Namuhla, kaningi, ama-gastroenterologists ekusebenzeni asebenzisa izidakamizwa ukususa i-bile ekwelashweni okuhleliwe kanye nokuvimbela izifo ezahlukahlukene ze-gallbladder nesibindi.
Lokhu kusizwa ngemithi esebenzayo ye-choleretic enomthelela ekunciphiseni okusheshayo kobuhlungu, inkambo yalesi sifo ilula, futhi ngosizo lwabo, ukuvikela ngempumelelo ukubuyela emuva kuyenziwa.
Ngokwehlukana, kufanelekile ukusho ukuthi ukuthatha izidakamizwa ezinjalo kuvimba ukwakheka kwezinqubo ze-pathological ngokumelene nesizinda sezinkinga ezikhona.
Ukucacisa isidingo sale mishanguzo ye-choleretic, udinga ukuqonda ngokucacile ukuthi kuyini i-bile, iyini injongo yayo esezingeni lokuphiliswa kwengqondo kanye nenqubo yokuhamba emgodini wokugaya ukudla.
I-Bile uketshezi lwebhayoloji olwakheka esibindini futhi olutholakala gallbladder.
Inokunambitheka okubabayo, iphunga elikhethekile futhi, ngokususelwa esikhathini sokwakhiwa kwayo, ingaba nephuzi eliphuzi, elinsundu noma eliluhlaza okotshani. Umsebenzi we-bile ususelwa kwinqubo enjalo yomzimba emzimbeni womuntu:
- ukwakheka kwama-emulsions kanye nokumuncwa kwamafutha angene emgodini wesisu;
- ukushesha kokusabela kwamakhemikhali emathunjini amancane namanyikwe, okudingeka ukwamukelwa okugcwele kokudla yizitho;
- ukuthathwa kwe-calcium, amavithamini ancibilikayo, i-cholesterol.
Izinhlobo zezidakamizwa ze-choleretic
Namuhla kwezokwelapha, izinhlobo zezidakamizwa ze-choleretic ziyasetshenziswa ezihlangabezana nemithetho yomphumela wokwelapha, futhi futhi zibheka izici zomzimba womguli.
Ngakho-ke, umuthi wakwazi ukuhlukanisa izidakamizwa ngokuya ngezigaba zokusetshenziswa kwazo, uhlobo lomphumela wokwelapha kanye nokumunca, isilinganiso sokusatshalaliswa kanye nokuchithwa kwemithi ye-choleretic emzimbeni womuntu.
Izidakamizwa zanamuhla ze-choleretic zihlukaniswe izigaba eziningana
Izidakamizwa ze-cholesterret ezandisa ukukhiqizwa kwe-bile ngesibindi ngenxa yokuhlanganiswa okusebenzayo kwe-bile acid
- Izidakamizwa ze-choleretic yangempela:
- Ama-Choleretics, afaka ama-bile acid, enziwa ngesisekelo sezinto zezilwane noma zezitshalo, isibonelo, izithako zemithi, i-bile yezilwane;
- Izidakamizwa ze-choleretic ze-Synthetic ngendlela yezakhi zamakhemikhali ezenziwa ngemichiza e-organic futhi zinekhono lokukhiqiza umkhiqizo omkhulu we-bile;
- Izitshalo zemithi ezinomphumela we-choleretic (esetshenziswa ngendlela yama-decoctions kanye ne-infusions).
- Izidakamizwa ze-Hydrocholetic. Izakhi zale mishanguzo zikhuthaza ukwanda kwe-bile, zikufake ngamanzi.
Izidakamizwa ze-choleretic choleretic nge-stagnation ye-bile zisiza ukufeza ukuphuma kwe-bile ngenxa yokuthuthuka kwephimbo le-gallbladder ngomthelela wokuphumula emiseleni ye-bile.
Izidakamizwa ze-Cholespasmolytic zifaka isandla ekukhutshweni kwe-bile ngenxa yokuphumula kwepheji le-biliary kanye nesinye senyongo:
- I-synthes antispasmodics;
- Izidakamizwa ze-antispasmodic ezenziwa ngesisekelo sesitshalo;
- izidakamizwa ze-anticholinergic.
Kusho ukunciphisa inkomba ye-lithogenicity ye-bile. Le mishanguzo isetshenziswa njengama-prophylactic agents e-cholelithiasis, ayakwazi ukuncibilikisa amatshe ku-blallder yenyongo:
- imithi equkethe i-ursodeoxycholic ne-chenodeoxycholic bile acid;
- Kusho izakhi zazo eziyizinto ezincibilikayo ze-lipid, ngokwesibonelo i-methyl tert-butyl ether.
Le mishanguzo ye-choleretic, okuyiyona enezinto ezisebenzayo enama-bile acid, iyimithi eyenziwe ngesisekelo sezitho zezilwane.
Imvamisa impahla eluhlaza i-bile ngohlobo lwayo lwemvelo, izingxenye zamanyikwe, isibindi, ne-mucosa yesisu esincane sesilwane. Ngalesi sizathu, izidakamizwa ze-choleretic zalesi sigaba zibizwa ngokuthi izidakamizwa zohlobo lwesilwane.
Ngaphezu kwezakhi zezilwane, ama-choleretic agents afaka izinto ezitholakala ezitshalweni zezitshalo ezinomphumela we-choleretic.
