Biliary dyskinesia

 

Biliary dyskinesia. Cholecystitis.

Biliary dyskinesia. Cholecystitis - Cold laser vityas.  

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Biliary dyskinesia. Cholecystitis.

 
 
Allocate the following biliary tract diseases:

    
1. Functionality - dyskinesia (gipermotornaya and gipomotornaya);

    
2. Inflammatory - holetsistoholangity (acute and chronic: calculous, akalkuleznye);

    
3. cholelithiasis;

    
4. malformations of the gallbladder and bile ducts;

    
5. tumor;

    
6. Parasitic (helminths, protozoa).

About a third - half of children with chronic diseases of the gastrointestinal tract are functional or organic pathology of biliary tract. In children is rarely detected cholelithiasis and even rarer tumors and gross malformations biliary tract, although the introduction of ultrasound in children's clinics with a frequency of 5-10% reveal necking, kinks and other deformation of the gallbladder. Moreover, some defects ultrasound images of the gallbladder was found in 25% or more of children with food allergies. However, the interpretation of these findings is difficult, data on follow-up study of children with food allergies are extremely small. In adults, the dominant pathology of biliary tract - gallstone disease, which affects one in ten of the earth, and after the age of 40 years gallstones are found in 25%, after 70 years - 50%.
 


Biliary dyskinesia


Biliary dyskinesia - a violation of the flow of bile into the duodenum due to muscular motility disorders of biliary tract and cause pain in the right upper quadrant. There are two main types of this disease: hypertension (hypertension, hyperkinetic), in which the tone of the sphincter increased biliary tract, and hypotonic (hypotonic-hypokinetic) at which the tone and motor activity of the biliary tract are reduced. Division dyskinesias into primary and secondary inappropriate, because they are almost always secondary.

Etiology

Identify the following factors leading to biliary dyskinesia (DGP):

    
- Neuro-circulatory dysfunction of various origins;

    
- Transferred acute viral hepatitis;

    
- Constitutional characteristics of the child with vegetative dystonia and a sedentary lifestyle;

    
- Neuroses;

    
- Food allergy, atopic diathesis;

    
- Any chronic pathologies of the gastrointestinal tract (especially inflammatory);

    
- Parasitosis of the gastrointestinal tract, especially giardiasis;

    
- A genetic predisposition, although it is probably more often than not comes down to family lifestyle factors such as nutrition;

    
- Chronic foci of infection in the body (ENT pathology);

    
- Poisoning, Ecopathology, prolonged abuse of nutritional products industrial canning;

    
- Endocrine diseases (obesity, hyperthyroidism, diabetes mellitus).

Pathogenesis

The notion of gallbladder dyskinesia as a purely functional disorders is currently being revised. Not only when gipomotornomu but gipermotornaya forms and dyskinesia organic changes take place at the level of hepatocyte, which is a kind of primary factor contributing not only disruption of intra- and extrahepatic biliary tract, including the gall bladder. This pathology is a certain type of cholestasis. However, not excluded the role of vascular (neuro) dystonia in the development of dyskinesias of the biliary system. Thus, two main factors lead to gallbladder motility disorders:

    
1. violation of the functional state of the hepatocyte and hence - diskholiya (change in the composition of bile);

    
2. violation of the regulation of neurogenic muscular wall of GB as the central (neuro-circulatory dysfunction, neurosis) and peripheral (in the pathology of the gastrointestinal tract by type viscero-visceral reflexes interoceptors) genesis.

At the same time found that a dyskinesia gallbladder may cause inappropriate secretion and enteric hormones (cholecystokinin, motilin) in chronic duodenal pathology and small intestines, as well as apudopatii. Violation of rhythmic flow of bile into the intestine reduces the bactericidal properties of the upper gastrointestinal tract, leading to goiter, dyskinesia intestine. Duration of the current dyskinesia, causing congestion and infection of the bile throw intestinal contents into the gallbladder (reflux) leads to cholecystitis. With the predominance of tone of sympathetic nervous system in a patient characterized by hypotonic dyskinesia (80% of all dyskinesias), with parasimpatikotonii - hypertensive.

The clinical picture

The clinic is determined by the cause that led to the dyskinesia, and view it. The majority of patients have symptoms of neurosis: fatigue, irritability, tearfulness, short temper, headaches, palpitations, sweating. Along with this, the children complain of pain in the right upper quadrant, epigastrium. In hypertensive pain paroxysmal dyskinesia, acute but short. Most often they are associated with emotional or physical overexertion, a fatty meal. When hypotonic dyskinesia pain dull, aching, with a feeling of fullness in the right upper quadrant. Pain often permanent, combined with nausea, loss of appetite, belching. Body temperature in children is normal, a clinical blood test deviations from the norms of age, as a rule, no.

Diagnosis

The most important results of the examination for diagnosis - Detection of tenderness to palpation in the gallbladder (point of intersection of the right edge of the rectus abdominis muscle with the costal arch), which is especially clearly revealed by deep palpation during inspiration. When fuzzy results must take into account the results of the inspection in dynamics. It is important to carefully assess the condition of the central nervous system and autonomic her department. Be sure to also examine the pain points specific to solar plexitis, look for pockets of chronic infection, helminth eggs and Giardia cysts in the stool (at least 5 consecutive days).

 

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How to treat biliary dyskinesia disease

 

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How to treat biliary dyskinesia disease - Vityas cold laser help!

Information about diseases is presented for reference only. Necessarily consult with your doctor!