Cholecystitis - infectionWhen the gallbladder is inflamed. The disease is diagnosed in middle-aged people with overweight or in the presence of bile stones. In women, the risk of cholecystitis is 3 times higher than in men.

The disease cannot occur independently. There is a source provoking pathogenic processes in the body. The reason is the modern lifestyle and eating habits of people. In the composition of products a lot of sugar and animal fats. In the diet, there are few products containing fiber - fruit, vegetables. Physical activity is reduced, which adversely affects the work of the gallbladder, which contributes to the development of inflammation.

The inflammatory process of the gallbladder causes a number of concomitant diseases: dyskinesia of bile duct, hepatocolecystitis, stagnation and bile infection with cholestasis.

Factors contributing to the development of the disease:

• Excessive use of alcohol;
• Overeating;
• Disorder of the gallbladder in diabetes;
• Consumption of fatty, fried and sharp products;
• Systematic supercooling;
• Stagnant gallbladder;
• Large physical exercise;
• Reduction of immunity caused by the disease;
• Inflamed bubble wall;
• Ears and injuries in the bubble area;
• Congenital deformations of the bubble, defects in development (determined echoscopically);
• Severe pregnancy;
• Purchateing bile ducts by stones.

It is often diagnosed with acute or chronic cholecystitis caused by a virus, bacterial microorganisms, an intestinal wand, a glitstic invasion (ascaris, giardia). The reason for the appearance of the disease becomes injured by the bodies abdominal cavity. The symptoms are expressed weakly, therefore it is already found in chronic form.

The first signs and symptoms of the disease

Chronic cholecystitis develops years as asymptomatic. General signs of cholecystitis (nonspecific):

• Weakness;
• Can be characterized by the attacks of nausea;
• Reduced performance;
• Gorky taste in the mouth;
• Characteristic bloating after meals;
• Diarrhea or constipation;
• Changeable mood;
• There is an allergy to some products;
• Feeling of gravity in the stomach;
• Fatigue;
• Tachycardia;
• Increasing body temperature;
• State of apathy.

The totality of signs indicates suspicion of the pancreas inflammation.

Not typical for the disease, but may be accompanied by symptoms:

• Irritability (excited nervous system);
• Changes in color skin and scool eyes (yellow color);
• Kidney pain bladder.

Symptoms of exacerbation of chronic cholecystitis

For the disease, specific and general symptoms of remission periods without serious complications last several months are characterized. If the diet is broken, it means that pain resumes, a feeling of nausea will appear. The patient regularly complains of:

• Severe shortness of breath;
• Fever increased temperature bodies;
• Bad appetite;
• The pain in the right hypochondrium;
• On acute perceived feeling of gastric colic after feeding;
• Problems with a chair, the metabolic disorder appears in the gastrointestinal tract.

Methods of diagnosis

Timely and high-quality diagnosis prevents complications and consequences of chronic cholecystitis.

Clinical researches:

• Ultrasound examination. Safe and informative method for studying the structure and condition of the organ. Diagnostics using ultrasound clearly shows echo drives (sizes, pathology).
• Can be detected using cholecystography.
• TO modern methods One can attribute endoscopic diagnostics. This method includes: classical laparoscopy, esophagogastroduodenoscopy ,.
• The most common method of identification of the disease is probing duodenal gut. For the analysis accuracy, before the study, you must adhere to a special dietary menu for several days. This diagnosis reveals pancreatitis, cholecystitis, hepatitis, etc. Microscopic research methods allow you to accurately determine the pathogen.
• Laboratory methods for suspicion of cholecystitis: a detailed blood test (the rate of general indicators is estimated), urine collection studies.

After collecting all the data obtained during analyzes, the disease is diagnosed individual program treatment with a competent specialist.

The principles of the treatment of chronic cholecystitis

The basis of treatment is proper nutrition. It is important to reduce to a minimum load on the bubble during recurrence. The task of the patient is to reduce and weaken the pronounced symptoms.

Home therapy:

• When aggravating the disease, comply with bed regime.
• Strictly stick to the diet. The first days are allowed to use only liquid in certain dosages. A few days later, as diet meat, vegetables, fruits are added to the diet.
• After the exacerbation goes into the phase of remission, pain will disappear, start practicing therapeutic physical exercises (in the absence of contraindications). Protect muscles, normalizes metabolism, has a beneficial effect on the central nervous system, improves blood circulation, contributes to the removal of inflammatory processes.
• Physical exertion must be small.

Mental state affects the course of the disease. The more positive to the mood, the sooner you get rid of pain and ailments.

With inpatient treatment, drug treatment is carried out by the corresponding groups of drugs. Antibiotics wide spectrum Actions (Biseptol), anti-inflammatory, antispasmodic (papaverine, but-shpa), antibacterial, analgesics, choleretic agents (Holyagol), medicines that contribute to restoration of the digestive system.

Comprehensive treatment (medicines, diet menus, LFC program) is appointed by the attending physician, selected individually depending on the stage of the disease and characteristic signs. Incorrect approach to treatment may be dangerous to health! The result of therapy and the period of remission in the hands of the patient. Good compliance with the rules and advice of the doctor will speed up the recovery process.

Folk ways of treatment

Folk methods help to anesthetize the symptoms of the disease. Properly chosen medicinal herbs and fees are applied to treatment and prevention. Recipes when it comes to cholecystitis and its treatment:

• 2 lemon pour boiling water, grind (skip through a meat grinder), add 1 cup of olive or sunflower oil to it and 1 kg of honey. The mixture is thoroughly mixed and stored in the refrigerator. Use 1 tbsp. 3 times a day 20-30 minutes before meals.
• Corn storks 1 tbsp. l poured 200 ml of boiling water and insist for 1 hour, then fixed. Take a tincture of 1/3 cup 3-4 times a day for half an hour before meals.
• A good choleretic and anti-inflammatory effect is provided by the hamberry decoction. Rosehip berries crowed in a wooden mortar, pour boiling water, leave for one hour. Then carefully filter through the gauze and take 4-5 times a day.
• To treat cholecystitis, use the collection: juniper berries, yarrow grass, wormwood, birch kidney. Medicinal herbs taken in equal amounts mix together. 1 tablespoon collection to pour a glass of water, put on fire and bring to a boil. Cook on slow heat for 10 minutes, then filter. Drink branding 1/4 cup 2-3 times a day before meals.

It must be remembered that, although folk treatment methods are good, they will not be able to fully cope with this problem. Each disease has different stages, traditional methods help only on early stages. If the disease is in the exacerbation phase, refer to a specialist assigning effective treatment. Engagement is dangerous to health!

Content

Incorrect meals, the presence of bad habits, poor ecological background - all these factors contribute to the development of a person various diseases gallbladder. Cholecystitis in chronic form is one of the most common similar ailments. It is worthwhile to tell about what is this disease, how to identify it and cure.

What is chronic cholecystitis

The name Cholecystitis received a disease (Code of the ICD 10 - K81.1), in which the walls of the bladder inflated. It strikes adults, and more often women than men. For a chronic flow, periods of remission (when the patient does not bother) and exacerbations (symptoms of the disease are manifested). The inflamed gallbladder affects the body as follows:

1. Food is digested too slowly, because the cells of the body are difficult to cope with an increased load.
2. Bile outflow is broken, so it biochemical composition Changes.
3. The inflammatory process proceeds slowly, but this leads to a gradual dystrophy of the walls of the gallbladder.
4. The general state of the patient is unsatisfactory.

Classification

There are several varieties of the disease. Classification of chronic cholecystitis on etiology and pathogenesis:

By clinical forms The disease can be:

• besleless;
• with the predominance of the inflammatory process;
• calculous;
• with the predominance of diskinetic phenomena.

By the nature of the flow:

• with rare relapses (no more than one attack for the year);
• monotonous;
• with frequent relapses (two and more attacks per year);
• masking.

Eliminate such phases of illness:

• decompensation (aggravation);
• subcompensation (exacerbation of the fading);
• compensation (remission).

The reasons

Absolutely no one is insured against the disease, so everyone should know that it provokes and who is in the risk group. As a rule, it occurs in infections in other organs, because a person has interconnected each other. Possible reasons chronic cholecystitis:

There are a number of additional factors that increase the chances of a person on what cholecystitis cholecystitis can develop:

1. Biliary dyskinesia.
2. Pancreatic reflux.
3. Congenital pathology of the gallbladder and its poor blood supply.
4. Heredity.
5. Wrong bile composition.
6. Any endocrine changes as a result of pregnancy, disorders of the menstrual cycle, receiving hormonal contraceptive drugs, obesity.
7. Allergic or immunological reactions.
8. Improper nutrition (abuse of fatty foods, fried dishes).
9. Reception of drugs with the property to make bile thick.
10. Lifelong lifestyle, lack of physical activity, constant stress.

