Whether the dyskinesia of biliary tract. Ultrasound examination of the gallbladder

The date: 28.04.2019

Dyskinesia bile trapes - This is the presence of a whole complex of certain disorders of the biliary system, which arise in connection with the violations of the motor function of the gallbladder and bile ducts. At the same time, organic changes in these organs are absent. Patients very often marked either too strong or insufficient reduction of the gallbladder.

Medical practice indicates that the occurrence of diskinesium is more susceptible to women. There is evidence that dyskinesia of biliary tract in women occur 10 times more often than in men. When dyskinesia, biliary tract does not enter the duodenum in sufficient quantities, as a result of which the patient appears pain in the right hypochondrium. Discinesia is customary to divide on hyperkinetic (if the condition provokes too high contractile activity of the biliary system) and hykokinetic (If the state provokes too low reduction activity of the biliary system). It was noted that the incidence of hyperkinetic dyskinesia is more often noted in young people, and hypokinetic dyskinesia is characteristic of those who have already been forty years old, and it develops in people who suffer from the instability of the psyche.

Causes of dyskinesia of biliary tract

Almost always dyskinesia is diagnosed as a secondary disease. It manifests itself in humans as a consequence of some factors leading to a violation of the work of biliary tract.

So, the disease occurs in people who have moved at one time acute viral hepatitis , neurocirculatory dysfunction . In children, dyskinesia can develop as a result of some features of the child's constitution, vegetative , with a too low-lifting lifestyle, due to pathologies gt. , in the presence of foci of infection in the body. In addition, improper nutrition, a number of endocrine diseases may affect the development of dyskinesia of biliary tract. As a rule, at a fixed lifestyle, asthenia, incorrect nutrition in the patient is developing hypokinetic dyskinesia.

Dyskinesia of biliary tract in children and adults is considered as a psychosomatic disease that mental injuries can provoke, as well as strong. It has been proven that the motor activity of the gallbladder directly depends on the stress and strong negative emotions: in this case, it slows down significantly, and the bile in the busty bubble occurs. Very often, when studying histories of diseases such patients, it turns out that they have in due time psychological problems diverse character.

In addition, the nervous regulation of the gallbladder can be a starting mechanism for the development of the dyskinesia of the gallbladder, the period, insufficiency of the function of the endocrine glands.

There is also the possibility of connecting diskinesia to ,. In patients with S. ulcerative disease , there is a reflex occurrence of hyperkinetic dyskinesia. This form of the disease also threatens those who eat irregularly, too often consumes very sharp dishes that irritate the mucous membrane.

The main symptoms of dyskinesia of biliary tract are manifested depending on which the factor provoked the development of disconesia. As a rule, most people suffering from this disease complain about the manifestation of the complex of the symptoms of the nervous. That's too much high level fatigue, attacks of federation and irritability, severe heartbeat, sweating, periodic headaches. At the same time, patients feel pain in the field of right hypochondrium. If we are talking about hypertension Discinesia That such pain is distinguished by an attacking character. At the same time, the pain is sufficiently sharp, but a short period of time continues. Painfulness Can give to the right shoulder or blade. Especially often such attacks occur after the use of greasy dishes, strong tension, both physical and emotional. Very often, patients with hypertensive disconesia note the manifestation that most often happens in the morning.

If the patient suffers from manifestations hypotonic diskinesia , then for such a state is characterized by stupid and it's a dull painAt which there is also a feeling of cutting in the field of right hypochondrium. Such pain constantly worries the patient, while he has a noticeable appetite, the person often sick, exhibits a belching. Body temperature lifting is not observed clinical analysis Blood also does not indicate the presence of deviations.

In addition, the symptoms of dyskinesia of biliary tract in men may include lowering sexual activity . At the same time, women can break monthly cycle . General signs of diskinesia is a depressive state, emotional, as well as physical weakness. During an attack bile colic The patient may have a feeling of strong heartbeat or a sense of heart stop. He may accompany the feeling of fear, numbness numbers.

The disease continues a long period, while periodically obstruction strong exacerbations that provoke stress and other elementary disorders are observed. After the attacks, periodic relief of the state occurs. After a certain time, dyskinesia can provoke inflammation in the bustling bubble and ducts, as well as to cause the formation of bile stones.

Diagnosis of dyskinesia of biliary tract

To accurately determine the form of diskinesia, an ultrasound study is carried out abdominal cavityas well as contrast cholecystography. Assign laboratory study blood. To determine what changes contractile activity The functions of biliary tract occur (too high or too low), the patient is prescribed to conduct a duodenal sensing or ultrasound examination, which is important to use a gilent breakfast.

Treatment of dyskinesia of biliary tract

It should be borne in mind that the treatment of dyskinesia of biliary tract directly depends on which causes provoked the manifestation of this ailment. When prescribing therapy, it is necessarily taken into account that diskinesia refer to psychosomatic diseases. Consequently, psychotherapeutic measures are important in their treatment. However, only a psychotherapist specialist can be prescribed such treatment. The patients also consider their problems exclusively somatic, so they rarely appeal to the doctor. If the patient has symptoms depressive statethen the patient is often appointed a course of treatment tranquilizers , antidepressants , light preparations neuroleptics .

All further methods Dyskinesia treatment is directly dependent on which the form of the disease is diagnosed in a patient. If hyokinetic dyskinesia has developed in the patient, it should be observed special, including products with a choleretic effect and with a high content of some minerals.

In the process of therapy, the patient is prescribed regular use of mineral waters of a certain species. They need to drink one glass about three times a day about half an hour before meals. In addition, with dyskinesia of the biliary tract, the use of massage and therapeutic physical education is effective. Recommended also periodic spa treatment. Sometimes the patient is advisable to prescribe duodenal sensing in order to free the gallbladder from bile. There is also the so-called "closed fubs" technique, which the patient can take on their own, such images stimulating the reduction of the gallbladder.

If the patient suffers from the manifestation of hyperkinetic dyskinesia, it is important for him to stick to the diet for which the limitation of stimuli products, fats. For elimination acute states The patient shows the use of antispasmodic preparations, mineral waters. Surgical methods In this case, not effective.

In general, to improve the state of patients, it is recommended to normalize the regime of food, recreation and labor, eliminate a number of products from the diet. You can also apply some folk remedies, in particular herbs champs. Coriander, Anis, cornflowers, hunters, mint, sage, Cellular, Valerian root, the grass of the immortality, are applied to the treatment of diskinesia. Also, traditional medicine recommends the use of grapefruit juice for some time before eating.

The doctors

Medicine

Diet, nutrition when dyskinesia biliary tract

Despite the fact that the dyskinesia of biliary tract is a disease that do not belong to the category of hazardous diseases, the diet compliance is extremely important for preventing further development. cholecystitis and others dangerous diseases. Complied depending on which form of the disease takes place. However, in general, the nutrition should contribute to the normalization of motor functions of biliary tract. If the patient suffers from manifestations of hypertensive dyskinesia, it needs to be very sharply reduced the content in the diet of those products that contributes to the reduction of the gallbladder. In this case, we are talking about too welded broths, animal fats, vegetable oils. And here are not very welded broths, fish soup, vegetable oils, dairy products make up the diet in the development of hypotonic dyskinesia.

