圣贤养生(原神灸网)

饮食养生:胆囊肿大的原因

1.2、细菌感染 引起急性胆囊炎的细菌大约70%为大肠埃希杆菌,其他的有克雷白杆菌、梭状芽孢杆菌、葡萄球菌、伤寒杆菌、副伤寒杆菌、链球菌,还有肺炎球菌等。

1.2. About 70% of the bacteria causing acute cholecystitis are Escherichia coli, and the others are Klebsiella, Clostridium, Staphylococcus, typhoid bacillus, paratyphoid bacillus, Streptococcus, and pneumococcus.

细菌入侵的路径一般多经胆汁或淋巴管,有时也可以经肠道逆行入胆道或血源性播散。

The route of bacterial invasion usually passes through bile or lymphatic vessels, and sometimes it can also be retrograde into biliary tract or blood source through intestinal tract.

1.3、其他原因 临床上有少数病例既无胆汁滞留亦无细菌感染而为其他的原因。

1.3. Other causes: there were a few cases with no bile retention or bacterial infection, which were other causes.

创伤包括外科手术、灼伤等可导致急性胆囊炎。

Trauma, including surgery and burns, can lead to acute cholecystitis.

2、什么是胆囊肿大胆囊增大可能会是胆囊炎引起的,患急性胆囊炎的病人用胆囊超声检查常会发现胆囊增大,壁增厚,胆囊内结石。

2. What is gall bladder swelling, gallbladder enlargement may be caused by cholecystitis, patients with acute cholecystitis with gallbladder ultrasound examination often found gallbladder enlargement, wall thickening, gallstones.

约95%的病人合并有胆囊结石,称为结石性胆囊炎;5%的病人未合并胆囊结石,称为非结石性胆囊炎。

About 95% of patients with gallstones, known as calculous cholecystitis; 5% of patients without gallbladder stones, known as non calculous cholecystitis.

3、哪些疾病会导致胆囊肿大3.1、单纯性胆囊炎属于最轻的一型。

3. Which diseases can lead to gallbladder enlargement 3.1, simple cholecystitis belongs to the lightest type.

其特征是胆囊轻度增大、囊壁充血、黏膜水肿,囊壁稍增厚;肉眼观察胆汁较黏稠,略显混浊或无明显异常,镜下可见白细胞浸润,黏膜上皮脱落,但细菌培养常为阴性。

It is characterized by slight enlargement of gallbladder, congestion of cyst wall, edema of mucous membrane and slight thickening of cyst wall. The bile is thick with slight turbidity or no obvious abnormality observed by naked eyes. Under microscope, leukocyte infiltration and mucosal epithelial shedding can be seen, but bacterial culture is often negative.

3.2、化脓性胆囊炎胆囊因胆囊管阻塞明显增大,呈蓝绿色或灰红色,囊壁充血肥厚极为显着,浆膜层血管扩张;胆囊表面常有脓性纤维素性沉淀,黏膜膜上可形成溃疡,整个胆囊内充满脓液。

3.2. In suppurative cholecystitis, the gallbladder is obviously enlarged due to the obstruction of the cystic duct, which is blue-green or grayish red, the wall of the cyst is congested and hypertrophic, and the blood vessels in the serosa layer are dilated; there are often purulent cellulose deposits on the surface of the gallbladder, and ulcers can be formed on the mucosal membrane, and the whole gallbladder is filled with pus.

镜下可见大量单核细胞浸润,胆红素钙沉淀,胆固醇结晶。

Microscopically, a large number of monocytes infiltrated, bilirubin calcium precipitated and cholesterol crystallized.

上述变化最终均可致胆囊穿孔,甚至胆囊与十二指肠之间形成内瘘。

These changes can eventually lead to gallbladder perforation and even internal fistula between gallbladder and duodenum.

胆囊肿大如何治疗1、非手术方法对症状较轻微的急性单纯性胆囊炎,可考虑先用非手术疗法控制炎症,待进一步查明病情后进行择期手术。

How to treat gall bladder enlargement? 1. Non operative method for acute simple cholecystitis with mild symptoms can be considered to control inflammation with non-surgical therapy first, and then carry out selective operation after further finding out the condition.

此法包括解痉镇痛,抗生素的应用,纠正水电解质和酸碱平衡失调,以及全身的支持疗法。

This method includes spasmolysis and analgesia, application of antibiotics, correction of water electrolyte and acid-base imbalance, and systemic supportive therapy.

在非手术疗法治疗期间,必须密切观察病情变化,如症状和体征有发展,应及时改为手术治疗。

During the period of non-surgical treatment, we must closely observe the changes of the condition. If the symptoms and signs develop, we should change to surgical treatment in time.

2、手术方法手术方法有两种,一种为胆囊切除术,另一种手术为胆囊造口术,主要应用于一些老年病人,一般情况较差或伴有严重的心肺疾病,估计不能耐受胆囊切除手术者建议使用非手术疗法。

2. There are two kinds of surgical methods, one is cholecystectomy, the other is cholecystostomy. It is mainly used in some elderly patients with poor general condition or with serious cardiopulmonary disease. It is estimated that non-surgical therapy is recommended for those who can not tolerate cholecystectomy.

多吃蔬菜与水果,如:菠菜、韭菜、芹菜、苹果、香蕉等。

Eat more vegetables and fruits, such as spinach, leek, celery, apple, banana, etc.

适量进食瘦肉、鱼、鸡以及豆类制品。

Eat lean meat, fish, chicken and bean products.

忌吃高胆固醇食物如动物心、肝、脑、肠、蛋黄、松花蛋、鱼子、巧克力等。

Avoid high cholesterol foods, such as animal heart, liver, brain, intestine, egg yolk, Songhua egg, roe, chocolate, etc.

忌辛辣刺激调味品,如辣椒、花椒粉、咖哩粉等。

Avoid spicy and stimulating condiments, such as pepper, pepper powder, curry powder, etc.

忌烟、酒、咖啡,避免其刺激胆道括约肌,使胆道括约肌痉挛,从而胆汁排出困难。

Avoid smoking, alcohol, coffee, to avoid its stimulation of the biliary sphincter, so that the biliary sphincter spasm, thus difficult bile discharge.

饮食养生:胆囊肿大的原因

1.2、细菌感染 引起急性胆囊炎的细菌大约70%为大肠埃希杆菌,其他的有克雷白杆菌、梭状芽孢杆菌、葡萄球菌、伤寒杆菌、副伤寒杆菌、链球菌,还有肺炎球菌等。1.2. About 70%

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