6 mankhwala abwino kwambiri a choleretic

Tikukulimbikitsani kuti muzolowere zomwe zalembedwera pamutuwu: "mankhwala a choleretic pakukokomeza ndemanga ya bile" ndi ndemanga za akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Akatswiri athu a endoprinologist adzakuyankhirani.

Mosasamala kanthu za jenda ndi zaka, munthu aliyense panthawi inayake m'moyo akhoza kukumana ndi zinthu zosasangalatsa ngati cholestasis. Vutoli limadziwika ndi kuchepa kwa kutuluka kwa bile ndi kusayenda kwake mu ndulu ndikulimbana ndi maziko a vuto la kuperewera kwa zakudya, matenda a chiwindi, matenda a endocrine dongosolo kapena matenda a parasitic.

Mokumana ndi cholestasis, aliyense amamva zingapo zosasangalatsa, kuphatikizapo:

• kumva kuwawa mkamwa
• chikopa cha pakhungu ndi khungu la maso,
• kupweteka mu hypochondrium yoyenera,
• Zizindikiro za kutopa kwambiri.

Vutoli limakhudza kwambiri moyo ndipo limakakamiza munthu kuyang'ana chida chothandizira kutaya kwa ndulu, kuchotsera zizindikiro zosasangalatsa za matendawa komanso kusintha momwe munthu alili.

Mankhwala amakono apanga mankhwala ambiri omwe, akamwetsa, kusintha kayendedwe ka bile ndikuyeretsa chiwindi cha "zinyalala" zoyipa. Munkhaniyi, tikambirana mitundu yoyenera ya mankhwala othandiza.

Ndikofunikira kumvetsetsa kuti mankhwala omwe alembedwa pansipa ayenera kutumizidwa ndi akatswiri pokhapokha atayesedwa. Mankhwala onse omwe atchulidwa atha kumwa pokhapokha ngati mulibe miyala mu ndulu. Ndipo kuti mutsimikizire izi, ndikofunikira kuyang'aniridwa ndikuwonetsetsa kuti akupezeka matenda a ultrasound.

Mndandanda wa mankhwala othandiza kwambiri a choleretic omwe amathandizira kukonza chiwindi ndi chikhodzodzo ndi monga:

1. Mankhwala.
2. Zithandizo za anthu.
3. Zakudya zopatsa thanzi.

Mankhwalawa amathandizira chiwindi kupanga mwachangu bile, potero kuyambitsa kuyenda kwa zinthu zachilengedwe izi. Maziko a mankhwala, monga lamulo, ndi akupanga nyama kapena mbewu.

Synthetic choleretics (Tsikvalon, Nikodin ndi Osalmid)

Awa ndi mankhwala apamwamba kwambiri a choleretic omwe amapezeka ndi organic synthesis. Kuphatikiza pa kusintha kwa kayendedwe ka bile, amakonzanso ntchito yam'mimba, ndikuchotsa njira yotsekemera komanso kupindika m'matumbo.

Mankhwalawa, omwe amachokera pazinthu zazitsamba, amalimbikitsa mamvekedwe a ndulu ndipo nthawi yomweyo amasangalatsa ma ducts, amathandizira kuthetsa bile.

Hydrocholekinetics (Borjomi, Essentuki kapena Kvasov Polyana mineral mineral)

Kutha kwamadzi amchere kuti achulukitse kuchuluka kwa bile ndipo nthawi yomweyo amachepetsa mamasukidwe ake nthawi zambiri kumathandiza kuthetsa vuto la cholestasis popanda kugwiritsa ntchito mankhwala.

Malinga ndi madotolo, pali malamulo ena onse omwera mankhwala omwe amathandiza kuti magazi azituluka a bile:

• Ngakhale mutamwa mankhwala otani, muyenera kumwa ola limodzi musanadye, ndikumwa ndi madzi.
• Mlingo wa tsiku ndi tsiku umagawika m'magawo awiri a 2-4, kutengera kuchuluka kwa tsiku lomwe munthu amadya.
• Kudya mutatha kumwa mankhwalawa kuyenera kuvomerezeka. Kupanda kutero, wodwalayo amatha kudwala matenda obwera chifukwa cha kudzimbidwa, mseru komanso kusanza.
• Mankhwala omwe amamwetulira amatengedwa nthawi yayitali ya masiku 20-60, kutengera kuuma kwa cholestasis.
• Pambuyo pa chithandizo, wodwala amafunika kupuma kwakanthawi komanso njira yachiwiri yothandizira. Mpaka maphunziro 4 amenewo amaloledwa pachaka.

Mu zida za mafani azikhalidwe, pali mbewu ndi zitsamba zambiri zomwe zimathandiza kuthana ndi bile.Ubwino wa mankhwalawa ndiwotsika mtengo kwambiri, komanso wothandiza kwambiri, wofanana ndi kugwiritsa ntchito mankhwala osokoneza bongo.

Kukonzekera njira yamphamvu yolimbikitsira mapangidwe a bile, ndikofunikira kutola ma dandelion pamodzi ndi mizu, kutsuka zonse bwino, kupera mu blender ndikumata madzi a mbewu. Imwani madzi amachiritso awa kwa mwezi umodzi, 2 r / tsiku 20 ml.

Kukonzekera mankhwalawa, ndikofunikira kuphatikiza zipatso zosapsa pambuyo pa chisanu choyambirira, kupera pa blender, kenako, pogwiritsa ntchito gauze, kufinya msuzi wake. Kuti muchepetse kutuluka kwa ndulu, imwani mankhwalawa ochizira kwa masabata atatu, 3 r / tsiku 20 ml.

Chomerachi chimayenda bwino kutuluka kwa bile, komanso chimapangitsanso matumbo kuti chisavutike acidity ya madzi a m'mimba. Muyenera kumwa mankhwalawa kwa masiku 30, 3 r / tsiku 20 ml. Zowona, ziyenera kukumbukiridwa kuti mankhwalawa samalembedwa gastritis yokhala ndi acidity yayikulu, zilonda zam'mimba komanso kutupa kwamatumbo.

Wothandiza prophylactic ndi achire othandizira omwe amasintha kayendedwe ka bile ndi madzi a peyala. Iyenera kumwa m'mawa, pamimba yopanda kanthu, 100 ml tsiku lililonse. Kutalika kwa kugwiritsa ntchito mankhwala achilengedwe otere sikun malire.

Kukonzekera timadziti pochizira cholestasis ndikofunikira musanayambe kugwiritsidwa ntchito. Kuti muchite izi, muyenera kutsuka chomera, kuchotsa chinyezi ndi thaulo la pepala, kenako kupera ndikudutsa chopukusira nyama kapena chosakanizira. Zomwe zimachitika zamkati ziyenera kumakidwa ndi gauze, ndikumwa msuziyo nthawi yomweyo.

Decoctions wa mankhwala zomera kupirira kusasunthika ya bile woipa kuposa mwatsopano anakonza timadziti.

Nambala 1. Sakanizani gawo limodzi la njere zamkaka, nettle, stigmas chimanga ndi knotweed. 1 tbsp kutsanulira 400 ml ya madzi ozizira mu osakaniza ndi kupita kwa maola 6. Mukayika nthawi, bweretsani madziwo kwa chithupsa ndikuphika kwa mphindi 5. Mutakutidwa ndi poto ndi chivundikiro, chiloleleni kuti chigometse, kenako ndikuusefa ndi kutenga 300 ml patsiku, ndikugawa milingo yambiri. Kutalika kwa chithandizo ndi masabata awiri.

Chinyengo 2. Phatikizani magawo awiri a maluwa a Helichrysum ndi gawo limodzi la Hypericum. Kutenga 3 tbsp. chisakanizo chotere, chidzazeni ndi madzi okwanira 1 litre ndikuthira kwa maola 10. Pambuyo podikira nthawi, wiritsani kapangidwe kake kwa mphindi 7, ndiye kuti kuzizira ndi kusefa. Muyenera kumwa mankhwala 100 ml pambuyo ola limodzi mukatha kudya. Ndikofunika kuthandizidwa ndimankhwala otere kwa milungu itatu, pambuyo pake kupuma kwa sabata lathunthu ndikuphunziranso yachiwiri.

Decoction nambala 3. Sakanizani magawo awiri a chimanga stigmas, gawo limodzi la knotweed, zipatso za tsabola, muzu wa dandelion, hypericum ndi celandine. Thirani supuni yosakaniza ndi 500 ml ya madzi ndi kuwira kwa mphindi 5. Sanjani msuzi wozizira, ndipo imwani 100 ml 3 r / tsiku masabata atatu.

Ngati cholestasis yayamba chifukwa cha kupindika kwa ndulu, imatha kuchotsedwa popanda kumwa mankhwala mwa kumwa mankhwala azitsamba.

Kulowetsedwa Na. 1. Mwofanana, kusakaniza udzu cinquefoil, peppermint ndi celandine. 1 tsp kutsanulira 200 ml ya madzi otentha a chopereka chino ndipo musiyeni pang'ono. Muyenera kumwa mankhwala ngati tiyi, mwachikondi, 1 galasi 2 r / tsiku. Kutalika kwa mankhwala ndi milungu iwiri.

Kulowetsedwa No. 2. Sakanizani magawo ofanana omwe amafa ndi dieelle ndi chimanga. 1 tsp Dzazani msanganizo ndi 300 ml ya madzi otentha ndikuumirira, kuphimba ndi chivindikiro, kwa maola awiri. Imwani chomaliza masana, kudya musanadye.

Kulowetsedwa No. 3. Phatikizani chitsamba chowawa, chosafa, masamba achabe ndi zopindika. Kwezerani supuni ya tiyi ya chopukutira mu thermos ndikutsanulira 300 ml ya madzi otentha. Mukatseka chivundikiracho, phatikizani madzi kwa maola osachepera anayi, kenako mufefa mankhwalawo ndikuimwa 50 ml 3 r / tsiku musanadye.

Mafuta ena a masamba omwe amapezeka koyambirira, makamaka mpendadzuwa, alimbane kapena maolivi, amathandizanso polimbana ndi cholestasis. Vutoli likasowa, ayenera kumwedwa m'mawa uliwonse, pamimba yopanda kanthu, 1 tbsp.Ngati muchita izi kwa mwezi umodzi, simungangochotsa kusayenda mu ndulu, komanso kukhazikitsa chimbudzi.

Zabwino koposa zonse, mafuta opukutira mafuta amalimbana ndi vutoli. Itha kugwiritsidwa ntchito mu mawonekedwe ake oyera, monga tafotokozera pamwambapa, kapena mutha kukonza mankhwala pamaziko ake. Kuti muchite izi, pogaya 100 g ya flaxseed mu chopukusira cha khofi, dzazani ufa ndi lita imodzi ndikuwadzaza pamwamba ndi mpendadzuwa kapena mafuta. Pambuyo popereka mankhwalawa kwa sabata limodzi, mutha kuyamba kulandira chithandizo. Kuti muchite izi, m'mawa uliwonse, yambani kugwiritsa ntchito 1 tbsp. ndalama, ndipo pambuyo pa theka la ora mutha kuyamba chakudya cham'mawa. Thandizani mpaka mpumulo ubwere.

Pali njira ina yosangalatsa yogwiritsira ntchito mafuta. Ndi kusakhazikika kwa bile m'mawa uliwonse, kuyamba ndi kapu ya khofi wachilengedwe wamtundu, ndikudya 10 g ya batala.

Tiziuza padera za nthula za mkaka - chomera chomwe kuyambira nthawi yayitali chakhala njira yabwino kwambiri yowerengetsera anthu ndi choleretic. Mafuta nthula wamkaka ali ndi katundu wabwino kwambiri wa choleretic, amathandiza thanzi la chiwindi, m'mimba ndi matumbo. Kuphatikiza apo, imakhala ndi phindu pakhungu, limathandizira ntchito yamtima.

