Recently, pregnant women often have a disease such as cholecystitis. It was during this period that the fair sex faced an exacerbation of its chronic form. This is due to a number of changes in the work of the body, which have a direct impact on the biliary system. Painful sensations may appear, and many women perceive them as a threat to the life of the unborn baby. Approximately 30% of patients with acute cholecystitis turn to specialists. Such troubles are explained by the growth of the uterus and the compression of the organs located in the abdominal cavity. As a result, stagnation of bile begins, and stones appear in the ducts. Approximately 95% of women experience this particular cause of inflammation.
Reasons
Cholecystitis during pregnancy can occur in any trimester, and sometimes it happens just before childbirth. Diseasedevelops in the presence of several favorable factors. For example:
- dieting or overeating;
- sedentary lifestyle;
- weakened state of the immune system;
- penetration into the body of an infectious agent (hepatitis and so on);
- significant nervous tension or extreme stress.
Of course, among women who are expecting a baby, these factors are found immediately in the aggregate. That is why cholecystitis during pregnancy cannot be called a rare disease. In most cases, the first symptoms make themselves felt with the onset of the third trimester. It is during this period that expectant mothers are faced with quite severe nausea and bouts of vomiting. As soon as at least one unusual sensation appears, it is better to immediately tell your doctor about it and identify the problem in a timely manner.
Symptoms
If we talk about the course of cholecystitis in a chronic form, then at certain periods there is a sharp exacerbation of the disease. Pain is considered the main symptom of cholecystitis during pregnancy in a chronic form. If the disease is chronic, then the pain manifests itself in a moderate form. Quite often, after eating, patients complain of heaviness in the hypochondrium on the right side. Usually, such symptoms make themselves felt after eating fried and fatty foods.
Pericholecystitis is characterized by constant pain, and they become stronger withtilt or change of position. In most cases, they appear in the lumbar region, shoulder blades and shoulder. Many patients suffer from nausea, belching, and a bitter taste in the mouth. There are cases when, during an exacerbation of the disease, an increase in body temperature to a subfebrile value is noted. If the figure becomes higher and chills begin, then this indicates an empyema of the gallbladder. All of these symptoms indicate a chronic form of cholecystitis, but in some patients the symptoms are completely different.
If we talk about pregnant women, they associate the manifestation of pain with the movement of the fetus. This is especially common in the middle of the second trimester.
Diagnosis
During pregnancy, every woman undergoes an appropriate examination to identify possible diseases in the early stages. Doctors need to detect a problem such as cholecystitis as early as possible. If this particular pathology has been identified, then specialists cannot prescribe a course of antibiotics or surgery until the baby is born. Typically, these treatments are used as a last resort. That is why women should be responsible for their he alth and undergo all the prescribed examinations.
With cholecystitis, pregnant women do not have a pronounced pain syndrome. True, the problem manifests itself every time you eat forbidden foods. We are talking about spicy, fried and spicy. The diagnostic process consists of severalmilestones:
- First of all, the doctor visually examines the patient and palpates the abdomen.
- Then referrals for urine, stool and blood tests are issued.
- For final confirmation or refutation, the specialist sends the woman for an ultrasound examination.
Only in the aggregate, all the answers received will help to see the full picture of the course of the disease.
Treatment
If we talk about the principle of treating cholecystitis during pregnancy, then it is no different from the methods for ordinary patients. To begin with, dietary table number 5 is prescribed, but expectant mothers can not be particularly limited. The main thing is that the diet should have the correct ratio of proteins, carbohydrates and fats. It is necessary to abandon spices, s alty and fried foods. This applies to refractory fat and smoked meats. It is recommended to take food in small portions, but 5-6 times a day.
If a pregnant woman has hypomotor dyskinesia of the gallbladder, then she will have to eat foods that will provoke contractions of the organ. We are talking about fish broth or not very fatty meat, as well as sour cream, cream and soft-boiled eggs. Do not give up cottage cheese and cod, because they are rich in lipotropic substances.
Medicated treatment
With a sharp exacerbation of cholecystitis during pregnancy or the appearance of edema, the use of Essentuki and Slavyanovskaya mineral water is allowed. An hour before meals, you need to drink 200 ml, but only necessarily in a warmform. You can continue this course for up to 3 weeks. With the onset of the third trimester, it is better to refrain from mineral water, as it contributes to the appearance of puffiness. Every pregnant woman with cholecystitis is prescribed a course of choleretic drugs. Most often, xylitol or sorbitol is preferred, and a 10% solution is first made from them. It should be drunk half an hour before each meal. Their main property is associated with relaxation, so pregnant women will benefit in this regard as well.
Folk treatment
It is best to give preference to medicines that can be made at home. For this, vegetable raw materials are usually used. For example, stigmas of corn, peppermint, rose hips, dill and sand immortelle. These ingredients are poured into a glass of boiled water and carefully filtered. You need to take a third of a glass half an hour before meals.
In the second trimester, a pregnant woman has to keep a special record of all the liquid that has been drunk. That is why in these months it is recommended to choose Flamin tablets, consisting of sandy immortelle extract. Take 1-2 pieces, preferably shortly before meals. If a decoction of herbs is prescribed to remove bile, then this will positively affect diuresis. After all, such components are considered diuretic.
If you wish and there are no contraindications, you can perform probing or tubage with 40 ml of vegetable oil. Perfect for corn and olive oil. This procedure is also carried out withusing Barbara s alt, and only 1 dessert spoon should be put on a glass of liquid. Do not forget about mineral water, but it should be at room temperature. The latter option is only suitable for those women who do not have edema. Tubage is performed in the morning, before meals. First, the prepared remedy is drunk, then the expectant mother lies on her right side and remains in this position for several hours. If there is a sharp pain on the right side, then it is allowed to drink a pill "No-Shpy" or "Baralgin".
Food
If a woman has cholecystitis during the period of bearing a child or an exacerbation of this disease occurs, then it is important for her to follow a balanced diet for cholecystitis (during pregnancy, the disease often worsens). It is thanks to this that the body will be able to receive the necessary components. Quite often, specialists are faced with situations where the patient takes certain foods and this provokes an exacerbation of the disease. In this case, you should either completely exclude them from the diet, or replace them with others.
Dairy and meat
When drawing up the right diet, the doctor takes into account the tolerance of dairy products. It is also important for a woman not to forget about meat, fish and various cereals. Of particular importance are the methods of processing products. It is best to eat boiled or steamed dishes. Patients with cholecystitis will be of particular benefit.
Vegetables and fruits
Quite often, women from this category have a number of unpleasant sensations immediately after eating vegetables and fruits. In this case, it is recommended to abandon foods that have coarse fiber. For example, beets and some fruits are best used for fresh juices.
Every pregnant woman is advised to include plenty of vegetables, fruits and dairy products in her daily diet. True, now experts advise to adhere to reasonable boundaries and limit the amount of use. It has already been established that while waiting for a baby, you should not focus solely on vegetables or fruits.
If we talk about the total calorie intake during the day for women suffering from cholecystitis, then this figure should not be less than 2500 kcal. This applies to the first three months of pregnancy. The rest of the time, about calories, you should consult with specialists who monitor the condition of a woman.
In general, reviews of cholecystitis during pregnancy say that the disease is treated for a long time. Putting her into remission with the help of medications and diet, the expectant mother will not feel any discomfort.