Complications

In the absence of treatment, the disease will progress, which can cause a number of negative consequences. List of complications of chronic cholecystitis:

• hepatitis reactive;
• stones in the bustling bubble;
• duodenitis chronic (Code of ICD 10 - K29.8);
• peritonitis;
• sepsis;
• chronic hepatocholecystitis;
• pancreatitis reactive;
• cholangitis;
• fistula;
• cholecystitis destructive;
• pleurisy;
• choledocholiticiasis;
• duodenal stas (stagnation of bile) chronic;
• pancreatitis acute (Code of the ICD 10 - K85);
• pericholecystitis;
• purulent abscess in the abdominal cavity.

Diagnosis of chronic cholecystitis

If a person is worried about any symptoms, he must ask for help to the doctor. The specialist will conduct all the necessary research and analyzes, will put an accurate diagnosis and prescribe treatment. The patient should be visited by a gastroenterologist. The diagnosis of chronic cholecystitis begins with a detailed patient survey, then additional laboratory and instrumental studies are assigned:

The list of signs indicating the disease depends on the huge number of factors. Symptoms of chronic cholecystitis can be both pronounced and hidden. Some patients seek a doctor with many complaints, others - only with one. The main signs of chronic cholecystitis:

1. Dull pain with localization in the right hypochondrium. Gives under the spoon, in the shoulder, the blade. As a rule, the belly begins after using any oily, sharp, roasted, alcohol, and does not get away from a few hours before the day. May be accompanied by vomiting, increasing body temperature.
2. Acute abdominal pain after overeating.
3. Mussy bubble symptom. Pain with pressed on the diaphragmal nerve on the right.
4. Dispeppy syndrome. The taste of bitterness in the mouth, an unpleasant exterior, falling on the tongue.
5. Flatulence.
6. Symptom of the Ortner. Pain when tapping on ribs on the right side.
7. Chair disorders. Popps can alternate with diary.

Exacerbation

During the remission, chronic disease can practically do not manifest itself. However, there are a number of symptoms of the exacerbation of cholecystitis, requiring immediate appeal to the doctor:

1. Bile colic. The strong pain on the right may be both constant and parry. After vomiting it becomes tangible. Subscribe when applying warm compress.
2. If there is inflammation in the peritoneum there is an increase in pain in inclons, movements with the right hand, turns.
3. Dizziness, nausea, vomiting with biliary.
4. Gorky belching, leaving an unpleasant taste in the mouth, dryness.
5. Heartburn.
6. Skin itch.
7. Chills, high temperature.
8. In some cases, pain in the heart area.

Chronic cholecystitis - treatment

The disease is very serious and requires constant surveillance and control. Treatment of chronic cholecystitis is prescribed with its form, the degree of compensation is taken into account. The patient must always follow the recommendations of specialists, accept medicines for their intended purpose. It is very important to follow my health yourself: it is easy to eat, abide by the day of the day, abandon the bad habits. Permissible to use folk remedies. All this in the complex will help substantially extend the periods of remission and reduce the number of exacerbations.

Calculse cholecystitis - treatment

The form of the disease in which inflammation is caused by the presence of stones in the bustling bubble. As a rule, with chronic calculous cholecystitis, the main treatment is a diet and compliance with other conditions aimed at maximum extension of remission. It is allowed to receive painkillers, for example, but-shts. Only surgical intervention will help completely get rid of cholecystitis chronic.

Currently, these types of operations are made:

1. Laparoscopic. Removing the gallbladder through small sunsis on the stomach. There is only a duct that is directly connected to the liver.
2. Cholecystostomy percutaneous.
3. Cholecystectomy.

Chronic Besamen

From the title it is clear that the concrections (stones) are not formed at this form of the disease. Chronic beaman cholecystitis during the remission does not require treatment. It is necessary to comply with the diet, take measures to prevent exacerbations, exercise exercise. If it starts with pain syndrome, articulation should be taken. Be sure to drink pills with the content of enzymes to improve digestion, stimulation of bile production.

Exacerbation

Such a state is required to be treated in the clinic, in the hospital. Mandatory strictest diet. The therapeutic scheme when aggravating chronic cholecystitis is aimed at:

• reduction of bile production;
• anesthesia with non-nucleic analgesics, spasmolitics;
• elimination of infection with antibiotics;
• strengthening bile outflow;
• elimination of dispersion antisecretory, anti-ansulistic, enzyme preparations, hepaporotors.

Than treat chronic cholecystitis - medicines

The inflammation of the gallbladder is a serious dangerous disease, which in no case cannot be allowed to be allowed. Currents in chronic cholecystitis are taken, in most cases, in the aggravation stage, with remission, there are enough supporting therapy. It is necessary to comply with the diet, take vitamins. The use of folk remedies will be effective.

Medicia treatment

The prescribed drugs are aimed at suppressing manifestations of the disease and normalization of the work of the gastrointestinal tract. Preparations for the treatment of chronic cholecystitis:

1. Package. If a strong discomfort occurs in the right hypochondrium, it is recommended to take tablets. No-shpa, Baratgin, Renalgang, Slavsmolgon, Trigar, Drozerin, Ibuprofen.
2. Contamination. If a person is sick, vomiting opens or feels bitter in the mouth, it is recommended to be treated with Mothilium, Cerrukal.
3. Hepatoprotectors. Esssential Forte, Cerukal.
4. Antibiotics. Appointed with exacerbation to combat infection. Ampicillin, erythromycin, rifampicin, ceftriaxone, metronidazole, Furazolidon are suitable.
5. Choleretic. Preparations have an extensive spectrum of action. When chronic cholecystitis, libil, hologon, nicodein, alcohol, cycvalon, festal, oxafenamide, Digestal, Holenzim, Heptral is prescribed.

Vitamins

There is a list of substances, especially useful for the gallbladder. Scroll important vitamins With cholecystitis that need to be taken during the exacerbation period:

• C (deficit leads to the formation of stones);

• E (prevents the appearance of stones).

Folk remedies

Alternative medicine gives a positive result with a given disease. Treatment of chronic cholecystitis by folk remedies is better carried out during remission. Take advantage of recipes:

1. Stir 200 grams of honey, cleaned pumpkin seeds, butter. Weganize three minutes from the boiling on the weak heat. Fill the mixture with a glass of vodka, block and place in the refrigerator. A week later, strain. Drink on the tablespoon on an empty stomach.
2. 2 tbsp. l. Nine filled 0.2 liters of alcohol. Insist 10 days. Perfect. In half the glass of water, dive 25 drops of tincture and take on an empty stomach once a day.

Diet.

If the disease is required to strictly adhere to the table number 5 even during the remission for prevention. The basic principles of the diet in chronic cholecystitis:

1. In the first three days there is no exacerbation. It is recommended to drink decoction of rosehip, mineral water non-carbonated, sweet fastening tea with lemon. Gradually, soups-mashed potatoes, porridge, bran, kischi, low-fat meat steensome or boiled, fish, cottage cheese are introduced into the menu.
2. It is necessary to be portionally in small amounts at least 4-5 times per day.
3. It should be given preference to vegetable fats.
4. Drink more kefir, milk.
5. Be sure to use many vegetables and fruits.
6. What can be used in chronic cholecystitis? Suitable boiled, baked, steamy, but not fried dishes.
7. In case of changing form of chronic disease, you can eat 1 egg per day. When calculatory, this product must be excluded completely.

• alcohol;
• fatty products;
• radish;
• garlic;
• luke;
• turnips;
• spices, especially sharp;
• canned;
• legumes;
• fried dishes;
• smoked smoked
• mushrooms;
• strong coffee, tea;
• a dough.

Video

Attention! The information presented in the article is familiarized. Articles do not call for independent treatment. Only a qualified doctor may diagnose and give recommendations on treatment, based on the individual characteristics of a particular patient.

Discuss

Chronic cholecystitis: symptoms and treatment

Without the formation of bilecakers. This form causes pain in the field of right hypochondrium and dyspeptic disorders.

In the area of \u200b\u200bgastroenterology, the share of chronic damage falls from 5 to 10% of cases. In women, chronic beamy cholecystitis occurs about 4 times more often. These are statistical data. Some researchers rank chronic beaman cholecystitis as a transitional form to such a disease, like cholesterol calculation. But, as medical practice showed, patients do not suffer from gallstone disease in the future.

