Wakambodya here chikafu chakabikwa mumafuta akawanda, semupunga wekottu kana wakakangwa? Mushure mekudya, pane dzimwe nguva paunofunga kuti, "Maiwe, ndichagaya sei zvese izvi?" Hazvipo here? Mukati memuviri wedu mune gamba guru rinobatsira nebasa iri. Asi vanhu vazhinji havataure nezvake. Gamba iroro ndiro rinoburitsa bile, kana kuti sezvatinoti muchirungu, bile. Nhasi, ngatitaurei nezvekuti bile chii, kuti rinopa sei muviri wedu, uye matambudziko anogona kumuka ane chekuita naro.
Zvakanaka, saka chii chinonzi kubuda kwenyongo iyi?
Zvichitaurwa zviri nyore, bile imvura ine ruvara rwegirini-yero, gobvu, uye inonamira inogadzirwa nechiropa chako. Inonziwo 'nduru'. Ndosaka tichiidaidza nhengo diki inoichengeta kuti nduru.
Fungidzira uchizosuka ndiro yakasanganiswa nemafuta. Mvura chete haibvisi mafuta, handiti? Isu tinoshandisa imwe mhando yemvura yekugeza. Chinhu chimwe chete chinoitwa nesipo, mvura iyi inonzi bile inoita kuti mafuta ari muchikafu chatinodya anyunguduke.
Dumbu inhengo diki yakaita sebhegi rakaita sepeya iri pasi pechiropa chako. Dumbu rinogadzirwa nechiropa rinochengetwa kwenguva pfupi mudumbu iri, setangi remvura.
Basa rei rinoitwa nenyongo iyi mumuviri?
Izvi zvinonyanya kuita zvinhu zviviri.
1. Inobatsira kugaya mafuta (mafuta)
Kana uchidya chikafu chine mafuta akawanda, kana chikapinda muura hwako, mamwe mahormone anotumira chiratidzo kuguruva rako, achiti, "Zvakanaka, ikozvino ndoda rubatsiro rwako, tumira nduru." Ipapo nduru inogumira yoburitsa nduru muchikamu chekutanga cheura hwako hudiki.
Chinhu chinonyanya kukosha mu bile chinhu chinonzi bile salts . Izvi zvinopwanya madonhwe makuru emafuta ari muchikafu zvoashandura kuita madonhwe madiki emafuta. Zvakafanana nekuisa zvidimbu zvikuru mublender wozvikuya. Tinozvidaidza kuti emulsification .
Kana mafuta akapwanywa kuita zvidimbu zvidiki seizvi, ma enzymes emuviri wedu anogona kugaya mafuta zviri nyore uye kupinza zvinovaka muviri (fatty acids) muropa. Muviri unogona kushandisa zvinovaka muviri izvozvo sesimba.
2. Kubvisa tsvina mumuviri
Pamusoro pekugaya mafuta, bile rinoita rimwe basa rinokosha. Ndiro rekubvisa mamwe marara anoungana mumiviri yedu. Semuenzaniso , bilirubin .
Bilirubin chinhu chinobuda muropa chine ruvara rweyero chinoumbwa kana masero matsvuku eropa mumuviri wedu akafa nekufamba kwenguva uye achiparara. Hazvina kunaka kuti bilirubin iyi iungane mumuviri. Saka, bile rinoita senzira yekutakura bilirubin iyi kubva muchiropa kuenda muura. Zvadaro rinoburitswa mumuviri netsvina. Kutaura zvazviri, maitiro aya ndiwo anoita kuti tsvina yako ive neruvara rwebrown.
Nyoro inogadzirwa uye inochengetwa kupi?
Izvi zviri nyore kwazvo.
- Yakagadzirwa ne: Chiropa chako. Chiropa chinoburitsa pakati pemamirita 800 kusvika 1000 e bile pazuva, zvinova huwandu hwemabhodhoro maviri emvura.
- Kuchengetedzwa: Kana chiropa changoburitsa bile, rinofamba nemumigero yebile uye rinochengetwa mugallbladder . Gallbladder inogona kutakura mamirita makumi matatu kusvika makumi masere emvura panguva imwe chete, inova saizi yekapu diki.
Chii chiri munyongo?
Nyoro haisi chinhu chimwe chete, imusanganiswa wezvinhu zvakawanda.
