What are the treatment options for cholecystitis?

For cholecystitis, there are many ways. However, by far the most common method is surgery**. This is mainly due to the very clear advantages of surgery**.

Let's take a look at the best options for cholecystitis. 1. For acute cholecystitis, it is generally recommended to go through active internal medicine for 12 to 24 hours, and then elective surgery after the symptoms are relieved. At present, some hospitals have carried out emergency gallbladder preservation surgery.

2. For chronic cholecystitis, minimally invasive gallbladder-sparing surgery is the first choice, and a very small number of patients have atrophied and cancerous gallbladder, and the gallbladder should be removed. There are two main ways to surgically cholecystitis. It is currently the world's most advanced minimally invasive cholelithotomy, which uses rigid fiber choledoscopy and laparoscopy to complement each other for gallstone patients**.

The principle is to remove the stone under direct vision by creating two microchannels in the patient's abdominal wall. While the stones are completely removed, the patient's gallbladder and gallbladder function are preserved intact. This procedure is minimally invasive, visual, and has a high safety factor.

In laparoscopic cholecystectomy, three centimeters of microholes are opened below the patient's umbilicus and upper abdomen during the operation, and the gallbladder is removed under the operation of electronic laparoscopy. **The so-called laparoscopic cholecystectomy for gallstones is a minimally invasive operation under general anesthesia and the use of TV screen monitoring through 3-4 small poke holes in the abdominal wall, and the laparoscope with optical fibers and the special surgical machinery supporting it are inserted into the abdominal cavity for cholecystectomy. Surgery has the advantages of short time, less trauma, faster recovery, short hospital stay, and fewer postoperative complications.

Hello. Cholecystitis, as a very common benign disease of the biliary system, does not matter the best way. Depending on the severity of cholecystitis and the frequency of attacks, different methods are used.

Generally speaking, for chronic cholecystitis, that is, gallbladder stones and gallbladder polyps caused by gallbladder mucosal instrumental injury, anti-inflammatory choleretic tablets are generally used to increase the secretion of bile acids, so as to make the bile unobstructed, avoid causing biliary cholestasis or biliary tract infection, and can effectively control the symptoms. In terms of traditional Chinese medicine, you can choose Depu de Li bile beam tea to help reduce inflammation in the gallbladder.

If acute cholecystitis occurs, usually secondary to bacterial infection, cephalosporin antibiotics are usually added to control bacterial growth and reduce symptoms of cholecystitis in addition to oral anti-inflammatory choleretic tablets to increase bile acid secretion. If the above-mentioned ** later reversal** causes gallbladder contractile dysfunction, then laparoscopic cholecystectomy is usually required to obtain **.

Cholecystitis can be divided into acute and chronic, and for patients with chronic cholecystitis, symptoms and inflammation can be controlled through diet and medication. Surgery is the fundamental method of acute cholecystitis, and whether to remove the gallbladder depends on the size of the stone and the symptoms. Serious recommendations are to remove the gallbladder, if it is just a simple stone removal surgery, there may be another ** next time.

At present, the two most commonly used methods of cholecystectomy are open gallbladder resection and the most popular laparoscopic minimally invasive cholecystectomy, which is less invasive and has faster recovery.

Cholecystitis can be divided into acute cholecystitis and chronic cholecystitis according to the course of the disease.

1.Acute cholecystitis: Mild cholecystitis includes fasting, anti-infection, etc.; Severe cholecystitis requires prompt surgery** to avoid serious complications;

2.Chronic cholecystitis: **Mainly anti-inflammatory choleretic drugs, including anti-inflammatory choleretic tablets, choleretic tablets, cholekang capsules, etc. It should be used according to the patient's condition under the guidance of a doctor, and B-ultrasound should be rechecked regularly after **.

1. General**.

1. For patients who are fasting, vomiting and bloating, nasogastric tube can be placed for gastrointestinal decompression, intravenous fluids, correction of electrolyte imbalance and pain relief.

2. When the early pathogen is difficult to identify, empirical antibiotics can be given**. Cholecystectomy should be considered for acute cholecystitis with gallstones.

2. Emergency**.

During the attack of acute cholecystitis, if it is not accompanied by other complications, water can be fasted, and drugs such as atropine or demerol can be injected intramuscularly to relieve spasmodic and pain. At the same time, intravenous nutritional support and anti-infection** are given, and after the condition is stabilized, the next step is selected according to the patient's condition.

3. Drugs**.

1. Antispasmodic analgesics: for patients with acute cholecystitis sudden abdominal pain or chronic cholecystitis, meperidine can be used for pain relief, and meperidine can be used in an appropriate amount for severe pain, but meperidine can be used for addiction and cannot be used repeatedly.