Mutha kugwiritsa ntchito chakudya. Pofuna kusintha kutuluka kwa bile mu mankhwala, muyenera kugula mkaka nthula chakudya - keke, otsalira pambuyo kukanikiza mafuta. Chida ichi chikuyenera kutengedwa 1 tbsp. 3 r / tsiku theka la ola musanadye, kumwa madzi ndi ufa.

Popeza kulibe mkaka nthula, ufa ukhoza kukonzedwa palokha kuchokera ku flaxseed. Kuti muchite izi, ingopukuta mu chopukusira cha khofi. Koma ngati muli ndi nthangala za fulakesi m'manja, ndibwino kukonzekera mwapadera. Mwa izi, 1 tbsp. kutsanulira 250 ml wamadzi mu mbewu ndi, kuwira, kuwiritsa kwa mphindi 5. Mukachotsa kutentha, siyani msuziwo, kenako uwuse ndi kumwa 100 ml 2 r / tsiku musanadye.

M'malo mwake, kutaya ndikutsuka kwa ndulu ndi ma ducts a bile. Kuchita njirayi kumakuthandizani kukonza thanzi lanu lonse, koma koposa zonse chikhodzodzo ndi chiwindi, kuthetsa kuchulukana ndikuthandizira kutulutsa bwino kwa bile.

Masiku atatu pamaso pa chubu, ndikofunikira kusinthana ndi zakudya zamagulu, kuchepetsa kudya nyama, komanso kukana mafuta ndi nyama yokazinga. Zakudya zamasamba ziyenera kudyedwa, ndi kuphika kapena kuwiritsa.

Chimbudzi chimayeretsedwa m'mawa. Kuti mupeze nachuyo, muyenera kumwa imodzi mwanjira izi:

• 250 ml ya madzi, momwe 1 tsp. Magnesium sulfate,
• 500 ml osakhala ndi mchere wama mineral (Borjomi kapena Essentuki), wotentha mpaka 40 C.
• 200 ml yamadzi amchere ndi 2 tbsp Holosas.
• 200 ml ya madzi, ndi supuni ya Sorbitol kulowetsedwamo.

Mutamwa mankhwalawa, ndikofunikira kuti muzigona ndi mbali yanu yakumanja pakanotentha kantchito ndikugona kwa maola awiri. Pakapita kanthawi, padzakhala kufunitsa kuti mutulutsire matumbo, ndipo ndowe zomwe zimayambitsa zidzakhala ndi mtundu wakuda ndi zosayera za bile. Izi zimatha kutsagana ndi colic m'mimba. Kumbukirani kuti phula lokhalo limatha kuchitika pambuyo pa ultrasound ya ndulu ndipo kokha ndi chilolezo cha dokotala, komanso osapitirira 2 pachaka. Contraindication munjira imeneyi ndi cholelithiasis ndi cholecystitis.

Panthawi yakukhudzidwa kwa ndulu kwa mwana, adokotala amatha kukupatsani imodzi mwamankhwala otsatirawa:

Pankhaniyi, kuchuluka kwa mankhwalawa komanso kutalika kwa chithandizo kuyenera kuyikidwa ndi katswiri. Kuphatikiza apo, mchere wam'madzi ndi michere yazachilengedwe zomwe zimapangitsa kuti kutuluka kwa bile athe kuonjezedwa muzakudya za mwana. Koma ma infusions ndi decoctions a ana osakwana zaka 12 ndi zoletsedwa kutenga!

M'malo mwake, kusayenda bwino mu ndulu kumatha kupewedwa ndikuwunika zomwe mumadya. Ndipo ngakhale vutoli litawonekera kale, sikuchedwa kwambiri kuyamba kutsatira zakudya zapadera.Ithandizira kuti chiwindi chikhale chachilendo komanso chithokomiro.

Polankhula za zakudya zamagulu a cholestasis, choyambirira, tiyenera kukumbukira kuti adani akuluakulu a thanzi la chiwindi ndi mowa, zokometsera komanso zakudya zamchere. Mndandandandawu umaphatikizapo zonunkhira zonse, nyama yovuta, maswiti ndi zinthu zophika mkate.

Chakudya chamagulu 4-56 / tsiku chingathandize kuthana ndi vutoli. Komanso, ndizoletsedwa kudya kwambiri, chifukwa pamenepa wodwala yemwe ali ndi cholestasis amawoneka kuti ali m'mimba komanso ululu mu hypochondrium yoyenera.

Kuthandizira mankhwalawa matenda osasangalatsa awa, zakudya ziyenera kukhala zosiyanasiyana ndi mankhwala okhala ndi choleretic. Izi zimathandizira kugaya chakudya, zimachepetsa komanso zimayambitsa kutulutsa kwa bile m'matumbo, potero kumachotsa kusayenda.

Mafuta ophikira. Amawonjezera kupanga kwa cholecystokinin ya mahomoni, yomwe imalimbikitsa kaphatikizidwe ka bile ndikuthandizira kutulutsidwa kwake m'mimba.

Masamba atsopano ndi zipatso. Amathandizanso kuti matumbo asamayende bwino mwa kuyeretsa matumbo ndi chiwindi, zomwe zikutanthauza kuti amathandizira pakuchotsa zochitika zosafunikira.

Zatsopano zamasamba. Beets zatsopano, kabichi ndi kaloti, zipatso kuchokera ku lingonberries ndi cranberries, komanso msuzi wa sauerkraut.

Maphunziro oyambira. Kutuluka kwa bile kumalimbikitsidwa ndi supu zamasamba, komanso ma broth ochokera ku nyama zopanda nsomba ndi nsomba.

Mbale kapena tirigu. Zogulitsa zoterezi zimakhala ndi fiber zambiri, zomwe zikutanthauza kuti zimayenera kudyedwa ndi anthu omwe ali ndi vuto la bile.

Zonenepa zosiyanasiyana. Rosemary ndi parsley, cilantro ndi udzu winawake, sipinachi ndi katsabola. Zinthu zonsezi zimakhala ndi katundu wa choleretic.

Mwa njira, madokotala amalimbikitsa kuti odwala onse omwe ali ndi cholestasis ayang'anire zopatsa mphamvu zama calorie zakudya ndikuchepetsa zakudya zawo kuti azitha kudya ma calories a 1800 patsiku.

Pomaliza, timati chithandizo cha cholestasis sichingatheke popanda ntchito yanthawi zonse yamagalimoto. Pankhaniyi, munthu yemwe ali ndi vutoli amalimbikitsidwa kuti ayambe tsiku lake ndi masewera olimbitsa thupi, kusewera masewera (dziwe, njinga, kulimbitsa thupi, kuyeserera), ndikuyesera kuyenda kwambiri, ndikuyenda mu mpweya watsopano kwa mphindi 40-60 tsiku lililonse.
Ndikukufunirani thanzi labwino!

Cholagogue ndi kusakhazikika kwa bile (cholestasis) imagwiritsidwa ntchito kwambiri mu gastroenterology kusunga ziwalo zam'mimba, ndi kuwonongeka mu magwiridwe antchito, kusakwanira, komanso ngati asanachitidwe opaleshoni yodula. Mankhwala amachepetsa ululu, amachepetsa kupsinjika kwa chakudya m'mimba komanso kupewa mapangidwe a ma pathologies atsopano.

Maonekedwe a cholestasis amakwiya ndi magwero akunja ndi amkati. Munthu sangakhale ndi vuto la m'mimba, koma zotsatira zake zizindikiro zoyambirira zimayamba kuonekera.

• moyo wosachita (kugwira ntchito, kusayenda kapena kuchita masewera olimbitsa thupi),
• Kuperewera kwa chakudya (zosavomerezeka pamalungo, kumwa maswiti, ufa, mafuta ochulukitsa),
• uchidakwa wa magawo osiyanasiyana, kusuta,
• kuchuluka kwa tiyi kapena khofi
• zoyipa zamankhwala ena.

1. Ma pathologies osiyanasiyana ochokera mmimba, endocrine system, metabolic ndi metabolic.
2. Nthawi zambiri, njira zoyenda zimayang'aniridwa pakubala kwa mwana, pomwe pali ziwonetsero zambiri za ziwalo pamene mwana akukula akukula.
3. Zovuta zapadera za ndulu zimaphatikizira dyskinesia wa biliary ndi kuchepa kwa magwiridwe (osakwanira kuchepetsa makhoma a chikhodzodzo ndi ma ducts).

Chiwopsezo chotenga matendawa ndi chochepa kwambiri, koma ngati mayi woyembekezera ali ndi vuto la izi, ndiye kuti mwayi wakukula umakulirakulira. Dziwani za cholestasis pa nthawi yapakati.

Pali magulu angapo a mankhwala a choleretic omwe ali ndi mawonekedwe osiyanasiyana, digiri ya digestibility, momwemonso kapangidwe kosiyanasiyana.Amasiyana mumtengo, kutengera zigawo, wopanga kapena mtundu wazotsatira zoyipa.

Imathandizira kupanga ma cell a chiwindi, kuwonjezera kukula kwa chimbudzi ndi mayamwidwe amafuta acids. Limagwirira ntchito zachokera mathamangitsidwe kapena kukhazikika kwa Reflex a m'mimba mucosa. Kuchuluka kwa katulutsidwe ka bile kumachulukitsa, zake zapafupi ndi ducts ya bile zimakulitsidwa kwambiri. Panthawi yopereka mankhwala, mafuta owopsa a cholesterol komanso ntchito yama mota m'matumbo ang'onoang'ono zimasintha:

• Choleretics Zoona

Kuphatikizika kwa kukonzekera kumeneku kumakhala ndi ma asidi a bile opangidwa kuchokera ku nyama kapena zomera. Ikhoza kukhala yopanga timadziti kuchokera ku zitsamba kapena bile bile (bovine):

1. Allohol (bile owuma, ufa wa adyo, kaboni yokhazikitsidwa, masamba a nettle): kuchokera 20 p.
2. Cholenzyme (bile youma, ufa kuchokera ku kapamba owuma, nembanemba wamafuta owuma): kuchokera 200 r.
3. Vigeratin (yotulutsa maselo a chiwindi mu ng'ombe): kuchokera ku 150 r.
4. Hologon (cellulose, bark ya aspen, peppermint, dieelle, yarrow, valerian ext): kuchokera 75 r.
5. Lyobil (bile ya zamankhwala): kuchokera 200 r.

Ma chocleretics amakhala ndi ma enzyme a chomera ndi maipi omwe amapezeka pambuyo pa mlingo woyamba. Itha kugwiritsidwa ntchito mosalekeza kapena pakuwonjezera kwa pathologies am'mimba.

• Zopanga Zosiyanasiyana

Kapangidwe ka mankhwala kamakhala ndi mankhwala. Amapangidwa pamaziko azinthu zopanga ndi organic. Ntchito yawo ndikupanga bile yambiri:

1. Nikodine (hydroxymethylnicotinamide): kuchokera 200 r.
2. Odeston (coumarin pawiri gimekromon): kuchokera 300 r.
3. Cyqualone (2,6-divanilal-cyclohexanone): kuchokera 250 r.

Njira zozikidwa pazopangira mankhwala sizikulimbikitsidwa kuti zizigwiritsa ntchito pawokha. Dokotala atha kuwapatsa mankhwala chifukwa chakufooka kwa mankhwala azitsamba kapena kuwonjezereka kwa magawo enieni a choleretics yoona.

