Chronic cholecystitis is seen. Chronic cholecystitis, symptoms and symptoms

Chronic cholecystitis of rice specific symptoms... For viral diagnosis i effective treatment lykaryu need to spiral on the binding of laboratory and instrumental equipment.

In addition, the testimony of the patient is in the same row with the qualifications of the doctor, and it is practically uncomfortable to tidy up the chronicle without overwhelming the routine.

Who has special features

The head stone of the spotting of the medical specialists at the stages of diagnostics. Chronic cholecystitis often strays from the chronic pathology - inflammation (pancreatitis).

Introduce new additions to the diagnostics pomp for the very patients, if they get too low more views i discomfort folk zasob without a quick beast to a lykar. So the therapist, or the gastroenterologist, will dismiss the already "old sick person" - because of the neglecting process, which is not so inviting.

I want to put my own correct diagnosis even foldable, readily read about possible signs chronic heat zhovchnyi mikhura, schob immediately go to consultations.

As soon as you get stuck zhovchny mikhur You will see one of these signs for everything:

At roti bude, drink girkoti, Inodі on tlі haircuts;
Pislya їzhі- stupid ailments in the stomach, Right-handed with ribs;
you will nudity(Including with realized blues);
can you move temperature;
can I spontaneously for cherguvannya "- carry".

Self-conscious vchinok navіt with 2 signs - zvernennya would like to be a doctor. Shvidshe for everything, we will refer you to a gastroenterologist (fakhivtsya s ailment of the shlunkovo-intestinal tract).

It is important to nobility for a sick person

Who is sick for chronic cholecystitis?

cholecystitis- ailments of people of the mature age, often women. It is possible to say that there are people in the very development of forces - from 35 to 60 years.

What is the essence of the pathological process?

ignite internal surface zhovchny mikhura, and in parallel to tsomu often see the approval of gum stones in the enlightenment of the body.

The stones can sink into the gut ducts and close them like an unfinished pereshkoda. The most successful scenario for the development of the pod: zhovch stops going through the channel, is inflicted with bacteria, and straight way to the empire of the zhovchny mikhur.

The empire obstructs life, so when there is a large amount of pus accumulate in the microscope - it is possible to perforate the wall to the organ and sepsis through gram-negative bacteria. Likuvannya - operation and strong antibiotics wide rangeдії.

It is important to be aware that without children and regime visits, there will be no efficient way of doing things.

Ale in tsomu and polyagaє optimism for skin ailments. Chronic cholecystitis, the order of the alimentary - a typical pathology. Even more vigomous additions in their good self-esteem bring the ailment itself, as it is the responsibility of the change over one's own race and the way of living - in spirits with a doctor.

Scho provokuє aggravated cholecystitis

The aggravation of chronic cholecystitis is a dangerous situation, especially if the pathology is KALKULOZNIM (є stone in the mushroom). The provocateurs of an unfavorable turn are most often to lie in the area of the way of life, wanting to be significant and old to the body.

It is important to memorize, how to bring the ailments to a stinging point:

Yakscho uncontrollably there is liquorice, smoked and fatty herbs;
Yaksho piti a lot of alcoholic beverages;
Yaksho little collapses (guarantees of zhovchy stasis);
Yaksho patient ailments.

Yake kharchuvannya spriyaє development of ailments

The distortions in the ratio to chronic cholecystitis can lead to:

Irregular feeding and lack of nutritional regimen;
Trivial interrupt mіzh їzheyu(Zokrema children for the series "Don't have a six-year song");
Ryasna їzha at night і is very fat їzha in any hour finish;
The malignancy of zukrom and fatty liquor.

All the factors are pouring not only into the growing time, but also into the warehouse, but the stability of the warehouse. It will be necessary for you to correct some of the necessary alarms - to go to the therapy with medications.

In case of chronic cholecystitis, there are many aspects, for which reason only Lyudin herself. Tse і day, і watching out for symptoms, і kuvannya folk habits - for the weather with a doctor.

Yak diagnostics chronic cholecystitis

In the process of establishing a diagnosis, it can be difficult to find a doctor, not those who are in the minds of the home "follow the Internet."

Is it necessary to differentiate chronic cholecystitis with ailments?

3 gastroduodenitis(Filling the mucous slurry і 12-palate intestine);
Syndrome of tease bowel;
With chronic pancreatitis;
Z shlung;
With chronic colitis.