- Cholesterol
- Munyu weBile kana Bile acids
- Mvura
- Phospholipids (rudzi rwemafuta zvakare)
- Bilirubin
- Munyu wemuviri wakaita se potassium ne sodium
- Dzimwe simbi dzakadai semhangura
Pazvose izvi, sezvatakambotaura, chinhu chinonyanya kukosha imunyu we bile. Ndiwo anoita basa guru rekuputsa mafuta.
Zvirwere zvakajairika zvine chekuita nekuburitswa kwe bile
Dzimwe nguva, kana paine kuvharika pakuburitswa kana kuyerera kwenyongo, zvirwere zvakasiyana-siyana zvinogona kuitika. Heano zvimwe zvacho.
| Dambudziko rehutano | Zvichitaurwa zviri nyore, izvi ndizvo zvinoitika. |
|---|---|
| Matombo eGallstone | Matombo emunduru zvinhu zvakasimba zvinoumbwa mukati menduru. Anoumbwa kana paine cholesterol yakawandisa kana bilirubin. |
| Cholecystitis | Kuzvimba kwenyongo. Izvi zvinowanzokonzerwa nematombo enyongo anovhara duct yenyongo. |
| Kutapukirwa kwemutsinga dzenyongo (Cholangitis) | Kana dombo rikabuda munduru rikanyura mudundira renyongo, utachiona hunogona kuitika mukati medundira iroro. |
| Matombo emudumbu anowanzo shandiswa (Choldocholithiasis) | Matombo anova mugwara remudumbu, iro riri payipi guru rinotakura bile kubva muchiropa nenyongo kuenda muura. |
| Kuvharika kwenzira ye bile | Mapaipi emudumbu anogona kuvharika nekuda kwematombo, mavanga ekuvhiyiwa, bundu, kana zvimwe zvikonzero. Izvi zvinodzivirira dumbu kuti risafambe nepakati. |
Unoziva sei kana uine dambudziko iri? (Zviratidzo)
Dambudziko re bile rinogona kukonzera zviratidzo zvakasiyana-siyana, asi izvi ndizvo zvinonyanya kuitika.
| Chiratidzo | Izvi zvinonzwa sei? |
|---|---|
| Kurwadziwa kumusoro kurudyi kana pakati pedumbu | Ichi ndicho chiratidzo chikuru. Kutaura chokwadi, chiri pasi pembabvu kurudyi. Marwadzo anogona kunge akanyanya uye anouya oenda. Marwadzo aya anogona kuitika kunyanya mushure mekudya chikafu chine mafuta. Dzimwe nguva kurwadziwa uku kunoenda kumusana nepafudzi rekurudyi. |
| Kusvotwa nekurutsa | Kusvotwa nekurutsa zvinowanzoonekwa pamwe chete nekurwadziwa mudumbu. |
| Kusagadzikana kwekugaya chikafu | Zvinogona kuva kunzwa kuguta, chirungurira, kana kurwadziwa pachipfuva mushure mekudya. |
| Fivha uye dzihwa | Izvi zvinoratidza kuti pane hutachiona mumuviri. Izvi zvinogona kuitika kana paine chirwere chakadai secholecystitis. |
| Kutsvuka kweganda nemaziso (Jaundice) | Izvi zvinoitika kana bilirubin yatakataura nezvayo kare isingabviswe mu duct ye bile nekuda kwekuvharika kwayo uye ichiungana muropa. Ichi chiratidzo chakakomba. |
| Kuchinja kweruvara rwechitsiko | Kana duct yenyongo yavharwa, bilirubin inopa tsvina ruvara rwayo haigone kupfuura nepakati. Nekuda kweizvozvo, tsvina inogona kuva neruvara rwevhu kana ruvara rwakajeka. |
Chinhu chakakosha ndechekuti zviratidzo izvi zvinogonawo kuitika kune zvimwe zvirwere. Saka kana uine zviratidzo izvi, kunyanya kana zvikaramba zviripo kana kuti zvakanyanya, iva nechokwadi chekuona chiremba wako kuti akuongorore zvakanaka.
Chiremba, mhandoi dzebvunzo dzamungapa?
Zvichienderana nezviratidzo zvako, chiremba wako anogona kuraira bvunzo dzakadai.
