How to treat gallstones?

First of all, the gallbladder should never be removed lightly, that is, there should be clear indications for cholecystectomy, and cholecystectomy should only be done if it is considered that the harm to the patient from retaining the diseased and stoned gallbladder outweighs the benefits of the physiological function of the gallbladder to the human body. After the gallbladder is removed, due to the loss of the function of the gallbladder to store bile, the person's digestive function will be affected to a certain extent in a short period of time, but the impact is not large The vast majority of patients will gradually adapt to it and will not feel anything abnormal. The general ** principle of gallstones is no more than 5px stones, which can be rechecked regularly for 3 months.

Basket. Healstone. Tong.

Tea. Medication conditioning, stones over 5px must be surgical**. The most effective method in the gallbladder is only the first method of surgery, and the current traditional Chinese medicine conditioning is safe.

Dietary norms that should be noted:

1.Eat more high-fiber foods, such as vegetables, fruits, whole grains, etc.

2.Limit your cholesterol intake. Never eat cholesterol-rich foods such as organ meats and egg yolks.

3.Supplement more vitamin K, such as: spinach, cauliflower, etc. are rich in content.

4.Avoid gas-prone foods such as potatoes, sweet potatoes, beans, onions, turnips, soft drinks, acidic juices, coffee, cocoa, etc.

5.Milk is restricted to skim milk only.

6.Eat more yellow-green vegetables that are rich in vitamin A.

7.Less frying and frying are used to cook food, and more ways to cook, stew and steam.

8.Avoid fat-rich broth and mayonnaise.

9.The taste should be as light as possible, and the seasoning should be moderate.

10.Avoid processed foods and foods high in sugar.

The best way to get gallstones.

1. Anshi: In fact, for gallstone patients, the feeling of pain makes them very uncomfortable, so Anshi is a conservative way, that is, to let gallstone patients take choleretic anti-inflammatory, heat and dampness drugs, which can alleviate the symptoms of gallstones, which is more suitable for patients who have not yet been incarcerated by the stones, the condition is not very serious, or there are cardiovascular problems and cannot be operated. Conservative**Compared with surgery**, patients suffer less pain, and the cost is low and the safety is high.

The disadvantage is that the stone is still in the body, once incarcerated, or secondary to serious infection.

2. Stone discharge: I believe everyone is no stranger to stone discharge, as the name suggests, it is to discharge the stones in the body, which is a combination of traditional Chinese medicine and Western medicine The best gallstone method, the most commonly used stone removal method is total attack stone discharge, flat pressure stone discharge, etc. It is more suitable for gallbladder function is better, the biliary tract is wide, the number is not large and small, generally the common bile duct stones do not exceed centimeters, and gallbladder stones do not exceed centimeters.

In this regard, there is a healing stone C c. tea slowly dissolves stone to improve.

3. Lithotripsy: This is a relatively high-use surgical method in modern times. It is a special stone crusher that emits a certain frequency of shock waves to make the stone crush. Suitable for medium-sized stones (about centimeters in diameter) with a number of no more than 3.

Clinical observation has found that whether gallstones can be discharged or disappear on their own is obviously related to the size of gallstones, the thickness of the biliary tract, and the size of the opening at the lower end of the biliary tract. The smaller the stone, the thicker the biliary tract, and the larger the opening at the lower end of the biliary duct, the easier it is to be discharged; Otherwise, it is difficult or impossible to discharge.

The ** and prevention of gallstones can be removed by drugs (dissolving stones), surgery (removing stones) or diet** (controlling the formation of gallstones) and the latest ultrasound** method. It must be noted that if there are no symptoms, there is no major health concern, and surgery should not be considered**, but if comorbidities occur or the condition is severe, the gallbladder should be removed to avoid life-threatening.

Gallstones are a common disease, especially in women after the age of 40, the incidence is very high, the general gallbladder stones should be mainly surgical, no drug or conservative can not remove the lesion, not to mention that there is no effective drug to prevent the formation of stones, there are two ways to operate, one is to remove the gallbladder: the gallbladder is gone, the gallstones in the gallbladder are removed, the other is to retain the functional gallbladder, and strive to clean the gallstones in the gallbladder, However, because the cause of the stone is not controlled, the stone can still be **.

