Filling the gum mikhura: symptoms and treatment. As well as cholecystitis and yak yogo lіkuvati: lіkari і lіki Skіlki trivaє fired zhivny mіkhura

cholecystitis - fired up zhovchny mikhura. Є we will expand the diseases of organs black empty... In the Danish hour, cholecystitis suffers from 10-20% of the overgrown population, and at the same time becoming ill with a tendency to grow up. It is tied with a little-ruffled way of life, the nature of eating (overwhelmingly implanted with rich food fats - fatty meat, eggs, butter), growth of endocrine porridges (obesity, suckling diabetes). Women who are ill in 4 times, not more than a few, are tied to taking oral contraceptives, vaginistiu.

Among the numerical ailments of young people, they see functional damage (discines), igniters (cholecystitis), obminny (zhovchnokam'yana ailment). The stage is the phases of one pathological process: a sprinkling of motility disorders of the rump mikhura - dyskinesia, then a firing process comes up - a stone-free cholecystitis is formed, which in an hour is transformed into a malady of ailment (cholelitis).

Reasons for the diagnosis of cholecystitis: basic and additional.

Prior to the main reasons, the infectious bureaucrat should be considered. Infection penetrates into the gum through the roof, lymph and through the intestines.

The primary djerels of infection can be:

Additional factors:

1. Dyskinesia of young people. Tse functional impairment of the tone and motility of the bilar system (chewing mikhur and chewing ducts). Become vipad chronic cholecystitis, To lead to the collapse of the current and stagnation of the gum.
2. Vrodzheni anomalies in the development of the ruminant michur.
3. Pancreatic reflux. zakid vm_stu two-fingered intestines in zhovchnі way. Pancreatic juice with active enzymes of wiklik To meet with ailments of pidshlunkovaya zalozi, twelve-fingered intestines.
4. The destruction of the bloodstains of the zhovchny mikhur. Diagnose atherosclerosis aphids, hypertensive ailments, red diabetes, To lead to the sound of enlightenment of the Sudin.
5. Destruction normal warehouse zhovchi (dyscholia). A change to the warehouse of the mushroom furniture and the distribution of the components must be produced up to the end of the day. Tsyom spriy with a single, rich fat їzhі.
6. Allergic and immunological reactions are triggered by the firing changes in the backyard.
7. Slump factor.
8. Endocrine changes (vagina, taking oral contraceptives, obesity, menstrual irregularities).

Dodatkovi factories set up for the development of firing and prepare a friendly soil for the introduction of microbial flora.

Cholecystitis symptoms.

Cholecystitis buvak gostry i chronic.

Hostry cholecystitis

Gostry bezkamyaniy cholecystitis To develop quickly, against quickening without delay, and ending up to a day, sometimes you can go into a chronic form. Illness most often develops when there are stones in the grub and in the accelerated grub ailments. On the cob, there is an intense attack of similarity at the right side of the debris, nausea, blues, the temperature rises to 38-39 degrees. Perhaps, there is a chill, a chilliness of the sclera and scruffy curves, a swelling of the style and gas.

for hospitable cholecystitis characteristically heavy interruption from the widening of the ignition process on the navkolishn_ organi and fabric.

Cholecystitis is reduced by liver abscess, muscle abnormal peritonitis, (burning of the gum ducts). With such a turn, it is not easy to turn to a doctor - a surgeon, a therapist for feeding about hospitalization in a surgical hospital.

Chronic cholecystitis

Engaged in obedience step by step, nerіdko in a youthful vіtsі. Skargi vinikayut pіd vpushennya deyti, psychomotional overexertion.

The main manifestation of ill health is at the right side. You may be replaced in liva pidreber'ya, The upper half of the abdomen. Noncalculous cholecystitis is caused by this form of secondary dyskinesis, which often results in the nature of the pain. With suppurative hypomotor dyskinesia, pain is persistent, low, but not intense. Often, it is equivalent to pain є the feeling of gravity or palinny in the right pidreberi. In the case of hyperkinetic dyskinesia, it is intense, short-lived, and has an attack-like character. Bіl vіddaє in the supraclavicular fossa, in the transverse dilyanka, in the subscapularis region, the region of the heart.

Cholecystocardial syndrome - including pain in the area of ​​the heart, attack of the heart, disruption of the rhythm of the heart, it is linked to the infectious toxic effect on the heart.

With a trivial overload, it is possible to get involved in the pathological process of sleepy gossip, or a solar syndrome. The main thing I know is a hectic, intense beat in the navel area, which is visible in the back.

Winning and coping with pain is tied to mistakes in children, physically assigned, Vibratsієyu, overcooling, emotional overwhelming, implantation of alcohol.

Nudota, blues develop in 30-50% of cases, it is of a reflex nature and is associated with a deteriorated tone of the cheekbones, or it is overwhelmed with suppurative gastroduodenitis or pancreatitis. The blue masses have a house of zhovchi. Bluvota, yak and pain, provoked by the intake of alcohol, abortion in food.

