The disease called acalculous cholecystitis, is characterized by the formation of chronic or acute inflammation of the mucous membrane of the gall bladder, however during the flow of such disease stones it is not observed.
Therefore, this type of cholecystitis called acalculous, acalculous is. The disease is fairly common, and most often it manifests itself in the female population, particularly in children.
Causes of pathology
In the first place acalculous cholecystitis formed from falling into the gall bladder of any infection, the development of which is accompanied by lesion of its mucosa and biliary tract. The entry of infection in the internal organ may occur when the ingestion of such bacteria as Staphylococcus, Streptococcus and E. coli.
However, the causes of its occurrence can not only be infectious in nature, but some genetic abnormalities of the gallbladder. For example, there is such a thing as the inflection of the gallbladder or biliary channels. It is due to the choleretic body, which deforms the biliary channels, causing the bile can not normally stand out and it is the accumulation (stagnation). Pathology is not rare is called the reduced capacity of the walls choleretic body to reduce, that is release of bile in inadequate amounts.
Also acalculous cholecystitis may be due to effects on the human body of various inflammatory diseases of the gastrointestinal tract and emotional breakdowns, which in turn reduces the protective function of the immune system, increasing the risk for infectious exposure and the development of such diseases.
Symptoms of the disease
Chronic non-calculous cholecystitis has pronounced symptoms, and the first thing that begins to bother the patient, is pain in the right hypochondrium, which may give the region right back. Mostly the pain is worse after eating, especially after a fried and fatty foods. However, it can be permanent and pulling and sharp its short-term exacerbations, during which the pain get a strong cramping in nature, with the result that the patient feels heaviness in the area right hypochondrium.
The symptoms of acalculous cholecystitis in most cases accompanied by feeling of something bitter or metallic in the mouth. In addition, this disease is severe nausea and urge to vomit, heartburn and even the accumulation of gases in the abdominal cavity, i.e. bloating. Due to insufficient allocation of bile fluid into the intestinal tract is disrupted the body’s ability to breakdown cholesterol and fats, which in turn causes disorders of the digestive system, accompanied by diarrhea or constipation. Common symptoms the symptoms of acalculous cholecystitis are expressed in the form of weakness, headaches and General malaise of the body.
Methods for the treatment of disease
The treatment of this disease is characterized by its duration, which need to be diet. It should be a specialist who will take into account all individual characteristics of the patient: his height, weight, age and physical activity of the patient. Diet involves complete abstinence from spicy, fatty and fried foods. In addition, the food should be fractional: you should eat approximately 5-6 times a day. This will give the chance to unload the gastrointestinal tract, resulting in improved digestion and reduce the manifestation of pain attacks. No less important and special drinking regime in which it is necessary to consume about 2 liters of still mineral water per day.
In conjunction with the special diet treatment of acalculous cholecystitis involves the use of various antibacterial agents. These include antibiotics, antispasmodics and other anti-inflammatory medicines, which due to its chemical composition have the opportunity to focus directly in the gall bladder and to combat inflammatory lesions. Also with acalculous cholecystitis are assigned to drugs that its effects on the body improve contractile function of the gall bladder walls and therefore contribute to a more complete removal of bile acids.
Treatment of advanced forms of this disease with medicines and other drugs will never succeed, so in this case can only help operative (surgical) intervention, until the removal of the gallbladder!
Diagnosis of cholecystitis
To detect pathological changes in the gall body and its functioning can help a number of certain laboratory tests and special diagnostic methods. They allow to accurately determine the presence of pathology and the place of its localization.
These methods include:
- Palpation. The method is performed by a doctor at initial examination using a hand held feeling region choleretic body.
- Further confirmation of the diagnosis is performed by means of clinical analysis of blood, in which erythrocyte in the blood plasma increases.
- CT or computed tomography, which gives the ability to more accurately identify the presence of any abnormalities in the bile of the body. The examined by means of the directed x-ray radiation, which allows to fix even the most minor deviations in the structure of the internal organ.
Acalculous cholecystitis is a serious pathology, neglect of which can lead to the spread of infection to other vital internal organs that will result in very serious complications and even death. Therefore, the treatment of this disease must be urgent!