Holesteroz gallbladder – treatment of disease. Symptoms and prevention of the disease gallbladder Holesteroz
Holesteroz gallbladder – What is this disease? Gallbladder disease-Holesteroz, associated with lipid metabolism disorders in the body. The pathological process results in excessive accumulation of cholesterol in the gallbladder and in violation of its functions.
When the inflammatory process is missing.
Most often disease in middle-aged women against the background of the atherosclerotic changes. In some cases, holesteroz is considered as a stage of cholelithiasis.
Holesteroz gallbladder – The cause of the
The exact causes of the disease remain unknown. Holesteroz gall bladder may occur because of the following diseases and disorders:
- Violation of fat metabolism in the body (dyslipidaemia);
- Metabolic diseases, in particular, diabetes mellitus;
- · hypothyroidism;
- non-alcoholic fatty liver disease;
- obesity, especially abdominal;
- · cholelithiasis;
- bacterial overgrowth syndrome.
Symptoms of cholesterosis of the gallbladder
The main symptoms of gallbladder holesteroza are:
- Discomfort or pain in the right hypochondrium. Unpleasant sensations are enhanced after administration of fatty foods. Most often the pain occurs in the evening or night time;
- Nausea due to the intake of fatty and heavy foods;
- sensation of bitterness and dryness in the mouth;
- disorder of the stool (diarrhea and constipation);
- The clinical picture of biliary colic (When too large deposits of cholesterol in the gallbladder);
- The clinical picture of acute cholecystitis (in the event of the accession of the inflammatory process).
Holesteroz gallbladder – Diagnostics
In the first phase collects medical diseases and analysis of the complaints of the patient.
Inspection:
- determination of the presence of obesity (and its extent) the patient;
- The presence of signs of a violation of fat metabolism;
- The presence / absence of pain when probing the abdomen.
Laboratory Diagnostics:
- physical examination;
- physical examination;
- study of blood lipid spectrum;
- analysis of feces for worms;
- physical examination;
- coprogram;
- Other analyzes.
Instrumental research methods:
- Ultrasound examination of internal organs;
- examination of feces for the presence of helminths and protozoa;
- a test with the introduction of secretin - to assess the condition of the pancreatic ducts;
- dynamic cholescintigraphy (radiological research method).
Holesteroz gallbladder – Types of disease
There are several forms of gallbladder holesteroza.
Depending on the availability of stones can be holesteroz beskamennym neonates with holelitiazom.
Depending on the macroscopic structure of secrete:
- Focal cholesterosis (affected a small part of the gallbladder);
- Focal cholesterosis with damage to the extrahepatic bile ducts;
- Total cholesterosis (defeat all of the gallbladder);
- reticular cholesterosis (gallbladder wall thickening is celebrated at holesteroze);
- reticular polyposis stage (with the formation of fatty vypjachivanij-polyps).
Depending on the degree of reduction of the functions of the gallbladder are distinguished:
- Cholesterosis with a slight decrease in evacuation function;
- Cholesterosis with moderate functional impairment (to 50%);
- cholesterosis with severe functional impairment (to 90%);
- complete lack of gallbladder function.
Holesteroz gallbladder – Actions of the patient
When detecting symptoms of gallbladder holesteroza consult with a physician-gastroenterologist.
Treatment of cholesterosis of the gallbladder
Treatment of gallbladder holesteroza must be integrated. Primarily the patient is assigned a diet-table no. 5.
Medication holesteroza gallbladder involves taking the following groups of medications:
- antispasmodic drugs;
- painkillers (When expressed bolevom syndrome);
- choleretic drugs;
- preparations of bile acids to normalize the composition of bile;
- Antacids drugs;
- Enzyme preparations, improves the digestive process;
- Antibacterial preparations (to prevent adherence of bacterial infection, as well as the syndrome of excessive bacterial growth);
- preparations, normalizing cholesterol levels;
- Prokinetic drugs, stimulating the passage of food masses on the tract moves.
Holesteroz gallbladder – Complications
When holesteroza the gallbladder may develop the following complications:
- Calcification of the walls of the gallbladder;
- · development of atherosclerosis;
- cholecystitis;
- · cholelithiasis;
- bacterial overgrowth syndrome;
- Malabsorption syndrome.
Prevention of cholesterosis of the gallbladder
Prevention of this disease is aimed at normalizing exchange of lipids in the body. Should adhere to the principles of rational and balanced nutrition. With the increased level of cholesterol supplementation is required, reduce its concentration in the blood.