Calculous cholecystitis is called acute or chronic inflammation of the gallbladder wall, when a cat is not detected in the lumen of stones-stones. Usually, this form is manifested persistent pain attacks and digestive disorders, it usually occurs at a young age, sometimes in children, and is the predecessor to calculous cholecystitis form.
Symptoms acalculous cholecystitis
The major manifestations are:
- bouts of dull pain in the right hypochondrium,
- pain arises after an hour and a half after meals, especially after ingestion of fatty or fried,
- attacks are provoked by heavy lifting, load, stress,
- may be nausea, heartburn, eructation or bitter air,
- overeating or vomiting in the acute stage, bringing relief can occur.
Acalculous cholecystitis can occur in atypical forms:
- kardialgicheskaya form mimics the pain in my heart, especially when lying down after a heavy meal, can be arrhythmia.
- when ezofagicheskoy form the basis of the manifestations are belching, heartburn and chest pain, a feeling of violation of passage of food through the esophagus.
- the intestinal form acalculous cholecystitis main symptoms - pain in the abdomen with a low intensity and bouts of bloating diarrhea, Interspersed with constipated.
Diagnostics
Diagnosis and treatment of this form of the disease involved gastroenterologists. diagnostic base - is the complaints of the patient, probing the area of the gallbladder, with its pain and Ultrasound examination of the gallbladderAt which revealed signs of inflammation. It helps diagnose contrast cholecystography.
Treatment acalculous cholecystitis
The mainstay of treatment - conservative therapy, gallbladder removal surgery is indicated only in single and severe cases of chronic calculous cholecystitis, with a constant process recurrence.
At the time of exacerbations appointed strict "hepatic" diet limiting acute, fat and salt, thermally and mechanically gentle nutrition and bed rest with its gradual expansion to polupostelnogo and free.
To fight infection an antibiotic is prescribed in combination with anesthetics, antispasmodics (analgin, papaverine, no-spa) and anti-inflammatory agents.
Using drugs, stimulants secretion and outflow of bile flamin, berberine, hologol, hofitol. As the inflammation subsided assigned physical therapy on the area of the gall bladder.
The remission of chronic acalculous holetsistata shown mineral water courses tyubazh with choleretic drugs, herbal medicine. It is important to follow the diet and weight, in order to prevent changes in the properties of bile stone formation and start-up process.
Causes
Acalculous basis for the development of cholecystitis is the penetration of infection in the bladder. Infection can be entered through the bloodstream or from nearby lymph organs in the intestinal inflammation, genital bodies or bring out the tonsils when they are inflamed, sometimes it gets on the common bile duct of a thin intestine. Separate disease cholecystitis is not seen, it is usually accompanied by hepatitis, pancreatitis and then its flow becomes chronic.
Chronic cholecystitis without stones may develop as a result of biliary dyskinesia and reverse casting (reflux) of the biliary tract as a result of stagnation or thickening bile. Acalculous cholecystitis may also occur as a result of the formation of the bubble walls of inflammation in contact with its wall pancreatic enzymes of the common bile duct. This phenomenon usually occurs in cystic pancreatitis and cirrhosis of the liver. In old age, the basis of chronic cholecystitis acalculous is poor circulation in the wall of the bladder with the defeat of vessels that nourish it.
Also on the topic:
- chronic cholecystitis
- calculous cholecystitis