Ama-Choleretics wemvelaphi yokwenziwa atholakala ngokuhlanganiswa kwe-organic. Le mishanguzo yi-choleretic, futhi, ngaphezu kwalokho, inciphisa ngempumelelo isikhala sobuhlungu besifo sasemgodini kanye nepheshana le-biliary, yehlisa inani le-cholesterol egazini, futhi futhi ibulala namagciwane abulala amagciwane agqugquzela ukuvuvukala kwepheji le-biliary, futhi, ngaphezu kwalokho, ayeke inqubo yokuvuvukala.
Futhi, ukulungiswa kwe-choleretic yemvelaphi yokwenziwa kuqeda ukubola kanye nokubila emathunjini, ukubhekana ngempumelelo nokuqhakaza, ukuphazamiseka kwesisu.
Izitshalo zemithi ezinomphumela we-choleretic zifaka isandla ekuthuthukisweni kokusebenza kwesibindi, ukwakheka kwe-bile, kuyilapho ngasikhathi sinye kunciphisa ukuthungwa kwayo okubonakalayo.
Ngaphezu kwalokho, izitshalo zinegalelo ekwandeni kokuqukethwe kwe-bile cholates. Izitshalo zemithi nazo zinomphumela we-cholekinetic, okungukuthi, ziyakwazi ukwandisa ukwakheka kwe-bile, futhi ngasikhathi sinjalo zithuthukise ukuphuma kwazo, okuphilisa umzimba wesidalwa.
Izindlela ezenzelwe izitshalo zokwelapha nazo zinezindawo ezinhle kakhulu ze-antibacterial, anti-inflammatory and diuretic.
Ngenxa yokuthi ukwakheka kwamalungiselelo kufaka izitshalo zokwelapha kuphela, kuvame ukubizwa ngokuthi ngamalungiselelo emithi asusa i-bile.
Ama-Hydrocholeretics ayakwazi ukukhuphula inani le-bile ngenxa yokwehla kokuxineka kwalo, ukuncipha kwe-viscosity, etholakala ngokwandisa okuqukethwe kwamanzi kuyo. Kulokhu, ukuqedwa kwe-bile kuba lula, futhi kuvinjelwe ukubonakala kwamatshe ebangeni lesinyongo.
Izidakamizwa ze-Cholekinetic zithuthukisa umsebenzi we-gallbladder futhi ngasikhathi sinye siphumule izicubu zephepha le-biliary. Ukuqonda umphumela wamanxusa we-cholekinetic, kuyadingeka ukucacisa ukuthi ukuxhumana kwe-gallbladder ne-duodenum kwenziwa nge-bile duct, lapho i-bile ingena khona kwi-duodenum.
Okusho ukuthi, uma ithoni ye-bile duct ikhuphuka, iyancipha, okuvimbela ukuhamba kwamahhala kwe-bile. Ngethoni encishisiwe ye-gallbladder, ayikwazi ukusunduza kalula i-bile kwi-bile duct, kuyilapho kunemizwa eqondile okumele ihlukaniswe nalokho izimpawu zomdlavuza we-pancreatic kanye nokubonakaliswa okungaba yikho.
Izidakamizwa ze-Cholespasmolytic zihlukaniswe ngamaqembu ngokuya ngethonya lezokwelapha elivelisiwe, kodwa ekugcineni umphumela womsebenzi wazo uyefana. Izidakamizwa ze-Cholespasmolytic zisusa ama-spasms, zinwebe izindunduma ze-bile, zisiza ukudlula okulula kwe-bile ungene emathunjini.
Le mishanguzo ivame ukusetshenziswa kwizifundo ezincane ukudambisa izinhlungu ezifweni ze-bile duct kanye ne-gall bladder.
Izindlela ezisiza ekunciphiseni izingxenye zezithogenic ze-bile zisetshenziselwa ukuncibilikisa amatshe asungulwe gallbladder, futhi zibuye zisetshenziswe njengezidakamizwa ze-prophylactic zokwakheka ezintsha.
Ngenxa yokuthi ama-ejenti anjalo akwazi ukukhipha umphumela we-choleretic, achazwa njengomhlangano njengeqembu le-choleretic.
Imithi yokususa i-bile - uhlu
Uhlu oluhlukaniswe izidakamizwa ze-choleretic. Okokuqala, kukhonjiswa igama lomuthi lomhlaba wonke, bese kubizwa amagama ezentengiso lapho umuthi ukhishwa kakhulu ngawo.
I-Choleretics Yeqiniso
- I-Allochol, i-Cholenzym, iVigeratin, iLiobil;
- I-Dehydrocholic acid - Hologon;
- Usawoti we-Sodium we-dehydrocholic acid - I-Decholine, iBiliton, iSuprakal, iKholamid, iKholomin.
I-synthetic syntleretics
- I-Hydroxymethylnicotinamide
- Gimecromon
- I-Osalmid
- ICyclvalon
Amakhambi choleretics
- I-Helichrysum imbali ukukhishwa (ukuvutha amalangabi);
- Ukukhishwa kwe-Corn stigma (i-Peridol, Insadol);
- Ukukhishwa kweTansy (Tanacehol, Tanaflon, Sibektan, Solarin);
- I-Turmeric Extract (Convaflavin, Febihol);
- Ukukhishwa kweqabunga leSkumpia (Flacumin);
- Iqabunga le-barberry kanye nokukhipha izimpande (Berberine sulfate, Berberis-Homaccord, Berberis plus);
- Ukukhishwa kweRosehip (Holosas, Cholemax, Holos);
- IHemp Datys Extract (Datiscan);
- Ukukhishwa kwezinwele (Pekvokrin);
- I-Artichoke Extract (Hofitol, Cholebil);