Causes of the disease

The etiology of this ailment is different infections:

• intestinal wand;
• enterococcus;
• staphylococcus;
• proteus;
• Type.

The penetration of bacteria into the gallbladder by the intestine occurs at such states as:

• dysbacteriosis;
• colitis;
• enteritis;
• hepatitis;
• pancreatitis.

Less often, the infectious damage spreads through lymph or blood from infectious foci, which is remotely.

For example, infection spreads with diseases such as:

• periodontalosis;
• tonsillitis in chronic form;
• appendicitis;
• pneumonia;
• pyelitis;
• adnexitis.

To provoking factors that activate infectious processes can be attributed:

Babe chronic cholecystitis implies thickening and the mucous membrane acquires the mesh structure due to the fact that atrophic sections with polyps forming thick folds alternate.

Muscular shell thickening occurs. It appears scar fibrous fabric. In the prevalence of the inflammatory process, pericholecystitis can develop, spikes with organs located in the neighborhood, abscesses, pseudodivanticulus appear.

Classification of the disease

The defeat is light, medium and heavy. The disease involves the presence of three stages:

• aggravation;
• sneeze and exacerbation;
• resistant and unstable remission.

Babe chronic cholecystitis can occur with relapses. Also, the disease is monotonous and interspersed.

Depending on the degree of damage, it is customary to distinguish with a complicated and uncomplicated form of chronic non-calculous cholecystitis. It is also commonly distinguished by a typical and atypical appearance. The latter form is divided into intestinal, cardialgic and esophagic type.

Signs of chronic fine-free cholecystitis are manifested in different ways depending on the degree of damage to the gallbladder.

How does the disease manifest in a mild?

For cholecystitis occurring in easy formCharacterized short exacerbations lasting 2-3 days. They are mainly provoked by improper nutrition and are easily eliminated by adequate diet.

General state The body is normal, the body temperature is normal. During the examination, it is not detected functional violation Cobbus, gallbladder and pancreas. Microscopic studies of bile do not show any deviations from the norm.

How does the middle form flow?

With the average form of such a disease, as chronic beamy cholecystitis, remission and aggravation replace each other. The duration of exacerbations is 2-3 weeks. Usually the patient is bothering pain and pronounced dyspeptic disorder. As a rule, such a state is caused by welcoming food or overeating. In some cases, an infection of respiratory authorities acts as a provocateur in aggravation.

How does chronic beamy cholecystitis occur in this case? Symptoms are diverse. In exacerbation, patients there is no appetite, the body weight is reduced, intoxication appears, expressing in asthenia and migraine. Also can disturb the articular pain.

Some patients in addition to pain in the right hypochondrium can make complaints about stupid pain in the left hypochondrium and the upper part of the abdomen. Pouring sensations often spread to the heart. Patients are concerned about nausea, constipation or diarrhea.

With a laboratory test of bile, there is an increase in the amount of mucus, leukocytes, cholesterol, Ca billarinate, bile salts, in some cases of microlith. It is also possible to detect microflora.

In case of acute condition, patients revealed a change in liver functional samples. Often there is a moderate hypoalbuminemia, a slight increase in transaminase activity, mainly ajit, moderate increase and activity

Laboratory Laboratory Learning Indicators become normal during remission. The patient can disturb the feeling of gravity in the upper half of the abdomen and bloating after meals. Often a person worries constipation or diarrhea.

Dyspeptic manifestations are enhanced when taking oily food or coarse fiber. Such food can provoke the aggravation of the disease.

How does a hard form flow?

Babe chronic cholecystitis in severe form is characterized by constant relapses without remission. The disease extends beyond the gallbladder. The main disease is joined by hepatitis in chronic form, as well as pancreatitis.

Patients complain about the absence of appetite, incessant nausea, the severity in the upper part of the abdomen. Sometimes pains are clothing. The patient recommended a strict diet, which leads to a decrease in body weight and asthenia. In some cases, sepsis appears in chronic form.

The functionality of the gallbladder is sharply violated. The wall of the organ is thickened. If, with an average extent, the functionality of the liver is broken in part, then with a severe form of the disease, hepatitis in chronic form or cholangitis is manifested.

At the same time proceeds the following processes:

• the liver increases in size;
• there is a decrease in serum albumin;
• globulin fractions and concentration of general bilirubin increase.

When conducting an ultrasound of the abdominal organs, there is an expansion of gallbladder ducts, a "stagnant" gallbladder is revealed, chronic pancreatitis With a decrease in the functionality of the pancreas.

Patients often complain about dyspeptic disorders, nausea, weight loss. They have an increase in the volume of feces, steatheree, creature and amylorai.

With a severe form of the disease, vessels and hearts are disturbed, vegetative dystonia appears, coronary failure with appropriate changes to the ECG.

How does an atypical form flow?

How is the atypical form of chronic non-free cholecystitis? The sick is worried about the permanent heartburn, gravity, pain behind the sternum, transit dysphagia. In the intestinal type, the intestinal pain appears on the forefront, the bloating, constipation.

In the young age, chronic beamy cholecystitis looks like rheumatism in hidden form. Patients complain of asthenia, pain in the joints. With auscultation, low heart tones are revealed.

The atypical course of the disease includes the lumbar and pyloro-impended type of chronic cholecystitis. With lumbar form, patients experience pain in the spine. In such cases, the X-ray of the spinal column is shown.

Symptoms of cardialgic form

This form of the disease is inherent arrhythmia (extrasystole) or sternum pain. ECG also changes.

In the middle and old age, the cardiac form looks like angina or coronary failure flowing in chronic form. Patients complain about pain in the heart, tachycardia.

Gastroduodenal form

Chronic cholecystitis clinic in this case resembles a peptic disease or gastroduodenitis with an elevated level of gastric acid formation. Patients complain about pain in the stomach at night.

Diagnostic methods

When palpation of the abdomen in the gallbladder region there is a pain, which is enhanced by inhaling or self-tapping the right edge arc.

With a laboratory study, an increased indicator is determined:

• transaminase;
• alkaline phosphatase;
• γ-glutamlitranspendase.

Extremely important diagnostic methods include:

• cholecystography;
• solemography;
• cholesintigraphy;
• duodenal probing.

Based on the last study, we can talk about the intensity of the inflammatory process.

Typical changes on the macroscopic level are manifested in the turbidity of bile, as well as the presence of flakes and mucus.

In a microscopic examination, an increased amount of leukocytes, bilirubin, protein, cholesterol, etc. is observed.

In the bacteriological seeding of bile, its microbial flora is examined.

With the help of cholecystography in patients suffering from chronic shape of a non-free cholecystitis, the motor and concentration functionality of the gallbladder, its contours and position are estimated.

Echography reveals the deformation of the gallbladder, atrophic processes in its walls, irregularity of the inner epithelium, the presence of negrogenerate content with the inclusions of the bile of inhomogeneous consistency.

Differential diagnosis is carried out with dyskinesia of biliary tract, chronic cholangitis, ulcerative colitis of non-specific nature, as well as Krone's disease.

Methods of therapy

How is chronic beaman cholecystitis eliminate? Treatment, as a rule, is carried out conservative. Doctors recommend sticking a diet. It is advised to exclude fatty and fried foods, sharp dishes, carbonated and alcoholic beverages.

With exacerbation of the disease or in its combination with cholangitis, it is used antibacterial treatment "Cefazolin", "amoxicillin", "erythromycin", "ampicillin", "fuzolyidone", etc.

To normalize the work of the gastrointestinal tract, the festal, Mezim-Forte, Pancreatin is advised.

To increase the secretion of bile, they usually resort to reception of choleretics ("Alllohol", "Holenzim", "Oxafenamide").

To stimulate a reduction in the gallbladder, magnesium sulfate and sorbitol are used.

In the period of exacerbation or remission, it is advisable to conduct a course of therapy of herbs. Chamomile beams, calendula, rosehip, licorice, mint are accepted.

During the remission, there is a tubaz, drink mineral water, conduct a fluctuard.

Surgical intervention

In surgical intervention, the history of the disease is taken into account. Chronic bubble cholecystitis, expressed in the deformation of the walls of the gallbladder and the unnecessary correction of cholangitis and pancreatitis, requires operation.

In this case, cholecystectomy is carried out by open intervention, laparacopy or mini-access.

Application of folk methods

How else is chronic beamy cholecystitis eliminate? Treatment with folk remedies also has a positive effect.

