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789
多岁身材偏瘦的吴先生,最近1个月吃完饭后,上腹会有隐隐地闷胀感觉。胃镜检查后发现,不论是食道、胃及十二指肠都没有什么异状,用过一些改善消化功能的药也没有变好;进一步安排上腹部超音波检查,发现胆囊里已经有一个1公分大的结石。
为什么会有胆结石形成呢?胆结石是指胆囊内有结石。胆囊是储存一种由肝脏制造的消化液——胆汁的地方,胆囊内的胆汁成分浓度、胆囊收缩情形以及特殊的感染,都可能与胆结石的产生有关。
而一般人大多会把胆结石跟肥胖者联想在一起,但胆结石的种类可以分为胆固醇型、色素型及混合型。而女性发生胆结石的机会是男性2倍,可能是怀孕时胆固醇分泌增加所引起的胆固醇型胆结石。
不过,胆结石不一定会有明显症状,仅约2到4成会出现腹部疼痛的症状,大多是以右上腹或上腹疼痛来表现,可能会伴随恶心呕吐或消化不良,容易在吃完大餐后发作,严重时可能导致胆囊炎、胆管炎甚至胰脏炎,若有持续疼痛、发烧、黄疸现象,不及时就医可能有生命危险。
至于哪些人容易成为高危险群?高热量、高油脂饮食者,慢性溶血疾病(如海洋性贫血) 、肝硬化、胆道感染者都需要注意,饮食时间不固定、餐跟餐之间过长、或有接受过胃部手术后也应小心有无胆结石产生。
最后,医生提醒,新年各种应酬聚餐少不了,有胆结石的患者,更需要避免饮食过油过饱,否则容易使胆囊收缩过于激烈,让结石卡住,造成胆囊、胆管或胰脏发炎。而胆结石常常在大餐后发生,尤其是吃了油腻的食物之后,因此建议不论本身体态是胖是瘦,过油过饱的饮食还是应该尽量避免,若有相关症状,应至肠胃肝胆科进一步检查。
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