Stones in the bustling bubble symptoms treatment without surgery. How to discover the gall

Problems with a busty bubble today is a common phenomenon, it is often formed by stones. Beautiful sex representatives are more susceptible to such a fear. Gallgamed disease (HCB) is more often detected in people with overweight and senior age categoryBut children almost do not face this disease. If symptoms of stones appear in bile bubbleYou should consult a doctor, to undergo diagnosis and immediately start treating if the presence of the disease is confirmed.

What is gallstone disease

If in the bustling bubble, its ducts or in the liver, stones (concrections) are formed - this is a gall-eyed disease. There are two main factors that lead to a disease: stagnation of bile in a bubble and an increase in saline concentration due to the impaired metabolism (precipitate falls out of the bile). Conductors can be formed in the bile, its ducts, in the liver. Stones are various shapes, Dimensions, composition, as you can see in the photo. Sometimes a gall-eyed disease causes the appearance of cholecystitis - the inflammatory process of the gallbladder.

The main causative agents of their formation of concrections include:

incorrect meals (starvation, overeating, use of harmful products);

• pancreatic diseases;
• sedentary lifestyle;
• tooling a child;
• long use of hormonal contraceptives.

Gallgamed disease is divided into development stages (taking into account the results of the ultrasound). The classification looks like this:

Initial (pre-stop) stage. It is characterized by the presence of bile thick consistency and the formation of sand in a bubble. In the bile, the suspension is formed. Such a stage can still be reversed if you choose a competent method of therapy, adhere to healthy nutrition.

1. For the second stage normal phenomenon The formation of stones is considered: several low-size concrections.
2. The third stage of the HCB is a chronic form of calculous cholecystitis. The gallbladder is filled with stones of different dimensions that are able to deform the bubble.
3. Complicated cholecystitis is accompanied by the development of a variety of pathologies.

Symptoms of stones in anguil bubble

Almost always the appearance of stones in the bustling bubble does not have clear symptoms, clinical signs. Such a period may continue for a very long time: from about 3 to 10 years. The symptoms of stones in the bustling bubble in women and men depend on the number of accretions, their location and dimensions. Signs of the disease of the gallbladder look like this:

strong, acute bouts of pain, colic under ribs on the right side and next to the liver;

• nausea, sometimes vomiting;
• scotching, constipation or diarrhea, cavalous masses are losing color;
• increasing body temperature;
• yellowing skin cover, mucous membranes;
• frequent janctures by air, feeling of bitterness in the oral cavity.

Diagnostics of the LCB

Proper timely diagnosis of ICD ( urolithiasis) - This is the necessary course of therapy and the chance to protect yourself from the consequences of a dangerous illness. There are several ways to detect stones in the gallbladder:

Laboratory methods:

• biochemical blood survey;
• general analysis blood.
1. Tool techniques:
   • ultrasound procedure bile bag, liver (reveals stones in 94% of cases);
   • radiography;
   • endoscopy;
   • cholecysto-cholangiography (often appointed before laparoscopy);
   • endoscopic ultrasonography.

Than dangerous stones in bile

If you do not pay attention to the symptoms of the gallbladder disease, do not get rid of the congregations in a timely manner, then serious exacerbations are possible:

• appearance acute form inflammation of the walls of the gallbladder;

• clogging paths with bile, which threatens the development of infection, chronic cholecystitis;
• a gall gap, which can cause an inflammatory process in peritoneum (peritonitis);
• intestinal obstruction, getting big stones in the intestine;
• risk of development cancer tumor gallbladder.

Treatment without surgery

Many are interested in how to dissolve the stones in the bustling bubble without a medicine without medication. There are several effective ways that help eradicate alert in the first stages of development, when the concrections have small sizes. Among them, special dietary diet, folk healing means and medications.

Diet

In case of bricken serious illness, it is necessary to observe the fractional diet: five or six times a day. The food allowed on therapeutic diet has a choleretic effect, powered by small portions by the clock contributes to the yoy output. Such a diet is both the prevention of the disease. The menu of a person suffering from the ICD must necessarily include animal proteins, magnesium products. Diet with stones in the bustling bubble, like any other healing food, divides food on "you can" / "you can not". It is allowed to eat:

non-fat meat, fish;

• crupes (buckwheat, oat flakes etc.);
• moil: cottage cheese, cheese, milk (no more than 5% fat);
• vegetables fruits: cauliflower, carrot, zucchini, pumpkin, watermelon, apples;
• drinks: Mineral water without gas, compote, juice, morse.

fatty meat, fish, liver, fat, loss;

• butter (sometimes allowed to add quite a bit in porridge);
• smoked, pickles, sausage;
• acute, fried and sour;
• fat broths;
• radish, cucumbers, onions, garlic, eggplant, asparagus, legumes;
• alcoholic beverages, cocoa, coffee.

Folk remedies

Treatment of LCB folk remedies Aims on two main objectives: getting rid of the attack of colic, as well as preventing the formation of concrections in the future. Effective method for relieving an attack: you need to warm up camphor oil, swing a piece of gauze, applied under ribs on the right side. Babushkina Recipes for the withdrawal of gallbladder stones and for the outflow of bile:

Raw grass and roots parsley. Strong decoction to drink in any quantity.