Your zavdannya- drink up to a competent fakhivtsya, which you can spend differential diagnostics and name the ailment to the correct name. On the whole journey, it is humorous to know the laboratory analysis and apparatus dosage.

Laboratory diagnostics

The most frequent marker, which is a supernatant, is more inflamed in the ruminant - the development of SHOE (rapidity of the formation of erythrocytes) in the peripheral blood analysis.

There are also obvious changes in the biochemical analysis of blood - within the framework of hepatic tests, the sprout grows up to the level of bilirubin.

Dodatkovo can be tested for laboratory analysis of zhovchi (material is taken with duodenal probe). Zhovch with pathology kalamutna, with plastics, with a high concentration of slime.

The very change in the warehouse is a terrible change of mind for the formation of stones in the future. In addition, giardiasis and ascariasis (enlargement of worm infections) can be provocateurs of stone maintenance. In addition, in the diagnostic procedure, it is often included in the analysis of feces - a zalny and an egg worm.

instrumental provision

The standard route includes:

Ultrasound detection of organs in empty empty

The procedure is painless, fast, comfortable, the most harmless in case of special body conditions (, childish vik). Vona vimagaє minimal training from the side of a sick person - come faster. In the middle of the year, it was not enough є 4 years before the procedure, but the most beautiful ultrasound scan was done to the heart, writing a whole night without a nut.

Ultrasonic scanning with a high accuracy of visibility of the appearance or the appearance of stones in the grinder. In diagnostics, it will be represented by the words "calculous" or "noncalculous" cholecystitis.

importantly intelligence If you didn’t come to the heart, then it was the sabotage of the results, in some of the most effective ones. Likar doesn’t give a true picture to the organ;

Special X-ray dosage

on happy step If traditional X-ray was used, more informative technologies - computer tomography - were removed.

cholecystography - mozhiviy step diagnostics of chronic cholecystitis. A sick person is injected with a contrasting river, yak will fill the ducts. So, there can be an assessment of the budov and possible anomalies, the size and appearance of stones in the empty space, the appearance of puffiness or bruises. Prototype shown before victorian method - intolerance and high bilirubin in the blood.

Yak effectively lіkuvati cholecystitis

Complex pidhіd - constipation of success in the treatment of chronic cholecystitis.

Spochatka - about inappropriate. With the presence of calculi in the chewing michuria, especially on a regular fire, it is often seen as a planned cholecytextomy.

How to conduct cholecytextomy

With a great deal of change, it’s easier to get out of the organ in the hands of a good surgeon, and it’s less good to see the self-esteem for the operation. Remember, you do not know all one thing about the consumer in the day and the post-consumer use.

And now - about the hope of getting by without the operation. In cases of non-calculous cholecystitis, or cholecystitis with stones, ale well controlled in case of to a young person patient, for if there are significant indications of pathology before the operation, it is possible to streamline it - by the visual of a gastroenterologist.

Three stages of complex therapy

Medication in addition to polamanim functions;
Diet and regime come in;
elements folk medicine in the home minds.

Naturopathic products and official preparations may differ from the point of application - from the level of the stage to the process.

Forget about lіkuvannya folk zasobami, as you have a thickened cholecystitis. Tilki likar! More beautiful - from the hospital! For a clear form (gn_ine, gangrenous, catarrhal). Your zdannya - calmly and quickly get ready for the operation, if you smell through emotions, gangrene, etc.

In case of catarrhal form of gosstry cholecystitis, indications are post-lingual regimen and during a hungry day in the first few days. Then you can switch to style No. 5 for the maximum shot food - up to 6 times a day.

The transition of therapy will have a general presence antibacterial drugs і antispasmodics... The management of stationary assistance is to maximize the reduction of the bill, drive in the infection, change the heat. In the course of the treatment, symptoms leave you (strong bile, temporal temperature, Diarrhea, bloating, etc.).

The role of folk medicine is additional for the improvement of a comfortable status in case of a stiff remission.

Briefly zupinimya on groups of vicious preparations.

Once again, it’s gagadayo: for the correct signs, turn yourself to a lykar!

antispasmodics(For example, No-shpa, Papaverin)
enzyme preparations(Pancreatin, Mezim, Creon et al.)
antibiotics(Picked up individually)
zhovchogіnnі preparations(Holonerton, FEBIKHOL, Cholenzym, etc.)