Kugwiritsa ntchito zitsamba za choleretic ndi mankhwala ena, koma gastroenterologists ali ndi chidaliro pakuchita bwino kwake ndikugwiritsa ntchito kosalekeza.

Zitsamba zothandiza kwambiri (monotherapy):

• wamisala,
• barberry
• stigmas,
• wosafera
• wamkulu
• mifuwa ya kavalo
• nthula mkaka.

Cholagogue zitsamba zopanda mphamvu (zophatikiza decoctions):

• masamba a birch, masamba,
• dandelion muzu
• celandine
• kumakumakotwo,
• fennel
• chicory.

Zitsamba zimawonjezera kamvekedwe ka chiwindi, zomwe zimapangitsa kuti ma bile atulutsidwe m'matumbo. Pogwiritsa ntchito decoctions pafupipafupi, ma zakumwa a bile, kapangidwe kake kamakhala bwino, kusunthika kumathetsedwa.

Gulu lina lothandiza la zida zomwe zimachotsa kudzikundikira kwa bile ndikupanga miyala m'thupi. Therapy ikuchitika limodzi ndi kapangidwe ka mankhwala ena, chifukwa chake achire zotsatira zimatheka kwambiri:

• Madzi amchere

Madzi okhala ndi kufufuza zinthu komanso mchere wamchere amathandizira kuthetsa bile stasis m'malo osiyanasiyana am'mimba. Chifukwa chodzazidwa ndi ndulu, kutuluka kwake kumachulukanso, kutulutsira zotulutsira pakali pano kumawonjezeka kwambiri.

Madzi amchere ayenera kukhala achilengedwe, okhala ndi mpweya wocheperako, mchere wambiri komanso wokhala m'chipinda chodyera kuchipatala kapena gulu lazachipatala. Njira yabwino yothetsera matenda am'mimbamo ingakhale sulfate ndi mankhwala ena a chloride. Amawonedwa m'madzi a Narzan, Mashuk No. 19, Essentuki (17, 4), Borjomi, Krainka, Bukovinskaya, Tyumen, Nagutskaya.

Kuchulukitsa kudzazidwa kwa madzi ndi kuchepetsedwa kwa bile mankhwala aliwonse malinga ndi valerian.

Ma hydrocholetics amachepetsa ndende ya bile mwa kuipaka ndi madzi. Pang'onopang'ono, mawonekedwe am'masamba amachepetsa, kutuluka kumakhala bwino chifukwa cha kuchuluka kwa madzi. Izi zimapereka miyala yabwino kwambiri.

Gulu la mankhwalawa limathandizira panjira zoyenda mu ndulu.Cholinga chake ndi kukulitsa mamvekedwe a makoma ake ndikumasulira kokwanira.

1. Atropine (chomera cha alkaloid, anticholinergic blocker): kuchokera 60 r.
2. Plifillin (tartar alkaloid salt): kuyambira 70 r.

Kuphatikiza pakuchotsa kukokoloka kwa ndulu, mankhwala amathandizanso kuponderezera njira m'matumbo. Pang'onopang'ono, chopondapo chimapangika bwino, popanda zosafunikira ndi fungo losakanikirana, zomwe zimachitika kawirikawiri ndikuphwanya kutuluka kwa bile. Mothandizidwa ndi choleretics, mutha kuthana ndi matenda achisokonezo komanso kusinthana ndi matenda am'mimba opumira.

Ziwerengero zamankhwala zimawonetsa kuwonetsa kwa cholestasis mwa wodwala aliyense wachisanu, kutembenukira kwa katswiri wokhala ndi zizindikiro za mseru, kuwawa ndi kupweteka mu hypochondrium yoyenera. Kuphatikiza pa moyo wosayenera ndi zakudya, mawonekedwe a bile stasis amakhudzana mwachindunji ndi kupsinjika. Mitsempha yamthupi imayipa imawononga thupi.

Momwe mungalimbikitsire chikhodzodzo:

• kuyenda kwa tsiku ndi tsiku (kuvina, kuthamanga, kusambira, kuyenda),
• katatu patsiku, kupatula zakudya zopanda zakudya, kukana kudya mwachangu,
• kuchepetsa magawo a zakumwa zoledzeretsa kapena kuchotsa kwathunthu zakumwa zokhala ndi zakumwa zoledzeretsa,
• kuponderezedwa kwa kupsa mtima komanso kusakwiya, zomwe zimabweretsa nkhawa zamkati.

Ndikulimbikitsidwa kuti muchepetse kusayenda kwa bile pambuyo pokumana ndi gastroenterologist. Dotolo adzalembera mayeso ofunika, kukhazikitsa chomwe chimayambitsa vuto la ndulu ndikuwonetsetsa.

Zizindikiro zochepa zokhala ndi vuto la kugaya chakudya m'mimba zitha kuwonetsa kuwonekera kwa cholestasis, mutha kudziwa kuchuluka kwa mankhwala a choleretic pakukokomeza kwa ndulu.

Cholagogue - kuwunikira kwamankhwala omwe ali ndi malangizo ndi zofunikira

Cholestasis kapena mkhutu wa bile wosayenda umayambitsa kupindika mu ndulu. Izi zimagwira ntchito pakukola, zimayenda bwino m'matumbo. Ngati ntchito yake yasokonekera, zizindikiro zosasangalatsa zimachitika. Mankhwala a Choleretic omwe amatithandizanso kuti magwiridwe antchito a biliary athandize kuthana nawo.

Ntchito ya ndulu imayendetsedwa ndi zinthu zambiri. Zomwe zimayambitsa cholestasis ndi:

1. Kuchuluka kwamanjenje - minofu imachepa chifukwa cha kupsinjika.
2. Kusakhazikika kwa momwe mukumvera - kumachepetsa ntchito ya chimbudzi.
3. Kuledzera kwa chakudya cholemera mu cholesterol - bile sangathe kulimbana ndi kukonzekera.
4. Zakudya zopanda mphamvu - chiwindi chimadzaza.
5. Ntchito zamagalimoto ochepa - hypoxia yamatumbo imachitika.
6. Kumwa mankhwala ena - kumawonjezera ntchito ya bile yotuluka.
7. Zotupa zofowoka pamimba - chikhodzodzo sichitha.
8. Kuchuluka kwa ndulu - kungakhale kobadwa nako kapena kungatengedwe chifukwa cha matenda a impso, chiwindi, minyewa, vuto la kudya, kulimbitsa thupi mwamphamvu, kunenepa kwambiri, kuledzera, kusiya ziwalo. Mkhalidwe umadziwika ndi kuchepa kwa kaphatikizidwe ndi kuwonongeka mu kupukusa kwa bile, kuwopseza kukula kwamiyala ndi polyps.

Kuyimitsidwa kwa ntchito yama biliary kumatha kukayikiridwa ndi zizindikiro zapadera:

• kudzimbidwa, kutsegula m'mimba,
• kusowa kwa chakudya
• kusanza, nseru, kutentha pa chifuwa, kugona kwa mpweya, kuwawa mkamwa.
• kuwawa kumanja kwa dzanja lamanja, kunyezimira kwa kolala, msana, khosi,
• Tayamba kudya komanso kulemera mutatha kudya,
• thukuta kwambiri
• mpweya wabwino
• chikasu pakhungu ndi sclera,
• Khungu
• mkodzo wakuda, ndowe zopepuka.

Gulu la mankhwalawa limasintha magwiridwe antchito a chiwindi, limawonjezera kuchuluka kwa ndulu. Njira zimawonetsedwa chifukwa cha cholestasis, kudzimbidwa, chiwindi, hepatitis, kutupa kosatha kapena dyskinesia wa biliary. Cholagogue ndi kusayenda kwa bile limagawika m'magulu:

1. Zowona - kutulutsa ndulu yachilengedwe kwa nyama, zomera zotuluka.
2. Zopanga - zigawo zimachotsedwa pamankhwala, zimakhala ndi antibacterial, antiflogistic (motsutsana ndi kutupa), zotsatira za antispasmodic.
3. Masamba okhala ndi choleretic - amachepetsa mamasukidwe amadzimadzi amadzimadzi amadzimadzi, yambitsa kutulutsa kwake ndikamasulidwa. Nthawi yomweyo gwiritsani ntchito pachiwindi.
4. Mankhwala ochepetsa index ya supersaturation ya bile ndi cholesterol - kuwonjezera amateteza mapangidwe a miyala kapena kupasuka miyala yomwe ilipo.

Kukonzekera kwa zakumwa za bile kuchokera pagulu lenileni la choleretics kumalimbikitsa kubisalira chifukwa cha zomwe zimagwira. Chotsirizachi chimapezeka kuchokera ku bile lachilengedwe, minyewa ya chiwindi, mucosa wamatumbo, ndi kapamba azinyama.

Bile, adyo, kaboni yodziyambitsa

Kusala kudya kwa mphindi 15-30 musanadye 1-2 mapiritsi 3-4 nthawi tsiku lililonse kwa masabata 3-4.

Kuwerengera cholecystitis, jaundice, hepatitis, chiwindi dystrophy, kapamba, zilonda zam'mimbazi.

17 kwa mapiritsi 10

1 pc. katatu patsiku.

Ziwengo, Kuchepetsa, Kusokoneza, Kutsegula m'mimba, kutentha kwa mtima

Zaka mpaka 12, pachimake yotupa chiwindi matenda, mkhutu aimpso ntchito, pakati, kuyamwa.

Lyophilized chiwindi cha bovine

Piritsi 1 katatu patsiku mukatha kudya kwa miyezi iwiri.

Kutentha kwa mtima, chifuwa, kutsegula m'mimba.

Zomwe zimapangidwa ndi mankhwalawa ndi mankhwala omwe amapezeka ndi njira yachilengedwe. Amakhala ndi choleretic, antibacterial, antispasmodic, anti-kutupa zotsatira. Mankhwala osokoneza bongo amathandizira pakukonzekera chimbudzi, chotsani bata, kupopera.

Mapiritsi atatu katatu tsiku lililonse ndi masiku 15-20.

Hepatitis, hepatosis, cirrhosis, jaundice, zilonda zam'mimba.

500-1000 mg katatu pa tsiku kwa masiku 10-14.

Kupweteka kwam'mimba, kudzimbidwa.

Antacid gastritis, tsankho ku zomwe zimapangidwa.

300-400 mg tsiku lililonse mu 3-4 Mlingo kwa masabata 3-4.

Kupsinjika pakamwa, kumva kukakamiza m'mimba.

Hepatitis, cirrhosis, jaundice, zilonda zam'mimba, blockage ya bile ducts.

Kuphatikizidwa kwa mankhwalawa kumaphatikizapo zitsamba zamkati zomwe zimakhala ndi choleretic. Amayambitsa liquefaction wa bile, amathandizira kupanga, amakhudza chiwindi.

Hafu ya ola musanadye, 1-2 mapiritsi katatu tsiku lililonse ndi masiku 10-40.

Kuchulukitsa kwapanikizika, chifuwa.

150 yamapiritsi 30

Mapiritsi atatu katatu patsiku kwa masabata awiri.

Matenda a ndulu, kutsekeka kwa bile ducts, matenda a chiwindi.

335 mapiritsi 60

Urolesan (mankhwala osakaniza)

Kukula, peppermint, mafuta a castor, karoti, kadumphidwe, oregano akupanga.

8-10 akutsikira shuga katatu patsiku.

Dyspepsia, zotupa pakhungu, chizungulire, hypotension.

Kutentha kwa mtima, nseru, kutsegula m'mimba, kufikira zaka 18.