Diet with dyskinesia of biliary tract wearing hypertensive character, eliminates the use of smoked, fried food, alcohol, sharp dishes. No ice cream and drink carbonated drinks. Such food can provoke a strong spasm of biliary tract. It is important to always consume only warm and fresh food. There should be many vegetables in the diet, but the number of meat dishes is desirable to limit. To adhere to such features of the nutrition is needed for a long time.

We need to eat small portions, making it up to 6 times a day. It is advisable to eat any light dish directly before bedtime. In general, the diet with a given disease is similar to the principles of nutrition in the Mediterranean countries: vegetables, fruits, fish dishes are dominated in it. By the way, the bran are very well affected by the state of the motorbish of biliary tract: they should be taken, putting on 1 tablespoon to everyday dishes.

Prevention of dyskinesia biliary tract

To prevent the manifestation of this unpleasant illness, it should be not delayed, to treat all neurotic disorders, not allow serious stressful situations, regularly, at the same time take food every day. It is also important normal full Son. and rest.

Diskinesia intestines

A variety of colon disorders of a functional nature are illness, which are very widespread today. (this disease is also called calling syndrome of irritable intestine , spastic colitis ) This is a condition in which the motor intestine motor function is disturbed. To a greater extent, the dyskinesia of the colon is manifested, in a smaller - dyskinesia of the small intestine. At the same time, organic lesions for this disease are not typical. In patients with diskinesia, the intestines appear painful sensations, they change the intestinal departure function noticeably. In some cases, there is also a very high level of mucus release: a similar phenomenon is characteristic of about half of all patients.

The diskinesia of the intestine develops as the consequence of some neurotic disorders, serious stressful situations, conflicts, dystonia of the vegetative nervous system, endocrine disorders. Also a factor affecting the manifestation of intestinal disconesia, is hereditary location to this fear. As in the case of the dyskinesia of biliary tract, at the same time, there is an incidence of both hyperkinetic (spastic) and hypokinetic (atonic) changes. It often takes place both types of these disorders.

The patient who progres the intestinal disconesia is very often bothering pain in the stomach, for which the absence of a clearly pronounced localization is characteristic. There are also chairs disorders, too active mucus production. The pain may have a different intensity: sometimes there is a feeling of pressure at the bottom of the abdomen, pressure at the bottom of the abdomen, sometimes enough strong colic. They can continue both a few minutes and a few days. Quite often, such colic patients are perceived as the beginning of the attack of appendicitis. In some cases even comes to operational intervention on suspicion of appendicitis. Sometimes patients with diskinesia intestines note the periodic alternation of constipation and diarrhea. Especially often diarrhea overwhelm people in the morning, after he took food. At the same time, it often comes out of the mucus impurities.

The diagnosis of the intestinal dyskinesia provides, first of all, the exclusion of possible organic ailments, the symptoms of which are similar to signs of diskinesia. The patient is assigned to the conduct of endoscopy at which hyperemia of the gum mucosa is revealed. For microscopic examination Calate changes are not detected.

All patients are important to keep a healthy lifestyle, avoid. If a person is constantly manifested, it is recommended to introduce porridge from solid grain porridge in the diet, baked apples.

List of sources

Sherlock Sh. Liver and biliary diseases / Sh. Sherlock - M.: Gootar-honey, 2002;
Liver disease and biliary tract: guide for doctors / ed. V.T. Ivashkin. - M., 2002;
Ilchenko A.A. Cholelithiasis. M.: Anakharsis, 2004;
Maev I.V., Samsonov A.A., Salova L.M. et al. Diagnosis and treatment of biliary tract diseases: Tutorial. - M.: GOU WONMTS MH RF, 2003;
Ilchenko A.A. Diseases of the gallbladder and biliary tract: manual for doctors. M.: Ana Charcis, 2006.

Dyskinesia biliary tract is a disease gastrointestinal tractwhich is characterized by a violation of the gallbladder motility and the functions of its sphincter, in particular, the sphincter is apparently. As a result of these violations, problems with the delivery of bile in the duodenum are detected: its quantity may be too small, not enough to digest food, or more than necessary, which negatively affects the entire gastrointestinal tract.

According to statistics, the diskinesia of biliary tract is most affected by women. Some statistical data indicate that women are 10 times more exposed to this disease than men. Moreover, it is possible to get dyskinesia at any age. Statistics also exist, JVP in young people is characterized by excessive excretion of bile, and in more adulthood It observes its deficiency for digestion. Treatment of this disease has positive predictions if the patient appeals to the doctor at the first symptoms.

What it is?

Dyskinesia of biliary tract - functional disorders of tone and motorbust of the gallbladder, bile ducts and their sphincters that are manifested by a violation of bile outflow in a duodenum, accompanied by the appearance of pain in the right hypochondrium. At the same time, organic changes in these organs are absent.

Classification

It is from how the reduction of the gallbladder is reduced, depends on the definition of diskinesia form:

Depending on the cause of the development of the pathology under consideration, doctors can divide it into two types:

Causes of occurrence

Speaking about the causes of diskinesia, it is necessary to remember that the disease is primary and secondary. Depending on this, the reasons provoked diskinesia will be changed.

The primary form of diskinesia can be caused by the following reasons:

inconsistency in the work of the parasympathetic and sympathetic departments of the nervous system, as a result of which the bubble itself and the Sphinteer oddi lose the tone;
stresses (acute, chronic), the development of psychosomatic pathologies;
failure in the liver, as a result of which bile with a changed chemical composition is produced;
incorrect meals (overeating, use too much fat food, late breakfasts, lunches and dinners);
disorders of the production of intestinal hormones responsible for the contractile ability of the gallbladder;
not systemic meal, consumption of too fatty food, overeating, insufficient chopping, food, etc.;
allergy, as a result of which the neuromuscular apparatus of the gallbladder is in irritated state and does not provide normal reductions in the organ;
insufficient body mass, a sedentary lifestyle, muscle dystrophy.

The reasons for secondary diskinesia may be as follows:

the presence of a history of chronic diseases of the abdominal organs - the cyst of the ovary, pyelonephritis, adnexitis, etc.;
previously transferred duodenitis, ulcerative disease, gastritis, atrophy of the mucous membrane of the gastrointestinal tract;
glice invasion;
gallstone disease, hepatitis, cholangitis, cholecystitis;
congenital abnormalities of biliary tract and gallbladder;
endocrine disorders, hormonal jumps;
inflammatory diseases gastrointestinal tract caused by pathogenic bacteria, For example, Salmonella.

There are fixed cases of diagnosing dyskinesia of biliary tract against a low-lifestyle lifestyle, excess weight (obesity 2-3 stages), excessive physical Loads (especially if gravity is constantly raised) and after psycho-emotional disruptions.

