Cholekinetics - Dab tsi yog cov tshuaj?

Cov txheej txheem:

Cholekinetics - Dab tsi yog cov tshuaj?
Cholekinetics - Dab tsi yog cov tshuaj?

Video: Cholekinetics - Dab tsi yog cov tshuaj?

Video: Cholekinetics - Dab tsi yog cov tshuaj?
Video: 10 лучших продуктов, которые вы никогда не должны есть снова! 2024, Lub Xya hli ntuj
Anonim

Kab mob gallbladder cuam tshuam nrog kev ua haujlwm ntawm tag nrho cov plab zom mov. Hauv cov kab mob pathological, lub peev xwm ntawm lub cev los tsim thiab tshem tawm cov kua tsib yog txo, cov ducts tau txhaws, thiab cov qog tsim ntawm cov ntaub so ntswg. Kev kho mob ntawm qhov tshwm sim me ntsis ntawm pathologies los ntawm lub gallbladder yuav tsum tsis txhob ncua, vim tias cov kua tsib tso tawm yog qhov tseem ceeb rau kev nqus cov zaub mov. Cholekinetics yog cov tshuaj uas pab tawm tsam ntau yam teeb meem uas tiv thaiv kev tawm ntawm cov kua tsib. Hauv tsab xov xwm no, peb yuav tham txog qhov ua tau zoo ntawm cov nyiaj no.

Lub luag haujlwm ntawm cov kua tsib hauv tib neeg lub cev

Yuav kom nkag siab txog qhov cuam tshuam ntawm cov tshuaj, koj yuav tsum xub nkag siab lub luag haujlwm ntawm cov kua tsib hauv lub plab zom mov.

Bile yog ib qho zais cia los ntawm daim siab hlwb, nrog rau cov tshuaj lom neeg lom neeg. Cov kua daj-ntsuab ntsuab nrog cov saj ntawm iab nkag mus rau hauv lub gallbladder thiab nyob rau hauv cia kom txog rau thaum ib qho taw tes. Thaum noj mov, lub duodenum yog muab los ntawm cov khoom siv zais cia. Nrog nws cov kev pab, qhov kev tawg ntawm cov rog thiab lawv nqus. Bile stimulates cov txheej txheem digestiveua kom tiav kev nqus ntawm cov as-ham.

Raws li cov kua tsib kua qaub, txoj hnyuv motility nce, uas tiv thaiv cem quav. Cov kua roj ntsha tsis tso cai rau cov kab mob nkag mus rau hauv cov mucous ntawm lub cev thiab tsim cov kab mob sib kis.

Ua ke nrog cov khoom noj khoom haus, cov kua tsib yog ib feem ntawm cov hnyuv, thiab cov seem tawm hauv lub cev nrog cov khoom pov tseg.

Yuav kom zaub mov hloov mus rau hauv lub zog peb xav tau, kev sib koom ua haujlwm ntawm txhua lub plab zom mov yuav tsum tau ua. Kev tsim cov kua tsib tsim nyog tsuas yog nyob rau hauv cov xwm txheej zoo li no. Nyob rau hauv cov kev tshwm sim ntawm pathologies, obstacles yog tsim rau ib txwm tso tawm, kev tso cai thiab tsub zuj zuj ntawm cov kua zais cia. Qhov no ua rau nws stagnation thiab, vim li ntawd, kev cuam tshuam ntawm cov hnyuv thiab nqus cov khoom tsim nyog.

Txhawm rau tshem tawm cov kab mob pathological, koj yuav tsum noj cov tshuaj uas txhawb nqa cov kua tsib thiab rov ua haujlwm ntawm cov plab hnyuv siab raum. Tsis tas li ntawd, nyob rau hauv cov nqe lus dav dav, peb yuav txiav txim siab txog cov txiaj ntsig ntawm cov tshuaj hais thiab nyob hauv cov npe ntawm cholekinetics, vim lawv yog lub ntsiab lus tseem ceeb ntawm peb tsab xov xwm.

cholekinetics yog
cholekinetics yog

yam ntxwv ntawm cholagogues

Cov tshuaj Cholagogue txhim kho kev tsim cov kua tsib thiab pab txhawb rau nws txoj kev vam meej ntawm duodenum. Ua tsaug rau cov tshuaj no, cov kua tsib txav nrawm dua los ntawm cov ducts, thiab vim li no, qhov tshwm sim ntawm cov roj cholesterol los nag poob, uas, dhau los, tiv thaiv kev tsim ntawm cholelithiasis. Kev thov raws sijhawmcholagogue tiv thaiv kab mob thiab txo qhov mob.

