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饮食养生:胆囊切除术后综合征怎么治疗

中医中药中医、中药辨证论治对胆囊、胆管结石、胆道感染、胰腺炎、胆道蛔虫等疾病具有良好疗效。

Traditional Chinese medicine, traditional Chinese medicine, traditional Chinese medicine syndrome differentiation and treatment of gallbladder, bile duct stones, biliary tract infection, pancreatitis, biliary ascariasis and other diseases have good curative effect.

胁痛、苍白、脉弦、肝气淤滞者柴胡疏肝散加味;胁痛、发冷发热、口苦咽干、黄疸、舌红苔黄腻、脉滑数属湿热内蕴者,大柴胡汤合茵陈蒿汤治之。

Chaihu Shugan powder was added for hypochondriac pain, pale, stringy pulse and stagnant liver qi; Dachaihu decoction combined with Yinchenhao Decoction was used to treat hypochondriac pain, chilly fever, bitter mouth and dry throat, jaundice, red tongue, yellow greasy fur and slippery pulse number.

有胆囊或胆囊管遗留过长者,应行胆囊切除术或胆囊管切除术。

If the gallbladder or cystic duct remains too long, cholecystectomy or cholecystectomy should be performed.

胆管结石者应行胆总管切开探查,清除结石及各种胆肠吻合术或经内镜括约肌切开术、取石术等。

Choledochotomy, choledocholithotomy, choledocholithotomy, choledochojejunostomy, endoscopic sphincterotomy and lithotomy should be performed.

如胆总管十二指肠吻合术,胆管空肠roux-y吻合术,longmire手术等。

Such as choledochoduodenostomy, Roux-Y cholangiojejunostomy, longmine operation, etc.

3、什么是胆囊切除术后综合征胆囊切除术后综合征系指胆囊切除术后的部分患者仍有右上腹绞痛、饱胀不适和腹泻等症状。

3. What is postcholecystectomy syndrome? Postcholecystectomy syndrome refers to that some patients after cholecystectomy still have symptoms such as right upper abdominal colic, fullness discomfort and diarrhea.

其实并不是真正的综合征,引起这些症状的原因很多,其临床表现也不一样,包括许多胆道和非胆道疾病,其中很多疾病与胆囊切除术本身无关。

In fact, it is not a real syndrome. There are many reasons for these symptoms, and their clinical manifestations are different, including many biliary and non biliary diseases, many of which have nothing to do with cholecystectomy itself.

pcs的治疗原则应是消除病因,单纯的对症处理常收不到良好的效果。

The principle of treatment of PCs should be to eliminate the cause of disease, and only symptomatic treatment can not achieve good results.

由于导致pcs的病因较多,因此采取的治疗方式取决于症状的性质、严重程度和引起症状的原因。

Because there are many causes of PCs, the treatment depends on the nature, severity and causes of the symptoms.

胆囊切除术后综合征产生的病因1、术前症状继续存在诊断错误或不全面:胆囊异常的标准不正确、吞气症、易激惹结肠、食管裂孔疝、十二指肠溃疡、冠状动脉疾病、肋间神经炎。

The causes of postoperative syndrome after cholecystectomy: 1. The diagnosis of preoperative symptoms continued to be wrong or incomplete: incorrect criteria for gallbladder abnormalities, pneumatosis, irritable colon, esophageal hiatal hernia, duodenal ulcer, coronary artery disease, intercostal neuritis.

肝内结石。

Hepatolithiasis.

2、胆囊切除术本身引起的症状手术操作失败:遗留了肝内或肝外胆管结石、肿瘤被忽视。

2. Cholecystectomy itself caused by symptoms, operation failure: left intrahepatic or extrahepatic bile duct stones, tumor was ignored.

即刻:出血、胆汁性腹膜炎、脓肿、瘘管;迟发:狭窄、胆囊管残余。

Immediate: bleeding, biliary peritonitis, abscess, fistula; delayed: stenosis, residual cystic duct.

术后粘连。

Postoperative adhesion.

生理紊乱:摘除了有功能的胆囊、oddi括约肌运动障碍。

Physiological disorder: functional gallbladder and Oddi sphincter dyskinesia were removed.

3、其他精神性因素等。

3. Other mental factors.

一般的,“胆囊切除术后综合征”限于胆道手术后继续存在或新近发生的肝外胆管解剖与生理方面的紊乱。

In general, "postcholecystectomy syndrome" is limited to the anatomical and physiological disorders of extrahepatic bile duct that continue to exist or occur recently after biliary surgery.

胆囊炎行胆囊切除术后90%~95%的患者可治愈,但少数患者的症状可继续存在或复发,也有一些患者出现新的症状,与术前的主诉不一致,可见这些情况并非都是胆囊切除所致。

Cholecystitis after cholecystectomy 90% - 95% of patients can be cured, but a small number of patients with symptoms can continue to exist or relapse, there are some patients with new symptoms, and preoperative chief complaint is not consistent, it can be seen that these conditions are not caused by cholecystectomy.

胆囊切除术后的注意事项1、饮食指导选择易消化的食物。

After cholecystectomy precautions 1, diet guidance to choose easy to digest food.

手术后近期,尽量减少脂肪及胆固醇的摄入,不吃或少吃肥肉、油炸食品、动物内脏等,如果因口感需要可适当用一些橄榄油来烹制食品。

In the near future after surgery, try to reduce the intake of fat and cholesterol, and do not eat or eat less fat, fried food, animal viscera, etc. if the taste needs to be appropriate, some olive oil can be used to cook food.

要增加富含蛋白质的食物,以满足人体新陈代谢的需要,如瘦肉、水产品、豆制品等。

To increase protein rich food, to meet the needs of human metabolism, such as lean meat, aquatic products, bean products, etc.

多吃富含膳食纤维、维生素的食物,如新鲜水果蔬菜等。

Eat foods rich in dietary fiber and vitamins, such as fresh fruits and vegetables.

养成规律进食的习惯,并且要做到少量多餐,以适应胆囊切除术后的生理改变。

Develop the habit of eating regularly, and do a small amount of multiple meals, in order to adapt to the physiological changes after cholecystectomy.

2、恢复正常饮食,宜保持低脂肪、低胆固醇、高蛋白质的膳食结构,忌食脑、肝、肾、鱼及油炸食物,更应忌食肥肉、忌饮酒、以免影响肝脏功能,或造成胆管结石。

2. To restore the normal diet, it is advisable to keep the diet structure of low fat, low cholesterol and high protein, avoid eating brain, liver, kidney, fish and fried food, and avoid eating fat meat and alcohol, so as to avoid affecting liver function or causing bile duct stones.

3、注意心理卫生,经常保持情绪稳定,乐观豁达,避免发怒、焦虑、忧郁等不良情绪的产生,以防止中枢神经和植物神经的调节机能发生紊乱,影响胆管代偿功能的恢复。

3. Pay attention to mental health, keep emotional stability, optimistic and open-minded, avoid anger, anxiety, depression and other adverse emotions, in order to prevent the central nervous system and autonomic nerve regulation function disorder, affect the recovery of bile duct compensatory function.

4、适当参加体育锻炼和轻体力劳动,忌长时间坐卧、活动过少,以利肌体功能的恢复。

4. Proper participation in physical exercise and light physical labor, avoid long-term sitting and lying, too little activity, in order to facilitate the recovery of body function.

术后两三个月内,可以进行像散步这样的活动,以促进机体的恢复。

Within two or three months after operation, activities like walking can be carried out to promote the recovery of the body.

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