بسم الله الرحمن الرحيم
Gallstones causes and treatment
Stones
consist of a number of human organs such as kidney stones and bladder
stones, prostate, salivary glands, as well as in the gallbladder.
Gallstones
are the concentrations of coarse solids may be very small size of a
grain of corn may be as large as the gallbladder itself or of different
sizes in between these two Ahadjmin.
How gallstones consist?
Bile
within the gall bladder is a means of which a number of dissolved
solids such as sugar or fully salt dissolved in water and these solids
are cholesterol and bile salts and bile pigments. If
the concentration or amount of these solids are deposited and
accumulate, they made up just when the stones as you can see beads of
sugar may be deposited at the bottom of a cup of tea when the quantity
of many. In
the case of natural objects, this does not precipitate out and are not
stones, but in the case of increasing the amount of these objects, it
leads to the formation of gallstones.
What are the reasons that lead to increased concentration of these materials and thus the emergence of gallstones?
The
lack of fluidity of bile and increase the density due to lack of
drinking fluids or Ahtbasha increase in the gallbladder because of a
slow or lack of regular and rapid discharge of the bitterness.
Infection
channels that carry bile from the liver into the intestines of some
bacteria such as E. coli bacteria Acercia Escherichia coli, or some of
the parasites.
Diseases
over the broken red blood cells lead to increased incidence of gall
bladder stones due to increased bile pigments, one of the articles that
result from broken red blood cells.
Factors for infection stones gallbladder
Gallstones usually affects more women than men.
Increased incidence of gallbladder stones after the age of forty.
Increasing appearance of gallstones when compared to overweight people with normal weight.
A pill that increases the concentration of estrogen increases the chances of infection stones gallbladder.
The prevalence of gallstones
Gallstones
are common health problems, for example, spread in the United States
are diagnosed about a million cases a year and is subject to about half
that number each year to undergo surgery to remove gallstones.
Signs and symptoms of gallstones
We can split image of clinical gallstones into four sections:
The absence of symptoms and signs
Many
people may have a bitter stones without causing them any health
problems are not detected its presence only during the scan ultrasound
waves or X-ray of the abdomen for other reasons such as other diseases
of the abdomen.
Symptoms and signs of mild
Dull
pain from time to time in the right upper abdomen with symptoms such as
discomfort of foods with fat content and increased flatulence
immediately after a meal and a sense of fullness and nausea early light.
Case of acute cholecystitis
In
this case, lead to inflammation of the gall bladder stone sharp
bitterness will explain in detail the subject of acute cholecystitis,
where there is severe pain and severe nausea and vomiting.
The case of chronic cholecystitis
Which
is very similar to the symptoms and signs of water in the second case,
but signs and symptoms are more prominent and there are signs of chronic
inflammation in the gallbladder.
How are gallstones diagnosed?
The
device above the sound waves the appropriate device for the diagnosis
of gallstones because some gallstones may not show X-ray normal.
Complications of gallstones
Acute cholecystitis and chronic
Move
a pebble to the channel carrying the yellow from the liver into the
intestines, causing blockage of this channel and thus the emergence of
yellowing or inflammation of the gland obstructive acute or chronic
pancreatitis.
May be the cause of gall bladder stone in a pool of pus in the gallbladder wall or explosion.
Acute cholecystitis
What
we mean by an acute inflammation of the gall bladder and the walls is
usually due to the presence of pebble led to the blockage of the channel
connecting the gallbladder to the tube biliary year is called
inflammation of the gallbladder calculous acute and occurs in about 90%
of cases of cholecystitis while the cause of the remaining 10% causes a
rare such as cholecystitis germ salmonella.
Factors for acute calculous cholecystitis
Diabetes
Pregnancy
Weight gain
As well as the rapid loss of weight
A person is exposed to surgery
Infect the body bacterial infection sharp
Heart disease
Sickle cell anemia
AIDS
The prevalence of acute calculous cholecystitis
About
a third of patients infected with gallstones attacks of acute
cholecystitis in America, for example 500 thousand patients undergoing
surgery for gall bladder.
Symptoms and signs
Severe acute pain in the right upper abdomen area up to the right shoulder joint. (What
differentiates the pain of acute cholecystitis from biliary colic is
persistent pain for more than 6 hours in the case of acute cholecystitis
and the severity of nausea and vomiting and fatigue)
Small rise in temperature may be present
Nausea and vomiting
Clinical
examination of the patient shows pain when pressure in the right upper
abdominal region and increased temperature and increased heart rate.
Yolk eyes and skin may be present in 15% of patients.
Any
sign Murphy Murphy's sign means when placed doctor his hand in the
region the right upper abdomen and then ask the patient to take
inspiration deep, the patient can not complete this inspiration because
of the pain must have this command is present also in the left upper
abdomen.
The
above-mentioned symptoms and signs may not be present in older or
diabetic patients with acute inflammation of the gall bladder may only
mild pain in the right upper abdomen so there is a cautious and special
consideration must be carried out by a doctor when the patient is too
old.
Not all sharp pain in right upper abdominal region means there is a severe inflammation of the gall bladder
The
difficulty usually faced inward doctor if this is acute pain in the
right upper abdomen caused by acute cholecystitis, or is it for many
other reasons causing such pain, which makes the need for a number of
laboratory and clinical tests is very important. But what are the causes or other diseases that cause such pain?
Of these reasons and the following diseases:
Ulcers
Bile colic
Acute viral hepatitis
Acute pancreatitis
Right kidney and gallstone colic, acute renal
Less common reasons such as amoebic hepatitis and stroke heart and stroke, colon and right sickle cell anemia.
Chronic cholecystitis Chronic Cholecystitis
Cholecystitis
chronic results from repeated bouts of light from acute cholecystitis
have increased the thickness of the wall of the gallbladder which leads
to a contraction of the gallbladder and its inability to result of their
function of contraction and discharge of regular juice bile in response
to entry of food to the intestines of flour and this leads to
accumulation of these juices and do not benefit the digestive system them
in the digestion and absorption of fatty substances, we find the
patient complains of chronic inflammation of the gallbladder of a number
of symptoms when eating fatty meal such as butter, fat and sweets and
Omani and Hadrami grease. These symptoms are the symptoms of chronic cholecystitis.
Symptoms of chronic cholecystitis
The
disease usually in women more than men and more than his appearance
after the age of forty are gallstones and the patient's exposure to
episodes of acute cholecystitis of factors to help the emergence of
chronic cholecystitis, which of the following symptoms:
Dull pain in chronic and recurrent right upper abdominal region
Difficulty and delay in the digestion
Increased abdominal gas
Discomfort after eating food
Uncomfortable to eat fatty substances
Nausea after eating.