Vidchuttya girkoti at roti, "girka" vіdrizhka - tsі skargi nibіlsh are often fired up when a rump michur is ignited.

Sverbіzh shkіri, yogo belts are tied to the destruction of the wounds and as a result of the erosion of the skin receptors were bought up in the blood by gum acids. Damage to the flow of zhovchy until the short-hour appearance of zhovtyanitsa.

Chills, temperature fluctuations are indicated in case of a sharpened ignition process in the grout.

Patients often suffer from swirling vegetative-sudinous dystonia. If they attack more, they have neurotic syndromes, such as weakness, piety, heartache, head bill, Emotional labileness (instability), ruining sleep.

Patients who are suspicious of an allergy, an aggravation of chronic cholecystitis, may suffer from allergic reactions (kropivyanka, nabryak Kvinke).

Women have a strong development of the syndrome of premenstrual stress. 2-10 days before menstruation, there are headaches, swelling of the face, hands, nig, instability of the mood. In the same period, there are symptoms of aggravated chronic cholecystitis.

Video about the causes, symptoms and treatment of chronic cholecystitis:

Manifest chronic cholecystitis of developmental symptoms, stench accumulates with signs of development, establish an accurate diagnosis and signify the necessary complex of obsolescence, perhaps a therapist, gastroenterologist.

diagnosis of cholecystitis

Laboratory Doslidzhennya:

We have the same effect of water and mineral water. Fallen from the storehouse, the stench can push a stimulating infusion on the swift function of the chewing mikhur. Mineral water without gas should be taken for the signs of a liquor 3 times a day for 1 glass for 30 quills - 1.5 years before (in the presence of a secrete slurry) in a warm or hot view (40 - 50 degrees);

slipe probe- Tubage, once a day, 3-5 times.

To be carried out vrantsi natchesertse. By and large (with small coats), drink 150-200 ml of warm (40-45 degrees) mineral water with 20-25 g of sorbitol or xylite. Lie on the right boat, on the back for a long time. Put the heat on the right side. For bowel emptying, it is recommended to take a shower, take 20 hilines. The first reception is in 1-1.5 years after the end of the procedure. Tse a bottle of tea with honey, sire.

With the presence of microorganisms in the gum, hypotonia of the gum tissue, cholestatic syndrome, the preparation of gum acids (ursodeoxycholic acid) should be consumed for 1 to 3 months, for a glance.

By means of normalization of the liver function of the liver, the hepatoprotector is recognized as a function of the power. Hofitol is a hepatoprotector of rose linseed, which can be used to take revenge on dry aqueous extract from the juice of a leaf of artichoke polina. Take 2 tablets 3 times a day for 20 hilin before the end of the month. Hepabene - drug combinations roslinnogo pokazhennya, to take revenge on the extract of ruka lykarskoy and dry extract of the fruits of rose thistle plyamistoy. Take 1 capsule 3 times a day.

Mode і lіkuvalnе eating.

During the period of acute acute cholecystitis, the patients are recommended to be treated in the hospital - therapeutic and gastroenterological, after the post-regime, mental state of calm. Pislya lіkvіdatsії bends signifies a sharpening mode of a sick person expands to zalny.

During the period of fire, in the first two days, only the reception of warmth is recognized (German malt tea, juices from fruits and vegetables, diluted with water, mineral water without gas) in small portions up to 1.5 liters per day and in small portions. In the world of peace of mind and polish, the homestay will expand the children's style. recommend:

Rub the soups from vegetables and cereals,
- porridge (vivsyana, rice, manna, Greek),
- jelly, musi, jelly, low-fat sir,
- low fat riba,
- grated and cooked meat, steamed cutlets (veal, chicken, indig, rabbit),
- bili rusks.

You can take additional portions 5-6 times a day.

During the period of sharpening, it is recommended to spend 1 day per week:
- sirno - kefirny day. 900g kefir for 6 meals, 300g of low-fat sir for 3 meals and 100g of zukru;
- rice - compote. 1.5 l of compote, prepared from 1.5 kg of fresh or 240 g of dry fruit for 6 meals, rice porridge, cooked in water from 50 g of rice - for 3 meals.

Pislya kupiruvannya aggravated cholecystitis is recognized as a child, style number 5, as the main one in the case of a sickness.

Patients guilty:
- dairy soups, fruit, on vegetable products with cereals, lokshinoy;
- meat, steamed cutlets, meatballs (yalovichina, rabbit, ham, indichka);
- low-fat varieties of ribbed seafood or rychkovoi in a cooked or baked viglyad, without pick;
- eggs, up to 1-2 per day - not cool, with steamed omelettes;
- dairy products: low-fat milk, sir, kefir, yogurt, sour milk, butterscotch butter (mixed);
- vegetables in cooked, baked viglyad, chastkovo - siri. Potatoes, beetroot, carrots, pomidori, ogirki, garmelon, liquorice, eggplant, cabbage, zucchini;
- fruits and berries. Pears, dinis, bananas, peaches, apricots, kavuni, non-acidic varieties of apples;
- porridge - Greek, vivsyana, rice, manna, milk supplements, if tolerated;
- gravy liquor - marshmallow, marmalade, honey, jam, jam, jelly;
- wheat-grass virobi - wheat and wheat bread, extra bread, rusks from white bread, dry, uncomfortable baking.