Symptoms of dyskinesia of biliary tract

The clinical picture of the described pathology is quite pronounced, so the diagnosis does not represent difficulties to specialists. The main symptoms of dyskinesia of biliary tract in adults are:

The dyspeptic syndrome is characterized by nausea, bitterness and dry mouth, belching with a bitter taste, bloating, an unstable chair with a predominance of constipation or diarrhea, a bold chair. Such symptoms are due to violations of digestion processes associated with the insufficient or excessive flow of bile in the intestinal lumen.
Pain syndrome. The occurrence of pain is due to errors in diet or stressful situations. With the hyperkinetic form of the patient dysfunction, the pain of a spastic nature in the right half of the abdomen under the ribs giving to the left half chest, in the blades or taking clothing. In the hypokinetic form of pain, the nature of the sawing, pulling, with irradiation or without it, amplifying or disappearing when changing the position of the body. Pains can independently disappear and occur again with different periodicity - from several attacks per day to rare episodes for a month.
Astheno-vegetative syndrome is characterized by weakness, increased fatigue, a sense of constant breakdown, drowsiness or insomnia, increased level Anxiety and other signs.
The cholestatic syndrome rarely occurs during the hypokinetic version of diskinesia, when continuing normally produced bile does not enter the proper volume in the intestine, but accumulates in the bustling bubble, leading to the appearance of jaundice skin Pokrov And the scool, skin itch, dark urine and a lightweight, enlarge the liver.
Symptoms of neurosis - panic attacks, phobias (fears), obsessive thoughts, obsessive actions, aggression, burglarity, condescension, susceptibility, etc.

If the patient suffers from manifestations of hypotonic dyskinesia, then for such a state, a stupid and still pain, in which the feeling of cutting in the area of \u200b\u200bthe right hypochondrium is also manifested. Such pain constantly worries the patient, while he has a noticeable appetite, the person often sick, exhibits a belching. Lifting the body temperature is not observed, the clinical analysis of blood also does not indicate the presence of deviations.

If we are talking about hypertensia, the pain is distinguished by the parole character. At the same time, the pain is sufficiently sharp, but a short period of time continues. Paints can give to the right shoulder or blade. Especially often such attacks occur after the use of greasy dishes, strong tension, both physical and emotional. Very often, patients with hypertensive dyskinesia note the manifestation of bitterness in the mouth, which most often happens in the morning.

Possible complications

As a rule, with dyskinesia of biliary tract, patients are treated for help to doctors almost immediately after the first attack owl syndrome. But many of them, removing unpleasant symptoms, Stopped prescribed treatment, thereby provoking the development of complications:

duodenitis - inflammatory process on the shell of the duodenum;
the formation of stones in the bustling bubble and its ducts is a biliary disease;
chronic cholecystitis - inflammation of the gallbladder, which lasts more than 6 months in a row;
atopic dermatitis - skin disease, which is a consequence of a decrease in the level of immunity;
chronic character pancreatitis - inflammation of the pancreas within 6 months.

Dyskinesia biliary tract has enough favorable forecast And does not reduce the life expectancy of the patient. But in the absence of full-fledged treatment and non-compliance with the recommendations of the nutritionist, the development of the above complications is inevitable. And even these diseases are not dangerous to human life, but the patient's condition will deteriorate significantly, with time will lead to disablement.

Diagnostics

A significant role in the diagnosis is played by instrumental surveys of the patient. The most effective results give duodenal probing, ultrasound examination, gastroduodenoscopy, cholecystography.

Ultrasound procedure With dyskinesios of biliary tract are carried out in two stages. First, the empty stomach, and then again 30-40 minutes after the "test breakfast". As a result of such procedures, the functionality of the biliary tract is analyzed.
Duodenal probing is carried out using a special probe, which is placed in the duodenum. In the process of research, bile samples are taken for laboratory Analysis. During manipulations, the work of biliary tract is monitored, the opening of their sphincter, the amount of bile allocated is analyzed.
Oral cholecystography. In the process of research, the patient drinks a contrast agent. When it falls into bladderThe study of its functioning, on the basis of which it can be concluded that diskinesia what form is manifested in the patient.
Gastroduodenoscopy is carried out using the probe. In the process of this procedure, the condition of the mucous membranes of the esophagus, stomach and duodenum is analyzed. If the mucosa of these organs is in a state of inflammation and irritation, then we can conclude about the excess of the release of bile acids.
Laboratory methods: To estimate the state of the biliary system use biochemical analysis blood. The blood test to the lipid spectrum, or the Lipidogram shows the content of high, low and very low density (HDL, LDL, LPONP), and cholesterol.

Also necessary differential diagnosis Diseases with other pathologies of the gastrointestinal tract, under which there are similar symptoms.

How to treat dyskinesia biliary tract?

In adults, treatment should be complex, aimed at normalizing the outflow of bile and prevent its stagnation in the gallbladder.

To do this, the following methods are used in the therapy of dyskinesia of biliary tract:

Compliance with diet (table number 5);
Normalization and maintenance of labor and recreation;
Receiving mineral waters;
Physiotherapy (electrophoresis, diadynamic currents, paraffin applications);
The use of closed tubes and duodenal probing;
Acupuncture;
Massage;
Sanatorium-resort treatment (Truskavets, Mirgorod, Transcarpathian resorts of Ukraine);
Reception medicinal preparationsnaulusing bile outflows that buy painful syndrome that remove sphincter spasms and eliminate symptoms (enzyme, choleretic, antispasmodics);
Reception of drugs, normalizing the state of the nervous system (sedative, sedative, tonic, etc.).

Mandatory methods of treatment of disconesia are the normalization of the regime and recreation, respect for diet, reception of drugs and the use of tubing. All other methods are auxiliary, and can be applied at will and subject to availability. The duration of application of mandatory methods of disconesia is 3 to 4 weeks. Auxiliary methods can be applied much longer, periodically repeating courses in order to prevent the recurrence of the disease.

Medications

Since diskinesia relates to diseases, the cause of which is a violation of nervous regulation, directly depends on the state of the psyche, before the beginning of the treatment of violations of motor activity in biliary tracts when using choleretic drugs, it is necessary to restore the patient's mental background. If pathology appeared against the background of a depressive state, it is necessary to assign a course of light antidepressants. If the violation of the bile-separation process was caused by severe concern, neuroses, it is advisable to start with neuroleptics and tranquilizers.

Similar drugs can prescribe a psychiatrist or psychotherapist. In addition, the cause of dyskinesia causes: correction of dysbacteriosis, liquidation of hypovitaminosis, allergy treatment, anti-shine therapy.

The choice of drugs to restore the functions of boring formation and berevel depends on the type of diskinesia.

In the hypotonic type of dyskinesia of biliary tract, flamine, cholecystokinin, magnesium sulfate, pancreatimine are prescribed; Mineral waters of high mineralization (Essentuki 17, Arzni, etc., room temperature or slightly heated 30-60 minutes before meals depending on the secretion of the stomach). Phytotherapy: corn storks, immorteller flowers, chamomile, nettle leaves, Rosehip fruits, St. John's wort, oregano.
With a hypertonic type of dyskinesia of biliary tract, oxafenamide, Nicodein, mineral waters of weak mineralization (Slavodskaya, Smikanovskaya, Essentuki 4, 20, Narzan in hot or heated form 5-6 times a day) are used. For phytotherapy, daisy flowers are used, peppermint, licorice root, valerian root, dyustrian grass, dill fruits.
In the intrahepatic cholestase, tuba is carried out (free-free drainage of the biliary system, or "blind" sensing) 1-2 times a week. Toning drugs, choleretics and cholerettes are prescribed. With increased activity of the liver enzyme Alt choleretics are not prescribed.
In the hypokinetic type of dyskinesia of biliary tract, sorbitol, xylitis, cholecystokinin, pancrozimine, magnesium sulfate, high mineralization of room temperature, or slightly heated 30-60 minutes before meals are lowered. Phytotherapy as under the hypotonic type.
In the hyperkinetic type of dyskinesia of biliary tract, spasmolyts are used by a short course, potassium and magnesium preparations, mineral waters of weak mineralization in heated form 5-6 times a day. Fitotherapy: daisy flowers, peppermint, licorice root, Valerian root, mother-in-law, dill fruits.

