Tonsefe timadya chakudya. Koma kodi munayamba mwadzifunsapo kuti chakudya chomwe timadya, makamaka zakudya zamafuta, chimagawidwa m'zidutswa tating'onoting'ono kuti matupi athu athe kuyamwa? Lero tikambirana za madzi ofunikira kwambiri omwe matupi athu amapanga omwe amathandiza pa izi. Timatcha izi "nyongo". Mwina munamvaponso kuti zimatchedwa `(nyongo)`.
Kodi ndulu ndi chiyani? Kodi kwenikweni imagwira ntchito yanji?
Mwachidule, ndulu ndi madzi okhuthala, omata, obiriwira ngati chikasu omwe amapangidwa ndi chiwindi chathu. Ali ndi mtundu wachikasu. Ntchito yake yayikulu ndikuthandiza kugaya chakudya chomwe timadya. Makamaka, ndulu ili ndi mphamvu zodabwitsa zogaya mafuta muzakudya zomwe timadya.
Tangoganizani kuti tikudya chakudya chonenepa, mwachitsanzo mpunga wokazinga kapena chakudya chokazinga. Kenako mahomoni ena m'thupi lathu amatumiza chizindikiro ku ndulu yathu, nati, "Chabwino, tsopano tulutsani ndulu." Chidendene ndi chiwalo chaching'ono chonga thumba pansi pa chiwindi, komwe ndulu imasungidwa.
Choncho, chizindikiro ichi chikafika, ndulu imakoka ndikutulutsa ndulu m'gawo loyamba la matumbo athu ang'onoang'ono, duodenum . Mchere wa ndulu mu ndulu (izi ndi zinthu zofunika kwambiri mu ndulu) umaswa madontho akuluakulu a mafuta mu chakudya kukhala zidutswa zing'onozing'ono. Timatcha izi emulsification . Zili ngati kugwiritsa ntchito sopo kusakaniza madzi ndi mafuta pamodzi.
Tangoganizirani, pali mpira waukulu wamafuta, n'kovuta kugaya. Mchere wa ndulu umabwera ndikuswa mpirawo wamafuta kukhala madontho ang'onoang'ono. Kenako ma enzyme ena ogaya chakudya m'thupi lathu amatha kugaya mosavuta zidutswa zazing'ono zamafutazi. Kenako mafuta awa amalowa m'magazi athu ndikugwiritsidwa ntchito ndi thupi kuti lipeze mphamvu zomwe likufunikira.
Kuwonjezera pa kuthandiza kugaya mafuta, ndulu ili ndi ntchito ina yofunika. Izi zikutanthauza kuti, imathandiza kuchotsa zinyalala zosafunikira m'thupi lathu, monga bilirubin. Bilirubin ndi chinthu chomwe chimachokera ku kuwonongeka kwa maselo ofiira a magazi athu. ndulu imagwira ntchito ngati chonyamulira chomwe chimatenga bilirubin iyi kuchokera pachiwindi kudzera m'matumbo ndikutuluka m'thupi ndi ndowe.
Kodi ndulu imapangidwa kuti? Kodi imasungidwa kuti?
Chiwindi chathu chimapanga ndulu pakati pa mamililita 800 ndi 1000 (ndiye kuti pakati pa ma ounces 27 ndi 34 amadzimadzi) patsiku. Tangoganizirani kuchuluka kwake!
Chiwindi chikapanga ndulu, chimayenda m'mitsempha ya ndulu ndipo chimasungidwa mu ndulu.Chidendene chili ngati thanki laling'ono pafupi ndi chiwindi lomwe limasunga ndulu mpaka litafunika. Chidendene nthawi zambiri chimatha kusunga madzi okwana mamililita 30 ndi 80 (ndiko kuti, pakati pa ma ounces 1 ndi 2.7 amadzi).
Kodi ndulu ili ndi chiyani?
Ndudu imapangidwa ndi zinthu zosiyanasiyana. Zofunika kwambiri ndi izi:
- Cholesterol
- Mchere wa bile kapena ma bile acid: Izi ndi zomwe zimathandiza kwambiri kuswa mafuta.
- Madzi
- Ma phospholipids: Awa ndi mtundu wa mafuta ovuta omwe ali ndi phosphorous.
- Bilirubin: Utoto wopangidwa ndi kusweka kwa maselo ofiira a magazi.
- Mchere wa thupi: Mwachitsanzo, potaziyamu ndi sodium.
- Mkuwa ndi zitsulo zina.
Kukhala ndi zonsezi mu kuchuluka koyenera ndikofunikira kwambiri kuti bat igwire ntchito bwino.