Tshuaj tau muab faib ua pawg, ntawm cov tseem ceeb tuaj yeem paub qhov txawv: cholespasmolytics, cholekinetics, choleretics thiab tshuaj tiv thaiv kev tsim cov pob zeb hauv lub gallbladder.

Kev faib cov tshuaj yog ua los ntawm ntau lub hauv paus ntsiab lus: tshuaj lom neeg muaj pes tsawg leeg ntawm cov tshuaj, lawv cov tshuaj siv tshuaj thiab cov kabmob anatomical uas yog tsom rau kev kho mob nrog ib qho tshuaj tshwj xeeb yog suav nrog.

Tshuaj muaj nyob rau hauv pab pawg neeg ntawm cholespasmolytics tau muab tshuaj los txo qhov mob thiab txo cov kab mob pathological. Lawv tshem tawm spasms, nthuav cov ducts thiab pab txhawb cov kua tsib.

Qhov txawv ntawm choleretics thiab cholekinetics hauv cov txheej txheem ntawm lawv qhov kev ua. Cov qub, cuam tshuam rau daim siab, nquag synthesize bile acids, yog li ua kom cov kua tsib. Qhov kawg ua rau ntawm lub gallbladder, txhim kho cov dej ntws tawm thiab so cov kua tsib.

txhais tau tias pab txo qis lithogenicity Performance index ntawm cov kua roj lom, yaj cov pob zeb tsim hauv lub gallbladder, thiab tseem tiv thaiv qhov tshwm sim ntawm cov tshiab. Cov tshuaj muaj pes tsawg leeg muaj cov kua tsib acids - chenodeoxycholic thiab ursodeoxycholic. Tsis tas li ntawd, lawv muaj cov yam ntxwv ntawm qhov muaj cov lipid cov kuab tshuaj, ib qho yog methyl tert-butyl ether.

tshuaj cholekinetic
tshuaj cholekinetic

Ntau Yam Tshuaj

Peb yuav sim ua ib leeg los ntawm ntau cov choleretics thiab cholekinetics cov npe tshuaj uas nrov tshaj plaws hauvkev kho mob.

"Allohol", "Holenzim" thiab "Liobil" - choleretics tsim los ntawm cov kua tsib ntawm cov tsiaj.

Cov khoom hluavtaws ntawm pawg no suav nrog: Osalmid, Nicodin thiab Tsikvalon. Ntxiv nrog rau cov nyhuv choleretic, cov tshuaj no muaj cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob.

Cov tshuaj hauv qab no yog cov tshuaj ntsuab choleretic: Holosas, Hofitol, Berberis, Febihol, Insadol, Flamin.

Txhais tau hais tias tsom mus rau diluting cov kua roj ntsha thiab normalizing nws muaj pes tsawg leeg hu ua hydrocholeretics. Lawv tiv thaiv cov tsos ntawm pob zeb. Xws li cov tshuaj yog valerian thiab tshuaj ntsuab npaj, uas suav nrog cov nroj tsuag no. Cov dej ntxhia uas muaj alkali muaj cov nyhuv zoo sib xws. Cov no yog Borjomi, Essentuki 17, Narzan, Slavyanovskaya, Arzni, Smirnovskaya.

Cholekinetics suav nrog cov hauv qab no: Xylitol, Mannitol, Magnesia, Sorbitol, Holos, Cholemax, Berberine Sulfate, Choleritin.

Cholespasmolytics: "No-shpa", "Drotaverine", "Papaverine", "Eufillin", "Spazmolitin", "Besalol", "Mebeverine", "Atropine"

Cholespasmolytics ntawm tsob nroj keeb kwm yog tinctures ntawm calendula, mint, elecampane, arnica, valerian, txiv qaub balm, nrog rau cov tshuaj Cholagol.

Cov npe hauv qab no yog cov tshuaj uas muaj cov nyhuv litholytic. Cov no suav nrog: Ursosan, Ursodez, Urdoksa, Ursofalk. Cov tshuaj pab pawg no raug suav hais tias yog tshuaj choleretic.

cholekinetics npe
cholekinetics npe

Nyeem ntxiv txogcholekinetics

Cholekinetics yog cov tshuaj uas ua rau lub zais zis ntau ntxiv. Nyob rau tib lub sijhawm, lawv so cov leeg ntawm cov kab mob biliary, uas ua rau muaj kev tsim nyog rau kev txav ntawm lub cev kua dej. Yog li, stagnation yog tiv thaiv, "organ-reservoir" yog tso tawm los ntawm cov kua tsib ntau dhau, thiab nws pib nkag mus rau hauv duodenum raws sijhawm. Tom qab siv cov cholekinetics, kev ua haujlwm ntawm lub plab zom mov tau hloov kho tag nrho.