Therapy in each case is selected individually, and for this you need to contact a specialist. Will be appointed comprehensive examination, and after the diagnosis of the doctor will choose suitable drugs. Self-treatment is dangerous: improper recognition of symptoms can only lead to deterioration of well-being.

Diet and proper nutrition

The basis of the treatment of diskinesia is nutrition. Only due to the clear compliance with the rules can avoid the appearance of attacks and carry out prevention. surgical complications such as cholelithiasis and acute cholecystitis. Diet with diskinesia implies compliance general rules Nutrition, however, there are moments that differ significantly depending on the type of disease (hyperkinetic and hypokinetic).

From the diet with any kind of diskinesia, the following products should be completely eliminated:

acute, fried, oily, smoked, sour, pickles and all canned;
fatty varieties of meat and fish;
confectionery, including chocolate, cocoa;
baking from a dough test;
carbonated drinks, coffee, alcohol;
seasonings;
vegetables, irritating gastrointestinal garlic, onions, radishes, sorrel;
products that enhance gas formation in the intestine (bean, rye bread and etc.);
milk;
marinada.

Features of nutrition during hypochlorine dyskinesia. The diet should consist of products that stimulate the motility of biliary tract:

cream;
eggs;
black bread;
sour cream;
vegetable and butter;
vegetables (boiled, stew, baked);
fruit.

Features of nutrition in hypersmotor dyskinesia:

In the presence of this form of pathology, it is necessary in obligatory exclude out daily diet Products that stimulate bile and bortery: gas production, broths, fresh vegetables, fatty milk and dairy products, black bread, animal fats.

With any dyskinesia form, it is necessary to eat 5 - 6 times a day in small portions (the contents of the portion should fit in two handfuls). Do not allow breaks between meals for more than 2 hours. All dishes and drinks must be warm or room temperature, and not cold or hot, since too high or low temperature can trigger the attack of disknesia. Salt must be limited by consuming no more than 3 g per day to eliminate the stagnation of the fluid in the tissues. Cooking various dishes follows cooking methods, baking or a couple.

Mineral water

Mineral waters need to be drunk regularly, 1/2 - 1 cup for 20 - 30 minutes before meals in a warm form, choosing the necessary variety depending on the shape of dyskinesia. Thus, with high mineralization water, it is recommended to drink water with high mineralization water (for example, Essentuki 17, Bataline, Borjomi, Mashuk, etc.), and with hypermotor - low mineralization (for example, Darasun, Karachinskaya, Lipetsk, Narzan, Smirnovskaya, etc.) .

Mineral waters can and need to drink, as abide by the diet, a long period of time, that is, at least 3 to 4 months. However, if mineral water is impossible to include in comprehensive therapy Diseases, then from their use it is quite possible to refuse.

Lifestyle with disconesia

For a patient with a dyskinesia of biliary tract, it is very important to conduct a healthy lifestyle, which includes the concept:

refusal from harmful habits,
moderate physical activity, without physical overload,
rational mode of labor and recreation,
full night sleep,

The main component of lifestyle - healthy nutrition - Exception of oily, roasted, acute, salt, spicy food, limiting animal products, increase product consumption vegetable origin. During the treatment of diskinesia, a strict diet should be observed, or the healing table No. 5.

Folk remedies

At home, dyskinesia treatment is best carried out in a complex using folk techniques. But before their preparation and reception, you should consult with the attending physician

Simples, champs, extracts and grass syrups, capable of activating the formation of bile, to establish the motor function of sphincters and bile ducts.

With hypertensive and hyperkinetic type, mint is used, daisy flowers, herb grass, licorice root, dill fruits, valerian root.
Pi hypotonic and hypokinetic form are used for phytotherapy. Rosehip fruits, immorteller flowers, hunter, corn storks, oregano, nettle leaves, chamomile.

A bile action has a milk thistle, immortelle, pyrhem, leaves and dandelion root, corn storks, chicory, rosehip, flimber pharmacy, parsley, turmeric root, cumin, yarrow.

Herbrays are used 20-30 minutes before meals.

Surgery

In the absence of long-awaited relief after adequate and complex conservative therapy Doctors use surgical techniques. They can be:

minimally invasive (more often with the use of endoscopic equipment);
radical.

In the case of detected sphincter dysfunction, apply:

injections directly to this Sphinteer botulinumoxin (it significantly reduces spasm and pressure, but the effect is temporary);
balloon dilatation of this sphincter;
staging a special catar-stent in the biliary duct;
endoscopic sphincterotomy (its excision together with a duodenal nipple) followed (if necessary) surgical sphincteroplasty.

The extreme measure of combating a heavy hypotonic-hypokinetic variant of biliary dysfunction is cholecystectomy (complete removal of an atonic gallbladder). It is carried out by laparoscopic (instead of a cut on the abdominal wall there are several punctures for equipment and tools) or laparotomic (with a traditional section) by. But the effectiveness of this serious operational intervention is not always felt by patients. Often, after this, the resumption of complaints is associated with the developed post-olecistectomic syndrome. Conduct rarely.

Dyskinesia biliary tract in children

For therapy in children, preference is given plant preparations. They are selected depending on the type of pathology.

So, with hypocomotor diskinesia, assigned:

medications that increase the tone of biliary tract: magnesium sulfate, sorbitol or xylitis;
preparations, stimulating bile formation: Holyagol, Holyas, Allohol, Libil;
"Blind sensing" with a taking sorbitol or xylitol;
plant therapy: decoctions from dandelion, rosehip, cornflowers, mint;
mineral waters: "Essentuki 17".

With hypersmotor diskinesia, treatment is carried out:

vegetable therapy: Hypericum chambers, chamomile, bombardy;
safety Preparations: Eufillin, Riabal;
electrophoresis with Novocaine on the gallbladder region;
low-mineralized waters: "Slavyanovskaya", "Smirnovskaya".

After the binding of the attack, rehabilitation is carried out in the sanatorium, where mineral waters are prescribed, other physiotocreders:

sodium chloride baths;
Microwave therapy;
galvanic collar on Shcherbaka;
with a sedative purpose: coniferous baths, bromineelectrone;
to improve the motor activity of biliary tract: SMT-therapy, magnesium electrophoresis sulfate.
to eliminate the spasm of biliary tract: Magnetotrapy, antispasmodics electrophoresis (but-shts, papaverine) to the region of biliary tract /

Children with disconesia are registered with the children's gastroesomener, neurologist and pediatrician. They are appointed by the planned holding of ultrasound twice a year. Also once in 6 months, crocker therapy courses are held. Once or two a year, the child is given directions for conducting sanatorium-resort treatment.

