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饮食养生:胆结石要切除胆囊吗

不过,也有患者希望保留胆囊,对于这种保胆取石手术,临床上有严格的标准。

However, there are also patients who want to retain the gallbladder. For this kind of gallbladder preserving lithotomy, there are strict clinical standards.

一般年龄50岁以上,且胆囊萎缩、功能退化或癌变的患者,治结石务必切除胆囊;胆囊单发结石、胆囊功能良好、胆囊壁小于4毫米者才可考虑保胆手术。

For patients over 50 years old and with gallbladder atrophy, functional degradation or canceration, cholecystectomy is necessary for the treatment of gallstones; only those with single gallstone, good gallbladder function and gallbladder wall less than 4 mm can be considered for gallbladder preserving surgery.

2、胆结石病因喜静少动有些人运动和体力劳动少,天长日久其胆囊肌的收缩力必然下降,胆汁排空延迟,容易造成胆汁淤积,胆固醇结晶析出,为形成胆结石创造了条件。

2. The etiology of gallstones is sedentary and less active. Some people have less exercise and physical labor. As time goes on, the contractile force of gallbladder muscle will inevitably decrease and the bile emptying will be delayed, which will easily lead to cholestasis and precipitation of cholesterol crystals, which will create conditions for the formation of gallstones.

3、胆结石临床表现其症状取决于结石的大小和部位,以及有无阻塞和炎症等。

3. The clinical manifestations of gallstones depend on the size and location of stones, as well as the presence of obstruction and inflammation.

较大的胆囊结石可引起中上腹或右上腹闷胀不适,嗳气和厌食油腻食物等消化不良症状。

Large gallstone can cause the middle or right upper abdomen distension discomfort, belching and anorexia of greasy food and other dyspepsia symptoms.

较小的结石每于饱餐、进食油腻食物后,或夜间平卧后结石阻塞胆囊管而引起胆绞痛和急性胆囊炎。

Small stones often block the cystic duct after having a full meal, eating greasy food, or lying on their back at night, resulting in biliary colic and acute cholecystitis.

由于胆囊的收缩,较小的结石有可能通过胆囊管进入胆总管而发生梗阻性黄疸,然后部分结石又可由胆道排入十二指肠,部分结石则停留在胆管内成为继发性胆管结石。

Due to the contraction of the gallbladder, small stones may enter the common bile duct through the cystic duct and cause obstructive jaundice. Then some stones can be discharged into the duodenum through the bile duct, while some stones stay in the bile duct and become secondary bile duct stones.

胆囊结石在无感染时,一般无特殊体征或仅有右上腹轻度压痛。

Gallstone in the absence of infection, generally no special signs or only the right upper abdomen mild tenderness.

但当有急性感染时,可出现中上腹及右上腹压痛、肌紧张,有时还可扪及肿大而压痛明显的胆囊。

But when there is acute infection, can appear in the upper abdomen and right upper abdomen tenderness, muscle tension, and sometimes palpable swelling and tenderness obvious gallbladder.

2、积极的治疗尿路的感染。

2. Active treatment of urinary tract infection.

4、对尿液的酸碱度进行调节,调节尿液的酸碱度可以预防尿路结石的发生,比如尿酸盐、草酸盐会在酸性的尿中形成,磷酸盐与碳酸盐会在碱性尿液中形成。

4. Adjusting the pH of urine can prevent the occurrence of urinary calculi. For example, urate and oxalate will form in acidic urine, and phosphate and carbonate will form in alkaline urine.

5、防止代谢性疾病,如果甲状腺功能亢进应该积极的进行手术治疗。

5. To prevent metabolic diseases, if hyperthyroidism should be active surgical treatment.

胆结石对人体的危害1、引起胆绞痛每年大约20的"无症状"胆囊结石患者出现胆绞痛。

The harm of gallstones to human body 1. About 20 "asymptomatic" gallstone patients appear biliary colic every year.

当油餐后或在夜间,胆囊结石易卡在胆囊颈部或胆囊管内,结石一旦嵌顿,胆囊里的胆汁流不出去,使胆囊内压力升高,胆囊膨胀,胆囊为排出其胆汁,不得不加强收缩。

When the oil meal or at night, gallstone easily stuck in the neck of the gallbladder or cystic duct, once the stone incarcerated, the bile in the gallbladder can not flow out, so that the pressure in the gallbladder increases, the gallbladder expands, and the gallbladder has to strengthen its contraction in order to discharge its bile.

胆囊在短时间内迅速膨胀与收缩便产生了剧烈的绞痛。

Gallbladder in a short period of time rapid expansion and contraction will produce severe colic.

这种绞痛常常是持续性阵发性加重,严重者出现休克甚至生命危险。

This kind of colic is often continuous paroxysmal aggravation, severe shock and even life-threatening.

除此之外,一些小的结石落入胆总管、排入十二指肠,而每次落入胆总管后均可损伤胆总管末端肝胰壶腹括约肌,反复如此则造成胆总管末端狭窄,继发胆总管结石及胆源性胰腺炎。

In addition, some small stones fall into the common bile duct and discharge into the duodenum. Each time they fall into the common bile duct, they can damage the sphincter of the hepatopancreas at the end of the common bile duct. If this happens repeatedly, the end of the common bile duct will be narrowed, followed by common bile duct stones and biliary pancreatitis.

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不过,也有患者希望保留胆囊,对于这种保胆取石手术,临床上有严格的标准。However, there are also patients who want to retain the gallbladder. For this kind of gallbla

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