Ce este Colecistita

Colecistita este inflamatia care apare in vezicii biliare. vezica biliara este un mic, organ în formă de pară de pe partea dreaptă a abdomenului, sub ficatul, Vezica biliara detine fluide digestive care sunt livrate in intestinul subtire (bilă).

În cele mai multe cazuri, calculi biliari obstrucționarea tubului, care iese din vezica biliara cauze colecistita. This ends in a bile buildup that can cause infection and swelling. Other reasons of cholecystitis include bile duct problems and tumors.
Daca este lasata netratata, cholecystitis can grow dangerous, sometimes life-threating complications, such as a gallbladder rupture. Treatment for cholecystitis often involves gallbladder removal.

Simptome
Signs and symptoms of cholecystitis may include:

  • An imaging pain in your upper shows abdomen
  • Greaţă
  • Vărsături
  • Febră
  • Tenderness over your abdomen when it’s touched
  • Pain spreading to your right shoulder or back


Cholecystitis signs and symptoms often occur after a meal. A large of fatty dishes.

Atunci când pentru a vedea un medic :
Make a primary with your doctor if you have worrisome signs or symptoms. FOr abdominal pain so severe you can’t sit still or get comfortable, have someone drive you to the emergency room.

cauze
Cholecystitis happens when your gallbladder becomes inflamed. Gallbladder inflammation can be caused by:

  1. Calculii biliariMost cholecystitis is the result of hard particles that developed in your gallbladder (calculi biliari) from irregularities in the substances in bile, such as cholesterol and bile salts. Gallstones can block the cystic ductthe tube within which bile flows when it leaves the gallbladderleading to bile build up and resulting in inflammation
  2. Tumor . A tumor may obstruct bile from draining out of your gallbladder properly, causing bile buildup that can lead to cholecystitis.
  3. Bile duct blockage. King or scarring of the bile ducts can cause blockages that lead to cholecystitis.

Factori de risc

Having gallstones is the primary risk factor for developing cholecystitis
complicaţiile

colecistita can give rise to some severe complications including:
Infection of the gallbladder- If bile builds up within your gallbladder, producing cholecystitis, the bile ma becomes infected.
The Death of gallbladder tissue Untreated cholecystitis can make tissue in the gallbladder to die, which in turn can lead to a tear in the gallbladder tissue or it may cause your gallbladder to burst.
Torn gallbladder- A tear in your gallbladder may can’t form gallbladder enlargement or infection.

Testare și diagnosticare
Test and procedures used to diagnose cholecystitis include:
Test de sange. Your physician may order a blood analysis to observe signs of infections of signs of gallbladder problems.
An imaging test that reveals your gallbladder. An imaging test such as abdominal ultrasound or a computer-aided tomography (CT) scan, can be used to create photographs of your gallbladder that may reveal signs of cholecystitis.
O scanare care dezvăluie trecerea bilei prin corpul tau. Un acid iminodiacetic hepatobiliar (HIDA) scanare urme de producție și fluxul bilei din ficat la intestinul subtire si prezinta blocaj. O scanare HIDA include introducerea unui colorant radioactiv in corpul tau, care se leagă la celulele producătoare de bilă astfel încât să poată fi văzută ca se misca cu bila prin canalele biliare.

Tratamente și medicamente
Treatments for cholecystitis usually involves a hospital stay to stabilize the gallbladder inflammation and possible surgery.

Hospitalization
If you diagnosed with cholecystitis, you would likely be hospitalized. Your doctor will work to control your signs and symptoms and to monitor the inflammation in your gallbladder. Treatments may include:
Fasting- You may not be allowed to eat or drink at first to take stress off your infected gallbladder so that you don’t become dehydrated, you may recover fluids through a vein in your arm.
Antibiotics to fight infections- If your gallbladder is infected, your doctor likely will prescribe antibiotics.
Pain medications. These can assist in managing the pain until the inflammation in your gallbladder is relieved.

Your symptoms are expected to subside in a day or two.
Surgery to remove the gallbladder.
Since cholecystitis often recurs, most people with the condition ultimately need gallbladder removal surgery (cholecystectomy), Momentul de procedură se va baza pe severitatea simptomelor și a riscului global de dificultăți în timpul și după intervenția chirurgicală. Dacă sunteți la risc chirurgical scăzut, este posibil să aveți o procedură în cadrul 48 sau în timpul sejurului dumneavoastră spital

Colecistectomia se realizează de obicei folosind o camera video de mic poziționat la capătul unui tub flexibil. Acest lucru permite chirurgului pentru a vedea in interiorul abdomenului si de a utiliza instrumente chirurgicale specializate pentru a scoate aparatul de fotografiat sunt introduse printr-o incizie la nivelul abdomenului, and the surgeon observes a monitor during surgery to guide the tools, An open procedure in which a deep incision made in your abdomen, is rarely needed.
A less invasive technique to remove gallbladders is under study, known as natural orifice transluminal endoscopic surgery (NOTES), the procedure is designed to lessen scarring and discomfort. While laparoscopic cholecystectomy remains the model of care for gallbladder removal. NOTE sunt efectuate în câteva centre din întreaga lume și poate fi în cele din urmă o alternativă esențială.
Odata ce vezica biliara se extrage, bila curge imediat din ficat in intestinul subtire, mai degrabă decât să fie stocate în vezica biliara. Nu ai nevoie de vezica biliara pentru a trăi în mod regulat.

profilaxie
Puteți reduce riscul de colecistita prin luarea următoarelor măsuri pentru a preveni calculi biliari.
Pierde greutate încet. Pierderea rapidă în greutate poate crește posibilitatea de gallstone. În cazul în care este nevoie de a pierde in greutate, you should aim to lose 1 sau 2 pounds or (0.4 o about 1 kilogram) a week.
Keep a healthy weight. Being overweight raises the risk of gallstones. To obtain a healthy weight decrease calories and increase the physical activity, Maintain a healthy weight by proceeding to eat well and exercise.
Keep a healthy diet. Dietele bogate in grasimi si saraca in fibre poate creste riscul de calculi biliari. Pentru a reduce riscul de calculi biliari, alege o dieta bogata in fructe, legume, and whole grains.

Care sunt vezicii biliare (Calculii biliari) Simptome