Renal colic. Emergency care for renal colic.

In most cases, renal colic develops due to the appearance of obstructions to the outflow from the renal pelvis of urine. In the process of its development in the ureter, there is a movement of stones, dense crystals, as well as various dysfunctions and patency of the ureter (inflammatory processes, kinks).

The attack begins, as a rule, suddenly, most often as a consequence of physical stress. Also, an attack of renal colic can occur and at rest - after a lot of drinking and during sleep. Patients during the attacks behave uneasily, rush about, searching for the position of the body, which could alleviate their suffering, while experiencing a cutting pain with periods of exacerbation and calm.

Very often seizures take a protracted character, have short remissions and last for several days. Beginning with the lumbar region, the pain spreads into the abdomen and hypochondrium, into the bladder along the ureter, into the scrotum, to the labia and to the hips. In most cases, pain accumulates at the level of the genital organs and in the abdomen, and not in the kidney area, accompanied by frequent urge to urinate and cutting pain in the urethra.

Long-term renal colic is accompanied by increased arterial pressure, and with pyelonephritis - a rise in temperature.

Renal colic: emergency care

It is in the call of a doctor who will introduce atropine and narcotic analgesics. If the patient suddenly had renal colic, help in waiting for the doctor should be limited to thermal procedures - hot tubs, hot water bottles. So you can remove a little disco, which causes renal colic. First aid may include the taking of anesthetics and antispasmodics already available in the medicine cabinet: a baralgina tablet; Papaverine (0.04 g); Avisan (0.5-1 g); Cystenal (10-20 drops).

If you have renal colic, first aid and urgent hospitalization - that's the key to successful and favorable treatment. At home, to carry out treatment before finding out the causes of pain attacks is contraindicated. A sharp painful attack requires the doctor to recognize the kidney colic as soon as possible and take urgent measures. Only a specialist in a hospital hospital can confirm or exclude this disease. In the pre-hospital period, treatment with renal colic is permissible only when the diagnosis does not cause any doubt.

So, help with the treatment begins with the removal of pain syndromes. This is achieved through the use of thermal procedures, analgesics and antispasmodics. It was during this period that the above mentioned is of great importance for the patient: when renal colic began, emergency care in the prehospital period should consist in intensified warming up (hot-water bottles, hot baths, sand - 40-50 degrees). In most cases, these measures either alleviate the pain, or completely remove it. And only when their application does not produce the desired effect, while waiting for a doctor, they start using medications. Usually begin intramuscular injection of epileptic and analgesics. The use of narcotic drugs is allowed only with the exclusion of diseases in the abdominal cavity, mostly without them.

One of the best drugs used in the diagnosis of "renal colic", an emergency aid for pain relief - baralgin (five milliliters). The most effective effect of the drug when administered intravenously, is contraindicated for use by patients who have an allergic reaction to analgesics.

In a hospital for the management of renal colic, it is preferable to use "lytic mixtures".

To achieve a differential diagnostic and therapeutic purpose, sometimes a blockade of the round ligament of the uterus or spermatic cord is carried out - 10-30 milliliters of novocaine (1%). After that within 20 minutes the renal colic subsides, the exception is acute diseases of the abdominal cavity organs. Sometimes paravertebral blockade with chloroethyl is used instead of novocaine blockade .

Thus, if you or a person close to you have overtaken renal colic, urgent care, conducted in a timely and correct manner, facilitates the rapid restoration of organ functions, prevents the occurrence of severe complications. After elimination of renal colic, the patient needs a detailed examination by a urologist.