Kodi mudadyapo chakudya chomwe chidaphikidwa mu mafuta ambiri, monga kottu kapena mpunga wokazinga? Mukatha kudya, nthawi zina mumaganiza kuti, "O, ndizigaya bwanji zonsezi?" Kodi palibe? Pali ngwazi mkati mwa thupi lathu yomwe imathandiza pa ntchitoyi. Koma anthu ambiri samalankhula za iye. Ngwazi imeneyo ndi kutulutsa kwa ndulu, kapena monga momwe timanenera mu Chingerezi, ndulu. Lero, tiyeni tikambirane za ndulu, ntchito yomwe imapereka ku thupi lathu, ndi mavuto omwe angabuke okhudzana nayo.
Chabwino, kodi kutulutsa kwa ndulu kumeneku n’chiyani?
Mwachidule, ndulu ndi madzi obiriwira ngati achikasu, okhuthala, komanso omata omwe amapangidwa ndi chiwindi chanu. Amatchedwanso 'ndulu'. Ndicho chifukwa chake timatcha chiwalo chaching'ono chomwe chimasunga ndulu.
Tangoganizani kuti mutsuka mbale yothira mafuta. Madzi okha sachotsa mafuta, sichoncho? Timagwiritsa ntchito madzi otsukira pa izi. Mofanana ndi sopo, madzi otchedwa ndulu amenewa amachita kuti asungunuke mafuta omwe ali muzakudya zomwe timadya.
Chidendene ndi chiwalo chaching'ono chooneka ngati peyala chomwe chili pansi pa chiwindi chanu. Chidendene chomwe chimachokera ku chiwindi chimasungidwa kwakanthawi mu ndulu iyi, ngati thanki la madzi.
Kodi ndulu iyi imapereka chithandizo chotani ku thupi?
Izi makamaka zimakwaniritsa zinthu ziwiri.
1. Zimathandiza kugaya mafuta (mafuta)
Mukadya chakudya chonenepa, chikalowa m'matumbo mwanu, mahomoni ena amatumiza chizindikiro ku ndulu yanu, nati, "Chabwino, tsopano ndikufuna thandizo lanu, tumizani ndulu." Kenako nduluyo imakoka ndikutulutsa nduluyo m'gawo loyamba la matumbo anu ang'onoang'ono.
Chofunika kwambiri mu ndulu ndi mankhwala otchedwa ndulu salts . Izi zimaswa madontho akuluakulu a mafuta mu chakudya ndikuwasandutsa madontho ang'onoang'ono a mafuta. Zili ngati kuyika zidutswa zazikulu mu blender ndi kuzipera. Timatcha izi emulsification .
Mafuta akaphwanyidwa m'zidutswa zazing'ono ngati izi, ma enzyme a m'thupi lathu amatha kugaya mafuta mosavuta ndikuyamwa michere (mafuta acid) m'magazi. Kenako thupi limatha kugwiritsa ntchito michere imeneyo ngati mphamvu.
2. Kuchotsa zinyalala m'thupi
Kuwonjezera pa kugaya mafuta, ndulu imagwiranso ntchito ina yofunika kwambiri. Ndiyo kuchotsa zinyalala zina zomwe zimasonkhana m'thupi lathu. Mwachitsanzo , bilirubin .
Bilirubin ndi chinthu chachikasu chomwe chimapezeka maselo ofiira a m'magazi athu akamwalira pakapita nthawi ndikusweka. Sizabwino kuti bilirubin iyi iunjikane m'thupi. Chifukwa chake, ndulu imagwira ntchito ngati chonyamulira bilirubin iyi kuchokera pachiwindi kupita m'matumbo. Kenako imatulutsidwa m'thupi limodzi ndi ndowe. Ndipotu, njira imeneyi ndi yomwe imapatsa ndowe zanu mtundu wake wa bulauni.
Kodi ndulu imapangidwa ndi kusungidwa kuti?
Izi n'zosavuta kwambiri.
- Yopangidwa ndi: Chiwindi chanu. Chiwindi chimapanga ma mililita 800 ndi 1000 a ndulu patsiku, zomwe ndi pafupifupi mabotolo awiri a madzi.
- Kusungira: Chiwindi chikapangidwa, ndulu imadutsa m'mitsempha ya ndulu ndipo imasungidwa mu ndulu . Chiwindi chimatha kusunga pafupifupi mamililita 30-80 amadzimadzi nthawi imodzi, omwe ndi kukula kwa kapu kakang'ono.
Kodi ndulu ili ndi chiyani?