The roots of AIRA Bolotnaya, Valerians, dried inflorescences of the Zverkoy, calendula, nettle, corn, flax seeds are applied. It is also advisable to use linden, peppermint, mother-in-law, chamomile, dill, wild -swood, rosehip.

Using folk methods for chronic flow The diseases of the colors of immortelle and elderos are added phytotherapy.

Phytotherapy

Fitotherapy implies the use of a cocktail from the following herbs:

• peony - 20 ml;
• valerian - 20 ml;
• hawthorn - 20 ml;
• mint - 20 ml;
• shocking - 10 ml;
• mother - 20 ml;
• calendula - 30 ml;
• wormwood - 20 ml.

If there is glaucoma, the shuttle is not added.

Drink the remedy should be 1-8 drops three times a day five minutes before taking infusion from herbs on 1 tbsp. l water for 4-6 weeks. The mixture of AIRA and Ninexils is taken in an equal amount. Also drinks 1-8 drops three times a day two minutes before receiving infusion of herbs on 1 tbsp. l. Waters for 4-6 weeks.

It should be remembered that the phytotherapeutic collection is connected in a dose of 0.00325, i.e. 14th dilution, and daily increases by 1-2 breeding to achieve an optimal dose.

A suitable dose is the one that does not cause dyspeptic disorders, and on the contrary, reduces the degree of existing manifestations. Such a dose is accepted during the course, but if discomfort appears, it decreases by 1-2 units.

Forecast

What is the forecast of such a disease, as chronic beamy cholecystitis? The aggravation in light form is rarely manifested. The disease has a favorable course. The deterioration of the forecast occurs if the exacerbations occur often when

Prevention

Preventive measures are concluded in timely treatment of the disease, sanitation of foci of infection, eliminate violations in nervous system, as well as the restoration of normal metabolism. It should also be observed the correct power regimen, fight intestinal infections and glitter lesions.

Chronic cholecystitis - the most common chronic illnessaffecting biliary paths and gallbladder. Inflammation affects the walls of the gallbladder, in which stones are sometimes formed, and motor-tonic disorders of the biliary (biliary) system occur.

Currently, 10-20% of the adult population suffers to cholecystitis, and this disease tends to further growth.

This is connected with a sedentary way of life, the nature of food (excessive use of food rich in animal feed - fatty meat, eggs, oil), increasing endocrine disorders (obesity, diabetes). Women are 4 times more often than men, it is connected with the reception oral contraceptivespregnancy.

In this material we will tell all about chronic cholecystitis, symptoms and aspects of the treatment of this disease. In addition, consider the diet, and some folk remedies.

Chronic calculous cholecystitis

Chronic calculous cholecystitis is characterized by the formation of stones in the horizontal bubble, more often amazes women, especially those who suffer over weight. The cause of this disease is the phenomena of stagnation of bile and high saline content, which leads to a violation exchange processes.

The formation of stones leads to a violation of the functioning of the bearded bubble and the graticle ducts and the development of the inflammatory process, which subsequently applies to the stomach and the 12-risk. In the aggravation phase, the patient has livers colic, manifested in the form of acute painful syndrome at the top of the abdomen and in the area of \u200b\u200bthe right hypochondrium.

The attack can continue from a few moments to several days and accompanied by nausea or vomiting, swelling the abdomen, the common state of weakness, feeling in the mouth of a bitter taste.

Chronic non-roll cholecystitis

Non-calculous (besamed) chronic cholecystitis, as a rule, is a consequence of conditionally pathogenic microflora. It can be caused by an intestinal stick, staphylococcal, streptococcus, somewhat less frequently, enterococcus, a blue rod.

In some cases, non-calculous cholecystitis are found, which are due to the pathogenic microflora (abdominal chiegellas), protozoa and viral infection. Microbes can penetrate the gallbladder through blood (hematogenic path), through lymph (lymphogenic path), from the intestine (contact path).

Causes of occurrence

Why does chronic cholecystitis arise, and what is it? The disease may appear after acute cholecystitis, but more often develops independently and gradually. In the occurrence of chronic form the greatest value There are various infections, in particular intestinal sticks, abdominal and paratyphoid sticks, streptococci, staphylococci and enterococci.

Cholecystitis always begins with violations in bile outflow. It is stared, in connection with this, a biliary disease can develop, JVP, which are direct predecessors of chronic cholecystitis. But there is also the opposite movement of this process. Due to chronic cholecystitis, the pancreas motility slows down, stagnation of bile is developing, rock formation increases.

In the development of this pathology, the latter role is given to nutritional disorders. If a person feeds on large portions with essential intervals between meals, if it is found for the night, consumes fat, sharp, there is a lot of meat, then it is in the risk group for the development of cholecystitis. He can develop spasp of the sphincter Oddi, stagnant bile.

In the occurrence of chronic cholecystitis, the main symptom is painful symptoms. Adults feel stupid many pain In the field of right hypochondrium, which usually occurs after 1-3 hours after receiving abundant, especially fatty food and fried dishes.

Pains irradiate at the top, in the right shoulder, neck, blades, sometimes in the left hypochondrium. It is enhanced with exercise, shaking, after taking sharp snacks, wines and beers. With a combination of cholecystitis with a bile disease, sharp pains on the type of bile colic can appear.

• Along with the pains there are dyspeptic phenomena: a feeling of bitterness and metal taste in the mouth, exhaust air, nausea, bloating, alternation of constipation and diarrhea.

Chronic cholecystitis does not occur suddenly, it is formed for a long time, and after exacerbations, against the background of treatment and adherence, the diet occurs periods of remission than to observe the diet and supporting therapy, the longer period of lack of symptoms.

Why arises exacerbation?

The main causes of exacerbation are:

1. Improper or late treatment of chronic cholecystitis;
2. Acute disease that is not associated with a bubble bubble.
3. Supercooling, infectious process.
4. The overall decrease in immunity associated with the insufficient flow of nutrients.
5. Pregnancy.
6. Dieting violation, alcohol consumption.

Diagnostics

For diagnosis, the most informative methods are the following:

• Ultrasound of the abdominal organs;
• Chopper;
• Duodenal probing;
• Cholecystography;
• Scintigraphy;
• Diagnostic laparoscopy and bacteriological research are the most modern and affordable diagnostic methods;
• Biochemical blood test shows high rates Hepatic enzymes - GGTP, alkaline phosphatase, AST, Alt.

Of course, any disease is easier to prevent than to treat and advance research, can identify early violations, deviations chemical composition bile.

Treatment of chronic cholecystitis

If you have signs of chronic cholecystitis, treatment includes a diet (table No. 5 according to Pevznera) and drug therapy. During the exacerbation from food, exclude acute food, roasted and oily, smoked, alcohol. It should be eaten by small portions 4 times a day.

Approximate treatment diagram:

1. Preparations of the NSAID group, the removal of the spampity of the spasp of the bubble and ducts are carried out by antispasmodics, are used for inflammation.
2. Antibacterial therapy in the appearance of inflammation symptoms (ampicillin, erythromycin, ciprox).
3. To eliminate the stagnation of bile, drugs are used to enhance the peristaltics of the biliary tract (olive oil, sea buckthorn, magnesia) choleretics (preparations that increase the secretion of bile) are used with caution so as not to cause increased pain and aggravation of stagnation.
4. During the sacrifice, physiotheredresses are appointed - UHF therapy, igloreflexotherapy and other procedures.
5. Spa treatment.

At home, treatment of chronic cholecystitis is possible in the event of a light course of the disease, however, during the period of pronounced exacerbations, the patient must be in the hospital. First of all puts the goal to stop painful syndrome and remove inflammatory process. After reaching the desired effect to normalize the functions of education, the selection of bile and promotion, the doctor appoints choleretic and antispasmodic tools.

Operation

In chronic calculatory cholecystitis, the surgical removal of the gallbladder is shown - the source of formation of the calculation.

Unlike the treatment of acute calculatory cholecystitis, the operation to remove the gallbladder (laparoscopic cholecystotomy) during chronic cholecystitis is not an emergency measure, a planning is assigned.

The same applies surgical techniques, as in acute cholecystitis - a laparoscopic operation of removal of a gallbladder, cholecystectomy from a minidostype. For weakened and elderly patients - percutaneous cholecystostomy to form an alternative path of bile outflow.

Food

Diet with chronic cholecystitis on table No. 5 helps to reduce symptoms during repeated attacks of pain.