1. Good choleretic - corn silk. 10 g of raw materials is taken, which is poured with one glass of hot water. To warm for a couple of half an hour, cool, strain, add boiled water to obtain a volume of 200 ml. Take a glass before meals.
2. To dissolve the concreters, mix at 10 g of grass bitter wormwood, the root of dandelion, the color of immortelle, the bark of the crash, and also add 40 g of the root of the garmen. A glass of boiling water poured two tablespoons of the mixture, keeps on the bath for 25 minutes. Drink in the morning and on a glass.
3. We take 2 tablespoons of the roots of smaller drinking, pour hot water (1 cup). Boil 10 minutes, wait until you cool. Take a medicine three times a day for a third of a glass before meals.

Tablets

If a gallbladder hurts, it is possible to cure it without surgery with special preparations - analogues of acids in bile ("Hynerohol", Ursosan, Ursofalk and so on). Along with this treatment, medications can be taken, which activate the production of bile ("Holosas", "Allohol", "Lobila"). Preparations for the destruction of stones that the gastroenterologist discharge, use if the accretions have dimensions no more than 2 cm. Therapy duration is at least 6 months.

Methods for removing gallbladder stones

When the stones in the busty bubble rose to large sizes, then with such a diagnosis without operational intervention It will not work out. Modern medicine It offers options for the removal of concreshrants from the body, which are painless, they give more guarantees that the stones are repeatedly formed. Surgical intervention is carried out according to certain indications. Today, doctors make classic stripe operations, laparoscopy, crushing with ultrasound stones.

Operation

The presence of stones is not considered to be the reason for operational intervention. Surgeon prescribes it only when there are specific clinical symptoms: bile colic, nunning, stupid painfulness, severity under the ribs on the right, frequent belching, bitter taste in the mouth, heartburn. Standard operation (cholecystectomy) is often carried out by emergency testimony. Performed general anesthesia. The patient is removed by a gallbubble, if necessary, drain the ducts. Wound is sewn, drainage put to the lodge of the bubble.

Laparoscopy

Recently, stones are often removed by laparoscopy. Conductors are removed by trocars, special conductors made of metal introduced into the peritoneum. The cavity of the belly is filled with carbon dioxide, the tube of the device is introduced into the incision, which will transmit the image to the monitor. The doctor pulls the stones, and sets the vessels and ducts of the gallbladder. Indications for surgery: Calculse cholecystitis.

Ultrasound crushing stones

Ball-name diseases are sometimes caused by the direction of ultrasound crushing of concrections (lithotripsy). Ultrasound destroys stones, breaking them into small particles (no more than 3 mm). Small pieces come out in duodenal gut on bile ducts. Such a type of operation is suitable for the patients who have been revealed to 4-5 pieces of cholesterol large stones.

Video on signs of gallstone disease

The gallway disease is a serious problem, so its timely detection will help avoid complications. If you want to know in advance about all the symptoms of this dangerous illness, it is worth seeing a cognitive video. The doctor will tell about the first signs of the appearance of the disease, the causes of its development and how the gallbladder is treated.

The bile stones appear in the gallbladder and the overall bile protocol - organs that are used by the body for transferring and delivering digestive enzymes. With violations in the bustling bubble and around it, stones are sometimes formed. They can be from a few millimeters to several centimeters in diameter and not cause any inconvenience. Many factors affect the formation of gallstones, including metabolism, genetic predisposition, Immunity and Environment. To diagnose bile stones, you should pay attention to minor symptoms and certain diseases that lead to the formation of these stones. Nevertheless, a consultation of a gastroenterologist is needed to form a final diagnosis.

Attention: the information in this article is exceptionally introductory. Before applying any methods, consult your doctor.

Steps

Part 1

Note that often bile disease is not accompanied by any symptoms. The stones in the bustling bubble can remain for decades and at the same time not to cause painful sensations. Most people have bile stones do not cause any symptoms. In fact, the gallstone disease is accompanied by symptoms only in 5-10% of patients. This makes it difficult to identify the bile stones, and to set the correct diagnosis to the gastroenterologist.

• Any symptoms occur in less than half of the patients with gall-eyed disease.

1. Pay attention to possible bile colic. The bile stones can cause repeated pain in the upper right side of the abdomen (pain in the right upper belly quadrant) or in front of the bottom of the sternum (sore pain). Ball-name disease may be accompanied by rodent pain, nausea and vomiting. Such pain is called bile colic, it lasts usually longer than 15 minutes and can sometimes spread to the back.

   • After the first time, patients usually periodically experience repeating attacks of bile colic. After the attack, the pain passes. Bile colic can occur only a few times a year.
   • This symptom is easily confused with caused by other causes of pain in the digestive tract and stomach.
   • If you suspect that you have a bile colic, sign up for the reception to the gastroenterologist.

2. Pay attention to your well-being after abundant or greasy food. Consider whether you are experiencing pain in the stomach and / or bile colic after you eat a large or fatty dish, for example, having breakfast with scrambled eggs with bacon and sausage or referring during the holidays. At such moments, pain and / or bile colic are most likely.

   • Some patients experience weak biliary colic without signs of infection, in which they do not need medical care.

3. Pay attention to the strong abdominal pain that applies to the back or shoulders. This is the main symptom of the inflammation of the gallbladder, which is often caused by bile stones. Usually pain is intensified when inhaling.

   Check if you have heat. The inflammation of the gallbladder is much more serious than bile colic, and the heat serves as the main sign that these two symptoms are separated on the basis of their acute. If you suspect that you have an inflammation of the gallbladder, you should immediately seek medical help.

   Take into account your gender. Women are more susceptible to gallstone disease than men (the ratio is 2-3 K 1). The gallstones are formed by twenty-five percent of women who have reached the 60th age. Such a sexual imbalance is explained by the presence of estrogen hormone in the body, which is more in women. Estrogen stimulates the liver to produce cholesterol, and many bile stones consist of exactly from this substance.