Cov txiaj ntsig zoo ntawm cov tshuaj biliary yog vim lawv cuam tshuam rau duodenal mucosa, ua rau tso tawm cholecystokinin. Nws yog ib qho tshuaj hormones lub luag haujlwm rau lub gallbladder motility thiab stimulation ntawm pancreatic secretion enzymes. Los ntawm kev so lub sphincters ntawm Oddi, cov xwm txheej zoo tshaj plaws yog tsim rau kev tawg ntawm cov zaub mov. Cov kua tsib thiab pancreatic enzymes nkag mus rau duodenum sai heev los txhawb kev zom zaub mov zoo.

Polyhydric alcohols - xylitol, sorbitol thiab mannitol - muaj cov teebmeem uas tuaj yeem ua rau lub zais zis hnyav.

Raws li cov txheej txheem ntawm kev txiav txim, cholekinetics yog sawv cev los ntawm ob pawg: cov tshuaj uas ua rau lub gallbladder (cov tshuaj hyperkipetic), thiab cov uas tshem tawm spasm ntawm sphincters (cholespasmolytics). Ntau yam ntawm cov tshuaj no muab ntau hom kev ua ub no. Raws li qhov no, nws zoo li tsim nyog los txiav txim siab tias cholekinetics yog cov tshuaj antispasmodic uas ua rau kom cov kua tsib tso tawm.

cholekinetics indications rau kev siv
cholekinetics indications rau kev siv

Daim ntawv thov

Tsis muaj ntau cov lus qhia rau kev siv cov cholekinetics, txij li kev kho lub gallbladder nrog cov tshuaj no tsuas yog ua raws qee yam mob xwb.

Hauv kev kho mob nyuaj, tshuaj siv rau cov kab mob ntawm cov kab mob biliary ntawm qhov sib txawv. Lawv siv rau cov kev kuaj mob xws li duodenal suab, x-ray thiab ultrasound. Cholekinetics raug tshuaj rau cov teeb meem tshwm sim los ntawm kev ua txhaum ntawm cov kua tsib. Cov lus qhia rau kev teem caij ntawm cholekinetics yog:

  • kab mob siab ntev;
  • dyskinesia;
  • chronic cholecystitis;
  • atony ntawm lub gallbladder.

Tshuaj yuav tsum tsis txhob siv rau daim siab dystrophy, mob siab mob siab thiab obstructive jaundice. Thiab lawv kuj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm ntau ntau tone ntawm lub gallbladder thiab lub xub ntiag ntawm pob zeb.

choleretics thiab cholekinetics cov npe tshuaj
choleretics thiab cholekinetics cov npe tshuaj

Yuav ua li cas noj cholekinetics kom raug?

tshuaj choleretic tau noj ntev. Lub sijhawm no tuaj yeem sib txawv ntawm ib hlis mus rau 8 lub lis piam. Nyob rau hauv lub xyoo, muaj ntau yam kev kho mob, nrog ib tug ncua sij hawm ntawm 30-60 hnub.

Nyob rau hauv cov kab mob ntev, kev kho mob yog ua los tiv thaiv kom txog rau thaum cov tsos mob ntawm ib tug kab mob no ploj tag.

Thaum lub sijhawm exacerbation, cholekinetics tau sau ntau ntau nrog rau lwm cov tshuaj.

Tom qab kev teem sijhawm ntawm ib tus neeg noj, tus nqi txhua hnub yog sib npaug rau 3-5 zaug. Kev faib tawm ntawm cov tshuaj yog nyob ntawm tus nqi ntawm cov khoom noj, txij li thaumtag nrho cov tshuaj no tsuas yog siv ua ntej noj mov. Qhov no kuj siv tau rau kev txais tos ntawm cholekinetics. Koj yuav tsum haus cov tshuaj no ntev npaum li cas ua ntej noj mov? Cov tshuaj tsom rau kev kho lub gallbladder yog noj ib nrab teev ua ntej noj mov, raws li nws yuav tsum tau ntxuav nrog dej. Yog tias kev tshaib plab tsis txaus siab rau lub sijhawm, nws yuav xaus nrog xeev siab, tsis muaj zog thiab plab hnyuv siab.