Forbidden products include:

• bless, puff pastry, fresh and rye bread;
• fatty grade meat;
• by-products;
• cold and carbonated drinks;
• coffee, cocoa;
• ice cream, cream products;
• chocolate;
• pasta, beans, millet, crumbly porridge;
• acute, salty and fatty cheese;
• broths (mushroom, meat, fish);
• fatty fish grade, fish caviar and canned fish;
• high fatty dairy products;
• marinated, salt and sauer vegetables;
• radishes, radish, cabbage, spinach, mushrooms, garlic, onions, sorrel;
• spices;
• smoked;
• fried dishes;
• sour fruit.

Cholecystitis on a row with pancreatitis is one of the most common diseases of the abdominal organs. Cholecystitis is the inflammation of the gallbladder, while pancreatitis is a pancreatic disease. These 2 illness often proceed at the same time.

Now about 15% of adults suffer from cholecystitis, whose symptoms do it in everyday life. This is associated with a low-tech lifestyle, the nature of nutrition: excessive use by animal food with food, an increase in endocrine disorders. Therefore, how to treat cholecystitis worries many people.

The most common cholecystitis in women is faced with the symptoms of this disease 4 times more often than men. In most cases, this is the result of receiving contraceptives or pregnancy.

And so what cholecystitis is inflammation of the gallbladder, the organ of designed to deposit bile, which, along with other digestive enzymes (gastric juice, enzymes fine intestine and the pancreas) actively participates in the process of processing and digesting food.

Surgeons (with acute form) are often encountered with this disease, and therapists (with chronic). In most cases, cholecystitis develops in the presence of stones in the bustling bubble, and almost 95% of cases are diagnosed simultaneously with bile disease. Depending on what form is the disease (acute, chronic cholecystitis), the symptoms of the disease and methods of treatment will be varied.

Causes of cholecystitis

What it is? Most often, cholecystitis develops when penetrating and developing microbes (intestinal wand, streptococci, staphylococci, enterococci) in the bustling bubble and this justifies the use of antibiotics when developing acute or exacerbation of chronic form.

The non-infectious causes of cholecystitis include:

• biliary dyskinesia;
• the nature of the food (consumption in large quantities of sweet, oily, smoked, fried food, fast food).
• stones in the bustling bubble and ducts;
• sugar diabetes, obesity;
• sedentary lifestyle;
• hormonal disorders in the body;
• pregnancy;
• reflux-esophagitis;
• heredity and congenital pathology of the gallbladder.

Very often the development of cholecystitis occurs and as a result of the disturbed outflow of bile. This can happen in a person who suffers from gall-eyed disease. The provoking factor of stagnation of bile in the bustling bubble in women is pregnancy, since the magnified uterus squeezes the gallbladder.

The launch mechanism of manifestation of the disease is always a violation of a patient with cholecystitis. In such cases, the symptoms of the disease are detected in approximately 99 percent of patients.

Symptoms of cholecystitis

Acute cholecystitis, whose symptoms are more often developing in the presence of stones in the bustling bubble and are a complication of gallstone disease.

Symptoms of acute cholecystitis are developing violently, they are often called "liver colic", as pain syndrome is localized in the liver area.

The main signs of the acute stage of the disease are:

1. Incessant pain in the right hypochondrium, which can be given to the right side of the chest, neck, in right hand. Often before the appearances of pain happen the attack of a bile colic;
2. Nausea and vomiting, after which it comes to relief;
3. Feeling of bitterness in the mouth;
4. Increasing body temperature;
5. With complications - jaundice of the skin and scool.

Often, pain is accompanied by nausea and vomiting bile. Typically, the temperature increases (up to 38 s and even up to 40 s), chills. The general condition deteriorates significantly.

The provoking factor that gives points to the development of acute attack of cholecystitis is powerful stress, overeating acute, fatty food, alcohol abuse. If you did not figure it out on time, how to treat cholecystitis, then it is chronic and will bother you for a long time.

Symptoms of chronic cholecystitis

Chronic cholecystitis proceeds mainly for a long time, sometimes it can continue for many years. The exacerbation and the emergence of its symptoms contribute to provoking factors - improper nutrition, alcohol, stress, etc.

Distinguish chronic beamless (non-calculous) and chronic calculous cholecystitis. The clinical difference of them from each other is caused by almost the fact that during calculous cholecystitis, another mechanical factor (migration of stones) is periodically attached, which gives a brighter picture of the disease.

Symptoms of illness in chronic form during the exacerbation are no different from the symptoms of cholecystitis in acute form, except that the attack of the bile colic arises not once, but from time to time with coarse errors in nutrition.

Signs that periodically experience an adult in the chronic form of this ailment:

• dull pain pain in the right hypochondrium;
• vomiting, nausea;
• bloating;
• feeling of bitterness in the mouth;
• diarrhea after eating (arising from digestion disorders of oily foods).

In women, signs of cholecystitis occurring in chronic form are enhanced with sharp fluctuations in the hormonal background of the body, a few days before the start of menstruation, against the background of pregnancy.

Diagnostics

The diagnosis of acute cholecystitis is based on the collected history.

The doctor conducts palpation of the abdominal cavity, and also finds out whether there is a symptomatics of hepatic colic. With the help of ultrasound, an increase in the gallbladder is revealed and the presence of stones in its ducts. For an expanded study of bile ducts, endoscopic retrograde cholangiopancopyography (ERCPG) is prescribed.

The blood test shows the increased content of leukocytes, high level Soe, bilirubinemia, as well as disproteinemia. Biochemical urine analysis shows an increased activity of aminotransferase and amylase.

Treatment of cholecystitis

Patients with acute cholecystitis regardless of the state are required to be hospitalized in surgery department hospital.

The diagram of the treatment of cholecystitis includes:

• bed mode;
• hunger;
• disintellation therapy (intravenous administration of disinfecting blood substitutes and saline solutions);
• package, antibiotics, antispasmodics, preparations, overwhelming stomach secretion.

The patient needs bed regime. Antispasmodics and analgesics are prescribed for pain relief. With pronounced pain syndrome, Novocaine blockades are performed or novocaine electrophoresis is prescribed. It is carried out by the disintellation with intravenous administration of solutions of 5% glucose, solution, hemodesa with a total of 2-3 liters per day.

Antibiotics of an extensive spectrum of action are prescribed. Everyone without exception patients with acute cholecystitis shows a strict diet - in the first 2 days you can drink only tea, then allowed to switch to the diet table 5a. At the aggravation stage, the treatment of cholecystitis is primarily aimed at removing severe pain, reducing inflammation, as well as eliminating manifestations of general intoxication.

In severe cases, surgical treatment is shown. Indication to the removal of the organ (cholecystectomy) is an extensive inflammatory process, and the threat of developing complications. The operation can be carried out open or laparoscopic method to choose a patient.

How to treat cholecystitis folk remedies

In the treatment of chronic shape of cholecystitis at home, medicinal plants can be used, but only as an addition to the main treatment. And so, here are some folk remedies, it is worth using them only after consulting a doctor.

1. Take 2 teaspoons of a chopped self of medicinal, brew 2 glasses of boiling water. Insist for 30 minutes, strain. Take 1 tablespoon every 2 hours with inflammation of the gallbladder, liver.
2. Flowers of immortelle-30 grams, thousands of 20 grams, crawler-20 grams, Fennel fruits or dill-20 grams, mint-20 grams. All mix and thoroughly crushed. Two teaspoons of the collection to pour water (cold) and insist for 8-12 hours. Reception: Take 1/3 glasses three times a day before meals.
3. Take 4 pieces of dusty dandelion roots, 4 pieces of paint rhizoby, 2 pieces of rhizable Pijmas flowers, 2 pieces of peppermint leaves, 2 pieces of linseed grass ordinary and 1 piece of grass cleanliness. 1 tbsp. Collection pour a glass of boiling water, insist 30 minutes, strain. Take 1/4-1 / 3 Art. 3 times a day 20 minutes before meals.
4. AIR. Tea spoon of crushed rhizomes of Aira pour a glass of boiling water, insist for 20 minutes and strain. Drink 1/2 cup 4 times a day.
5. Radish juice: rub black radish or grind in a blender, press the flesh well. The resulting juice is mixed with liquid honey in equal shares, drink 50 ml of solution daily.
6. Take the equally root of chicory, herbs Celebre, a walnut sheet. 1 tablespoon collection to pour 1 cup of water, heat 30 minutes, cool and strain. Take 1 cup 3 times a day with cholecystitis and cholangitis.

