(2)Patients with chronic cholecystitis should eat light, easy-to-digest food on weekdays, and should take a large number of drinks (1500-2000ml) to dilute the bile. Eat once every 2 to 3 hours to stimulate bile secretion. Eat easily digestible protein, 50g per day. do not eat animal brains, kidneys, egg yolk, fried food, spicy products.
(3) cholecystitis, cholelithiasis patients, in terms of dietary laws, it is appropriate to timed quantitative, small meals, should not be too full. In the diet structure, strict control of fat and cholesterol-containing foods, such as fatty meat, fried foods, animal offal, etc., because gallstones formation and body cholesterol is too high and metabolic disorders have a certain relationship. Do not drink alcohol and eat spicy food, it is advisable to eat more radish, green vegetables, beans, soybean milk and other side dishes. Radish has a beneficial effect on cholesterol and can help the digestion and absorption of fat; green vegetables contain a lot of vitamins and fiber; beans are rich in vegetable protein. In addition, some fruits and fruit juices should be supplemented to make up for the loss of fluids and vitamins caused by inflammation.
(4) cholecystitis, cholelithiasis patients General advisable to enter a low-fat, low-cholesterol diet. Fatty meat, fried foods, dried fruits and nuts containing much fat and egg yolks, animal brain, liver, kidney and fish roe and other foods should be strictly controlled. Diet should also be easy to digest, less residue food to avoid the production of gas. All alcoholic beverages, stimulating foods, strong seasonings can promote gallbladder contraction, so that the biliary sphincter can not be relaxed in time, resulting in bile outflow, thus causing acute attacks of cholecystitis, so they should be avoided. Acute attacks should be given low-fat, easy to digest semi-fluid or fluids; severe cases should be fasting, gastrointestinal decompression and intravenous rehydration.
Cholecystitis occurs in middle-aged people
Cholecystitis is a relatively common surgical emergency abdomen, the incidence of second only to acute appendicitis. It usually occurs in middle-aged people. From the medical theory, cholecystitis can be divided into acute and chronic, but in fact most of the chronic, the beginning of several episodes of symptoms are very light, the pain is not too strong, often mistaken for gastric disease and not be attracted attention, and then the lesions are gradually serious, under the role of certain triggers, suddenly manifested as an acute attack of the epigastric abdomen on the right side of the intense colic, do not dare to straighten the waist, have to use their hands to protect the abdomen, do not dare to touch, and even pain on the ground rolling and shouting. The pain was so severe that I rolled on the ground and shouted.
Why does cholecystitis occur more often in middle-aged people? This starts with the cause of cholecystitis. The gallbladder is commonly known as the bitter bile, shaped like a pear, which is the organ that stores and concentrates bile. After people eat food, through the nerve reflex, make the gallbladder contraction, the bile through the bile duct into the duodenum, to promote the digestion and absorption of fat. If the body is too obese, or there are metabolic disorders, neuroendocrine regulation disorders, gallstones, etc., the bile is not easy to flow out of the gallbladder and stagnate in the gallbladder, the water in the bile is gradually absorbed, so that the concentration of bile salts increases, and bile salts will stimulate the gallbladder mucous membrane inflammation. At first it is sterile, then the bacteria take advantage of the opportunity to invade, then from aseptic cholecystitis began to change into infectious cholecystitis.
There are some middle-aged people over 40 years old, due to the working environment, lifestyle changes, often have different degrees of neuromodulation and metabolic disorders, affecting the normal contraction and diastole of the gallbladder, so that bile excretion is not smooth, especially the gradual fattening of middle-aged people, due to the disorders of the fat metabolism, it is easier to stimulate the gallbladder to strong contraction. If at the same time there are infections, indigestion, stone formation is more likely to induce cholecystitis attack. The pre-menopausal middle-aged women, because of the endocrine changes, often affect the bile secretion and regulation, so the chances of getting cholecystitis is more than the same age of men.
