Gallstones (cholelithiasis) - formation of stones in the gall bladder and bile ducts.Gallstones cause its inflammation, up to a purulent cellulitis, and the stones of the bile ducts can cause clogging of the latter.
reasons for gallstone formation is not fully understood.According to one version, concretions formed from the concentrated bile in the background intact mucosa.This - the so-called primary cholelithiasis.Secondary is caused by the contrary, an inflammation of the mucous membrane lining the gallbladder.In this case, the inflamed mucosa provokes the concentration of bile salts, which are beginning to grow crystals of bile components as the pearl nacre is cluttered.
composition of gallstones is always heterogeneous, but they are divided into cholesterol, pigment, lime and mixed by the predominance of one component.Stones can be single and multiple.The diameter is also extremely diverse, from small pebbles, pea-sized to large, the size of an egg, fill
Gallstone disease in women occurs in several times more often than men.A common explanation of this fact is a violation of the outflow of bile during pregnancy.Also, cholelithiasis often diagnosed in older people and increased supply.The prevalence of the disease is associated with features of power, which is dominated by animal fat food.As proof of this version is a low percentage of morbidity in developing countries, with a primary power plant, or in Japan, a country with high seafood consumption.
is generally accepted that the disease is more common in overweight patients.Explanation of this fact two: either an increase in abdominal volume makes it difficult to drain bile or obese - just a consequence of excessive consumption of fatty animal foods.
Whatever the origin of gallbladder stones, disease progression usually quite the same way.Patients start to experience bouts of piercing pain in the right upper quadrant.Usually this is preceded by the recent eating fatty, fried and smoked food.Such attacks of pain called biliary (hepatic) colic.They are a sign of inflammation of the gallbladder wall, which begins to decline strongly in response to the receipt of certain products.
main component of bile are the bile acids that promote the digestion of fats.Therefore, a strong choleretic products include butter, lard, eggs and fatty meats.They may provoke attacks of biliary colic and as a result, the gallbladder inflammation.Therefore, the diet of patients with cholelithiasis exclude such products, including chocolate, soda, and some vegetables (dietary table №5).It should be remembered that the diet only helps to reduce the frequency and intensity of attacks of disease, but does not cure the main cause - gallstones.
cholelithiasis common complication is inflammation of the gallbladder (cholecystitis).Cholecystitis can go into severe, with the development of perforation of the gallbladder and jaundice in the abdominal cavity (peritonitis bile).This is a big help to single stones, pressing on the bladder wall and violate its blood supply (decubitus gall bladder).
Small stones are no less dangerous.They are able, together with the current of bile out of the bladder to the common bile duct and cause its blockage.Full breach outflow of bile is not only the overflow of the gall bladder, but also a significant increase in pressure in the liver bile ducts.Bile components get into the bloodstream, causing the phenomenon of jaundice.This jaundice is called mechanical.It is dangerous development of general intoxication developmental failure of internal organs.Mechanical jaundice is an indication for urgent surgery.
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