Cholecystitis

Cholecystitis's disease overview

Gallbladder is an organ in the liver, undertaking the function to help digest fats and fat -soluble vitamins such as A, D, K, E and Caroten.

Cholecystitis The phenomenon of gallbladder infections, which can occur suddenly called acute cholecystitis, or recurrent many times called Chronic cholecystitis .

Cholecystitis if not treated promptly will lead to dangerous complications for humans. Acute or chronic cholecystitis is dangerous, of which acute gallbladder inflammation is considered a surgical emergency and should be handled in time.

What is the function of the gallbladder? Causes of cholecystitis

Causes of Cholecystitis's disease

Causes of cholecystitis are found as follows:

Cholecystitis due to gallbladder stones

accounts for the majority of cases. Gallbladder stones are stuck in the neck of the gallbladder, causing bacteria to enter the site of the damage, from the cholecystitis.

Due to other reasons not

include the following pathologies:

  • E.coli infection for pregnant women
  • Typhoid, infection.
    • Cancer, fibrosis, angle folding, obstruction of the bile duct leading to gallbladder obstruction.
  • Oddi stenosis, papers
  • Trauma

    • Symptoms of Cholecystitis's disease

    Gallbladder symptoms go through four stages:

  • Stage 1: The stones are thrown into the gallbladder causing epigastric pain with reflexes.
  • Stage 2: The stones are stuck in the neck or gallbladder, making the bile fluid unable to escape, causing gallbladder inflammation. Clinical symptoms at this stage are pain in the lower right flank, cramping pain, which can spread behind the right back or on the right shoulder. Patients may have a mild fever, when the examination will have a abdominal wall reaction on the lower right flank, Murphy ( +) mark. If later, there may be signs of peritonitis.
  • Stage 3: The gallbladder tube continues to be blocked, causing germs to grow and peritonitis in patients. The whole body of the patient is poisoned, high fever, when the examination will react the abdominal wall, spastic abdominal wall, reaction on the lower right flank.
  • Stage 4: The gallbladder is punctured after 48-72 hours of being blocked. If the patient has other diseases such as diabetes, glue, artery inflammation, the gallbladder may be punctured earlier than the above time.

    • People at risk for Cholecystitis's disease

    The risk factors that increase the likelihood of cholecystitis are:

  • Women tend to suffer from cholecystitis more than men.
  • The higher the age, the more risk of the disease.

    • Prevention of Cholecystitis's disease

    Preventing cholecystitis, need to follow the following principles in birth or nutrition:

  • A low -fat diet, no fried food, processed foods or indigestion.
  • Eat good foods such as vegetable oil, white meat, lean meat, soy milk, fiber, vegetables, fruits.
  • There is a regular exercise regime to strengthen the immune system, helping the circulation of bile ducts.
  • For women, it should be more careful in using birth control pills.

    • Periodic worms, hygienic eating, treating good bile tract infections to prevent bile pigment stones.

    Diagnostic measures for Cholecystitis's disease

    To accurately diagnose acute gallbladder inflammation, tests and post -full techniques need to be performed:

  • Blood test: see if the number of white blood cells increases, blood type.
  • Blood biochemistry: blood sugar, kidney function including urea, creatinin, liver function including SGOT, SGPT, Bilirubin, TP, TT, GT see increased, protid, albumin, a /G decrease. Blood amylase may increase.
    • ultrasound: see the image of the gallbladder, the horizontal diameter of the gallbladder is greater than 4cm, the gallbladder wall is thicker than 3mm, there is a fluid around the gallbladder.
  • Optical abdominal rays: seeing calcium images.
  • Optical gallbladder cholecyste: Used to evaluate gallbladder function.

    • Computerized tomography: Help diagnose gallbladder and cholecystitis.

  • Magnetic resonance imaging: used to diagnose anatomical position, gallbladder structure along with predictions.
  • Flashing scan: used to diagnose cholecystitis, gallbladder stones, dysfunction of gallbladder, congenital bile ducts ...

    • Cholecystitis's disease treatments

    To Treatment of cholecystitis , there are two main methods applied based on 4 stages of disease as mentioned in the symptom:

    Medical treatment of cholecystitis

    applies when the disease is in stage 1 and 2

  • Patients are indicated for fasting and stomach catheter.

    • Transfusion for patients.

  • Use sympathetic inhibitors to inhibit nerve X and anti -secretions.
  • Monitor patients based on: The white blood cell formula every six hours, the temperature every two hours, the abdominal exam every two to three hours
  • Do not use antibiotics in patients.
  • Surgical arrangement when the patient is gone.
    • Surgical treatment

    applies to patients in stage 3 and 4. The surgery may be performed for patients with broad -spectrum antibiotics. There are two current surgical methods:

  • Nusiness cholecystectomy: This is a method that is applied much today, shortening treatment time, reducing pain after surgery and safety. If the doctor is suspected of a bile duct stone, it is possible to take an X -ray of contrast in the surgery.
  • Conducting gallbladder, then surgery program with old cases, severe exhaustion, severe poisoning, chronic pathology such as diabetes, tuberculosis, Cardiovascular.

    • See also:

  • Learn to cut cholecystitis caused by gallstones with Robot's laparoscopic surgery Causes of cholecystitis
  • gallbladder stones - Causes, symptoms and treatments

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