Take in small portions, not enough 5-6 times a day. It is not recommended to trivial interrupt between priyomami їzhі, hunger. Obov'yazkovy snіdanok, supper 2 3 years before bedtime, not necessary. The number of children is not interchangeable. Rasna a bit of їzhі, take it one-time, break the rhythm of the picture of the zhovchі, wicklikє spasm of the zhovchy mikhur and provocation bіl.

In case of chronic cholecystitis, it is necessary to make the implantation of the products, to increase the level of cholesterol and reduce the level of cholesterol:

Bagati grub fibers (hanging, vegetables, fruits, berries). Hanging in front of the front and add to the dishes, 1-1.5 tablespoons 3 times a day;
- rich in magnesium salts (Greek and vivsyana groats, Dried fruits, hanging);
- to take revenge on the essential polyunsaturated fatty acids, phospholipids, vitamins E (corn, olive, sonyashnikov and іnshі olії);
- take lactic acid bacteria (fermented milk drinks, sir).

With a lot of fatty foodstuffs (greased gravy, fatty riba, pork, lamb, pitching, cowbass, smoked meats, mayonnaise, creams, torti, tistechka);
- syroї tsibulya, chasnik, radish, sorrel, spinach, mushrooms, gravy from beans (peas, kvassol);
- cold and gas drinks, concentrated juices, kava, cocoa, alcoholic drinks.

Rehabilitation.

Physiotherapy and sanatorium-and-spa treatment is an important component of complex rehabilitation of patients. Yak thermal procedures for the correction of hypertonicity of the chewing mikhur, antiapalny and sun-sickly diy for stagnation of inductothermy, UHF electric field. The course of treatment is 12-15 procedures, every day. With the help of stimulation of the sprinkling of the chewing mikhur, it is recognized as an impulse strum of low frequency. For the reduction of dyskinetic manifestations, electrophoresis of 5% novokainu, 2% papaverine is recommended. For the normalization of the functional stan nervous system zasosovyut galvanic com_r according to Shcherbakov, electrophoresis with bromine. At the same time, I mean coniferous, acidic and carbonic acid baths. The sanatorium-resort lіkuvannya is shown not earlier, not in 2-4 months for acute cholecystitis. Patients are heading to the balneological mud resorts: Asentuki, Zheleznovodsk, Truskavets, Morshin.

Decreased cholecystitis.

Prior to acceleration: pericholecystitis, pancreatitis, cholangitis, reactive hepatitis, duodenitis.

Pericholecystitis of winyє in case of infection in the pathological process of all stinks of the moth and serous membrane (orevina). With a large increase in the pain syndrome, it should be of a persistent and intense character, expand to the right side, adapt when turning and nahili tuluba.

Cholangitis is an ignition process in the gum ducts. The main symptom is an increase in temperature up to 40 degrees with repeated chills, nudity, blues, swelling of pain in the right pidreber.

In case of non-calculous cholecystitis, often in the pathological process, one of the organisms of the herbal system is involved: as well as the pain in the right ridge, there is a greater perception of an “operative” character, the weakening of the disease is a pathological process. It will expand to the entire area of ​​the liver and to support the disease - admission of reactive hepatitis, diagnosis of diseases, hunger pains in upper half abdomen to indicate the presence of duodenitis.

The arrangement does not only add to the waste of pracezdatnost, but it becomes a threat to the patient's life, so when the first symptoms appear, it will be necessary to immediately turn to a doctor - a therapist or a gastroenterologist.

Prevention of cholecystitis.

Slide after the trivial mode of eating with fatty, greased їzhі, it is recommended to often drink a shot, including alcoholic and gas drinks. Postupova normalization of oil.

Sanitation of chronic infections of the empty company and nasopharynx.

Clinical dispensary for a doctor with ultrasound examination of the hepatobiliary system.

Consultation of a doctor on the subject of cholecystitis

Nutrition: How can you get an attack on a colic in case of calculous cholecystitis independently for the help of folk or medical drugs?
Suggestion: Ні, it is imperative to turn up the term before the doctor - hirurg. In case of unprecedented lіkuvannі, the potential development of those who are not safe for life is accelerated.

Pitannya: What is the counter-indication for a dull probe?
Suggestion: Sleep probing is contraindicated in case of gum disease, gostrich Infectious diseases, Active hepatitis and liver cirrhosis, important diseases heart-vascular system... It is not recommended to carry out the procedure to women in the period of menstruation, vaginosti.