Diet for chronic cholecystitis

At the same time, in case of cholecystitis, I can spiral onto the table number 5. Middle of the day є little modification for the young stages and the state of pathology, as the appearance of the appearance of the stones, the intensification of the disease.

Yak tіlki lіkar to assign you a whole style or yogo type (5a, 5p, 5lzh), do not go to the Internet for a second resource with the report menu і dietic recipes for skin supply.

The main principle of the child number 5:

cheery merciful;
stabilization;
In order to improve intestinal functions.

shotgun grub small portions- in the middle 5 times a day;
Vidmova from agressive kulіnaria, Yaka zbіlshu fatness of products (grease, zdoba, creams, cakes, etc.);
I’m sorry to see you, Gotuumo for a couple, carcass with a small amount of butter.

In the case of products in style No. 5, it is even more profitable. Zrazkov menu we proponmo to you at the visual table.

Chronic cholecystitis is a burning of the stinks of the moth moth with a step-by-step increase in symptomatology. The greatest amount of pathology is diagnosed in an older population from 55 to 70 years. Females develop ailments more often than not, not among choloviks.

See chronic cholecystitis

The classification of chronic cholecystitis is carried out according to a number of parameters.

For the presence / absence of calculi:

Chronic stoneless cholecystitis. It is a firing process, with any stone in the gum microscope does not form.
Chronic calculous cholecystitis. At the same time, stones are deposited in the gum tissue, which are stored in houses of calcium, barvniks and cholesterol.

For the peculiarities of the current:

Latent form. Are characterized by smeared symptoms; zagryadnaya peep out yak period of current gum ailment.
Dispeptic form. Supervise the deterioration of the etching function.
Bolova form. Great discomfort manifests itself both in the stage of aggravation, as well as in the period of remission, and often є a lot of deterioration of the child's life.

For heavy interruption:

Easier. Zagostrennya, scho suprovodzhuyutsya chewing sticks, razvivaet 3-4 times per ric.
Medium It is characterized by 5-6 sharpenings per pik.
Vazhke. Sposter more 6 zagostren in rik.

Causes of chronic cholecystitis

Pathology often grows slower in the form of illness. In case of improperly chosen treatment, or in case of its ineffectiveness gostra uniform go into chronicity, yak manifest itself periodically by repeated sharpening.

There are two main stages of getting overwhelmed.

The sharpening stage. It is characterized by a very pronounced symptomatology and the appearance of chewing colic.
The stage of remission. Sposterіgaєtsya weakened or out of the knowledge of pathological signs of illness.

Symptoms of chronic cholecystitis

Signs of chronic cholecystitis are found in the form of an illness. The main symptom is in the right pidreber.

In case of latent form, symptoms become stronger in case of overbearing of gum disease. Trivati period zagostrennya in tsyom vypadku can not mean an hour.

A sharpened dyspeptic form is often provoked by the deterioration of the eating regime. Symptoms of chronic cholecystitis in a wide variety of cases develop to the point of discomfort in epigastric problems, stools, flatulence and breakdown of the stigma.

Bilsh gostra symptoms develop in times of acute pain chronic form getting sick. On the first place, there are strong sharp pains in the right edge, which is supervised by tediousness and blues. Patsinti skarzhannya on the backbone of weakness and nezduzhannya. Duty to adjust.

Ignition process in the period of sharpening, it is necessary to differentiate with such incapacitated organs black empty, Yak hepatitis, Virazkov's ailment shlunk, pancreatitis, appendicitis.

One of the most flamboyant signs of sharpening illnesses is zhovchna kolka. The reason is є spasm of musculoskeletal disorders in children, physical overexertion or stress. Grow up often at night, characterized by badly ill in the right pidreber'i, which supervises with blues, that does not bring lodging. He lives with a lot of inflation, when he tries to palpate, he will quickly accept. Often such a camp is supervised to increase the temperature of the cold, the low temperature of the feces and the darkening of the battle. Zhovchna kolka - stan, scho vimagaє inconvenient help... The triviality can vary from decilcoh dib to decilcoh dib.

diagnostics

In order to make an accurate diagnosis, it is necessary to carry out a detailed examination of the patient. Vono to reclaim from the experience of a sick person, from a visual look at that palpation. Primed on characteristic signs chronic cholecystitis, a drug to put an early diagnosis and sign a pre-diagnosis. At the present time, all of them are given tribute to work out the form and the nature of the disease and the use of therapeutic tactics.

