Friday, September 12, 2008

What is a gallstone and cholelithiasis

Cholelithiasis: Cholelithiasis-a common disease in China, the trend in recent years has increased year by year. The stone contained in the composition, divided into three categories: cholesterol stones, gall stones pigment, mixed stone, with cholesterol stones most common. According to the site of points can be divided into gallstones, liver, bile duct stone and hepatolithiasis, gallstones account for 50 percent of all the stones around. Gallstones: When gallstone began to take shape, often no obvious symptoms, sometimes only minor abdominal distention, abdominal pain symptoms, and so on. After symptoms appear, depending on the stone size, location, whether the obstruction, inflammation and availability vary. Thus, many patients with symptoms of abdominal pain will suddenly found gallstones. The largest single cholesterol stones in the gallbladder, not in incarcerated, life can be asymptomatic. Pear similar to the shape of the gallbladder, bile duct and part of the same narrow, gallbladder stones in the gallbladder from the process, there may be impeded. Once gallstone stuck in the gallbladder neck, can lead to increased pressure on the capsule, plus the bile acids stimulate gallbladder mucosa, gallbladder inflammation, caused acute cholecystitis, there was a series of clinical symptoms. The most common symptom is pain, that is said in Biliary Colic, pain for the right upper quadrant of the paroxysmal colic, and sometimes the right Shoulder pain will radiation. At the same time oil right upper quadrant tenderness, swelling can sometimes touch the gallbladder. Gallstone rely mainly on the diagnosis of B-ultrasound examination, but it is worth noting that, sometimes by the time the condition of patients, not very accurate judgement to stone the size, but also to check the experience different, measured the size of stones And the number will be different. For no symptoms of gallstones, from time to conduct the general cholecystectomy, but if the symptoms, they should timely treatment, most commonly used method is surgical excision of gallbladder disease. But sometimes patients in critical condition and should not be prolonged surgery, gallbladder optional stoma wood, that condition will improve after cholecystectomy. Sometimes in special conditions, in addition to removal of the gallbladder, bile duct needs further exploration as to whether there are stones. If the patient's condition stable, non-pain symptoms, but also to the use of antibiotics and spasm drugs (such as atropine, 654 - II, etc.) treatment. For the elderly, or can not tolerate surgery patients, and may consider Rongdan therapy combining traditional Chinese and western medicine treatment, but the efficacy of these drugs is not good.