Treatment of cholecystitis

The so-called cholecystitis, in simple terms, is that the secreted bile is invaded by inflammation. It is a relatively common disease. And because the gallbladder and liver are directly connected, if cholecystitis occurs, it is easy to cause certain damage to the liver, which will cause problems with the entire coordination ability of the human body and bring more serious harm to human health. Therefore, cholecystitis must be treated in time. So, what are the treatments for cholecystitis?

Clinically, cholecystitis is divided into two types, acute and chronic, according to the differences in disease manifestations and the speed of onset. However, there is a big difference in their treatment. Generally, chronic cholecystitis is mainly treated by conditioning, while acute cholecystitis requires timely use of drugs for reasonable and standardized treatment.

Acute cholecystitis:

1. General treatment: bed rest, easily digestible liquid diet, avoid greasy food, fasting for severe cases, gastrointestinal decompression, intravenous supplementation of nutrition, water and electrolytes.

2. Antispasmodic and analgesic drug treatment: Atropine 0.5mg or 654-2.5mg intramuscular injection; nitroglycerin 0.3-0.6mg, sublingually; vitamin K38-16mg, intramuscular injection; analgesics such as pethidine or isometin, morphine should not be used.

3. Antibacterial treatment: ampicillin, ciprofloxacin, metronidazole; aminoglycosides or cephalosporins can also be used. It is best to choose antibiotics based on the results of bacterial culture and drug sensitivity tests.

4. Choleretic: Take Shudantong, anti-inflammatory choleretic tablets or liver-clearing choleretic oral liquid orally. They can be used only after the attack is relieved.

5. Surgical treatment: Patients with necrosis, suppuration, perforation, and impacted stones should undergo timely surgical treatment, including cholecystectomy or cholecystostomy.

Chronic cholecystitis:

1. Surgical treatment: Patients with chronic cholecystitis and cholelithiasis should undergo cholecystectomy. The surgery is usually performed 2 months after the onset of cholecystitis to reduce adhesions around the gallbladder and gallbladder edema.

2. Comprehensive treatment: low-fat diet, oral choleretics, such as magnesium sulfate, anti-inflammatory choleretic tablets, liver-clearing and choleretic oral liquid, gallbladder-protecting and healthy essence, etc.; use of ursodeoxycholic acid, chenodeoxycholic acid, lithotripsy and other lithotripsy drugs; those with parasitic infections should receive anthelmintic treatment.

3. Diet therapy: Traditional Chinese medicine believes that chronic cholecystitis is mostly caused by liver and gallbladder heat stagnation and abnormal secretion. The treatment should be based on clearing the liver and gallbladder, soothing the liver and promoting qi circulation, and regulating qi.

To sum up, I believe you have understood the treatment methods of cholecystitis. In order to achieve better treatment results, patients with cholecystitis must take appropriate care and pay attention to moderation in their diet. It is enough to eat until you are 70% full. Being too full will hinder the treatment of the disease. Also, be careful not to do excessive exercise.