Instrumental methods of cleaning

Ultrasound diagnostics. In order to help you start the deformation of the chewing mikhur, its improvement, the change in the form and the growth of the stinks. The stone and the inspiration (polypy) appear.
Roentgenography of a carriage empty. The additional method is the purchase of gas in the ducts and the appearance of stones.
Cholecystography. Allows for the importance of the position, shape, structure and functional stanchion.
Endoscopic cholangiopancreatography. It is carried out from the endoscope stagnation, allowing the visualization of the stanchion of the duct.

Zasosuvannya some tilka instrumental methods diagnostics do not want to allow me to paint a picture of the disease. necessary laboratory methods For the help of those, it is possible to see the steps of the ruin of the function of the chewing mikhur.

Zhovchna kolka is a camp, which is a great help. The triviality can vary from decilcoh dib to decilcoh dib.

Laboratory methods of cleaning

Regional blood analysis - the increase in the number of leukocytes and the increase in the leukocyte formula towards neutrophilia. Significant ROE, how to talk about explicitness ignition process in the body.
Biochemical blood analysis - transaminases (alaninaminotransferase, aspartateaminotransferase), bilirubin and other phosphatase.
Zagalny analysis of the sech - come out positive reaction on bilirubin.
Mikhurovo zhovch. The changes in the level of education, as well as the amount of bilirubin, cholesterol, leukocytes and diet, are indicated.

Differential diagnosis of chronic cholecystitis

The ignition process in the period of aggravation is necessary to differentiate with such incapacitation of organs of black emptying, such as hepatitis, creeping fever, pancreatitis, appendicitis.

In some cases, in case of symptomatology, diagnostics is carried out ischemic ailment heart and pneumonia. You can be familiar with additional methods of cleaning.

lykuvannya

Therapy of chronic cholecystitis is abundant in what lies in the form. You will be selected according to the patient's condition, by the form of pathology and by the ignition process.

Drug therapy. Aimed at lightening the camp of the ailing and depopulating symptoms. Likuvannya of chronic cholecystitis for additional help drugs including in itself the sign of antibiotics, spasmolytics and antispasmodics. It is also a practice to practice and medication in the treatment of stones; The size of the stone is not guilty of perevischuvati 5 mm, and the yogo vik - 3 rocks. Osvita is guilty of including cholesterol. The course can be more trivial.
Khirurgichesky lykuvannya. Polyagaє at the vivid zhovchny mikhur. Yak can be carried out in the standard way ( empty operation), So і by the method of laparoscopy.
Correct eating. Diet in chronic cholecystitis is of great importance. At the period of time, the first glimmer of the day is bazhano only pity ridin. Then, step by step, rubbed hedgehog, high-fat sir and low-fat ribs are introduced. After normalization, I will begin to recognize the day number 5, as I’m on the low-calorie with the high fat cells and low blood and fat. Diet in case of chronic cholecystitis in polyagi in shot intake (5-6 times per day) with a nutritional regimen (not less than 1.5 liters of water per day).

accelerating

Naybіlsh not uncomfortable accelerated development, how to develop with chronic cholecystitis, є cut through the michur with the onset of development of peritonitis. It is possible to establish a small intestinal fistula, intestinal obstruction, blockage of the gut ducts, cancer of the gummy duct, pancreatitis and secondary liver cirrhosis.

Features of chronic cholecystitis in children

Children can be diagnosed autonomously with a roasting dish. Most often the process of harvesting and adhering to organic emptyings. Cholecystocholangitis and hepatocholecystitis do not develop very often in a wide range of patients.

Features of chronic cholecystitis in vaginal

Aggravated disease during the period of the child's marriage is most frequent in the third trimester due to the active growth and growth of the fetus. It is not easy to provoke the heating of the stove and the gut ducts, but to produce the firing before the development. Cholecystitis for an hour of vaginosity is especially important for retinal diagnostics and diseases, but it is not safe to become insecure not only for the woman, but also for the fetus.

Signs of chronic cholecystitis are found in the form of an illness. The main symptom is in the right pidreber.

Features of chronic cholecystitis in people with kidney disease

The patients of the senior group of the group have become ill with the acceleration of the difficulties in diagnostics and the development of the accelerated development. The lithuanian patients themselves have the highest level of mortality due to the vision of the ruminant.

forecast

With early onset of chronic cholecystitis and correct love the prognosis depends on the liking. The lethal result of obumatization, chief rank, important acceleration in the minds of becoming ill. In case of calculous cholecystitis, re-sharpening develops in the first place, after the first fall.

prophylactic come in

Prevention of cholecystitis in a healthy way of life correct eating... The ratsioni are guilty but they have eaten to the minimum on the go, oily and greased їzha, fast food. Passage of professional medical examiners you can also find the disease on the very cob and immediately drop it off.

