About laparoscopic cholecystectomy

Gallbladder surgery choose micro-scope good, because micro-ytterbium by trauma small recovery fast, the patient has certain benefits! But in the presence of coronary heart disease, diabetes, hypertension, long clotting time, liver disease should not do laparoscopic cholecystectomy.

If it is not necessary to remove the best or drug treatment is good, after all, any surgery has the risk and have certain sequelae.

Attached for reference:

Cholecystitis is often accompanied by gallbladder stones, which can block the gallbladder duct and cause inflammation.

Gallstones are small solids formed by the precipitation of inorganic salts and other impurities in the bile, deposited in the gallbladder, intrahepatic and extrahepatic bile ducts, and often lead to obstruction of a portion of the bile ducts and cause pain.

Nutritional Causes

The cause of cholelithiasis is not yet very precise, and many factors are known to be associated with it, one of the important causative factors being dietary nutrition.

1, long-term high-fat diet. A high-fat diet, especially foods containing high cholesterol, such as animal brains, liver, kidneys and egg yolks, can lead to elevated cholesterol in the blood and bile, which is highly susceptible to gallstones. In addition, a long-term high-fat diet is easy to make people obese, coupled with bad exercise, leading to a decrease in gallbladder muscle tone, delayed emptying of the gallbladder, bile siltation, the formation of stones.

2, long-term low-fat diet. A low-fat diet affects the body's absorption of nutrients, resulting in a lack of bile and malnutrition, which can also cause gallstone disease.

3, love sweets or excessive intake of food containing high sugar content. Refined rice, flour, etc. will accelerate the accumulation of cholesterol, resulting in bile cholesterol, bile acids, lecithin ratio between the two imbalances. Too much sugar will be converted into fat, making people fat and increasing the risk of stone formation.

4, long-term alcohol consumption. Long-term alcohol consumption can lead to liver fibrosis, cirrhosis, fatty liver and other lesions, making the bile emptying blocked silt, which is one of the triggers of gallstone disease.

5, eating habits unreasonable. Long-term not eat breakfast easy to suffer from cholelithiasis. Because of the lack of breakfast, fasting time is long, bile secretion is reduced, easy to deposit in the gallbladder, over time, can form gallbladder stones.

6, too little water. Drinking less water will lead to blood viscous, bile thick, over time will generate gallstones.

Main symptoms

1, "asymptomatic" gallbladder stones (quiet stones): the so-called asymptomatic that is, no biliary colic, almost no symptoms, and even lifelong undetected. Sometimes there is only a slight epigastric stuffiness, hidden pain, discomfort, belching, etc., after eating greasy symptoms are more obvious, easy to be treated as "hepatitis", "gastritis". The right epigastric region is characterized by mild tenderness, no muscle tension, and can be palpated when the gallbladder is hydronephrosis.

2, biliary colic: severe colic in the right upper abdomen, radiating to the shoulders and back, accompanied by nausea, vomiting. For the stone embedded caused by, sometimes due to position change, embedded lifted and symptoms disappear; otherwise will be secondary infection, pus, jaundice, perforation and fever, peritonitis, shock and other symptoms. Biliary colic mostly attacks after a full meal or eating greasy food, a few patients have attacks at night.

3, jaundice: stones fall into the common bile duct or embedded in the neck of the gallbladder stone pressure on the common bile duct can cause obstructive jaundice.

Women are prone to gallstones

Gallstones are a common disease, especially in the age group of 20 to 25 years of age, the incidence of higher. Gallstone disease is also characterized by "women are more likely to have gallstones than men". According to relevant statistics, the incidence of gallstones in women is two to four times that of men. The main reasons for the gallstones "women over men" are:

1, like quiet less mobile. Many women, especially middle-aged women tend to stay at home more time, exercise and physical labor less, over time the contraction of the gallbladder muscle is bound to decline, bile emptying will be delayed, which will easily cause bile stagnation, so that cholesterol crystals precipitation, for the formation of gallstones to create the conditions.

2, physical obesity. Many women usually love to eat high-fat, high-sugar, high-cholesterol drinks or snacks, the direct consequence of this hobby is fat, and obesity is an important basis for gallstones. Studies have shown that people whose weight exceeds the normal standard by more than 15 percent have a five times higher incidence of gallstones than normal people.

