Acute cholecystitis is diagnosed in childrenrarely, the disease is often obliterated and makes itself felt on the stage of chronic process. But, nevertheless, there are acute forms, and parents need to know what to do in case of a disaster, as the delay is fraught with serious complications.
The disease begins suddenly with a sharp pain instomach in the upper right square. The pain spreads throughout the abdomen, right hand gives in, sometimes in the lower back. She is accompanied by nausea, sometimes vomiting bile. The body temperature rises to 38-40 0C language becomes dry, covered with a grayish-white bloom. Child pale, restless, frequently changes the position of the body in search of a comfortable, posture relieves pain.
Older children can describe their feelings,caused disease. Kids first years of life can not express in words their suffering, their shivering, they refuse to eat, cry, point pen on the tummy, but precisely localize the pain they can not. Due to the weak development of muscles in young children is not typical for cholecystitis tension anterior abdominal wall. A child with abdominal palpation starts, bent, feet running out - responds to pain on palpation, the abdomen swells during an attack, there is constipation, then turning into diarrhea.
Symptoms of cholecystitis fit into the picture"Acute abdomen" - condition critical for life. Independently distinguish cholecystitis from another acute abdominal disease is impossible. Even experienced doctors have difficulties diagnosing such diseases, such as cholecystitis in children. The task of parents to respond to changes in the child's condition, call the team "Ambulance" or independently to deliver the child to the nearest medical facility.
Basic first aid for acute eventcholecystitis in children - doctor on call and a brigade "first aid". Inflammation in the gallbladder is developing rapidly, quickly goes beyond the body and leads to the development of complications such as peritonitis. Gangrene of the gallbladder develops in three stages. Acute onset followed by a period of imaginary prosperity, during which the child feels and looks completely healthy, that calms parents. After a lull, with the development of complications and clinical peritonitis condition becomes extremely heavy, difficult to save the child.
If you suspect the baby cholecystitis inWaiting for the doctor provide him rest, arrange in a convenient position on the bed, as a rule, that provision on its side with legs bent and feet given to the stomach.
Do not let the baby food, most likely, he did not want to eat, because the attack of cholecystitis is accompanied by nausea, offer a little warm water, unsweetened tea.
Acute cholecystitis children in most casesa microbial nature sometimes arises as a manifestation of giardiasis and helminthiasis. The use of heating pads, warm compresses and other thermal treatments for acute cholecystitis is absolutely contraindicated. The heat causes the blood flow to the organ to the patient, increases inflammation and promotes suppuration. To alleviate pain can be applied to the abdomen ice pack, it will also help to reduce inflammation.
In acute cholecystitis, however, as with anyacute process in the abdomen, is strictly forbidden to remove the pain painkillers. They "erase" the picture of the disease and make it difficult to diagnose. If the pain is unbearable, you can give a child Analgin or no-silos, they will not remove the pain, but it does not make it easier for a while. Thus, first aid for acute cholecystitis can be expressed in three succinct words: hunger, cold and quiet.
During acute cholecystitis children in mostbenign cases. The treatment of the slack in the upper quadrant pain persist for several days, the body temperature is kept at a high level, then the inflammation dies away, and disappear of its manifestation.
Due to the fact that the inflammation of the gallbladder fromchildren usually has nekalkuleznogo nature, with the right approach to the treatment of the disease is without consequences. In 30% of children acute cholecystitis becomes chronic.