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In both cases, as a result of the inconsistency of the work of the gallbladder and the sphincters of the bile ducts, the flow of dapsone pills the lumen of the duodenum is disrupted, which leads to a breakdown in the digestive process. Depending on the type of dyskinesia (hyperkinetic or hypokinetic), various clinical manifestations develop. In the hypertensive-hyperkinetic variant of the pathology, the leading symptom is acute colicky pain in the right hypochondrium, radiating to the right shoulder blade and shoulder. A pain attack, as a rule, develops after an error in diet, excessive physical activity or psycho-emotional stress. The pain syndrome may be accompanied by nausea, sometimes vomiting, constipation or diarrhea, polyuria. The pain goes away on its own or is easily stopped by antispasmodics.
Outside the attacks, the state of health is satisfactory, there are intermittent, short-term pain sensations of a spastic nature in the right hypochondrium, epigastrium, and umbilical region. Often, hypertensive dyskinesia is accompanied by vasomotor (tachycardia, hypotension, cardialgia) and neurovegetative (irritability, sweating, sleep disturbance, headaches) manifestations. Palpation of the abdomen during a pain attack reveals Ker's symptom - maximum pain in the projection of the gallbladder. The phenomena of intoxication and signs of the inflammatory process in the blood tests are absent.
Hypokinetic-hypotonic dyskinesia is characterized by constant, non-intense, dull, aching pain in the right hypochondrium, a feeling of heaviness and stretching in this area. Against the background of strong emotions and food intake, dyspeptic disorders develop - bitterness in the mouth, belching with air, nausea, loss of appetite, flatulence, constipation or diarrhea. Palpation of the abdomen reveals moderate pain in the projection of the gallbladder, a positive symptom of Ortner. Neurosis-like manifestations are noted. tearfulness, irritability, mood swings, fatigue.
The task of diagnosis is to verify the disease, to buy dapsone online the type of dyskinesiaurinary tract, exclusion of concomitant diseases that support dysfunction. Ultrasound of the gallbladder and biliary tract is aimed at determining the shape, size, deformation, congenital anomalies, calculi of the biliary system. To determine the type of dyskinesia, ultrasound is performed on an empty stomach and after taking a choleretic breakfast, which allows assessing the contractile function of the gallbladder.
X-ray examination includes cholecystography and cholangiography. With their help, the architectonics and motility of the biliary tract are assessed. In a comprehensive examination, manometry of the sphincter of Oddi, cholescintigraphy, MRI of the liver and biliary tract can be used avlosulfon pills. It is advisable to buy avlosulfon online the coprogram, feces for dysbacteriosis and helminth eggs.
Treatment of biliary dyskinesia.
Treatment should have a comprehensive focus, including normalization of the regimen and nature of nutrition, sanitation of foci of infection, desensitizing, antiparasitic and antihelminthic therapy, elimination of intestinal dysbacteriosis and hypovitaminosis, and elimination of symptoms of dysfunction. Diet plays an important role. exclusion of extractive products, refractory fats, confectionery, cold dishes, products that cause gas formation in the intestines.
Restoration of the function of bile formation and bile excretion in different types of dyskinesia is also carried out differentially. With hyperkinesia, choleretics (dry bile, livestock pancreas extract, flamin, hydroxymethylnicotinamide, oxaphenamide), low-mineralized mineral waters in a heated form, antispasmodics (drotaverine, papaverine, platyfillin), herbal teas (decoctions of chamomile, peppermint, licorice root, dill fruits) .
Of non-drug methods for patients with hypertensive-hyperkinetic biliary dyskinesia, courses of psychotherapy, acupuncture, hirudotherapy, applications of ozocerite and paraffin, diathermy, inductothermy, microwave therapy, electrophoresis with antispasmodics, acupressure, massage of dapsone zone are recommended.