Njuchi si chinthu chimodzi chokha, ndi chisakanizo cha zinthu zambiri.
- Cholesterol
- Mchere wa bile kapena asidi a bile
- Madzi
- Ma phospholipids (mtundu wina wa mafuta)
- Bilirubin
- Mchere wa thupi monga potaziyamu ndi sodium
- Zitsulo zina monga mkuwa
Mwa zonsezi, monga tanenera kale, gawo lofunika kwambiri ndi mchere wa ndulu. Ndiwo omwe amagwira ntchito yayikulu yogawa mafuta.
Matenda ofala okhudzana ndi kutulutsa ndulu
Nthawi zina, ngati pali kutsekeka kwa kupanga kapena kuyenda kwa ndulu, matenda osiyanasiyana amatha kuchitika. Nazi zina mwa izo.
| Matenda | Mwachidule, izi ndi zomwe zimachitika. |
|---|---|
| Miyala ya m'matumbo | Miyala ya ndulu ndi zinthu zolimba zomwe zimapangidwa mkati mwa ndulu. Imapangidwa pamene pali cholesterol yochuluka kapena bilirubin. |
| Cholecystitis | Kutupa kwa ndulu. Izi nthawi zambiri zimachitika chifukwa cha miyala ya ndulu yomwe imatseka njira yodutsa ndulu. |
| Matenda a ndulu (cholangitis) | Mwala ukatuluka mu ndulu n’kukhazikika mu ndulu, matenda amatha kuchitika mkati mwa nduluyo. |
| Miyala ya ndulu yodziwika bwino (Choldocholithiasis) | Miyala imakhazikika mu duct ya ndulu, yomwe ndi chubu chachikulu chomwe chimanyamula ndulu kuchokera ku chiwindi ndi ndulu kupita kumatumbo. |
| Kutsekeka kwa njira ya ndulu | Mitsempha ya ndulu imatha kutsekeka chifukwa cha miyala, zipsera za opaleshoni, zotupa, kapena zifukwa zina. Izi zimaletsa ndulu kutuluka. |
Kodi mungadziwe bwanji ngati muli ndi vutoli? (Zizindikiro)
Vuto la ndulu lingayambitse zizindikiro zosiyanasiyana, koma izi ndizofala kwambiri.
| Chizindikiro | Kodi izi zimamveka bwanji? |
|---|---|
| Ululu kumtunda kumanja kapena pakati pa mimba | Ichi ndiye chizindikiro chachikulu. Kunena zoona, chili pansi pa nthiti kumanja. Ululu ukhoza kukhala woopsa kwambiri ndipo umabwera ndikupita. Ululuwu ukhoza kuchitika makamaka mutadya chakudya chamafuta. Nthawi zina ululuwu umapita kumbuyo ndi kumanja. |
| Kusanza ndi kusanza | Kusanza ndi kusanza n'kofala pamodzi ndi kupweteka m'mimba. |
| Kusagaya bwino chakudya | Kungakhale kumva kukhuta, kutentha pamtima, kapena kupweteka pachifuwa mutadya. |
| Malungo ndi kuzizira | Izi zikusonyeza kuti pali matenda m'thupi. Izi zitha kuchitika ngati matenda a cholecystitis. |
| Kutuluka kwachikasu pakhungu ndi maso (Jaundice) | Izi zimachitika pamene bilirubin yomwe tidatchula kale singachotsedwe mu duct ya bile chifukwa cha kutsekeka ndipo imasonkhana m'magazi. Ichi ndi chizindikiro chachikulu. |
| Kusintha kwa mtundu wa chopondapo | Pamene njira ya ndulu yatsekedwa, bilirubin yomwe imapangitsa ndowe kukhala ndi mtundu wake singathe kudutsa. Zotsatira zake, ndowe zimatha kukhala ngati dongo kapena mtundu wopepuka kwambiri. |
Chofunika kwambiri ndichakuti zizindikirozi zitha kuchitikanso ndi matenda ena. Choncho ngati muli ndi zizindikirozi, makamaka ngati zikupitirira kapena ngati zili zazikulu, onetsetsani kuti mwaonana ndi dokotala wanu kuti akupatseni chithandizo choyenera.
Dokotala, ndi mayeso otani omwe mungapereke?
Kutengera ndi zizindikiro zanu, dokotala wanu angakupatseni mayeso ngati awa.
- Kuyezetsa kwa ntchito ya chiwindi: Uku ndi kuyezetsa magazi. Kumayesa kuchuluka kwa ma enzymes a chiwindi, mapuloteni, ndi bilirubin m'magazi mwanu. Ngati kuchuluka kumeneku sikuli bwino, kungasonyeze vuto la chiwindi chanu, ndulu, kapena ndulu.
