Cholecystitis - treatment

Cholecystitis is the most common disease of the bile excretory system. Most of all, it affects women after 40 years of overweight, although, recently, this disease is observed in all age categories.

Cholecystitis - causes:

1. Kokkovye bacteria.
2. Viruses.
3. Helminths and lamblia.
4. Weakened immunity.
5. Unbalanced nutrition.
6. Violation of the outflow of bile, its stagnation.

Types of disease

By the nature of the current:

• chronic;
• acute.

By the presence of stones in the gallbladder:

• calculous;
• acalculous (without stones).

Chronic cholecystitis

This type of disease lasts for a long time, sometimes imperceptibly, with rare periods of exacerbation. Because of this, therapy is complicated, since the neglected form of cholecystitis is treated much longer.

Chronic calculous cholecystitis - treatment:

1. Normalization of outflow of bile.
2. Cessation of spasms of the gallbladder and biliary tract.
3. Elimination of the cause that caused the development of the disease.
4. Destruction of stones.
5. Prophylaxis of neoplasms in the gallbladder.
6. Liver protection.

Often cholecystitis occurs in conjunction with other diseases:

• duodenitis;
• pancreatitis;
• biliary dyskinesia.

In such cases complex treatment with therapy of concomitant diseases is necessary. In the treatment of pancreatitis and calculous cholecystitis, enzyme preparations are prescribed that promote digestion of food and facilitate the outflow of bile.

For the destruction of stones the following methods are used:

1. Litholytic therapy. Assumes the dissolution of tumors under the action of the chemicals.
2. Direct contact dissolution. The essence of the method is the introduction of a special solution into the gallbladder through a catheter.
3. Lithotripsy. This method consists in crushing stones with the help of shock waves. The fragments are either excreted through the intestine or the vagina, or dissolve.
4. Surgical removal of the gallbladder along with stones.

Chronic galloping cholecystitis - treatment

Principles of therapy of the acalcular form coincide with the scheme of treatment of cholecystitis with the formation of stones. The danger of this type of disease is that it is difficult to diagnose and often it is asymptomatic. As a rule, patients are treated for treatment already during a marked exacerbation of cholecystitis. Its signs:

• constant pain in the area of ​​the gallbladder;
• cholangitis;
• an increased level of erythrocyte sedimentation in a clinical blood test.

In such cases, cholecystitis is treated with broad-spectrum antibiotics.

Acute cholecystitis

This form of the disease is characterized by the following symptoms:

• pain under the ribs on the right side;
• nausea and vomiting;
• bloating;
• diarrhea alternating with constipation;
• headache;
• elevated temperature;
• sweating;
• chills;
• general weakness.

Acute cholecystitis - treatment

In acute cholecystitis, an emergency hospitalization of the patient in the surgical department is performed. In the hospital, first of all, dangerous symptoms of the disease are eliminated, the inflammatory process is eliminated. Then, either a conservative treatment regimen is used, or surgical intervention is recommended.

Treatment of acute calculous cholecystitis

This is the most complex form of the disease under consideration, since it provokes many serious complications. The most common of these is hepatic colic. Therefore, basically, acute calculous cholecystitis requires intensive therapy in combination with operational methods.

Treatment of cholecystitis in children:

1. Bed rest and rest.
2. Introduction of antibiotics.
3. The use of cholagogue.
4. Antiparasitic therapy if necessary.
5. Compliance with diet.