What is the treatment for bile duct obstruction

What is the treatment for bile duct obstruction

The gallbladder is one of the most important organs in the human body. It can secrete digestive enzymes to perform preliminary digestion of fat, and prepare the prerequisites for the stomach and intestines to thoroughly absorb the nutrients in the fat. Therefore, the role of the gallbladder is very important. When the gallbladder is affected by disease, it will show symptoms of blockage, affecting the secretion of bile. Let's take a look at how to treat bile duct blockage. What should we pay attention to? Let’s take a look at the brief introduction below.

Generally, the treatment is antispasmodic, analgesic, and anti-infective, and surgical treatment is performed when necessary. Pay attention to the following:

1. Pay attention to changes in liver function:

Bile duct obstruction often causes serious damage to liver function. Current monitoring methods are unable to detect liver failure early, and diagnosis is often made only after the onset of mental symptoms and hepatic encephalopathy. Therefore, it is necessary to attach great importance to various characteristics and accurately record daily changes in bile volume, color, concentration, etc. After external bile duct drainage, bile salts in the intestine are significantly reduced, which cannot effectively inhibit bacterial reproduction and endotoxins. A large amount of endotoxins enter the liver through the portal vein and can further aggravate liver damage. Oral bile salts can significantly reduce bacteria and endotoxins in the intestine. It is also very important to strengthen intestinal sterilization and cleaning. Kanamycin can inhibit intestinal bacteria and significantly reduce the amount of endotoxin in the liver.

2. Prevents Kidney Failure:

Kidney damage is often caused by infection, poisoning, dehydration, electrolyte imbalance and hyperbilirubinemia. The kidneys do not have a large reserve capacity, and once failure occurs, treatment is difficult, so attention should be paid to preventing renal failure and monitoring the kidneys. Diuretics should be used intermittently while fully replenishing the amount of fluid to help eliminate toxic substances and "flush" bile clots deposited in the renal tubules.

3. Prevent respiratory failure:

There are no simple and easy clinical observation indicators for early respiratory failure. Once the symptoms are obvious and lung dysfunction is in an irreversible state, there is often a lack of effective treatment measures. If necessary, continuous positive airway pressure (PEEP) can be used to increase oxygen supply to tissues.

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