Lecithin capsule, the "digestive army" of gallstones: breaks down and absorbs cholesterol, liquefies cholesterol in bile, and prevents and dissolves gallstones.
The treatment and prevention of gallstones can be achieved through medication (dissolving stones), surgery (removing stones), or dietary therapy (controlling the formation of gallstones) as well as the latest ultrasonic shock method of removing stones.
Basically, if there are no conscious symptoms and there is no major health concern, surgical treatment should not be considered, but if there are complications or if the situation is serious, the gallbladder should be removed to avoid jeopardizing the health of the patient. The gallbladder should be removed to avoid a life-threatening situation.
Nationals are eating better and better, making it easier to get gallstones without realizing it. People should pay attention to their daily diet, limit their intake of animal fats and maintain their weight. More importantly, they should have regular health checkups. Gallbladder radiography is the most useful way to diagnose gallstones. Currently, abdominal ultrasound is the most commonly used and painless method, utilizing the echo-reflection of the sound waves to determine if there are any stones for the purpose of early treatment.
Since gallstones are closely related to physical fitness and diet, it is important to be aware that you are at high risk of developing them or are a fan of the Westernized diet. If you are at high risk of developing gallstones or are a fan of a westernized diet, you need to be vigilant when you experience symptoms. The way to deal with gallstones on a daily basis Diligent self-examination of daily life patterns is the first step to good health.
Please pay attention to the following lifestyle guidelines:
1. Maintain an ideal body weight.
2. Maintain the habit of exercising.
3. Eat a safe and hygienic diet that is regular and regular.
4. Absolutely prohibit overeating.
5. Avoid sitting for long periods of time.
6. Avoid excessive fatigue.
7. Do not wear tight clothing that is constricting to the chest and abdomen.
8. Treat constipation if it occurs.
Dietary treatment for gallstones
1. Consume high-fiber foods, such as vegetables, fruits, and whole grains.
2. Limit the intake of cholesterol. Never eat offal, egg yolks and other cholesterol-rich foods.
3. Take vitamin K supplements such as spinach, cauliflower, etc. which are rich in it.
4. Avoid foods that produce gas, such as potatoes, sweet potatoes, beans, onions, radishes, soda drinks, and acidic juices, coffee, cocoa, etc.
5.
5. Milk is limited to skimmed milk.
6. Eat more yellow-green vegetables rich in vitamin A.
7. Cook food with less frying and deep-frying and more boiling, stewing and steaming.
8. Avoid fatty soups and mayonnaise.
9. Try to be light in flavor and moderate in seasoning.
10. Avoid processed foods and foods high in sugar.
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Oral medication for gallbladder stone lithotripsy
In 1937, Newurdge first successfully
treated two patients with gallstones using an oral mixture of bile acids, setting a precedent for oral medication for lithotripsy. In 1971, Thlstle et al. found that oral administration of choledocholic deoxycholic acid (CDCA) lowered cholesterol saturation in bile of patients with gallstones. Later, Sugata found that the stone-dissolving effect of ursodeoxycholic acid (UD2
CA) was as good as that of CDCA, with few side effects, and it was soon used worldwide. In 1979, Bell and Doran used cyclic monoparticles such as menthol and menthyl ketone in the treatment of CS patients, and obtained good
effects.
Effective, since then many countries have carried out a large number of studies on the mechanism of stone dissolution and stone dissolving effect
. Studies have shown that the clinical effect of CDCA alone is unsatisfactory, the hepatobiliary acid caused by CD2
CA under the action of intestinal bacteria is hepatotoxic, and the long-term use of
3 % CDCA has the potential to form atherosclerotic lipid metabolism changes (3).
Currently, oral lithotripsy is unsatisfactory because of the long duration of oral lithotripsy,
high cost, poor efficacy, the occurrence of various toxic reactions in patients during the treatment process, and
higher recurrence rate.
3. Instillation of medication for lithotripsy
As early as 1891, Walker used ether for lithotripsy in the human body, but it was not widely accepted due to the fact that the boiling point of ether was lower than the body temperature, and the high pressure generated by the vaporization of ether into the human body caused severe abdominal pain in the treated patients. In recent years, due to the rapid development of imaging technology in the field of
medicine, percutaneous placement of the gallbladder and bile ducts has become more feasible, and the characterization and localization of stones has become more accurate, providing the necessary preconditions for the injection of drugs to dissolve the stones.
