(1) During the acute attack of cholecystitis, people should not eat fried and fried food, eggs, broth and alcohol. Diet should be limited to low-fat, low-protein, a small amount of digestible liquid food or semi-liquid food, and a small amount of fat and protein food, such as lean meat, fish, eggs, milk, fruits and fresh vegetables, can be gradually added as symptoms subside.

(2) Patients with chronic cholecystitis should give priority to light and digestible food on weekdays and drink plenty of water (1500 ~ 2000ml) to dilute bile. Take/kloc-0 every 2 ~ 3 hours to stimulate bile secretion. Eat 50g of digestible protein every day. Don't eat animal brains, kidneys, egg yolks, fried foods and spicy products.

(3) Patients with cholecystitis and gallstones should eat regularly and quantitatively, eat less and eat more meals, and should not be too full. In the diet structure, strictly control fat and cholesterol-containing foods, such as fat, fried food, animal offal and so on. Because the formation of gallstones has a certain relationship with high cholesterol and metabolic disorder in the body. Don't drink, don't eat spicy food, eat more radish, vegetables, beans, soy milk and other non-staple foods. Radish is beneficial to gallbladder function and can help the digestion and absorption of fat; Green vegetables contain a lot of vitamins and cellulose; Beans are rich in plant protein. In addition, some fruits and juices should be added to make up for the loss of body fluids and vitamins caused by inflammation.

(4) Patients with cholecystitis and gallstones should generally eat a low-fat and low-cholesterol diet. Fat meat, fried food, fatty dried fruit, nut food and egg yolk, animal brain, liver, kidney and roe should be strictly controlled. Usually, the diet should be easy to digest, contain less dregs and avoid gas production. All alcohol, irritating food and pungent spices will promote gallbladder contraction, make the biliary sphincter not relax in time, and make bile flow out, thus causing acute cholecystitis, which should be avoided. Acute attack should be given low-fat, digestible semi-liquid food or liquid food; Severe cases should be fasted, gastrointestinal decompression and intravenous rehydration.

Cholecystitis is common in middle-aged people.

Cholecystitis is a common surgical acute abdomen, and its incidence is second only to acute appendicitis. It usually happens to middle-aged people. In medical theory, cholecystitis can be divided into acute and chronic, but in fact, most of them are chronic. In the first few times, the symptoms were mild and the pain was not too severe. They are often mistaken for stomach problems and are not noticed. Then the lesion became more and more serious. Under some inducement, it suddenly manifested as an acute attack, and the right side of the upper abdomen was violently convulsed, so I didn't dare to stand up straight, so I had to protect my abdomen with my hands, and I didn't dare to touch it, even rolling and shouting in pain.

Why does cholecystitis often occur in middle-aged people? This has to start with the cause of cholecystitis. Gallbladder, commonly known as gallbladder, is shaped like a pear and is an organ for storing and concentrating bile. After eating, people make the gallbladder contract through nerve reflex, and bile flows into the duodenum through the biliary tract to promote the digestion and absorption of fat. If the body is too obese, or there are metabolic disorders, neuroendocrine disorders, gallstones and so on. Bile will not easily flow out of the gallbladder and stay in the gallbladder, and the water in bile will be gradually absorbed, which will increase the concentration of bile salts, thus stimulating inflammation of gallbladder mucosa. It was sterile at first, and then bacteria took the opportunity to invade, changing from aseptic cholecystitis to infectious cholecystitis.

Some middle-aged people over 40 years old, due to changes in working environment and lifestyle, often have different degrees of neuroregulation and metabolic disorders, which affect the normal contraction and relaxation of the gallbladder and make bile excretion not smooth, especially for middle-aged people who are getting fat gradually, because of the disorder of fat metabolism, it is easier to stimulate the gallbladder to contract strongly. If there is infection, indigestion and stone formation at the same time, cholecystitis is more likely to be induced. Middle-aged women before menopause, because of endocrine changes, often affect the secretion and regulation of bile, so the chance of cholecystitis is more than that of men of the same age.

The prevention and treatment of cholecystitis mainly includes:

1. It is necessary to do some physical activities regularly to activate the whole body metabolism, especially for middle-aged people who always sit still when they are engaged in mental work and work, and consciously do more physical labor to prevent obesity, because obesity is an important cause of cholecystitis or gallstones.

2. Pay attention to food hygiene and avoid overeating and moderately greasy food. Because after eating greasy food, the gallbladder will contract reflexively, and once it contracts too hard, it will lead to an acute attack of biliary colic.

3. Pay attention to keep warm after the autumn is cool, especially when sleeping, cover the quilt to prevent the abdomen from getting cold, because the stomach will stimulate the vagus nerve and make the gallbladder contract strongly.

4. People who have been confirmed to have gallstones or intestinal parasitic diseases should be treated in time to avoid gallbladder inflammation. 5. If the attack is frequent and the symptoms are serious, which obviously affects life and work, and conservative treatment such as cholagogic drugs is ineffective, surgical treatment should be considered.

Health care of cholecystitis

1. The main causes of cholecystitis and cholelithiasis in China are related to intestinal parasitic diseases and intestinal infections. Ascaris can ascend into the biliary tract, causing biliary inflammation. Ascaris residue and ascaris eggs can become the "core" and form stones. Intestinal infection can be retrograde, leading to biliary tract infection and gallbladder inflammation. Prevention and treatment of these two diseases can significantly reduce the incidence of this disease.

2. Emotional disorder and hepatobiliary dystrophy can lead to obstruction of bile excretion. Maintaining an optimistic mood and an open mind is an important part of preventing this disease and reducing its recurrence.