Kodi ndi zinthu ziti zomwe zimachitika kawirikawiri zokhudzana ndi ndulu?
Nthawi zina, ngati pali kutsekeka kwa kupanga kapena kuyenda kwa ndulu, mavuto a ndulu amatha kuchitika. Nazi zina mwa izi:
- Miyala ya m'mimba: Izi ndi zinthu zolimba, zofanana ndi miyala zomwe zimapangidwa mkati mwa ndulu. Zimapangidwa makamaka ndi cholesterol, bilirubin, kapena zonse ziwiri.
- Cholecystitis: Uku ndi kutupa kwa ndulu. Izi nthawi zambiri zimachitika miyala ya ndulu ikatseka ndulu.
- Cholangitis: Iyi ndi matenda omwe amapezeka mkati mwa ndulu . Izi zitha kuchitika miyala ya ndulu ikakhazikika mu ndulu ndikutsekeka.
- Choledocholithiasis: Uku ndi kupangika kwa miyala mu duct wamba wa ndulu, duct yayikulu ya ndulu yomwe imanyamula ndulu kuchokera ku chiwindi ndi ndulu kupita ku matumbo ang'onoang'ono.
- Kutsekeka kwa njira zotulutsira ndulu: Njira zotulutsira ndulu zimatha kutsekeka chifukwa cha miyala ya ndulu, zipsera, zotupa, kapena zifukwa zina. Izi zimalepheretsa ndulu kuyenda bwino, zomwe zimayambitsa mavuto ndi kugaya chakudya komanso kuyamwa kwa michere.
Kodi zizindikiro za mavuto a ndulu ndi ziti?
Mavuto a ndulu angayambitse zizindikiro zosiyanasiyana. Komabe, nazi zina mwa zomwe zimapezeka kwambiri:
- Ululu pamwamba pa kumanja kapena pakati pa mimba yanu (m'mimba): Ichi nthawi zambiri chimakhala chizindikiro choyamba cha mavuto a ndulu. Ululu ukhoza kukhala wakuthwa kapena wosasangalatsa. Ukhoza kubwera ndi kutha. Ululuwu ukhoza kukhala woipa kwambiri mukadya zakudya zamafuta. Ululuwo ukhozanso kufika kumbuyo kapena paphewa lanu lamanja.
- Kusanza ndi kusanza: Izi ndi zizindikiro zodziwika bwino za mavuto a ndulu. Zingaphatikizepo kupweteka m'mimba.
- Kusagaya chakudya:Mungathe kumva kupweteka pachifuwa, kumva kukhuta mutatha kudya, komanso kusasangalala m'mimba chapamwamba.
- Malungo ndi kuzizira: Izi zitha kukhala zizindikiro za matenda. Matenda amatha kuchitika ndi matenda monga cholecystitis.
- Jaundice: Apa ndi pamene khungu lanu ndi maso anu oyera zimasanduka achikasu. Izi zimachitika pamene kuchuluka kwa bilirubin m'magazi anu kukukwera. Izi zikutanthauza kuti njira ya ndulu ikhoza kutsekedwa.
- Kusintha kwa mtundu wa ndowe: Pamene njira ya ndulu yatsekeka, ndowe yanu ikhoza kukhala yopepuka kapena yadothi.
Chofunika kwambiri ndi kukumbukira kuti zizindikirozi zingayambitsidwenso ndi matenda ena. Ngati muli ndi zizindikiro ngati izi, makamaka ngati zili zazikulu kapena zosatha, onetsetsani kuti mwaonana ndi dokotala kuti akupatseni chithandizo choyenera ndikukambirana za chithandizo.
Ndi mayeso ati omwe amachitidwa kuti adziwe thanzi la dongosolo lathu logaya chakudya?
Madokotala angagwiritse ntchito mayeso a magazi ngati awa kuti aone zinthu zina zokhudzana ndi ndulu yanu:
- Mayeso a ntchito ya chiwindi: Izi zimayesa kuchuluka kwa ma enzymes a chiwindi, mapuloteni, ndi bilirubin m'magazi mwanu. Kuchuluka kosazolowereka kungasonyeze mavuto ndi chiwindi chanu, ndulu, kapena ndulu.
- Kuyeza kwa Bilirubin: Izi zimayesa makamaka kuchuluka kwa bilirubin m'magazi mwanu. Kuchuluka kwa bilirubin kungakhale chizindikiro cha kutsekeka kwa ndulu kapena mavuto ena.
