Not calculous cholecystitis

Description:

Not calculous cholecystitis is the disease of a gall bladder of inflammatory character affecting a mucous membrane. Displays of a disease: pain in right hypochondrium, a dispepsichesky syndrome (nausea, disturbance of a chair, an eructation bitter), and also the general manifestations. Acalculous cholecystitis meets often, even at young age. Men are ill 3-4 times less often.

Symptoms of Not calculous cholecystitis:

Usually at the beginning of a disease there is an injury of a mucous membrane of a gall bladder, and, in the conditions of the broken bile outflow, microbic flora joins process. On weight of a current chronic cholecystitises divide on easy, average, heavy, on a stage – into stages of an aggravation and remission.

Patients complain of the pains in the field of the right hypochondrium giving to a thorax, a right shoulder-blade, the right half of a neck, a clavicle, a shoulder. Pain can be strong, but has character of dull constant ache more often. Pain after meal, especially fat, fried, acute amplifies. The reason of strengthening of pain in stimulation of reduction of a gall bladder under the influence of food. If outflow of bile is complicated, the painful attack can be rather strong. In right the hypochondrium arises feeling of weight.

Often patients complain of metal smack or feeling of bitterness in a mouth, an eructation air, abdominal distention, nausea, the strengthened department of gases. The lack of bile acids of intestines leads to disturbance of absorption of fats, cholesterol, salts of calcium and emergence of locks which can be replaced by ponosa, at plentiful emission of bile from a gall bladder under the influence of any reasons. Appetite at patients is kept, and often increased, especially in a stage of attenuation of an aggravation.

The general displays of a disease are usually limited to weakness, a headache, a joint pain, sometimes small fervescence. In a stage of an exacerbation of pain amplify, there is fervescence, sometimes there is a skin itch, jaundice is observed very seldom. During an aggravation sometimes in biochemical analysis of blood signs of an abnormal liver function are found.

Chronic acalculous cholecystitis can be complicated by emergence of a chronic cholangitis, hepatitis, pancreatitis and to promote education turn into stone in a gall bladder and biliary tract. The perforation of a wall of a gall bladder with izlitiy to bile in an abdominal cavity and development of heavy peritonitis, and an empyema of a gall bladder at which the gall bladder turns into a bag with purulent contents can become a dangerous complication.

Reasons of Not calculous cholecystitis:

Such conditions as are necessary for emergence of chronic cholecystitis: stagnation of bile in a gall bladder, reduced immunity, mechanical damage of walls of a gall bladder (not necessarily), existence of the centers of persistent infection. Under these conditions reproduction of microorganisms in a cavity of a gall bladder and on its wall is probable, causing an inflammation.
Stagnation of bile in a gall bladder is promoted by various anatomic anomalies of development of a gall bladder (excesses of a bubble, a banner in a gall bladder) and channels, excesses of bilious ways, prelums of bilious ways. Can result the decrease in a tone of a gall bladder and bilious ways caused by endocrine disorders, emotional stresses, impact of the current inflammatory processes in bodies of digestive tract in stagnation of bile.

Bile outflow disturbance is promoted by a slow-moving way of life, omission of abdominal organs, pregnancy, rare, but plentiful meals. One of factors of emergence of inflammatory process in a gall bladder existence hypotonic - hypokinetic dyskinesia of a gall bladder and bilious ways is considered. Damage and irritation of a mucous membrane of a gall bladder happens at change of physical and chemical properties of bile, as a result of the strengthened stimulation by fried spicy food, at traumatization stones, at flowing in a gall bladder of juice of a pancreas that becomes possible at disturbance of motive function of bilious ways.

Treatment of Not calculous cholecystitis:

Treatment of chronic cholecystitis – long process and a basis it is made by a diet. The diet has to be made individually taking into account a sex, age, weight, physical activity of the patient. 4-5 one-time food, an exception of fried, especially fried food in fat are recommended.

Get acquainted with a diet at diseases of a liver and gall bladder.

Antibacterial therapy is applied though recently its efficiency is called in question. Antibiotics and antibacterial drugs which can concentrate in bile are appointed. Antibacterial drugs are appointed to 10 days.

The physical therapy is often applied. Out of an aggravation drugs for stimulation of bilification are appointed. However if at the patient hypotonia (a reduced tone and weak reductions) of a gall bladder is revealed, then the drugs strengthening reduction of a gall bladder and promoting bile removal are appointed.

At a long current of an inflammation in a wall of a gall bladder with transition of an inflammation to surrounding fabrics (pericholecystitis), and also at accession of an inflammation of a pancreas, at shutdown of a gall bladder there is a question of operational treatment and removal of a gall bladder.