Severe inflammation of the gallbladder. Nutrition for inflammation of the gallbladder. How is the treatment carried out?

What does a little girl dream about, according to information from various dream books?

Dream Interpretation of Meridian

Seeing the birth of a girl is happiness, joy. A newborn girl dreams of success in work.

If a young girl has a dream, then great joy awaits her, about which her mother will be very worried. Bathing a newborn means dealing with the problem, and feeding means avoiding problems.

If a woman dreams of a girl, then perhaps she will soon become a mother.

Why do you dream about a girl child? If this is a baby and a childless person has a dream, then subconsciously she is ready to become a mother. The second option is the desire on a subconscious level to always control everything in life. To see in a dream how infant, a girl being fed by some woman, means that changes in the financial situation will soon occur, and a slight profit is possible.

Dream Interpretation of Grishina

Seeing in a dream a pretty girl whose appearance resembles a doll’s is a miracle.

Summer dream book

Seeing a girl is a surprise.

Babysitting a girl means quarreling with your boss.

They ask you to look after the baby - you will receive a serious reprimand at the workplace.

A man who sees a baby in a dream will have pleasant and long-awaited meetings with his family.

For a woman to see herself as a baby means that problems with children await her and news from relatives is possible.

An untidy girl in a dream means collapse, loss of hope, big problems.

Dream Interpretation of the Healer Fedorovskaya

Seeing girls is a surprise, a joy.

News long conversations with a girl - profit.

Letting someone else's girl into the house means guests.

Seeing an unfamiliar girl in the house is a sign of suspicion.

To kick a girl out is to be jealous of someone.

Copulation with a young stranger is fortunate.

Eastern dream book

According to him, the dreamed beautiful girl in clean clothes - to good news. But if the baby bites or gets dirty, then you should expect bad news.

Babysitting or playing with a little girl in a dream means learning something amazing.

Spring dream book

If you saw a girl, surprises are expected that will cause amazement.

Autumn dream book

If a woman dreamed that her daughter was unwell, then she would not get sick in life. For a girl, seeing a pretty girl means that she may soon become pregnant.

Children's dream book

If you dreamed of a girl, then there was a need to be alone for some time.

Maly Velesov dream book

A dream in which a girl is present prophesies the loss or death of a loved one.

Modern dream book

For a man, a dream with a little girl means joy from a long-awaited meeting with his family.

When a woman dreams that she is a little girl, her children will cause her trouble, and good news from her parents’ home is likely.

An untidy girl means failure at work, collapse, loss of hope, trouble.

Women's dream book

An adult woman who dreams that she is a little girl is trying to hide from life's problems behind her parents' back.

Dream Interpretation 2012

A girl is a symbol of immaturity; a woman remains a child inside.

Dream Interpretation of the Pechora Healer

The girl is an unexpected event.

Dream book of the 21st century

If in a dream a person is surrounded by young people, beautiful girls, then in reality he will also find himself in a pleasant and interesting company. Cloth white on girls it means good luck, prosperity.

To be a little girl in a dream means a minor loss and surprise; a girl entering the house means uninvited guests; trying to kick her out means failure; have long conversations with her - succeed, make a profit.

Dream book for the whole family

A girl means financial losses in the family, close person may leave and not return.

Talking to a girl means the unnatural death of a familiar person.

A girl whose hair is braided means the birth of a baby, chores, joy, and the implementation of plans.

Having a daughter of marriageable age and at the same time having a dream with a girl - it’s worth starting to collect a dowry.

Dream interpretation of birthday people of January, February, March, April

According to the dream book, seeing a girl in a dream means being very surprised by something.

Dream interpretation of bitches

A woman dreams that she is a little girl - worries, the inability to live on, constant feeling guilt due to bad deeds committed once.

The girl is a pleasant surprise.

Playing with your baby means maintaining a strong friendship for a long time.

Dream interpretation of birthday people of September, October, November, December

Seeing your daughter unwell means that in reality she will not get sick.

A girl who sees a pretty baby in a dream will soon become pregnant.

Dream Book of the Wanderer

The girl is a symbol of the protector. If a man had a dream, then he may have an assistant, and if a woman had a dream, then this means that at heart she remains a girl.

Dream interpretation of birthday people in May, June, July, August

If you dream of a girl of doll beauty, this portends a miracle.

Cholecystitis in medicine is called inflammation of the gallbladder. The danger of the disease is that it can progress to gallstone disease.

The main cause of the disease is an infection that penetrates the organ through the blood, lymph or from the intestines.

Primary sources of infection: acute/chronic inflammation of the gastrointestinal tract, respiratory tract, urinary and reproductive systems, liver, as well as worms in the biliary tract. Biliary dyskinesia contributes to the development of the disease, congenital pathologies organ structure, pancreatic reflux, impaired blood supply and normal composition bile, allergic/immunological reactions that provoke inflammation of the walls of the organ, heredity, changes in the endocrine system.

