What should pregnant women do if they have gallstones?

　　What should pregnant women do if they have gallstones? ? Pregnant women are more likely to suffer from cholelithiasis than non-pregnant women. This is because on the one hand, due to reduced activity and weight gain after pregnancy, coupled with improved nutrition, it is easy to increase the intake of lipids and reduce consumption. In particular, the increase in cholesterol can easily cause bile to become supersaturated, making cholesterol easy to precipitate in the gallbladder and form crystals. On the other hand, changes in sex hormones in the body after pregnancy cause abnormal gallbladder motility, which can lead to a decrease in the gallbladder's ability to excrete bile, prolong the retention time of bile in the gallbladder, and increase the precipitation of cholesterol.

　　Therefore, the stone-causing crisis of bile during pregnancy is significantly greater than that during non-pregnancy. Literature reports show that the incidence of cholelithiasis during pregnancy can reach 0.02%-0.3%, which is 3-10 times higher than during non-pregnancy. Therefore, during pregnancy, you should exercise more, drink more water, avoid excessive intake of fatty foods, and conduct hepatobiliary B-ultrasound examination to prevent and detect cholelithiasis early. 》》 Women with low back pain should be careful7major gynecological diseases

　　What should pregnant women do if they have gallstones? Once cholelithiasis is diagnosed during pregnancy, especially if it is accompanied by stomach ache People with symptoms such as abdominal distension, anorexia, and oil anorexia should actively control their condition. Under normal circumstances, non-surgical treatment is the main treatment for cholelithiasis during pregnancy, and surgery should be avoided as much as possible. Gallbladder surgery during pregnancy carries greater risks, including premature birth , risk of spontaneous miscarriage, infection and death. So, in clinical More than 90% of cases of cholelithiasis during pregnancy rely on non-surgical treatment. If the patient is asymptomatic, no special treatment is required and the patient can be left under observation. If you have symptoms, you need to treat them symptomatically. If you have pain, consider giving atropine to relieve spasms and relieve pain. ； For combined infections, receive adequate antibiotic treatment throughout the course, with penicillin and cephalosporins being the first choice. ； If you have gastrointestinal symptoms such as anorexia and loss of appetite, you can take multi-enzyme tablets, vitamin B1 and strictly limit fatty foods. Surgical treatment is considered only when accompanied by acute cholangitis, or when obstructive jaundice or gallstone pancreatitis occurs.