2. Antibiotics: In order to avoid the occurrence of infection, anti-infection should be carried out in time**, and drugs such as ampicillin, metronidazole, and second- and third-generation cephalosporins can be used**.

It is recommended that you can take Chinese medicine in time**, Generally, if you have cholecystitis, you can pay attention to your diet in time, and you should pay attention to eating less high-fat foods Pork, beef, mutton, cream, butter, fried food.

Cholecystitis disease may also be understood, people with this disease, in terms of diet, need to pay attention to greasy food to eat less, including some food that is not easy to digest to eat less, especially some fried food to stay away, want to let the disease get timely **, need to know the symptoms of cholecystitis and **.

1. Symptoms of cholecystitis.

In some people, the gallbladder shrinks violently because of eating high-fat foods, and when lying down, some stones get stuck in the cystic duct, leading to acute cholecystitis, which usually occurs in the middle of the night after eating a greasy dinner.

Moreover, the symptoms of cholecystitis are mostly persistent pain in the right upper abdomen, and there are also bursts of more and more severe, and the pain will radiate to the right shoulder and back. There will also be fever, nausea and vomiting and other symptoms, usually less shivering, and jaundice is mild. When the abdomen is examined, it is found that the right upper quadrant is distended, the abdominal muscles in the gallbladder area are tight, and there will be significant pain when pressed, and rebound tenderness.

In the case of cholecystitis, there are usually no obvious symptoms, such as disliking greasy food, indigestion, bloating in the upper abdomen, burping, and heartburn, etc., and the symptoms are very similar to ulcer disease and chronic appendicitis. The duration of the disease is relatively long, and the condition will alternate between acute onset and remission, the acute attack is the same as acute cholecystitis, but there are no symptoms during the remission period. Pressing on the gallbladder area during a physical examination can be painful.

Second, the best method of cholecystitis.

Acute cholecystitis attacks do not require non-surgery**, which can control inflammation and allow time for preoperative preparation. The main measures are bed rest, fasting, and infusion, and in terms of medication, the main one is Lizonshu tea. It contains a lot of ingredients that help in the elimination of inflammation.

If there is no effect or even the condition worsens, the patient needs surgery. During the acute attack of cholecystitis, you must not eat fried food, and you must not eat other foods that are difficult to digest, such as eggs and broth, and you should avoid alcohol.

Your primary care physician should be consulted in detail.

Method:

1 Acute cholecystitis: It is generally recommended to go through 12 24 hours of active internal medicine**, and then elective surgery after symptom relief.

2. Chronic cholecystitis: Regardless of whether there are stones or not, because the gallbladder has lost function and is the focus of infection, it should be surgically removed.

Cholecystitis cholelithiasis in addition to medication and surgery**.

Like traditional Chinese medicine, which is safer, Defu's Lizshu tea gently regulates the gallbladder. Non-surgical** can also be used as preoperative preparation, including:

a Bed rest and fasting.

Gastric tube decompression in patients with abdominal distention;

b Rehydration to correct the imbalance of water, electrolytes and acid-base balance;

c. Antispasmodic and analgesic;

d Intravenous combination of effective antibiotics, such as gentamicin, ampicillin, chloramphenicol, pioneermycin, etc.; Effective in 80% to 85% of early cases.

Old stomach disease eat that Jiuwei Shu (stomach Taisan), they can sign a contract**. My routine is one session per month. Take 7 days per course of treatment, that is, you do not need to take the medicine continuously all year round.

1. Symptomatic, just ultrasound says that the gallbladder wall is rough, thickened, not smooth, etc., or there are stones in the gallbladder, but it is not painful, and you can do without medicine and surgery**.

2. Slight pain, infrequent attacks, control your diet, avoid greasy food, alcohol, eggs and other foods.

3. Slight pain, frequent attacks, if you have paid attention to your diet and living habits, or frequent attacks, then surgery**, laparoscopic gallbladder resection.

4. Pain, occasional seizures, take some choleretic drugs, generally anti-inflammatory choleretic tablets, soothing choleretic tablets, more expensive ones are Yousfu (sodium ursodeoxycholate), while taking antibiotics, if the medicine is not relieved, the pain symptoms gradually worsen, and you need to be admitted to the hospital**.

5. Pain, frequent attacks, need surgery**, laparoscopic gallbladder resection.

Finally, pay attention to your diet first, take a seat according to the situation I provided above, and if there is a change in your condition, see a doctor in time!

The first thing to do with cholecystitis is to control your diet, followed by your mood, and adjust your life rhythm.

Usually you can make some "little bitter vegetables" to cook soup with brown sugar to eat therapy, it is a good unilateral side, there is no ***, bitter herbs have been eaten before, it plays a very good role in the conditioning of chronic cholecystitis, generally three to five days can feel the pain reduced, insist on using it can make the symptoms basically disappear.

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