Gululi limaphatikizapo madzi amchere amchere, salicylates, valerian. Amachulukitsa secretion ya bile mwa kuchepetsa mamasukidwe ake, kuwonjezera madzi ambiri mwachinsinsi. Chiphuphu chimayenda pang'ono, chimatuluka msanga mu duodenum. Tsiku lililonse amatenga madzi Borjomi, Slavyanovskaya, Essentuki Na. 7 m'mapiritsi okwanira 1.5 malita, samalira tebulo la chithandizo No. 5. Kuchiza kokha ndi hydrocholetics sikuchitika, amaphatikizidwa ndi kugwiritsa ntchito mankhwala ena.

Mankhwala a gululi cholinga chake ndi kuchepetsa kamvekedwe, kupindika m'ndulu, ndulu za bile. Njira zomwe zimathandizira kutuluka kwa ndulu m'matumbo, zimawonetsedwa chifukwa cha kupindika kwa stasis. Amalembera chithandizo chamankhwala a gallstone, hepatic colic, cholangitis, cholestasis, cirrhosis, spasms ululu poyambira kukula kwa chotupa.

Mankhwala amagawidwa mu:

• masamba - omwe ali ndi timbewu ta timbewu tonunkhira timeneti, mtedza wa St.
• zopanga - zochokera synthetically, zimakhala ndi papaverine, aminophylline, drotaverine,
• anticholinergics - block kapena kufooketsa mphamvu ya acetylcholine, wokhala ndi atropine, besalol.

Mitundu ya Turmeric, frangulaemodine, magnesium salicylate, mafuta a peppermint ndi bulugamu.

5-10 imatsika pachidutswa chilichonse cha shuga katatu patsiku.

Bronchospasm, belching, kutsekula m'mimba.

Kutsekeka kwa bile duct, ulcer yogwira, hemorrhagic diathesis, zaka mpaka 16.

200 mg kawiri tsiku lililonse mphindi 20 musanadye.

Zaka mpaka 18.

675 mapiritsi 50

Mukatha kudya, 50-100 mg katatu pa tsiku kwa masabata 3-4.

Kusanza, kusanza, kutentha pa chifuwa, chifuwa.

Mankhwala a choleretic a gululi amabwezeretsa ntchito yochepetsa bile, amalimbikitsa kamvekedwe ka chikhodzodzo, komanso amateteza kuzola. Izi zikuphatikiza ndi magnesium sulfate (magnesia), Platifillin, Febichol, Decholine. Amawonetsedwa kwa cholecystitis, hepatitis, gastritis, asanalire.

Berberis vulgaris, citrullus colocintis, nyimbo za veratrum.

Hafu ya ola isanakwane kapena ola limodzi mutatha kudya, 10 imatsika ndi 30 ml ya madzi katatu patsiku.

Zaka mpaka 18.

Mitsempha, 50-100 g patsiku.

Zofooka, minyewa, tachycardia.

Kuthetsa madzi m'thupi, mtima, kulephera kwa impso, kutenga pakati.

Supuni 2-3 kawiri pa tsiku theka la ola musanadye.

Kusagwirizana ndi zomwe zikuchitika.

Njira zapadera zimagwiritsidwa ntchito kupukuta miyala ndikuletsa mapangidwe ake. Cholagogue pamene kukankha ndulu ndi litholytic kwenikweni, kuthandizira ntchito ya chiwindi, kuthetsa ululu.

Zomwe zimatuluka mumng'oma, nthula zamkaka.

Mukamadya, tengani kapisozi katatu patsiku.

Ziwengo, kutsegula m'mimba, kuchuluka diuresis.

Pachimake chiwindi matenda, zaka mpaka 18.

440 pa 30 makapisozi

Hafu ya ola musanadye, 200-400 mg katatu patsiku kwa miyezi iwiri.

Kutsegula m'mimba, kusefukira, mutu.

Ulcerative colitis, matenda a Crohn, kutsekeka kwa biliary thirakiti, hemophilia, wazaka 18.

810 pa mapiritsi 100 aliwonse

10 mg pa kilogalamu imodzi ya kulemera kwa thupi patsiku.

Matenda otsekula m'mimba, nseru, chifuwa.

Blockage wa bile ducts, pachimake kutupa.

205 pamabotolo 10 kapena 1200 pa 125 ml ya kuyimitsidwa

Kusankha kwa mankhwala ochizira mwana kuyenera kufikiridwa mosamala. Mutha kugula mankhwala pokhapokha mukaonana ndi dokotala. Nthawi zambiri oikidwa:

1. Herbal choleretics - Holaflux mu mawonekedwe a tiyi kapena makapisozi, Flamin (analamula ana opitirira zaka 5) mwanjira ya mafuta, mapiritsi, tiyi, kuyimitsidwa. Amawonetsedwa ngati mawonekedwe a cholecystitis, dyskinesia wa ndulu ndi ma ducts. Kuphatikizikako kumaphatikizapo zinthu zomwe zimathandizira kutuluka kwa bile. Njira sizikhala ndi zotsatirapo zoyipa.
2. Choonadi choleretics - Allohol imathandizira kutuluka kwa katulutsidwe, imagwiranso ntchito kwa chiwindi, imakhala ndi nyama yauma. Mankhwalawa amalembedwa kwa ana okulirapo kuposa mwezi umodzi pa piritsi la ½-1 katatu patsiku.
3. Ndalama zophatikizika - Cholenzym yokhala ndi ma enzymes ndikuwongolera chimbudzi. Kuphatikizikako kumaphatikiza ndulu yowuma ya nyama ndi zitsamba, amalembera ana azaka zopitilira 12 piritsi katatu patsiku. Kwa ana ochokera zaka zitatu, mlingo amawerengedwa payekhapayekha. Njira ya chithandizo sichikhalanso milungu 9.
4. Cholekinetics - Barberin mu mawonekedwe a piritsi amatchulidwa zaka 5. Ichi ndi ogwira choleretic ndi antispasmodic, contraindicated vuto la chifuwa kuti barberry.
5. Lidweitics - Odeston, wowonetsedwa kwa ana opitirira zaka 10. Kukonzekera kwazitsamba kumawonjezera kaphatikizidwe ndi kuchepetsedwa kwa bile, kumalepheretsa kuchepa kwa mafuta a cholesterol.

1. 
   Akhmanov, Mikhail Sergeevich Shuga. Moyo umapitirira! Zonse zokhudza matenda anu a shuga / Akhmanov Mikhail Sergeevich. - M: Vector, 2012 .-- 567 p.
2. 
   "Matenda a shuga kuyambira A mpaka Z" (kutanthauzira kuchokera ku Chingerezi). SPb., Nyumba yosindikiza "ELBI - SPb.", 2003, masamba 203, kufalitsidwa kwa makope 3000.
3. 
   Lodewick P.A., Biermann D., Tuchey B. Mwamuna ndi shuga (otanthauziridwa kuchokera ku Chingerezi). Moscow - St. Petersburg, Binom Publishing House, Nevsky Dialect, 2001, masamba 254, makope 3000.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Muyezo wamankhwala abwino kwambiri a choleretic

Best choleretic - choleretics: zokupatsani maphunziro

Njira zomwe zimathandizira kupanga mapangidwe a bile kuchokera kwa otsogola ake ndi zachilengedwe, kapena zowona, zopangidwa, komanso mankhwala azitsamba a choleretic omwe ali ndi kupanga kwa bile. Ma choleretics enieni nthawi zambiri amakhala ochokera ku nyama. Mankhwala otchuka kwambiri a choleretic ochokera m'magulu onse adzalemba pansipa. Mwa izi, Allochol ndi choleretic weniweni, Odeston ndi wopanga zinthu, ndipo Holosas ndi cholagogue, wopangidwa ndi chinthu chimodzi chomera.

Allohol mwina ndiye mankhwala odziwika bwino kwambiri komanso otchipa a "anthu" a choleretic. Uwu ndiye mankhwala ophatikizika, ndipo Allohol amakhala ndi ng'ombe zouma za tirigu, nettle wowuma ndi adyo, komanso makala adagwidwa. Zonsezi zonse pamodzi zimapereka mphamvu ya choleretic kuposa ndulu imodzi yokha. Allochol imatha kuwonjezera michere yam'mimba (peristalsis), ndipo chifukwa cha kukhalapo kwa kaboni yokhazikitsidwa, yomwe imakhala ndi antimicrobial and sorption, imachepetsa njira zowola komanso kupsinjika komwe kumatha kuchitika m'matumbo.

Allohol akuwonetsedwa mu zovuta za matenda a cholecystitis aakulu, ndi cholangitis, komanso chodabwitsa cha kudzimbidwa kwa atonic. Amakonda kumwa pamapiritsi awiri, mukatha kudya, kuti iwonetse choleretic zotsatira. Ngati wodwalayo watchulidwa wodwala, ndiye kuti muyenera kumwa mankhwalawa mopitilira kanayi. Njira imeneyi iyenera kuchitika kwa mwezi umodzi, kenako imadulidwanso ndi mlingo. Kubwereza maphunzirowa nkotheka, koma pakati pawo ndikofunikira kupuma pafupifupi miyezi iwiri.

Kupangidwa ndi Allohol, kampani yanyumba ya Pharmstandard, ndipo phukusi lalikulu lomwe limakhala ndi mapiritsi 50 okhala ndi ndalama zokwana ruble 42 zokha. M'mafakitala ena mumatha kupezeka ma ruble 33, ndipo phukusi laling'ono kwambiri la mapiritsi 10 limangotenga ma ruble 12 okha.

Ubwino ndi zoyipa

Allochol amachita, "choleretic" modekha, mosiyana ndi mankhwala opangidwa. Komabe, ili ndi ndale zachilengedwe. Koma, mulingo wokwanira, umatha kuyambitsa m'mimba, komanso m'mimba, ndipo Allochol imaphatikizidwa ndi zilonda zam'mimba, zamakina (zotsekemera) jaundice, ndipo ngati pali chikhodzodzo mu chikhodzodzo. Izi zimabweretsa kuwonjezeka kowopsa kwa kubisalira, ndipo ngati alibe kwina koti apite, kukulitsa kwa chikhodzodzo ngakhale chotupa chake chikupanga peritonitis. Allochol imaphatikizidwa mu hepatitis yovuta kwambiri komanso ya subacute - kutupa kwa chiwindi, komanso dystrophy yopita patsogolo. Koma mankhwala a choleretic, omwe amatengedwa monga momwe amasonyezera, amagwira ntchito pang'onopang'ono ndikuthandizira kukonza chimbudzi komanso kusintha kwa chopondapo pamagulu osiyanasiyana odwala.

Odeston ndi wa gulu laopeka kwambiri opangira choleretics, ndipo amadziwika kuti ndi choleretic. Chochita ichi ngati chinthu chogwira ntchito chimakhala ndi gimekromon, ndipo chimapezeka ngati mapiritsi olemera 200 mg aliyense.

Odeston amachepetsa chodabwitsa cha kusayenda bwino, amachepetsa njira zomwe zimayambitsa kupangidwa kwa miyala ya cholesterol, ndiko kuti, amachepetsa kuchuluka kwa cholesterol mwanjira yamakristali, ndipo akuwonetsedwa mu chithandizo cha matenda monga hyperkinetic biliary dyskinesia, cholecystitis yayitali komanso cholangitis. Perekani pambuyo opaleshoni pa ndulu, komanso chifukwa cha kuchepa kwamphamvu kwa bile katulutsidwe.

Odeston amagwiritsidwa ntchito theka la ola musanadye, mapiritsi 1 kapena 2, katatu patsiku. Mlingo wa tsiku ndi tsiku sayenera kupitilira mapiritsi 6 Njira yovomerezedwa ndi pafupifupi milungu iwiri. Kudumpha mosavomerezeka sikulimbikitsidwa, koma simungathe kumugwira pambuyo pake, kumwa kawiri mlingo.Kampani ya Chipolishi Polfa imatulutsa Odeston, ndipo mutha kugula mapiritsi makumi 50 kumapeto kwa chaka cha 2018 m'mizinda yayikulu ya Russian Federation pamtengo wamba wa rubles 550.