Vostrenkova Irina Mikolaivna, physician of the highest category

- etiology, breakdown and key manifestations the form of the ignition urazhennya zhovchnyi michura. We get sick at the right side of the road, which is in right handі collarbone, nudota, vomiting, diarrhea, flatulence. Symptoms are found on the smallest emotional stress, errors in food, alcohol malignancy. Diagnostics primed on the data of the physical look, ultrasound dosage zhovchny michura, cholecystocholangiography, duodenal probe, biochemistry extravagant analysis blood. Treatment includes dyototherapy, physiotherapy, analgesics, antispasmodics, spasmolytics. Behind the sv_dchennyy to see cholecystectomy.

Country houses

Cholecystitis is a fiery zhivoryuvannya zhovny mikhur, as a result of the motor-tonic dysfunction of the zhovchivydnoy system. In 60-95% of patients, the ailment is tied to the appearance of gum stones. Cholecystitis is the most widespread pathology of organs in the black emptying, becoming 10-12% of the foreign cases of sickness in the group. The firing of the organ appears in people, be it a vik, often the patients of the middle age (40-60 years) are suffering. Ailment is 3-5 times more hostile to a particular female stati. For children and adolescents, a stoneless form of pathology is characteristic; Especially often it is diagnosed in civilized lands, which is overwhelmed by peculiarities food behavior and the way of living.

cause cholecystitis

• Zhovchnokam'yana Hvoroba... Cholecystitis on aphids of housing and communal services occurs in 85-90% of cases. Concretions in zhovchny mіkhury become the cause of stasis zhovchі. The stench clogs up the hole, traumatizes the mucous membrane, flares up the spikes and adhesions, causing the process to ignite.
• Dyskinesia of youthful nobles. Development of pathology spriy functional breakdown motor skills and tone of the bilious system. Motor-tonic dysfunction can lead to inadequate emptying of the body, stonework, failure to burn in the cheekbones and ducts, provoking cholestasis.
• natural anomalies... Rizik cholecystitis grows with congenital malformations, cicatrices and constrictions of the organ, subordinate or sore throat and ducts. Pererakhovani vishche will provoke the deterioration of the drainage function of the zhovchny mikhur, zhovchі zastiy.
• Іnshi incapacitation of the zhovchivіdnoy system... At the diagnosis of cholecystitis, they inject fluff, bristles and ducts, dysfunction of the valve system and the bilious tract (sphinkters of Oddi, Lyutkens), Mirizzy syndrome. Dani will begin to suffer the deformation of the michur, the suppression of the ducts and the formation of the stasis of the stasis.

Krim main ethiological officials There is a number of conditions, the manifestation of some malignant symptoms of cholecystitis, which is infused into the utilization of the beetle, and also on the change of the warehouse. Before such stanіv it is possible to bring Dyscholіі (destruction of the normal warehouse and consistency of mіkhurovo zhovchi), hormonal overexcitation in the period of vagіnosti, menopause. The development of enzymatic cholecystitis with a regular zakid of enzymes from the slurry into the empty michura (pancreatobiliary reflux). Cholecystitis is often diagnosed in the background correct eating, Alcohol malignancy, tyutyunopalinnya, adynamia, sedentary robots, spadkovoi dislipidemias.

pathogenesis

The main pathogenetic Lankan cholecystitis is considered to be the stasis of zhovchi mikhura. As a result of discines of bilious nobles, obturation of the duct, the bar'ern function of the ingestion of mucous membrane decreases, the strength of this stage to the stage of pathogenic flora. The stastiyna zhovch is a friendly middle ground for the propagation of microbes, as they create toxins and start migrating in the fires of the gistaminopodibnu rechovins. In case of catarrhal cholecystitis in the mucous ball, the vernacular swelling, draining the body for the rakhunok infiltration by macrophages and leukocytes.

Progression of the pathological process should be made to expand the firing on pidlizovy and myazovy balls. The speed of the body's health goes down right up to paresis, the drainage function goes down even more. In the infirmary, there is a house with pus, fibrin, slime. The transition to the ignition process on the susceptible tissue begins to form a perivese abscess, and the illumination of the gnarial exudate is brought to the development of phlegmonous cholecystitis. In addition, blood circulation deterioration occurs in the presence of hemorrhage in the organ, there is a lack of ischemia, and then there is necrosis. Donation of power to gangrenous cholecystitis.

