plab. Yog tias ib tug neeg muaj biliary colic, kev khomob xwmtxheej ceev yuav tsum tau txais tam sim ntawd. Tsis li, yuav muaj pancreatitis, cholecystitis, plab hnyuv txhaws thiab lwm yam mob.
Cov tsos mob ntawm biliary colic
Kev kho mob xwm ceev yuav tsum tau muaj tom qab tshwm sim ntawm cov tsos mob ntawm cov ntsej muag biliary:
- rov ntuav dua;
- xeev siab;
- mob mob nyob rau hauv txoj cai tav (muab tau rau hauv qaum, caj dab, xub pwg, xub pwg hniav, thiab qee zaum kis thoob plaws hauv lub plab).
Tus mob nres, raws li txoj cai, pib thaum tsaus ntuj. Nws yuav muaj zog thaum lub sij hawm kev tshoov siab thiab thaum twg ib tug neeg puv mus rau sab laug. Qhov mob txo me ntsis yog tias nyob ntawm sab xis (koj tuaj yeem khoov koj ob txhais ceg hauv lub hauv caug pob yas qej).
Nws tseem yuav tsum tau hu rau cov kws kho mob thiab tam sim ntawd muab kev pab thaum muaj xwm txheej ceev yog hais tias biliary colic tawm tsam, thaum mob los ntawm kub cev, pallor lossis jaundice ntawm daim tawv nqaij. Qee cov neeg mob tau tsam plab. Qhov no yog lwm yam kev mob tshwm sim, txawm tias qhov mob tsawg dua.
Kev kho mob thaum muaj xwm ceev rau biliary colic
Cov neeg uas muab kev pabcuam thaum muaj xwm ceev rau cov biliary colic yuav tsum tau ua raws li cov txheej txheem no:
- Tuav tus neeg mob uas nyob hauv ib qho kev ntxhov siab.
- Tso nws rau sab xis, muab tso rau hauv lub cev (lub tshav kub yuav tshem tawm cov ntshauv hauv cov leeg nqaij).
- Muab nws rau tshuaj antispasmodic (No-shpu, Atropin, Promedol, Pantopon, thiab lwm yam).
Yog hais tias tus neeg mob rov qab ntuav, ces koj yuav tsum nkag mus rau ib qho kev kho mob ntawm cov tshuaj spasmodermal. Zoo mob nyem 0.1% Atropine ntawm ntau npaum li cas 0.5-1.0 ml thiab 2% Pantopone ntawm 1 ml. Hauv cov xwm txheej loj, sau
Qhov kev pabcuam thaum muaj xwmtxheej ceev hauv vaj hauv tsev yuav tsum ua kom tiav, ces qhov kev siv ntawm kev ua haujlwm rau tsev khomob, thiab qee zaus, kev cuamtshuaj phais. Yog hais tias tus neeg mob yuav tsum tau thauj mus ntev, ib qho kev kis tau ntawm tov nrog cov tshuaj ntawm novocaine thiab antispasmodics yog nkag tau rau hauv lub tsheb tos neeg mob.