Symptoms of acute and chronic inflammation of the gallbladder in women

Acute acalculous course of the disease is rare, but is characterized by favorable prognosis, absence of complications, but can become chronic. Most often, acute inflammation is a complication of stones in the bladder. On initial stages development, a person experiences intense paroxysmal pain in the right hypochondrium. The attack is accompanied by nausea, leading to vomiting. Body temperature may rise to 39°C. In addition, chills, flatulence, constipation, yellowness of the sclera and skin appear.

Acute cholecystitis with the presence of stones is characterized by a severe course: inflammation spreads to nearby organs and tissues.

Complications after inflammation are liver abscess, cholangitis, pancreatitis, peritonitis. Negative consequences involve placement in a surgical hospital and treatment through surgery.

Symptoms of chronic gallbladder inflammation

It often develops in adolescence, gradually progressing. Complaints may arise when psycho-emotional stress, eating disorders. The main signs of the disease are attacks of pain in the right hypochondrium, which can radiate to the left half of the abdomen and chest.

If there are no stones in the bladder, then basically the person has some form of biliary dyskinesia, which often determines the nature of pain. With hypomotor dyskinesia, the pain is aching, constant, and of low intensity. In the absence of such, a person is bothered by heaviness or burning in the right hypochondrium. With hyperkinetic dyskinesia, pain attacks are more intense, but short-lived, radiating to the lower back, under the shoulder blade, and to the heart.

There is such a thing as cholecystocardial syndrome - pain in the heart, palpitations, rhythm disturbances, which is caused by a toxic effect on the myocardium. For a long period of time in pathological process The solar plexus is involved, solar syndrome appears - burning, intense pain in the navel, radiating to the back.

The appearance of attacks and their frequency are often provoked by errors in diet, excessive physical activity, vibrations, hypothermia, drinking alcohol and emotional stress.

Nausea and vomiting occur in only half of cases. As a rule, these signs of inflammation of the gallbladder are reflexive in nature and are associated with a violation of its tone, but they can also be accompanied by complications - gastroduodenitis or pancreatitis. Bile particles are present in the vomit. Vomiting is caused by drinking alcohol and poor diet.

Bitterness in the mouth is one of the most common complaints in patients with cholecystitis. When such a symptom appears, the gallbladder should be examined first.

Skin itching is associated with a violation of the outflow of bile. The latter provokes irritation nerve receptors, accumulating in the blood. Violation of the outflow leads to the temporary appearance of jaundice.

Chills and fever accompany exacerbation of a chronic disease.

It is worth noting that patients are simultaneously diagnosed with severe vegetative-vascular dystonia. Attacks are often accompanied by neurotic syndromes - weakness, sweating, palpitations, headache, sleep disturbances, emotional lability(mood instability).

In patients with a predisposition to allergies, during an exacerbation of cholecystitis, corresponding negative reactions from the body, for example, Quincke's edema or urticaria.

Women may experience premenstrual tension syndrome. A few days before menstruation, headaches, slight swelling of the face and limbs, and mood swings occur. At the same time, the signs of cholecystitis become more pronounced.

What medications can relieve inflammation of the gallbladder?

If inflammation is confirmed through tests and clinical symptoms antibiotic therapy is prescribed. The choice of drugs depends on their ability to concentrate in bile.

Symptomatic therapy is aimed at normalizing the function of the biliary tract and stopping pain syndrome. Anticholinergic drugs (Riabal), myotropic antispasmodics (No-shpa, Papaverine, Mebeverine), anticholinergics (Platifillin) and analgesics (Balagin, Analgin) will help relieve pain.

If there are no stones in the bladder, but there are signs of hypotension, treatment of inflammation requires the appointment of choleretic drugs (Allochol) and cholenzyme, as well as herbal medicine. Folk recipes based on herbs are widely used: immortelle, St. John's wort, corn silk, tansy, leaves peppermint, rose hip. These plants enhance the production of bile, reduce its density, and have an anti-inflammatory effect. They are usually prescribed during remission. Treatment according to traditional recipes lasts from 2 to 4 weeks. Mineral waters have a similar effect.

The doctor may also prescribe blind probing- tubage. It is usually carried out once every 7 days.

Course – from 3 to 5 procedures. Do it in the morning, on an empty stomach. First, you need to slowly drink a glass of warm mineral water with the addition of xylitol or sorbitol (20-25 g). Then the patient should lie on his right side for 45-60 minutes.

A warm heating pad is placed under the right side of the body. After visiting the toilet, take a shower and rest. After an hour and a half, you can eat cottage cheese and drink a glass of tea with honey.

Bile acid preparations are prescribed in the presence of microliths, bladder hypotension, and cholestatic syndrome.

All treatment methods require the use of hepatoprotectors to normalize liver function, for example, Chofitol, Gepabene. At vegetative-vascular dystonia recommended sedatives(motherwort, valerian) and anxiolytics (pr. Adaptol).