Qhov sib txawv ntawm choleretics thiab cholekinetics
Qhov sib txawv ntawm choleretics thiab cholekinetics

tshuaj zoo rau cov kua tsib nyob ruaj khov

Stagnation ntawm cov kua tsib hauv cov tshuaj hu ua cholestasis. Tus mob no los nrog ntau yam txaus ntshai rau kev noj qab haus huv. Nws ua rau cov kab mob metabolic thiab feem ntau dhau los ua qhov tseem ceeb ntawm kev ua haujlwm tsis zoo ntawm lub plab zom mov. Ib tug xov tooj ntawm cov nram qab no yam yuav pab tau rau qhov no pathology: inflammatory dab nyob rau hauv lub digestive system, helminthic invasions, tsim ntawm pob zeb nyob rau hauv lub gallbladder, teeb meem ntawm endocrine thiab lub paj hlwb..

Stagnation ntawm cov kua tsib yuav ua ntej los ntawm kev ua neej tsis raug. Cov no yog tus cwj pwm phem, nyiam saj thiab noj zaub mov tsis tu ncua.

Cholekinetics pab tiv thaiv kev mob plab, cov npe ntawm cov tshuaj muaj npe hauv qab no:

  • Flamin.
  • Berberis-Homaccord.
  • Holosas.
  • Y"Magnesium sulfate".

  • YCholecystokinin.

Cov tshuaj tau sau tseg rau cov neeg mob cholecystitis ntev, kab mob siab thiab teeb meem nrog cov kua tsib tawm.

Tom qab kev kuaj mob, tus kws kho mob yuav txiav txim siab tias koj yuav tsum noj tshuaj hauv cov ntsiav tshuaj. Daim ntawv no ntawm cov tshuaj-cholekinetics zoo stimulateskev ua haujlwm ntawm lub cev cuam tshuam nrog kev tsim khoom thiab khaws cia cov kua tsib, thiab muaj txiaj ntsig zoo rau cov sphincters. Cov teebmeem zoo li no tso cai rau cov kua tsib txav mus rau qhov zoo. Cov tshuaj muaj pov thawj thiab paub zoo suav nrog cov tshuaj hauv qab no:

  • YXylitol.
  • YSorbitol.
  • Kormagnesin.
  • Mannitol.

Cov npe tshuaj cholekinetic suav nrog qee cov tshuaj hluavtaws uas muaj cov nyhuv choleretic:

  • Osalmid.
  • YHydroxymethylnicotinamide.
  • "Phenipentol".

Txhua yam kev kho tau hais los yuav tsum yog kws kho mob sau. Kev noj tshuaj rau tus kheej hauv qhov no tuaj yeem ua rau muaj kev phom sij loj rau lwm yam kabmob. Rau cov neeg mob uas muaj kab mob xws li giardiasis, cholecystitis, pancreatitis thiab kab mob siab, cov tshuaj noj hauv tib pab pawg yuav txawv.

Cov lus qhia rau kev teem caij ntawm cholekinetics yog
Cov lus qhia rau kev teem caij ntawm cholekinetics yog

Natural remedies

Muaj cov npe nplua nuj ntawm cov tshuaj cholekinetics. Cov no suav nrog zaub mov thiab tshuaj ntsuab.

Cov roj tau los ntawm cov nroj tsuag tshuaj pab txhawb rau kev tso tawm ntawm cov kua tsib. Nrog rau kev siv cov tshuaj ntsuab npaj kom raug, kev kho mob zoo heev tau ua tiav.

  • Cov roj: juniper, sunflower, coriander, txiv ntseej thiab caraway.
  • Y Juices: cranberry, cranberry.
  • Cov hauv paus tshuaj ntsuab: rhubarb, calamus, dandelion.
  • txiv hmab txiv ntoo: rosehip, cumin, coriander, fennel, juniper.
  • Paj: chamomile, cornflower, immortelle, calendula.
  • tshuaj ntsuab: yug yaj lub hnab, wormwood, oregano, yarrow, knotweed tshuaj ntsuab thiab thyme.

Qee yam ntawm cov tshuaj ntsuab saum toj no tuaj yeem siv rau hauv lawv daim ntawv ntshiab, ua infusions thiab teas los ntawm lawv. Hauv cov khw muag tshuaj muaj cov kws tshaj lij xaiv sau cov tshuaj ntsuab thiab cov khoom npaj tau los ntawm ntau qhov chaw ntawm cov nroj tsuag tshuaj. Nov yog qee qhov piv txwv ntawm cov tshuaj cholekinetic:

  • "Holosas", "Holos", "Cholemax" - cov extracts tau los ntawm sawv hips.
  • Lub immortelle extract yog Flamin.
  • Extracts ua los ntawm barberry nplooj thiab cov hauv paus hniav muaj xws li Berberine Sulfate thiab Berberis-Homaccord.

