the Cholecystitis - an inflammation of a bilious bubble. Disease can roughly develop and quickly - a sharp cholecystitis or slowly and inertly - chronic. Happens and so, that the sharp form passes in due course in the chronic. It is noticed, that the cholecystitis arises at women is more senior 40 years more often.

Vozbuditeljami diseases in most cases are microbes (an intestinal stick, streptococci, enterokokki, stafilokokki) which get to a bilious bubble from intestines on zhelchevyvodjashchim to channels. To occurrence and disease development promote: Gastritis (decreases sekretornaja activity of a stomach), zhelchnokamennaja illness (bile outflow is broken), a dyskinesia (infringement of impellent activity of a bilious bubble and zhelchevyvodjashchih ways) and so dalee.

the Sharp cholecystitis. allocate kataralnuju and destructive (purulent) forms of a sharp cholecystitis. To destructive forms carry flegmonoznyj, flegmonozno-ulcer, difteritichesky and gangrenoznyj a cholecystitis. At sharp kataralnom a cholecystitis the bilious bubble is increased, strained, filled by watery bile (owing to an impurity serous ekssudata). The Mucous membrane giperemirovana, otechna, is covered by muddy slime. mikroskopicheski in it and in podslizistoj to a basis against polnokrovija and a hypostasis layers lowered epitelija come to light infiltraty, consisting of polimorfno-nuclear leukocytes, macrophages, and. Usually sharp kataralnoe the inflammation comes to an end with full restoration of structure bilious puzyrja.

Klinichesky the blood analysis shows the raised quantity of leukocytes. The attack of a sharp cholecystitis can proceed within several days, therefore it is better to address at once to the doctor at occurrence of the first symptoms. Before arrival of the expert it is impossible to accept any medical products or to use hot-water bottles, otherwise are possible serious oslozhnenija.

the Chronic cholecystitis can to arise independently or to be an outcome sharp. Depending on features of a morphological picture it happens kataralnym and purulent. At chronic kataralnom a cholecystitis a wall of a bilious bubble dense, the atrophy of a mucous membrane and a muscular layer hypertrophy are marked. mikroskopicheski under epiteliem come to light numerous makrofagi, containing cholesterol, and also limfoplazmotsitarnye infiltraty in sklerozirovannoj strome. Aggravations are accompanied polnokroviem vessels, a hypostasis of a wall of a bilious bubble, infiltratsiej by its polimorfno-nuclear leukocytes. In some cases are observed a thickening and polipovidnye changes of folds of a mucous membrane, diffuznaja infiltratsija walls lipidami; epitely on one sites is absent, on others expands with education of small polyps. In strome and podslizistom a layer - a considerable quantity ksantomnyh kletok.

Pri a chronic purulent cholecystitis inflammatory process covers all layers of a wall of a bilious bubble that leads it sklerozirovaniju. In thickness of a wall are formed psevdodivertikuly and the microabscesses calling aggravations of process. Mucous membrane atrofirovana, utolshchena, with izjazvlenijami, under it among tjazhej a fibrous fabric and the hypertrophied muscular fibres are defined inflammatory infiltraty. Gradually bilious bubble is deformed, occurring education of solderings with the next bodies (periholetsistit). The serous cover in places, free from solderings, looks like some glaze. In far found cases the bubble represents sklerozirovannyj the deformed bag filled konkrementami and pus, it loses the functions, turning to the centre chronic infektsii.

cholecystitis Treatment

Lechenie a sharp cholecystitis is spent in surgical statsionare.

Pervye some hours of the patient lays under "dropper". To it appoint spazmoliticheskie preparations (but-shpa) and antibiotics. If illness displays abate, the patient prepare to planned polostnoj or laparoskopicheskoj operations on removal of a bilious bubble (holetsistektomii).

Esli the cholecystitis attack does not stop, it is necessary to do operation urgently. Surgeons will spend holetsistektomiju and if it is impossible because of additional diseases or old age of the patient, will make holetsistotomiju (through a skin into a bilious bubble will enter a hollow tubule on which bile will be deduced outside). Such procedure will help to remove inflammatory process in bilious puzyre.

Lechenie a chronic cholecystitis vkljuchaet:

• the Diet. Smoked products are excluded from a food, sharp and fried dishes, canned food, sausage products, sharp cheese, cocoa, chocolate, alcohol. Dairy, vegetarian and fruit soups, from the second dishes boiled vegetables, porridges, puddings, boiled fish and meat are useful. From drinks resolve tea, compote, kissel, juice, milk and sour-milk products, mineral waters.
• Purpose spazmolitikov (but-shpa) and zhelchegonnyh preparations (holenzim, holagol, etc.) And also broths zhelchegonnyh grasses (corn ryltsa, tsvetki an immortelle and dr).
• Duodenalnoe sounding or bezzondovyj tjubazh.

Tsel tjubazha - washing of bilious ways and stimulation of allocation of bile on purpose oporozhnenija a bilious bubble. It is carried out by means of a gastric probe (duodenalnoe zoning) or without it ("blind" tjubazh). It is Most extended blind tjubazh as it is easier transferred and carried out in house uslovijah.

the Technique "blind tjubazha"

Utrom on an empty stomach drink 1-2 glasses of the warmed-up mineral water (or broth zhelchegonnyh grasses, or a powder sernokisloj magnesias), then on the right side put a hot-water bottle and lay down to have a rest at one and a half o`clock. The positive result - the greenish shade of a chair testifying to an impurity zhelchi.

Kolichestvo of procedures is appointed by the doctor. To spend bezzondovyj tjubazh than 2-3 months

Tjubazhi are recommended not less often than 1 time week, duration of a course are counter-indicative at aggravations of a cholecystitis, a stomach ulcer of a stomach not less and duodenal kishki.

Esli the cholecystitis is called zhelchnokamennoj by illness struggle against a cholecystitis begin with treatment zhelchekamennoj bolezni.

Vne aggravations to patients with a cholecystitis physiotherapeutic treatment and rest on resorts Essentuki, Borzhomi, Zheleznovodsk, Truskavets, Morshin, Dorohovo and other