Classification

diagnostics

The main difficulty in verifying diagnostics is taken in respect of the type and nature of the disease. The first stage of diagnostics is the consultation of a gastroenterologist. Specialist on the presentation of scarg, anamnesis of ailments, carrying out a physical examination can establish an earlier diagnosis. When looking around, positive symptoms of Murphy, Kera, Musset, Ortner-Grekov appear. For the type and degree of severity of the ailment, the following is carried out:

• Ultrasonic scanning of zhovchny mikhura... Є the main diagnostic method, allowing to establish the size and shape of the organ, the size of the body, the quick function, the appearance of calculi. Patients with chronic cholecystitis experience increased sclerosis of the deformed rhizome.
• Fractional duodenal probe... In the course of the procedure, pick up three portions of milk (A, B, C) for microscopic dosage. For help given method it is possible to assess motor skills, color and consistency of gum. I mark the emergence of the zestnik, as well as the response to the bacterium, the visibility of the sensitivity of the flora to antibiotics.
• Cholecystocholangiography. Allowing to correct information about the robot of the chewing mikhur, the bilary path in the dynamism. Behind the additional X-ray contrast method, there is a breakdown of the rucous function of the gum system, calculi and deformation of the organ.
• Laboratory blood supply. The period in the UAC has neutrophilic leukocytosis, accelerated SHOE. In the biochemical analysis of blood, the increase in ALT, AST, cholesterolemia, bilirubinemia and in is indicated.

In general, hepatobyliscintigraphy should be displayed in the general population for the implantation of a robotic pathway,

1. dietotherapy... Diet is shown at all stages of ailments. It is recommended to take a shot 5-6 times a day for boiled, stewed and baked viglyad. Slid unique great interruptions between the priyoms of the їzhі (more than 4-6 years). Patients are recommended to include alcohol, beans, mushrooms, fatty meat, mayonnaise, cake.
2. Drug therapy. In case of gross cholecystitis, it should be noted that antibiotic, antispasmodic drugs are used. When pathogenic bacteria are detected in the gut, antibacterials are sown, they appear in the form of an outgrowth. Pіd hour remіsії vikoristovoyt zhovchogіnnі preparations, Scho stimulate gum disease (choleretics) and polypathy to the organ (cholekinetics).
3. physiotherapy... It is recommended for all stages of ailment with zebooluvannya, a change in sign of zapalennya, renewal of the tone of the chewing mikhur. When cholecystitis priznachayut inductothermia, UHF, electrophoresis.

The vividness of the zhivny mіkhura zdіysnyuyut with neglected cholecystitis, ineffectiveness of conservative methods of treatment, calculous forms of morbidity. Widely known two techniques are known for the organ: examination and laparoscopic cholecystectomy. I will be able to perform an operation in case of accelerated forms, the manifestation of mechanical and obesity. Videolaparoscopic cholecystectomy is a modern, low-traumatic technique, which allows the reduction of risik. for operational acceleration, speed reabilitation period... With the presence of calculi, it is possible to non-surgical crushing of stones behind the additional extracorporeal shock-and-sick lithotripsy.

Forecast and prevention

The prognosis of becoming ill will lie at the level of gravity of cholecystitis, free diagnostics and competent treatment. With regular use drugs, Dotrimanny to the mode of feeding and control over the prognosis of disagreements. The development of an accelerated disease (phlegmon, cholangitis) is meaningful, the prognosis of ailments, can be wicked seryoznі inheritance(Peritonitis, sepsis). For the prevention of burnout, follow the principles of rational eating, turn on alcoholic drinks, lead an active way of life, help with the sanitation of burns (sinusitis, tonsillitis). We are sick for chronic cholecystitis, it is recommended to undergo ultrasound examination of the hepatobiliary system.

Cholecystitis is often the cause of pain in the abdomen; Symptoms and symptoms: symptoms, on the basis of anamnesis and results of diagnostics, the exact form of the ailment is established and appropriate therapy is adopted. It is necessary to take care of it from a gastroenterologist, a therapist, and in folding bags - from a surgeon.

The firing of the zhovchny mikhura likuvannya (in the ICD-10, the code K81 is assigned) can be found at the choloviks, women, children. Among the main factors, it appears that there are improper feeding and infections, which have penetrated into the organisms of the herbal system, the shlunkovo-intestinal tract. Pathology of small forms and classes.

See cholecystitis (the code for MKH-10 is indicated in the arms):

• gostry (K81.0);
• chronic (K81.1);
• іnshі forma (K81.8);
• unspecified (K81.9).

Chronic zapalennya zhovtnykh michura grows latent and often or rarely recurrent fiddling. The form is catarrhal, phlegmonous and gangrenous. Chim lіkuvati slіd - the idea of ​​establishing the form and the stage of ailments, some of the therapy in the development of new methods of wisdom.

Yak is called zapalennya zhovny mіkhura zgіdno with classes:

• calculous (for stone processing);
• non-calculus.

Only in 10% of clinical diagnoses there is a pathology against without the appearance of stones in the microscope or prototypes. According to the data of medical statistics for the middle of children, cholecystitis is not є to increase the incidence of ailments and to become close to 5% of the middle of patients, who were in need of a first diagnosis gostry lives... Before a group, there are people with diabetics, women over 45 years old, on the other hand, there are people of a sick person.

Main reasons for burning

Staying in a mihuria can be caused by a blockage with a stone to a secret, a daily charge, an incorrect chart of food - a snack on the go, reloading in carbohydrates in a drink.

The reason for the burning of the chewing mikhur among women is often incorrectly prompted by the decision for the correction of the vagi, hormonal zbi with vaginosti or in case of climacteric changes.