3, do not eat breakfast. Modern women are afraid of not eating breakfast more than eating breakfast, and long-term not eating breakfast will increase the concentration of bile, which is conducive to bacterial reproduction, easy to promote the formation of gallstones. If you insist on eating breakfast, can promote part of the bile outflow, reduce the viscosity of the bile stored overnight, reduce the risk of gallstones.

4, multiple pregnancies. Women are prone to bile duct function disorders during pregnancy, resulting in smooth muscle contraction weakness, so that the gallbladder bile retention, coupled with the relative increase in blood cholesterol during pregnancy, easy to precipitation, the formation of gallstones greatly increased the chances of.

Dietary regulation

The purpose of dietary treatment is to achieve the inhibition of stone production and relieve the pain caused by stone obstruction. The principles of dietary treatment are:

1. Calorie supply should meet the physiological needs, but to prevent overdose, generally 1500 to 2400 kcal.

2. Limit fat to avoid stimulating gallbladder contraction to relieve pain. Dietary fat before and after surgery should be limited to about 20 grams, with the improvement of the condition can be slightly increased, in order to improve the color, aroma and taste of dishes and stimulate appetite. Avoid greasy, fried, deep-fried and fatty foods, such as fatty pork, mutton, stuffed duck, fat goose, butter, shortbread snacks, cream cakes.

3, control the consumption of high cholesterol food, in order to reduce the biliary enzyme metabolic disorders, to prevent stone formation.

4, supplemental protein. Adequate protein can compensate for the loss, maintain nitrogen balance, increase the body's immunity, repair liver cell damage, restore normal function is favorable. Daily protein supply of 80 to 100 grams, the appropriate choice of food are fish, shrimp, lean meat, rabbit, chicken, tofu.

5, supplemental vitamins and inorganic salts. Choose foods rich in calcium, potassium and iron. Supplemental vitamin C and B vitamins and fat-soluble vitamins are also important.

6, eat more fiber-rich vegetables and fruits, can reduce gallstone formation.

7, abstain from all spicy foods and irritating condiments.

Nutritional recipes

Chicken gold porridge

[ Recipe ] 100 grams of round-grained rice, 6 to 10 grams of chicken gold, sugar.

[ Production ] First of all, the chicken gold clean dust, drained, placed in the pot to the fire fried to yellow-brown, research for fine powder. Then polished round-grained rice, put into the pot, add 800 ml of water, cooking to the rice open soup is not thick, add the chicken gold, sugar with cooking, boiling until the porridge is thick soup viscous when you can cease fire, should not be cooked for a long time.

[ Usage ] 2 times a day for breakfast and dinner. It should be served warm, avoiding cold.

[ Effects ] Tonifying the middle and benefiting the stomach, easing the pain, and removing stones.

People with cholelithiasis should eat walnuts

Medical research has found that the mucin in food combines with calcium ions and non-conjugated bilirubin in human bile to form the nucleus of the gallstone scaffold, thus forming gallstones.

In the walnut kernel contains a pyruvic acid substance, which can prevent the combination of mucin and calcium ions, non-conjugated bilirubin, and can make it dissolved, faded and excreted.

Therefore, eating more walnuts is beneficial in the prevention and treatment of gallstone disease. Eat an average of four large walnuts or a dozen small walnuts every day, do not interrupt, cholelithiasis patients in taking three months after the symptoms can be significantly reduced. Half a year later can recover. Cholelithiasis patients may wish to try.

Nutritional products regimen recommendations:

■3 times the dosage: milk thistle dandelion tablets, lecithin, vitamin B

■2 times the dosage: deep-sea fish oil, vitamin C

Beijing Milk Thistle dandelion tablets: with the role of hepatoprotection cholestrol can regulate the secretion of bile, to help the digestion of fat.

Beijing Lecithin: hydrophilic and lipophilic, it can emulsify fat, prevent stone deposition, and keep cholesterol in bile in liquid state, preventing the formation of gallstones

Beijing Vitamin B: synthesize metabolic enzymes, promoting metabolism

Beijing Vitamin C: antioxidant and detoxification, involved in cholesterol metabolism. The lack of it leads to the appearance of gallstones.

Bejeweled Deep Sea Fish Oil : Regulates blood lipids, helps digest fat, regulates blood lipids, lowers cholesterol and triglycerides.