Tyubazh gallbladder is conducted at a standstill in the gallbladder bile Gall bladder: structure and function   and bile ducts. The most common cause of stagnation is the reduction of motor activity (motility) of smooth muscles of these organs. As a result of stagnation of bile digestion suffers, disturbed liver function. Tyubazh in this case may bring significant relief to the patient.

What is the tyubazh gallbladder and its species

Tyubazh - a medical procedure, is to stimulate the biliary excretion to empty the gallbladder. The procedure is performed with the stagnation of bile in the biliary tract and gall bladder. During tubage is relaxation of the sphincter (a circular muscle, the locking hole of hollow organs) of the gallbladder and common bile duct while reducing smooth muscle walls of the bile ducts and gall bladder. The bile enters the duodenum and is involved in the digestion process.

The result is a course tyubazh:

• improve digestion and elimination of unpleasant symptoms such as bloating, diarrhea, constipation, intestinal cramps, and so on;
• removing stagnation of bile bile ducts, preventing inflammation (cholecystitis, cholangitis) and the formation of stones.

Indications and contraindications for tubage gallbladder

Tyubazh gallbladder appoint the stagnation of the bile ducts and gall bladder, and emerging diseases against this background:

• inflammation of the bile ducts and gall bladder - chronic cholangitis, cholecystitis, holangioholetsistitah;
• other chronic diseases of the digestive organs, mainly duodenitis and chronic pancreatitis (inflammation of the duodenum and pancreas);
• digestive problems involving improper digestion of food, flatulence, intestinal colic, diarrhea, constipation.

Tyubazh gallbladder is not suitable for all acute and exacerbation of chronic diseases of the digestive system, as well as in the presence of stones in the bile ducts and gall bladder. Probe tyubazh contraindicated also in organic diseases of the nasopharynx and esophagus (tumors, strictures, and so on), esophageal varices (for example, portal cirrhosis of the liver), as well as severe forms of coronary heart disease Heart disease and heart attacks: that every woman should know   and hypertension Hypertension - when suffering heart and brain .

How to tyubazh gallbladder

Probe tyubazh gallbladder is carried out only in a medical facility by the procedure of duodenal intubation. This technique makes it possible not only to unload the bile duct, but also to investigate the contents of individual portions of the duodenum. This makes it possible to establish where the localized (or most pronounced) inflammation.

During the probe tubage released three batches of duodenal contents:

• A portion - a liquid of light brown color, which is a mixture of intestinal juice, pancreatic juice Diabetes and pancreas - the things you need to know   and bile;
• Servings per - liquid dark brown, sometimes green (at a standstill) the color - the contents of the gall bladder, which appears after gavage cholagogue (25% magnesium sulfate, olive oil, and so on);
• Serve with - a liquid light brown - the contents of the bile ducts.

After all portions taken duodenal contents (sometimes after removing only portions A) is carried lavage gallbladder heated to 35-40˚S mineral brackish water or saline without gas in an amount of 250-500 ml.

Tubeless tyubazh can be carried out in a medical facility or at home. To do this, the patient is placed on a couch on the right side by placing a heating pad under it. Within half an hour he has to drink one of Cholagogue 2 cup of infusion of rose hips (corn stigmas) or a glass of 25% magnesium sulfate. The procedure lasts for 1, 5-2 hours. Sometimes the doctor during the procedure recommends no lie, and walk.

A course of treatment is required from 16 to 24 treatments performed twice a week. Effectively the combination probe (once a month) and tubeless (twice a week) tyubazh. With a significant decrease in the motor activity of smooth muscles of biliary tract and chronic cholecystitis tyubazh gallbladder can be done for a long time, sometimes - for years. It promotes continuous discharge in this area.

Galina Romanenko

Superficial gastritis is very common. It is characterized by inflammation of the gastric mucosa and is always accompanied by high acidity of gastric juice. At this stage, to cope with the disease is quite real, sometimes it is enough to adhere to proper nutrition Proper nutrition - the basic precepts of healthy food .