Prevention

To prevent the appearance and development of pathology follows:

To establish a full sleep and rest (sleep at least 8 hours a day);
Provide daily outdoor walks;
Organize proper and balanced nutrition;
Eliminate the presence of stress and psycho-emotional loads.

In secondary prophylaxis (i.e., after detection of diskinesia), it is possible to prevent the disease, adhering to the doctor's advice and regularly passing preventive inspections

With all the variety of diseases of the digestive organs, sometimes it is difficult to distinguish one of the other. Signs of dyskinesia of biliary tract similar to the signs of other diseases of the digestive organs. In order to consult a doctor in a timely manner and start treatment, it is important to determine them on time and distinguish from other states.

First you need to figure out what drive is. This word comes from the Greek word "kinesis" - the movement and console "dis" denoting violation. It turns out that the dyskinesia of the gallbladder can be said that these are failed in its work or the promotion of bile.

The bile is formed in the liver, then goes along the canals in the direction of the gallbladder. From there she goes to the duodenum, where he is engaged in food digestion processes. Its movement is ensured using different pressure in these organs with the participation of sphincters, which overlap the passage from the duct into the bubble, and from the bubble in the intestine. They open and close, exercising the release of bile there and then when necessary.

If the process is broken, the sphincters weaken in the wrong time or, on the contrary, constantly compressed, or the gall bubble is intensively reduced, the bile is sent to its path not as it should. This is the dyskinesia of biliary tract.

Symptoms and signs by type

Dyskinesia can be primary (independent illness) and secondary (consequence of other diseases). In two species different reasons The appearance and some differences in the symptoms.

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Primary dyskinesia can cause severe moral load, psychological injuries, stress; failures of the nervous system; Unsystemant nutrition and abuse of harmful food (oily, fried, sharp, salted). With some violations of the liver functions changes chemical composition Bile, as a result of which negative changes in the work of the gallbladder and biliary tract arise. Also dyskinesia may occur with changes in the intestinal functions, weightless weight, dystrophy, absence or insufficiency physical activityViolations biological rhythms Human organism and food allergies.

Secondary dyskinesia cause other diseases. Usually these were previously transferred diseases of the gastrointestinal tract, including liver and gallbladder diseases. The disease is also caused by the disease chronic pathology of any bodies in the abdomen, including gOOD SYSTEMComing with inflammation. These include benign tumors and cysts. As well as inflammation of the gastrointestinal tract caused by infectious lesions, For example, salmonellosis.

Both primary and secondary jvp can be two forms: hypotonic and hypertonic. In exceptional cases - and mixed. In the hypotonic form, the gallbladder and the bile paths are poorly reduced, as a result, bile is stirred. If the disease is hypertensive, then, on the contrary, in the biliary paths and gallbladder a high tone. The bile is produced a lot, and it penetrates the digestion organs often in large quantities.

The dyskinesia of the gallbladder has symptoms depending on its type - hypotonic or hypertonic. In general, we can say that these are pain and pathology of digestion. However, there are significant differences here.

Differences of the hypotonic type

The hypotonic dyskinesia of the gallbladder and biliary tract most often arises from people older than forty years, the elderly, less often - young people, children and teenagers.

Signs and symptoms:

At the same time, the patient is usually reduced pressure, sweating may increase, bradycardia occur.

Differences of hypertensive type

Hypertensive type of diskinesia most often appears in children, adolescents and young people. Less often among the elderly:

Strong stitching pain. It appears in the right hypochondrium after emotional loads and stress, with nutritional disorders and physical activity. Appears the attacks lasting before half an hour. Easy to confuse with cardiological problems, because the pain gives in the chest, back and hand. However, there is a severity in the liver between the attacks.
Lack of appetite, due to improper bile production.
Weight loss. This happens because of the poor appetite and due to the fact that with a shortage of bile, the useful substances are not fully absorbed.
Nausea and vomiting, usually arise during pain attacks.
Diarrhea after eating or pain. Happens because bile penetrates in small intestine at a wrong time. Because of the acids contained in bile, nutrients are absorbed with difficulty. This, in turn, increases the secretion of water and salts. Calleum mass is formed more, and their intestinal path becomes faster.
Changes in color chairs and urine. Cal becomes light, and urine drone.

At the same time, sweating, apathy, tachycardia occur. A person becomes irritable, suffer from headaches.

Both hypotonic and hypertonic types of dyskinesia have a manifestation in the form of a yellow color of the skin, because as a result of stagnation, bilirubin penetrates blood and spreads throughout the body. And the collapse in the language, combined with the distortion of taste. It arises due to the violation of the flow of nutrients to the tongue.

Secondary signs

Indirect signs of dyskinesia of biliary tract are associated with impaired psyche and nervous system. This is nervousness, irritability, plasticity. There are difficulties with falling asleep, short, intermittent sleep either, on the contrary, increased drowsiness.

The patient quickly gets tired, often flows into despondency and apathy. Men decreases sexual attraction. In women, the menstrual cycle is disturbed and inflammatory diseases occur female organs. Frequent hormonal failures.

People of both sexes suffer from sharp drops of mood, unreasonable fears, panic attacks. In addition to being observed increased sweating and heartbeat disorders: bradycardia, tachycardia, arrhythmia. At the same time, the appeal to a psychologist or psychotherapist does not bring proper relief, because the reason is deeper.

All this together with the basic signs associated with the disorders of the gastrointestinal tract, allows you to diagnose the disease in the early stages.

Symptoms in children

More often this disease occurs in adolescence, but sometimes in children, including infants. Signs are changing from the type of disease.

With a hypertensive type, which most often occurs in children and adolescents, acute pain in the right side during load; burning in abdominal after sweet food; diarrhea; nausea and vomiting, frequent joining in infants; yellow tongue; Pain in the head; apathy; bad appetite.

With a hypotonic type, rarely occurring in young patients, heaviness in the right side; stool violations; bad appetite; Children sluggishly gain weight; With palpation of the belly in infants, a gallbladder is felt.

With mixed type constipation; severity in side; poor appetite when weight gain; bitter taste in the mouth; Bad smelling belching; swelling; When you click on the right side there is pain.

With all the forms of manifestation of the diseases of the kids become plastic and restless. Breasts tighten the legs to the stomach to get rid of pain, and are badly added in weight.

Symptoms and symptoms with ultrasound

When any of these features and symptoms should consult a doctor. Currently, an ultrasound of the abdominal organs is most often carried out for diagnosis. At the same time, such symptoms and signs of dyskinesia of the gallbladder are detected, which are not seen during the usual inspection and other diagnostic procedures:

An increase in the size of the gallbladder, a sign of a hypotonic type of disease, because the increase occurs as a result of stretching the walls of the bubble of a stagnant biliary.
The decrease in the size of the gallbladder indicates the hypertonic form of disconesia, because the bubble is compressed due to the increased tone.
Thick walls of the gallbladder, typical sign cholecystitis, which often accompanies diskinesia.
Moving seals in the bubble cavity, most likely stones, which, overlapping the sphincter, contribute to the occurrence of diskinesia. If the seal is fixed and based in the sphincter area, it is most often a stone closed.
New formation by internal surface The bubble can be as a sign of stagnation of bile and tumors.
An increase in the diameter of the bile duct inherent in all forms of the disease feature.
The precipitation at the bottom of the bubble is a sign of its muscle lethargy.

