What is cholangitis stricture?
summary
My grandmother is 66 years old. Some time ago, she suffered from persistent abdominal pain with nausea and vomiting. We sent her to the hospital for examination and treatment. The examination result was cholangitis stenosis. The doctor suggested surgical treatment. But Grandma herself disagreed. Now she is treated with integrated Chinese and Western medicine. I hope she can get better. Now I share with you.
What is cholangitis stricture?
There are three treatment methods: operation, balloon dilatation and biliary stent. The principle of operation is to remove stenosis and smooth drainage. For the patients with unilateral hepatic duct stenosis, intrahepatic bile duct stones and hepatic atrophy, lobectomy is feasible. For hilar bile duct stenosis, hilar cholangioplasty and Roux-en-Y cholangiojejunostomy are feasible. Balloon dilation is only suitable for critically ill patients, such as those with severe portal hypertension. Biliary stent can be used as a salvage measure after surgery and balloon dilatation failure. After the operation, the combination of traditional Chinese and Western medicine can be used to consolidate the curative effect. When patients have cholangitis, abdominal pain, fever and other conditions, should be added with antibiotics, but do not advocate long-term use. Fibrosis drugs: colchicine has the effect of anti fibrogenesis and inhibiting collagen synthesis, and has a good effect on liver cirrhosis. However, the number of cases is still small, so it is difficult to draw a conclusion. In the early stage of TCM therapy, heat clearing and dampness removing was the main method, in the middle stage, blood activating and stasis removing was the main method, and in the late stage, spleen strengthening and water removing was the main method. The prescription is modified by compound Yinchen decoction, and the commonly used drugs are as follows: Qingre Lishi: Yinchen, Jinqiancao, Hongteng, longdancao, Danpi, Huangqin, mirabilite, etc. Promoting blood circulation and removing blood stasis: Radix Paeoniae Rubra, peach kernel, safflower, Salvia miltiorrhiza, pollen Typhae, wulingzhi, Shanjia, Zaoci, Sanleng, zedoary, rhubarb, etc. Liqi Kaiyu: Chaihu, Yuanhu, Muxiang, Houpu, Zhishi, Raphani, Qingpi, hangshao, etc. Jianpi Fuzheng: dangshen, Baizhu, Danggui, Gouqizi, Shashen, Ophiopogon japonicus, Dendrobium, Shenqu, Jineijin, etc.
The patient's body suddenly feels cold, and accompanied by high fever. When the maximum temperature reaches 40 ℃, we should also pay attention to the clinical manifestations of biliary stricture. Jaundice may appear after biliary stricture and obstruction. Its severity is often related to the severity of biliary obstruction. When jaundice occurs, the color of human urination will change, and some people will have skin itching.
Biliary stricture patients in the diet to avoid eating food is not easy to digest, it is best to eat some liquid food to absorb food.
matters needing attention
In the diet must also control the salt intake, do not eat spicy food such as coffee, strong tea, you can eat more cereals such as cereals, oats or soybeans, you can drink more water or milk, but do not drink carbonated drinks.