Women should be wary of gallstone disease

Gallstones is a disease of the digestive tract due to stones in the gall can arise in the bile duct in the liver, in the bile duct or gallbladder, by the appearance of cholesterol or pigment stones and gravel. Gallstone disease is common in Vietnam.

Depending on the location of gravel composition of gravel that people divided into gravel path suite or gall; And depending on the composition of gravel which split up into gallstones cholesterol gallstones or bile pigment stones. Cholesterol gallstones due to cholesterol crystallization in room suite, when the concentration of cholesterol in bile salt concentrations are high, low security, the stagnant room suite and a number of other causes. Cholesterol stones are usually solitary, not stop x-rays and have pale color. Bile pigment stones are mainly calcium bilirubinate, gravel has a darker, often forming cloud of gravel, plagued many x-ray, formed when rising bilirubine, combined or not due to infection, parasitic way suite.

Previously, the disease gallstones is mainly gravel pigment suite, gravel is usually located in the liver and in the bile duct cause bile tract infection, gall left only under 10%. But today, the rate increased again compared with cholesterol stones and gravel and gall bile pigment back more and more, make up over 50% of cases of gallstones, perhaps due to nutrition and eating habits of the people we have changed more than before.

Gallstones is nothing more the small Bureau appears from suite has crystallized. The majority of no more than 2.5 cm in size, but also not rare cases only minor like grains of sand or equivalent results table.

Why does the disease mostly attacks women?

-All due to the female hormones. Estrogen increases the concentration of cholesterol in the bile, progesteron slow clearing the gallbladder. This sequel explains, why the probability of disease of women the same age decreases (compared with the trend of the disease). Before age 40, the incidence of gallstones in women (special risk increase when pregnant) was diagnosed nearly three times higher for men; After the age of 60 the probability fell sick in women rose insignificant. Hormone replacement therapy (estrogen) also increases the risk of disease, particularly in the case of hormones are added to the body in the form of drink instead of indirectly through adhesive tape (through the skin). Member of contraception also increased the risk of gallstones, appeared in the first ten years of use.

-Due to obesity: condition of the tissues in the body contain more fat also produces much more estrogen. That, when the risk is also increased in case of sudden lose weight because of efforts to reduce fat; by the poor energy menu hindered production mechanism suite-make for the process of precipitating cholesterol takes place faster. The situation appears gallstones following liposuction surgery or as small stomach to restrict appetite happened much: not rare patients require removal of gallbladder right when doing this technique.

-Due to diabetes or other diseases of Gallbladder function limit or slow the peristalsis-which even spinal cord injuries. In certain levels, gallstones also have genetic orientation.

Symptoms of gallstones

The majority of the audience were gallstones have precipitated knows. The gravel "quietly" does not cause any symptoms and are often accidentally detected in other consultations occasions-diagnosed by ultrasound or abdominal ultrasound.

Depending on the location of gravel that had the symptoms can vary. Often if the gravel in the liver or gallstones in the common bile duct is less symptoms, even if small, gravel does not cause the security rule will not signify anything, just as casually do ultrasound or electricity shooting the new Hepatology discovered gravel. But if the gravel to the usually have fairly preteen symptoms, which typically are pain, fever, jaundice (which medicine known as the Freemasons Charcot syndrome).

Pain: the typical case, the patient had abdominal pain, liver-specific: the sudden, intense pain in the lower right ribs, spread over the right shoulder or back pain, make sick people tossed, not breathing, accompanied by nausea or vomiting. When the pain just ache or severe lower right flank in the news, sometimes pain in epigastric region, spread up the chest. The pain usually occurs after a hearty meal or a meal.

Fever: when infection gall, sudden high fever may accompany the medium-run, but also when only mild fever 37.5 degrees-38 degrees Celsius, prolonged fever. If there is no infection, no fever.

Yellow skin: the skin and mucosa of the eyes due to the Gold rule, appeared when the gravel in the bile duct, hepatic duct or in the liver, depending on the level of principles or bold yellow-light gold that. If only gall alone does not cause yellowing of the skin.

Gastrointestinal disorders: abdominal, pepper-filled Slow expansion, fearing fat, constipation or diarrhea.

Visit the clinical examination: If your code will see the liver to the gallbladder, the bile, as many of the guidelines, to the liver as possible to. Gall did not cause the liver to. The diagnosis identified needs based on Tam testifying Charcot. The test can see increased blood leukemia, blood bilirubin increased when there are rules. Ultrasound, computer tomography and MRI are very valuable help diagnose gallstones. For gall, ultrasound is the least expensive method that has a high value in diagnosis.

The other cures

If the patient does not want to or cannot for other reasons surgery while the diameter large yet gallstones, one of the solution is to drink the ursodiol (trade name: Actigali, Urso) acid mixture, natural honey, drink 2-4 times a day, to help clean gravel. Types of medicines are also used for prevention purposes in order to prevent the risk of formation of gallstones for slimming object or lose weight because of other reasons. Should know, ursodiol has only the effect of melt gallstones ingredients from cholesterol and expected reaction usually appears after a few months.

The pill is often the doctor combined with lithotripsy-treatments make small, easy to scatter gravel digging more waste from the path with the help of ultrasonic waves.

Can limit the risk of appearing gallstones?

-Daily need to eat three balanced meals.

-Maintain the weight does not exceed the standard for ages

-Regular sporting exercise (walking) the minimum time of 30 minutes most days of the week.

The study was done in the framework of the project "the Nurses ' Health Study" also showed that the proportion of women apply daily menu rich in fiber were low type than gallstones confronting the same age.=