Cholecystitis — chronic inflammation of the gallbladder. The disease is widespread and is more common in women.
The causes of cholecystitis
Bacterial flora (Escherichia coli, streptococci, staphylococci, and others.), In rare cases — anaerobic, parasitic infestation (roundworm) and fungal infection (actinomycosis), hepatitis viruses; there cholecystitis toxic and allergic nature. Penetration of microbial flora in the gallbladder occurs enterogenous, hematogenous or lymphatic way.
Predisposing factor for the emergence of cholecystitis is stagnation of bile in the gall bladder, which can cause gallstones, compression of the bile ducts and excesses, dyskinesia of the gallbladder and biliary tract, disorders of tone and motor function of the biliary tract under the influence of a variety of emotional stress, endocrine and autonomic disorders, reflexes of pathologically altered organs of the digestive system. Stagnation of bile in the gall bladder also contribute to the omission of the viscera, pregnancy, a sedentary lifestyle, sparse meals, etc.; is also important cast of pancreatic juice into the bile path when dyskinesia with its proteolytic action on the mucous membrane of the bile ducts and gallbladder.
The immediate cause of the outbreak of the inflammatory process in the gall bladder are often overeating, especially the reception is very oily and spicy foods, alcohol intake, acute inflammation in other organs (tonsillitis, pneumonia, and so adneksit. D.).
Chronic cholecystitis can occur after acute, but usually develops gradually and independently, against gallstones, gastritis with secretory insufficiency, chronic pancreatitis and other diseases of the digestive organs, obesity.
Cholecystitis characterized by dull, aching pain in the right hypochondrium, either permanently or arising after 1-3 hours after ingestion, and especially abundant fatty and fried foods. Pain radiating up to the right shoulder and neck, right shoulder blade. Periodically may occur sharp pain resembling biliary colic.
Frequent dyspepsia: a sense of bitterness and metallic taste in the mouth, belching air, nausea, flatulence, violation stool (often alternating constipation and diarrhea), as well as irritability, insomnia. Jaundice is not typical. On palpation of the abdomen, usually determined by the sensitivity and sometimes severe pain in the projection of the gall bladder to the anterior abdominal wall and a slight resistance to the abdominal wall muscle (resistance). Part of the positive symptoms Musso — St. George’s, Ortner, Obraztsova — Murphy. Liver increased slightly with plotnovata and painful on palpation edge complications of chronic cholecystitis (chronic hepatitis, cholangitis). Gall bladder in most cases is not palpable, as he usually wrinkled due to chronic scar-sclerosing process.
Cholecystitis in exacerbations observed neutrophilic leukocytosis, elevated erythrocyte sedimentation rate and temperature reaction. When duodenal sounding often fail to get the gallbladder bile in portions (due to violation of concentrating ability of the gallbladder and cystic violation reflex) or this portion of the bile has only a few darker than A and C, often muddy. Microscopic examination of the duodenal contents revealed a large amount of mucus, desquamated epithelial cells, «leukocyte», especially in portions in the bile (detection of «white blood cells» in the bile not attach such significance as before, as a rule, they are decaying nuclei of cells of duodenal epithelium) . Bacteriological examination of bile (especially repeated) to determine the pathogen cholecystitis.
When holetsistografii marked change in the shape of the gallbladder, it is often the image is blurred due to violation of concentration ability of the mucosa, sometimes it found stones. After receiving the stimulus — holetsistokinetika (usually two egg yolks) — there is insufficient contraction of the gallbladder.
How to treat Cholecystitis disease?
Cold Laser Vityas help!
Methods of treatment of cholecystitis medical cold laser Vityas (on photo):