What can you eat during acute inflammation: diet for the gallbladder

It is better to undergo therapy during an exacerbation in a hospital setting. In addition, it is desirable bed rest and psycho-emotional peace. After cupping acute process the mode expands to general.

During an exacerbation in the first two days it is allowed to drink warm liquid (juices diluted with water, mineral water, weak sweet tea) and eat crackers (not a lot). As symptoms subside, the diet expands.

• pureed cereal and vegetable soups;
• porridge (semolina, buckwheat, rice, oatmeal);
• low-fat cottage cheese, mousses, jelly, jelly;
• lean boiled fish;
• white crackers;
• boiled and pureed meat, steamed cutlets.

You need to eat fractionally: up to 6 times a day, but in small portions.

Inflammation of the gallbladder is one of the most common pathologies of the digestive organs in medicine. Symptoms of gallbladder inflammation vary and depend on the type of disease and other factors, so treatment for one form will differ from treatment for another form of cholecystitis.

This inflammation is infectious and inflammatory in nature, the reasons for its formation are often hidden in opportunistic flora, which ends up in the gallbladder. In women over forty, gallbladder inflammation occurs twice as often as in men.

Inflammation of this organ is usually accompanied by characteristic feature– pain in the area of ​​the right hypochondrium. The pain may radiate to the collarbone and right arm.

The inflammatory process (cholecystitis) has two types of course - acute and chronic, but chronic course diseases are diagnosed more often. Among inflammations, the calculous type is more common. This type is associated with the appearance of stones in the bladder and bile ducts. There is also an uncomplicated form of the anomaly - acalculous cholecystitis.

Causes

Typically, inflammation of the gallbladder occurs due to infection of the organ by pathogenic microorganisms. All this occurs against the background of weakened immunity and the presence of underlying diseases. The hereditary factor plays a significant role in this.

The onset of an active inflammatory process is influenced by the following factors:

• stagnation of bile due to dyskinesia or blockage of the biliary tract;
• endocrine disorders;
• acute infectious processes;
• physical inactivity, obesity;
• prolapse of the digestive tract;
• pregnancy;
• poor nutrition;
• constant use alcoholic drinks, smoking;
• regular exposure to traumatic situations.

If we talk about the development of cholecystitis in children, the factors that provoke this condition may be:

• obesity due to a sedentary lifestyle;
• hereditary predisposition;
• poor immunity;
• injuries;
• developmental anomalies.

Symptoms of gallbladder inflammation

Inflammation in the gallbladder occurs progressively, gradually, and often develops into a chronic, recurrent form. Symptoms of cholecystitis vary depending on the type of anomaly.

Acute cholecystitis is expressed by the following symptoms:

• the pain is acute, nagging in nature, sometimes bursting, localized in the hypochondrium on the right side. The pain can radiate to the collarbone, right forearm, and shoulder blade. Painful sensations in the form of attacks are typical for gallstone cholecystitis, as this is caused by blockage of the bile duct with a stone or a clot of bile secretion;
• loss or deterioration of appetite and weight loss;
• obstructive jaundice, which changes the color of the eye sclera and skin;
• heat;
• nausea and sometimes vomiting with bile in the vomit;
• bloating and problems with bowel movements (constipation).

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The patient's condition may improve after a few days if there are no concomitant diseases.

The catarrhal form of pathology is one of the acute forms of cholecystitis. Its appearance is due to the presence of stones in the cavity of the gallbladder.

Symptoms for this type of pathology are:

• continuous intense pain in the area of ​​the right hypochondrium and epigastrium, pain can spread to the shoulder girdle, lower back, neck, scapula;
• vomiting, which does not bring a feeling of relief, may contain duodenal contents (particles undigested food, bile, mucus);
• high blood pressure and tachycardia;
• low temperature.

Also, the development of the catarrhal form of the disease may be indicated by Ortner's symptom - a sensation of pain during tapping of the right costal arch, increased pain when palpating the gallbladder while inhaling.

Phlegmonous cholecystitis has severe course. Its signs are:

• severe pain that increases with changes in body position or deep breathing As a rule, pain is felt in the right hypochondrium;
• general weakness, chills;
• high temperature (up to 39);
• loss of appetite;
• nausea and vomiting that does not bring relief, repeated;
• Ortner's symptom (as with the catarrhal form of the disease).

Gangrenous cholecystitis refers to complications of the phlegmonous type of inflammation.

Symptoms of this complication will be as follows:

• intestinal paresis;
• rapid breathing of a superficial nature;
• bloating;
• tachycardia;
• dry mouth;
• general symptoms of body intoxication are fever, weakness, sweating.

Palpation determines muscle tension the anterior part of the abdominal wall.

Signs of chronic inflammation are less pronounced and may appear and disappear.

