Xiao Wang, who is in his 20s this year, did not expect anything
Because I usually don't eat breakfast on time
As a result, he was sent to the operating room
Here's the thing
More than three months ago, Xiao Wang had pain in his upper abdomen and right upper abdomen, and he mistakenly thought that it was stomach pain, so he bought some stomach medicine to deal with it.
Unexpectedly, in the middle of the night a few days ago, Xiao Wang suddenly had severe pain in his upper abdomen, accompanied by back involvement pain, nausea and vomiting, and was urgently sent to Fujian Provincial Geriatric Hospital for treatment by his family. After examination, Zhu Changhua, deputy chief physician of the Department of Hepatobiliary and Pancreatic Surgery, found that the cause of Xiao Wang's abdominal pain was actually not in the stomach, but in the gallbladder. Ultrasound B found that his gallbladder stones were embedded in the neck of the gallbladder, and the gallbladder was significantly enlarged.
After the minimally invasive laparoscopic gallbladder resection surgery, Xiao Wang's abdominal pain was relieved, and he was able to go to the ground to move freely the next day after the operation, and the severe abdominal pain that night made Xiao Wang still terrified.
So, what exactly is the reason
What about the gallstones that caused The Little King?
Skipping breakfast can easily induce gallbladder stones
It turned out that Xiao Wang's work and rest were not regular for a long time, sleeping late and getting up late, and breakfast was often directly skipped, which disrupted the normal secretion of bile.
Zhu Changhua (first from left)
Zhu Changhua, deputy chief physician, said
"The gallbladder can store and concentrate bile and plays a very important role in the digestive system. After three meals a day, the gallbladder will regularly discharge bile, and bile will play a role in digesting food after entering the digestive tract. Because bile is concentrated in the gallbladder for a long time at night, if you do not eat breakfast, the bile cannot be emptied in time, and it is easy to form stones deposited in the gallbladder. ”
Of course, gallbladder stones are also related to a variety of factors, and any factor that affects the ratio of cholesterol to bile acid concentration and causes cholestasis can lead to stone formation.
Gallbladder stones can only be removed surgically
So, in addition to surgery, can gallbladder stones be discharged with drugs or gravel like kidney stones? In fact, it really doesn't work.
Because gallbladder stones are not the same as kidney stones. Kidney stones take the urinary tract, stones are smaller may be able to be discharged from the urinary tract, so there will be stone discharge, lithotripsy and other treatment methods; and after the gallbladder stones fall to the common bile duct, because the lower end of the common bile duct is thinner, and there is an oddis sphincter at the end of the common bile duct, the probability of stones being discharged from the common bile duct into the intestine is small, and it is easy to be embedded in the junction of the bile and pancreatic ducts and secondary biliary pancreatitis and liver function damage, therefore, gallbladder stones are not easy to excrete on their own or advocate extracorporeal lithotripsy.
(Image source: Station Cool)
For the treatment of gallbladder stones, Zhu Changhua said that at present, it is mainly treated by laparoscopic minimally invasive surgery, which has little trauma, less pain for patients, and rapid postoperative recovery.
Patients with gallbladder stones usually do not have any discomfort in the early stage, 20% to 40% of patients can survive with stones for life, as long as there is no abdominal pain, fever and other symptoms usually occur, they can coexist peacefully with the stones and do not require surgical treatment.
However, if the condition worsens and the following symptoms occur, Zhu Changhua recommends that everyone should surgically remove the stones in time.
1. Recurrent abdominal pain, back and shoulder involvement pain, fever;
2. Ultrasound B found that the gallbladder wall was rough and inflamed; the gallbladder was enlarged
3. Polyps larger than one centimeter appear;
4. It affects digestion.
It should be reminded that recurrent gallbladder stones may become cancerous if they are controlled by medication alone and not operated on in time. In addition, gallbladder stones move with changes in position, and some may fall into the common bile duct.
"The opening at the junction of the common bile duct and the pancreatic duct is very small, and the smaller the stone, the greater the chance of falling into the common bile duct, especially the sediment-like gallbladder stones, which are easily embedded in the bile cyst duct and the lower end of the common bile duct, causing liver function damage or acute pancreatitis." Acute pancreatitis is a sudden disease that can be fatal, so patients should not take the stone lightly. Zhu Changhua said.
Preventing gallbladder stones begins with a mouth shut
To prevent stones, the first thing is to control their mouths, high-fat diet is the enemy of gallbladder stone patients, diet to follow the principle of light, high vitamins, low fat, in addition, sweets will also be converted into fat, but also pay attention to eat less sweets.
Three meals are regularly and quantitatively, especially breakfast cannot be ignored. Eating breakfast can promote gallbladder contraction and bile emptying.
Drink water frequently, get up a glass of water in the morning, and drink a glass of water before going to bed.
Strengthen fitness exercises, control weight, and cultivate a good and healthy lifestyle.
Fujian Health Daily all-media reporter: Lin Ying
Source: Fujian Health News