Videos from YouTube on statistic topics:

Zapalennya zhovchnyi mikhura, which will supervise the deterioration of its motor function and in some cases - by the light of the stones. It is clinically manifested with pain and severity in the right side of the border, but they often come across a fatty drink and alcohol, tediousness, blues, dryness and dryness in the mouth. The informative methods of diagnostics of chronic cholecystitis are biochemical blood tests, ultrasound examination of the spine, cholecystography, duodenal probe. Conservative treatment includes the consumption of medicines, phytotherapy, physiotherapy; with calculous cholecystitis, a vividness of the zhovchny mikhur is shown.

Country houses

by hypermotor type;
hypomotor type;
for a different type;
inclusions zhovchny mіkhur.

Symptoms of chronic cholecystitis

Chronic cholecystitis develops for a trivial hour, during the period of remission it is scared of sharpened. The main symptom is pain. Bil is rounded around, localized in the right edge, a dull character, maybe trivial until decile days (tyzhniv). Irradiation can be seen in the back to the right shoulder blade, to the right half of the transverse area, to the right shoulder. For chronic cholecystitis, it is characteristic to overcome the pain symptom of the intake of food or fatty alcohol, gas drinks, alcohol. The aggravation of chronic cholecystitis is most often overwhelmed by deterioration in children, as well as overcooling and stress itself.

Diagnosis of chronic cholecystitis

When experienced and palpation of the cranial stiffness reveals a particularity and localization of the pain symptom. Symptoms are characteristic of zapalennya chewing mikhura: Murphy, Musset, Shoffard.

At laboratory level of blood in the period of sharpening, there are signs of nonspecific inflammation (development of SHOE, leukocytosis). Biochemical analysis of the blood of evangelists, the adjustment of the activity of liver enzymes (ALT, AST, G-GTP, luzhna phosphatase).

The most informative in the diagnosis of cholecystitis are the methods of instrumental diagnostics: ultrasound of organs of the void, cholecystography, cholegraphy, scintigraphy, duodenal probe.

At the ultrasonic scanning of the zhovchny mikhura, the size, the thickness of the stone, the possible deformation and the appearance of stones in the zhovchny mikhura. This also means adhesions, fired up galls, widened gut ducts of the pechinka, impaired motility of the michur.

In case of duodenal probing, it means that the motility of the michur is impaired, an analysis of the gum should be taken. If there is a possibility of bacterial infection, the diagnosis of an infection, it is also possible to test the culture for sensitivity to antibiotics for an optimal vibration of therapeutic value. Chronic gamma-free cholecystitis is characterized by a decrease in the amount of zhovchic acids in the reduction of the amount of zhovch and in the increase in the concentration of lithocholic acid. It is also the case when there is a bit of beer, bilirubin (more than 2 times less), and a lot of amino acids in the growth of youngsters. Cholesterol crystals are the most frequent in young women.

Cholecystography, cholegraphy can be used to determine the motor function and the form of the michura. Arteriography of the vyavlya of the growing of the stink of the moth and the growth of the hedge in the area of the WPC and of the adjacent furnaces.

Treatment of chronic cholecystitis

The treatment of non-calculous chronic cholecystitis is practical to become a gastroenterologist conservatively. Lіkuvannya in the period zagostrennya aimed at the nobility gostrich symptoms, Sanation of vognischa bacterial infections for additional antibiotic therapy (drugs of a wide spectrum of diy, as a rule, a group of cephalosporins), detoxification of the body (infusion introduced into glucose, sodium chloride), renewal herbal function(Enzyme preparations).

For the sickness of that zenyatty zastosovuyut preparations of a group of non-steroidal anti-pyrexia, zenyatya spasm of smooth muscles of the micur and duct vstyuyut antispasmodics.

To eliminate stagnant stagnation, use drugs, keep the peristalsis of cheeks (olives, region, magnesia)

For treatment in the period of aggravation of chronic persistent cholecystitis, use phytotherapy methods: see herbs ( peppermint, Valeriana, kulbaba, chamomile), marigolds.

