How to treat cholecystitis

Cholecystitis is actually what we know as cholecystitis. Cholecystitis is divided into acute cholecystitis and chronic cholecystitis. Whether it is acute or chronic, the patient will suffer more. Conservative treatment is generally chosen for cholecystitis. Pay more attention to diet and avoid spicy or irritating foods. So what are the methods for treating cholecystitis? Which method is the safest and most effective?

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1. General treatment

① Actively prevent and treat bacterial infections and complications, pay attention to food hygiene, prevent the occurrence of biliary parasitic diseases, and actively treat intestinal ascariasis.

② Maintain a moderate lifestyle, pay attention to the combination of work and rest, maintain appropriate temperature, maintain an optimistic mood and smooth bowel movements.

③If the disease is accompanied by stones or occurs frequently, surgical treatment may be considered.

④ A low-fat meal should be chosen to reduce bile secretion and reduce the burden on the gallbladder.

2. Medication

(1) Acute cholecystitis

① For antispasmodics and analgesia, intramuscular injection of atropine, sublingual nitroglycerin, pethidine (meperidine), etc. can be used to relieve sphincter spasms and pain.

② Antibiotics are used to prevent bacteremia and suppurative complications. They are usually used in combination with ampicillin, clindamycin and aminoglycosides, or second-generation cephalosporins such as cefuroxime or cefuroxime are used for treatment. Changes in antibiotics should be based on the results of blood cultures, bile cultures during surgery, bacterial cultures of the gallbladder wall, and drug sensitivity tests.

③ Choleretic drugs: 50% magnesium sulfate taken orally (not needed for those with diarrhea), dehydrocholic acid tablets taken orally, and bile acid tablets taken orally.

(2) Chronic cholecystitis

① Choleretic drugs can be taken orally, such as 50% magnesium cobiate, dehydrocholic acid tablets, etc.

②Antiparasitic therapy is to deworm the cause of the disease.

③ Litholytic therapy: If the cause is cholesterol stones, chenodeoxycholic acid lithotripsy can be used for treatment. Literature reports that the lithotripsy efficiency can reach about 60%. After the treatment, you still need to take a maintenance dose to prevent recurrence.

(3) Rational selection of Chinese patent medicines

①Function of Jindan tablets: anti-inflammatory and choleretic. Used for acute and chronic cholecystitis.

② Function of Qinggan Lidan Oral Liquid: Clears away dampness and heat in the liver and gallbladder. It is mainly used to treat symptoms such as poor appetite, flank pain, fatigue, yellow urine, greasy tongue coating, stringy pulse, liver depression and qi stagnation, and uncleared damp-heat in the liver and gallbladder.

3. Surgical treatment

Cholecystectomy is the fundamental treatment for acute cholecystitis.

Indications for surgery:

① Patients with gallbladder gangrene and perforation, complicated by diffuse peritonitis; ② Patients with repeated acute attacks of acute cholecystitis and a clear diagnosis;

③ Those whose condition continues to develop and worsen after active medical treatment;

④ Patients with no contraindications to surgery and who can tolerate surgery. For patients with chronic cholecystitis accompanied by cholelithiasis, once the diagnosis is established, cholecystectomy is a reasonable fundamental treatment. If the patient has serious diseases such as heart, liver, lung, etc. or the systemic condition cannot tolerate surgery, medical treatment can be given.

Prognosis