   Consider a pregnancy as a risk factor. The probability of the formation of bile stones is increasing during pregnancy. In addition, pregnant women more often show the above symptoms than the rest of the women.

   • If you suspect that you have a biliary colic or gallbladder inflammation, contact the gastroenterologist immediately.
   • After pregnancy, the bile stones may disappear by themselves, without surgery and drug treatment.

4. Consider genetic markers. Increased risk groups include residents of Northern Europe and Latin America. The bile stones are very often formed from representatives of some indigenous peoples of America, especially the tribes on the territory of Peru and Chile.

   Consider the state of your health and chronic diseases. Consult a gastroenterologist if you have a crown disease, liver disease, or any blood illness, as these diseases increase the risk of gallstones. Transplantation of organs and long-term parenteral (intravenous) nutrition can also cause a gall-eyed disease.

   Note that the lifestyle can be a risk factor. It was found that obesity and frequent observance of extreme diets increase the risk of gallstones by 12-30 percent. In obese people, the liver produces more cholesterol, and about 20 percent of the bile stones consist of exactly from it. Generally speaking, frequent set and weight loss can cause the formation of gallstones. The risk is the highest in people who lose more than 24 percent of the weight, as well as those who resell more than one and a half kilograms a week.

   Note that some medicines can contribute to the formation of gallstones. Acceptance of oral contraceptives at a young age, receiving large doses of estrogen with replacement therapy, continuous use of corticosteroids, citostatic drugs or lowering cholesterol levels can increase the risk of gallstones.

Part 3.

Complete ultrasound examination of the abdominal cavity. it the best way Detect gallstones and determine their type. Ultrasound examination is painless and allows using ultrasonic waves to obtain an image of soft tissues of the abdominal cavity. A trained specialist will be able to determine whether there are stones in a bustling bubble or a common bile dummy.

Sign up on computer tomography (CT). If your doctor need additional pictures or ultrasound examination did not give unambiguous results, CT may be required. This method allows you to obtain images of the gallbladder using X-ray, which are then interpreted by the computer.

Pass the blood test. If you suspect that you may have an infection in the abdomen, you can pass clinical (full) blood test. This analysis will allow to identify a serious gallbladder infection and determine whether the operation is needed. In addition to infection, the blood test helps to detect other complications of gall-eyed illness, including jaundice and pancreatitis.

1. Pass retrograde cholangiopancratography (RHPG). Gastroenterologist can assign RHPG - with this invasive procedure in digestive tract A flexible tube with a finger with a finger is inserted through the mouth, which allows you to explore the walls of the stomach and intestines. If the doctor detects bile stones during this procedure, he will be able to remove them.

   • Tell your doctor about all medications you receive, especially if you are taking insulin, acetylsalicylic acid (aspirin), tablets for normalization arterial pressure, warfarin or heparin. These drugs can cause bleeding in some procedures, and it is possible that the doctor will ask to temporarily not take them.
   • Since this procedure is invasive, you will be given a medicine that can cause drowsiness. It is also desirable that someone accompanied you who can deliver you home after the procedure.

Cholecystectomy is considered the most radical method of getting riddled from gallstone disease. This is an operation, during which the entire gallbladder is removed. But it is not necessary to immediately agree to operational intervention, in some cases there is good results to conservative therapy. Therefore, the treatment of stones in the bustling bubble without surgery is quite possible.

Symptoms

The use of high-calorie products rich in cholesterol, low activity, diseases in which bile outflow is disturbed, and hormonal changes in women (including pregnancy) often become the fact that stones appear in the bustling bubble. These are dense formations that consist of bile acids, minerals and cholesterol.

Fluid stagnation in this organ, in combination with an abrasiveness of cholesterol, first leads to the fact that the sand begins to form. These are already microscopic stones in the bustling bubble. Symptoms (treatment without surgery, by the way, at this stage will be very effective), inherent in bile-imaging disease, are not yet pronounced. Over time, the graves are enlarged, combine and form large stones called concretions. The process of their formation is very long - it can last up to 20 years.

The progression of gallpoint diseases may indicate sudden bouts of pain that occur after eating fried or fatty foods. They are also observed after shaking in transport. Discomfort begins in the field of right hypochondrium, pain can be given to the corresponding half of the neck, a shovel, hand. It lasts such colic not more than 6 hours in a row.

Also, the feeling of the bitter taste in the mouth, nausea, accompanied sometimes vomiting, flatulence, chair disorders (can be both diarrhea and constipation) are signs of the development of gallstone disease. On the beginning of cholecystitis may indicate a subfebrile temperature, which will be kept in the area 37 o C.

Doctors can tell which stones in the bustling bubble symptoms. Treatment without surgery can be carried out only under the condition that education in this body is not yet too large. Their cumulative size must be no more than 2 cm. It is also important that there was no acute cholecystitis And the bubble was well reduced (this is necessary for the normal sand outlet of it).

Related research

In order to establish an accurate diagnosis and decide on the tactics of treatment, you must examine the patient. The main method is an ultrasound abdominal cavity. On the monitor screen, stones are easily visualized. The doctor can determine how many such formations in the bubble, and tell about the sizes of each of them.

Also, such a survey allows us to estimate the walls of the organ. If they are thickened, it testifies to the launched cholecystitis. This allows you to decide on the most suitable treatment tactics.