The main ways to prevent and control cholecystitis are:
1. We should often do some physical activities, so that the whole body metabolism is active, especially mental labor and work is always sitting still middle-aged people, more consciously to do more physical labor, to prevent excessive obesity, because obesity is a cholecystitis or gallstones is an important cause of triggers.
2. To pay attention to dietary hygiene, avoid overeating, appropriate dietary fat food. Because after eating fatty foods, will reflexively make the gallbladder contraction, once the contraction is too strong will lead to an acute attack of biliary colic.
3. After the autumn cool, we should pay attention to keep warm, especially when sleeping should be covered, to prevent the abdomen from being cold, because after the stomach is cold, it will stimulate the vagus nerve, so that the gallbladder strong contraction.
4. People who have been proven to have gallstones or intestinal parasites should be treated promptly to avoid inflammation of the gallbladder. 5. If the attacks are more frequent, the symptoms are more severe, obviously affecting the life and work, and the use of cholagogues and other conservative treatment is not effective, you should consider using surgical treatment.
Health care for cholecystitis
I. The main cause of cholecystitis and cholelithiasis in China is related to intestinal parasitic diseases and intestinal infections. Ascaris lumbricoides can ascend and burrow into the biliary tract, causing inflammation of the biliary tract. Ascaris remains and roundworm eggs can become the "core" and form stones. Intestinal infections can retrograde and lead to biliary tract infections and inflammation of the gallbladder. Prevention and treatment of these two types of diseases can significantly reduce the incidence of this disease.
II. Emotional disorders, liver and gallbladder failure can lead to obstruction of bile excretion and the development of the disease. Maintaining an optimistic mood and a cheerful heart is an important part of preventing the disease and reducing its recurrence.
Three. Pay attention to dietary hygiene, drinking mineral water or magnetized water. Mineral water containing magnesium sulfate, sodium sulfate, sodium bicarbonate is preferred, after drinking can make the gallbladder contraction, promote the discharge of bile. Normally, you should drink more water, and the daily water intake should be more than 1500 milliliters. Diet should be in moderation, avoid overeating. Strictly control fat and cholesterol-rich foods, such as animal brain, offal, fish eggs and egg yolk. The diet should be more light and easy to digest food with high carbohydrates, low fat and multi-vitamin, eat more radish, green vegetables, beans and other side dishes, eat more fresh fruits, eat less spicy and fried food, you should abstain from alcohol, do not eat cold and unclean food.
IV. For sedentary people should emphasize outdoor activities, can choose to do gymnastics, running, walking, tai chi, qigong and other exercises. Promote abdominal breathing, can play a rhythmic bile pancreas intestines and stomach "massage" effect, so that the liver and gallbladder drainage smooth.
Doctors tell you how to maintain and regulate
1. Bile is to help fat digestion and absorption of the main substances, cholecystitis patients bile secretion is poor, so fat absorption difficulties. The patient should be high protein, high vitamin bias vegetarian diet, try to avoid high fat diet.
2. Life should be regular, keep in a good mood, avoid overwork, do not overeat, eat less greasy food, eliminate the incidence of triggers. More regular activities to regulate the meridian qi and blood, in order to facilitate the bile duct dredging, reduce acute attacks.
Dietary treatment of cholecystitis
Biliary tract diseases and diet have a close relationship, so dietary treatment is of great significance.
Can be given low-fat and high-carbohydrate fluid food, such as lotus root powder, rice soup, fruit water, vegetable water, honey water, etc.; less food and more frequent meals; prohibit animal brain, liver, kidney and egg yolks, fish roe, etc., do not use fried food, fat meat, etc.. Avoid drinking alcohol, strong tea, coffee and vegetables and fruits containing much crude fiber.
Dietary treatment of cholecystitis
The purpose of dietary treatment
By controlling the amount of dietary fat and cholesterol, supplemented by high carbolic acid. Supply sufficient nutrition, maintain the body's thermal energy needs, eliminate factors that promote gallstone formation and cause pain, reduce the triggers, and increase the body's resistance.