Kuphatikiza pa izi, ngati pakufunika, zinthu monga ``Ultrasound scan'' ndi ``CT scan'' zitha kuchitidwanso.
Kodi mankhwala a mavuto a ndulu ndi ati?
Chithandizo cha matenda okhudzana ndi ndulu chimasiyana malinga ndi vuto. Mankhwala ena odziwika bwino ndi awa:
- Mankhwala Opha Utoto: Ngati muli ndi kutupa chifukwa cha matenda, dokotala wanu angakulembereni mankhwala opha utoto kuti akuthandizeni.
- Kuchotsa Cholecystectomy: Iyi ndi njira yodziwika bwino yochizira miyala ya ndulu ndi cholecystitis. Imafuna opaleshoni yochotsa ndulu . Nthawi zambiri imachitika ngati njira ya laparoscopic. Izi zikutanthauza kuti zida zimayikidwa kudzera m'mabala ang'onoang'ono angapo , m'malo mwa kudula kwakukulu.
- Endoscopic retrograde cholangiopancreatography (ERCP): Iyi ndi njira yomwe imagwiritsidwa ntchito pozindikira ndikuchiza mavuto a chiwindi, ndulu, ndulu, ndi kapamba. Mwachitsanzo, njirayi imatha kuchotsa miyala m'mitsempha ya ndulu popanda opaleshoni, pogwiritsa ntchito kamera yapadera (scope).
- Opaleshoni:Pa milandu yoopsa, opaleshoni ingafunike kuti ithetse vuto la kutsekeka kapena kutupa.
Kodi tingatani kuti ndulu yathu ikhale yathanzi?
Nazi malangizo ena othandizira kuti ndulu yanu ikhale yathanzi:
- Khalani ndi kulemera koyenera kwa inu: Kunenepa kwambiri ndi chinthu chomwe chimayambitsa matenda a ndulu. Kuchepetsa thupi pang'onopang'ono kungathandize kuchepetsa mavuto omwe angabwere mtsogolo. Koma kumbukirani kuti kuchepetsa thupi mwachangu nthawi imodzi ndi chinthu chomwe chimayambitsa matenda a ndulu.
- Zakudya zopanda mafuta ambiri: Kudya zakudya zopanda mafuta ambiri, makamaka mafuta ambiri, kungathandize kupewa matenda a ndulu. Izi zimathandiza ngakhale mutalandira chithandizo.
- Ulusi wa zakudya: Kuwonjezera ulusi wokwanira muzakudya zanu kungathandize kupititsa patsogolo kugaya chakudya bwino komanso kuthandizira kuchepetsa kuchuluka kwa cholesterol m'thupi.
Pamene mukugwira ntchito tsiku lonse, simungaganizire kwambiri za momwe thupi lanu limagayira mafuta omwe mudadya mu chakudya chanu cham'mawa. Matupi athu amatisamalira zinthu zambiri. Koma mavuto otsegula m'mimba akabuka, makamaka okhudzana ndi ndulu, amatha kukhudza kwambiri thanzi lathu ndi moyo wathu. Ngati muli ndi zizindikiro zomwe tatchulazi, monga kupweteka kumtunda kwa mimba yanu, nseru, ndi kusanza, muyenera kuwona dokotala. Ngakhale kuti zizindikirozi zingayambitsidwenso ndi matenda ena, ndikofunikira kupeza matenda oyenera komanso chithandizo kuti ndulu yanu ndi dongosolo lanu logaya chakudya likhale lathanzi.
Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)
Matumbo ndi chiwalo chopanda phokoso, koma chofunikira kwambiri m'thupi lathu. Popanda ichi, sitingathe kugaya bwino zakudya zamafuta kapena kuchotsa zinyalala zina zomwe zimasonkhana m'thupi lathu.
- Samalani zakudya zanu: Idyani zakudya zopatsa thanzi zomwe zili ndi mafuta ochepa komanso ulusi wambiri.
- Khalani ndi kulemera kwabwino: Kunenepa kwambiri kungayambitse mavuto monga miyala ya m'ndulu.
- Musanyalanyaze zizindikiro zachilendo: Ngati muli ndi ululu m'mimba kapena chikasu cha m'mimba, funsani upangiri wa dokotala nthawi yomweyo.
Kumbukirani, kugaya chakudya bwino n'kofunika kwambiri kuti munthu akhale ndi moyo wathanzi. Chimbudzi chabwino ndi chofunikira kwambiri pa izi!
` Ndulu, kugaya chakudya, ndulu, chiwindi, miyala ya ndulu, jaundice











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