What are the causes of acute cholecystitis?
Generally speaking, the onset of cholecystitis disease is often very closely related to the patient's own physical condition, for example, body immunity is one of the most critical aspects, that is, people with low body immunity have a relatively high probability of suffering from cholecystitis, and the following is a relevant introduction to the causes of acute cholecystitis;
(1) Gallbladder outlet obstruction
More than 90% of cholecystitis is accompanied by gallstone disease, and less than 5% of people without stones.
In addition to gallstones, roundworms, clonorchis sinensis, and piriformis can also cause obstruction of gallbladder outlets.
(2) Nervous and psychiatric factors
After vagus nerve blockade, the influence of neurological and psychiatric factors such as pain, fear, and anxiety can also cause gallbladder emptying disorders, resulting in cholestasis, and cholecystitis caused by chemical irritation of the cyst wall.
(3) The influence of sex hormones
In pregnancy, due to the influence of sex hormones, the gallbladder emptying can be delayed, the gallbladder expands, and cholestasis leads to acute cholecystitis.
(4) Bacterial infection
The early stage of acute cholecystitis is not a bacterial infection, due to the ischemia, injury, and reduced resistance of the gallbladder, more than 50% of patients can have secondary bacterial infection after 1 year of onset, mostly intestinal parasitic flora.
Infection occurs through the following pathogenic pathogens that flow into the gallbladder with the bloodstream (hematogenous); Intestinal bacteria reflux from the portal vein to the liver, and then spread through lymphatic vessels to the gallbladder or drain into the gallbladder with bile, and can also invade the gallbladder from the wound due to trauma to the gallbladder.
Clinical studies have found that many patients with cholecystitis have a great relationship between mental state and emotion, mainly referring to poor mental state and poor mood, and because many diseases are very related to these two aspects, therefore, in daily life, it is recommended to relieve them in time.