At chronic inflammation the following symptoms occur:

• mild pain in the right side, pain may intensify after consumption fatty foods or redundant physical activity. The pain can range from stabbing to squeezing and can radiate to the solar plexus and sacrum;
• nausea on an “empty” stomach;
• belching of air or food;
• bitter taste in the mouth;
• salt syndrome;
• jaundice, the cause of which is a short-term increase in bilirubin;
• itchy skin;
• chills, fever;
• heaviness and discomfort in the epigastric area;
• attacks of tachycardia, sleep disturbance, migraine, increased heart rate (symptoms of VSD).

Symptoms of gallbladder inflammation in women and children

The presence of inflammation in a child may be indicated by:

• belching rotten;
• bad breath;
• indigestion (alternating constipation and diarrhea);
• loss of appetite;
• rumbling in the stomach;
• low temperature that can last a long time.

Inflammation in women often occurs during pregnancy or menopause.

In addition to the main symptoms, specific ones may also occur:

• frequently changing mood;
• paleness of the skin of the legs and swelling;
• attacks of headache, which intensifies before the onset of menstruation;
• premenstrual syndrome.

Diagnostics

After a personal examination, palpation and history taking, the doctor prescribes the following types of examination to accurately diagnose gallbladder inflammation:

• ​​​general and extended blood test (acceleration of ESR is detected, high level neutrophils and white blood cells, increase in C-reactive protein, bilirubin);
• general urine test (it shows the presence of bile acids);
• bile analysis;
• detection of giardiasis;
• echography of the organs of the biliary system (visible hypertrophied, compacted, layered walls of the organ, irregular shape organ or its compression);
• CT, MRI;
• duodenal intubation. This type of examination makes it possible to identify failures in the process of accumulation and excretion of bile.

How to treat gallbladder inflammation

Treatment for an inflamed gallbladder is usually complex.

After a period of exacerbation, physiotherapy is prescribed. Their benefit is to normalize the activity of the gallbladder and increase the tone of the bile ducts. For cholecystitis during remission, mud or paraffin applications on the gall zone, ultrasound and UHF are well received by the body. Hydrogen sulfide and radon baths have an effect in relieving inflammation; they are taken in courses.

Remember! If stones are found in the gallbladder during ultrasound, choleretic agents cannot be accepted!

Surgical intervention

Sometimes the development of the disease forces removal of the gallbladder. After organ resection, the patient may develop postcholecystectomy syndrome. You may experience soft stools for several months after surgery. Later the condition returns to normal, but in 1% of patients this anomaly can persist throughout life. To prevent the development of diarrhea, it is necessary to review the diet and completely exclude dairy products from it and increase the amount of foods containing fiber.

Diet

It is impossible to get rid of cholecystitis without diet. The diet is selected individually, taking into account the form of inflammation.
In all cases, dishes with an irritating effect on the gastrointestinal tract are removed from the diet, these are:

• spicy, sour dishes;
• too hot or cold;
• fried, fatty, smoked foods;
• coffee, hot chocolate.

The diet should include foods prepared in gentle ways: stewed, boiled, steamed, baked. You can eat vegetables without coarse fiber, cereals, steamed omelets, lean meat, puddings, fermented milk products, but not fatty, cereal breads, crackers from white bread. It is recommended to exclude fresh baked goods from your diet.

It’s good to drink a lot of liquid, it’s better if it’s: non-carbonated mineral water, rosehip decoction, sweet juices diluted with water.

Remember! If the gallbladder is inflamed, you need to eat small meals at least 5-6 times a day. Overeating or irregular eating can cause dyspeptic disorders and pain syndrome.

Treatment with folk remedies

Inflammation of the gallbladder can be treated folk ways. Herbal medicine can speed up organ recovery and relieve pain and discomfort in the problem area. For better effect Treatment with traditional methods is best combined with drug treatment.

Take off painful spasms and you can improve the secretion of bile with the help of an infusion of corn silk. Take 10 g of stigmas (dry), brew with boiling water (250 ml) and leave for an hour. Drink 50 ml before meals.

For women suffering from inflammation of the gallbladder, peppermint infusion is useful due to its anti-inflammatory and soothing effects. To do this, take 20 g of leaves, pour boiling water (1 glass) and leave in a water bath for 25 minutes. This infusion is drunk three times a day before meals.

Parsley infusion helps improve digestion and has a slight choleretic effect. Parsley (finely chopped) - 10 g, pour boiling water (1 glass), leave and drink 50 ml before meals.

At acute cholecystitis elecampane helps. To do this, pour in its crushed roots (10 g) 220 ml cold water, leave for 8–10 hours. Add 50 ml of honey to the infusion, or propolis. This mixture is divided into 4 servings, which are drunk during the day three quarters of an hour before meals. Course duration is a week.

On a note! At home accessible method Pears are considered a treatment for gallbladder inflammation. Unsweetened compote is made from them and drunk daily.

They also help well in therapy against inflammation of the gallbladder. regular products, for example, beets. It is grated on a fine grater, poured with water 3-4 cm above the vegetable, cooked over low heat until smooth and pureed, and used before meals, 50 g.