Presented above the diagnostic method is not the only one. Despite the availability and informativeness of ultrasonography, in some cases it is necessary to conduct other surveys. If the results of the ultrasound are difficult to put an accurate diagnosis, they can prescribe oral cholecystography. it special examination Bubble in which drugs contrasting bile. Also in some cases, retrograde cholangiopancratography is recommended. At the same time, a contrast agent is introduced into bile ducts.

Treatment methods

When stones are found, it is necessary to discuss with the doctor the further tactics of action. Therapy should be based on several basic principles. Regardless of the selected path of treatment, the patient should adhere to the diet. In addition, all its actions should be directed to a decrease in cholesterol concentration. But with how you can treat stones in a busty bubble, you need to understand in each case individually.

Depending on the state, dissolution or crushing of stones can be recommended. These are non-performing methods of therapy. But the most common (and at the same time effective) is considered to be the removal of the gallbladder. It is used with frequently repeated liver colic, inflammation of the walls of the organ or when too large stones are detected.

Supporters of alternative medicine also have a lot of options for how stones can be treated in a bustling bubble without surgery by folk remedies. But when using them, it is necessary to follow the state of their health and contact the hospital in case of deterioration. But these methods can be a good addition to traditional therapy.

Required diet

If you are afraid of operational intervention and want to understand how you can treat stones in a bustling bubble without surgery, then you need to familiarize yourself with the basic principles of nutrition. After all, if you continue to eat, as accustomed, then get rid of deposits of cholesterol, minerals and bile acids will not be possible.

First of all, all fatty meat is excluded from the diet. It is impossible pork, lamb, broths. Salo, sausages, sharp, pickled and smoked foods, eggs (yolks), liver, legumes, dough, soft bread, chocolate, ice cream, also fall under the ban. All products must be cooked, prepare for a couple or cake.

You can eat vegetables and fruits, low-fat meat (beef, turbine, veal, beef, turkey, chicken), river fish, fervor food, porridge, porridge. For the day, no more than 150-200 g of animal food should be included in the body. It is also important to abandon alcohol and stimulating drinks. The latter refers not only energy, but also strong tea, coffee.

Power must be fractional. There is a little bit, but not less than 5 times a day. Only so you can make a gallbubble shrink. By the way, you can stimulate his activity using vegetable oil (The most optimal is olive).

Conservative therapy

If during the survey, it was found that the patient has cholesterol stones, it can be appointed medicia treatment. It involves the use of hanodoxychole and ursodoxicole acids. With the help of these funds, stones are treated in a bustling bubble without surgery.

It is also recommended to receive spasmolitics. They are necessary in order to improve the passability of the ducts and expand them. These drugs also contribute to a more efficient bile outflow in the duodenum. Such cholesmolitics such as "Papaverin", "DroTaveberin", "Eufillin", "But-Shpa", "Metacin" can be appointed.

Litholithic therapy is called conservative methodsaimed at dissolving the stone in the gallbladder. Treatment without surgery is in the reception special Tools. It can be "henofalc", "Ursosan", ursodeoxycholic acid. The effect of these medicines is directed to a decrease in the concentration of substances in the bile, which lead to the formation of concrections. There are also contact or chemical methods of dissolution.

If you are looking for an option to get rid of stones in a bustling bubble without surgery, then you should pay attention to extracorporeal lithotripsy. This is the method of crushing the accretions by high pressure.

Henodetoxycholic acid

If you are contraindicated with operational intervention, then it is important to deal with how to get rid of the stones in the bustling bubble without surgery. For example, hanodoxycholic acid (preparations "Henofalc", "Henodiol", "Henohol", "Henosan") contribute to partial, and in some cases and complete dissolution of stones. It also reduces cholesterol synthesis in the liver and increases its solubility, due to which its amount in bile decreases. But only a doctor can prescribe these drugs if the ultrasonography found that the size of the stones does not exceed 20 mm and they fill the bubble no more than ½ of its volume. As a rule, hanodeoxycholic acid is recommended if there is no possibility to remove the bullain with a conventional surgical or endoscopic method.

It is worth knowing that in patients suffering from obesity, the effectiveness of treatment is noticeably reduced. During therapy, all patients need to control the liver condition. But with cholecystitis, hepatitis, inflammatory problems with the esophagus, intestines, stomach, stomach and duodenal ulcers, renal / hepatic insufficiency The drugs of the specified group are not used.

Ursodeoxycholic acid

Also, the treatment of stones in the bustling bubble without surgery can be carried out with the help of other means. They are made on the basis of ursodoxicole acid. These are drugs such as Ursochol, Ursofalk, Ursosan, Ursolizin. It is used to reduce cholesterol concentration in bile. They drink the specified means, as a rule, once a day, in the evening. The dose is determined individually at the rate of 10 mg / kg patient weight.

But with liver cirrhosis, inflammatory diseases Grocery pathways and bubble, Crohn's disease, kidney impairment The preparation is not used. Drinking can only be done that the gallbladder is functioning normally, the ducts are passable, the stones occupy no more than half of its volume, they cholesterol (this is determined by the absence of a shadow on the radiograph).

It is worth knowing that the treatment of stones in the bustling bubble without surgery with medicines is a long process. It can continue from 6 months to 2 years.

Often surgeons say that such treatment is inefficient. Even if the stones are dissolved, they will still appear in a few years. It really happens if the patient does not draw conclusions and continues to fill its body with cholesterol. If after the completion of a successful course of treatment, continue to adhere to the diet, then the gall-eyed disease will not arise.

