Fat women's cholelithiasis takes place high over 40 Cholelithiasis

Fat women's cholelithiasis takes place high over 40 Cholelithiasis can bring out bile duct cancer
14:39 on May 19, 2010

According to the introduction of a Dongming of Tianjin professional group's chief physician of general other liver and gall of first central hospital, cholelithiasis is a world-wide common disease. In the natural crowd in our country, the morbidity of cholelithiasis reaches about 10%. Women patient meet more, especially fatter women, men and women than about 1: 2. Cholelithiasis happened when being in different positions of the biliary tract, its symptom is not all the same. Can be divided into bile duct calculus in bile duct calculus and liver outside the gallbladder calculus, liver.

Generally speaking, middle-aged and elderly people over the 40, especially fat women cholelithiasis high to take place crowd. Bear, can change the intersection of women and secretion of hormone, women the secretion of estrogen comparatively can change to some extent behind 40 year old, will influence normal activity of gallbladder, make the intersection of women and gallbladder empty, shrink ability to be worse than man. The amount that estrogen secretes influences the composition of the bile, there is slight gallbladder function of silt, once the liver secretes bile acid to reduce, will increase the possibility that calculus forms. If women are fat and will aggravate the forming of calculus, because fat most persons have hyperlipemia, and in the fat of blood is mainly cholesterol and triglyceride. Cholesterol keeps dissolving the state in the normal people's bile, this kind of state is because have gallbladder acid salt of enough quantity in the bile and the lecithin exist. They exist with certain proportionate relationship, make cholesterol of its maintenance equilibrium not deposit, it is just not apt to form calculus. Make the equilibrium destroy for a certain reason, cholesterol increase and bile salt, lecithin reduce, cholesterol will have formed the group piece in the bile gradually, form cholesterol calculus.

The treatment of cholelithiasis lies in relieving symptom, reduce and recur, fetch net calculus, avoid the emergence of complication. Treatment of cholelithiasis acute to break out issue adopt, resist inflammation, normalize the secretion and discharge of bile, perform the operation treatment generally; If is serious and not performing the operation and failing to respond to any medical treatment, should consider the surgery treatment. Generally speaking, if not break out repeatedly, doctors do not propose the operation, to patient that break out often, repeatedly, had better perform the operation treatment. It is most what has been can adopt a little, create cholelithiasised surgery treatment,including in cut to last stone skill mirror duodenum papilla sphincter, peritoneoscope gallbladder excise skill, the intersection of gallbladder and person in over-all charge, fetch the intersection of stone and skill and the intersection of biliary tract and mirror, fetch the intersection of stone and skill,etc.. Create operation, have the intersection of wound and little, resume fast, hospital stays advantage such as being short a little.

Cholelithiasis is a bile duct ' Gallbladder) Causing the cause of disease to be plain of cancer, nearly 1/3 of the bile duct cancer patients amalgamate bile duct calculus, the tumour morbidity of bile duct is about 2%~15% in the liver in the case of bile duct calculus in the liver, the canceration takes place including the calculus bile duct. If the easy kindling bile duct cancer while causing the biliary tract to be infected with, appeared symptoms such as inflammation, jaundice,etc. repeatedly that cholelithiasis breaks out repeatedly. So had better perform the operation to find cholelithiasis of serious repeated outbreak early, avoid the emergence of bile duct cancer. Why cholelithiasis and easy kindling bile duct cancer? This is because recurrent inflammation, calculus, parasite,etc. rub function in the gallbladder for a long time in the gallbladder, it is apt to bring about the canceration in cell in the gallbladder.

Bile duct cancer means that takes place and in charge of bile duct malignant tumour outside the liver of the underpart of person in over-all charge of gallbladder of converging department in the left and right liver originally. Onset mostly 50- 70 years old, light in the coming year in recent years take at age the trend is obvious. The morbidity of bile duct cancer of our country is rare than digestive tract other tumour and tumours such as intestines and stomach, liver, but the prognosis is relatively bad. Palliative treatment or treat on average surviving several monthing, exceed one year seldom. Seldom exceeds five years even if the operation excises the case. So the prevention and cure and diagnosing in early days, treating in early days it is the key to curing this disease of bile duct cancer.

Cholelithiasis can bring out cancer, take place, can the interference misleads doctor's diagnosis to cancer. Many patients check bile duct cancer out early through the regular physical examination now, or physical examination find, still have a lot of patient in the intersection of cancer and middle and later periods because of appear pain symptom find suffering from cancer in front of the operation through calculus. It is simple calculus that the patient even having it regards calculus that a cancer amalgamates of the bile duct as by mistake, long-term pairs of the intersection of appetite and bad, upper abdomen secret anguish,etc. obvious early symptom stomach trouble by mistake, just delay finding cancer. The early clinical manifestation of bile duct cancer, mainly in order that with uncomfortable developing jaundice of the upper abdomen, losing the appetite, becoming thin, pruritus,etc.. Cholelithiasis and biliary tract are infected such as amalgamating, can be chilly and generating heat etc.. In charge of cancerous swelling such as lying in liver of one side, begin to often have no symptom, when influencing until the liver of offside is in charge of opening, just present obstructive jaundice. Cancer of middle part of the bile duct does not and infect with the gall stone, are mostly painless and blocking and developing faster jaundice. If is underpart tumour of person in over-all charge of the gallbladder, can touch the swelling gallbladder. For instance tumour is broken and bled routedly, there can be black or stool occult blood test masculine gender, anaemia,etc. and behave. Calculus will probably obscure a doctor and make a diagnosis and give treatment, will let it point out misunderstanding to some cancer early symptoms, so the high-risk group give protection against cancer and defend cholelithiasis at the same time imperatively.

A director reminds: 1, The person above middle age, especially fat women, should carry on Ultrasonography B inspection regularly, find that there are cholecystitis, cholelithiasis or polyp,etc., should further check and treat even more.

2,Pathological change before treating cancer actively, stopping as soon as possible may cause the inducement of the canceration. For instance eat the food with rich lipoprotein, get drunk.

3,The medical history of suffering from cholelithiasis and breaking out repeatedly for a long time over 40, with the middle-aged and elderly people of symptoms such as inflammation, jaundice,etc. at the same time, must go to the hospital to check regularly, in order to find the condition early, have inclination of canceration.
Fat women's cholelithiasis takes place high over 40 Cholelithiasis can bring out bile duct cancer