You can prepare a mixture of juices of carrots, black radish, beets, horseradish, lemon (200 ml each), add 125 ml of alcohol. Place the mixture in a dark place for 10 days, drink 15 ml 3 times a day before meals.

Grind 30 dried laurel leaves, pour 200 ml sunflower oil, leave for a week, filter. Add 15 drops to milk, kefir, tea 3 times a day.

If the disease worsens, you can prepare a mixture of olive oil (150 ml), cognac (100 ml) and menthol (50 ml). Drink 15 ml per day, after applying a warm compress to the area of ​​the right hypochondrium.

Cabbage juice helps well with this disease - you need to drink 100 ml warm before meals every day.

Forecast

The prognosis is generally favorable, but strict adherence to the doctor's instructions is required. If inflammation is not relieved with medications in time, pancreatitis, cholangitis, and hepatitis may develop. The formation of stones in the cavity of the gallbladder is also likely.

An unfavorable outcome may occur in severe purulent forms cholecystitis and multiple stones. In this case, the solution is complete resection of the gallbladder.

Our expert - Doctor of Medical Sciences, Professor of Moscow State Medical University Tatyana Polunina.

A turning point

Inflammation of the gallbladder wall - chronic cholecystitis– usually develops gradually. Often it occurs against the background of other chronic diseases gastrointestinal tract: gastritis, pancreatitis, hepatitis.

The cause of cholecystitis is stagnation of bile in the gallbladder, to which infection is added. Why does the gallbladder stop emptying as it should? There are many reasons. IN healthy body bile movement is ensured good tone bile ducts, their proper nervous and endocrine regulation. This movement becomes difficult if the ducts are somehow compressed or kinked, if their ability to move bile into the in the right direction. This can happen under the influence of stress, endocrine and autonomic regulation disorders. Often the impetus for stagnation of bile is prolapse of the viscera, pregnancy, sedentary lifestyle life, rare meals.

Stagnation contributes to the development of infection in the gallbladder. It could be bacteria - coli, streptococci, staphylococci, as well as lamblia and fungi, hepatitis viruses. In some cases, inflammation is stimulated toxic poisoning(for example, drug overdose) or allergic process. Inflammatory processes in other organs, such as tonsillitis, also contribute to it.

Either constipation or belching

The immediate impetus for an outbreak of inflammation in the gallbladder is often overeating. Rich lunch or dinner with fatty and spicy food, supplemented with beer or wine, may end up dull, aching pain on the right, under the ribs. It occurs 1–3 hours after the feast. The pain usually radiates upward, to the area of ​​the right shoulder and neck, and right shoulder blade. There may also be sharp pain, resembling biliary colic. The feeling of bitterness does not go away in the mouth, metallic taste, there may be belching, nausea, rumbling in the stomach. Often alternating constipation and diarrhea, irritability, insomnia. Pressing on the abdomen in the area of ​​the gallbladder is very sensitive, sometimes painful. You can feel the muscular resistance of the abdominal wall.

All these are signs of acute cholecystitis, which, if measures are not taken, can become chronic. The diagnosis can only be made by a doctor - after a blood test, duodenal intubation, microscopic examination bile.

In some cases, cholecystography is required - X-ray examination. This is necessary to evaluate the shape and structure of the walls of the gallbladder, its contraction, and the presence or absence of stones in it. Useful information gives and ultrasonography. If cholecystitis progresses to chronic form, ultrasound shows thickening or deformation of the walls of the gallbladder.

Prevent relapse

Cholecystitis in most cases has a long course. Periods of remission, when the patient practically does not notice his illness, are replaced by exacerbations, usually due to eating disorders and after drinking alcoholic beverages. The impetus for a new exacerbation can also be severe physical labor, acute intestinal infection, hypothermia. However, if you follow your doctor's recommendations, the prognosis is favorable in most cases.

Unfortunately, patients often come to the doctor too late - they simply do not pay attention to the first attack, cope with it with the help of home remedies on the advice of friends and neighbors, and then, when the pain has passed, they do not change anything in their lifestyle. With frequent relapses, inflammation of the large intrahepatic ducts may develop. In addition to the pain, an increase in body temperature, sometimes chills, fever, and itchy skin are added. The skin and mucous membrane of the eyes may turn yellow, which is associated with a deterioration in the outflow of bile due to blockage of the bile ducts with mucus.

In acute conditions, patients are usually hospitalized in surgical or therapeutic hospitals. In mild cases it is possible ambulatory treatment. In the first days, it is necessary to strictly observe bed rest and diet No. 5a. Small meals are very important - 4-6 times a day. The patient is prescribed selective antispasmodics; in case of exacerbation - antibacterial drugs. After remission occurs, choleretic drugs are recommended.

Diet

To stop the development of acute cholecystitis into chronic cholecystitis, and chronic cholecystitis into cholelithiasis, you need to radically change your lifestyle and, above all, your eating style. Doctors recommend diet table No. 5 or diet No. 5 according to Pevzner.