During the ultrasound, special contrast agents can be introduced to determine the type of diskinesia.

When the doctor define the symptoms and treatment of dyskinesia of biliary tract and stabilizes the state, the main thing is to prevent aggravation. People who have a predisposition to Disknesia, and those who have other gastrointestinal diseases will help prevention measures.

The best prevention of any disease is a healthy lifestyle. In the case of diskinesia, this is primarily proper nutrition, motor activity, healthy sleep, lack of stress and bad habits, especially drinking alcoholic beverages.

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Dyskinesia biliary tract is a functional violation of bile intake in the duodenum. The condition is considered to be a harbinger or "partner" of other more complex diseases of the digestive organs. therefore timely treatment Dyskinesia biliary tract requires separate consideration and attentive relationship.

Basic principles of treatment

Soviets on diskinesia therapy there are many. We will compose a plan of action and follow him. What do we have to do to cure dyskinesia?

Normalize emotional load, help the nervous system to transfer stressful states, overwork.
Ensure power and diet when aggravating the disease.
Control weight and physical exertion.
Build the choice of medicines depending on the type of diskinesia.
Use mineral waters by testimony.
Medicinal plants and means of traditional medicine are no less important than drugs.

What to do with "abnormal" emotions?

It is known that the nervous system is the source of all "teams" and "management solutions". When dyskinesia of biliary tract, one of the good reasons is the breakdown of nervous regulation. For normalization, it is necessary to calm down any means (except for alcohol!). The reception of the beam from the root of valerian or tincture, drugs from the mother-in-law, other sedatives for the appointment of a doctor. Ordinary home treatments: a warm bath in the evening, milk with honey for the night, possibly normalize sleep, help you to cure dyskinesia.

From excessive nervous loads will have to get rid of. The day of the day should provide for resting time, walks. You can do yoga, swimming, riding by bike.

This will simultaneously help reduce excess weight if it is available. Because overweight Increases the level of the diaphragm and presses from the bottom to the gallbladder, not allowing it to effectively shrink. In addition, extra calories in fatty foods create an unbearable load on the liver and break off the work of the biliary tract.

Changes in nutrition

It will be eating without sandwiches, fast food, chips, shawarma and kebabs. The diet recommended table No. 5 with restriction of sharp dishes, fried and greasy meat and fish, sauces and seasonings, sausages, mayonnaise, cakes, strong coffee.

Showing: boiled or cooked for a pair, low-fat meat and fish dishes, porridge (not recommended rice and manca), dairy products, vegetable salads with filling with vegetable oil, fruit.

It is impossible to cure dyskinesia without a diet. From the organization of nutrition with small portions several times a day depends on the restoration of biliary release.

Use of medicines

Do not use medicines on the advice of neighbors. They will not be able to install your type of diskinesia, pick up the medicine corresponding to the state of other organs. Only a doctor can treat.

With hypertensive type apply:

as soothing drugs (lattice-forte in capsules, mother-in-law and valerian in tincture, tablets with sedative effect);
for removing the painful spasmolytic syndrome (injecting platform, but ships, papaverine or tablets in the intergreacar period);
from the group of choleretic drugs, facilitating the promotion of bile (oxafenamide, nicodein);

In the hypotonic type, the body needs a different effect:

to activate nerve processes (tincture of ginseng, Eleutherococcus, Levze, the lemongrass of Chinese, Aralia);
choleretic agents stimulating muscle atoni (cholecystokinin, flamine);
recommended Tubaja or "Blind Sounding" twice a week for two months every six months, to do this, use magnesia, xylitis, sorbitol.

To treat the dyskinesia of biliary tract with antibacterial drugs is only needed with an established infectious reason during duodenal sensing.

Mineral water

The reception of therapeutic mineral waters needs to be coordinated with the acidity of the gastric juice and also the type of dyskinesia of biliary tract:

for hypertensive Dyskinesia, normal or increased acidity recommended Mineral water type "Narzan", "Essentuki-4", "Smirnovskaya", "Slavyanovskaya" in a warm state for an hour - 40 minutes before meals;
for a hypotonic type, reduced acidity, you need to drink "Essentuki-17", "Arzni" (more mineralized) room temperature for half an hour before meals, carefully in the presence of renal diseases.

Treatment of dyskinesia herbs

Benefits from the treatment of herbs have long been known: they are tested by centuries of traditional medicine, easy to prepare, side effects minimal. Take herbs with dyskinesia of the biliary tract you only need consulting with a good specialist.

For hypertensive type in the treatment, decoctions are recommended: chamomile, valerian, mint, licorice root, dill seeds.
A person with a hypotonic type is shown: chamomile, immortelle, rosehip, corn storks, nettle.

Herbs are most convenient to brew at night in a liter thermos in proportion on 3 tablespoons of dry raw materials per liter boiling water. In the morning you can drink in warm form, pouring into a cup through the siete. You can use each plant separately or mix in advance. Such a collection will be much more efficient. The brewed volume is enough for the whole day. Take herbal beams you need 30-40 minutes before meals.
Basic contraindication: Increased individual sensitivity.

The main task of treating dyskinesia of biliary tract is to prevent the development of chronic cholecystitis, gallgamed disease. This can be done with a solid solution and perseverance.

Dyskinesia biliary tract and gallbladder - It is a functional disorder of extrahepatic ducts, as well as the motor function of the gallbladder.

Dyskinesia biliary tract is a disease to which there is no clear medical approach. In medicine, there are a lot of such examples. So, in a particular case, there are two approaches to the disease, several different ideas about the reasons and the mechanism of its occurrence.

An earlier representation determines the dyskinesia of biliary tract as a violation of the arrival of bile in the duodenum due to the disorder of the motility of the muscular apparatus of biliary tract, which causes the appearance of pain in the right hypochondrium.

Causes of the disease

The main causes of dyskinesia of the biliary tract include:

In the development of the disease, two main mechanisms are distinguished. The first is the pathology of the function of hepatocytes. As a result, the composition of the bile, the functional state of the bile ducts and the gallbladder is disturbed. The second mechanism is associated with a violation of neurogenic regulation muscular wall bile ducts of both central (neurocirculatory dysfunction, neurosis) and peripheral (with the pathology of the gastrointestinal tract) of origin.

Types of diskinesia

Two forms of dyskinesia of the gallbladder are distinguished: hypertensive (hyperkinetic) and hypotonic (hypokinetic):

For hypertonic Dyskinesia Gall Bubble does not highlight bile, as he is strongly reduced, the tone of sphincters of biliary tract will be enhanced.
For hypotonic Dyskinesia on the contrary, bile from the bubble constantly follows, and the bubble is practically not reduced, the tone and motor activity of the biliary tract will be reduced.

Sometimes the primary and secondary dyskinesia are isolated, but in a significant majority of cases they are secondary, and therefore such a classification is not an idea. In primary dyskinesia, as a rule, the organic pathology of the gallbladder or biliary tract is not noted. With a long-term flow of diskinesia, a bile in the bustling bubble appears, the colloid structure of the bile is disturbed, which contributes to the occurrence inflammatory process and stone formation. Dyskinesia of secondary genesis is observed if the calculose or blessing cholecystitis, anomalies of the structure, bending, the narrowing of the biliary tract existed initially.

