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Mineral water should be drunk regularly, 1/2 - 1 glass 20 - 30 minutes before meals in a warm form, choosing the required variety depending on the form of dyskinesia. So, with hypomotor dyskinesia, it is recommended to drink water of high mineralization (for example, Essentuki 17, Batalinskaya, Borjomi, Mashuk, etc.), and for hypermotor - low mineralization (for example, Darasun, Karachinskaya, Lipetskaya, Narzan, Smirnovskaya, etc.) . You can and should drink mineral waters, as well as follow a diet, for a long period of time, that is, at least 3-4 months. However, if mineral waters cannot be included in the complex therapy of the disease, then their use can be completely abandoned.

For a patient with biliary dyskinesia, it is very important to lead a healthy lifestyle, which includes. refusal of bad habits, moderate physical activity, without physical overload, a rational regime of work and rest, a good night's sleep, The main component of the lifestyle is a healthy diet - the exclusion of fatty, fried, spicy, salty, spicy foods, the restriction of animal products, and the increase in consumption of plant products. During the period of treatment of dyskinesia, a strict diet, or treatment table No. 5, should be observed.

At home, the treatment of dyskinesia is best done in combination with the use of folk methods. But before preparing and taking them, you should consult with your doctor. Infusions, decoctions, extracts and syrups of herbs are used that can activate the formation of bile, improve the motor function of sphincters and bile ducts. In the hypertensive and hyperkinetic type, mint, chamomile flowers, motherwort herb, licorice root, dill fruits, valerian root are used. In the hypotonic and hypokinetic form, rose hips, immortelle flowers, St. John's wort, corn stigmas, oregano, nettle leaves, and chamomile are used for herbal medicine.

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Milk thistle, immortelle, tansy, dandelion leaves and root, corn stigmas, chicory, wild rose, fumes, parsley, turmeric root, cumin, yarrow have a choleretic effect. Herbal decoctions are used 20-30 minutes before meals. In the absence of long-awaited relief after adequate and complex conservative therapy, doctors use surgical techniques. In case of revealed dysfunction of the sphincter of Oddi, it is carried out. An extreme measure to combat severe hypotonic-hypokinetic variant of biliary dysfunction is cholecystectomy (complete removal of the atonic gallbladder). It is carried out laparoscopically (instead of an incision on the abdominal wall, several punctures are made for equipment and instruments) or laparotomy (with a traditional incision) by. But the effectiveness of this serious surgical intervention is not always felt by patients. Often after this, the resumption of complaints is associated with the developed postcholecystectomy syndrome.

• Biliary dyskinesia in children. For therapy in children, preference is given to herbal preparations. They are selected depending on the type of pathology.
• So, with hypomotor dyskinesia are prescribed. With hypermotor dyskinesia, treatment is carried out.
• Children with dyskinesia are registered with a pediatric gastroenerologist, neurologist and pediatrician. They are scheduled twice a year for a scheduled ultrasound. Also, once every 6 months, courses of choleretic therapy are carried out. Once or twice a year, the child is given referrals for sanatorium treatment.

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After stopping the attack, rehabilitation is carried out in a sanatorium, where mineral waters and other physiotherapy are prescribed. To prevent the appearance and development of pathology should be. In secondary prevention (i.e. after the detection of dyskinesia), it is possible to prevent the diseaseby following the recommendations of the doctor and regularly undergoing preventive examinations. Biliary dyskinesia.

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The basis of biliary dyskinesia is motor-tonic dysfunction of the gallbladder and sphincters of the bile ducts. This disrupts the emptying of the gallbladder and the flow of bile into the duodenum. Dyskinesia is the most common functional disorder of the hepatobiliary system and is the leading cause of cholestasis, as well as the formation of stones in the gallbladder and ducts. Pathology occurs predominantly in women. The most susceptible to the development of functional disorders of the biliary system are young people (from 20 to 40 years old) with an asthenic constitution and reduced nutrition.

• Causes Classification Symptoms of dyskinesia Diagnosis Treatment of biliary dyskinesia Prognosis and prevention Prices for treatment.
• Biliary dyskinesia in modern gastroenterology as a psychosomatic pathology that develops against the background of psychotraumatic situations. History of patients with biliary dyskinesia often indicates family, professional and sexual difficulties. Often, biliary dyskinesia is a manifestation of general neurosis or diencephalic syndromes.
• A significant role is given to the violation of the nervous regulation of the gallbladder, as well as changes in the level of hormones of the gastrointestinal tract and endocrine glands (with menopause, adrenal insufficiency, single cyst and polycystic ovaries, hypothyroidism, thyrotoxicosis, diabetes mellitus, obesity).
• Dyskinesia of the biliary tract is often combined with other diseases of the digestive system. chronic gastritis, gastroduodenitis, peptic ulcer, pancreatitis, enteritis, cholecystitis, cholangitis, cholelithiasis, postcholecystectomy syndrome. Often, dysfunction of the biliary tract is accompanied by chronic inflammatory processes in the abdominal cavity and pelvic organs - salpingo-oophoritis, chronic appendicitis, etc.

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In addition to psychogenic and endocrine disorders, alimentary causes are considered among the etiological factors. food allergies, irregular meals, eating low-quality food in combination with a sedentary lifestyle. With the phenomena of dyskinesia, helminthic and parasitic invasions of the gastrointestinal tract (helminthiases, giardiasis), dysbacteriosis, viral hepatitis B, intestinal infections (dysentery, salmonellosis) can occur. Allergic pathologies - obstructive bronchitis, atopic dermatitis, allergic rhinitis - can act as predisposing factors for the development of the disease.

According to the etiological mechanism, primary and secondary biliary dyskinesia are distinguished. Primary dysfunction is caused by a violation of the neurohumoral regulation of the activity of the hepatobiliary system due to neurosis, vegetative-vascular dysfunction and dietary errors. Secondary dyskinesia develops according to the mechanism of the viscero-visceral reflex against the background of other diseases of the digestive system.

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