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Chronic cholecystitis (gastric)

Inflammatory diseases of the biliary system is one of the frequent causes of poor performance and the treatment of athletes to the doctor. So, according to the materials of the Republican medical-sports clinic Estonian SSR athletes with chronic inflammatory diseases of the gallbladder and bile ducts was 8.1 % among therapeutic patients, which corresponds to 23.1 % of those diagnosed pathological changes of the digestive system.
According to the therapeutic hospitals, organized with some medical exercises dispensaries, these figures are even higher: in hospital the Sverdlovsk center of 13.6 % of the total number of patients, Ukrainian authors revealed chronic cholecystitis in 31.4% of the cases among athletes with a pathology of the digestive system. A., Dembo and Y. M. of Shapkaits indicate that among the sportsmen of high qualification and a certain orientation of training process, the incidence of chronic cholecystitis higher than the rest of the population of Leningrad. According to their data, the highest percentage of inflammatory diseases of the gallbladder detected among athletes, who train mainly for endurance (skaters - 8,5%, runners and walkers - 4%, skiers and biathletes - 3,6%). One of the leading causes of inflammation is infection (C. Coli, coccoid forms, the virus). Contribute to the development of cholecystitis and cholecystographic helminthic invasion, especially giardiasis. Has a value and a number of other factors - genetic, metabolic, nerve-reflectory, allergic and hormonal. In the practice of sports medicine particular importance should be given to the development of inflammatory diseases of biliary system by the impact of chronic infections. A chronic infection of other localisations - chronic tonsillitis, tooth decay is detected in athletes often enough. Ways to spread from them in the gallbladder - 3: interagency, hematogenous and lymphogenous. Indisputable role in disease of the liver and biliary system in athletes prolonged fatigue, emotional and physical overstrain, irregular power supply.
In the literature there is no single view on the impact of sports loads on biliary excretion and biliary tract motility. It is known that the formation of bile increases due to the increased blood supply to the liver, with the increased flow of oxygen, which tends to occur in a systematic exercise. On the other hand, long and intensive training loads slow down the digestion and movement of food masses in the digestive system, resulting in the stagnation of the bile bladder. This leads to impaired motor function, development of dyskinesias, changes in concentration and chemical composition of bile and so on
The prevalence tone parasympathetic nervous system that occur under the influence of systematic sports activities, accompanied by changes secretory and the contractile function of the gastrointestinal tract, including biliary system. All this leads to the stagnation of bile and development of inflammatory changes in the mucous membrane of the gallbladder and bile duct. To a certain extent, to the same effect can lead and mechanical obstacles to the flow of bile in a forced habitual position in a number of sports (skating, Bicycle, shooting and other). Given that bile is an ideal nutrient medium for microorganisms, all this contributes to the emergence of inflammatory changes in the gall bladder.