The primary and secondary dyskinesia of the gallbladder are most often observed in young women with a reduced body weight, communication is often noted menstrual cycle. Violations of hormonal regulation, unstable emotional background and various pancreatitis are direct routes to the development of dyskinesia of biliary tract. Reception of some drugs can lead to stagnant phenomena in the bustling bubble and spasms of the sphincter Oddi.

Symptoms

Symptomatics is different depending on the type of dyskinesia (hyperkinetic or hypokinetic).

Symptoms of general neurosis are characteristic of both forms: increased fatigue, Frequency, irritability, hot temper, headaches, heartbeat, sweating.

For hyperkinetic dyskinesia gallbladder distinctive features Periodically emerging acute spastic pains in the right hypochondrium, which can be given to typical places: to the right blade, shoulder, or in the left half of the chest. Pain occurs suddenly, it is possible repeated repeating during the day, rarely accompanied by nausea, vomiting, disruption of the intestinal function. In the intergenial period, heaviness can be bored in the right side.

When hykokinetic Discinesia characteristic signs will be permanent blunt pain In the right hypochondrium, which does not have a clear localization, a feeling of cutting. Meal or emotional factor may result in strengthening symptoms. Most often, the patient makes complaints on a bad appetite, bitter taste, belching, increased gas formation and constipation. Often there are mixed forms when one is replaced by another.

Diagnostics

With suspected dyskinesia of biliary tract, it is necessary to conduct such studies:

Blood chemistry.
Uz-study of the liver and gallbladder.
Duodenal probing.
Cholecystography.

In the past few years, some authors formulated a different approach to the causes of dyskinesia of biliary tract. More he is characterized by foreign physicians. This approach is more specific. The cause of the disease is a violation of the Sphinteer function Appa. There is an incomplete disclosure of the sphincter, as a result of the disorder of the outflow of bile, its pressure increases in bilent protocol and the pancreatic duct, which causes pain. The cause of the work of the sphincter can be the growth of muscle, iron or fibrous tissue.

However, regardless of the approach, the diagnosis of dyskinesia of biliary tract is exhibited with the exclusion of other liver diseases and biliary tract.

Discinesia treatment

If the diagnosis of diskinesia is confirmed by the results of the tests, assign:

Soothing, if dyskinesia flows through hypertensive (hyperkinetic) type: bromine preparations, tincture and tablets Valerians, latter tincture, new passite.
Toning drugs, if dyskinesia hypotonic (hyokkinetic) type: ginseng tincture, eleutherococcus, lemongrass.
If necessary, anthelmintic and antiprotozoic drugs: levamizol, pyrantel, ornidazole, tyondazole.
Choleretic agents: Allohol, Holenzim, Holyagol, magnesium sulfate in powder, sorbitol.
Safety spasmodics used in hypertensia type: Platifillin, drootaverin, papaverine, furniture.
Prokinetics (preparations that improve the motorcycle of the gastrointestinal tract): domperidon, cisaprid - with the hypokinetic type of disease.
Hepatoprotectors: Carsil, Essence, artichoke in tablets.
Microbial preparations: Linex, Bifiform, Lactobacterin, Bifidumbacterin, yogurt in capsules.
Info and decoction medicinal plants: immortals of sandy, pyrms, chicory, peppermint, daisy pharmacy, rosehip.
Mineral waters of weak mineralization - with hypertensive type of disease, high mineralization - with hypotonic type of discsion.

Positive effect in the presence of dyskinesia of biliary tracts have physiotherapeutic procedures:

Appliques of paraffin and ozokerite, electrophoresis of novocaine solutions or magnesium sulfate (with hypertensive type of disease).
Conifer baths and souls (fan, circular).
Microwave therapy, inductothermia.
Igloreflexotherapy.

Diet with diskinesia

In the treatment, it is very important to comply with the power mode.

In the menu of patients suffering from dyskinesia in the hypokinetic type, products are introduced with an increased content of vegetable fats. Positive influence on the motorcy of biliary tract is used raw vegetables, greenery, bran.

The hyperkinetic type of diskinesia requires restrictions on the reception of animal fats, eggs, meat and mushroom broths.

