What causes the gallbladder to grow "stones"?

Author:Healthy Lu Time:2022.09.05

The onset of gallbladder disease is hidden, and it is often not easy to attract people's attention in daily life, but once serious problems occur, it often has a huge impact on people's physical and mental health.

What is gallbladder stones?

Any factors that cause the proportion of cholesterol and bile acid concentration and bile stasis can cause stones in the gallbladder. According to the stones, it can be divided into cholesterol stones, biliary pigment stones or mixed stones. According to the asymptomatic, it can be divided into symptoms of gallbladder stones and asymptomatic gallbladder stones.

What causes the gallbladder "stones"?

The cause of gallbladder stones is very complicated, involving changes in bile components and physical and chemical properties, abnormal gallbladder function, characteristics of diet structure, and biliary tract infection. The formation of most stones is related to the following factors: cholecyst inflammation, obstruction of bile excretion, excessive cholesterol in bile, and bile containing excess biliary pigment.

Who belongs to high -risk people?

Women over the age of 50 are high -risk groups of gallbladder stones; direct relatives in the family find gallbladder stones, and such people are often good for gallbladder stones. In addition, people with pregnancy, high -fat diet, obesity, diabetes, long -term fasting or extra -intestinal nutrition, cirrhosis, and hemolytic anemia are also good crowds of the disease.

What are the diagnostic criteria for gallbladder stones?

Treatment and choice of gallbladder stones

● Discover the gallbladder stones, do you need surgery?

If there is the following situation, it is recommended to remove the gallbladder:

① Abdominal pain is not relieved or recurrent, affecting your work and life;

② The diameter of gallbladder stones is ≥ 3 cm, and the stones are embedded in the cholecies neck;

③ Gallbladder stones with gallbladder polyps -like lesions, lesions ≥ 1 cm;

④ Those with gallbladder stones with diabetes (when diabetes is controlled) or cardiovascular symptoms;

⑤ There is a family history of gallbladder cancer;

⑥ The elderly and / or cardiopulmonary dysfunction are combined with gallbladder stones;

⑦ Children's gallbladder stones are also accompanied by genetic spherical red blood cells.

● Do you not want to surgery, can you take oral medication?

Because the gallbladder stones have not yet been fully clear, there is no clear and effective treatment of gallbladder stones for the time being. At present, drugs that are approved to treat chronic cholecystitis, gallbladder stones, etc. may temporarily improve some symptoms, but it does not eliminate gallbladder stones. If you take the abdomen ultrasound for a period of time, those who are not improved by the abdomen are recommended to stop oral drug treatment and actively adopt surgical treatment.

The treatment of women's gallbladder stones during pregnancy?

After pregnancy, a large number of estrogen and progesterone in pregnant women will increase the gallbladder contraction function, and bile can be easily accumulated. During pregnancy, in order to strengthen nutrition, a large amount of fish, meat, etc. are often intake, causing high -fat diet. These factors will promote the formation of gallbladder stones and even induce cholecystitis.

Once pregnant women have acute attacks on cholecystitis, they will fall into a dilemma. On the one hand, they are worried that drugs will be unfavorable to the fetus, and on the other hand, they are worried that delay treatment will increase the condition. Therefore, women with the above high -risk factors should be visited as soon as possible. Doctors can choose appropriate treatment plans based on the pregnancy cycle and fetal condition. In addition, it is not possible to use medicine and surgery when you are pregnant. After the doctor's comprehensive assessment, you can still treat it under safety.

Therefore, pregnant women should pay attention to a reasonable diet and do not consume foods with high fat content. Once there is symptoms such as indigestion or abdominal pain, they should seek medical treatment as soon as possible.

What is the prognosis of gallbladder stones?

Most of the asymptomatic gallbladder patients are found during conventional physical examination. No obvious symptoms nor positive signs do not mean that they can sit high. Some patients may have symptoms in the future and need further surgical treatment.

The prognosis of gallbladder stones is better. If the condition develops to the gallbladder resection surgery, don't worry too much. Gallbladder resection is a very mature surgical method, and most of them are completed through laparoscopy. Patients usually recover quickly after surgery. Of course, some patients will have abdominal pain, bloating, diarrhea, etc. in the short term after surgery. Most of them can be relieved or cured after the body compensation and reasonable drug treatment.

Bleak

Health knowledge "focus"

1. Gallbladder stones are a common benign disease, and most of them are asymptomatic. Can be diagnosed through the abdominal ultrasound.

2. In order to alleviate the symptoms, you must listen to the doctor's advice before taking the medicine.

3. All asymptomatic patients or patients with conservative treatment should regularly review the abdominal ultrasound. It is recommended to follow up regularly for 6-12 months. High -risk population of gallbladder cancer needs to be followed up for 3 to 6 months.

4. Surgical removal of gallbladder is the only way to cure gallbladder stones at present.

Source: Human Health

Content source: People's Health Publishing House published "Common Disease Medical Guidance Series: Reading the Signal of Helpled Hosari -Medical Guidance for Carsear Diseases"

Editor -in -chief of this book: Tang Chaohui

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