One of the fees should be taken during the entire period of exacerbation, and then for one month, with breaks to one and a half months, at this time one plant should be taken, which has or choleretic or antispasmodic properties.

How else to treat cholecystitis? First of all, these are strict power rules. In this case, the disease is strictly prohibited to eat a large number of saturated fats, so there can be no speech and hamburgers, fried potatoes, fried meat and other fried foods, as well as smoked.

It is necessary to some increase in food meals (up to 4-6 times), as this will improve bile outflow. Preferably enrichment of food bran bread, cottage cheese, squirrel eggs, oatmeal, cod, yeast drinks.

Prohibited products:

• bean cultures;
• fat meat, fish;
• chicken eggs;
• marinated vegetables, pickles;
• sausages;
• spice;
• coffee;
• sdoba;
• alcoholic beverages.

In nutrition, cholecystitis should be given preference to products that reduce cholesterol levels. You can eat:

• meat and bird (low-fat), eggs (2 pcs per week),
• sweet fruits and berries;
• from flour products recommended wormful products;
• vegetables: tomatoes, carrots, beets, zucchini, potatoes, cucumbers, cabbage, eggplants;
• in the finished dish you can add vegetable oil,
• butter (15-20 g per day), sour cream and cream in small quantities;
• sugar (50-70 g per day, along with added to dishes).

Compliance with the diet is necessary even for 3 years after the case of exacerbation of the disease or within a year and a half with dyskinesia of biliary tract.

Forecast

The prognosis is conditionally favorable, with adequately carried out treatment will be fully saved. The greatest danger can be complications associated with the rupture of the rash bubble and the development of peritonitis. In case of its development, even with adequate treatment is a fatal outcome.

It is also necessary to pay great attention to the observations of the attending physician, since the clinical dynamics has its own characteristics in each case.

A distinctive feature of chronic cholecystitis (gallbladder inflammation) is a frequent lack of bright specific symptoms. For a faithful diagnosis and effective treatment, the doctor must be based on a mandatory laboratory and instrumental examination.

In addition, the patient's consciousness stands in one row with a doctor's qualifications, because without restructuring the diet and the mode, this chronicle is almost impossible to curb to the resist.

What features of the disease

The main stumbling block meets physicians at the diagnostic stage. Chronic cholecystitis is often confused with another chronic pathology - inflammation of the pancreas (pancreatitis).

The patients themselves are making their contribution to the diagnostic error, when they are trying to reduce pain and discomfort by folk remedies without timely appeal to the doctor. So the therapist or a gastroenterologist receives an already "experienced patient" - with a running process, which proceeds not quite usually.

And although it is very difficult to put a correct diagnosis, it is necessary to have clear ideas about the possible signs of chronic inflammation of the gallbladder in order to hurry on consultation on time.

If you are constantly inflamed gallbladderMost likely you will come across one of the following signs:

• In the mouth will taste bitter, sometimes on the background of belching;
• After meal - Tupay surability in stomachright under the edges;
• You it will be sicken (including with a vomiting realized);
• May rise temperature;
• May be observed diarrhea or alternation "constipation - diarrhea".

The most reasonable act even at 2 signs - the appeal at least to the district therapist. Most likely, he will send you to the gastroenterologist (specialist in diseases of the gastrointestinal tract).

What is important to know the patient

Who is sick chronic cholecystitis?

Cholecystitis - Mature age disease, more often women. It can be said, she overtakes a person in the heal of forces - from 35 to 60 years.

What is the essence of the pathological process?

The inner surface of the gallbladder is inflamed, and in parallel, this is often the formation of gallstones in the enlightenment of the organ.

Stones can move into bile ducts and close them as an irresistible barrier. The worst scenario of the development of events: bile ceases to go out through the duct, is infected with bacteria, and this is a direct path to an empieve of a gallbladder.

Empiama is threatened with life, as a large amount of pus accumulates in a bubble - perforation of the wall of the organ and sepsis due to gram-negative bacteria. Treatment - surgery and strong antibiotics of a wide range of action.

It is important to understand that without diet and regime events, no treatment will be effective for a long time.

But this is optimism for every diseased. Chronic cholecystitis, along with an alimentary constipation - advantageous pathology. A very significant contribution to his good health contributes to the patient himself, if he works on changing his diet and lifestyle - in the Commonwealth with a doctor.

What provokes the exacerbation of cholecystitis

The aggravation of chronic cholecystitis is a formidable situation, especially if the pathology is calculous (there are stones in the bustling bubble). The provocateurs of dangerous rotation most often lie in the lifestyle plane, although it is important and aging the body.

It is important to remember what leads to exacerbation of the disease:

• If it is uncontrolled to eat sweet, smoked and fatty dishes;
• If you drink a lot of alcoholic beverages;
• If you move little (bile stars);
• If the patient is sick diabetes.

What nutrition contributes to the development of the disease

From the distortion in the diet to chronic cholecit and can lead:

• Irregular nutrition and insufficient drinking mode;
• Long breaks between food (in particular, diet for weight loss from the series "Do not eat after 6");
• Abundant food for the night and strongly oily food at any time of the day;
• Abuse sugar and sweet fatty products.

All these factors affect not only bile outflow, creating harmful stagnation, but also on the composition of bile, changing the stability of its composition. Therefore, the dangerous habits have to be corrected - even against the background of therapy with medicines.

In chronic cholecystitis there are many aspects for which only the person is responsible. This is a diet, and observation of symptoms, and the treatment of folk remedies - in coordination with the doctor.

How to diagnose chronic cholecystitis

In the process of establishing a diagnosis, it may even have difficulties from a doctor, not the fact that at home "Best on the Internet".

What diseases need to differentiate chronic cholecystitis?

• With gastroduodenitis (inflammation of the gastric mucosa and the 12-pans);
• With irritable intestinal syndrome;
• With chronic pancreatitis;
• FROM ulcerative disease Stomach;
• With chronic colitis.

Your task - get to a competent specialist who can spend differential diagnosis And call the disease the right name. There will be laboratory analyzes and hardware research on this path.

Laboratory diagnostics

The most frequent marker, which accompanies the strong inflammation in the gallbladder is an increase in ESR (erythrocyte sedimentation rate) in peripheral blood test.

Also obvious changes in biochemical analysis Blood - within the framework of hepatic samples, in particular the level of bilirubin and cholesterol rises.

Additionally, laboratory bile analysis can be performed (the material is taken with duodenal sensing). Bile in pathology turbid, with flakes, with high concentration mucus.

It is the changes in the composition of the bile are a formidable prerequisite for the formation of stones in the future. In addition, gambalosis and ascariasis (common gliscate infections) can be provocamored by stone formation. Therefore, diagnostic procedures often include feces and worms on eggs.

Instrumental examination

The standard route must include:

Ultrasound examination of the abdominal organs

The procedure is completely painless, fast, comfortable, most secure with the special states of the body (pregnancy, childhood). It requires minimal preparation from the patient - to come on an empty stomach. In the middle case, there is not enough 4 hours before the procedure, but it is best to perform an ultrasound from an empty stomach, after a whole night without food.

Ultrasound with high accuracy determines the presence or absence of stones in the bustling bubble. In the diagnosis, this will be reflected in the words "calculous" or "non-calculous" cholecystitis.

It is important to understandIf you come not on an empty stomach, then this sabotage results in which you yourself are most interested. The doctor will not see the true picture of the organ and can give an erroneous conclusion about the absence of stones.

Special radiographic study

At the present stage, once the traditional x-ray fishery more informative technologies - computed tomography.

Cholecystography - Possible stage of diagnostics of the chronic cholecystitis. The patient is injected with a contrast substance that fills the docks. So the doctor can estimate their structure and possible anomalies, the size and presence of stones in the bubble cavity, the presence of a tumor or cyst. Contraindications for using the method - iodine intolerance and high bilirubin in the blood.

How to effectively treat cholecystitis

An integrated approach is the key to success in the treatment of chronic cholecystitis.

First - about unpleasant. With the presence of concrections in the bustling bubble, especially against the background of regular exacerbations, it is often beneficial to fulfill the planned cholecistextomy.

How to conduct cholecistextomy

It should be understood that it is easier to part with the organ in the hands of a good surgeon than to establish excellent well-being after the operation. Remember, you still do not drive anywhere in the diet and constant supporting treatment.

And now - about the hope of coming without surgery. In the case of non-calcular cholecystitis, or cholecystitis with stones, but well-controlled with a relatively young age of the patient, or if there are significant contraindications to the operation, pathology can be restrained - under the supervision of the gastroenterologist.