II. Dietary treatment measures
(I) Acute stage
Acute attack should be fasting, so that the gallbladder can get enough rest to relieve pain. Supplementation by vein. However, drinking plenty of water and taking care to supplement sodium and potassium salts in beverages can be beneficial in treating the disease. After the pain is relieved, the diet can be adjusted gradually according to the condition, and a light fluid diet or a low-fat, low-cholesterol, high-carbhydrate fluid diet can be given, such as rice soup, lotus root powder, soybean milk and other foods. When the condition improves, a low-fat semi-liquid diet or low-fat soft food with little residue can be given.
Chronic stage
1. Caloric energy: supply normal or slightly below normal amount of caloric energy, about 8.37MJ (2000kcal)/d, obese people should limit caloric energy.
2. Low-fat: Fatty food can promote the secretion of cholecystokinin and make the gallbladder contract. In cholecystitis, bile secretion is impaired, fat digestion and absorption is also affected, and more fat may induce gallbladder pain. Therefore, it is necessary to strictly limit the fat intake, daily <20g, and then can be gradually increased to 40g or less. The main should strictly limit animal fats, and vegetable fats and oils help bile excretion, can be used in moderation, but should be evenly distributed in 3 meals, to avoid eating too much fat in 1 meal.
3. Low cholesterol: most of the excess cholesterol is re-secreted in the bile, the bile cholesterol concentration increases, the daily intake of <300mg is appropriate, severe hypercholesterolemia should be controlled within 200mg. Prohibit the consumption of food containing high cholesterol, such as fatty meat, animal liver, kidney, brain and other offal, fish roe, crab roe, egg yolk and other foods.
4. Moderate amount of protein: daily supply of 50 ~ 70g, too much protein intake will increase bile secretion, affecting the recovery of diseased tissues; intake of too little is also not conducive to the repair of damaged biliary tissues. Should be given a moderate amount of high biological value of protein, such as soy products, fish and shrimp, lean meat, egg white and other foods.
5. Carbohydrate: 300~350g per day, in order to achieve the purpose of supplemental calories, increase liver glycogen, protect liver cells. Compound carbohydrate-based food should be supplied, appropriate restrictions on monosaccharide, such as sugar, glucose intake; combined with hyperlipidemia, coronary heart disease, obesity should be restricted.
6. supply rich vitamins: vitamin A has prevented gallstones, help bile duct epithelial growth and maintain the integrity of the bile duct to help repair the diseased bile duct, a large number of supplementation on the recovery of biliary tract disorders favorable. Other vitamins, such as vitamin C, vitamin E, B vitamins should also be adequate supply.
7. Food fiber: plant fiber can increase bile salt excretion, inhibit cholesterol absorption, reduce blood lipids, can make cholesterol metabolism normal, reduce the formation of gallstones. Food fiber is not only beneficial to the role of bile, and can stimulate intestinal peristalsis, beneficial to laxity, and promote the production of indole, fecal odorant and other harmful substances as soon as possible, to prevent cholecystitis attack. You can choose foods with high fiber content, such as green leafy vegetables, lor, beans, fruits, coarse grains; and mushrooms, fungus and other cholesterol-lowering foods.
8. Drink a lot of water: drink a lot of water and beverages, can dilute the bile, promote bile discharge, prevent bile stagnation, conducive to the recovery of biliary tract diseases, 1000 to 1500 ml per day is appropriate.
9. Small amount of meals: a small amount of food can reduce the burden on the digestive system, more meals can stimulate the bile secretion of the biliary tract, keep the bile ducts open, conducive to the drainage of inflammatory substances in the bile ducts, and contribute to the slowing down of the disease and the improvement of the disease.
10. Dietary contraindications: stimulating foods and strong seasonings, such as chili, curry, mustard, wine, coffee, etc.; fried and gas-producing foods, such as milk, onions, garlic, roo I, soybeans and so on. Pay attention to hygiene to prevent intestinal parasites and bacterial infections.