圣贤养生(原神灸网)

饮食养生:胆囊手术并发症

1.1.3、胆总管周围静脉出血在肝硬变,门脉高压的病人,胆总管的周围常有扩张的静脉,当分离胆囊管时可造成静脉的损伤而出血。

1.1.3. Venous hemorrhage around the common bile duct. In patients with cirrhosis and portal hypertension, there are often dilated veins around the common bile duct. When the cystic duct is separated, it can cause venous injury and bleeding.

2、胆囊的功能胆囊的机能是贮存和浓缩胆汁,以备进食后将胆汁排入十二指肠帮助消化。

2. The function of the gallbladder is to store and concentrate bile for the purpose of draining bile into the duodenum after eating to help digestion.

胆囊的作用是贮存和排送胆汁到肠腔,保证吃下去的食物能得到消化。

The role of the gallbladder is to store and drain bile into the intestinal cavity to ensure that the food you eat can be digested.

当我们睡了一夜,胆囊内存满了胆汁,起床后定时吃早餐,胆囊就把存贮了一夜的胆汁排出来帮助消化食物,胆囊自己也得到放松。

When we sleep overnight, the gallbladder is full of bile. After getting up, we eat breakfast regularly. The gallbladder excretes the bile stored overnight to help digest food, and the gallbladder itself is relaxed.

胆囊切除以后,胆汁固然没有了“贮藏所”,但随着时间的推移,胆管可发生代偿性扩大,部分替代胆囊的作用。

After cholecystectomy, of course, there is no "store" of bile, but with the passage of time, the bile duct can be compensated to expand and partially replace the gallbladder.

在急腹症中仅次于急性阑尾炎、肠梗阻而居第三位。

In acute abdomen, it is second only to acute appendicitis and intestinal obstruction.

另外还有胆囊息肉、胆囊腺肌症等良性疾病。

In addition, there are gallbladder polyps, gallbladder adenomyosis and other benign diseases.

胆囊癌是胆囊产生的恶性疾病。

Gallbladder cancer is a malignant disease of gallbladder.

值得一提的是,慢性胆囊炎、胆囊息肉等胆囊的慢性疾病有恶变成胆囊癌的几率比正常人群要高很多。

It is worth mentioning that chronic cholecystitis, gallbladder polyps and other chronic diseases of the gallbladder have the risk of malignant transformation into gallbladder cancer, which is much higher than that of normal people.

2、曾有梗阻性黄疸史。

2. He had a history of obstructive jaundice.

3、胆总管显着扩张。

3. The common bile duct was markedly dilated.

4、术中造影显示胆管有结石。

4. Intraoperative cholangiography showed stones in the bile duct.

胆囊手术后注意事项1、饮食调理多注意一般来说,针对胆囊切除术后的老年人群,建议养成规律、低脂、低热量的膳食习惯,并提倡定量、定时的规律饮食方式。

In general, for the elderly people after cholecystectomy, it is recommended to develop a regular, low-fat, low-calorie diet habits, and promote quantitative, regular diet.

做到“五要”和“五忌”:要讲究饮食卫生,以防不洁食物;要多吃蔬菜瓜果;要强调饭菜用植物油烹调;要多吃些瘦肉、鸡、鱼和豆类制品等蛋白质,但需注意适量;要多吃能促进胆汁分泌和松弛胆道括约肌及利胆的食物,如山楂、乌梅、玉米须等。

To achieve the "five Musts" and "five Taboos": to pay attention to food hygiene, to prevent dirty food; to eat more vegetables and fruits; to emphasize cooking with vegetable oil; to eat more lean meat, chicken, fish and bean products and other protein, but need to pay attention to the right amount; to eat can promote bile secretion and relaxation of bile duct sphincter and cholagogic food, such as hawthorn, plum, corn silk, etc.

忌吃含胆固醇高的食物,如动物内脏等;忌吃高脂肪食物,因它能引起胆囊收缩,如肥肉、猪油、油煎、油炸食品;忌暴饮暴食,因这样可促进胆汁分泌;忌辛辣刺激的食物;五忌烟、酒、油、茶和咖啡。

Avoid food with high cholesterol, such as animal viscera; avoid high-fat food, because it can cause gallbladder contraction, such as fat meat, lard, fried food; avoid overeating, because it can promote bile secretion; avoid spicy food; five taboo smoke, wine, oil, tea and coffee.

需要注意的是,肛门排气后,就可以开始进少量多次流质饮食。

It should be noted that after anal exhaust, you can start to enter a small number of times liquid diet.

但开始最好不要喝甜汤,因为甜的东西容易产气而引起腹胀,然后再逐渐过渡到半流质饮食如稀粥,面条等,7-9天就可以吃软口饭了。

But it's better not to drink sweet soup at first, because sweet things are easy to produce gas and cause abdominal distension, and then gradually transition to a semi liquid diet, such as porridge, noodles, etc., you can eat soft rice in 7-9 days.

2、保持大便通畅注意补充粗纤维食物,适当活动增加肠蠕动而疏通大便。

2. Keep defecation unobstructed, pay attention to supplement crude fiber food, increase intestinal peristalsis and dredge stool properly.

如果出现3天以上不解大便的情况,可服一些轻泻剂(乳果糖等)。

If there is more than 3 days do not understand the situation of defecation, you can take some laxatives (lactulose, etc.).

3、坚持服用利胆药物 如消炎利胆片、舒胆通、熊去氧胆酸胶囊等,具体用药请咨询专科医生。

3. Insist on taking cholagogic drugs, such as Xiaoyan Lidan tablets, shudantong, ursodeoxycholic acid capsules, etc. for specific medication, please consult a specialist.

4、起居有规律,心情要舒畅,保持乐观情绪的苦闷会使胆汁流出不畅。

4. Daily life is regular, the mood should be relaxed, and the depression of keeping optimistic mood will make bile flow not smooth.

5、坚持锻炼身体,增强体质定期运动能降低胆固醇及疏通胆道,即便是身体完全恢复后也要注意劳逸结合,不要过度劳累。

5. Adhere to exercise, strengthen the body, regular exercise can reduce cholesterol and dredge the biliary tract, even after the body is fully recovered, also pay attention to work and rest, do not overwork.

6、维持引流管的清洁,注意引流情况如有引流管,要注意维持管道的清洁,记录引流情况(包括引流液的颜色和量),定期到医院复诊。

6. Keep the drainage tube clean and pay attention to the drainage condition. If there is a drainage tube, pay attention to keep the pipeline clean, record the drainage situation (including the color and quantity of drainage fluid), and visit the hospital regularly.

如果出现留置管周围腹痛、皮肤红肿渗出、引流液异常,均需及时就诊。

If there is abdominal pain around the indwelling tube, skin redness, swelling and exudation, and abnormal drainage fluid, timely treatment is required.

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