膽結石 | Gallstone

如你有此疾病,請遵照閣下醫生的完整醫療方案;而是否使用多學科復康方案前,你必須咨詢主診醫生的意見,如果閣下的主診醫生不建議您加入補充劑調理組合,請你不要使用。如果你需要尋求其他醫生作第二咨詢,閣下可聯絡我們線上<無邊界醫生>。或你自己城市內的其他專業醫生的再診斷。

膽結石

膽結石是一個世界性的醫學問題,但其發病率表現出明顯的地域差异,非洲人口的發病率最低。通過再版請求和PubMed資料庫獲得的有關膽結石的英文出版品構成了本文的基礎。從這些來源選取的數據包括作者、國家、出版年份、患者年齡和性別、發病機制、膽結石發生的危險因素、種族分佈、症狀、併發症和治療。膽結石發生在世界各地,但在北美印第安人和西班牙裔中最為常見,但在亞洲和非洲人群中較低。膽汁中高濃度的蛋白質和脂質是膽結石形成的危險因素,而膽囊淤泥被認為是膽結石的常見先兆。膽汁鈣濃度在膽紅素沉澱和膽結石鈣化中起一定作用。膽結石的治療應保留給有症狀的患者,而預防性膽囊切除術則推薦給特定人群,如兒童、鐮狀細胞病患者和正在接受减肥手術治療的患者。(1)

30多年前開始嘗試使用口服膽鹽溶解膽結石,因為拒絕或手術風險低。(2)眾所周知,鵝去氧膽酸(藜蘆醇)和熊去氧膽酸(熊去氧膽酸)可以溶解膽結石,但鵝去氧膽酸會導致腹瀉和轉氨酶水准异常,而烏索地爾則不然。膽鹽治療僅適用於少數有症狀的膽固醇結石患者。(3)不適用於急性膽囊炎或膽總管結石患者,他們需要緊急行動。膽鹽治療的候選者應該有一個未閉的膽囊管和非鈣化的膽固醇結石。口服膽鹽停止後,膽結石經常復發。

通過將經皮導管穿過肝臟,將有機溶劑甲基叔丁基醚等溶劑注入膽囊,可以快速接觸溶解膽固醇結石。(4,5,6,7)或者,鼻膽管導管可通過內窺鏡引導進入膽囊,並可用於注入有機溶劑。(8)這是一個科技上困難且危險的程式,只能由正在進行該治療研究的醫院的經驗豐富的醫生執行。嚴重的副作用包括嚴重的灼痛。

最後,植物萜烯的混合物也可用於溶解透光性膽結石,尤其是與膽汁酸結合使用時。(9)

膽結石-多學科復康組合(1個月試用份量)

顯著進程:約2-12個月

學科復康組合:

  • 藥物及其他醫療方案,請遵醫從醫生建議
  • 飲食營養請依營養師指引
  • 運動及或心理輔導,請參考各專家建議
  • 為免錯誤診斷及漏診,請上傳最近一個月醫院的專業診斷報告

不適合使用:

  • 大於2公分
  • 明顯發炎堵塞期內
  • 已有黃疸
  • 對該組合的成份有過敏
  • 胃潰瘍

生活配合:

  • 不能吃太飽,以8成飽肚為主
  • 高脂、高膽固醇食物必須避開少吃
  • 早餐一定要吃
  • 多喝白開水,每天2公升
  • 多吃膳食纖維食物
  • 戒掉夜宵習慣
  • 不適宜自行補充鈣及鐵等礦物質
  • 早睡早起,不要熬夜

飲食戒口:

  • 煎炸烤燒食物儘量少吃
  • 動物肝臟、血液等高鐵質食物不要吃

注意:

  • 為營養補充品,不能代替藥物。
  • 懷孕或哺乳期女士、嬰幼兒,請不要食用本品。
  • 如不瞭解問題原因或問題持續,請儘快諮詢醫生。

If you have this disease, please follow your doctor's complete medical plan; Before using the multidisciplinary rehabilitation program, you must consult the attending doctor. If your attending doctor does not recommend you to join the supplement conditioning combination, please do not use it. If you need to seek a second consultation from another doctor, you can contact our online doctor without borders. Or another professional doctor in your own city.