Three stages of complex therapy

• Medications to help broken functions;
• Diet and regime events;
• Elements folk Medicine At home.

Natureopathic agents and official drugs have different points of the application - taking into account the stage and sharpness of the process.

Forget about the treatment of folk remedies, if you have an exacerbation of cholecystitis. Only a doctor! Better - with hospitalization! For a clear understanding of the form (purulent, gangrenous, catarry). Your task is to calmly and quickly agree to the operation when it is offered because of empya, gangrene, etc.

With the catarrhal form of acute cholecystitis, bedding is shown and a semi-radical diet in the first few days. Then you go to the table number 5 with the most fractional nutrition - up to 6 times a day.

In the list of therapy will be attended antibacterial drugs and spasmolytiki. The task of inpatient care is to make the best possible to kill pain, kill infection, reduce inflammation. In the course of treatment, you leave sharp symptoms (severe pain, high temperature, diarrhea, vomiting, etc.).

The role of traditional medicine is auxiliary to maintain a comfortable status with a resistant.

Briefly focus on groups of drugs used.

Recall once again: For their right assignment, contact your doctor!

1. Spasmolytiki (for example, but-shpa, papaverine)
2. Enzyme preparations (Pancreatin, Mezim, Creon, etc.)
3. Antibiotics (selected individually)
4. Golden drugs (Holonerton, Fabihol, Holenzim, etc.)

Diet with chronic cholecystitis

Modern nutrition at cholecystitis should rely on the table. 5. Inside the diet there are several modifications for different stages and acute pathology that take into account the presence or absence of stones, exacerbation or remission.

As soon as the doctor appoints you this table or its variety (5a, 5p, 5 years), do not be lazy to search the Internet worthy of confidence resource with detailed menu and dietary recipes for each feed.

Basic principles of diet number 5:

• Chemical geeks;
• Breast expense stabilization;
• Moderate increase in intestinal functions.

• Fractional food small portions - on average 5 times a day;
• Refusal of aggressive cookingwhich increases the fat content of the products (frying, duff, creams, cakes, etc.);
• Food is preferably botheringPrepare for a couple, carcass with a small amount of oil.

In the list of products, the table number 5 is very diverse. Approximate menu We offer you in the form of a convenient table.

Folk remedies for the treatment of chronic cholecystitis

What are the symptoms of chronic cholecystitis, his treatment with folk remedies can be put on the 3rd place - after medication and diet.

No matter how much you have to do in nature, everything is your place and time. During the exacerbation, medicines saves! Show sobriety and do not try to do with "herbs".

During the remission, you can contact the recipes from the trailists, carefully enhancing them into the system of dietary and drug support.

Some medical recipesTime proven:

• Infusion oats. We take 500 grams of raw materials for one liter of boiling water. Pour Oats and insist 1 hour. Fix and drink on the ½ cup three times a day - 15 minutes to the main meals (breakfast, lunch, dinner).
• Skin of white cabbage. If there is no powerful juicer, with a grater grinding cabbage, squeeze juice through the gauze. We drink 30-50ml on an empty stomach 15 minutes before meals 3 times a day.
• Tea from Oshinitsa. We take 1 tsp. Spoon of souls on 1 cup boiling water. Fill and insist under the lid to 2 hours. Focus and drink a quarter of a cup three times a day.
• Infusion of cornflowers. The proportion is one tablespoon of raw materials for 1 cup of boiling water. Insist for up to 1 hour. Drink by infusion of 1 tbsp. Spoon on an empty stomach - every 3 hours before meals - breakfast, 2nd breakfast, lunch and dinner.
• Infusion of Medicinal Sage. We need 2 hours. Spoons of grass on 2 glasses of boiling water. We insist half an hour and drink a lean infusion every 2 hours of 1 tbsp. spoon.
• Lavra oil. We need vegetable oil (we recommend to take olive). To one glass of oil add 25-30 overhead leaves of a noble laurel. We insist a mixture of up to 7 days, while deciduous raw materials falls on the bottom. Fix, overflow into the glass container from dark glass, put in the refrigerator. We drink 15 drops of laurel oil as part of any drink - milk, kefir, tea.
• Honey-lemon mixture On olive oil. We need: 1 cup olive oil, 4 lemon (clean two of them from the peel), 1 kilogram of honey. We skip through the meat grinder lemons, add oil and honey, mix well. Store in a closed glass dishes, in the cold. Before each use, mix again. Admission course 1 month at a dose One tablespoon for half an hour before meals three times a day. For the year of such courses should be at least three.

In addition to these recipes, with chronic cholecystitis, many of them familiar to us and fees from them can be useful - mint, St. Justice, Calendula, Valerian, Sport and Yarrow.

We hope you were useful to you with a review story about chronic cholecystitis, his symptoms, treatment, the need for the diet and the point of the application of folk agents. The disease cannot be called simple, it requires deepening knowledge for each of the mentioned issues - this awareness will help you successfully and long monitor the disease.

General rules

An important reason for the development of this disease is also staggering bile and changing its composition. There are two forms of the disease: besamen and calculse cholecystitis, and inflammation can be catarvali and purulent.

The following symptoms of the disease are characteristic:

• Pain is the localization of pain in the right hypochondrium and the point of the gallbladder. More often, it is manifested after oily, fried food, the use of carbonated water and beer, is often associated with psycho-emotional voltage. These may be blunt pains (in the remission), sharp and unbearable (in the aggravation stage). Pain can give to the shovel, shoulder, neck area.
• Disps arising from throwing bile in the stomach - bitterness appears in the mouth, nausea and vomiting also joined.
• Intestinal dyspepsia - flatulencefrequent ponos., intolerance of a dairy diet, constipation. For cholecystopancathite - Liquid chair.

With symptoms of inflammation of the gallbladder Treatment of a diet is an important component general treatment. It is appointed with sharp forms, exacerbation chronic shapes cholecystitis (calculous and non-calculous), cholangitis, dyskinesia biliary tract.

Let's deal with what diet is recommended for all these diseases. Base diet is Table number 5. And his varieties. Diet with the inflammation of the gallbladder, depending on the stage of the disease, to one degree or another excludes mechanical and chemical irritants. Therefore, dishes are boiled, and not roasted, rubbing or finely chop. Rough, acute and fatty food is excluded, and when cholecystitis with stones are additionally - yolks of eggs and are limited to vegetable oils, which have a pronounced choleretic effect, which can cause a bunch of hepatic colic.

Diet with cholecystitis during the period of exacerbation

In the first days, with exacerbation, with the goal of the maximum gentlement, the gastrointestinal hoping is performed. Drinking is allowed: fastening tea, diluted juices, risks of rosehip. For 3 days, anti-inflammatory option is assigned - Diet №5V.eliminating any mechanical and chemical stimuli. It is recommended for a short time (4-5 days) - during the patient's stay on strict bed mode.

It is limited to carbohydrates up to 200 g (due to simple - sugar, jams, honey, jam), the protein content is reduced (up to 80 g), as well as the amount of fat. Food is prepared without salt and only rubbed: in the form of souffle, puree and mucous soups. It is important to comply with the fragmentation of food (at least 5 times) and accept small portions. The caloric content of the day diet at the level of 1600 kcal, the use of fluid (up to 2.5 l / day) is envisaged.

The diet is entered only:

• lightweight food on water and without butter;
• mucous soups (based on oat, rice and semolina);
• liquid fateful porridges (oat and rice) with milk adding;
• wipe compotes, jelly, juices vegetable;
• gradually introduce the rubbed boiled meat (slightly), low-fat cottage cheese, boiled fish;
• wheat or crushing bread.

Such a diet is assigned if the patient non-calculous cholecystitis. Medical nutrition With acute calculous cholecystitis, based on the same principles. All patients with any form of cholecystitis for 8-10 days are transferred to Diet 5Awhich must be respected 1-2 weeks.

It is excluded:

• Products that enhance fermentation and rotting processes (bean, millet, cabbage in any form).
• Strong stimulants of bile and secretion (spices, mushrooms, horseradish, pickled vegetables, mustard, salty, sauer products).
• Extractive substances (bobones made of legumes, meat, fish and mushrooms).
• Products with essential oils (repa, radishes, radish, garlic, onions).
• Rich with fiber and sour fruits (citrus, sour varieties of drain, cranberries).
• Fatty grade meat, roasted, smoked, liver, brains, canned food, kidneys, stewed meat, sausages.
• Cream, greasy and sour cottage cheese.
• Coffee, cocoa, drinks with gas.