Hostry cholecystitis can provoke enterococcus, intestinal and typhoid sticks, staphylococcus, streptococcus, bacterium Proteus genus (Proteus), zanidanity from pidshlunkovaya zolozi enzymes.

Symptoms of cholecystitis in children and adults

When palpation, patients see more swelling in the area of ​​the liver - right to the edge It is characteristic of all forms of pathology. Signs of zapalennya zhovchny mіkhura appear step by step. A spate of supermarkets often vidryzhkoyu, Pidshkirny sverblyachkoyu, abdominal bloating, destructed etching, pithy, and then starting to improve the bile at the bottom on the right, zhovtyut shkirni twist, very bilky.

Women may have signs of cholecystitis due to symptoms of PMS - headaches, slight swelling of the ankles, blistering of the legs. In most cases, the ignition process is chronic form... The relapse is not infrequent, insisting on tlі stress, implantation of fatty or smoked food, physical overstrain, shaking when oversaturated with transport.

Symptoms of zapalennya zhivnogo michur in case of aggravated:

• a sharp overhang in the right boat;
• signs of intoxication (nudota, migrenia, blasphemy, іnshe);
• flatulence;
• blues, inodi in the masses to develop zhovch.

Gostriy cholecystitis can be supravodzhuvatisya with constipation or diarrhea, especially if the implantation is fatty, with a temperature of 38 C, chills, appetite, sverblyachkoy. Until then I'll attack gostry bil often aside towards the right shoulder or scapula. It is not often a matter of supervising to meet newcomers of full-time students (sclera) and shkiri. It’s unfortunate lykuvannya, especially calculous cholecystitis, can lead to an accelerated stage, an abscess of a part of the liver, peritonitis.

In case of fired zhivny michur, the symptoms of a chronic form of a slicker are smoothed, if the pechinka kolka is not easy to eat. Lyudin in the right boat saw the letter, tyagne and stupid b_l It will go to the cross-Kryzhov region of the ridge. Another patient can name the middle of the symptoms of arrhythmia, change to the color of the cut (ridina dark) and feces (bili or light feces).

lykuvannya cholecystitis

When igniting a zhovchny mikhura, the patient should be sent to the ultrasound scan. Obov'yazkovo slid to harden the appearance of calculi in the organ and the th ducts, then correctly accept the way of usuning pathology. Lіkuvannya zapalennya zhovchnyi mіkhura vimagа complex approach: the near-stone form becomes stagnant conservative methods therapy, and with calculous, with frequent relapses, surgery is recommended - cholecystectomy.

It includes greased, fatty, smoked and pickled herbs, canned food and salty, hospitality spices, kava, chocolate, sparkling water, alcoholic drinks, confectionery virobes. It is recommended to live milk and fermented milk products. At the gourmet, steam is usually switched on, for example, ribs and meat of low-fat varieties, which have passed the heat treatment of vegetables, fruits and berries, slush porridge and soup. For polishing etching, prescribe Mezim, Pancreatin and podibny use.

Likuyuchiy lykar beskamennogo cholecystitis signs Holagol, Allochol, Holosas, Holenzym, lyobil, Artichoke, as well as a selection of lykarsky herbs, which include quits of immortelle, maize riltsya, tansy, peppermint... When microorganisms are found in the secrets, preparations based on ursodeoxycholic acid (Ursofalk, Henofalk) are stagnant. Women also recognize Adaptol, pustular and valerian, may be the power of the knowledge of spasms of sudin at VSD. For pain relief from Drovaterin, Baralgin, Papaverin, no-shpu, Riabal, Spazgan and other analgesics and antispasmodics.

In addition to the zapalennya zhivnogo michura of the stone-cut chronic form of the "slapy" method of tyubage. On the other hand, drink up to 500 ml of non-gas-free warm mineral water, kick it and apply it to the right side for 1.5 years and then dry the bottle. The procedure is slowing down, the triviality of the course is 3 months.

- the host is a firing process, which is to be found in the zhivchny mikhury of people.

At normі zhovchny mіkhur maє obsyag, yaky 40-70 cm3. Have pechintsi people go viral , Yaka is necessary for securing the etching process. Vona zberіgaєtsya in zhovchnoy mіkhury. As soon as in the organism there is a breakdown of the exchange processes, then in the education of the chewing mikhur there may be stones, and with an one-hour diagnosis of an infectious ignition process, the development of a state-of-the-art cholecystitis is seen.

cause cholecystitis

One of the most common reasons for the development of cholecystitis is the consumption of microbes in the body and the development of microbes. Cholecystitis can provoke streptococci , enterococks , staphylococks ... The very same thing for the likuvannya grievous abo chronic cholecystitis often get stuck ... As a rule, the penetration of microorganisms into the gum micur is carried through the gut ducts from the intestine. It is also a phenomenon that there is a trace of the lack of function of the meat fibers, which emerges from the intestines of the backbone. More often spontaneous yak inheritance discines of the zhovchny michur і young people , Zanadto low secretory activity of the slunk, vise in twelve-fingered kishts.