- Kuyeza kwa Bilirubin: Izi zimayesanso kuchuluka kwa bilirubin m'magazi. Kuchuluka kwa bilirubin ndi chizindikiro chachikulu cha kutsekeka kwa ndulu.
- Kujambula kwa Ultrasound: Kujambula m'mimba kumatha kuzindikira mosavuta miyala ya ndulu kapena kutupa.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira vuto lanu. Nazi zina mwa njira zochiritsira zomwe zimagwiritsidwa ntchito kwambiri.
- Mankhwala Opha Utoto: Ngati ndulu yatupa chifukwa cha matenda, dokotala adzakupatsani mankhwala opha tizilombo toyambitsa matenda kuti athetse matendawa.
- Kuchotsa Cholecystectomy: Iyi ndi njira yodziwika bwino komanso yothandiza kwambiri yochizira miyala ya m'mimba ndi cholecystitis. Nthawi zambiri imachitika popanda kudula kwakukulu, pogwiritsa ntchito kamera kudzera m'mabala ang'onoang'ono angapo m'mimba (njira ya laparoscopic).
- ERCP (Endoscopic retrograde cholangiopancreatography): Iyi si opaleshoni. Ndi njira yomwe chubu chokhala ndi kamera chimayikidwa kudzera pakamwa ndipo miyala imachotsedwa m'mitsempha ya ndulu. Njirayi imagwiritsidwa ntchito pozindikira ndi kuchiza.
- Opaleshoni Yotseguka: Nthawi zina, opaleshoni yayikulu ingafunike kuti ichotse chomwe chachititsa kutsekeka kapena kuletsa kutupa.
Zinthu zomwe tingachite kuti ndulu ikhale yathanzi
Pali zinthu zingapo zosavuta zomwe tingatsatire kuti tipewe kapena kuchepetsa mavutowa.
- Khalani ndi kulemera kwabwino: Kunenepa kwambiri ndi chifukwa chachikulu cha miyala ya m'chiwindi. Ngati mukuchepetsa thupi, chitani pang'onopang'ono, osati mutakhala ndi chotupa chachikulu. Kuchepetsa thupi mofulumira kwambiri kungakhalenso chifukwa cha miyala ya m'chiwindi.
- Zakudya zopanda mafuta ambiri: Kuchepetsa kudya mafuta, makamaka mafuta osapatsa thanzi, kungathandize kupewa kupanga miyala.
- Zakudya zokhala ndi ulusi wambiri: Zakudya zokhala ndi ulusi wambiri monga ndiwo zamasamba, zipatso, ndi nyemba zimathandiza kuti kugaya chakudya kukhale kwathanzi komanso kulamulira kuchuluka kwa mafuta m'thupi.
Tsopano mwina mukumvetsa kufunika kwa madzi otchedwa ndulu amenewa m'thupi lathu, ngakhale kuti sitiganizira kwambiri za iwo m'miyoyo yathu ya tsiku ndi tsiku. Mafunso omwe amabwera okhudzana ndi izi akhoza kukhala opweteka komanso osasangalatsa. Chifukwa chake, ngati muli ndi zizindikiro zomwe takambirana kale, makamaka kupweteka m'mimba, nseru, ndi zina zotero, musanyalanyaze ndipo funsani upangiri wa dokotala mwachangu momwe mungathere. Kenako mutha kusunga thanzi la m'mimba mwanu komanso ndulu yanu.
Uthenga Wopita Nawo Kunyumba
- Kutulutsa ndulu ndikofunikira kwambiri pogaya zakudya zamafuta ndikuchotsa zinyalala m'thupi.
- Ululu kumtunda kwa kumanja kwa mimba, makamaka mukatha kudya zakudya zonenepa, ukhoza kukhala chizindikiro chachikulu cha vuto la ndulu.
- Ngati khungu lanu kapena maso anu asintha kukhala achikasu (jaundice) kapena ndowe zanu zikusintha kukhala zadothi, pitani kuchipatala nthawi yomweyo chifukwa mwina ndi vuto lalikulu.
- Kusunga kulemera koyenera komanso kutsatira zakudya zopanda mafuta ambiri komanso zokhala ndi ulusi wambiri kungathandize kuchepetsa mavuto a ndulu.
- Ngati mukukayikira za chizindikiro chilichonse, nthawi zonse funsani upangiri kwa dokotala wanu, m'malo mongoganizira.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu