July 17, 2012
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Biliary dyskinesia - Is the presence of a person of a certain complex biliary system disorders that arise in connection with violations of motor function of the gallbladder and bile ducts. In this organic changes of these bodies are absent. Patients very often there is either too much or insufficient contraction of the gallbladder.
Medical practice shows that the emergence of dyskinesias are more prone to women. There is evidence that biliary dyskinesia in women occur 10 times more often than men. When biliary dyskinesia bile It does not flow into the duodenum in a sufficient amount, whereby the patient manifested pain at right hypochondrium. Dyskinesia usually divided into hyperkinetic (if the state is too high stimulates the contractile activity of the biliary system), and hypokinetic (if the state is too low to provoke the contractile activity of the biliary system). It was noted that the incidence of hyperkinetic dyskinesia is more common in young people, and hypokinetic dyskinesia characteristic of those who are over forty years, and it develops in people who suffer from mental instability.
Reasons biliary dyskinesia
Almost always dyskinesia is diagnosed as a secondary disease. It manifests itself in humans as a consequence of some of the factors leading to disruption of the bile ducts.
Thus, the disease occurs in people who have suffered at one time acute viral hepatitis . neurocirculatory dysfunction . Children dyskinesia may develop as a result of certain features of the constitution of the child at vegetative Dystonia , At too sedentary lifestyle due nervosa . food allergies . pathologies of the digestive tract In the presence of foci of infection in the body. In addition, the development of biliary dyskinesia can affect an unhealthy diet, a number of endocrine diseases. As a rule, a fixed way of life, fatigue, poor nutrition the patient develops hypokinetic dyskinesia.
Biliary dyskinesia in children and adults is considered as a psychosomatic illness that can cause trauma, as well as strong stresses . It is proved that the motor activity of the gallbladder depends on the stress and the strong negative emotions: in this case, it slows down considerably, and there is stagnation of bile in the gall bladder. Very often in the study of medical records of these patients is that they have at one time there were psychological problems of diverse nature.
In addition, the trigger for the development of dyskinesia of the gallbladder may be disorders of the nervous regulation of the gall bladder, period menopause , Failure of function of the endocrine glands.
There is also the possibility of acceding to dyskinesia cholelithiasis . cholecystitis . Patients with ulcer . appendicitis reflex occurs occurrence hyperkinetic dyskinesia. This form of the disease also threatens those who regularly eats too often uses very spicy dishes which irritate the mucous membrane.
Severe dyskinesia of the gallbladder and biliary tract infection occurs when worms and other parasites that affect the digestive tract.
Symptoms of biliary dyskinesia
The main symptoms of biliary dyskinesia appear, depending on what kind of factors has provoked the development of dyskinesias. As a rule, the majority of people suffering from this disease, complain about the manifestation of the complex symptoms nervosa. This is too high a level of fatigue, bouts of tearfulness and irritability, heart palpitations, sweating, recurrent headaches. At the same time, patients feel the pain in the right hypochondrium. If we are talking about hypertensive dyskinesia Then such pain distinguishes paroxysmal in nature. This pain is quite severe, but lasts a short period of time. Pain may give the right shoulder or shoulder. Very often such attacks occur after eating fatty foods, heavy stress, both physical and emotional. Very often, patients with hypertonic dyskinesia of manifestations bitter taste in the mouth That often happens in the morning.
If the patient suffers from symptoms hypotonic dyskinesia , Then this state is characterized by a dull and aching, which is also manifested in the fullness sensation in the right hypochondrium. Such pain is constantly worried about the patient while he is markedly reduced appetite, often sick person, seen belching. Rise in body temperature is observed, blood count also indicates the presence of abnormalities.
In addition, the symptoms of biliary dyskinesia in men may include reduction in sexual activity . At the same time women can be broken monthly cycle . Common signs of dyskinesia is a depression, emotional, and physical weakness. During the attack biliary colic the patient may experience a feeling of palpitations or feeling of heart failure. He may be accompanied by a sense of fear, numbness in the extremities.
The disease lasts a long period, while there is considerable aggravation periodically that provoke stress and other basic violations. After the attacks occur periodically relieved condition. After a certain time, dyskinesia can cause inflammation in the gallbladder and the ducts and cause the formation of gallstones.
Diagnosis of biliary dyskinesia
In the process of diagnosing biliary dyskinesia one of the most important points is the examination of the patient. A doctor holds palpation of the area of the gall bladder to detect pain. Especially clearly we can determine the presence of pain during deep palpation during inhalation. If the results of such an examination may not clearly indicate the presence of pain, the doctor examines the results of the inspection in dynamics. It carried out an assessment of the central nervous system and vegetative division. Diagnosis of biliary dyskinesia involves finding the body of foci of chronic infection, and to identify parasites.
To determine the exact form of dyskinesia, performed abdominal ultrasound and contrast cholecystography. Appointed by laboratory blood tests. To determine what changes the contractile activity of biliary tract function have a place (too high or too low), the patient is assigned to carrying out of duodenal intubation or ultrasound, to whom it is important to use cholagogic breakfast.
Treatment of biliary dyskinesia
Keep in mind that the treatment of biliary dyskinesia is directly dependent on what exactly causes provoked the manifestation of this disease. In the appointment of therapy must take into account the fact that dyskinesia refers to psychosomatic illnesses. Therefore, when treating important therapeutic measures. However, this treatment can only assign a specialist psychotherapist. Patients also believe their problems exclusively somatic, so turn to the doctor this profile rare. If the patient has symptoms of a depressive state of the place, the patient is often prescribed treatment tranquilizers . antidepressants , Light preparatami- neuroleptics .
All subsequent treatments dyskinesia directly depend on which form of the disease was diagnosed in the patient. If the patient has developed hypokinetic dyskinesia, it should comply with the special diet Including products choleretic effect and with high contents of certain minerals.
During treatment the patient is assigned to the regular use of certain types of mineral waters. They need to drink one glass about three times a day about half an hour before a meal. In addition, when biliary dyskinesia efficient use of massage and physical therapy. It was also recommended periodic spa treatment. Sometimes the patient is expedient to appoint Duodenal intubation in order to free the gallbladder from bile. There is also a so-called method of "closed tyubazh" that the patient can take on their own, thus stimulating gallbladder contraction.
If the patient suffers from symptoms of hyperkinetic dyskinesia, then it is important to stick to the diet, which is characterized by limited product-irritants, fats. To eliminate acute patients shows the use of antispasmodic drugs, mineral waters. Surgical methods in this case are not effective.
In general, the improvement of the patient is recommended to normalize the diet, rest and work, a number of products excluded from the diet. You can also apply some folk remedies, such as herbal teas. For the treatment of dyskinesia applied decoctions coriander, anise, corn stigmas, herb St. John's wort, peppermint, sage, celandine, valerian root, grass immortelle. Also, traditional medicine recommends drinking grapefruit juice for a while before eating.
Diet for biliary dyskinesia
Despite the fact that biliary dyskinesia is a disease that is not classified as dangerous diseases, diet is very important to prevent the further development of cholecystitis and other dangerous diseases. Diet for biliary dyskinesia observed depending on which form of the disease occurs. However, the overall food should contribute to the normalization of motor function of biliary tract. If the patient suffers from symptoms of hypertensive dyskinesia, he needs very dramatically reduce the content in the diet of those products, the use of which contributes to the reduction of the gall bladder. In this case we are talking about very rich broth, animal fats, vegetable oils. But not very rich broth, fish soup, vegetable oils, dairy products constitute the diet in the development of hypotonic dyskinesia.
Diet for biliary dyskinesia, wearing a hypertensive character, excludes the use of smoked, fried foods, alcohol, spicy food. Do not eat ice cream or drink sodas. Such food can provoke strong spasm of biliary tract. It is always important to use only warm and fresh food. The diet should be a lot of vegetables, but the amount of meat it is desirable to limit it. Sticking to such dietary habits needed for a long time.
Eat small portions must be making it up to 6 times a day. It is advisable to eat before going to bed any easy dish. In general, a diet in this disease is similar to the principles of power in the Mediterranean countries: it is dominated by fruits, vegetables, fish dishes. By the way, the bran is very well affect the state of the biliary tract motility: they should be taken, dodavit 1 tablespoon to everyday dishes.
Prevention of biliary dyskinesia
To prevent this unpleasant manifestation of the disease, should, without delay, to treat all disorders neurotic character, to prevent severe stress, regular, at one and the same time to eat every day. It is also important normal, restful sleep and relaxation.
Dyskinesia intestine
A variety of disorders of the colon functional nature - is diseases that are very common today. Dyskinesia intestine (this disease is also called Irritable Bowel Syndrome . spastic colitis ) - A condition in which the motor is disturbed bowel function. The more pronounced dyskinesias colon less - small intestine dyskinesia. This organic lesions for this disease are not typical. In patients with dyskinesia appear bowel pain, they have significantly changed the administration function of the intestine. In some cases, there is a very high level of mucus: this phenomenon is typical for about half of all patients.
Dyskinesia bowel develops as a consequence of some neurotic disorders, severe stress, conflict, dystonia of the autonomic nervous system, endocrine disorders. Also factor in the manifestation of intestinal dyskinesia, a hereditary predisposition to this disease. As in the case of biliary dyskinesia with the illness may manifest as hyperkinetic (spastic) and hypokinetic (atonic) changes. Quite often, there are just two types of these disorders.
Patients who progressed dyskinesia intestine, often disturbed pain in the abdomen, which is characterized by the absence of well-defined location. It is also possible frustration of a chair, too active mucus production. Pain can have different intensities: sometimes there is a feeling of pressure in the abdomen, the pressure in the lower abdomen, sometimes - quite strong colic. They may last a few minutes and several days. Quite often such colic patients perceive as the beginning of an attack of appendicitis. In some cases, even it comes to surgery for suspected appendicitis. Sometimes patients say dyskinesia intestine periodic alternation of constipation and diarrhea. Very often diarrhea obsessed person in the morning, after he took food. This often leaves the feces with mucus.
Diagnosis dyskinesia intestine provides primarily elimination of possible organic illnesses, the symptoms of which are similar to the symptoms of dyskinesia. Patients received endoscopy, in which revealed hyperemia of the mucous membrane of the colon. Microscopic examination of stool changes are not detected.
Treatment of this disease involves correcting the diet. It is important to avoid the monotony of the diet, as well as too severe dietary restrictions. As medical treatment therapy practice sedatives and tranquilizers. Thus, using bromides . valerian . elenium . motherwort . trioxazine and others. It is also a comprehensive treatment of the disease may include vitamins, mineral water, herbal medicine. Recommended periodic application of heat to the abdomen, therapeutic baths, ozocerite and paraffin applications on the abdomen. Dyskinesia bowel and treated with electric sleep, Acupuncture .
All the patients is important to follow a healthy lifestyle, avoid hypodynamia . If a person is constantly shown constipation , It is recommended to enter into the diet of porridge of whole grains, dairy products, baked apple.
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