Static stone

Introduction Static stones are relative to symptomatic active stones. They refer to gallstones that have not been pained or have been relieved after treatment. They should be related to irregular diet and low drinking water. Many women, especially middle-aged women, often spend more time at home, less exercise and physical labor, and their contractile force of the gallbladder muscles will inevitably decline over time. The bile is delayed, which may cause cholestasis and cholesterol crystals to form gallstones. Created conditions. In addition, due to the high level of estrogen in the female body, it will affect the formation of glucuronide in the liver, which will increase the unconjugated bilirubin, and estrogen will affect the emptying of the gallbladder, causing stasis and stagnation, and promoting the formation of stones.

Cause

1. Hi quiet and less movement: Many women, especially middle-aged women, often spend more time at home, less exercise and physical labor, and their contractile force of the gallbladder muscle will inevitably decline over time, and bile emptying is delayed, which is easy to cause cholestasis, cholesterol. Crystallization precipitates and creates conditions for the formation of gallstones. In addition, due to the high level of estrogen in the female body, it will affect the formation of glucuronide in the liver, which will increase the unconjugated bilirubin, and estrogen will affect the emptying of the gallbladder, causing stasis and stagnation, and promoting the formation of stones. After estrogen use in postmenopausal, the incidence of gallstones increased significantly.

2. Constitutional obesity: Many women usually eat high-fat, high-sugar, high-cholesterol drinks or snacks. The direct result of this hobby is the body's blessing, and obesity is an important basis for gallstones. Studies have shown that people who weigh more than 15% of normal standards have a five-fold higher incidence of gallstones than normal. Women over the age of 40 are the highest-rising group of gallstones. At this time, female estrogen causes cholesterol to accumulate more in the bile.

3. Do not eat breakfast: Modern women do not eat breakfast more than eat breakfast, and long-term not eating breakfast will increase the concentration of bile, which is conducive to bacterial reproduction and easy to promote the formation of gallstones. If you insist on eating breakfast, it can promote part of the bile outflow, reduce the viscosity of bile stored overnight, and reduce the risk of gallstones. 4. Multiple pregnancies. During pregnancy, biliary tract function is prone to disorder, resulting in weak muscle contraction, retention of bile in the gallbladder, and relatively high blood cholesterol during pregnancy, which is prone to sedimentation. The chance of forming gallstones is greatly increased, while the incidence of prolific women is increased. higher.

5. After-meal snacks: Nowadays, many families in our country can see such a situation. After eating dinner, the family sits leisurely on the sofa and chats while watching TV while eating snacks. This habit of sitting and eating snacks after a meal may be one of the reasons for the high incidence of gallstones in China. When the person is in a distorted position, the intra-abdominal pressure increases, the gastrointestinal motility is restricted, which is not conducive to digestion and absorption of food and bile excretion. Sedentary after meals hinders the reabsorption of bile acids, causing cholesterol and bile acid in bile. The ratio is out of balance and cholesterol is easily deposited.

an examination

Related inspection

Venous cholangiography cholangiography choledochoscopy

Diagnosis relies mainly on auxiliary inspection. B-ultrasound can correctly diagnose gallstones, showing the light in the gallbladder and the sound shadow behind it. The diagnostic accuracy is up to 95%. Oral gallbladder angiography can show the shadow of stones in the gallbladder. In gallbladder bile (ie, beta bile) obtained in duodenal drainage, cholestasis or cholesterol crystals are found to aid diagnosis. As well as urine routine, blood routine examinations.

Differential diagnosis

Excretion of stones: Kidney stones fall into the ureter, causing urinary tract obstruction and colic. Most stones less than 4mm are automatically expelled after 1 month of symptoms. Stones larger than 8mm are hardly discharged automatically. More than half of the stones larger than 6mm will not be automatically discharged.

Hyperoxaluria: Primary hyperoxaluria is a rare hereditary disease. There are two clinical types, type I and type II hyperoxaluria, which are autosomal recessive.

Bilirubin Calcium Stone: The main component of bilirubin calcium stone contains a small amount of calcium salt and organic matter (bacteria, eggs or epithelial cells) in addition to bilirubin. Stones can be found in the common bile duct, but also in the intrahepatic and extrahepatic bile duct systems, but rarely in the gallbladder.

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