In order to reduce the symptoms of aggravated symptoms and the transition to the stage of remission, it is recommended to take children, tubes with magnesia, xylite or sorbitol. Phytotherapeutic therapy of chronic cholecystitis in the field of tansy, buckthorn, marshmallow, trees. Physiotherapeutic treatment is becoming more common: reflexotherapy, electrophoresis, CMT therapy, mud and mud therapy. Shown sanatorium lіkuvannya at balneological resorts.

In case of chronic calculous cholecystitis, it is shown that there is a surgical visualization of the rump michur - dzherela approved of calculi. On the basis of the diagnosis of the state of gross calculous cholecystitis, an operation for the vision of a mothball (laparoscopic cholecystotomy or oncritis) for chronic cholecystitis is not extraordinary world, Become assigned on a planned basis. There are also surgical techniques that stagnate, as in case of gross cholecystitis - laparoscopic surgery of the zhivny michur's vision, cholecystectomy from the mini-access. For weakening and lіtnіh patients - through a cholecystostomy for the formation of an alternative way to go to zhovchі.

With chronic cholecystitis in times of contraindication to prompt engagement you can try the method of non-surgical crushing of stones behind the additional extracorporeal shock-and-sickness cystolithotripsy, protest memory, but you do not know how to cut stones until you do it, and often end up being formed.

So, the very simple method of medicamentous stone cutting for additional preparations of ursodeoxycholic and chenodeoxycholic acid salts

Harchuvannya with chronic cholecystitis

We all have a problem with chronic cholecystitis. A special day has been promoted, and it is necessary to take care of the singing regimen. In case of chronic cholecystitis, we recognize that the child is sick No. 5 in the stage of remission and the child No. 5A in case of acute illness.

First of all, take the skin for 3-4 years and in small portions (shotgun), in a different way, You can get some extra food from implanted products: fatty, greased, food, spicy food, fizzy drinks, alcohol and alcohol products.

Also fenced before implantation of eggs, vegetables and fruits, virobi good test, Butter and vershkovy creams, peas, frosty. When steamed, it is recommended to cook steamed or boiled products in a warm glass. Vegetables and fruits, we are allowed to be ill in the period of the stinging pose: dried apricots, carrots, kavun and dina, rods, prunes. The products normalize the motor skills of the ruminant and relieve the fixing.

The violation by the patients of the principles of the cultivation of food before the development of the aggravation of the disease and the progression of destructive processes in the stance of the chewing mikhur.

prophylaxis

For the prevention of burnout, we need to strictly follow the principles of common harassment, uniqueness of hype, stress and overcooling, important physical preservation. Ailments for chronic cholecystitis are treated at the dispensary, and in case of guilt, they are being treated. Їm is shown regularly in the sanatorium and health resort of lіkuvannya.

Chronic cholecystitis is a trivial one, hopefully not fired up in the area of the stinks and shyki of the cheekbones, which leads to the destruction of the vision of the gum in the enlightenment of the small intestine and the normal etching.

In the case of a chronic cholecystitis, there is a period of aggravation with severe symptoms, (the stench is provoked by callous internal factors), І period of remіsії, if practically all symptoms are on the day, and ailments are evidently good. Zvvychay chronic cholecystitis supravolume is the problem of etching - gastroduodenitis, colitis or pancreatitis.

Classification

For the appearance of calculi (stones) in mykhura, chronic cholecystitis is associated with:

non-calculous or non-calculous cholecystitis

Over the course of the trip you see:

ghosting abo latent cholecystitis,
with rare relapses,
recurrent without interruption.

cause development

The causes of stoneless chronic cholecystitis are caused by the inclusion in the history of the infection of the people internal organs, Loss of motility of the michur, endocrine rosters, helminthosis of the small intestine, giardiasis and diyu enzymes in the lactic acidosis.

The causes of calculous cholecystitis are the destruction of the exchange processes, especially the exchange of cholesterol, as a result of which there is congestion, thickening of the gum and the destruction of the current. Whole they take in the inborn anomalies of Budov and Mikhura, the penetration of the infectious diseases and the destruction of the child.

Symptoms of chronic cholecystitis

In the period of remission of any form, cholecystitis is practically dumb. Sharpening or symptoms of cholecystitis provoke grubs, stresses, physical options, Poisoning the etching system.

With non-calculous chronic cholecystitis during the period, acute stupid b_l in the right botsi, lock up or carry, bridging, nudota, rіdko bloating zhovchyu.

