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饮食养生:胆管发炎怎么引起的

胆管狭窄:胆管结石既可使胆流不畅,又可因机械刺激使胆管壁产生炎症或溃疡;手术创伤,或造影检查,均可给胆管壁造成损伤、结疤而狭窄,使胆流不畅而诱发感染和炎症。

Bile duct stricture: bile duct stones can not only obstruct the flow of bile duct, but also cause inflammation or ulcer of bile duct wall due to mechanical stimulation; surgical trauma or angiographic examination can cause injury, scar and stricture to the bile duct wall, causing infection and inflammation due to poor bile flow.

2、胆管炎有什么症状胆管炎有个很特殊的表现就是疼痛,第二个就是发烧,第三个是出现黄疸。

2. What symptom does cholangitis have? Cholangitis has a very special performance is pain, the second is fever, the third is jaundice.

一旦胆管出现了炎症,管道的胆汁流速就会非常的细小,导致胆汁分泌,出现剧烈的胆绞痛。

Once the bile duct has inflammation, the bile flow rate in the duct will be very small, resulting in bile secretion and severe biliary colic.

这个时候,需要进行治疗,把炎症消掉,才会止住疼痛,不然会很严重。

At this time, the need for treatment, inflammation, will stop the pain, otherwise it will be very serious.

如果胆管内出现结石,或者是管道畸形的话,就需要进行手术治疗了。

If there are stones in the bile duct, or if the duct is malformed, surgery is needed.

在这个血象检查中,可以看出白细胞升高,还有中性粒细胞也出现升高的状态。

In this blood examination, we can see that white blood cells are elevated, and neutrophils are also elevated.

这就是胆管炎的一个标志性的检测。

This is a marker test for cholangitis.

那么腹部就有会很多气体,用彩超检查就会看不清楚,干扰很大,看的见胆囊,看不清胆道,需要用磁共振进行检查。

So there will be a lot of gas in the abdomen, color Doppler ultrasound examination will not see clearly, interference is very big, see gallbladder, can not see bile duct, need to use magnetic resonance imaging for examination.

这三种方法是现今检查胆管炎的主要方法。

These three methods are the main methods to examine cholangitis.

胆管发炎如何治疗1、慢性胆管炎用手术方式,去除梗阻因素,保证胆道引流畅通。

Bile duct inflammation how to treat 1, chronic cholangitis with surgery, remove obstruction factors, ensure smooth drainage of biliary tract.

在急性发作,先控制感染,等病情稳定后再施手术。

In the acute attack, the infection should be controlled first, and then the operation should be performed after the condition is stable.

切开胆管取除结石或蛔虫,并作t形管引流。

The bile duct was cut to remove stones or Ascaris lumbricoides, and T-tube drainage was performed.

如有奥狄括约肌狭窄,可作括约肌成形术,如有胆总管下端梗阻可作胆总管十二指肠吻合或胆管空肠roux-y吻合等胆肠内引流术。

If there is stenosis of Oddi sphincter, sphincteroplasty can be performed. If there is obstruction of the lower end of the common bile duct, choledochoduodenostomy or Roux-Y choledochojejunostomy can be used for internal drainage.

如作肝内胆管狭窄段切开,并清除肝内结石,然后作roux-y式胆管空肠吻合。

If the stricture of intrahepatic bile duct was cut and the calculus was removed, Roux-Y cholangiojejunostomy was performed.

奥狄括约肌成形和胆管十二指肠吻合术后容易发生逆流性胆管炎。

Reflux cholangitis is easy to occur after Oddi sphincteroplasty and cholangioduodenostomy.

但在疾病早期,急性单纯性胆管炎,病情不太严重时,可先采用非手术方法。

But in the early stage of the disease, acute simple cholangitis, the condition is not too serious, can first use non-surgical methods.

对非手术治疗无效,并由单纯性胆管炎发展成急性梗阻性化脓性胆管炎,应及时采用手术治疗。

If the non-surgical treatment is ineffective and the simple cholangitis develops into acute obstructive suppurative cholangitis, surgical treatment should be adopted in time.

非手术治疗包括解痉、镇痛和利胆药物的应用,其中50%硫酸镁溶液常有较好的效果,用量为30~50ml一次服用或10ml日3次;胃肠减压也常应用;大剂量广谱抗生素的联合应用很重要。

The non-surgical treatment includes the application of antispasmodic, analgesic and cholagogic drugs. Among them, 50% magnesium sulfate solution often has better effect, the dosage is 30-50ML once or 10ml three times a day; gastrointestinal decompression is also often used; the combined application of large dose broad-spectrum antibiotics is very important.

如非手术治疗后12~24小时病情无明显改善,应即进行手术。

If there is no significant improvement in the condition after 12-24 hours of non-surgical treatment, surgery should be carried out immediately.

即使休克不易纠正,也应争取手术引流。

Even if shock is not easy to correct, surgical drainage should be sought.

对病情一开始就较严重,特别是黄疸较深的病例,应及时手术。

The disease is more serious at the beginning, especially the cases with deep jaundice should be operated on in time.

应注意的是引流管必须放在胆管梗阻的近侧,在梗阻远侧的引流是无效的,病情不能得到缓解。

It should be noted that the drainage tube must be placed on the proximal side of the obstruction. The drainage at the distal side of the obstruction is ineffective and the condition cannot be relieved.

核桃、花生仁、腰果等富含油脂的食品也宜少用,且不宜过饱。

Walnut, peanut kernel, cashew and other food rich in fat should also be used less, and should not be too full.

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