Masiku ano, nthawi zambiri, akatswiri a gastroenterologists amagwiritsa ntchito mankhwala kuti achotse bile mu zonse zokhudza mankhwalawa komanso kupewa matenda osiyanasiyana a ndulu ndi chiwindi.
Izi zimapangidwira ndi mankhwala othandizira a choleretic omwe amathandizira kuti muchepetse kupweteka kwapang'onopang'ono, njira ya matendawa ndiosavuta, ndipo mothandizidwa ndi iwo, kupewetsa matenda obwereza kumachitika.
Payokha, ndikofunikira kunena kuti kumwa mankhwalawa kumayambitsa kupangika kwa njira zotsutsana ndi maziko a zovuta zomwe zilipo.
Kuti mumvetse bwino za mankhwalawa a choleretic, muyenera kumvetsetsa bwino kuti bile ndi chiyani, cholinga chake ndi chiyani pazokhudza thupi komanso njira yoyendetsera m'mimba.
Bile ndimadzi abwinobwino omwe amapangidwa m'chiwindi ndipo amapezeka ndulu.
Imakhala ndi kakomedwe kowawa, fungo lapadera ndipo, kutengera nthawi yomwe idapangidwa, imatha kukhala ndi chikasu chofiirira, chofiirira kapena chobiriwira. Ntchito ya bile imakhazikitsidwa motengera momwe thupi limagwirira ntchito:
- mapangidwe a emulsions ndi mayamwidwe amafuta omwe adalowa m'mimba;
- mathamangitsidwe azomwe zimachitika mu cell yaying'ono ndi kapamba, komwe ndikofunikira pakukwaniritsidwa kwathunthu ndi ziwalo;
- kukondoweza kwa calcium, mavitamini osungunuka mafuta, cholesterol.
Mitundu ya mankhwala a choleretic
Masiku ano mu zamankhwala, mitundu ya mankhwala a choleretic imagwiritsidwa ntchito yomwe ikukwaniritsa malamulo othandizira, ndipo limaganiziranso mawonekedwe a thupi la wodwalayo.
Chifukwa chake, mankhwala adatha kugawa mankhwala molingana ndi magwiritsidwe ake ogwiritsira ntchito, momwe mankhwalawo amathandizira komanso kuyamwa, kuchuluka kwa magawidwe ndi kutulutsa kwa mankhwala a choleretic kuchokera mthupi la munthu.
Mankhwala amakono a choleretic amagawidwa m'magulu angapo
Mankhwala a Choleretic omwe amalimbikitsa kupanga kwa chiwindi chifukwa cha kuphatikiza komwe kumapangitsa ma bile acid
- Mankhwala enieni a choleretic:
- Choleretics, omwe amaphatikiza ma bile acid, amapangidwa pamaziko a nyama kapena zomera, mwachitsanzo, mankhwala azitsamba, bile bile;
- Mankhwala a syntret choleretic mwanjira ya mankhwala omwe amapangidwa pogwiritsa ntchito mankhwala achilengedwe ndipo amatha kupanga zofunikira zazikulu za bile;
- Zomera zamankhwala zomwe zimakhala ndi choleretic (zomwe zimagwiritsidwa ntchito mwa mitundu ya ma decoctions ndi infusions).
- Mankhwala a hydrocholetic. Zomwe zimapangidwira mankhwalawa zimapangitsa kuti bile iwonjezeke, ndikuipaka ndi madzi.
Cholekinetic choleretic mankhwala ndi kusayenda kwa ndulu amathandiza kuti atulutsidwe bile chifukwa kusintha kwa kamvekedwe ka ndulu ndikusangalala ndi ndulu ya bile.
Mankhwala a Cholespasmolytic amathandizira kutuluka kwa bile chifukwa chogwiritsa ntchito bwino ndi chithokomiro cha chindoko:
- Kapangidwe ka antispasmodics;
- Mankhwala a Antispasmodic omwe amapangidwa pamaziko azomera;
- mankhwala anticholinergic.
Njira zochepetsera lithogenicity index ya bile. Mankhwalawa amagwiritsidwa ntchito ngati othandizira a prophylactic a cholelithiasis, amatha kupha miyala mu chikhodzodzo cha ndulu:
- mankhwala okhala ndi ursodeoxycholic ndi chenodeoxycholic bile acid;
- Amatanthawuza zomwe zimapangidwa ndi lipid-dissolting zinthu, mwachitsanzo methyl tert-butyl ether.
Mankhwalawa a choleretic, omwe mwanjira ya zinthu zomwe ali ndi bile acid, ndi mankhwala omwe amapangidwa pamaziko a nyama.
Nthawi zambiri zopangidwa ndi bile zimapangidwa mwanjira yake yachilengedwe, kapangidwe kake kapamba, chiwindi, ndi mucosa yamatumbo ang'onoang'ono a nyama. Pachifukwa ichi, mankhwala a choleretic a m'gulu lino amatchedwa mankhwala amtundu wa nyama.
Kuphatikiza pazinthu zanyama, ma choleretic ovuta amaphatikizanso akupanga a mankhwala omwe ali ndi mphamvu ya choleretic.