In case of calculous cholecystitis, zagostrennya prick into the sound of a collapse of stones and blockage of the gum duct. Winning an attack on a chewing ring sharp pains in the bots, where they put a shoulder blade in the shoulder, tediousness and vomiting, damaged style. The temperature may slightly fluctuate during the period of sharpening.

lykuvannya

Gastroenterologists are engaged in diagnostics and treatment of chronic cholecystitis.

In case of stoneless cholecystitis, conservative treatment - stagnation of antibiotics, antibiotics, antispasmodic drugs, internal introduction of disintoxicants and stagnation of enzymes, in cases of stagnant storage The idea of a zenyattya gostrich is to use methods of phytotherapy, tubazh and physiotherapy, spa therapy and diet.

In case of calculous cholecystitis, the treatment methods are stagnant, they are directed to the solution (for additional preparation of gum acids), or crushed stones (ultrasound, shock therapy); With frequent relapses, the vividness of the zhovchny mіkhura is shown in a planned manner, the pose with a period of sharpening. Freeze laparoscopic operations according to your vision.

An important principle of treatment and prophylaxis of all forms of chronic cholecystitis is to predominantly treat children with alcohol and alcohol.

Zhirna Yizha is the main "provocateur" of aggravated cholecystitis

It is very important for the nobility to know the symptoms of acute chronic cholecystitis. medical aid.

Scho provokuє zagostrennya

Chronic cholecystitis can be (with stones) and without stone. Provokuvati zagostrennya ostnogo can:

implantation of great quantities of fatty, fatty, smoked and pickled food, as well as the addition of many delicious products;
pereїdannya;
taking alcohol;
bends of stress;
allergy - especially kharchova;
ratsіon, in every stretching trivial hour, there was a bullet in the daytime of a cell and a line of fibers.

In case of calculous cholecystitis, it is possible to have a viclikano dodatkovo:

shaking grief;
physical navantazhennym (especially for a trivial period of time);
with a sharp change of position, especially when people are in front of them.

The aggravation of chronic cholecystitis with a large number of people in people with such camps:

anomalies in the development of young people;
obese;
dysfunction (damage to coordination myazovykh rukhiv) Zhovchnyh gentry;
with vaginosti;
pid hour overcooling, colds abo sharpening of chronic pathologies of internal organs.

Rebound! Chronic cholecystitis can occur in the stage of aggravation from 1 time per month up to 3-4 relapses per day. Most of the time, it seems to be about an easy, medium-heavy or heavy interruption of ill health, which is the starting point of the tactics of this addiction.

signs of sharpening

The main offensive is the price in the stomach, the situation is called "dyspepsia", weakness, increased temperature. More detailed skin is visible from them.

Pain syndrome

Perche, I will order a fever of chronic cholecystitis - the trick in the stomach. Ї, intensity and triviality to lie in such individual features:

for once, cholecystitis is observed;
chi є quickening zapalennya zhovny mikhura;
chi є (i yaki same) ailments organs in the herbal tract.

The remaining factor will be injected on the sign of likuvannya, ale especially - on the day in case of acute chronic cholecystitis.

The main symptom of aggravation is b_l in the right pidreber

In case of aggravated pathology, let it grow in the right side of the edge, or even see it in the area “on the spoon”. You can be of a solid, but not even stronger, of no character, you can see not how much, but how heavy it is with the right edge.

Vischevkazanі characteristics of pain are more characteristic for the decreased tone of the chewing mushroom. As well as the tone of the organ of pidvischeniye, or the sharpening bulo provoked by the oversupply stone, the signs of the aggravated chronic cholecystitis will be called zhovnoy coli. Price:

strong;
right-handed edge;
attacking character;
viddaє to the right scapula, shoulder or to the collarbone;
relieved by the warmth of the grilkoyu area;
when the blues were to be heard.

If cholecystitis has accelerated in widening and on the neck, like "ogortay" zhovchny mikhur, then there are some characteristics of pain:

post_yna;
take advantage of the collapse right hand abo nahili tuluba, turns.

Yakshcho zagostrenya cholecystitis called for the development of firing and in the middle of the hall, more likely to develop an operational character, to give a liva pidreber'ya, The area near the navel.