Hello As an internist, let me tell you this, the biggest difference between gallstones and kidney stones is:

Not to be discovered. The discomfort is not strong in the early stage.

Medication is hard**.

So when people are obviously unwell or found out, it is already past the early stage, the best way to get gallstones is surgery, friends in North China can go here, I have been a director before, and I am quite advanced in all aspects.

Many people find gallstones in the gallbladder because of the sudden appearance of abdominal pain symptoms, and when there are gallstones in the gallbladder, we must pay attention to it, especially when the stones are relatively large or have repeated painful symptoms, we should adopt appropriate methods as soon as possible**. At present, the commonly used methods for this disease include cholecystectomy, cholelithotomy, conservative methods, etc.

1. Laparoscopic cholecystectomy: surgery is the main method of gallstones, and the basic principle of gallstones in clinical practice is still cholecystectomy, and laparoscopic cholecystectomy is also the main method of gallstones. In general, the surgery is less invasive, the pain symptoms are relatively mild, and the postoperative recovery is relatively fast, and most patients can be discharged from the hospital 3-4 days after surgery.

2. Cholelithotomy: If the stone is relatively small, the cholelithotomy surgery method can be considered, but this surgical method has a high rate, because some small stones are difficult to find during the operation, and then they will gradually increase. In addition, some patients have malignant changes in the gallbladder, and cholelithotomy surgery can lead to serious consequences.

3. Oral litholysis drugs: Some patients can shrink or disappear gallbladder stones after using litholytic drugs, which is relatively simple and easy for patients to accept. You can use Chinese medicine to remove cholesterol and other stone components from the body, so as to prevent the stones from becoming larger, and slowly improve the discharge.

4. General**: The appearance of gallstones has a lot to do with poor eating habits and mental pressure, so patients must adjust their daily diet structure at ordinary times. Eat less high-fat, high-cholesterol, high-sugar foods and more foods rich in vitamins and fiber.

At the same time, it is also necessary to relieve mental stress through effective methods and try to relax the mental state.

In general, there are many ways to get stones in the gallbladder, so patients with stones in the gallbladder should not worry too much. However, in this disease, we must pay attention to choosing a regular and professional hospital, and we should take a comprehensive and comprehensive approach under the guidance of professional doctors, so as to achieve the most satisfactory results as soon as possible.

It can be discharged through drugs, with more water and exercise, and for some relatively large stones, extracorporeal shock wave lithotripsy can be done to break large stones into small ones, and then discharge them through this ureter and bladder. Lin Bao Pharmaceutical's Stone Draining Oral Solution, you can learn about it, specializing in the treatment of stones.

There are many methods of cholelithiasis**, and there are currently two main methods, one is surgery** (including laparoscopic minimally invasive**). The other is non-surgical**, that is, the combination of traditional Chinese and Western medicine is used to treat the symptoms**. In addition, if you don't want surgery, or you don't need surgery yet, you can drink healing stone tea to regulate dissolved acid and diuretic stone excretion.

Gallstones are found during the examination and need to be treated according to the specific condition. For patients with small stones and no obvious uncomfortable symptoms, close observation is generally adopted and lifestyle habits should be actively improved; For patients with larger stones, conservative** may be taken depending on the patient's condition, and if ineffective, surgery** may be required, including gallstone-sparing and gallbladder removal.

1. Observe closely.

During a physical examination, people often find that they have gallstones, but often there are no obvious symptoms of discomfort. This group of people has smaller stones, slow progression, and less risk of complications, so they generally do not need special **, only need regular reexamination, and closely observe the development of stones. Patients should have a sense of prevention, actively improve their living habits, such as quitting bad habits such as skipping breakfast, craving for high-fat, high-cholesterol and high-sugar foods, insisting on regular diet and light diet, eating more vegetables and fruits, and actively exercising.

