Treatment, Complications And Prevention Of Gallstones. The impact and development of gallstones varies for each person. Therefore, there is a feeling the symptoms and some were not. Step treatment will be customized to how big its effect on you.
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| Treatment, Complications And Prevention Of Gallstones |
The Initial Stages Of Gall Stones
Increased vigilance and monitoring on a regular basis often becomes the primary recommendations in dealing with this condition. If the gallstones do not cause any symptoms in your life, doctors usually do not recommend medical intervention.
But if you have other illnesses that could heighten the likelihood of complications, you are recommended to undergo treatment. The types of diseases that increase the risk of complications of gallstones are cirrhosis, portal hypertension, or diabetes (high blood pressure that occurs in the liver).
If you have gallstones, as well as a high level of calcium in the gallbladder, step treatment will be recommended. This is because the combination of gall stones and high calcium can cause cancer of the gallbladder if it is left.
Advanced Stages Of Gall Stones
The main symptoms of disease progression is the appearance of Biliary colic orabdominal pain. This type of treatment also depends on the severity of the symptoms:
- If you experience mild abdominal pain and rarely appear, your doctor will probably recommend the consumption of medications pain reliever (analgesic) and a healthy diet to control symptoms.
- If you experience stomach pain is great and often appeared, a doctor will usually recommend the procedure of appointment of the gallbladder.
Operating measures to tackle Gallstones
If the symptoms you are experiencing are very severe, the gallbladder may be should be removed through surgery. But you don't need to be afraid because the gallbladderdoes not include important organs that you must have to survive.
Laparoscopic cholecystectomy
Surgical removal of the gallbladder is the most common recommended through operation ' Keyhole ' or laparoscopic cholecystectomy. This operation is called operation ' Keyhole ' incisions are made because the size is very small, about 1 cm.This operation is performed with the application of total anesthesia, so you will be asleep during the procedure takes place so it won't feel sick. The period restoration is needed the patient is usually around 1-2 weeks.With an open incision cholecystectomy
This operation will be selected if gallstones can not be issued with operation ' Keyhole' or the patient's condition does not allow to undergo laparoscopic cholecystectomy.For example, because:
- Layout of the gallbladder patient is hard to reach.
- The patient's weight.
- Patients are on the last months of pregnancy.
After undergoing cholecystectomy with an open incision, patients need to stay in hospital for 5-6 days. The time required to recover a total of longer compared to the operations ' Keyhole ', which is about 1.5 months. But the level of effectiveness of the operation is the same as the operation of laparoscopic cholecystectomy.Endoscopic Retrograde Kolangiopankreatografi (Endoscopic RetrogradeCholangiopancreatography ERCP/).
Due to blockage of the bile duct stones can be treated by endoscopic retrogradekolangio pankreatografi procedure (endoscopic retrograde cholangiopancreatography ERCP/). This process can be done without lifting the gallbladder. This means even if the blockage has been handled, the stones in the gallbladder will still be there.ERCP is usually done with the application of local anesthesia and takes about 30-40 minutes. After undergoing the procedure, patients should generally stay one night in the hospital for monitoring.Ursodiol
Small-sized gallstones that do not contain calcium can be handled with ursodiol. The drug is able to dissolve gallstones. But the drug is rarely recommended for handle gallstones because:The low level of their effectiveness.
The patient should drink it for a long time (sometimes more than one year).Gallstones can re-emerge if consumption is stopped.Ursodiol is also not recommended for pregnant or lactating women. These drugs can also affect the effectiveness of birth control pills. Therefore, women users of birth control pills is recommended replacing them with security tools such as condoms if taking these drugs.In addition to treatment, ursodiol is also recommended to prevent the formation of gallstones for those at high risk.
The influence of Dietary
Changing eating patterns with just eating low-fat food can not cure gallstones, but keep your diet healthy and balanced can help us to maintain good health and reduce the pain of gallstones.
Complications Of Gallstones
Gallstones can cause a blockage in the bile duct or moving into the digestive system.This is what usually causes serious complications.
Acute Gallbladder Inflammation
Kolesistitis or acute inflammation of the gallbladder occurs when fluid builds up bile in the gallbladder because of gallstones exist that clog the tubes that fluid discharge.Symptoms in acute kolesistitis of which is a pain in the upper abdomen which radiates to the shoulder blades, high fever, as well as a rapid heartbeat.Antibiotics are generally used as first handling to overcome infections prior to surgical removal of the gallbladder done. The procedures used are usually the ' Keyhole '.Abscess gallbladder
PUs can sometimes appear in the gallbladder due to a severe infection. If this happens, the treatment with antibiotics is not enough and the pus will need to be sucked.Peritonitis
Peritonitis is an inflammation in the lining of the stomach known as the inner peritoneum. This complication occur due to rupture of the gallbladder that is experiencing severe inflammation. Responses include:
- Intravenous antibiotics.
- Surgery to remove part of the peritoneum which suffered severe damage.
Blockage Of The Bile Duct
Blockage of the bile duct stones by making the channel become vulnerable to infection-causing bacteria developing. This complication can generally be treated with antibiotics and kolangio pankreatografi procedures endoscopic retrograde (ERCP).Symptoms in this infection is pain in the upper abdomen which radiates to the shoulder blades, jaundice, fever, and a daze.Acute Pancreatitis
Acute pancreatitis is also one of the complications that can occur if gallstones out and clog the pancreatic duct. Inflammation of the pancreas causes pain on the middle part of the abdomen. This pain will grow worse and radiating to the back, especially after eating.In addition to abdominal pain, acute pancreatitis can also cause other symptoms.Among these are diarrhea, loss of appetite, vomiting, high fever, and jaundice.Humpback or curled position may help relieve the abdominal pain due to acute pancreatitis. This complication is not curable with specialized medical treatment.Purpose of handling only to sustain body functions until the inflammation subsides by itself. Hospital care generally takes approximately one week before the patient is discharged.Cancer Of The Gallbladder
Gallstone sufferers have a higher risk for developing cancer of the gallbladder.Nevertheless, the possibility of the occurrence is rare, even for people who are at high risk due to hereditary factors. Surgical removal of the gallbladder would be recommended to prevent cancer. Especially if you have a high calcium level in gallbladder. Symptoms of this cancer is almost the same with gallstone disease that include high fever, abdominal pain, and jaundice.
Prevention Of Gallstones
Change your diet and weight loss for those who are obese can help prevent the formation of gallstones.
Gall stones allegedly formed by the hardening of the cholesterol that is buried in the liquid bile. Therefore, we should implement a healthy diet and balanced and avoid the consumption of foods containing fat and kolestrol For example:
- Foods containing coconut milk such ketupat, and vegetable Compote.
- Oily foods like fried foods.
- Food made from the nuts such as Satay peanut sauce or gravy.
- Cake and snack chips.
Consuming too much alcohol can also increase your risk, so we recommend that you don't overdo it. The limits of consumption per day is recommended is 2-2.5 cans of beer for men and up to 2 cans of beer for females. A can of beer usually containing alcohol as much as 4.7 percent.
Overweight or obesity is one of the risk factors that can lead to complications of gallstones. Therefore, maintaining a healthy weight is important.
You are advised to avoid the strict diet that demands for consuming foods low in calories and fat only. Weight loss drastically in a short time can also heighten the risk of gallstone formation.
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