- Kuongororwa kwebasa rechiropa: Uku kuongororwa kweropa. Kunoongorora huwandu hwema enzymes echiropa, mapuroteni, uye bilirubin muropa rako. Kana huwandu uhwu husina kujairika, zvinogona kuratidza dambudziko nechiropa chako, gallbladder, kana bilirubin ducts.
- Kuongororwa kweBilirubin: Izvi zvinoyerawo huwandu hwebilirubin muropa. Kuwanda kwebilirubin muropa chiratidzo chikuru chekuvharika kwemugero wenyongo.
- Ultrasound Scan: Kuongororwa kwedumbu kunogona kuona zviri nyore matombo emudumbu kana kuzvimba.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nemamiriro ako chaiwo ehutano. Heano mamwe emishonga inonyanya kushandiswa.
- Mishonga inorwisa mabhakitiriya: Kana nduru yakazvimba nekuda kwehutachiona, chiremba achakupa mishonga inorwisa mabhakitiriya kuti ibvise hutachiona.
- Kubviswa kwemasero emudumbu: Uku ndiko kurapwa kunonyanya kuitwa uye kunobudirira kwematombo emudumbu necholecystitis. Kunowanzoitwa pasina kuchekwa kukuru, uchishandisa kamera kuburikidza nekucheka kudiki kunoverengeka mudumbu (nzira ye laparoscopic).
- ERCP (Endoscopic retrograde cholangiopancreatography): Uku hakusi kuvhiyiwa. Iyi inzira yekuti chubhu ine kamera inopinzwa nemuromo uye matombo anobviswa kubva mumigero yenyongo. Iyi nzira inoshandiswa pakuongorora nekurapa.
- Kuvhiyiwa Kwakavhurika: Mune zvimwe zviitiko zvakakomba, kuvhiyiwa kukuru kunogona kudiwa kubvisa chikonzero chekuvharika kana kudzora kuzvimba.
Zvinhu zvatinogona kuita kuti nduru igare iine hutano
Pane zvinhu zvishoma zviri nyore zvatinogona kutevera kudzivirira kana kuderedza matambudziko aya.
- Ramba uine huremu hwakanaka: Kufuta ndicho chikonzero chikuru chematombo emunduru. Kana uri kudzikira uremu, zviite zvishoma nezvishoma, kwete mubundu guru. Kudzikira uremu nekukurumidza kunogonawo kuva chikonzero chematombo emunduru.
- Kudya kusina mafuta akawanda: Kuderedza kudya mafuta, kunyanya mafuta asina kunaka, kunogona kubatsira kudzivirira kuumbwa kwematombo.
- Zvekudya zvine fiber yakawanda: Zvekudya zvine fiber yakawanda zvakaita semuriwo, michero, nenyemba zvinobatsira kuchengetedza kugaya chikafu zvine hutano uye kudzora huwandu hwecholesterol mumuviri.
Iye zvino pamwe wava kunzwisisa kukosha kwemvura iyi inonzi bile kumuviri wedu, kunyangwe tisingafungi nezvayo zvakanyanya muhupenyu hwedu hwezuva nezuva. Mibvunzo inomuka pamusoro peizvi inogona kurwadza uye kusagadzikana. Saka, kana uine zviratidzo zvatakataura nezvazvo kare, kunyanya kurwadziwa kurudyi kwemudumbu, kuda kurutsa, nezvimwewo, usazviregeredza uye tsvaga rubatsiro rwechiremba nekukurumidza sezvinobvira. Ipapo unogona kuchengetedza hutano hwegadziriro yako yekugaya chikafu nenduru.
Mharidzo Yekuenda Nayo Kumba
- Kuburitsa bile kwakakosha pakugaya chikafu chine mafuta uye kubvisa tsvina mumuviri.
- Kurwadziwa mudumbu, kunyanya mushure mekudya mafuta akawanda, kunogona kuva chiratidzo chikuru chedambudziko renduru.
- Kana ganda rako kana maziso ako akaita yero (jaundice) kana tsvina yako ikaita sevhu, enda kuna chiremba nekukasika nekuti inogona kunge iri dambudziko rakakura.
- Kuramba uine huremu hwakanaka uye kutevedzera kudya kusina mafuta akawanda uye kudya zvinhu zvine fiber yakawanda kunogona kuderedza njodzi yematambudziko emudumbu.
- Kana usina chokwadi nezvechiratidzo chipi zvacho, gara uchitsvaka mazano kubva kuna chiremba wako, pane kufungidzira.
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