red|spos|ng factors red|spos|ng factors

normona|
factors
|npregnancy
Gender
(fema|e)
C|d Age(
40 yrso|d)
kace(Nat|ve
Amer|can
Decrease
contract|||ty
of the
ga||b|adder
Increase |n
cho|estero| and
b||e and
decrease
|nga||b|ader
movement
Increase |n
estrogen
Incraese
|eve| |n
estrogen
Cbes|ty
hys|ca|Act|v|ty
ro|ongedI
mmob|||tySedentary
||festy|e
Genet|cs
Ga||
b|adeer
stas|s
n|gh |eve|of
cho|estero|
|n thebody
Ga||
b|adder
stas|s
Ga|| b|adder
stas|s
Decrease
contract|||tyof the
ga||b|adder and spasm
of these sph|ncter
We|ght|oss
d|et|ngdecrease
ca|or|c |ntake
n|gh fat |ow
f|ber d|et
DIL1
A|terat|on |n the compos|t|on of the b||e
8||e become supersaturated w|th
cho|estero|of ca|c|um def|c|ent b||e sa|ts and
|ec|th|n
normona|
factors |n
pregnancy
Gender
(fema|e)
C|d Age(
40 yrso|d)
kace(Nat|ve
Amer|can
Cbes|ty
hys|ca| Act|v|ty
ro|onged
Immob|||tySedentary
||festy|e
Genet|cs
DIL1





















So|ute prec|p|tate from so|ut|on as so||d crysta|s
Crysta|s fuse to form stone
Uncon[ugated b|||run from |nso|ub|e w|th
ca|c|um and enter b||etogether w|th
other e|ectro|ytes
8||e conta|ns re|at|ve h|gh proport|onof
cho|estero| and becomes
supersaturated w|th|t and crysta|s form
Cho|estero| ga||stones become
co|on|zedw|th bacter|a and can
||||c|t ga||b|adder mucosa| |nf|ammat|on
Ca|c|um b|||rub|nate
crysta|||zes |nto
andforms [et b|ack
stone
Cho|estero| stones
|gment stones
erscence of
ga||stones
Cbstruct|on |n
thega|| b|adder
rescence of food |n the gastro|ntest|na| tract
st|mu|ates ga||b|adder to contract aga|nst an
obstruct|ng ga||stone
Cbstruct|on |n
thecommon b||e duct
Cho|estero| stones may accumu||ate
a substant|a| proport|on of ca|c|um
b|||rub|nate and other ca|c|um sa|ts
Iuand|ce
Mxed Stons
Lyt|c enzyme from bacter|a and
|eukocyteshydro|yze b|||rub|n con[ugates and
fatty ac|ds
k|sk of deve|op|ng stones
px w] c|rhoss|s
hemo|ys|s nd |nfect|on |n
the b||||ary tract
1hes stones cannot be d|sso|ved
and must be remove surg|ca||y









Cbstruct|on of b||ef|ow |n the |ntest|ne
pa|n
Ind|gest|on
Decrease
d|gest|vefunct|on(emu|s|f|cat|on
of fats)
Decrease b||e f|ow |n the
|ntest|ne(b||e ac|ds)
Increase
pressure w|th|n
ga||b|adder
a|n |n
r|ghtupper
quadrant
Guard|ng behav|or
D|stens|on of
organs
I|atu|ence(prescence of
anaxcess|ve amount of a|r or gas
|nthe stomach and |ntest|na| tract
Decrease
per|sta|s|s
Decrease b||e f|ow |n the
|ntest|nes(b||e sa|ts)
Decrease secret|on of water |n
the |ntest|ne
Waste and gas cou|dnt
move a|ongand out of the
body
8|oated fee||ng
8e|ch|ng(compensatory mechan|sm of the
body byexpe|||ng or re|eas|ng gas from
thestomach through the mouth
lnLolerance Lo
faLLy foods
unable Lo meLabollze faLs
Nausea and
vom|t|ng(compensatory
mechan|sm of the body to re||eve
fee||ng of |nd|gest|on by throw|ng
up stomach content bymouth
Interferes w|th the
absorpt|on of fats so|ub|e
V|tam|ns A D L k
V|tam|ns k w||||nterfere
w|th norma| b|ood
c|ott|ng
Lxh|b|t defc|ences of
these v|tam|ns |f b|||ary
obstruct|on pro|onged
If ga||stone |s d|s|odge
No |onger obtructs
the cyst|c ducts
Ga||b|adder dra|ns
and|nf|ammaotory
subs|des fetr
re|at|ve|y short
t|me
If cont 1o obstruct the duct
abcess necros|s and perforate
w|th genera| perton|t|s resu|ts