7.3 Litiaza biliara
7.3 Litiaza biliara
7.3 Litiaza biliara
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Sindromul dispeptic biliar<br />
-denumit si dispepsie gazoasa<br />
Cuprinde<br />
-meteorismul (balonarea) postprandiala<br />
-greata<br />
- cel mai frecvent simptom al sindromului<br />
- in special dupa alimente colecistokinetice<br />
(grasimi, oua, ciocolata, alimente prajite)<br />
-senzatie de gust amar (in special dimineata)<br />
-rar: cefalee<br />
Sindromul dureros<br />
Forma paroxistica (tipica): COLICA BILIARA<br />
Colica = durere intensa<br />
care are o faza ascendenta (intensitatea creste)<br />
o faza “de platou” (intensitate constanta)<br />
o faza descendenta (intensitatea scade)<br />
Determinata de<br />
contractia spastica, persistenta<br />
a musculaturii netede<br />
Sindromul dureros<br />
Forma frusta:<br />
- durerivagi in hipocondruldrept<br />
-declansatede oboseala, effort sau alimente<br />
colecistokinetice<br />
- insotescinconstant sindromuldispeptic<br />
Sindromul dureros<br />
Forma paroxistica(tipica): COLICA BILIARA<br />
-durereintensa<br />
-debut in epigastru migreazain hipocondruldrept<br />
-iradierespre regiuneascapularadreapta<br />
Dureaza<br />
30 min – catevaore<br />
-iradierea“in bara” = reactiepancreatica(pancreatita)
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