It is forbidden

• Fat meat
• Animal fats
• Savory snacks
• Marinades
• Alcohol
• Ice cream
• Chilled drinks
• Salty
• Roast
• Cakes, cream,
• Fish and mushroom broths
• Smoked meats

Can

• Puree vegetables
• Minced meat, steamed or boiled
• Cottage cheese, kefir
• Weak tea with milk
• Lactic acid products
• Butter in limited quantities
• Vegetable oil– 20–30 g per day
• White omelet, soft-boiled eggs – 1–2 times a week
• Vegetarian borscht, cabbage soup
• Cereal, fruit, milk soups
• Boiled, baked vegetables
• Any porridge
• Pasta, vermicelli
• Baked cheesecakes
• Vegetable and fruit juices
• Lean meat (beef, chicken, turkey, rabbit), boiled, baked
• Compotes, jelly, rosehip decoction
• Cracker
• Fruits and berries (except sour ones) raw and boiled, grapes
• Stale bread: white, gray
• Watermelon
• Low-fat boiled fish
• Mild cheese

With this diet you need to eat 5 times a day, in small portions. This diet is prescribed to ensure gentle functioning of the liver, normalization of bile secretion and intestinal activity, unloading of fat and cholesterol metabolism.

Beef, lamb and pork fat, lard, liver, brains, sausage, fish and canned meat, pickles, meat and fish broths, as well as butter dough. If possible, limit your use butter, eggs, garlic, onion, dill and parsley. It is also recommended to eat cottage cheese, vegetables and fruits. You should drink plenty of fluids, but you must take into account the condition of cardio-vascular system and kidneys. Consumption table salt should be reduced moderately.

Chemical composition of the diet:

• Protein approximately 100–110 g
• Fats 80–100 g
• Carbohydrates approximately 400–450 g
• The number of calories is 2800–3200.

To improve the condition of the bile ducts, you need to conduct more active image life, exercise regularly during the working day, walk more, visit a sports club or swimming pool.

Be alert and with outbreaks chronic infection, if they are in the body: do not trigger bad teeth, sore throat, inflammatory processes in the pelvic organs. If they are treated in a timely manner, you can avoid further troubles with the gallbladder.

Good day, dear readers!

In this article we will look at such a gallbladder disease as cholecystitis, as well as its causes, symptoms, treatment and prevention of cholecystitis. So...

Cholecystitis– disease (inflammation) of the gallbladder, the main symptom of which is severe pain in the right side when changing body position. Cholecystitis is one type of complication.

Gallbladder- an organ involved in the digestion of food, designed to accumulate bile, produced by the liver, located in the right hypochondrium. That is why, most often, a patient with cholecystitis complains of pain under the ribs, in the right side.

Cholecystitis, i.e. inflammation of the gallbladder develops mainly due to a violation of the outflow of bile from the gallbladder, which in turn is associated with:

- with gallstones that block the bile outflow channel ( cholelithiasis) or damage the walls of the organ;
- disruption of the blood supply to the walls of the gallbladder, caused by;
- damage to the mucous membrane of the gallbladder by pancreatic juice, when the secretion of the pancreas returns back to bile ducts(reflux)
- the presence of pathogenic microflora in the gallbladder.

Most often, cholecystitis affects women over 40 years of age.

Cholecystitis - ICD

ICD-10: K81
ICD-9: 575.0, 575.1

Types and forms of cholecystitis

Cholecystitis is classified as follows:

According to the form of the disease:

Acute cholecystitis. This form of cholecystitis is characterized dull pain in the right half of the abdomen, with a return to right shoulder blade, shoulder. The pain can be variable, sometimes intensify, sometimes disappear altogether. In this case, the disease may be accompanied by yellowing skin and itching. A dangerous complication acute cholecystitis is – .

Chronic cholecystitis. Inflammation of the gallbladder occurs slowly and gradually, often without clear signs of the disease. As in acute form, the patient may be plagued by pain in the right side, in the hypochondrium, especially after a sharp shake of the body. Abdominal bloating is observed periodically. After eating low-quality food, especially fatty, fried and smoked food, it often appears after a few hours.

According to the etiology of the disease:

Calculous cholecystitis. Characterized by the presence of stones in the gallbladder. Often the presence of stones does not bother a person, but this happens until they enter the gallbladder duct, and getting stuck there, causing colic. Over time, they impede the outflow of bile, which begins to stagnate, and over time, with other unfavorable factors, the processes of inflammation of the bladder begin;

Acalculous cholecystitis. Characterized by the absence of stones in the gallbladder.

