1, minimally invasive surgery
Minimally invasive gallbladder-preserving lithotomy (the best treatment method in western medicine at present) is the best treatment method in western medicine at present. This operation can save the gallbladder, but most patients may not be doctors, and they don't know that there are many kinds of gallstones: cholesterol gallstones, sediment gallstones, pigment gallstones and mixed gallstones.
Most stones are soft stones, which are not as hard as those in kidney calculi. There are also some stones, such as sediment-like gallstones, with fine particles. The general method of gallbladder-preserving stone removal can not completely clean the stones. Later, with the growth of living habits and time, stones recurred.
2. Lithotripsy
The main mechanism of gallstone formation is the change of physical and chemical composition of bile, the decrease of bile acid pool and the increase of cholesterol concentration. Through experiments, it was found that after taking chenodeoxycholic acid orally, the bile acid pool can enlarge the secretion of cholesterol in the liver, make the cholesterol in the gallbladder become unsaturated, and the gallstones in the gallbladder may dissolve and disappear. 1972, chenodeoxycholic acid was first used by Dan Jinger to successfully dissolve and disappear 4 cases of gallstones, but the drug has certain toxic reactions to the liver, such as the increase of alanine aminotransferase, and can stimulate the colon to cause diarrhea.
3, extracorporeal shock wave shock wave lithotripsy
1984, Lauerbwch first treated cholelithiasis (ESWL) with extracorporeal shock wave. EDAPLT-0 1 is a commonly used shock wave lithotriptor, which consists of 320 piezoelectric crystals embedded in a parabolic disk and emits shock waves synchronously, forming a gathering area with a width of 4mm and a length of 75 mm, and the sound pressure is 9× 107PZ. 25~2。 The impact frequency of 5 times per second is 65,438+0,000%, and the therapeutic power lasts for 60 ~ 75 minutes. In addition, B-mode ultrasound real-time imaging is used to locate stones and monitor the lithotripsy process.
4. Gallbladder-preserving lithotomy
Oral cholecystography before operation can confirm gallbladder function, and general anesthesia, epidural anesthesia and local anesthesia can be used. The incision is located below the right costal margin, and the gallbladder projection is about 2cm long, cutting to the abdomen; Observe the adhesion of gallbladder mucosa and its surroundings in abdominal cavity, and poke a small mouth about 1cm at the bottom of gallbladder to suck out all bile; Observe gallbladder mucosa with choledochoscope and take out stones; According to the situation of gallbladder, we decide whether to expand the cystic duct, and adopt the original "shell plastic surgery" method to change the position of gallbladder and bile drainage to prevent the recurrence of stones caused by cholestasis. Finally, the gallbladder incision and abdominal incision were sutured, and the operation was completed. After operation, magnetic levitation instrument was used for local physical therapy, and pulsating magnetic field was used to prevent the deposition of charged and iron-containing bile mud and prevent bile from flowing to form stones. According to the condition, drugs such as lowering blood lipid and cholesterol or ursodeoxycholic acid are taken when necessary to change the bile composition after operation and prevent the formation of gallstones.
5. Chicken is golden yellow.
Endothelium Gigeriae Galli can treat gallstones, but it depends on the patient's condition or his own situation. Some people are not suitable. Look at the size of stones, take some medicine to promote bile secretion, maybe small stones will come out together, big stones will not work, and it is easy to get stuck in the common bile duct, and the complications that cause stones in the later stage will be frequent and serious. If stones are found, reasonable treatment methods should be taken to completely excrete the stones, so as to avoid their deterioration and aggravation and increase the difficulty of later treatment.
6. Desmodium styracifolium.
Lysimachia christinae has squeezing and impacting effects on ureteral calculi, and promotes the discharge of ureteral calculi. Therefore, Lysimachia christinae can treat kidney calculi very well, because Lysimachia christinae has anti-inflammatory effect, which can only alleviate the temporary symptoms of stones, and can not fundamentally solve the problem, thus covering up the condition of stones and leading to further deterioration of stones.
Note: Long-term use of Lysimachia christinae can cause contact dermatitis and allergic reaction, and it is not suitable for long-term use.