Even more often, the development of cholecystitis is seen as the inheritance of a damaged woman. You can stay at the people, yak awesome see ... As soon as there are stones in the humor of people in the presence of stones, the stench doesn’t just open the mechanical translation for the output of the humor, but also to scratch the walls of the humor. Have a bag in a chewing mikhury with a chance to grow aseptically , and more - microbial zapalennya zhovny mikhura. In such a rank, chronic cholecystitis develops in a sick person, which periodically becomes hotter.

Whilst, the microbial can wander into the gum microscope, having consumed it with the flow of blood and lymph, and in the gum microscopy, the sudinna sieve is rooted. Symptoms of cholecystitis often occur in people who suffer from intestinal and organ ailments. sectional system for the manifestation of those vognisch burned.

Inodi cholecystitis provoke ascaridi , lambli , explicitness liver injury і zhovnoy mikhura that in.

symptoms of cholecystitis

Symptoms and cholecystitis are clearly manifested in the same early stages development of ailments. Early manifestation of ill-health by the greats of decency. As a rule, it stinks because of that, as a person has smashed a little bit of food for himself, for example, he’s rich in food, or even more fatty, drinking some alcohol, etc. When there is a wide range of bile vines in the mountains of the abdomen and in the area of ​​the right pidreber'ya. more views They can be either permanent or build-up periodically. Inodi with cholecystitis, viniku duzhe sharp bile, Yaka Nagaduє zhovchnu kolka ... Yak symptoms of gross cholecystitis are possible and diagnosis of dyspeptic symptoms. Tse girky i metallevy dimple at roti, post-nudota, vyniknennya vіdrizhki ... Lyudin is becoming more and more friendly, often suffering from sleeplessness.

A person suffering from cholecystitis has an hour to the hour of the vinaigrette vomiting, protesting such vomiting does not grow lighter. In addition, the symptoms of cholecystitis often appear in the growth of the temperature of the body, the increase in sertsebit, in the sick person there may be a trifle of recovery. For example, the dryness of the mov.

If you are ill, do not immediately get caught up in the description of the symptoms, then you can develop peritonitis , Scho є even more unfailing camp.

Chronic cholecystitis is mostly trivial, in some cases it can be quite rocky. Chronic cholecystitis was diagnosed on a spike of deworms. at kam'yaniy cholecystitis in the education of the zhovchny michura of stone is not established. At the same hour calculous cholecystitis to be characterized by viniknennyam in the education of mikhura kameniv. Otzhe, cholecystitis is a manifestation of gum disease.

At the same time, people periodically develop zagostrennya, schooled in repairs. An aggravated chronic form of ailment, as a rule, is the result of an overload of an important illness, a malignant alcohol, physical overwork, overcooling, intestinal infections... With chronic cholecystitis, symptoms appear similar to those state form ailments. However, the intensity of the mensh is swung, the camp of the ailing is not so important.

diagnosis of cholecystitis

Diagnosis of cholecystitis is carried out by a Fakhivite, in the first place, with the help of a patient's experience and knowledge of the history of ailments. Analysis of the anamnesis key overrun ailment is necessary to provide information for those who have received it. Dali patients recognize a special method of adolescence, which can be used for cholecystitis, - duodenal probe ... The whole method of stagnating lies, and it is also important to carry out the same delay.

It is also important to conduct a retreat of bacteriological preliminaries (for all to carry out seeding). Particularly important is the tse zrobiti, as the patient is reduced by the acid-dissolving function of the slunk. In the process of diagnostics of cholecystitis, the physical and chemical power of the woman follows.

The chronic form of engulfment is importantly differentiated from chronic cholangitis , gum ailment .

lykuvannya cholecystitis

If the patient has a cholecystitis, then in a large number of cases immediately go to the hospital in the surgical hospital. In general, cholecystitis is treated with conservative therapy. Importantly, after a long time, the ailments were transferred to the state of calm. A collection of pacintovі zaboronyayut live їzhu: yogo kharchuvannya is carried out by the way of internal introduction of living sums.

As soon as the mice is more intensely inflamed due to common symptoms and fungal fever, then in complex lykuvannya cholecystitis can also include antibiotics wide rangeдії. It is especially important to recognize antibiotic therapy for patients with kidney disease, as well as people who are sick with diabetes.

At the stage of acute attack of cholecystitis in Persha Chergu is directed to the nobility severe pain, Zmenshennya zapalennya, as well as usunennya manifested intangible intoxication. In the process of storing conservative politics behind the camp of the ailing, a retreat is conducted with caution. As soon as there is no education, then the patient will continue to use conservative methods.

However, in every day of the day the effect of a similar license is often used by a licensed vehicle. promptly... Yaksho є doze on phlegmon , , perforation , peritonitis Then the operation is carried out extraordinarily.