About hydrocholetics

Madzi ena am'magome a mchere amatchedwa hydrocholetics. Amangochepetsa kachulukidwe, mamasukidwe akayendedwe a bile, ndikupangitsa kuti azikhala madzi ambiri. Mosiyana ndi madzi wamba, pomwe mchere wamadzi umalowetsedwa m'matumbo am'mimba ndikulowa m'magazi a portal, umatengedwa ndi maselo a chiwindi poyambira, ndikuwonjezera kukakamiza kwa bile ducts ndi osmosis. Ngati pakufunika kuonjezera katulutsidwe ka bile, ndiye kuti muyenera kusankha madzi monga Essentuki No. 4 (mineralization) ndi No. 17 (mineralization), Jermuk. Ayenera kudyedwa mphindi 30 asanadye, makamaka m'malo otentha komanso ndi mpweya wotulutsidwa, ngati ulipo.

Yabwino kwambiri choleretic-kinetics: zolimbikitsa kuchotsedwa kwa bile

Mankhwala a Cholagogue a mndandandawu amagawidwa m'magulu awiri osiyana. Ngati kuwira kumakhala kotsika, minyewa yake yosalala imakhala yofowoka komanso yofooka, ndiye kuti ndikofunikira kuwonjezera kamvekedwe kake ndikulimbitsa mphamvu yake yopanga mgwirizano. Nthawi yomweyo, othandizira amachepetsa mavuto a tonic, ndikuchulukitsa kuunikira kwa zida za duct wamba ya bile. Amangokwiyitsa matumbo poyambitsa kuwononga kwa mahomoni am'mimba (cholecystokinin). Chitsanzo cha mankhwala a choleretic oterowo ndi a magnesium sulfate, kapena magnesia.

Mankhwalawa amaperekedwa makamaka chifukwa cha biliary dyskinesia ya hypotonic mtundu, kusayenda mu ndulu ndikutsika kamvekedwe kake. Mankhwalawa amawonetsedwa kwa gastritis yotsika acidity, komanso cholekinetics yomwe imachepetsa chikhodzodzo, imawonetsedwa pakumveka kwa duodenal mwa munthu wathanzi.

Gulu lachiwiri la mankhwalawa limaphatikizapo ma antispasmodics, omwe amatulutsa chikhodzodzo kwambiri, amachepetsa kuphipha kwake, komanso nthawi yomweyo amapatsanso mitsempha ya bile. Izi zimakuthandizani kuti muchepetse kuchotsa kwa bile, ndi No-shpa, Papaverin, kapena amphamvu kwambiri atropine ndi platyphylline, omwe amagwiritsidwa ntchito m'mabungwe azachipatala komanso poyitanitsa ambulansi, ndi zitsanzo cha cholekinetics.

Ndalamazi ndizofunikira kwa mitundu yoopsa ya dyskinesia, pamaso pa miyala mu ndulu ndi ma ducts a bile. Amatha kuchepetsa ululu wammbuyo womwe nthawi zambiri umachitika chifukwa cha kuphipha kwamankhwala am'mimba komanso pamaso pa matenda a gallstone.

Ganizirani ma cholekinetics omwe amadziwika kwambiri komanso ogwira mtima omwe amagulitsidwa ku malo ogulitsa mankhwala ndikuphatikizidwa.

Magnesium sulfate

Magnesia ndiye choleretic wosavuta kwambiri komanso wotsika mtengo kwambiri. Ufa wopanda mtunduwu, wosungunuka m'madzi, umakhala ndi mchere wowawa kwambiri, ndipo kumwa magnesia sikosangalatsa. Koma, kuwonjezera pa choleretic athari, ilinso ndi anticonvulsant athari, imathandizira kukula kwa mtima wamtambo, imakhala ndi vuto lodziletsa komanso imatha kuthana ndi kudzimbidwa. Magnesia amagwiritsidwa ntchito ku cholecystitis ndi cholangitis, kuti apeze gawo la bile la phokoso lokhala ndi duodenal, chifukwa cha dyskinesia ya ndulu modabwitsa, kuyeretsa matumbo. Ndikofunikira kuthira magnesia pakutha paketi imodzi (25 g) mu kapu imodzi ya madzi ofunda, ndi kumwa pakati pa chakudya katatu patsiku, musanadye. Pankhaniyi, pafupifupi, ola limodzi kapena awiri, mankhwalawa adzakhala ndi mphamvu ya choleretic, yomwe imatha kwa maola 4 kapena 6. Nthawi zambiri, zitatha izi, kupumula kwina kumachitika, popeza njira yotsatsira ya magnesia imathandizira kuti madzi azilowa m'matumbo a lumen.

Fakitala Yogulitsa Mankhwala ku Moscow imatulutsa magnesium sulfate, ndipo phukusi limodzi la magalamu 25 limalemera pafupifupi ma ruble 32.

No-shpa (drotaverinum)

Mapiritsi otchuka kwambiri a antispasmodic No-spa, kapena drotaverin hydrochloride, amapangidwa ndi kampani yopanga mankhwala ya ku Hungary Hinoin. No-spa ndi chida chomwe chimakulolani kuti muchepetse minyewa yosalala yokhala ndi ndulu komanso michere ya bile, komanso minyewa yosalala ya kwamikodzo, motero mankhwalawa akuwonetsedwa ngati aimpso.

No-spa imathandizira kuchepetsa kupweteka kwambiri ndi mawonekedwe a hypertonic bysary dyskinesia, cholangitis, komanso cholecystitis. No-spa imangopezeka m'mapiritsi okha, komanso pamitundu yothetsera, nthawi zambiri imayendetsedwa mwachisawawa. Ma antispasmodics okhawo omwe amawonetsedwa kupweteka pamimba, m'chigawo cha "pamimba pamimba." Chowonadi ndi chakuti ngati mugwiritsa ntchito zolimba zolimba, muthanso kupweteka ndikusowa pomwe pakufunika kuchitapo kanthu mwachangu, mwachitsanzo, ndi apendenditis. Mankhwala a antispasmodic alibe mphamvu ya analgesic, ndipo zomwe angachite ndikukhazikitsa minofu.

Chifukwa chake, ngati pakuyang'ana kutukuka kwapang'onopang'ono m'matumbo am'mimba, mwachitsanzo, ndi cholecystitis yowerengera yomweyo, ndiye kuti No-spa sichithandiza, koma ngati kupweteka kumayambika chifukwa cha kuphipha khosi la ndulu, ndiye kuti zotsatira zoyenera zitheka, kuphipha kudzatha, bile lituluka m'matumbo, ndipo mkhalidwe wa wodwalayo ukupita bwino.

Ndikofunikira kugwiritsa ntchito No-shpu m'mapiritsi kuchokera pa mapiritsi 1 a 40 mg mpaka 6 mapiritsi patsiku, ndiye kuti, osapitiliza mapiritsi 2 katatu patsiku, ndikofunika kuti muzidya musanadye, kuti panthawi ya chakudya iwonetsetse momwe zimakhalira ndikupuma minofu yosalala ya thirakiti lothandiza. Paketi imodzi ya No-shpa yomwe ili ndi mapiritsi 24 imakhala pafupifupi ma ruble 100.

Mitundu ya mankhwala a choleretic

Masiku ano mu zamankhwala, mitundu ya mankhwala a choleretic imagwiritsidwa ntchito yomwe ikukwaniritsa malamulo achire, komanso zimaganiziranso 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 kuchotsa 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

1. Mankhwala enieni a choleretic:
2. Choleretics, omwe amaphatikiza ma bile acid, amapangidwa pamaziko a nyama kapena zomera, mwachitsanzo, mankhwala azitsamba, bile bile,
3. Mankhwala achilengedwe a choleretic mwanjira ya mankhwala omwe amapangidwa pogwiritsa ntchito mankhwala okhala ndi organic ndipo amatha kupanga zofunikira zazikulu za bile,
4. Zomera zamankhwala zomwe zimakhala ndi choleretic (zomwe zimagwiritsidwa ntchito mwa mitundu ya ma decoctions ndi infusions).
5. Mankhwala a Hydrocholeretic. Zomwe zimapangidwira mankhwalawa zimapangitsa kuti bile iwonjezeke, ndikupukusira ndi madzi.

Cholekinetic choleretic mankhwala ndi kusayenda kwa bile amathandizira kuti atulutsidwe kwa bile chifukwa kusintha kwa kamvekedwe ka ndulu ndikusangalatsa pa ndulu ya bile.

Mankhwala a Cholespasmolytic amathandizira kutuluka kwa bile chifukwa chogwiritsa ntchito bwino ndi chithokomiro cha biliary:

• Ma antispasmodics opanga
• Mankhwala a Antispasmodic omwe amapangidwa pamtunda,
• mankhwala anticholinergic.

Njira yochepetsera lithogenicity index ya bile. Mankhwalawa amagwiritsidwa ntchito ngati othandizira a prophylactic a cholelithiasis, amatha kupha miyala mu chikhodzodzo cha ndulu:

1. mankhwala okhala ndi ursodeoxycholic ndi chenodeoxycholic bile acid,
2. Amatanthawuza zomwe zimapangidwa ndi lipid-dissolting zinthu, mwachitsanzo methyl tert-butyl ether.

Mankhwalawa a choleretic, omwe mwa mawonekedwe a zinthu zokhala ndi ma asidi a bile, 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 kupweteka kwa ndulu ndi ndulu za bile, amachepetsa kuchuluka kwa mafuta m'thupi, komanso kupha mabakiteriya azinthu zomwe zimayambitsa kutupa kwa biliary, ndipo, kuwonjezera, kuyimitsa 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 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 ndizomera zokha zamankhwala zomwe zimapanga gawo lokonzekera, nthawi zambiri zimatchedwa kukonzekera kwazitsamba zomwe zimachotsa bile.

Hydrocholeretics imatha kuwonjezera kuchuluka kwa bile chifukwa kuchepa kwa ndende yake, kuchepa kwa mamasukidwe akayendedwe, omwe amapezeka ndikuwonjezera madzi ake. Pankhaniyi, kuchotsedwa kwa bile kumakhala kosavuta, ndipo kupewa mawonekedwe a miyala mu chikhodzodzo cha ndulu kumatheka.

Mankhwala a chlekinetic amasintha ntchito ya ndulu ndipo nthawi yomweyo amasangalatsa minofu ya thirakiti lothandiza. 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.

Njira zomwe zimathandizira kuchepetsa magawo a lithogenic a bile amagwiritsidwa ntchito kusungunula miyala yomwe imapangidwa mu ndulu, ndikugwiritsidwanso ntchito ngati prophylactic pokonzekera kupangidwa kwatsopano.

Chifukwa chakuti othandizira otere amatha kupereka zotsatira za choleretic, amadziwika kuti ndi gulu la choleretic.