According to the signs of the disease:

Acute cholecystitis is divided into the following types:

Catarrhal cholecystitis. Characterized by severe pain under the ribs, with right side, radiating to the right shoulder blade, shoulder, side of the neck, as well as lumbar region. At the beginning of the development of the disease, pain either comes (during increased contraction of the gallbladder, to cleanse the internal contents) or goes away. Over time, due to overstrain of the organ, the pain turns into persistent symptom diseases. The patient experiences frequent vomiting, first with gastric and then with duodenal contents, after which relief does not come. The temperature rises to 37-37.5°C. The attacks of catarrhal cholecystitis themselves can last for several days.

Additionally, with catarrhal cholecystitis, a small (up to 100 beats/min.), small, wet tongue, sometimes with a whitish coating, sharp pain in the right side of the abdomen, upon palpation, moderate leukocytosis (10-12 * 10 9 / l or 10000-12000), increase in ESR.

The cause of catarrhal cholecystitis lies mainly in poor nutrition: food dry and with long breaks, as well as eating fatty, fried and smoked foods.

Phlegmonous cholecystitis. Compared to catarrhal appearance, is characterized by more severe pain and increased signs of the disease. Pain occurs when changing body position, breathing, or coughing. The patient is constantly accompanied by nausea with bouts of vomiting. The temperature rises to 38-39 °C, general state the patient deteriorates sharply, chills appear. There is some bloating in the abdomen, and tachycardia increases to 120 beats/minute. Palpation of the abdomen is extremely painful, the gallbladder is enlarged and can be palpated. A blood test shows leukocytosis with indicators of 20-22 * 10 9 / l or 20000-22000 and an increase in ESR

With phlegmonous cholecystitis, the wall of the gallbladder is thickened, and fibrinous plaque is observed on the peritoneum covering it; purulent exudate, sometimes with ulcers, is observed in the lumen and on the walls of the organ. Manifests pronounced infiltration gallbladder walls with leukocytes.

Gangrenous cholecystitis. In fact, gangrenous cholecystitis is the third stage of the development of acute cholecystitis. All processes of damage to the gallbladder intensify. The immune system is so weakened that it is no longer able to voluntarily contain organ damage pathogens. Symptoms of severe intoxication with manifestations of purulent peritonitis appear. Body temperature is 38-39°C. Tachycardia up to 120 beats per minute. Breathing is shallow and rapid. The tongue is dry. The abdomen is distended, the peritoneum is irritated, intestinal motility is severely suppressed or absent. Blood tests show high leukocytosis, increased ESR, abnormal acid-base balance and electrolyte composition of blood. In addition, proteinuria and cylindruria are observed.

The cause of gangrenous cholecystitis often lies in thrombosis of the gallbladder artery, the cause of which is mainly the manifestation of atherosclerosis and decreased tissue regeneration. In this regard, gangrenous cholecystitis most often affects older people.

Causes of cholecystitis

The development of cholecystitis is most often provoked by the following reasons:

The main symptom of cholecystitis, which patients complain about most, is pain under the ribs in the right side, especially when changing body position, which can also be felt in the right shoulder, shoulder blade, and side of the neck.

Other symptoms of cholecystitis include:

Before flushing your gallbladder, be sure to consult your doctor!

Medicines for cholecystitis

Medicines for cholecystitis should be taken with great caution, because If the selection or order of administration is incorrect, the risk of exacerbation of the disease increases. This is especially true if there are stones in the choleretic bladder. Be sure to consult a doctor who, based on the diagnosis, will prescribe a course of treatment for cholecystitis, following which the positive prognosis for recovery increases significantly!

Medicines for cholecystitis

Anti-inflammatory drugs:"Diclofenac", "Meperidine".

Antispasmodics (pain relievers):“Baralgin”, “Ditsetel”, “Duspatalin”, “No-shpa”, “Odeston”, “Papaverine”.

Choleretic drugs (indicated only in remission inflammatory processes):

- choleretics (stimulate bile formation) - “Allohol”, “Gepabene”, “Decholin”, “Silimar”, “Tanacehol”, “Holagol”, “Cholenzim”, as well as mineral waters.

- cholekinetics (stimulate bile secretion) - Carlsbad salt, xylitol, olimetin, rovachol, sorbitol, magnesium sulfate, as well as cholespasmolytics (Dicetel, Duspatalin, No-shpa, Odeston, Platifillin).

Choice choleretic drugs– choleretics or cholekinetics depends on the type of dyskinesia.

Antibiotics:

— fluoroquinolones: Levofloxacin (“Lefokcin”, “Tavanik”), Norfloxacin (“Girablok”, “Nolicin”, “Norbactin”), Ofloxacin (“Zanocin”, “Tarivid”); Ciprofloxacin (“Tsiprolet”, “Tsiprobay”)

— macrolides: Azithromycin (“Azitral”, “Sumamed”), Clarithromycin (“Klatsid”, “Clerimed”), Midekamycin (“Makropen”), Roxithromycin (“Roxide”, “Rulid”), “”.

- semi-synthetic tetracyclines: Doxacycline (“Vibramycin”, “Medomycin”), “Metacycline”.

IN severe cases: Cephalosporins (Ketocef, Claforan, Rocephin, Cephobid).

