Many people are more or less confused after finding gallstones in physical examination. How can they grow gallstones? I heard that the gallstone attack hurts to death. What should I do? Gallstones are divided into many kinds, usually everyone said gallstones generally refer to gallstones. Gallbladder is a place where bile is stored. The liver secretes bile and stores it to the gallbladder first. When needed, it is discharged from the gallbladder again. After a thin bile duct, it is discharged to the intestines and participates in the digestion of food. Why will gallstones grow? There are many reasons for long gallstones, Various factors that may affect bile composition may increase the risk of gallstones. Middle-aged and elderly people: As one grows older, The metabolism of the human body gradually deteriorates, The proportion of various components in bile changes, The increase of cholesterol ratio is easy to lead to deposition in gallbladder, Accumulated calculus, This phenomenon is especially common in obese women over 40 years old. People who do not eat breakfast all the year round: Liver after a night’s work, the gallbladder is already full of bile, if you don’t eat in the morning to stimulate the gallbladder to empty, then bile will continue to remain in the gallbladder, increasing the concentration of bile, under this condition some components of bile may precipitate crystals, the risk of forming stones is higher all the year round. My gallstones, why don’t you hurt? At the mention of gallstones, Everyone’s first reaction is pain. In fact, pain is only a typical symptom of gallstones. It is called biliary colic in medicine. Often after a meal, Severe pain in the right upper abdomen. The cause of this symptom is: After eating, Especially after a high protein and fat diet, The gallbladder tries to expel bile, But the stone got stuck in the opening of the gallbladder, Causing a sudden increase in pressure in the gallbladder, Pain. Gallstones and many other symptoms, Such as abdominal distension, mild abdominal pain with indescribable location, There are also all kinds of unexplained stomach discomfort, After eating greasy food is more obvious. Because these manifestations are atypical, many people think it is gastropathy. Even after finding out gallstones, they can’t think of the problem of gallstones without a doctor’s reminder. There are also some people whose gallstones are really without any symptoms, which is found during physical examination. How should gallstones be treated? If the symptoms are obvious, Especially recurrent biliary colic, cholecystitis, At present, the mainstream opinion is to remove gallbladder surgically. With the development of laparoscopic technology, Now the general gallstone can be done by laparoscopic surgery, Minor trauma, Recovery is quick. Now some hospitals advocate the operation of preserving gallbladder and taking stone alone. It caters to the idea that some patients believe that [body hair and skin are indispensable to parents], But the chance of recurrence is too high. As long as the inner wall of the gallbladder is no longer smooth after the incision, It is easier to form stones, He had to have surgery. And the second time I had surgery, because of local adhesion scar, It is likely that the opportunity of laparoscopic treatment will be lost and laparotomy will do more harm than good. For some asymptomatic gallstones, whether they should be operated or not is actually controversial in the medical field. Conservative view: surgery is not recommended. Many stones will not attack until they die, and patients do not need to get this knife. Some atypical symptoms, such as dull pain, belching, etc., are not relieved after the operation. As long as the operation has certain risks. Radical point of view: active surgery. Although the symptoms of this part of patients are not obvious, many people will have various symptoms in the future, even acute cholecystitis and cholangitis. In case of acute attack, patients will be in trouble in the wild, mountainous areas and other places where they cannot seek medical treatment in time. Or when the attack occurs, the patient is older, the heart and lung function is poor, and the operation cannot be tolerated, so the best treatment opportunity is missed. Chronic stimulation of gallstones all the year round will have a certain canceration rate, and the prognosis of gallbladder cancer is very poor. The latest guidelines suggest that patients without obvious symptoms should still be actively operated when they have the following conditions: middle-aged and elderly patients with gallbladder stones; The course of disease is long and the history of cholecystolithiasis is more than 5 years. B-ultrasound in patients with cholecystolithiasis shows that there are other pathological changes in the gallbladder. The diameter of cholecystolithiasis is more than 1 cm; Patients with poor stone location and easy blockage of bile duct to induce more serious diseases; For patients with diabetes complicated with cholecystolithiasis, it is recommended to actively operate when diabetes is well controlled. Cholecystolithiasis in children; Patients with a family history of gallbladder cancer. Even if you don’t need surgery for the time being, you can’t turn a blind eye. It is recommended to review B-ultrasound every six months to one year. Eat regularly to avoid overeating. Can you take traditional Chinese medicine? It is not recommended to eat all kinds of traditional Chinese medicines for removing stones and stones. The so-called traditional Chinese medicines for removing stones often cannot really melt stones. Some traditional Chinese medicines for removing stones have good effect if they do not remove stones. If there is really a stone removal effect, the risk is relatively large, especially some silt-like gallstones. The bile duct from the gallbladder to the intestinal tract is very thin. Blind stone removal will cause stones to get stuck in the bile duct after the gallbladder is removed, or at the most terminal valve, which may lead to suppurative cholangitis or acute pancreatitis. This is a serious disease that can kill people.