Contact Methods

Currently, doctors have chemical ways to remove stones from the gallbladder. They are also called contact. The technique has not yet been widespread and is considered experimental. It can only be used on condition that the patient:

Exclusively cholesterol stones

Patency of ways is preserved in full,

The gall bubble is functioning normally,

No inflammatory processes.

This method can be used even if there is a large stone in the bustle bubble. Treatment without surgery with a chemical method is that the formation is absorbed under the action of the solvent.

Through the puncture in the gallbladder, the catheter is administered under control of x-ray diffraction or ultrasonic equipment. In it, the syringe is injected with a solvent in small portions. It is then sucking from the bubble along with the dissolved parts of the stones. This procedure can last up to 16 hours.

Impact lithotripsy

Do not immediately go to the operating table if you have found stones in the bustle bubble. Symptoms (treatment without surgery, fortunately, is quite possible) often testify to inflammation of this body (in this case, without surgery, it is not necessary), but if you diagnosed "gall-eyed disease" only according to the results of the survey, the doctor may recommend Wave lithotripsy.

With this method, all stones under the influence of ultrasound are divided into sand. And when taking the appropriate drugs and observing the diet, the fragments are easily displayed in the duodenum.

But such therapy can be appointed only under the observance of a number of conditions:

Stones should be no more than 2 cm;

The gall bubble at least 75% has retained its functionality and is reduced;

No signs of cholecystitis.

True, in some cases, this method may be ineffective. He gives nice results Only when fragile stones are processed.

After carrying out this procedure, as a rule, preparations for dissolving cholesterol sediments are prescribed: ursodeoxychole or hanodoxycholic acid.

Efficiency of folk remedies

Supporters of alternative methods of therapy will tell how to treat stones in the bustling bubble in home grains. But first it is important to understand that in some cases such ways may be ineffective. Moreover, some of them are the reason for the deterioration of the situation.

So, some are recommended after a period of complete hunger to adopt a potent choleretic folk agent. It can be magnesia, black radish, mixed with olive oil lemon juice and other variations. As a result of starvation in the bubble, concentrated bile accumulates. And after receiving the stimulating agent, it begins to be intensively emitted. Her flow can pick up small stones and bring them into the duodenum.

But lovers tell about how you can treat stones in the gall bubble at home, forget to clarify the dangers of this method. After all, a compacted formation that praises the bile stream may simply not go into the duct. It can catch a sharp corner, unsuccessfully turning. And there are anomalies for the development of the ducts: they can be divided or being too narrow.

As a result, the stone completely or partially blocks bile. And this will lead to the strongest colic, rebupping the production of bile or even problems with the pancreas. As a rule, such patients are carried out in an emergency order. At the same time make a big incision. Laparoscopic methods in such situations are not suitable.

Phytotherapy

Finding out how to get rid of stones in a bustling bubble without surgery by folk remedies, you should not ignore tips on the treatment of herbs. Of course, these methods will not bring stones, but they contribute to the normalization of the body's work, affect the composition of bile and stimulate its timely emission.

Popular is to drink juice radish. It is recommended to use up to 200 g per day. Also advised to make syrup from beet juice. To do this, it is necessary to boil. After that, the juice is pressed from it and boil it to the state of the syrup. This fluid should be drunk on a glass daily.

This recipe is also popular: honey, lemon juice and olive oil are mixed in proportions 4: 1: 2. The prepared mixture is used on a spoon (dining room) before each meal. This tool is also useful for the liver.

Folk healers know how stones are treated in a bustling bubble herbs. Most often they recommend making infusion from cornflowers. It is drinking before eating 1/3 cup (preferably for half an hour). For its cooking, a spoonful of grass is brewed with a glass of boiling water and give to stand at least 30 minutes.

You can also make a decoction from birch. For cooking, 5 tablespoons of dried leaves are pouring a liter of boiling water and cook for 20 minutes. A decoction lives in an hour after he was removed from the fire. It is necessary to drink half an hour before each meal in a glass.

These are the most famous folk MethodsRecommended in cases where people are looking for ways to get rid of stones in the bustling bubble without surgery. Reviews of them are quite contradictory. Some talk about noticeable improvement in well-being, others are disappointed in phytotherapy. But it is necessary to know that all alternative methods are able to improve the secretion of bile, stimulate the work of the bubble, to expand the ducts slightly, but they cannot dissolve the stones.

Homeopathy

In search of treatment methods, many are treated to specialists of alternative medicine. Homeopaths are now very popular. But even they say that they can only dissolve small stones that occupy no more than 1/3 of the gallbladder.

The effectiveness of such therapy is not officially confirmed. But despite this, some are treated with stones in a bustling bubble of homeopathy without surgery. For these purposes, the so-called outowaccine can be applied. As a biological material for creating an autonomod, even the urine of the patient can be used.

Evaluate the effectiveness of treatment sometimes fails. After all, homeopaths say that their drugs must be taken on a well-established scheme for several years. In addition, these specialists of alternative medicine argue that at the first time of drug reception, the state is deteriorating. For most, this is a reason for refusing to continue such dubious therapy.

Each tenth inhabitant of our planet diagnose stones in the gallbladder. They differ in size. Sometimes there are only one stone in the bubble, but most often there are several of them, with different shapes. This pathology is usually discovered at the next preventive inspection. In this case, the question arises: "Stone in a busty bubble - delete or not?". It is not possible to give an unequivocal answer to it. Pathology may not yet be revealed for a long time, but it is not recommended to run it. The stone can injure the walls of the organ, and inflammation - spread to other areas. In this article, we will describe in more detail about the causes of such pathology and the proposed modern medicine methods of treatment.

general information

The gallbladder is a small reservoir with liquid content that is localized next to the liver. The latter continuously produces bile. It constantly accumulates in a bubble, which, during empty, throws it into a duodenum. Bile promotes active digestion of food. It consists of quite complicated chemical substancesas well as from cholesterol and bilirubin. With prolonged cholesterol, he gradually begins to fall into the precipitate, and then decorated on the so-called protein frames. Such a process entails the formation of microscopic stones, which, over time, can increase in size and merge among themselves. In this case, we are usually about gallway disease.