Choleretics Zoona

Mankhwala omwe amalimbikitsa kupanga bile amatchedwa choleretics.Ma choleretics enieni (cholesecretics) ndi mankhwala omwe amaphatikiza ndulu ya nyama kapena zofunikira zake (bile acid, ma enzymes am'mimba). Zothandiza kwambiri:

• Allohol. Kuphatikiza pa bile youma, imakhala ndi zowonjezera za nettle ndi adyo. Imathandizira kupangidwa kwa chiwindi ndi chiwindi, imathandizira kutuluka kwake, ndikuchepetsa mwayi wopanga masamu. Ilibe zotsutsana.
• Mapiritsi a Cholenzyme amapangidwa kuchokera ku youma bile ndi kuwonjezera kwa zouma zanyumba ndi matumbo, zomwe zimapereka choleretic ndi enzymatic. Ndikulimbikitsidwa kwa hepatobiliary system pathologies, gastritis, colitis, ndi matenda am'mimba. Palibe zotsutsana.
• Chilon zochokera ku dehydrocholic acid zimapangitsa kuti khungu lizitulutsa, limakhala ndi anti-yotupa. Perekani ndi cholecystitis, cholangitis, kapangidwe kakang'ono ka miyala.

Cholagogue Liobil, Vigeratin, Deholin, Kholamin amapangidwa kunja, koma alibe chilolezo ku Russian Federation.

Kukonzekera kwachilengedwe kwa bile, chifukwa chofatsa, kumatha kuledzera kwa nthawi yayitali.

Kulandila zenizeni choleretics amaletsedwa exacerbations aakulu matenda a chiwindi ndi ndulu. Gastroenterologist amasankha mankhwala, mlingo, regimen.

Herb-based choleretics

Kukonzekera kwazitsamba kumagwiritsidwa ntchito ngati mankhwala chifukwa cha zochita zawo zambiri. Izi ndi choleretic:

• onjezani kuchuluka kwa ndulu zobisika,
• yambitsani madzi ake
• chepetsani kuphipha kwa chikhodzodzo.

Cholagogue mbewu ndi kukonzekera motengera izo amalembera cholecystitis, cholangitis, kapamba, dyskinesia wa ziwalo za biliary dongosolo. Amakhala ndi zotsutsana zochepa, phwando limaloledwa kwa ana, amayi oyembekezera komanso oyembekezera.

Mankhwala, pali mankhwala amafuta a zitsamba monga mapiritsi, manyumwa kapena mankhwala:

• Mapiritsi a Tanacechol ali ndi tansy Tingafinye, timalimbitsa kupanga bile, tithandizire kupuma.
• Kholosas, madzi omwe amagwiritsidwa ntchito pa zipatso za rosehip, amasintha kagayidwe, amathandiza kuthetsa bile, amalepheretsa kuyika miyala, amateteza chitetezo chokwanira, ndikuletsa kutupa. Chotsutsana chokha ndi kusalolera payekha.
• Chophytol pamtundu wa artichoke masamba amagulitsidwa m'mapiritsi ndi yankho la pakamwa. A amphamvu choleretic hepatoprotector amakhala metabolic njira. Contraindified mu kuchulukana kwa aimpso ndi kwa chiwindi matenda.
• Holagol - mankhwala okhala ndi turmeric, mafuta ofunikira a timbewu ndi bulugamu. Imawonjezera katulutsidwe ka bile, imathandizanso kupuma, ndipo imakhala ndi vuto lotupa. Otsatira woyembekezera, kuyatsa, ana ochepera zaka 12.
• Urolesan ndi choleretic wothandizira wokhala ndi peppermint ndi mafuta a mafelezi, omwe amapanga oregano ndi anakweranso, opangidwa ngati madontho. Imalimbitsa kaphatikizidwe ka bile, imalepheretsa mapangidwe amwala. Osamapereka mankhwala pa nthawi yoyembekezera komanso yoyamwitsa.
• Kuthamanga - mankhwala ozikidwa pamchenga wosafa - umawonjezera katulutsidwe ka bile, umasintha kapangidwe ka katulutsidwe. Perekani kwa matenda a hepatobiliary system. Odwala matenda a ndulu.

Ndalama za choleretic pharmacy zimakhala ndi zochitika zambiri, zomwe zimatulutsidwa m'matumba amtundu omwe ali oyenera kukonzekera infusions.

Ngakhale ma phyto-choleretics ali ndi zochepa zotsutsana, simungathe kudzilimbitsa. Gastroenterologist ayenera kupereka mankhwala ofunikira, mlingo wake, ndi mtundu wa mankhwala.

Ma hydrocholetics

Awa ndi mchere wam'madzi ndi mankhwala, mphamvu ya choleretic yomwe imapangidwa chifukwa chakuti bile limapangidwa madzi ambiri. Kuphatikiza apo, kuchuluka kwa katulutsidwe kumawonjezeka ndipo chiwopsezo cha mapangidwe amiyala chimachepetsedwa.

Madzi am'madzi othandizira omwe amapatsidwa bile stasis (Borjomi, Narzan, Essentuki No. 17, Smirnovskaya) amagwiritsidwa ntchito pazovuta za chiwindi, ducts ya bile, ndi m'mimba thirakiti ya pathologies. Amamwa madzi amchere pa 40 ° C, atatulutsa kale mpweya kuchokera pamenepo, m'masamba ang'onoang'ono asanadye.

Hydrocholetics imaphatikizapo mankhwala ochokera ku mizu ya valerian (Tingafinye ndi tincture), yomwe imakhala ndi choleretic.

Cholekinetics

Gulu la choleretic limasinthasintha kamvekedwe ka minofu ya ndulu ndi chikhodzodzo, limasintha kuyenda kwa bile kulowa m'matumbo. Amalembedwa:

• matenda osachiritsika a dongosolo la hepatobiliary,
• foni ya bile
• biliary dyskinesia.

Kwa cholekinetics mulinso mankhwala opangidwa kuchokera ku zomera:

• Kholosas ndi Flamin - kukulitsa kamvekedwe ka makoma a ziwalo zamankhwala amanjenje, kumathandizira kupanga bile,
• Berberis-Homaccord - wogwira mtima wa choleretic wokhala ndi barberry Tingafinye, ndi chakudya chowonjezera. Kupanga njira yothandizira, kumakhala ndi ma analgesic, kumathandizira kupindika.

Ndi kusayenda kwa ndulu, sorbitol, xylitol, mannitol, magnesia amatchulidwa kuti ayeretse chiwindi. Kupaka tirigu kumachitika mu chipatala kapena kunyumba.

Kuyeretsa chiwindi kumafuna kukonzekera, ndipo mankhwalawo nawonso ali ndi zotsutsana. Chifukwa chake, musanayambe ndi tubing, kufunsa ndi gastroenterologist ndikofunikira.

Cholespasmolytics

Mwa mankhwala omwe amachepetsa mabakiteriya am'mimba ndikuthandizira kutuluka kwa bile, magulu ambiri amadziwika:

• Njira zomwe zimachepetsa kugaya kwa bile pochita ubongo (Bellalgin, Besalol). Pulumutsani spasms chifukwa cha zomwe zili ndi belladonna alkaloids, chotsani ululu pamene kuwira kukutentha.
• Ma synthet antispasmodics (Duspatalin, No-Shpa, Papaverin) amachepetsa ululu popumula minofu ya makoma a ziwalo zapakhosi.
• Mankhwala azitsamba otuluka mu ndulu (tinctures, mankhwala azitsamba) pang'onopang'ono amachepetsa spasms, kuchepetsa bile, ndikusintha kapangidwe kake.

Mankhwalawa a choleretic amagwira ntchito popindika ndulu ndi zofooka zina.

Ndi litholytic kanthu

Mankhwala abwino kwambiri a choleretic omwe amalepheretsa kupangika kwa calculi mu ndulu kapena kuwasungunula amakhala ndi ursodeoxycholic acid. Zimasintha bwino bile, kutsitsa cholesterol, chifukwa miyala ya cholesterol imawonongeka. Pa msika wogulitsa mankhwala ku Russia mungagule:

• Ursofalk (Germany),
• Ursosan (Czech Republic),
• Ursoliv (Russia).

Amathandizira pakuchotsa poizoni, kuyeretsa chiwindi, kotero, amalembedwera osati miyala yokha m'matumbo, komanso chifukwa cha chiwindi chachikulu, kutupa ndi dyskinesia ya bile ducts.

Zitsamba

Ndi kusayenda kwa ndulu, kukonzekera kwachilengedwe ndi mankhwala azitsamba ndi mankhwala. Amalimbikitsidwa mu milandu iyi:

• ngati pali zotsutsana pamankhwala ena,
• pamene kufatsa kwa ziwalo za hepatobiliary system kumafunikira,
• pakafunika chithandizo chovuta.

Kukonzekera kwazitsamba kuteteza mapangidwe a bile Zomera izi ndi monga:

• Maolamu a chimanga okhala ndi stigmas, amapangidwa m'matumba amtundu kapena m'njira yotulutsa (Leovit),
• mchenga wosafa umagulitsidwa ngati gawo la tiyi wa choleretic, udzu wouma ndi mankhwala Flamin,
• kusokonekera wamba ndi gawo limodzi la njira Phytohepatol No. 3, mankhwala a Tanacehol,
• artichoke, masamba omwe ali gawo lalikulu pochotsa mapiritsi a artichoke (Evalar) ndi mankhwala a Hofitol.

Njira zimadziwika ndi mphamvu ya choleretic kwenikweni, koma, monga kukonzekera kwazitsamba kulikonse, nthawi zambiri kumayambitsa chifuwa. Kuti musavulaze thanzi, muyenera kufunsa katswiri.

Kodi amamwa choleretic ndi liti ndikuletsedwa

Zomwe zimayambitsa kukondoweza kwa bile ndi:

• chibadwire
• zopangidwa mwatsopano kapena zotengera za hepatobiliary system,
• kapamba, gastritis, zilonda zam'mimba,
• kapangidwe ka miyala
• kulephera kwa mtima
• mimba

Kuledzera, kunenepa, zonunkhira, zakudya yokazinga, kupsinjika, kudzidzidzimutsa koipitsa.

Kuchulukana kwa bile komwe amakayikira kumapangitsa mavuto osaneneka omwe abwera:

Kugona kumasokoneza, kufooka wamba, kutopa, thukuta, zolemba pamalirime.

Kukhalapo kwa zizindikirozi kumafunikira kupita kwa dokotala wa gastroenterologist. Kutengera ndi zotsatira za mayeso, mankhwalawa adapangidwira kusintha chimbudzi, kuonetsetsa kuti bile lituluka kale, kuthetsa zomwe zimayambitsa.

Zina mwazomwe zimatsutsana ndi matenda amitsempha. Cholekinetics samatengedwa ndimatenda a gallstone.

Zisonyezo zovuta za mankhwala:

• Matenda a chiwindi ndi ziwalo za biliary system (kuchitira choleretics, cholekinetics),
• biliary duct dyskinesia (mankhwala a cholekinetics ndi choleretic ina)
• kubadwa kwatsopano kwa ndulu (njira yodziwika bwino yotseka),
• kukhalapo kwa calculi yaying'ono mu chikhodzodzo (cholelitholytics akulimbikitsidwa).

Cholagogue sichitha kuledzera ndi kufalikira kwamatenda owopsa a chiwindi, zilonda zapakhosi, chifuwa cham'mimba, zilonda zam'mimbazi ndi zilonda 12 zam'mimba, kusalolera kwa munthu aliyense. Cholagogue ndi miyala yayikulu kapena yambiri ndizoletsedwa.

Pa nthawi yoyembekezera

Kugwiritsidwa ntchito kwa choleretic panthawi yoyembekezera kumatheka pokhapokha mukaonana ndi dokotala.

Mankhwala ena amalembera azimayi oyembekezera pokhapokha pazifukwa zaumoyo (Ursosan, Hologon, Odeston), pomwe mkaka sakonda. Mosamala, moyang'aniridwa ndi dokotala wa gastroenterologist, amamwa Hofitol, Berberis-Homaccord, Besalol, No-shpu, Flamin, Holosas, Tanacehol.

