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Of the methods of physiotherapy, diadynamic therapy, electrophoresis with magnesium sulfate on the liver area, low-intensity ultrasound, SMT therapy, low-frequency pulsed currents are used. Patients with biliary dyskinesia are shown to be monitored by a gastroenterologist and neurologist, annual health courses in balneological sanatoriums. Biliary dyskinesia - symptoms and treatment.

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Biliary dyskinesia is a disease in which the motility of the gallbladder is disturbed and the bile ducts malfunction, which causes stagnation of bile or its excessive secretion. This disorder occurs mainly in women. As a rule, biliary dyskinesia suffers from young patients (20-40 years old), thin build. In some women, the relationship between the exacerbation of complaints and the period of the menstrual cycle is expressed (the exacerbation occurs 1-4 days before the onset of menstruation), and the disease can also worsen during the menopause. Since in this disease there are changes in the properties of bile, the absorption of some important substances and fat-soluble vitamins is impaired. At risk are women who have diseases related to the genital area, as well as people who are often exposed to stress.

There are two main forms of gallbladder dyskinesia. Why does biliary dyskinesia occur, and what is it? Primary causes of biliary dyskinesia. Long-term, systematic violation of the diet (irregular meals, overeating, the habit of eating well before bedtime, abuse of spicy fatty foods). Disorders of neurohumoral regulatory mechanisms of the biliary tract. Sedentary lifestyle, congenital underdeveloped muscle mass. Neurocirculatory dystonia, neuroses, stress. Secondary causes of biliary dyskinesia.

Previously transferred acute viral hepatitis. Helminths, infections (giardiasis). With bends of the neck or body of the gallbladder (organic causes).

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With cholelithiasis, cholecystitis, gastritis, gastroduodenitis, peptic ulcer, enteritis. Chronic inflammatory processes of the abdominal cavity (chronic inflammation of the ovaries, pyelonephritis, colitis, appendicitis, etc.). Hormonal disorders (menopause, menstrual irregularities, endocrine gland insufficiency, hypothyroidism, lack of estrogen, etc.). Most often, biliary dyskinesia is a background symptom, and not a separate one. It indicates the presence of stones in the gallbladder, the occurrence of pancreatitis, or other abnormalities in the function of the gallbladder. Also, the disease can develop due to the use of certain foods. sweets, alcohol, fatty and fried foods. Severe psychological or emotional stress can cause the onset of dyskinesia.

There are 2 types of dyskinesia. Dyskinesia of the hypokinetic type. the gallbladder is otanic (relaxed), it contracts poorly, stretches, has a much larger volume,Therefore, there is stagnation of bile and a violation of its chemical composition, which is fraught with the formation of stones in the gallbladder. This type of dyskinesia is much more common. Dyskinesia of the hyperkinetic type. the gallbladder is in constant tone and reacts sharply to the intake of food into the lumen of the duodenum with sharp contractions, throwing out a portion of bile under great pressure.
Accordingly, depending on what type of dyskinesia and biliary tract you have, the symptoms of the disease and methods of treatment will vary. Symptoms of biliary dyskinesia. Considering the symptoms of dyskinesia, it is worth noting that they depend on the form of the disease. Mixed variants of JVP usually appear. soreness and heaviness in the area of the right side, constipation or their alternation with diarrhea, loss of appetite, pain when probing the abdomen and right side, fluctuations in body weight, belching, bitterness in the mouth, a general violation of the condition.
Hypotonic dyskinesia is characterized by such symptoms. The hypotonic form of the disease is characterized by such a set of symptoms. It is important to know that the disease not only manifests itself as a gastroenterological clinical picture, but also affects the general condition of patients. Approximately one in two major patients diagnosed with biliary dyskinesia initially turns to a dermatologist because of the symptoms of dermatitis. These skin symptoms indicate problems with the gastrointestinal tract. At the same time, patients are worried about regular skin itching, accompanied by dryness and flaking of the skin. Blisters with watery contents may occur.

Diagnosis of biliary dyskinesia.

As laboratory and instrumental methods of examination are prescribed. However, the main method for diagnosing JVP is ultrasound. With the help of ultrasound, you can evaluate the anatomical features of the gallbladder and its tracts, check for the presence of stones and see inflammation. Sometimes a stress test is performed to determine the type of dyskinesia. Treatment of biliary dyskinesia.
With diagnosed biliary dyskinesia, treatment should be comprehensive, 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, elimination of symptoms of dysfunction.
Treatment of hyperkinetic form of dyskinesia. Hyperkinetic forms of dyskinesia require restriction in the diet of mechanical and chemical food irritants and fats. Table No. 5 is used, enriched with products containing magnesium salts. To relieve spasm of smooth muscles, nitrates, myotropic antispasmodics (no-shpa, papaverine, mebeverine, gimecromon), anticholinergics (gastrocepin), as well as nifedipine (corinfar), which reduces the tone of the sphincter of Oddi at a dose of 10-20 mg 3 times a day, are used. Treatment of hypokinetic form of dyskinesia. A diet should be used within the framework of table No. 5, with hypokinetic dyskinesia, food should be enriched with fruits, vegetables, foods containing vegetable fiber and magnesium salts (food bran, buckwheat porridge, cottage cheese, cabbage, apples, carrots, meat, rosehip broth).
The emptying of the gallbladder also contributes to vegetable oil, sour cream, cream, eggs. It is necessary to establish the normal functioning of the intestine, which reflexively stimulates the contraction of the gallbladder. Cholekinetics (xylitol, magnesium sulfate, sorbitol) are also prescribed. Patients with biliary dyskinesia are shown to be monitored by a gastroenterologist and neurologist, annual health courses in balneological sanatoriums.

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In the hypotonic-hypokinetic variant, diadynamic currents, faradization, sinusoidal modulated currents, low-pulse currents, low-intensity ultrasound, pearl and carbon dioxide baths are more effective.

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