The formation of a concrete in the gallbladder is a fairly long process that occupies from 5 to about 20 years. Specialists distinguish their following types:

• Cholesterol. Different with a rounded form and a small diameter of up to 18 mm.
• Lime. They have many calcium in their composition, they are extremely rare.
• Mixed. Characterized by a layered structure.

The type of councils depends primarily from human nutrition. For example, in Europe 90% of all diagnosed bile stones are characterized by cholesterol. In Japan, over 1945, limestorms prevailed. However, over time, as the Japanese transition to the "West" diet began to grow proportion of cholesterol stones.

It is noteworthy that on the African continent, the pathology of this kind is very rarely confirmed, which cannot be said about our country. On the territory of Russia, 600 thousand people are diagnosed from 100 annually, 600 thousand people are appointed, in the United States, these indicators are much higher. In America, about 1.2 million people exposed to surgical intervention annually.

The reasons

Under normal conditions, absolutely healthy people The bile in the bubble is in liquid state and does not contribute to the formation of stones. However, experts call a number of factors that affect the change in its initial properties. As a result, stones are formed.

• Inflammation of the pouch wall.
• Disturbance of metabolism due to hypodymines, stagnation of bile, diseases of infectious nature.
• Hereditary predisposition.
• Liver disease.
• Food. Due to the use of cholesterol-containing products, gradually the concentration of this substance increases and stones are formed.
• Diet. Fasting is often the cause of the development of gallposted disease.
• Changes on the hormonal level. Excess female sex hormones are usually observed during pregnancy, using oral contraceptives.
• Age. The organism of the elderly people often does not cope with the load on the liver, which entails the formation of pathology.
• Stresses.
• Drinking alcoholic beverages.

What symptoms point to a stone in a busty bubble?

How to remove the attack of pain? What kind of drugs are worth taking medicines? Before dealing with these issues, it is necessary to tell what kind of signs indicate the formation of stones.

Many people with such pathology are often not even suspected of her. Symptoms most often appear a few years after the start of its formation.

The bile colic appears suddenly. The pain is characterized by a constant character, localized mainly in the field of right hypochondrium. The duration of spasms can be from 15 minutes and approximately four hours. If, after this time, pain discomfort does not pass, you can suspect the inflammation of the gallbladder.

Patients also note the presence of pronounced dyspeptic syndrome (problems with the chair, nausea, bloating). Some increases temperature. Such a symptom most often indicates the accession of a secondary bacterial infection.

Examination plan

If you have diagnosed the stone in the bustling bubble, how to treat and what to do next, can only tell qualified specialist. When the primary symptoms appear, it is recommended to apply for a consultation to the gastroenterologist. The diagnosis of this pathology implies a conversation with a doctor, studying specific patient complaints, collection of anamnesis.

In case of suspected stones in the bustling bubble, it is obligatory to apply tool methods diagnostics. Through the most ordinary radiographs, consider pathology, as a rule, is not possible. Patients are recommended cholecystography at which X-ray is used with a contrast agent.

An even more affordable diagnostic method is an ultrasound study. It allows you to identify stones, determine their size and shape, as well as mobility.

What to do when a pathology is found?

If the stone in the bustling bubble was diagnosed, treatment methods should be integrated. Modern medicine, depending on the nature of the pathology and severity of the inflammatory process, offers several approaches to therapy:

• Diet (principles of proper power).
• Correction of lifestyle (normalization of sleep and recreation, physical exertion).
• Conservative therapy.
• Non-orpeable removal of stones.
• Operational surgical intervention (if, for example, a stone in a gallbladder is 32 mm).

What to do in the first place? All patients without exception with such a diagnosis are recommended to reconsider their familiar lifestyle. It is necessary to abandon all the destructive habits (smoking, abuse of alcohol) and try to stick to the right lifestyle. Patients should increase the motor activity to enhance the burning of fats in the body and the elimination of cholesterol. For these purposes, it is not at all necessary to go to the gym and be accepted for serious exercises. It is enough to walk on foot after work, attend classes of yoga or leaf.

Talk about nutrition

Bile and cholesterol are inherently connected. This is explained by the fact that the excess of these substances can provoke the formation of gallstones. 80% of cholesterol is constantly produced by the liver. The remaining part comes with food. Cholesterol is extremely important for the synthesis of sex hormones, normal digestion and assimilation of vitamins. However, its excess leads to heart attacks. By controlling the level of cholesterol with nutrition, it is possible to avoid such pathology as a stone in the bustling bubble.

The diet in this disease is based on a decrease in admission to the body of animal fats and excessively calorie food. As practice shows, vegetarians almost do not have to deal with such a problem. Patients with this diagnosis are recommended to abandon animal food with a high fat content (pork, saturated broth, roasted meat, etc.). Also, smoked meals, canned dishes, fat. The diet should be diversified by vegetables and fruits, allowed pervadic meat and fish in small quantities, as well as lactic acid products. The best breakfast is oatmeal on water with fresh berries or cottage cheese, you can bake a chicken fillet under vegetables for lunch, and for dinner make a light vegetable salad with fish cutlets. Dishes are prepared for a couple or stew.