Choleretics cha kapangidwe koyambirira kamapezeka ndi organic synthesis. Mankhwalawa ndi choleretic, ndipo, kuwonjezera, amachepetsa kuphipha kwa ndulu ndi chindoko, amachepetsa kuchuluka kwa mafuta m'thupi, komanso kupha mabakiteriya azinthu zomwe zimapangitsa kutukusira kwa dongosolo la biliary, ndipo, kuwonjezera, kusiya njira yotupa.
Komanso kukonzekera kwa choleretic kwamapangidwe opanga kumachotsa kuvunda ndi kupsa m'matumbo, kuthana bwino ndi kutulutsa magazi, kusokonezeka kwa chopondapo.
Zomera zamankhwala zokhala ndi choleretic zimathandizira kusintha kwa chiwindi, mapangidwe a bile, pomwe nthawi yomweyo amachepetsa mawonekedwe ake a viscous.
Kuphatikiza apo, mbewu zimathandizira kuwonjezeka kwa zomwe bile bile limagwira. Zomera zam'mankhwala zimakhalanso ndi cholekinetic, monga, zimatha kuwonjezera mapangidwe a bile, ndipo nthawi yomweyo zimasintha mawonekedwe ake, omwe amachiritsa thupi la munthu.
Njira zochokera kuzomera zamankhwala zilinso ndi antibacterial, anti-inflammatory and diuretic.
Chifukwa chakuti kapangidwe kake ka kapangidwe kameneka kamaphatikizapo mankhwala okha azomera, nthawi zambiri amatchulidwa kuti mankhwala azitsamba omwe amachotsa bile.
Hydrocholeretics imatha kuwonjezera kuchuluka kwa bile chifukwa cha kuchepa kwa ndende yake, kuchepa kwa mamasukidwe akayendedwe, omwe amapezeka ndikuwonjezera madzi mkati mwake. Pankhaniyi, kuchotsedwa kwa bile kumakhala kosavuta, ndipo kupewa mawonekedwe a miyala mu chikhodzodzo cha ndulu kumatheka.
Mankhwala a chlekinetic amawongolera ntchito ya ndulu ndipo nthawi yomweyo amasangalatsa minofu ya thirakiti la biliary. Kuti mumvetsetse mphamvu ya othandizira a cholekinetic, ndikofunikira kufotokoza kuti kulumikizidwa kwa ndulu ndi duodenum kumachitika kudzera mu bile duct, kudzera momwe bile limalowa mu duodenum.
Ndiye kuti, ngati kamvekedwe ka ndulu ya m'mimba kamera, kamachepera, kamene kamalepheretsa kuyenda kwa bile. Ndi kamvekedwe kocheperako ka ndulu, sangathe kukankha mosavuta bile mu duct ya bile, pomwe pali zomveka zomwe ziyenera kulekanitsidwa ndi zomwe zimayambitsa khansa ya kapamba ndi mawonekedwe.
Mankhwala a Cholespasmolytic amagawika m'magulu potengera mphamvu zamankhwala zomwe zimapezeka, koma pamapeto pake zotsatira za ntchito zawo zimakhala zomwezo. Mankhwala a Cholespasmolytic amachotsa ma spasms, kukulitsa ma ducts a bile, ndikuthandizira gawo losavuta la bile kulowa m'matumbo.
Mankhwalawa amagwiritsidwa ntchito m'magulu ang'onoang'ono kuti athandizire kupweteka m'matenda a bile duct komanso chikhodzodzo cha ndulu.
Njira zomwe zimathandizira kuchepetsa magawo a lithogenic a bile amagwiritsidwa ntchito kusungunula miyala yomwe imapangidwa mu ndulu, ndikugwiritsidwanso ntchito ngati mankhwala a prophylactic popanga zatsopano.
Chifukwa chakuti othandizira otere amatha kupereka zotsatira za choleretic, amadziwika kuti ndi gulu la choleretic.
Mankhwala ochotsa bile - mndandanda
Mndandanda wa mankhwala a choleretic. Choyamba, dzina lapadziko lonse la mankhwalawo limafotokozedwa, kenako mayina amalonda omwe mankhwalawo amatha kufalitsidwa.
Choleretics Zoona
- Allochol, Cholenzym, Vigeratin, Liobil;
- Dehydrocholic acid - Hologon;
- Mchere wa sodium wa dehydrocholic acid - Decholine, Biliton, Suprakal, Kholamid, Kholomin.
Zopanga Zosiyanasiyana
- Hydroxymethylnicotinamide
- Gimecromon
- Osalmid
- Cyclvalon
Zitsamba choleretics
- Helichrysum maluwa yotulutsa (malawi);
- Kuchotsa kusala kwa chimanga (Peridol, Insadol);
- Dongosolo la Tansy (Tanacehol, Tanaflon, Sibektan, Solarin);
- Turmeric Extract (Convaflavin, Febihol);
- Skumpia tsamba yotulutsa (Flacumin);
- Masamba a Barberry ndi kuchotsa muzu (Berberine sulfate, Berberis-Homaccord, Berberis plus);
- Tingafinye wa Rosehip (Holosas, Cholemax, Holos);
- Hemp Datys Extract (Datiscan);
- Kutulutsa tsitsi (Pekvokrin);
- Artichoke Extract (Hofitol, Cholebil);
