Due to the formation of stones in the walls of the gallbladder often occurs in chronic calculous cholecystitis.
He gallbladder is a hollow organ located in the lower region of the liver and acts as storage of bile.
As for bile, it is responsible for the following processes:
- the destruction of pathogenic microflora in the intestines;
- stimulation peristaltiki intestines;
- part in the breakdown of fats;
- participation in the removal from the body of excess cholesterol, toxins.
In the formation of stones of the bladder wall become infected, causing inflammation. As a result, the authority may in the proper amount of bile to accumulate, and system tract are not able to efficiently break down food. Most often calculous chronic cholecystitis hurt the fairer sex.
Causes of calculous cholecystitis
The main cause of the disease is the infection of different etiology. Often it lives in the gut of every human being streptococci, staphylococci and enterococci. In General they are not dangerous, but under favorable conditions for their reproduction, can cause inflammation. Blame poor diet.
Also, provoke chronic calculous cholecystitis can and bacteria trapped in the gastrointestinal tract with the consumption of food: drugrevenue microorganisms, E. coli, etc.
In some cases, cholecystitis occurs due to anatomical features of the structure of the ducts of the bladder, for example, excess or excessive compression.
Other reasons for the development of calculous cholecystitis:
- Disruption of the endocrine system.
- Chronic inflammation in the gastrointestinal system.
- Frequent stress and depression.
Dickhole or change of bile and its structure occurs due to excess of cholesterol, weak motor functions and metabolic disorders of the gallbladder.
In addition, the factors influencing the process are:
- The lack of exercise.
- The excess body weight.
- Incorrect diet regime and nutrition (lots of fat, calories and junk food).
- The thickening of bile due to medications.
- Hormonal imbalance as a result of menopause, pregnancy, lactation and acceptance of the COC.
- Violation of the integrity of the bladder due to injury.
- The weakness of the immune system.
- Chronic foci of infection in the body.
- Diseases of parasitic etiology.
Autoimmune disease, atomic dermatitis and allergies may also cause the development of calculous cholecystitis.
The symptoms of the disease
The process of deterioration can be triggered by poor diet, lifestyle, hypothermia, excessive physical activity, or even no apparent factors. Usually the symptoms of the disease manifest themselves in a strong dull or pulling pain in the liver area. Sometimes the pain experienced in the lumbar and in the neck on the right side.
In some cases, the signs are jaundice due to intoxication bile acids. All mucous membranes become yellowish. There is itching on the skin, urine dark, stool lose pigment.
Signs of bile intoxication:
- Weak heartbeat.
- Mood swings, irritability, irascibility.
- Insomnia at night and sleepiness during the day.
Due to the shortage of bile in the 12-duodenal ulcer is a disruption of the digestive process, which leads to:
- violation of the chair;
- nausea and belching;
- flavor of metal, bitter and dry mouth.
The emptying of the gallbladder may cause heartburn and bilious vomiting.
Chronic calculous cholecystitis may cause a number of serious health complications, including a blockage in the main duct stones in the bladder, pancreatitis in acute and chronic form, hepatitis, peritonitis, cancer of the gallbladder, abscess and hydrocephalus.
The types of calculous cholecystitis and stage
- Asiallisesti and cardiac.
There are acute and chronic diseases that have a code ICD 10 – K80-k87 disorders.
The stage of calculous cholecystitis:
- Stony is the thickening of bile and the appearance of microliths in the body.
- The formation of stones.
- The chronic nature of the disease.
- The complication of the process.
The treatment of the disease
Treatment of chronic calculous cholecystitis may be conservative or operative. When choosing a method of therapy, the doctor focuses on the complexity, stage of disease, the nature of the stones, frequency of exacerbations and the presence of complications.
Conservative treatment. If the selected therapy with medicines without operation, it is with diet and medication. In this case, it is necessary to abandon those types of products which can cause excessive production of bile, which causes aggravation. That is, the patient will have gall stones completely removed from the usual diet of fatty meats and fish, smoked and spicy dishes, marinades, and egg yolks.
The diet includes boiled meats, poultry and fish, vegetable oils, low-fat dairy products, fruits and vegetables with low acid content. Processing of food by just jam for a couple or stewing. Alcohol and tobacco should be excluded altogether. You must drink plenty of water – 2 litres a day to dilute the thick bile and prevent the formation stagnation. Nutrition should be rational and fractional numbers. Overeating is fraught with deterioration of the patient.
Drugs prescribed by a doctor is:
- antibiotics, and others.
Calculous cholecystitis can be cured conservatively only when the stones measuring up to 15 mm.
Surgical treatment. The goal of surgery – removal of the gallbladder with its stones. Type of surgery – laparoscopic or laparoscopiceski.
Occasionally minimally invasive intervention is the crushing of stones and removing them from the organ (laser, ultrasound, surgical mesh).