List of products that are allowed:

• Luggage wheat bread or crackers.
• Vegetarian soups puree with rubbed vegetables (potatoes, carrots, pumpkin). Allow soups with strawed cereals (semolina, rice, oatmeal).
• Non-fat beef, chicken, rabbit, turkey in the form of souffle, fauna, puree. The use of birds is resolved by Koskom.Tehper boiled, steam fish (piece and in the form of minced meat).
• Milk, fermented milk drinks, low-fat and bold cottage cheese.
• Protein steam waslets, one yolk per day can only be added to dishes.
• Water cereals from cereals: rice, buckwheat, oatmeal, Hercules, cooked on water and in half with milk.
• Boiled thin vermicelli.
• Potatoes, cauliflower, carrots, boiled booth beets and rubbed. Boiled zucchini and pumpkin can be consumed with sliced \u200b\u200bpieces.
• Ripe fruits (baked and in the cheese grated form), kislets, rubbed dried fruits.
• Honey, sugar, milk kissel, jam, marshmallow, marmalade.
• Creamy oil in dishes (20-30 g per day).
• Tea with lemon and sugar, faint coffee, sweet juices, rosehip infusion.

Diet with chronic cholecystitis

Out of exacerbation, the main principle of nutrition is the moderate spurting of the gallbladder and the liver, the normalization of the function of bilexidation and level cholesterol in a patient. Appointed basic Diet number 5.which is physiologically full nutrition and there is a fractional meal, which also contributes to regular bile outflow.

Caloric content is 2400-2600 kcal (proteins - 80 g, fats - 80 g, carbohydrates - 400 g). The use of salt (10 g), liquid in the range of 1.5-2 liters is limited. In the diet, the fats (especially refractory) are somewhat limited. The dishes are prepared boiled, pair, and baking is already allowed without a crust.

Vegetables for dishes are not passing and dislike only vegetables rich in fiber, as well as fatty meat. A clear mode and food intake is 5-6 times a day. Food in chronic cholecystitis outside the exacerbation is aimed at moderate stimulation of berevel, therefore it contains:

• Salads and winegres, refilled with unrefined vegetable oil (they need to be changed).
• Various vegetables, berries and fruits.
• Big content of fiber (due to the use of croup, vegetables and fruits), which is necessary if available constipation.
• Chicken eggs (no more than one), since yolks have a choleretic effect. With pain and appearance of bitterness in the mouth, which may appear when eating eggs, only dishes from egg proteins are allowed.

From the diet are excluded:

• Products with essential oils (garlic, citrus).
• High extractive dishes (all broths, cabbage decoction).
• Vegetables containing oxalic acid (sorrel, spinach).
• Puff and dough.
• Fatty meat and sub-products containing cholesterol (liver, kidneys, brains).
• Alcohol.
• Limit easily durable carbohydrates (jam, sugar, candy, honey) and fatty milk, cream, ryazhenka, sour cream.

Diet number 5. It can be used up to 1.5-2 years. With exacerbation of chronic cholecystitis, appropriate treatment is carried out and diet food is appointed, as with acute cholecystitis, that is, the patient is transferred to Table number 5A..

Diet Ply calculosis cholecystitis During the remission, it does not differ from the above. In this case, the base table is also shown. Restrictions concern only the use of egg yolks - only 0.5 yolks in dishes are possible, difficult oils are prohibited, vegetable oils in an amount that does not cause attacks.

Due to topographic proximity, community of blood supply and innervation, at the Board and cholecystitis A gastroduodenal system, pancreas and intestines are involved in the pathological process.

With combined pathology ( cholecystitis and pancreatitis) a variety is applied Table number 5. - Table number 5P.. It is characterized by an increase in protein content (up to 120 g) and an even greater limitation of fats and carbohydrates that stimulate the function of the pancreas. Extractive substances are also limited (decoction of cabbage, meat and fish broths) and coarse fiber of vegetables. All dishes are served in a boiled or vapor form, crushed. The diet is prescribed for 2-3 months, then expand the amount of food and a list of products.

If the main disease accompanies gastroduodenit, then the food is somewhat modified within Table №1. Diets have a lot in common: exclude dishes - causative agents of stomach secretion, as well as very hot and very cold dishes. Food is recommended liquid or casket-shaped in boiled and witch form. Eliminate the reception of products rich in fiber (turnip, peas, radish, beans, radishes, asparagus), fruit with coarse skin (gooseberry, grapes, dates, currant), whole wheat bread, as well as coarse fat meat, the skin of birds and fish.

It should be noted that remission is not always drug treatment and observance of the diet. In the case of frequent exacerbations of cholecystitis, with its complications (purulent, phlegmonous), as well as at the Board, it is recommended to receive operational treatment.

Power is the most important component of the postoperative recovery period. 12 hours after the operation, it is allowed to drink water without gas in small sips (up to 500 ml per day). On the second day, a low-fat kefir, unsweetened tea, kissel portions of no more than 0.5 glasses with periodicity at 3 o'clock are introduced into the diet.

For 3-4 days, the meal and food is allowed to be organized up to 8 times a day, portions of 150 g: potato mashed potatoes (semi-liquid), rubbed soups on water, omelet made of egg proteins, stealing boiled fish, fruit jelly. From liquids, you can drink juices (apple, pumpkin) and tea with sugar.

Dried wheat bread

On the fifth day, hanging cookies and dried wheat bread. After a week, frost cereals (buckwheat, oatmeal), boiled scrolls, low-fat cottage cheese, dairy products and vegetable puree. After that, the patient can be translated into Table number 5a, somewhat later - Table number 5..

Permitted products

• Wheat bread (variety I and II flour), with good tolerability you can use rye from the hidful flour. Bread is allowed only by nonstable to prevent the intestine sweat. The diet is expanding the introduction of dry biscuit, baked in-free products with meat, cottage cheese, apples and low-fat cookies.
• Soups are prepared only on vegetable broths with the addition of croup, vermicelli and vegetables. You can prepare borshs and soup, dairy and fruit soups. Vegetables for refueling soups to fry it is impossible.
• The second dishes use low-fat beef, veal, rabbit, chicken. They can be boiled and then bake, serve a piece or chopped.
• A low-fat fish, boiled seafood salads and fish stuffed with vegetables are allowed.
• Dairy products need to choose non-fat: kefir, acidophilus, prokobvash. Milk because it is poorly transferred, add only to dishes. You can bold cottage cheese in natural form and as part of casserole and lazy dumplings. Sour cream goes only as seasoning to dishes.
• Eggs are recommended - omelets or sick. Yolks are limited or excluded at the HCB.
• You can eat any cereals in the form of a porridge, as an additive in soups and casseroles.
• Various vegetables in baked, boiled and stew (sorrel, radishes, spinach, radish, mushrooms, garlic are excluded). You can make a vegetable salad with vegetable oil and winegreets.
• A non-acid sauer cabbage is allowed, a puree of a green peas, a zucchini caviar.
• You can use sour cream, vegetable and dairy sauces to any meat and vegetable dishes, you can bake with them.
• Dill, parsley and cinnamon are allowed from the spices to sweet meals.
• Fruits and berries must be nexed, they are consumed in fresh and in the form of compotes and kissels.
• From sweets - marmalade, caramel (without chocolate), honey, jam. Sugar replace xylitol (partially).
• Creamy and vegetable oil is introduced into a dish in kind.
• Drinks are recommended: fastening tea, faint coffee with milk, vegetable juices, decoction wheat Bran., vine hips, mineral water without gas.

Table of permitted products

Fully or partially limited products

• It is impossible to use high extractive dishes (all broths), products containing oxalic acid (sorrel, spinach) and essential oils (radishes, radish, garlic, onions), stimulating the secretory activities of the stomach and pancreas.
• The use of okroshki, one.
• Under the prohibition of oily meat and fish, smoked, caviar, salt fish, sausages, canned food.
• High cholesterol (liver, kidneys, brains).
• Culinary fats and fat (swine, beef and ram) are excluded.
• It is impossible to use meat goose and duck.
• Screw and fried eggs.
• Fresh bread, cakes, fried patties, cakes, puff pastry, sdobu.
• Under the ban fatty milk and cream.
• Bean and vegetables with coarse tissue (radishes, turnip, radish), and with poor tolerability - white cabbage.
• Spicy seasonings: horseradish, mustard, pepper, ketchup, mayonnaise.
• Black coffee, chocolate, cocoa are also excluded.

Table of prohibited products

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Classification

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