Food is recommended to take small portions, but often (4-5 times a day). All those who take a break between meals more than 14 hours have an increased likelihood of such pathology. In addition, the risk group consists of constantly losing ladies and lovers to abandon the full breakfast. The lack of regular nutrition leads to the fact that some acid deficiency appears in the gasts. Excess cholesterol does not split and falls into that is, a stone is formed in a busty bubble.

Diet involves a complete rejection of alcohol and coffee. In total, half of the cup of this stimulating drink per day provokes superfluous and even useless abbreviation of the bubble.

As for the fair sex representatives, then those ladies who are in their diet cytrucia, grain and legumes are subject to the risk of developing pathology.

Conservative treatment

One diet is usually not enough to resolve the stone in the bustling bubble. How to dissolve him medication? Therapeutic treatment, first of all, should be aimed at reducing unpleasant symptoms. Here we are talking about the so-called bile colic. Accompanying it strong pain due to intense muscular spasm In the localization area of \u200b\u200bstone. It is often observed vicious circle. Spasm provokes strong pain discomfort. Pain through nervously reflexive influence on all surrounding tissues only enhances spasm. In this case, therapy should pursue at the same time two goals: removal of spasm and elimination of pain.

Specialists prescribe various antispasmodic drugs to reduce pain discomfort, which accompanies the stone in the gallbladder. How to treat pathology, what dosage to choose, only the doctor solves. As a rule, the attack is removed by the injection of "papaverine" or "dibazole". For acute attacks Gollar colic recommended intramuscular administration "But-shops" or "Euphillin". Of course, any of these medicinal preparations It has its own contraindications, so the choice of one or another is carried out only after examining the patient.

Antispasmodics are often introduced simultaneously with painkillers. Special efficiency is "barallgy".

If we reduce the symptoms with the help of the above drugs, it is not possible, prescribed more strong means In combination ("tram" + "Atropine").

Very often due to nausea, the patient can not drink medicine. In this kind of situation, drugs are introduced with the help of the belief. As a rule, a combination of "Euphillin", "Analgin" and Belladonny is used.

Medicase therapy is also actively used to dissolve the stone in the gallbladder. How to bring it in this case? The concretion can be literally dissolved using URSO-Osodoxycholeum preparations (Ursosan, Ursochol, Ursofalc) and Henodoxichetic acids (Henohol, Henofalc, Henodiol).

Who suits this method of treatment? First of all, the concrections in the bustling bubble should be cholesterol nature, their size is not more than 15 mm, the bubble cuttleness is normal. The course of treatment usually lasts from 6 and approximately 24 months. At this time, patients are recommended to abandon drugs that contribute to the stone formation and preventing normal absorption of drug components (for example, antacids).

Removal of stones without surgery

For this, shock-wave lithotripsy is applied - a technique at which a system of ultrasound or laser "crushed" stone in the gallbladder. The operation to remove the concrete is coming far from all patients. It is recommended only if the number of stones does not exceed three pieces, they differ in cholesterol. Due to the fact that the procedure implies a direct physical impact, it does not suit patients with blood clotting disorders.

In total, no more than seven sessions of therapy are required. Stones are fragmented to particles of about 3 mm, and then independently come out with bile. In practice, such treatment is usually combined with medical therapy. Common to the number side Effects The following are the development of the inflammatory process.

With a laser, you can also remove the stone in the gallbladder. The laser removal operation is carried out according to the same principle as ultrasound. However, with such a procedure, the probability of the mucous burn is sufficient. That is why it is resorted only in exceptional cases.

Surgical intervention

Surgical intervention is highly efficient with such a problem as a stone in the gallbladder. The operation to remove the existing accrete can be carried out in two ways:

• Open cholecystectomy. This is a classic procedure that is recommended for large stones. During operation, the doctor makes a cut of the abdominal cavity, then removes a gallbub, if necessary, drains. Drainage is the installation of special plastic tubes for blood outflow, biological fluids and wound exudate. A couple of days after surgical intervention Tubes are removed.
• Laparoscopy today is actively used in many areas of medicine. It is necessary to resort to such pathology as a stone in the bustling bubble. Operation to remove the accretions is characterized by its small-scaleraum. Initially, the surgeon makes several punctures, carbon dioxide is served directly in itself. abdominal cavity. It is necessary that the belly increases in size, and in the resulting space it was easier to carry out manipulation. After that, the laparoscope itself is administered directly on the trocar. It is a tube with a camera at the end. An optical cable with a light source can be attached to it. Such a device allows you to consider the organs from the inside, since the picture from the laparoscope is displayed on the computer screen. Through the remaining trocackers, micromanipulators are introduced to perform the operation itself.

Today, specialists, choosing from the above options, most often preference gives the second. Laparoscopy is recommended if the stone in the bustling bubble is 2 cm. The operation of this kind has a lot of advantages. These include the following: rapid recovery, lack postoperative scars, small blood loss.

When discovering in a bustling bubble, the doctor prescribes further treatment tactics individually for each case. Depending on the size of the stones and the patient's condition, crushing and dissolution of stones are recommended, which are non-operational methods of therapeutic therapy.

To date, medicine offers several different options, how to get rid of stones in the bustling bubble without surgery, each of which has its own advantages and disadvantages.

Medical dissolution

Medical treatment of stones in the bustling bubble without surgery is assigned only if cholesterol stones do not exceed the size of two centimeters.