As soon as people have diagnosed calculous cholecystitis and, moreover, in the presence of stones, then the likelihood of becoming ill becomes more important. Apparently, the forecast will be overwhelmed.

With calculous form, cholecystitis does not often appear even more painful pechinkova kolka ... Tse is a singing rank of symptoms of gostirovanny cholecystitis, ale patient suffering from more intense pain. As a rule, such attacks are repaired in the night or a lie. Crumbs appear in a sick person's signs of zhovtyanitsi: change in shkiri, chaff, mucous membranes. With a lot of feces in people, they nabuva svitliy, inodi biliy kolir... With similar symptoms, hospitalization must be carried out secretly.

The lіkuvannya of chronic cholecystitis, persh for everything, is tied to stimulation of the process of emergence of spasms, the weakening of spasmodic manifestations in zhovchivіdnyh ways and zhovchny mіkhury. Also, a complex of visits is carried out, as a result of a call to the knowledge of the zabudnik zapalennya. In case of calculous cholecystitis, crushing of stones is also carried out for help new methods... Step into the therapy straight on and get new stones.

the doctors

liks

prevention of cholecystitis

In the case of prophylactic visits, as to become stagnant in order to get ahead, show a hospitable cholecystitis, importantly follow all hygienic visits extravagant character... An important point in this vipad is to take into account the norms of correct eating: take it as needed at one and the same hour, not less than once a day, at the same time the calorific value of the day's work is not going to be changed. It is not possible to take a large number of food for the night, especially negatively, such a meal is recognized, as in parallel with the consumption of alcohol. important prophylactic world- Implantation of sufficient quantity of birthdays. Drinking is required not less than two years of water, or some reminders, during the whole length of the day, the drink grows more or less equal.

Another important point is the prevention of regular bowel movements. The whole process needs to be monitored, so as not to admit the disruption of the .

Fakhіvtsі recommend periodically carrying out rozvantazhvalnі days, stretching out the next to live one type of product (for example, milk, apple, sir, fruit, meat, etc.). The skin of a man is to blame for the nobility, as products are subject to an allergic reaction, and on the basis of a reaction.

To stimulate the passage of time, it is important that the day is important to the gymnastics right and to the active way of living in general.

In addition, it is important to live at all times, when vilikovuvati is shown firing the organs of the empty empty.

Diet, eating with cholecystitis

In the first hour of treatment, and in the period of remission with chronic forms of sickness of the patient, a special one is shown. Specifically, it is necessary to adapt the process of harnessing during this process of straightening to stimulate the vision of a woman from the microscope and to suppress the ignition process.

Importantly, the disease in case of cholecystitis included easily ... In this vypadku we are sick to go roslinn_ oils (oil from dormouse, corn, olives), vershok oil. Such fat activates the process of seeing women.

In addition, it is necessary to include a product in the race, so that a large amount of magnesium salts can be found. Tse fruits, vegetables, buckwheat groats. The stench doesn’t just cheer up the vision of a woman, but it doesn’t mean that it’s a spasm.

Diet in case of cholecystitis is not guilty of the misconduct of products, as they do it in a costly manner: the broth from meat and ribbons, sauces, smoked meats, fatty products, nadto sour and foodstuffs. You can't live alcohol, I'm getting colder and drunk. Viklyucheni greased strains. It is important to take care of the eating habits, which are in good condition, and live five times a day.

Diet for cholecystitis includes soups, meat and ribs, rusks from wheat bread, scrambled eggs, boiled vegetables, cereals, dairy products. Fruit juices are also included in the meal, and in malt it is recommended to eat jelly, gingerbread, jelly, jam, honey.

accelerated cholecystitis

As a result of the acceleration of this ailment, the cause of ailments that occur in parallel with cholecystitis, if present before, will begin. tse chronic cholangitis , hepatitis ... Frequently cholecystitis itself є appear on the cob stones in zhovchny michury .

Besides, a sick person can move Secondary firing of the slurry hole... In this vypadka Lyudin is also seen in livu pidreber'i. Diagnostics is also carried out by the way of ultrasonic scanning.

In ailments with calculous cholecystitis, through blockage of the posterior zhazhny duct, subhepatic zhovtyanitsya ... Also, accelerated cholecystitis often є dropsy і perforation of the gingerbread ... Remaining ill, even more insecure and forced to be used for therapy.

Dzherel list

• Bolotovsky G.V. Cholecystitis and іnshі ailments of the ruminant. St. Petersburg: Nevsky Prospect, 2003;
• Kuchanskaya A.V. Zhovchnokam'yana Hvoroba. lucky look for treatment and prevention: IG "Ves", 2007;
• Dadvani S.A., older than P.S., Shuludko A.M., Prudkiy M.I. Zhovchnokam'yana ailment. M .: Vidar-M, 2000;
• Zhovchnyi mikhura zahvoryuvannya. Cholecystitis, cholangitis; AST, Poligrafizdat, Sova - Moscow, 2010 rock.