If the pathogenic microflora does not respond to antibiotics, additional use of nitrofuran drugs is recommended: Metronidozole (0.5 g/3 times a day - up to 10 days), Furadonin, Furazolidone.

For gallbladder dysfunction due to hypomotor dyskinesia: "", "Motilak", "".

Phytotherapy

Herbal medicine in Lately is increasingly one of the key components complex treatment cholecystitis, as well as strengthening positive result drug therapy diseases of the gallbladder and bile ducts.

For cholecystitis, especially chronic, a long course of drug treatment is required various actions. In order to reduce the drug load, doctors prescribe the herbal drug Gastroguttal.

Gastroguttal is a gastric drop based on medicinal herbs. The composition includes tinctures of valerian, wormwood, mint and belladonna. The drug has a relaxing effect on the functioning of the gallbladder, helps relieve the symptoms of cholecystitis and normalizes the functioning of the biliary tract. Gastroguttal also relieves inflammation and spasms, which are the main cause of intestinal pain.

The bitterness of wormwood stimulates the activity of the digestive glands (promotes increased secretion of bile, gastric and pancreatic juice), improves the motor function of the stomach and intestines, has an anti-inflammatory effect and activates protective forces body. And peppermint, which is part of Gastroguttal, improves the qualitative composition of bile, promotes the proper movement of food through the gastrointestinal tract and eliminates bloating.

Herbal, natural composition Gastroguttala makes the drug taste pleasant when added to tea, and liquid dosage form promotes faster action.

Like pharmaceutical products - medical supplies, various medicinal plants in the treatment of cholecystitis, they are also divided into 2 groups that have choleretic and bile-stimulating properties, and some of the plants may have both properties at the same time. Rosehip, dill seed, caraway seed, root, root, wild chicory root.

All medicinal plants are used in the form of decoctions and infusions for several months, usually up to 3-4. They need to be prepared for 1-2 days so that the product is always fresh.

You need to drink prepared decoctions 100-150 g, 2-3 times a day, 30 minutes before meals.

All medicinal herbs can be arranged, but in such a way that the collection includes no more than 5 plants. They are arranged depending on their useful properties. Of course, it would be better if a doctor does this, because... in addition to beneficial properties and beneficial effects on the body, some plants have certain contraindications, which are very problematic to understand, especially without diagnosing the health of the body. If you still decide to use decoctions and infusions yourself, then at least focus on the individual tolerance of certain plants.

Diet for cholecystitis

When treating cholecystitis, a diet must be prescribed. This is due to the fact that the presence of the disease itself is actually a sign of gallbladder failure and biliary tract cope with your role in digestive system– production and release of bile for proper processing of food.

In this regard, a gentle menu is prescribed, which in turn is designed to minimize irritation of the bile-producing digestive organ.

In case of acute cholecystitis, or its exacerbation, it is prescribed, and during remission,.

During the diet, frequent (4-6 times a day) and fractional meals(eating in small portions).

The menu for cholecystitis excludes following products power supply: fried, fatty, smoked, spicy, canned food, cold (chilled) dishes, carbonated drinks, alcohol (especially beer and wine), baked goods, egg yolks, nuts, cocoa, chocolate, raw vegetables and fruits.

— for the first course: vegetarian, dairy and fruit soups;
- for the main course: porridge, boiled vegetables, vinaigrette, boiled fish and meat, puddings;
— drinks: tea, juices, jelly, compote, milk and fermented milk products, mineral waters.
— additional products: watermelon, melon, dried apricots, raisins, prunes.

The caloric content of the diet should correspond physiological norm - 2500 calories, of which - proteins (90 g), fats (85 g), carbohydrates (350 g), and in the acute stage of the disease - 2000 calories.

Surgical treatment of cholecystitis

Often, especially if cholecystitis is accompanied or provoked, treatment may be prescribed surgical intervention. This is due, first of all, to complications in removing large stones from organs, which, if removed by conservative therapy, can lead to a detrimental effect of treatment on the human body as a whole.

Surgical treatment of cholecystitis also has other indications for use, for example, removal large quantity pus, as well as pathological changes gallbladder and its canals.

Decision on necessity surgical treatment cholecystitis is diagnosed by the attending physician, mainly referring to diagnostic data, in particular ultrasound.

Types of operations: Cholecystostomy, Cholecystectomy.

Spa treatment of cholecystitis

In the absence of exacerbation of cholecystitis, patients are prescribed physiotherapeutic treatment of the disease at resorts, where patients then consume a diet balanced for diseases of the digestive system, as well as medicinal mineral waters.

Popular health resorts: Borjomi, Dorokhovo, Essentuki, Zheleznovodsk, Karlovy Vary, Morshin, Truskavets, etc.

When using folk remedies for cholecystitis, you must adhere to the diet described in the article just above.

Important! Before using folk remedies for cholecystitis, be sure to consult your doctor!