In 85-95% of cases, cholecystitis occurs in people who suffer from gallpie. Other causes of the disease: stagnation of bile, bacterial infection, violation of blood supply to the gallbladder.
Content
Acute cholecystitis
Acute cholecystitis - in
90-95% of cases develops when blocking biliary stones
(in patients suffering from gallstone disease), less often - from other
reasons.
The age of patients is 30-80 years (mainly). Women are sick more often. Most patients had chronic cholecystitis.
Manifestations of cholecystitis
- Pain attack in the field of right hypochondrium.
- Then nausea appears, vomiting.
- Weakness, Body Temperature Increase.
Over time, the patient's condition deteriorates.
When these symptoms appear, you should urgently consult a doctor.
If you do not provide medical care on time, then after 3 - 4 days with
The moment of the beginning of the disease can develop such life-threatening to life
complication as peritonitis - inflammation of the peritoneum, which often leads to
of death.
Chronic cholecystitis
Chronic cholecystitis
- less dangerous for life than sharp, but chronic cholecystitis can
give exacerbations (proceed as acute cholecystitis), with all
consequences.
The age of patients is the same, women are sick at 2 - 3 times more often.
Disease Manifestation: Moderate Periodic Pains in the right
hypochondrium, nausea, less often - vomiting, bumping. Often
Symptoms of the disease appear after consuming oily, fried or
acute food.
To diagnose the disease today the most
cheap, informative and safe method is ultrasound
(ultrasound examination) abdominal organs.
Treatment of acute cholecystitis
Depends on the set of reasons: from the presence of concomitant diseases, from
how the main (cholecystitis) disease occurs.
Basic scheme:
- Patient prescribed hunger for 3-4 days
- Cold (bubble with ice) on the front abdominal wall
- intravenously
saline solutions are introduced, 5% glucose solution, add to these solutions
Antispasmodic, painkillers (Baratgin, Renalgan and
Others), which are also injected intramuscularly, but the appointment of strong
painkillers are contraindicated because they hide
True picture of the disease
- Antibiotics
- other drugs are prescribed if necessary.
If cholecystitis is a consequence of gallstone disease, and (or)
medicinal treatment did not help - you need to do
Operation.
Treatment of chronic cholecystitis
When choosing a method
The treatment of chronic cholecystitis is crucial to the presence of stones
In the bustling bubble (the presence of gallway disease). If there are stones -
Operation is needed if not - usual (conservative) treatment.
Today I will talk about the treatment of a non-free chronic cholecystitis. A strict diet is prescribed (table number 5): smoked meals are excluded from the food,
sharp and fried dishes, canned food, sausage, hot cheese, cocoa,
Chocolate, alcohol. You can use products with choleretic
properties, but if they do not cause pain - Eggs Skump in moderate
Quantity, Freshly Creamy, Olive Oil, Milk,
Equal milk products, low-fat meat (beef) and fresh fish.
Patients are recommended to receive choleretic drugs:
- Holenzim
- Allahol
- Holyagol and others
- Breaks of choleretic herbs: cornframes, immorteller flowers and others.
