Gallstones 膽結石(英文) · Obesity · Female sex hormone (estrogen) · Multiparous women · Increasing age( >40 years old) · Ileal disease and resection · Chronic liver ...衛教單張HealthEducation首頁衛教單張Gallstones膽結石(英文)衛教資訊衛教單張衛教影片衛教海報衛教諮詢正確用藥教育中心衛教講座衛教講座報名爸媽教室哺乳聚會孕產課程健康城市中醫講座正確用藥Gallstones膽結石(英文)文章分享首頁分享至FaceBook分享至LineQrcode列印A-A+Gallstones膽結石(英文)2021/1/4EtiologySeveralfactorsdeterminetheformationofgallstones.Thesefactorsare:alteredcompositionofhepaticbile,nucleationofcholesterolcrystals,andimpairedgallbladderfunction.PredisposingFactorsObesityFemalesexhormone(estrogen)MultiparouswomenIncreasingage(>40yearsold)IlealdiseaseandresectionChronicliverdiseaseDiabetesmellitusHematologicdisease(hemolysis) ClinicalManifestationsMoststonesinthegallbladderareasymptomaticunlesstheymigrateintotheneckofgallbladderorintothecommonbileduct.Themostsymptomofgallstonediseaseisepigastricorrightupperquadrantpainwithfrequentradiationtorightscapulaorshoulder.Acutecholecystitisoftenbeginsasanattackofbiliarycolicthatprogressivelyworsens.Feverischaracteristicallypresent.Poorappetite,jaundice,nausea,andvomitingmayoccur.DiagnosisImagestudies:UltrasoundofabdomenCTscanandMRIEndoscopicretrogradecholangiopancreatography(ERCP)Percutaneoustranshepaticcholangiograpgy(PTC)OralcholecystogramLaboratorystudies:bilirubin,liverfunctiontestTreatmentTreatmentisnotneededforasymptomaticpatients.Laparoscopiccholecystectomyoropencholecystectomyshouldbeperformedforthepatientswithsymptomaticgallstones.OthermeasuresInacutestage,generalmeasuresincludebedrest,intravenousfluids,nooralalimentationoralightdiet,reliefofpain,andantibioticstreatment.Forpatientswithasymptomaticgallstones,fatandcalorie-loweringdiet,avoidovereating,adequatewaterintake,andregularOPDfollow-uparerecommended.若有任何疑問，請不吝與我們聯絡電話：(04)22052121分機2264HE-10012-E中國醫藥大學附設醫院暨體系院所回上頁Qrcode×}為了您我們持續進步對於本院有任何的疑問歡迎您將您的想法告訴我們，您的寶貴意見將成為我們繼續努力改進的動力，歡迎您寫信與我們聯絡。

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