7. extracorporeal lithotripsy
For gallstones, even if the larger stones are broken into small stones, they cannot be completely excreted. In addition, vibration wave lithotripsy has damage to liver tissue. It will only cause more serious physical harm to young people in the future, and it will not fundamentally solve the problem. Some patients with intrahepatic bile duct stones blindly perform extracorporeal lithotripsy, which leads to acute pancreatitis after the stones squeeze into the bile duct, and also leads to the mixing of stones and bile, which makes the bile sticky and difficult to secrete, leading to various other diseases in the kidney and liver.
8. Title of Natural Chinese Medicine Lithotripsy Method]
1. After expert diagnosis, prepare prophase drugs and the patient can take them home. The average patient is about 15- 18 days.
Function: it is detoxification (expelling toxins from blood and lymph), cleaning up the accumulation of congestion in gastrointestinal tract, and expelling garbage and toxins from intestinal system. Secondly, soften the stones, and then expand the hepatobiliary and common bile duct to prepare for the later stone removal.
2. Patients need to stay in our hospital for one night later. According to the condition and constitution, experts prepare drugs for taking stones on the spot. Under the guidance of experts, they take calculus-expelling drugs in different periods and doses. Drugs stimulate the liver to secrete a lot of bile, and the gallbladder expands and contracts regularly, squeezing stones from the bile duct and common bile duct in the liver into the gallbladder like toothpaste, and then discharging them from the gallbladder to the duodenum through the common bile duct and then discharging them in the form of stool.
9, preventive measures
1, diet control
Diet control is the most ideal method to prevent gallstones and gallbladder cancer. To prevent gallstones, we should pay attention to diet regulation, and the diet should be varied. In addition, cold, greasy, high-protein, irritating foods and spirits are easy to help damp heat and cholestasis, so we should eat less. Vegetables, fruits, fish and seafood rich in vitamin A and vitamin C are helpful for clearing gallbladder, promoting diuresis and dissolving stones, so you should eat more.
The diet of 267 patients with cholelithiasis and 600 healthy people were investigated and analyzed. The results show that the more sugar you eat, the higher the incidence of cholelithiasis. Therefore, to prevent the occurrence of gallstones, we must reduce blood sugar.
2. The law of life
Pay attention to the combination of work and rest, often participate in sports activities, eat breakfast on time, avoid getting fat, reduce the number of pregnancies and so on are also very important preventive measures. Keep a good mood and avoid impatience and anger. Build confidence in overcoming diseases. Attach importance to the position and role of three-part treatment and seven-part nutrition in the prevention and treatment of lithiasis. Mobilize the positive factors in the body, intervene by yourself and cooperate with the treatment. In order to achieve the purpose of prevention and treatment.
3. Preventive physical examination
If there are patients with gallstones at home, parents should pay attention to the relevant preventive physical examination. Check abdominal B-ultrasound and blood lipid regularly to find gallstones early and prevent them before they happen.
Matters needing attention in life prevention and treatment of gallstones should be "seven essentials" and "five taboos"
Seven elements:
First, eat more foods containing vitamin A, such as vegetables, carrots, tomatoes, cabbage and so on. Usually eat bananas, apples and other fruits.
Second, stir-fry with vegetable oil, and stew, stew and steam are the main dishes to eat.
Third, always eat lean meat, chicken, fish, walnuts, black fungus, kelp, seaweed and so on.
Fourth, we should eat more foods that can promote bile secretion and relax the muscles at the back of the biliary tract, such as hawthorn, ebony and corn silk.
Fifth, eat breakfast and don't be on an empty stomach for too long.
Sixth, exercise regularly to prevent constipation.
Seventh, we must lose weight.
Five taboos:
Avoid foods with high cholesterol, such as heart, liver, brain, intestine, egg yolk, preserved eggs, roe and chocolate.
Second, avoid high-fat foods, such as fat, lard, fried foods, oil cakes, etc., because too much fat will cause gallbladder contraction and cause pain.
Avoid eating and drinking during holidays or gatherings of relatives and friends. Because overeating will promote bile secretion, and the strong contraction of gallbladder will cause gallbladder inflammation and local colic.
Fourth, avoid spicy and stimulating condiments, such as pepper and pepper.
Five avoid smoking, alcohol, coffee, etc. These irritating foods can cause hyperacidity, intense gallbladder convergence, biliary sphincter spasm, difficulty in bile excretion, and easy to induce biliary colic.