How does choledocholithiasis accompany obstructive jaundice to return a responsibility

Update Date: Source: Network

summary

Choledocholithiasis with obstructive jaundice as a more complex disease is not easy to treat, and easy to relapse. Choledocholithiasis with obstructive jaundice, in fact, is caused by choledocholithiasis jaundice, this jaundice is also known as cholestatic jaundice, its fundamental cause is intrahepatic and extrahepatic bile duct obstruction, in which bile duct mechanical obstruction or bile excretion disorder is the main cause of cholestatic jaundice. Intrahepatic obstructive cholestasis is mainly caused by intrahepatic bile duct stone, clonorchiasis and tumor thrombus; Intrahepatic cholestasis is mostly bile excretion disorders, but no mechanical obstruction, such as capillary bile duct viral hepatitis, drug-induced cholestasis. Let's take a look at the following.

How does choledocholithiasis accompany obstructive jaundice to return a responsibility

First, intrahepatic cholestasis can also be seen in primary biliary cirrhosis and idiopathic jaundice during pregnancy; Extrahepatic obstructive cholestasis is more common in choledocholithiasis, cholangiocarcinoma, Ascaris lumbricoides, biliary inflammation and edema, biliary stricture, pancreatic head cancer, etc. Let's understand its pathogenesis.

Second: the main manifestations of jaundice are dark and dark, yellowish green or greenish brown, accompanied by pruritus, bradycardia, deepened urine color, white clay color of feces, chills, high fever, pain in the right upper abdomen and other symptoms of biliary obstruction. Laboratory tests showed an increase in blood bilirubin.

Third: its pathogenesis is: due to bile duct obstruction, the pressure of bile duct above obstruction increases, gradually leading to the rupture of small bile duct, the conjugated bilirubin in bile flows back into the blood, so that the concentration of conjugated bilirubin in blood increases, and the hepatointestinal circulation is blocked, so that fecal bilirubin in feces decreases, but Urine Bilirubin increases.

matters needing attention

For choledocholithiasis, timely to the regular hospital for treatment, can take conservative treatment or surgical treatment, to have the confidence to overcome the disease, maintain a good attitude. For the emergence of jaundice, from the etiology of targeted treatment, in order to achieve good curative effect, can drink warm water.