Mankhwala othandiza choleretic Cholenzym, Allocholum, valerian Tingafinye ndi sorbitol, amayi oyembekezera amatenga popanda zoletsa, malinga ndi chiwembu chomwe dokotala wakhazikitsa.

Kwa ana, Flamin amapangidwa m'makola omwe amapakidwa m'matumba a mlingo umodzi: kwa ana mpaka chaka chimodzi amapatsidwa sachet imodzi, ndi msinkhu kuchuluka kwawo kumawonjezeka pang'onopang'ono, pambuyo pa zaka 5 amatenga magawo anayi.

Mabere amayankhidwa Hofitol mu yankho (mlingo umatsimikiziridwa ndi dokotala), kuyambira wazaka 6, mapiritsi amaloledwa. Palibe-shpu ya ana yophwanyika ndi kusungunuka m'madzi.

Chithandizo cha kobadwa nako kapena kupeza kwa ma biliary system mwa mwana yemwe ali ndi mankhwala a choleretic amachitika mosamala motsogozedwa ndi katswiri.

Mafuta ena a choleretic (Allohol, Holosas, Ursosan) ndi mchere am'madzi am'madzi amatengedwa pang'ono kuchokera pazaka 3, Odeston adayikidwa zaka 7, Hologon - pambuyo 12.

Matenda ena

Mankhwala osokoneza bongo a bile amadzisankhira kutengera matendawa. Chifukwa chake, mankhwala a choleretic mutachotsa ndulu ndi kapamba amadziwika mosiyanasiyana. Njira za matenda am'mimba zomwe zimaperekedwa pagome:

Chithandizo cha izi ma pathologies sichiyenera kungokhala ndi mankhwala a choleretic. Mwachitsanzo, pakalibe gallbladder, kukonzekera kwa enzyme ndi hepatoprotectors amawonjezeranso, ndi cholecystitis ndi kapamba, analgesics, mankhwala osokoneza bongo, komanso zakudya zapadera.

Momwe mungadziwire kuti mankhwalawa ayamba kugwira ntchito

Cholagogue ndi kusayenda kwa bile ndi kuchepa. Ngakhale mutakhala ndi moyo wathanzi, kusiya mowa, kutsatira zakudya ndi malangizo onse a dotolo, Zizindikiro zosokoneza zimachepa pang'onopang'ono:

• chopondapo chikaleka, kudzimbidwa kumatha,
• mtundu wa ndowe umayenda bwino
• kuwawa kudutsa mkamwa
• Imasiya kuvutitsa kutentha kwa mtima
• kulakalaka bwino.

Ngati chithandizo chamankhwala chovomerezeka munthawi yake, pambuyo panjira ya chithandizo, kusapeza bwino pamwendo wathunthu kumachepa, kufooka kumatha.

Zithandizo zaanthu ndi zakudya zamafuta ndi choleretic kwenikweni

Chithandizo chokwanira cha kusakhazikika kwa ndulu mu ndulu ndikuphatikiza kugwiritsa ntchito mankhwala, mankhwala azitsamba, chakudya chamagulu. Njira zachikhalidwe zachikhalidwe zimagwiritsidwa ntchito ndi mafuta a masamba, madzi amchere, ma infusions ndi decoctions, omwe amakonzedwa kuchokera kuzomera zamankhwala:

Amagwiritsidwa ntchito onse padera, mwachitsanzo, tiyi wokhala ndi ginger, komanso ndalama. Ndi mafuta ndi mchere wam'madzi kunyumba, kuyeretsa kwamphamvu kwa chiwindi (tubage) kumachitika.

Zogulitsa zina zimakhala ndi choleretic: beets, radish, mapeyala, parsley, udzu winawake, kaloti, malalanje. Masamba atsopano ndi saladi amakonzedwa kuchokera kwa iwo. Masamba sataya katundu wawo wochiritsa ngakhale ataphika.

Udindo wa bile m'thupi

Mthupi lathu, chiwindi chimagwira ntchito yopanga ma bile acid, omwe amapanga pafupifupi lita imodzi ya bile patsiku. Kuchokera ku chiwindi, kubisala kwachilengedwe kumatumizidwa ku ndulu, komwe amadzisonkhanitsa, kupeza chofunikira ndikuzikidwa mu duodenum. Ubongo wopindika umakhala ndi utoto wamafuta ndipo umakhala ndi zowawa zowawa.

Bile amatenga nawo gawo pakukonzekera chimbudzi, amayang'anira chimbudzi ndi kugawa chakudya, kuwonongeka kwa mafuta, mayamwidwe azakudya komanso mavitamini. Chifukwa cha bile, ntchito zamagalimoto zamatumbo zimasintha ndi poizoni, cholesterol ndi zinthu zina zowola zimachotsedwa m'thupi. Kulephera kwa chiwindi kapena ndulu kumawopseza kukondoweza kwa bile komanso kuwonongeka m'moyo wabwino. Zizindikiro monga kupsa mkamwa, kupweteka kwa pakhungu pakhungu, kupweteka pakhungu, kuwonda mukatha kudya, nseru, komanso kumva kutopa.

Kuthana ndi zizindikiro zosasangalatsa ndikuchotsa kupsinjika kungakuthandizeni:

• mankhwala a choleretic,
• nthawi anayesa wowerengeka azitsamba,
• chakudya chosankhidwa mwapadera.

Inde, musanayambe chithandizo, ndikofunikira kukaonana ndi gastroenterologist ndikutsatira mosamalitsa malingaliro ake.

Cholagogue ndi kusayenda kwa bile

Mankhwala, omwe nthawi zambiri amapangidwira kukokoloka kwa bile ndi dyskinesia wa biliary, amatha kugawidwa m'magulu angapo:

1. Choleretics,
2. Cholespasmolytics,
3. Cholekinetics.

Cholagogue mapiritsi a kuchulukana kwa chiwindi

Tiyeni titenge mankhwala odziwika kwambiri a choleretic, omwe nthawi zambiri amalembedwa kuti athetse kukokoloka mu ndulu.

Kukonzekera kwachilengedwe kotengera ndulu zouma, zomera zam'mera (nettle ndi adyo) ndikuyambitsa kaboni. Mankhwalawa adakhalapo pamsika wamankhwala kwa zaka zopitilira 50, komabe sanatayebe chifukwa chogwira ntchito kwambiri komanso mtengo wotsika. Allochol amatulutsa voliyumu ya bile yomwe imatulutsa, imapatsa choleretic kwambiri, imachepetsa kugaya, ndipo imachepetsa kutupa ndi njira za kupsinjika ndi kuwola m'matumbo.

Mankhwala amapezeka mu mawonekedwe a mapiritsi okhala ndi filimu. Mlingo wofananira tsiku lililonse umachokera pamapiritsi atatu mpaka 6, omwe amagawidwa pawiri. Mapiritsi ayenera kumwedwa mutatha kudya. Allohol imalekereredwa bwino, kawirikawiri imayambitsa zovuta komanso sizinachite zambiri. Zina mwa izo ndi mitundu yovuta ya matenda a chiwindi ndi ndulu, komanso kusalolera pakapangidwe kamankhwala. Njira ya mankhwalawa imatengera mtundu wa matendawa komanso ma 4 kapena 4 milungu.

Kuphatikizika kosakanikirana kochokera ku bile bile ndi michere kuchokera ku zikondamoyo za ng'ombe.Matenda ake a choleretic samanenedwa pang'ono kuposa a Allohol, koma njira zamankhwala ndizambiri. Mankhwalawa amagwiritsidwa ntchito osati kungochotsa kupsinjika mu mtima, komanso kuthandizira matenda am'matumbo (colitis, matenda am'mimba am'mimba). Mapiritsi tikulimbikitsidwa kuti mutenge chidutswa chimodzi mukatha kudya (katatu patsiku).

Mankhwalawa amathandizira kukonza njira yogaya ndi kugaya chakudya, kumawonjezera chilimbikitso komanso kumathandizira kupweteka. Zotsatira zoyipa, zotsatira zoyipa zokha zomwe zimadziwika ndizomwe zimatha kupezeka ndi chidwi cha zigawo za mankhwala. Cholenzym ilinso ndi zochepa zotsutsana, zimakhudzana ndi kuchuluka kwa kapamba ndi chiwindi cha ma cell.

Cholagogue potengera zomwe zimagwiritsidwa ntchito - gimekromona amapangidwa popanga. Mankhwala amalimbikitsa kupanga ndi kuthetseratu kwa bile, imakhala ndi antispasmodic, kupumula bile ducts ndikuchepetsa ululu. Odeston amagwiritsidwa ntchito kuti athetse kusasunthika kwa bile ndikuletsa kupangika kwa ma gallstones, popeza kuti gawo lomwe limagwira popanga mankhwala limaletsa kukhudzana kwa cholesterol. Mwa kupumula minofu yosalala ndi kukhuthala kwa Oddi, mankhwalawa amatsegula njira yotulukira kwaulere kwa bile ndipo amachotsa zisonyezo zosasangalatsa zomwe zimakhudzana ndi kuchulukana (kusanza, kusanza, kudzimbidwa).

Nthawi imodzi, imwani mapiritsi 1-2 theka la ola musanadye. M`pofunika kumwa mankhwala katatu patsiku. Nthawi yayitali ya chithandizo ndi masiku 14. Mankhwala angayambitse kuwonongeka kwa m'mimba mucosa, chifukwa chake contraindication poika Odeston ndi zilonda zam'mimba, kusokonezeka kwa magazi, matenda a hypersensitivity, impso ndi chiwindi, ana a zaka (mpaka zaka 18). Zotsatira zoyipa, kusokonezeka kwa dyspeptic, kupweteka mutu, matupi awo sagwirizana.

Mankhwala opangidwa ndi choleretic kwenikweni, yochokera pazomwe zimapangidwira formaldehyde ndi amidanicotinic acid. Nikodine ali ndi anti-yotupa, choleretic komanso bactericidal. Amagwiritsidwa ntchito posasokoneza bile, kutupa kwa ndulu, dyskinesia wa biliary, ndi matenda opatsirana. The yogwira zinthu za mankhwala imathandizira kuchoka ya bile, bwino chiwindi ntchito ndi kuwonetsa kutchulidwa antimicrobial kwenikweni.

Mlingo umodzi wa mankhwalawa ndi mapiritsi a 1-2, muyenera kumwa musanadye mpaka 4 pa tsiku. Contraindication poika Nikodin ndi hypersensitivity, mimba, mkaka wa m'mawere. Ndi cholestasis, wothandizira choleretic ayenera kugwiritsidwa ntchito mosamala. Zotsatira zoyipa, matupi awo sagwirizana, kuwonjezeka kwa ululu mu hypochondrium ndi zizindikiro za dyspeptic ndizotheka.

Oxafenamide

Mankhwala amatengera osalmide wokhala ndi choleretic, antispasmodic, cholekinetic ndi choleretic kanthu. Gawo lalikulu limachotsa msokonezo msanga ndikupangitsa kupanga bile ndikuchepetsa mamasukidwe ake. Kuphatikiza apo, osalmide imathandizira kuphipha kwa minofu yosalala, imachepetsa ma densi, imachepetsa cholesterol yamagazi ndikuchotsa zisonyezo zosasangalatsa za matendawa (nseru, kuwawa mkamwa, kupweteka, kumverera kwadzalo ndi kulemera kumbali yakumanja, komanso kuperewera kwa khungu).

Mapiritsi amatengedwa musanadye mpaka katatu patsiku. Oxafenamide sayenera kutumikiridwa ndi kuwonjezeka kwa ziwonetsero zake, matenda amitsempha ya m'mimba komanso kunenepa kwambiri kwa chiwindi, zilonda zam'mimba komanso jaundice wovuta. Zotsatira zoyipa, khungu loyenda, kutsegula m'mimba, zotupa pakhungu ndizotheka, zomwe zimazimiririka mofulumira atasiya kumwa mankhwalawa.