If zapalennya zhovny mіkhura summoned to teasing sleepy nerve gossip, bіl describe the yak:

maє baking character;
intensive;
viddaє in the back;
will take advantage of the onslaught on the lower sternum.

dyspepsia

This term means these symptoms, like talking about those with chronic cholecystitis becoming aggravated:

girkota in roti;
blues - from the house;
nudota;
girkim bridging;
swelling of the abdomen;
carry.

sverblyachka shkiri

Ludin's turbulence is in that vipad, if zhovch stagnate in his paths, the grip of them moves, and a part of the gum acids is consumed in the roof. Sverbіty can be all quiet, ale sverbіzh can be seen in any kind of mission.

Rebound! The symptom is more characteristic for the gum disease, but it can also be found in the case of a stoneless variant of chronic cholecystitis. It is a sign of information about those who are ill-treated in the hospital, and not in the home minds.

іnshі symptoms

In four people, the aggravation of the ignition process of the chewing mikhura will be supravodzhuvatysya pain in the heart, which is tied to the spine of the nerve fibers of the cich two organs.

Sverbіzh school and education in blood іvnya bilirubіnu to produce psycho-social problems:

weakness;
drat_vlivosti;
pidvischenoi stomluvanosti;
shvidkіy zminіnі mood.

In 30-40% of people, the aggravated cholecystitis will be supravodzhuvatisya to temperature changes in the boundaries of up to 38 degrees.

Dodatkovo can conceive also pain in the slopes, headaches, weakness in the symptoms, increased consumption, arrhythmia and increased heart rate.

Help with acute

Headache, scho robiti with aggravated cholecystitis - tse turn for medical assistance. Lyudina mozhe yak viclicati " I will help the shvidka", If it’s even stronger, if I’m going to get rid of the zagalny camp, I’ll go to the reception to the gastroenterologist on the same day, as the first signs of acute ailments appeared.

The first aid in case of cholecystitis is guilty of a brigade of "high aid" or a doctor for a surgical hospital. Medical practitioners to establish a diagnosis and to change such parameters arterial viseі pulse. The fallow stench is smelled, but you can spend sickness: with drugs that lower the muscular tone (the stench also reduces the grip in the vessels), for example, with no mediocrity. Before the arrival of special pills, you don't need to drink any pills - that's how you can do it.

Відвар шипшини - відмінне zhovchoginny zasib, Ale zastosovuvati yogo if you can

Everything you can do until the doctors arrive, tse:

do not live їzhu (especially yaksho є nudota or blues);
drink rіdinu with small liabilities;
lie down in a lid, having taken the position by hand (call on the right boat);
poklasta pіd bіk trohi warm grіlku, strictly quilting at all for their views. As soon as the pain is overcome, the grilka needs to be cleaned.

Rebound! It is not possible to take herbs (especially zhovchogіnnі), drink preparations, they live in a warm bath. It is proved that, if you have a sharpened start, it has been shown that during the period of sharpening of your work, you can help the robot of a sick chewing mikhur, it is possible to provoke development of your surgical slowdown.

The treatment of chronic cholecystitis is carried out in conjunction with surgical, and then therapeutic accelerated. People recognize the form of antibiotics, drugs that know the spasm of the mouthwash, sensitive drugs, medications necessary for the treatment of supportive ailments, intestinal diseases. If necessary, carry out an operation to see the chewing mikhur.

The decision is taken about conservative lіkuvannі pathology, obov'yazkovo in case of acute cholecystitis is required, as if the organism is not necessary, if there is any "vimikayuchi" it is fast

It is suggested to such vimogs:

For the first two days, it is necessary to get cold, drink only German and cold tea, a rice drink in the local community - not less than 2 years for a doba. When you live a lot of the demand in small portions, you won’t fight.
On the third day, as soon as there was a verse, the race was expanded. Introduced: vegetable soups, non-milk cereals (manna, vivsyana, rice), jelly from non-acid berries.
Until the 5th day, meat and riba of low-fat varieties, dairy products are served.
Even after 2 days, you can refuel with a small amount of roselinic oil. At the races, you can also add dairy products, licorice fruit, potatoes, stewed kolorovy cabbage, baked apples without skins, rusks from white bread, made eggs.
Not possible in any case: salty, pickle, tsibulya, sorrel, spinach, black cabbage, take alcohol.
Just take some carbohydrates.

Physiotherapy and the use of herbs in a reddish pose for acute illnesses. About those, if it is possible to introduce them into the treatment, the doctor-therapist is to blame, and people are to be transferred to the "vidomstvo" when stopping the manifestations of acute cholecystitis.