Therapy is carried out with the appointment of drugs with ursodezoxychole and minoroxycholic acid, which are analogues of bile acids.

Preparations with ursodeoxycholic acid are used to reduce concentration. These include:

• Ursocholol;
• Ursolizin;
• URSOFALK;
• Ursosan.

Presented tools are used once a day in the dosage corresponding to the patient's weight. Preparations can not be used if there are inflammatory processes In the biliary tract, liver, disorders of the kidneys.

Preparations with minoroxicole acid contribute to partial (and sometimes - and complete) dissolving stones in the bile. These include:

• Henosan;
• Henofalc;
• Hyhenochol;
• Henodiol.

Means with minoroxicole acid are contraindicated with, inflammation of the intestines, esophagus and stomach, with hepatic and.

Simultaneously with the main drugs assign medicinesaimed at stimulating the contractile function of bile and production: Allohol, Libil, Holosas, Zisorin.

To improve the permeability of bile ducts and establish an outflow, it is recommended to take cholesmolitics: metacin, papaverine, eufillin, drootserin.

Important! Lime and pigment stones in a bile can not be dissolved and removed with medication therapy.

Medicase therapy has a number of contraindications:

• Pregnancy;
• Concomitant chronic diseases in the region of the gastrointestinal tract;
• Obesity;
• Simultaneous reception of estrogenic drugs.

The disadvantages of the drugs from the bile should be attributed to the sufficiently high cost of drug treatment, a long course of treatment (from six months to 3 years) and a fairly high number of relapses. After the end of the reception of drugs in the blood, the level of cholesterol rises, and after a few years there is a possibility of re-occurring stones.

Crushing ultrasound

This method is based on grinding stones using the impact of high and vibration of the shock wave. Ultrasonic waves destroy stones, crushed them into small particles (particle size - no more than 3 mm), which, after themselves, are out of bile ducts in the duodenum.

Indications for use of ultrasound: Designed for patients who have a small number of stones (up to four pieces) of large sizes, without lime impurities.

Ultrasound crushing stones is accompanied by holding before and after the procedure so that the doctor can control the process of destruction.

Contraindications:

• Pregnancy;
• Chronic inflammatory processes in the gastrointestinal tract;
• Disruled blood coagulation.

Important! In the process of crushing there is a high probability that a breakaway sharp piece of stone can damage the inner walls of the organ.

The patient in the process of conducting the procedure may experience discomfort, experience soreness and discomfort.

Method disadvantages:

• Possible damage to the walls of bile sharp edges of crushed stones.
• The probability of blockage of bile ducts due to vibration.

After moving stones with ultrasound, you should go to a strict diet and perform all medical prescriptions, because There is a risk of emergence in the form of complications in the form of jaundice ,.

Laser removal of stones from is considered the most gentle and progressive non-operative method.

Indications for the use of a laser: the size of the stones should not be more than 3 mm.

In the process of laser crushing on the front abdominal wall Punch is done to gain access to the bustling bubble. A laser beam is supplied to the zone of exposure, which begins to split the stones, turning them into small particles that come out on their own. The effect is achieved by carrying out several procedures, the duration of one session is no more than 20 minutes.

Contraindications:

• Age over 60 years;
• Obesity, weight over 120 kg;
• The general severe condition of the patient.

Laser removal is accompanied by carrying out to prevent damage to the sharp fragments of the walls of bile.

Method disadvantages:

• The need for special equipment and highly qualified specialists;
• Possible damage to the walls of gallstone with sharp stones of stones;
• The probability of burn with a mucous laser, which subsequently can provoke ulcers.
• The laser method is quite popular and very effective.

Note! The use of the laser allows you to save the gallbub, the procedure does not take much time and is carried out in stationary conditions.

Contact method

The contact method was designed relatively recently, and is based on the chemical effects on the stones. With this method, you can withdraw all types of stones (not only cholesterol stones), while the size and number of stones do not matter.

The essence of the method: Thin catheter is introduced through a puncture in the skin in the gallbladder, which introduces a special chemical solvent in small portions. After a solvent, together with dissolved parts, the stones are saturated from the bile.

The entire procedure is carried out under strict ultrasound and radiographic control.

The disadvantages of the method: invasiveness and duration of the implementation - the procedure can be carried out within 16 hours.

The contact method can be used at any stages of the disease. Its effectiveness is 90%.

Laparoscopy

Displays the stones from the gallbladder will help the method called laparoscopy. The removal of stones occurs with the help of an endoscope, while the patient is under general anesthesia.

The essence of the method: Special metal conductors (trocars) are introduced through small cuts in the skin in the bile. After, carbon dioxide is introduced through the trocars in the abdominal cavity. Through one of the cuts, an image transmission to the monitor is entered. Focusing on the image, the doctor finds and removes the stone.

After the completion of the procedure on the vessels and ducts of the gallbladder, special brackets are superimposed.

The duration of the event is about an hour, the subsequent stay in the hospital - approximately 1 week.

Contraindications:

• Cardiovascular diseases;
• Excess body weight;
• Pathology of the respiratory system;
• The presence of adhesions on the bile ducts remaining after other operational interventions;
• Purulent and inflammatory processes in bile.

The non-operative removal of bile stones involves the use of folk and homeopathic treatment methods. These methods also show sufficient efficiency, but must still be used under medical supervision - independent treatment It may lead to a deterioration of the state.

This article is placed exclusively in the general cognitive goals of visitors and is not a scientific material, universal instructions or professional medical advice, and does not replace the reception of the doctor. For diagnostics and treatment, contact only qualified doctors.