2. Conservative**.

For patients with gallstones that have caused obvious uncomfortable symptoms, but the risk of complications is small, conservative ** can be taken first, including traditional Chinese medicine and Western medicine**, such as taking anti-inflammatory choleretic tablets, choline tablets and other drugs to eliminate abdominal distension and belching and other uncomfortable symptoms, taking ursodeoxycholic acid, chenodeoxycholic acid and choleretic stone expulsion tablets and other drugs to promote the shrinkage of stones and make them easy to discharge.

3. Surgery**.

For patients with large stones but good gallbladder function, minimally invasive gallstone-preserving surgery can be performed, which can remove gallstones under the premise of protecting gallbladder function as much as possible, with less trauma and faster postoperative recovery. However, if gallbladder function has been lost, cholecystectomy is the only option.

1.Calculoid**: Drink plenty of water, no matter what type of stone you have, the most important way to prevent it is to increase your water intake. Water dilutes urine and prevents high concentrations of salts and minerals from accumulating into stones.

2.Traditional Chinese medicine stone dissolving stone: Drinking Depu's stone tom tea fossil can promote the discharge of stones, protect kidney function and repair damage, and change the internal environment and urine properties.

3.Extracorporeal shock wave lithotripsy (ESWL): The main indication for gallbladder stones is intragallbladder cholesterol stones, oral cholecystography shows negative stones, no more than 3 stones with a diameter of 12 15mm, and only 1 stone with a diameter of 15 20mm, and requires a normal gallbladder contractile function.

In order to improve the disappearance rate of stones after crushing, ursodeoxycholic acid (UDCA) 8mg kg d before and after the shock wave was taken to achieve the synergistic effect of lithotripsy and stone dissolution.

Gallstones are common stones in the biliary system, which can cause abdominal pain, bloating, nausea and vomiting, cold intolerance and fever. Gallstones need to be analyzed according to the specific condition of the condition, if there are no symptoms of gallstones, if they are accompanied by symptoms, or if they are accompanied by gallbladder polyps, and gallstones such as diabetic patients need surgery**.

Analysis: There are three ways to have gallstones**.

1. Drug**: Oral litholysis drug Debi Stone Poke Tea to promote stone discharge, but for stones above PX, it is often effective, and the effect of slow medication is not ideal, and sometimes there will be repeated pain attacks, and patients are mostly accompanied by gallbladder inflammation, which is easy**.

2. Lithotripsy: no need to be hospitalized, the damage is small, but due to the special position and structure of the gallbladder, the stone is not easy to locate, even if the stone is broken, it is difficult to discharge, and increase the number of abdominal pain, and even may cause common bile duct stones.

3. Surgery: Surgery to directly remove the gallbladder can quickly reduce the lesion, which is the best way at present. However, surgery has certain indications, not all patients can use it (such as the elderly, children, etc.), and the traditional laparotomy is very damaging to the human body, and it takes a long time to stay in the hospital to recover, affecting work and life.

With the development of science and technology, laparoscopic cholecystectomy, as a new surgical method, can overcome the shortcomings of traditional laparotomy, with less damage and faster recovery, and is increasingly favored by patients.

According to the patient's general condition, conscious symptoms, gallstone size, number, nature, gallbladder function, patient's age, working environment, living conditions, previous conditions, etc.

For example, if the patient is in good physical condition, the symptoms are mild, the stones are not large (no more than 0.5 cm in diameter), and the number is not large (generally not more than five), and the gallbladder function is good, it is advisable to first use traditional Chinese medicine, acupuncture, and the combination of traditional Chinese and Western medicine**.

If the patient is old and frail, or has other serious diseases, and cannot or is unwilling to undergo surgery, it is also advisable to use traditional Chinese medicine or a combination of Chinese and Western medicine**; If one of the following conditions is present, surgery should be used**: 1. If the condition is severe, accompanied by acute purulent cholecystitis or suspected of pyometrasis and perforation of the gallbladder, surgery should be performed urgently. 2. Those who are invalid by Chinese and Western medical insurance, or who cannot discharge stones with traditional Chinese medicine.

3. Those who have large or many stones, have lost the function of the gallbladder or have congenital malformations of the gallbladder.