Mankhwala azitsamba ozikidwa pang'onopang'ono ndi choleretic, antibacterial ndi antispasmodic. Mothandizika kuthana ndi zotupa, zimawonjezera kupanga bile pochotsa mamasukidwe ake.Chithandizo chogwira ntchito cha mankhwalawa chimapangitsa kuti chikhodzodzo chizigwirana, kwinaku akupumulitsanso kapangidwe ka biliary ndikuthandizira kutulutsa kwamphamvu kwamphamvu. Flamin sinafotokozeredwe njira ya hypersensitivity ndi ulcerative, kayendetsedwe kake amatha kumayendetsedwa ndi zosokoneza ndikumadumphira m'magazi.

Mankhwalawa, omwe amachokera ku artichoke Tingafinye, amatulutsidwa ngati mapiritsi a bulauni pakanema kanema, madzi opaka pakamwa komanso yankho la jakisoni. Ili ndi choleretic ndi choleretic kwenikweni. Kutalika kwa mankhwalawa ndi milungu 2-3, pomwe mapiritsi atatu kapena atatu a Hofitol amayenera kumwa katatu patsiku.

Mankhwala sinafotokozeredwe zovuta matenda a chiwindi ndi impso, cholelithiasis, munthu tsankho kwa zigawo zikuluzikulu ndi mwana (mpaka zaka 6). Chophytol samayambitsa zotsatira zoyipa, koma nthawi zina kusokonezeka kwa m'mimba (kutsekula m'mimba), mseru, kupweteka kwam'mimba, ndi kukokana kwam'mimba zimadziwika kuchokera m'mimba. Thupi lawo siligwirizana chifukwa chomwa mankhwalawa limodzi ndi zotupa, kuyabwa pakhungu, ndi ming'oma.

Cholagogue zitsamba ndi kusayenda kwa bile

Kuphatikiza pa mankhwala, mbewu zambiri zamankhwala zimakhala ndi mphamvu ya choleretic. Pankhani ya kukokomezeka kwa bile, akatswiri amalangizidwa kuti azigula mitengo yapadera ku mankhwalawa yomwe ingathandize kuthana ndi zovuta komanso zokhudzana ndi matendawa. Zitsamba zomwe zimakhala ndi choleretic zimaphatikizapo:

• valerian
• melissa
• mbewa
• wosafera
• stigmas,
• chowawa
• kakombo wa kuchigwa
• chikwama cha abusa
• calendula
• chamomile
• phulusa laphiri
• barberry
• mizu yamavuto
• lingonberry
• artichoke
• Mbalame yayitali
• maluwa
• mizu ya burdock
• masamba a birch.

Ngati zina mwazomera zomwe zilimo pamalopo, mutha kuzigwiritsa ntchito pokonzekera decoction yomwe imathandizira kutulutsa kwa bile. Koma kumbukirani kuti ndalama zonse za choleretic zitha kugwiritsidwa ntchito pokhapokha pakukula, ndiye kuti, munthawi yachikhululukiro cha matendawa.

Cholagogue wowerengeka azitsamba chifukwa cha kusayenda kwa ndulu

Pali maphikidwe ambiri wowerengeka omwe amachokera ku kukonzekera kwazitsamba komwe kumathandizira kupindika kwa ma ducts a bile, kukonza kupanga ndi kutulutsa kwa bile, ndikubwezeretsa ntchito ya ndulu.

Mint ndi celandine kulowetsedwa. Udzu wa Celandine ndi masamba a peppermint amatengedwa chimodzimodzi, 2 tbsp. 300 ml ya madzi otentha amathiriridwa mu chopereka chotere, chimakhazikika pang'onopang'ono, kusefedwa ndi kumwa mozama m'mawa ndi madzulo kwa masiku 14.

Kulowetsedwa kuti muchepetse kuphipha. Mu thermos anagona 1 tbsp. Zinthu zouma zouma (maula + hop hop + worm + + dieelle). Kutolere kutsanulira 250 ml ya madzi otentha, kutseka chivundikiro cha thermos ndikuumiriza zikuchokera kwa maola awiri. Kutsiliza kwakumalizidwa kumasefedwa ndikuwamwetsa chikho 1/4 musanadye.

Kutengedwa kwa worelle ndi wort wa St.. Zimathandizira kukonza kupanga bile ndikuchepetsa mamasukidwe ake. Choyamba, zopereka ziwiri za udzu wouma wa St. Kenako 5 tbsp. l Kutolere kuthira madzi okwanira lita imodzi ndi kusiya kwa maola 10. Pambuyo pake, chopereka chimasinthidwa pamoto wotsika kwa mphindi 10. Msuzi womalizidwa umakhazikika, umasefedwa ndipo umamwa mu 100 ml kanayi patsiku mukatha kudya.

Coriander Msuzi. Choyamba, kuphatikiza magawo anayi a zipatso za coriander ndi magawo awiri a timbewu tonunkhira ndi osakwanira. Kenako 2 tbsp. l osakaniza umathiridwa ndi 250 ml ya madzi otentha ndikuwiritsa pamoto wochepa kwa mphindi 15. Pambuyo pozizira, msuzi umasefedwa ndikuledzera 100 ml musanadye kadzutsa ndi chakudya chamadzulo. Mankhwalawa atithandizira kubwezeretsa kamvekedwe ka ndulu ndikuyeretsa mitsuko ya bile.

Iyi ndi njira yotchuka yomwe ingachitike kunyumba kuti athetse kupsinjika mu ndulu. Koma musanayambe kuyeretsa zotupa za bile mwanjira imeneyi, onetsetsani kuti mukuonana ndi dokotala.

Masiku awiri mpaka atatu njira isanakwane, muyenera kusiya kugwiritsa ntchito mafuta, zonunkhira, zakudya zokazinga ndi zakudya zomwe zimapangitsa kupangika kwamagesi m'matumbo.Tubage ndikulimbikitsidwa osapitilira 1 nthawi pamwezi, ndibwino kuti mupumuke tsiku lotsatira komanso m'mawa.

Pali njira zingapo zakusintha kotsuka, mutha kusankha yomwe imakuyenererani ndikuyitenga kumayambiriro kwa njirayi

• Magnesium sulfate solution (1 tbsp. L. Ufa mu kapu yamadzi ofunda),
• Njira yothetsera Sorbit (1 tbsp. Pa 200 ml ya madzi otentha),
• 250 ml ya madzi ofunda a mchere osakhala ndi mpweya (Borjomi, Essentuki), momwe 2 tbsp. l Syrup Holosas.

Njira yothetsera vutoli itatha, muyenera kugona mbali yakumanja kwanu ndikuyika chotsekeramo kutentha kwa dera la hypochondrium yoyenera. Kuyeretsa ndulu ndi matumbo zimachitika mkati mwa 1 mpaka 2 maola. Izi zikachitika, matumba otayirira amatha kuwoneka ofooka. Njirayi ndi yothandiza kwambiri, imakuthandizani kuti muchepetse kusayenda kwa bile ndipo imakhazikika bwino.

Mafuta ophikira

Mafuta opangira masamba oyambira (oyang'anira maolivi, opindika, mpendadzuwa) amathetsa zovuta zomwe zimachitika. Amatengedwa pamimba yopanda kanthu, m'mawa uliwonse, mu supuni imodzi yodyera. Patatha mphindi 30 mutamwa mafuta, mutha kuyamba kadzutsa. Njirayi imakhala ndi choleretic yambiri ndipo imathandizira kukhazikitsa chimbudzi choyenera.

Cholagogue katundu ndi kusayenda kwa bile

Musaiwale za chakudya, zambiri zomwe zimatha kupanga mapangidwe a bile. Zotsatirazi zikuwonetsa choleretic zotsatira:

• masamba atsopano - tomato, kabichi, kaloti, beets,
• zipatso ndi wowawasa zipatso - zipatso za malalanje, maapulo, maula, ma cranberries, currants, yamatcheri,
• Zipatso zouma - maapulo owuma, zipatso, nkhuyu,
• amadyera - sorelo, sipinachi, rhubarb, katsabola, udzu winawake, artichoke.

Zonunkhira zina ndi zokometsera, monga turmeric, ginger kapena chicory, amakhalanso ndi ntchito ya choleretic. Koma othandiza kwambiri ndi ndiwo zamasamba zatsopano, mabulosi kapena misuzi ya zipatso. Kuti tikwaniritse zotsatira zomwe timafunikira, timadziti totere tiyenera kukonzekera tisanayambe ntchito.

Madzi kuchokera ku zopangira zakonzedwa amachotsedwa pogwiritsa ntchito juzi kapena chopukusira nyama. Pomaliza, msuzi wa ndiwo zamasamba kapena zipatso umafinya pogwiritsa ntchito yopyapyala. Madzi omwe amayambitsidwa amadzidulira theka ndi madzi oyera akumwa ndipo amamwa 25-50 ml musanadye m'mawa ndi madzulo.

Madzi kuchokera ku turnips ndi radishes ali ndi zabwino kwambiri za choleretic, zomwe zimapangitsa chidwi cha ndulu, zimathandizira kupanga ndi kutuluka kwa bile ndikuwongolera chimbudzi chochepa ndi acidity ya m'mimba. Koma ndi mavuto monga zilonda zam'mimba, gastritis, zotupa m'matumbo, madzi a radish kapena mpiru ziyenera kutayidwa.

Koma palibe chomwe chimangomwera kumwa madzi a peyala, omwe mumatha kumwa kwa nthawi yayitali 100 ml mukatha kudya m'mawa ndi madzulo. Amathetsa kugaya, imagwirizanitsa kugaya chakudya ndikuthandizira kudzimbidwa.

Njira ina yodziwika bwino ndi msuzi wa mola, womwe umapangidwa kuchokera ku zipatso zomwe zimatulutsidwa pambuyo pa chisanu choyamba. Mphamvu ya choleretic yamphamvu imatsimikiziridwa ngati mumamwa 20 ml ya madzi musanadye kwa masabata atatu.

Pali maphikidwe ambiri othandizira kuthetsa bile stasis. Ndikofunikira kusankha njira yoyenera kwambiri ndikuwonetsetsa kuti mukumana ndi dokotala musanagwiritse ntchito kuti mupewe zovuta.

Mwezi uliwonse ndimapanga thukuta mothandizidwa ndi Magnesia kapena Sorbite. Izi zimathandizira kuyeretsa dothi la bile ndikuchotsa bile yapita mthupi. Pambuyo pa njirayi, mumamva kupepuka thupi lonse, mseru, kupindika, mkamwa, kuwawa ndi kupweteka kumbali yakumanja kumatha. Koma simungathe kuchita thukuta ngati muli miyala mu ndulu, apo ayi amayenda ndi zomwe za ndulu ndi zotchinga ndulu za bile. Pankhaniyi, muyenera kuyeserera kuchitapo kanthu.

Ndikakhala ndi kupweteka kwakumanja kwanga, nseru, kufooka, ndimavomera Allohol. Ichi ndi mankhwala a choleretic ozikidwa pazinthu zachilengedwe, zimathandiza kukhazikitsa ntchito ya ndulu ndikuthandizira kutuluka kwa bile.Zotsatira zake, nditatha chithandizo cha masabata awiri ndi atatu, zizindikilo zosasangalatsa zimatha, ndipo vutoli limabweranso. Mankhwalawa ndiokwera mtengo, ali ndi zotsutsana zingapo, ndipo sikuti amayambitsa mavuto.