Folk remedies and methods of treatment

The trouser has a choleretic and anti-inflammatory effect. It is recommended to eat in the food in cheese or boiled form.
It is recommended every two hours to take a daily two tablespoons of lemon fresh juice.
The flesh of boiled and raw pumpkin restores, rehabits the work of the liver after the acute form of hepatitis, is also an excellent choleretic agent. Eat the pulp should be from 0.5 kg per day.
Pumpkin juice improves sleep and soothes nervous system. Therefore, he is recommended to drink one glass per day, as well as for a sedative effect - for the night.
It is recommended to take half an hour before meals in 50 ml of grapefruit juice.
100 ml of fresh carrot juice mix with 100 ml of heated milk to 70-80 ° C. Drink big sips by replacing this mixture breakfast. If the calories obtained cannot provide the usual stock for a difficult work day - you need to have breakfast full, but only an hour after drinking drink.
A mixture of carrot juice with beet juice and cucumber to take in equal proportions three times a day for 100 ml 20 minutes before meals.
Mix a glass of tomato juice with a glass of cabbage brine. Use after meals three times a day.
Take a glass apple juice, add a tablespoon of honey there. Take up to four times a day 100 ml.
Take 4 pieces of carrots, one piece of parsley and three parts of celery. Make a mixture of juices from these ingredients. To drink half an hour before eating three times a day, two tablespoons.
It is recommended to take, with the hypotonic form of diskinesia, on a tablespoon olive oil, every day, drinking it with sweetened lemon juice.
Wheat grains pour water and put in warm, dark place. Wait when the sprouts will be 1 mm magnitude. Then rinse them and grind them with the help of meat grinders, add a drop of vegetable oil there. Eat on an empty stomach.
Pour the cereal "Hercules" glass hot water. After the porridge cools can eat it. Use for half an hour before eating three times a day.
Grind the root and six leaves of Khrena. For a week, insist on 500 ml of vodka. Use it to eat three times a day on one tablespoon.
Mount dried melon seeds in a coffee grinder. Then pour 200 ml of boiled milk glass of the resulting flour. Let it stand in a thermos for 1-2 hours. Strain. Drink in the morning on an empty stomach by half a cup.
Take two fresh chicken yolk, beat foam, drink. After that, after 5 minutes, I drink 200 ml of warm mineral water. Lie down by laying under the right side warm height. Effectively eliminates the pain in the liver.
Attention! It is necessary to be sure that the eggs do not contain Salmonella.
Take the fruits of Anisa, Coriander, corn storks, ledge grass, three-color violet grass, hormour grass, dandelion root, chilli grass - all in equal amounts. Pour 600 ml of boiling water three tablespoons of collecting. Then insist for half an hour, strain. Drink three times a day on one tablespoon.
It is necessary to take four parts of the sandmaker's sandmaker's sand and grass hormour of the corded, one part of the daisy pharmacy, three pieces of grass argets, two parts of the crust of the cortex. Pour over the night of a liter of cold water four tablespoons of the mixture. In the morning boost, then, on low heat to keep for another 10 minutes. Give cool, strain. On an empty stomach drink a glass of beam. The rest is divided fourfold by eating after meals.
Take the poverty of bean pods, ardor grass, hernial herging herbs, cornflowers, grass ears. Pour a glass of boiling water a tablespoon of collection. Insist for an hour, pre-bounced (you can in the thermos). Then strain. Use infusion throughout the day, before taking heated.
It is necessary to take in equal amounts of the flowers of the pharmaceutical chamomile, the leaf of the three-lift wool, the herbs cleanly. Pre-grind. Mix. Pour a glass of boiling water a tablespoon of collection. Let it stand for an hour. Then strain. Drink in the morning and in the evening of 100 ml in an hour after meals.
Take one part of the renal tea, the grass nettle of downtown, grass of the field of field, two pieces of grass argets. Pour 500 ml of boiling water 2 two tablespoons of this mixture. Insist for six hours. Use before meals three times a day in 100 ml in warm form.
Take an equal amount of golden grass, peppermint leaf, purity grass, herbs. Pour 200 ml boiling water tablespoon this collection. Insist for an hour, strain. Create twice a day for half an hour before meals one glad infusion.
Take an equal number of sheets of the sage of the medicinal, the fruit of the cumin, the leaf of the peppermint, the roots of the dyagil medicinal, the crust of the crust. Pour 200 ml boiling water tablespoon of this collection. Use for half an hour before eating three times a day in 100 ml.
You need to take three parts of the immorter of sandy, two parts of the root of rhubarb, five parts of the millennian ordinary. Pour 200 ml boiling water tablespoon of this collection. Then insisted, strain. Use before bedtime at 140 ml of infusion.
Take 1 piece of grass lemon lemon, 2 parts of the crust of the cortex, peppermint sheet, sandmaker's sand mill, 6 pieces of crushed rosehip fruits, 5 pieces of purity. Raw 1 teaspoon of collecting 300 ml boiling water. Insist 15 minutes, drink for 1 reception with honey.
Olive oil pour fresh beast flowers at the rate of one to ten. Insist for 40 days. Use three times a day for half an hour before eating two teaspoons.
Pour the glass of boiling water dried and crushed rosehip fruits. Put on fire and boil for even half an hour. Insist in a thermos for four hours, strain. Use before eating three times a day in 100 ml of infusion, adding a small amount of honey.
Pour the glass of boiling water a tablespoon of lingry leaves, insist for half an hour, strain. An infusion take up to five times a day for two tablespoons.
Pour 200 ml of boiling water Two teaspoons of peppermint grass, insist for half an hour, strain. Using during the day, taking large sips.
Pour 400 ml of boiling water Two tablespoons of dill seeds. Put on a weak fire for another 15 minutes, then cool and strain. Take up to four times a day in 100 ml of warm beam. The duration of treatment is up to three weeks.
Mixed in equal amounts of the grass of the goose laptop, the grass was chiurela and peppermint leaf. 1 tablespoon of mixture pour 1 cup of hot water, boil in a water bath for 15 minutes. Insist 30 minutes, strain, bring the volume of infusion of boiled water to 1 cup. Take 1-2 glasses of hot infusion per day with hypertensive form of dyskinesia of biliary tract with spasms.

Self-massage belly

Self-massage of the abdomen improves the intestinal peristalsis, tones his work, contributes to the removal of bile from the body, stimulates the activities of the pancreas and the stomach, which fully explains its effectiveness, both for treatment and for the prevention of abdominal organs. Self-massage is not carried out in the sharp forms of diseases of the abdominal organs. To avoid painful sensations these bodies in people with chronic diseasesSelf-massage is easily and gently.

Lying on the back, put the right hand to the bottom of the abdomen (under the navel), and the left - above it. Slightly pressing (better than the bottom of the palm) on the stomach, shift abdominal wall Right hand left, and left - right. Perform this technique, simultaneously moving hands towards each other. The abdomen wall will be gently slipped under the palms. Then change the hands (right from above, left - from below) and do the same movements, but in opposite directions.
Put the left palm on the navel area, and the right top and, slightly pressed on the stomach, produce rotational motions clockwise and against it (only 10 rotations).
Produce the abdominal periphery massage. The fingers of the left hand are placed on the area between the navel and the right wing of the pelvis, slightly pressed, perform movements clockwise and against it, moving the hands a little up. Similar movements are repeated under the right hypochride (the area of \u200b\u200bthe gallbladder), in the poverty area, under the left hypochine, below it (the area of \u200b\u200bthe descending part of the large intestine) and the left, between the navel and the left wing of the pelvis (the sigmoid area). Make 20-30 circular movements.
Attention! The massage of the sigmoid intestine can cause a call on the chair.

Physiotherapy

Complex of exercises with dyskinesia of biliary tract and chronic cholecystitis:

IP (initial position) - lying on the back. At the same time raise the right hand up and bend left leg. Stop slides on the floor - inhale. When returning to IP - exhale.
IP - watch item 1. Hands are on the belt. Rock head and shoulders, eyes look at socks - exhale. When returning to IP - inhale.
IP is the same. Right hand put on the stomach, left on the chest. The essence of the exercise is a diaphragmal breathing, that is, the stomach. Both hands raise, following the movements of the diaphragm and the chest - inhale, when exhaling - the hands are lowering down.
IP - lying on the left side, left leg In semi-bent form, the left hand stretches up. When lifting the right hand up - inhale, with a bending of the right leg, pressing the knee with his right hand to the chest, - exhale.
IP - Watch item 4. When lifting the right hand and feet inhale, when grabbed legs and hands and pulling the knee to the stomach, tilt the head - exhale.
IP is the same. When you assign a straight right hand at the same time up and back - inhale, return to IP - exhale.
IP is the same. Divide both legs back - inhale, IP - exhale.
IP - in a cat pose. Raise your head up in half, moving, moving movies, put the right leg forward between your hands - exhale. Return to IP and repeat the exercises, but already another foot.
IP is the same. Left Straighten, take to the side and raise up - inhale, return to IP - exhale.
IP is the same. Take a breath and, bending your hands to take the position of "lying on the stomach" - exhale, return to the IP.
IP is the same. It is necessary to lift your head, get into the shape of a boat in the lumbar region - inhale, when the head is tilted to bring back the back of the arc - exhale.

Breathing exercises

A number of medical gymnastics complex can be included. breathing exercises. These exercises are aimed at changing intra-abdominal pressure, so they must be performed in rehabilitation period, Watching the unpleasant pain not to appear.

IP (initial position) - standing, hands are on the hips. Slowly breathe (inhale moderate depths), draw the belly, strongly, dramatically exhale.
IP is the same. He strongly and dramatically exhale, maximizing the stomach, breathing to delay for 6-8 seconds. Abdominal muscles must be in a relaxed position.
IP - sitting on the floor, foot foot. Hands on the knees, back straight. The eyes are closed or raised up, the head is lowered down. Muscles shoulders, faces, hands, neck, feet completely relaxed. Make a slow breath (depth - moderate) and delay breathing for 1-2 seconds.
IP is the same. Inhale slowly (1-2 seconds), breathing for 2 seconds. Repeat a few times.