disease is extremely widespread in all continents, in 80% of asymptomatic, most common in women aged 20 years and older, and after 70 years meets every third.
main causes and mechanism of development of gallstones
Currently accepted that the basis for the formation of gallstones is a violation of the colloidal composition of bile, leading to a change in bilirubin ratio, cholesterol and calcium loss of the sediment in the form of flakes, of whichsubsequently formed stones (calculi).
most common following types of gallstones:
There are many factors tha
infection The main clinical manifestations of gallstone disease.
Very often a person first becomes aware of the presence of his CL only when the liver (bile) colic - an attack is extremely severe pain in the right upper quadrant.Sometimes this is preceded by nausea, hiccups, vomiting of bile, discomfort in the abdomen, arising after a fatty, fried, spicy food, and alcohol.Provoke colic can bumpy ride, exercise, emotional distress, cooling.
duration pain attack is different - from several minutes to several days.It is characterized by irradiation (output) this pain: under the right shoulder blade and collarbone in his right shoulder and neck, at least in the lower back and left side of the chest.Analgesics do not remove these pains, but sometimes there comes a relief after administration (reception) antispasmodics, expanding the bile ducts (shpy, spazgama).Biliary colic can occur not only when the blockage of the bile duct stone, and while passing through it "sand" and bile clots, mucus, pus and blood clots.
During colic may experience an increase temperaturytela, delayed stool, temporary urinary retention and the appearance (reflexively) attack stenokardii.Palpatsiya belly at this time is very painful, and the abdominal muscles are tense.If colic lasts more than a day the patient is mild jaundice of the sclera and the skin appears itchy skin, discolored feces and dark urine.If you are restoring patency of the bile duct, jaundice disappears and the pain becomes less intense, dull, and accompanied by a pronounced flatulence.
flow CL is different: sometimes attacks are rare, and cramps are brief and are not accompanied by severe pain.In other patients with frequent attacks or are rare, but so intense that the patient prefers to be operated at once, so as not to feel in the future of such torment, and to prevent the development of complications.
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