Chronic superficial gastritis

Chronic gastritis - an inflammation of the mucosa (inner) membrane of the stomach. The disease takes a long time and in stages. At the first stage the disease is superficial, inflammation stimulates the secretion of gastric juice and its acidity. In the second step a long flowing inflammation leads to atrophy (decrease in volume) of the gastric mucosa and reduce its function glands - develops chronic gastritis with reduced secretion.

Chronic superficial gastritis may be focal and diffuse. Focal superficial gastritis - defeat certain site of the mucosa, while the diffuse superficial gastritis lesions suggests whole mucosa. Diffuse gastritis often called pangastritom. By superficial gastritis with focal superficial include antral gastritis (chronic gastritis type B) gastritis and body of the stomach (chronic gastritis type A).

The cause of gastritis may be different factors. It was established that the main cause superficial antral gastritis is an infection of the gastric mucosa by the bacterium Helicobacter pylori. This leads to the development of the inflammatory process at the junction of the stomach into the duodenum (in the antrum).

Finally, the cause of chronic gastritis may be permanent chemical attack, for example, alcohol or drug substances (acetylsalicylic acid, nonsteroidal antiinflammatory drugs, steroids, and so forth).

Contributing factors in the development of chronic gastritis are eating disorders (food cold food, long breaks in food intake, eating large quantities of meat, spicy, fried foods, etc.), smoking, various long-occurring chronic diseases and foci of infection, throwing the contents of the duodenum into the stomach (duodenal reflux) and so on.

Symptoms superficial gastritis

Initially, the disease is asymptomatic, but after a while the patient experience discomfort in the upper abdomen that occur or exacerbate during a meal or soon after a meal. May worry as acid regurgitation Belching: why it happens and that means , Unpleasant metallic taste in the mouth, heartburn. The appearance of frequent heartburn suggests that the transition process is broken food mass from the stomach into the duodenum and its partial casting into the esophagus (gastroesophageal reflux).

With the defeat of antral disease can occur long time in the form of superficial gastritis with increased secretion. Such gastritis manifests itself in a variety of digestive disorders - constipation, diarrhea, flatulence. With the defeat of the body of the stomach is the main symptom severity in the upper abdomen after eating. Often these go gastritis in stomach ulcer.

Long flowing gastritis always reflects the general state of the organism. Patients become irritable, they have a long-term pain in the heart Pain in the heart - always consult a doctor , Heart rhythm disorders, drops in blood pressure.

Diagnosis of superficial gastritis

The main method of diagnosis is today esophagogastroduodenoscopy (EGD) - endoscopic examination of the state of the gastric wall by means of optical devices (also studied the esophagus and duodenum). Image mucosa is displayed on the monitor screen, which allows to consider in detail her condition. During endoscopy is possible to measure the acidity of gastric contents, take a piece of tissue for histology, and the contents of the stomach to detect bacterial infection. If necessary, also carried out X-ray examination of the stomach.

Diet for superficial gastritis

The diet at this stage of the disease is the main curative factor. From the daily diet excludes all foods that irritate the stomach. It is fried, fatty, spicy, smoked, canned food, nourishing soups, sweets, pastries, sodas, coffee, strong tea, chocolate, alcohol. In the period of acute gastritis wiped all meals, without exacerbation simply steamed or boiled. Eating should be frequent and fractional - 5-6 times a day in small portions.

Treatment of superficial gastritis

Treatment depends on the type of gastritis and its causes. Appointed by drugs that suppress gastric acid secretion. This proton pump inhibitors (PPIs - omeprazole, esomeprazole, and others), blockers of histamine H2-receptor (e.g., famotidine), substances that neutralize the acidity of gastric juice (e.g. almagel, Aluminium phosphate gel Fosfalyugel - a cure for heartburn, belching and stomach pains , Maalox).

Superficial gastritis should start to cure as soon as possible so that it is not passed into atrophic gastritis, which is much harder to treat.

Galina Romanenko