Renal colic amatanthauza a ululu chifukwa kutsekeka kwa mkodzo thirakiti. Imadziwonetsera yokha mu ululu Zovuta ndinamva mwadzidzidzi m'dera la lumbar, ndipo ndi chifukwa cha kuwonjezeka kwadzidzidzi kwa kuthamanga kwa mkodzo komwe sikungathenso kuyenda.

Renal colic imayamba chifukwa cha vuto la mkodzo lomwe limalepheretsa kutuluka kwa mkodzo.

Mu 3/4 ya milandu, ululu umayambitsidwa ndi a urolithiasis, odziwika kwambiri mwala wa impso.

Miyala ya impso (= tinthu ting'onoting'ono tolimba ngati timiyala tating'ono tosiyanasiyana, nthawi zambiri timakhala ndi calcium kapena uric acid) imapanga m'mitsempha ya mkodzo, nthawi zambiri mu impso kapena ureters (ma ducts omwe amalumikiza impso ndi chikhodzodzo).

Mwala ukatsekeredwa mumkodzo umodzi, umalepheretsa kapena kuchedwetsa kwambiri mkodzo. Komabe, impso ikupitirizabe kutulutsa mkodzo pamlingo wopapatiza kwambiri kuti usadutse. Kutuluka kwa mkodzo kumachepetsedwa kwambiri, kapena kuyimitsidwa, pamene impso ikupitiriza kutulutsa. The matenda oopsa kwaiye ndi kudzikundikira mkodzo, kumtunda kwa chopinga, zimayambitsa ululu waukulu.

Zomwe zimayambitsa aimpso colic zitha kukhala:

• kutupa kwa ureter (= ureteritis chifukwa cha chifuwa chachikulu, mbiri ya kuyatsa),
• chotupa cha impso thirakiti,
•  mimba yomwe kuchuluka kwa ureter kumadutsa,
• ma lymph nodes,
• fibrosis yam'deralo,
• chotupa m'chiuno, etc.

Mapangidwe a miyala iyi akhoza kuyanjidwa ndi zinthu zosiyanasiyana:

• matenda amkodzo am'mwamba,
• kuchepa madzi m'thupi,
• kudya zakudya zokhala ndi mafuta ambiri komanso nyama zozizira,
• mbiri ya banja la lithiasis,
• anatomical malformations a impso,
• matenda ena (hyperparathyroidism, gout, kunenepa kwambiri, shuga, kutsegula m'mimba kosatha, siponji medullary impso, aimpso tubular acidosis mtundu 1), Matenda a Crohn, kulephera kwaimpso, hypercalciuria, cystinuria, sarcoidosis....).

Nthawi zina chiopsezo cha aimpso colic chimawonjezeka ndi kumwa mankhwala enaake.

Chifukwa cha renal colic sichidziwika ndipo chimatchedwa idiopathic lithiasis.

La ululu zimachitika mwadzidzidzi m'dera lumbar, nthawi zambiri m'mawa ndi / kapena usiku. Iye amamveredwa mbali imodzi, mu impso yokhudzidwa Ikhoza kupitirira kuchokera kumbuyo kupita kumphepete mpaka m'mimba, m'mimba, ndipo kawirikawiri, ululu uwu umatuluka kumaliseche akunja.

Zowawa zimasiyanasiyana kwambiri koma zimakhala zovuta kwambiri. Kupweteka kopanda phokoso kumapitirirabe pakati pa aliyense gawo lamavuto, nthawi yomwe imatha kukhala mphindi khumi mpaka maola angapo.

Ululu nthawi zina umatsagana ndi vuto la m'mimba (mseru, kusanza, kutupa) kapena kusokonezeka kwa kwamikodzo (kulakalaka kukodza pafupipafupi kapena mwadzidzidzi). Kukhalapo kwa magazi mumkodzo kumakhala kofala. Kusakhazikika ndi nkhawa zimawonedwanso nthawi zambiri.

Kumbali ina, mkhalidwe wamba sungasinthidwe ndipo palibe malungo.

Chifukwa cha mphamvu ya ululu, aimpso colic kuukira imagwera pansikuchipatala : Ndikofunika kuonana ndi dokotala mwamsanga zizindikiro zikawonekera. Kuwongolera kwamankhwala kumachitika molingana ndi kuchuluka kwa mphamvu yokoka, koma choyambirira chimakhala chilichonse chomwe chingachitike kuti muchepetse ululu ndikuchotsa chopingacho.

Chithandizo cha aimpso colic chifukwa cha miyala ya impso, chimakhala ndi jekeseni, antispasmodics komanso makamaka. non-steroidal odana ndi kutupa mankhwala, alpha blockers ndi calcium channel blockers. Morphine itha kugwiritsidwanso ntchito ngati mankhwala ochepetsa ululu.

Chepetsani kumwa madzi, osakwana 1 lita pa maola 24: izi zitha kuwonjezera kupanikizika kwa impso bola ngati njira ya mkodzo ikatsekeka.

Mu 10 mpaka 20% ya milandu, opaleshoni ndiyofunika pankhani ya colic ya aimpso chifukwa cha calculus.¹

N'zotheka kuchepetsa zoopsa tsiku ndi tsiku ndi hydration wokhazikika komanso wokwanira (1,5 mpaka 2 malita amadzi patsiku) chifukwa izi zimathandiza kuchepetsa mkodzo ndikuchepetsa chiopsezo chopanga miyala.

Kupewa kumakhudza makamaka anthu omwe adwala kale

aimpso colic.

Malinga ndi chifukwa cha aimpso colic, amachitira.

Ngati chifukwa cha colic ndi vuto la miyala ya impso, miyeso ya zakudya ikulimbikitsidwa, zimadalira chikhalidwe cha miyala yomwe yawonedwa kale mwa munthu aliyense. A njira mankhwala a miyala angagwiritsidwenso ntchito.

Phytotherapy

Kugwiritsiridwa ntchito kwa zomera zomwe zili ndi diuretic zimatha kuonjezera kuchuluka kwa mkodzo ndikuletsa mapangidwe a impso miyala yomwe imayambitsa aimpso colic.

Titha kutembenukira ku burdock, borage, blackcurrant, mate, nettle, dandelion, horsetail, elderberry kapena tiyi.

Chenjezo: zomera izi ndi zambiri zodzitetezera. Choncho sali oyenera pakagwa vuto lalikulu.

Tizilombo toyambitsa matenda

• Katetezedwe :
  • powerengera ma phosphates ndi oxalates, timalimbikitsa Oxalicum acidum mu 5 CH pamlingo wa 3 granules katatu patsiku,
  • kwa impso miyala limodzi ndi albuminuria, Formica rufa pa mlingo womwewo tikulimbikitsidwa.
• Poyembekezera aimpso colic ndi ululu: kuchepetsa 5 CH granules Belladonna, Berberis vulgaris, Lycopodium ndi Pareira brava mu kasupe madzi ndi kumwa tsiku lonse.
• Ngati kukodza kumakhala kovuta: imwani ma granules atatu a Sarsaparilla katatu patsiku.
• Pakachitika aimpso colic (kuchuluka kwa mkodzo kumasinthasintha mosalekeza): sankhani Berberis vulgaris polemekeza mlingo womwewo.
• Popewa kuyambiranso:
  • Ma granules 5 patsiku osakaniza pa 200 K kuti apangidwe mu pharmacy yopangidwa ndi Calcarea carbonica, Collubrina ndi Lycopodium,
  • pa miyala ya phosphate, tengani Calcarea phosphoricum kapena Phosphoricum acidum (kusungunuka komweko, mlingo womwewo).