Wednesday, December 29, 2010

Control the therapy

Ultrasound biliary system is conducted by:

- The presence of clinical or laboratory data indicating that the disease of the gallbladder or bile ducts;

- To exclude acute cholecystitis and obstruction of the common bile or common hepatic duct with acute abdominal pain;

- To dynamically monitor the previously identified changes of the gallbladder and bile ducts;

- To control the therapy carried out in order to dissolve the stones;
- To assess the functional brand name viagra status of the gallbladder, in particular the motor-evacuation function;

- As a method for dispensary observation of patients with gallstone disease and other chronic diseases of the gallbladder and bile ducts.
Ultrasound biliary system can be diagnosed following diseases:

- Gallstones - Ultrasound is the leading method for diagnosing this disease, its accuracy is 98-99%. The smallest size of the stone, diagnosed by ultrasound, is 1-2 mm. Revealed pattern depends on the size, shape, number and composition of the rocks, but the judge about their chemical nature is not possible. Causes some difficulty detecting small stones located in the neck of the bladder;
- Acute cholecystitis - in 90-95% of cases it develops as a result of obstruction of cystic duct stone, and has characteristic symptoms;

- Complications of acute cholecystitis (hydrops, empyema, perforation, abscess okolopuzyrny). Hydrocholecystis arises from violations of the outflow of bile from the bladder due to massive edema, infringement of stone in the neck or neck compression from the outside. The reason for empyema - joining a secondary infection. Perforation and abscess okolopuzyrny are a consequence of the destruction of the wall and release the contents of the gall bladder beyond it;

- Chronic cholecystitis - ultrasonography revealed seal, a thickening (or - more rarely - thinning) bubble wall, intraluminal inclusion (flakes bile zamazkoobraznaya bile, cholesterol crystals), resistant strain bladder wall;

- Cholesterosis gall bladder - it is characterized by the accumulation in the submucosal layer of the wall of cholesterol crystals. Ultrasound can quickly and accurately identify polypoid form of the disease, diagnosis of the diffuse Viagra to prevent impotence form is more complicated. Often there are multiple polyps are found on all the walls of the gall bladder;

- A cancer of the gall bladder - this is rarely encountered pathology in most cases combined with stones in the bladder and observed in elderly and senile;

- Bile duct stones - they give an acoustic shadow and are usually well visualized in any department of the biliary tract. Diagnostic difficulties arise when placing the stone in the distal common bile duct, examination of which is difficult due to gas accumulation in the intestine;
- Expansion of the common bile duct (diameter larger than 1 cm) - it is possible after removal of gall bladder drainage interventions. After some operations may develop aeroholiya, ie in the biliary tract visualized by air bubbles (small, dense, giving for a "comet tail").

Based on the results of diagnostic tests the doctor is the most effective scheme of therapy, prevention or rehabilitation. Timely diagnosis - the key to successful treatment.

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