Pay attention to food hygiene and drink mineral water or magnetized water properly. Mineral water containing magnesium sulfate, sodium sulfate and sodium bicarbonate is preferred. After drinking, it can make gallbladder contract and promote bile excretion. Drink plenty of water at ordinary times, and the daily water consumption should be above 1500ml. Eat moderately and avoid overeating. Strictly control fat and foods rich in cholesterol, such as animal brains, internal organs, fish eggs, egg yolks, etc. Diet should choose light and digestible foods with high carbohydrate, low fat and multi-vitamins, eat more non-staple foods such as radishes, vegetables and beans, eat more fresh fruits, eat less spicy and fried foods, abstain from alcohol and avoid cold and unclean foods.

4. For sedentary people, we should pay attention to outdoor activities, and choose aerobic, running, walking, Tai Ji Chuan, Qigong and other sports. Advocating abdominal breathing can play a rhythmic "massage" role in gallbladder, pancreas and stomach, making the liver and gallbladder unobstructed.

The doctor tells you how to maintain and recuperate.

1. Bile is the main substance that helps fat digestion and absorption. Cholecystitis patients have poor bile secretion, so it is difficult to absorb fat. Patients should be vegetarian with high protein and vitamins, and try to avoid a high-fat diet.

2. Live a regular life, keep a happy mood, avoid overwork, don't overeat, eat less greasy food and eliminate inducing factors. Do more regular activities, regulate meridian qi and blood, so as to facilitate biliary tract dredging and reduce acute attacks.

Diet therapy for cholecystitis

Biliary diseases are closely related to diet, so dietotherapy is of great significance.

Liquid foods with low fat and high carbohydrate can be given, such as lotus root starch, rice soup, fruit water, vegetable water and honey water. Eat less and eat more; Animal brain, liver, kidney, egg yolk, fish eggs, etc. Are forbidden, and there is no need for fried food and fat. Avoid alcohol, strong tea, coffee and vegetables and fruits with high crude cellulose.

Dietary treatment of cholecystitis

Dietotherapy purpose

By controlling the amount of dietary fat and cholesterol, supplemented by high carbon hydrate. Provide sufficient nutrition, maintain the body's heat demand, eliminate factors that promote the formation of gallstones and cause pain, reduce incentives and increase the body's resistance.

Second, diet treatment measures

(1) acute phase

Fasting should be done during acute attack, so that the gallbladder can be fully rested and the pain can be relieved. Supplemented by veins. However, drinking more water and paying attention to supplementing sodium and potassium salts in drinks can be beneficial to the treatment of diseases. After the pain is relieved, gradually adjust the diet according to the condition, and give a light liquid diet or a low-fat and low-cholesterol high-carbon hydrate liquid diet, such as rice soup, lotus root starch, soybean milk and other foods. After the condition improves, you can give a low-fat semi-liquid diet or a soft food with low fat and low residue.

chronic phase

1. heat energy: supply normal or slightly lower heat energy, about 8.37 MJ (2000 kcal) /d, and obese people should limit heat energy.

2. Low fat: Foods containing more fat can promote the secretion of cholecystokinin and make the gallbladder contract. Cholecystitis, bile secretion disorder, fat digestion and absorption are also affected. Fat may induce gallbladder pain. Therefore, it is necessary to strictly limit the intake of fat, and

3. Low cholesterol: most of the excess cholesterol is re-secreted into bile, and the concentration of bile cholesterol is increased, and the daily intake is

4. protein dosage: 50 ~ 70g per day. Excessive intake of protein will increase bile secretion and affect the recovery of diseased tissues; Too little intake is not conducive to the repair of damaged biliary tract tissue. Protein, such as bean products, fish and shrimp, lean meat, egg white and other foods, should be given in moderation.

5. Carbohydrate: 300 ~ 350 g per day, to achieve the purpose of supplementing heat energy, increasing liver glycogen and protecting liver cells. We should supply foods mainly containing complex carbohydrates, and appropriately limit the intake of monosaccharides, such as sugar and glucose. It should be limited to people with hyperlipidemia, coronary heart disease and obesity.

6. Supplementing rich vitamins: Vitamin A can prevent gallstones, help bile duct epithelium grow and maintain integrity, help repair diseased biliary tract, and a large amount of supplementation is conducive to the recovery of biliary tract diseases. Other vitamins, such as vitamin C, vitamin E and B vitamins, should also be fully supplemented.

7. Dietary fiber: Plant fiber can increase bile salt excretion, inhibit cholesterol absorption, reduce blood lipid, make cholesterol metabolism normal, and reduce the chance of gallstones. Dietary fiber is not only beneficial to gallbladder function, but also can stimulate intestinal peristalsis, promote defecation, promote the excretion of harmful substances such as indole and fecal odor produced in the intestine as soon as possible, and prevent cholecystitis. Choose foods with high dietary fiber, such as green leafy vegetables, radishes, beans, fruits, coarse grains, etc. And foods with cholesterol-lowering effects such as mushrooms and fungus.

8. Drink plenty of water: Drink plenty of water and drinks, which can dilute bile, promote bile discharge, prevent cholestasis, and be conducive to the recovery of biliary diseases. It is advisable to take 1000 ~ 1500 ml every day.

9. A small amount of meals: a small amount of meals can reduce the burden on the digestive system, and multiple meals can stimulate bile secretion in the biliary tract, keep the biliary tract unblocked, facilitate the discharge of inflammatory substances in the biliary tract, and promote the slowdown and improvement of the disease.

10. Dietary taboos: spicy food and strong condiments, such as pepper, curry, mustard, wine and coffee. Fried and gas-producing foods, such as milk, onions, garlic sprouts, radishes, soybeans, etc. Pay attention to hygiene to prevent intestinal parasites and bacterial infections.