The use of ether in the treatment of gallstones is not widely accepted, but it is used to treat patients with severe abdominal pain. According to the different types of gallstones, the treatment of injected drug lithotripsy can be divided into:
(1) Lithotripsy for cholesterol stones Hofann's group found in 1979 that monooctyl alcohol (Mo) is a good cholesterol solubilizing agent, and the degree of cholesterol solubility is 12g/100ml, which is a kind of semi-synthetic vegetable oil, after entering the intestines, it can be used by
the cholesterol solubilizing agent, and the cholesterol solubilization degree is 12g/100ml. It is a semi-synthetic vegetable oil, which is decomposed into glycerol and octanoic acid after entering the intestine. Animal experiments have shown that the toxicity of the latter is manifested in localized
irritation, causing mild or severe inflammation of the gallbladder and bile ducts as well as gastrointestinal mucous membranes, and mucosal ulceration, etc. (4). Since then, many gallstone researchers have conducted in-depth studies on Mo. Clinical results have shown that the experience with Mo is that it is necessary to have CS without
calcification, to maximize bile suction in the bile ducts, and to increase the agitation of the medication by circulating perfusion; however, the efficacy of the treatment is
generic and there are complications.
(2) The lithotripsy of bile pigment stones Due to the structural characteristics of bile pigment stones as a polymer
complex, there is no good dissolving agent, and most of the calcium complexing agents used in the clinical and
experimental studies. The main ones are sodium edetate (Na
- ED TA), sodium hexametaphosphate (Na - HM P), and dlmonene (D - Llmonene) D
- L. There are no new reports on the treatment of gallstones in the past few years.
The future lies in the discovery of a new solvent that can dissolve stones of various properties without major side effects.
4. Traditional Chinese medicine treatment of gallstones
In recent years, the treatment of gallstones with traditional Chinese medicine has achieved promising results. The treatment of gallstones with traditional Chinese medicine is based on liver and choleretic therapy, stone dissolution, qi movement and pain relief. Wang Ling (5) used
Both internal and external treatment method to treat cholecystitis gallstone disease, the formula consists of Chaihu, Huzhi, Weiling
xien, Citrus aurantium, chicken Neijin 15g, Yu Jin, rhubarb, Hou Pu 9g, Qian Cao, Rehmannia
root 30g. 1 dose per day, the severe cases of the day 2 doses. Results, 98 cases were cured 28 cases
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Treatment of gallstones
Gallstones with discomfort and pain in the right upper abdomen as the main symptom is a common disease in middle-aged and old people. As age increases, the incidence rate also increases, due to the formation of stones and the existence of different parts of the clinic is often divided into gallbladder stones, choledocholithiasis and hepatic bile duct stones, these parts of the stones are often coexisting with biliary tract infections, and each other as a cause and effect, how to choose the best treatment plan, it is important to fully understand the condition through the clinical diagnosis and physical examination to make an accurate diagnosis, to determine the location of the gallstones, size and number, and then select the best treatment plan. The most important thing is to understand the condition through clinical diagnosis and physical examination, make an accurate diagnosis, determine the location, size and number of gallstones, and then choose different treatment programs for different situations.
There are two ways to treat gallstone disease, one is surgical treatment to remove the diseased gallbladder and take out the stones, the other is non-surgical treatment, that is, the use of Chinese and Western medicine symptomatic treatment, extracorporeal shock wave lithotripsy, lithotripsy and other therapies, both therapies have their own advantages and disadvantages.
Surgery is an important treatment for cholelithiasis, but it is necessary to strictly control the indications for surgery, when cholelithiasis patients clinically severe obstruction, infection and jaundice, toxic shock and hepatic complications, or biliary obstruction, infection, long-term recurrence of non-surgical treatment is ineffective, surgical treatment can be considered. In addition, some patients with large gallbladder stones, frequent attacks, or repeated bile duct infections due to stones, suspected of liver damage, the principle of treatment is to remove the stones as soon as possible surgery to remove the diseased gallbladder.
There are many non-surgical means of treatment, such as traditional Chinese medicine, acupuncture, oral lithotropic drugs, extracorporeal shockwave lithotripsy, etc. The stone-discharging soup composed of traditional Chinese medicines such as qiancigao, yingcheng, rhubarb and the stimulation of bile secretion and the adjustment of bile duct diastolic activity through auricular needling have achieved the effect of stone-discharging in a part of the patients, but this method can not make the majority of the patients discharged the stones, and if the stones are large and hard, it is very difficult to discharge them in the gallbladder. If the stone is large and hard, it is very difficult to discharge, in the gallbladder stone due to the gallbladder duct is thin, the effect of stone discharge is not ideal, so clinicians believe that the diameter of the bile duct stone is greater than 1.5 centimeters, gallbladder stone is greater than 0.5 centimeters, is generally not suitable for non-surgical treatment.
A lot of scholars at home and abroad are studying in depth about the therapy of taking medicine to dissolve stones, foreign countries have used oral ursodeoxycholic acid, in some patients achieved the effect of dissolving cholesterol stones, so this drug has been famous for a while, but from the clinical observation of its effect, the drug to take a long period of time, the side effects are obvious, there are diarrhea, liver function is impaired, such as adverse reactions, and the effectiveness of the clinical treatment is only 20%. Therefore, at present, there is a lack of ideal drugs for lithotripsy.