Gallstone
Gallstone is a worldwide medical problem, but its incidence shows obvious regional differences, and the incidence of African population is the lowest. English publications on gallstones obtained through reprint request and PubMed database form the basis of this paper. Data from these sources included author, country, year of publication, patient age and gender, pathogenesis, risk factors for gallstone occurrence, ethnic distribution, symptoms, complications and treatment. Gallstones occur all over the world, but are most common among North American Indians and Hispanics, but lower in Asian and African populations. The high concentration of protein and lipid in bile is a risk factor for the formation of gallstones, and gallbladder sludge is considered to be a common precursor of gallstones. Bile calcium concentration plays a role in bilirubin precipitation and gallstone calcification. Treatment of gallstones should be reserved for symptomatic patients, while preventive cholecystectomy is recommended for specific populations, such as children, sickle cell disease patients and patients undergoing weight loss surgery. (1)
The use of oral bile salts to dissolve gallstones began more than 30 years ago because of the low risk of rejection or surgery. (2) It is well known that chenodeoxycholic acid (veratrol) and ursodeoxycholic acid (ursodeoxycholic acid) can dissolve gallstones, but chenodeoxycholic acid can lead to diarrhea and abnormal transaminase levels, while ursodil is not. Bile salt therapy is only suitable for a few symptomatic patients with cholesterol stones. (3) It is not suitable for patients with acute cholecystitis or common bile duct stones. They need urgent action. Candidates for bile salt therapy should have a patent cystic duct and non calcified cholesterol stones. Gallstones often recur after oral bile salt is stopped.
By passing a percutaneous catheter through the liver and injecting solvents such as organic solvent methyl tert butyl ether into the gallbladder, cholesterol stones can be quickly contacted and dissolved. (4,5,6,7) alternatively, the nasobiliary duct can be guided into the gallbladder through an endoscope and can be used for injection of organic solvents. (8) This is a technically difficult and dangerous procedure that can only be performed by experienced doctors in the hospital where the treatment research is being carried out. Serious side effects include severe burning pain.

Finally, mixtures of plant terpenes can also be used to dissolve translucent gallstones, especially in combination with bile acids. (9)
Gallstone multidisciplinary rehabilitation combination (1-month trial portion)
Significant progress: About 2-12 months
Discipline rehabilitation combination:
  • Please follow the doctor's advice for drugs and other medical plans
  • Please follow the dietitian's guidelines for diet and nutrition
  • For sports and or psychological counseling, please refer to the suggestions of experts
  • To avoid misdiagnosis and missed diagnosis, please upload the professional diagnosis report of the hospital in the latest month
Not suitable for use:
  • Greater than 2 cm
  • Obvious inflammation and blockage period
  • Jaundice
  • Allergic to the ingredients of the combination
  • Gastric ulcer

Life cooperation:

  • Don't eat too full, mainly 80% full belly
  • High fat and cholesterol foods must be avoided and eaten less
  • Be sure to eat breakfast
  • Drink plenty of boiled water, 2 liters a day
  • Eat more dietary fiber food
  • Quit the night snack habit
  • It is not suitable to supplement minerals such as calcium and iron
  • Go to bed early and get up early. Don't stay up late
  • Dietary abstinence:
  • Eat as little fried and roasted food as possible
  • Do not eat rich iron foods such as animal liver and blood
Warm Reminder:
  • It is a nutritional supplement and cannot replace drugs.
  • Pregnant or lactating women, infants and young children, please do not eat this product.
  • If you do not know the cause of the problem or the problem persists, please consult your doctor as soon as possible.

Refs:參考文獻:

  1. Njeze GE. Gallstones. Niger J Surg. 2013;19(2):49-55. doi:10.4103/1117-6806.119236
  2. Medical dissolution of gallstones by oral bile acid therapy.Hofmann AF Am J Surg. 1989 Sep; 158(3):198-204.
  3. Cholecystolithiasis: lithotherapy for the 1990s. Strasberg SM, Clavien PA Hepatology. 1992 Sep; 16(3):820-39.
  4. Gallstone dissolution. Talamini MA, Gadacz TR Surg Clin North Am. 1990 Dec; 70(6):1217-30.
  5. Rapid dissolution of gallstones by methyl tert-butyl ether. Preliminary observations.Allen MJ, Borody TJ, Bugliosi TF, May GR, LaRusso NF, Thistle JL N Engl J Med. 1985 Jan 24; 312(4):217-20.
  6. Dissolution of cholesterol gallbladder stones by methyl tert-butyl ether administered by percutaneous transhepatic catheter. Thistle JL, May GR, Bender CE, Williams HJ, LeRoy AJ, Nelson PE, Peine CJ, Petersen BT, McCullough JE N Engl J Med. 1989 Mar 9; 320(10):633-9.
  7. Contact dissolution of cholesterol gallstones with organic solvents.Hofmann AF, Schteingart CD, vanSonnenberg E, Esch O, akko SF Gastroenterol Clin North Am. 1991 Mar; 20(1):183-99.
  8. Endoscopic retrograde cannulation of the gallbladder: direct dissolution of gallstones.Foerster EC, Matek W, Domschke W Gastrointest Endosc. 1990 Sep-Oct; 36(5):444-50.
  9. Nutritional approaches to prevention and treatment of gallstones.Gaby AR Altern Med Rev. 2009 Sep; 14(3):258-67.
If you have this disease, please follow your doctor's complete medical plan. You must consult the attending doctor before using the multidisciplinary rehabilitation plan. If your attending doctor does not recommend you to join the supplement conditioning combination, please do not use it. If you need to seek second consultation from other doctors, you can contact our online "Doctors Without Borders", or another professional doctor in your own city.