Chronic cholecystitis - a long, sluggish inflammation in the walls of the cervix and gall bladder, resulting in impaired secretion of bile into the lumen of the small intestine and upset the normal digestion.
During exacerbation of chronic cholecystitis observed symptomatic periods, (they are provoked by external and internal factors), and periods of remission, when almost all of the symptoms are absent, and the patient is relatively well-behaved He feels. Chronic cholecystitis usually accompanies other digestive problems - gastroduodenitis, colitis or pancreatitis.
Classification
By the presence of calculi (stones) in the bladder chronic cholecystitis is divided into:
- calculous cholecystitis
- nekalkulezny or acalculous cholecystitis
Adrift release:
- hidden or latent cholecystitis,
- with occasional relapses,
- continuously recurrent.
Causes of
Causes of chronic cholecystitis acalculous skid is typically in the wall of bladder infection other internal organs, bladder dysmotility, endocrine disorders, helminthiasis fine colon, giardiasis and the action of pancreatic enzymes.
Calculouse causes cholecystitis are disorders of metabolism, particularly cholesterol metabolism, resulting in stasis of bile concentration and disruption of its outflow. This is facilitated by congenital bladder structure, the penetration of infection and disturbance of diet.
Symptoms of chronic cholecystitis
In the period of remission manifestations of any form of cholecystitis virtually none. Exacerbation of symptoms of cholecystitis or provoke food uncertainty, stress, exercise, digestive system diseases.
When nekalkuleznogo chronic cholecystitis in acute appear dull pain in his right side, constipation or diarrhea, belching, nausea, rarely vomiting bile.
When calculous cholecystitis exacerbation typically arise in connection with the movement of the stones, and blockage of the bile duct. There are attacks of biliary colic with sharp pain in his side, gives to the shoulder and shoulder blade, nausea and vomiting, stool disorders. During exacerbation may slightly increase the temperature.
Treatment
Diagnosis and treatment of chronic cholecystitis engaged gastroenterologists.
When conservative therapy acalculous cholecystitis - used antibiotics, analgesics, antispasmodic drugs, intravenous detoxification of solutions and the application of enzymes used in the treatment and holeetiki holekinetiki, substances that normalize composition and outflow bile. After removal of the acute effects of herbal medicine used methods tyubazh and physiotherapy, Balneology and diet.
When calculous cholecystitis used therapies aimed at dissolution (with the aid of bile acids preparations) or lithotripsy (ultrasound, shockwave therapy), but these measures do not guarantee that the stones in the bladder are not formed repeatedly. With frequent relapses shown gallbladder removal routinely without exacerbation period. Used laparoscopic surgery to remove it.
An important principle of treatment and prevention of all forms of chronic cholecystitis is lifelong adherence diet with the exception of irritating foods and alcohol.
For more information on each type:
- calculous cholecystitis
- acalculous cholecystitis