Qee ntawm cov tshuaj ntsuab uas muaj nyob hauv pawg cholekinetics kuj muaj cov nyhuv choleretic.

rau menyuam

Rau cov menyuam mos, cov tshuaj uas muaj ntau yam teebmeem feem ntau yog xaiv. Qhov no suav nrog lub hnub nyoog thiab qhov hnyav ntawm tus menyuam.

Tus kws kho mob yuav sau cov khoom uas muaj valerian, lossis cov tshuaj hauv qab no: Cormagnesin, Magnesium sulfate, Magnesia, Valerianahel.

Qee lub sij hawm cov me nyuam raug tshuaj "Magnesium sulfate". Kev sojntsuam yog siv los tswj cov tshuaj rau hauv duodenum. Nyob rau hauv qhov kev cuam tshuam no, lub gallbladder cog lus reflexively, thiab lub sphincter ntawm Oddi so.

Yog tus menyuam yuav tsum noj choleretics, nws yog qhov zoo dua los siv cov dej ntxhia hloov.

rau cov poj niam cev xeeb tub

Muaj ntau yam tshuaj uas siv tau thaum cev xeeb tub. Kev kho mobCov tshuaj ntsuab nrog cov teebmeem choleretic tsis pom zoo. Ntuj cholekinetics yog nquag nquag, yog li nws yog qhov zoo dua kom tsis txhob ua rau lawv. Ib qho tshuaj zoo hauv qhov no rau cov poj niam cev xeeb tub yog Berberis-Homaccord. Qhov no yog tshuaj homeopathic nrog cov nyhuv antispasmodic, uas yog siv rau kev kho mob ntawm cov kab mob biliary uas tshwm sim tawm tsam keeb kwm ntawm ntau yam txheej txheem inflammatory.

Qee cov lus pom zoo

Qee yam zaub mov yuav pab txhim kho cov kua tsib. Thaum npaj cov tais diav txhua hnub, koj yuav tsum tau ntxiv cov roj zaub. Zaub broths thiab txiv hmab txiv ntoo nyoos muaj txiaj ntsig zoo. Cov pab pawg ntawm cov khoom no suav nrog cov nroj tsuag hauv qab no:

  • turmeric;
  • greens;
  • prune;
  • citrus;
  • melons;
  • avocado.

Natural cholekinetics yog cov nroj tsuag tshuaj thiab cov khoom uas pab nrog cov kua tsib stasis. Ib qho zoo tshaj plaws yog St. John's wort. Raws li nws, ntau cov tshuaj siv los kho lub siab thiab lub gallbladder. Txawm li cas los xij, koj tuaj yeem ua decoction los ntawm nws hauv tsev. Ib tablespoon ntawm qhuav nyom yog poured rau hauv ib khob ntawm boiled dej thiab boiled tshaj tsawg tshav kub. Noj 30 feeb ua ntej noj mov ½ khob.

Tus kws kho mob yuav tsum xaiv cov khoom noj kom raug. Cov kws tshaj lij tawm tswv yim thaum kho kom ua lub neej zoo, tsis txhob noj ntau dhau, haus cov tshuaj yej thiab noj cov tshuaj tsis tu ncua.

Yogpib ua raws li tag nrho cov lus pom zoo kom sai li sai tau thaum tus kab mob tau ua rau nws tus kheej xav tau, qhov no yuav tsis tsuas yog pab txhawb kom rov zoo sai, tab sis tseem tiv thaiv kev tshwm sim ntxiv ntawm tib yam.

Nyob hauv kaw

Kev tshuaj xyuas cov tshuaj ua rau qhov tseeb tias txhua tus yuav tsum tau noj tsuas yog rau nws lub hom phiaj. Txwv tsis pub, koj tuaj yeem ua rau mob tsis zoo rau kev noj qab haus huv. Cov kws kho mob tshwj xeeb tau saib xyuas lawv cov kev faib tawm thaum lub sijhawm tsim tshuaj. Tsis tas li ntawd, muaj ntau tus kws kho mob paub txog uas yuav pab koj xaiv txoj kev kho kom raug.

Pom zoo: