Wake wadla isidlo esiphekwe ngamafutha amaningi, njenge-kottu noma irayisi elithosiwe? Ngemva kokudla, kunezikhathi lapho ucabanga khona, "Hawu, ngizokugaya kanjani konke lokhu?" Akukhona? Empeleni kukhona iqhawe ngaphakathi emzimbeni wethu elisiza ngalo msebenzi. Kodwa ababaningi abantu abakhuluma ngalo. Lelo qhawe liwukukhishwa kwe-bile, noma njengoba sisho ngesiNgisi, i-bile. Namuhla, ake sixoxe ngokuthi iyini i-bile, ukuthi iyini insizakalo enikezayo emizimbeni yethu, kanye nezinkinga ezingavela ezihlobene nayo.
Kulungile, pho kuyini lokhu kukhishwa kwenyongo?
Kalula nje, inyongo iwuketshezi oluluhlaza okwesibhakabhaka, olujiyile, olunamathelayo olukhiqizwa yisibindi sakho. Ibizwa nangokuthi 'inyongo'. Yingakho sibiza isitho esincane esisigcinayo ngokuthi inyongo.
Cabanga ukuthi uzogeza ipuleti eligcotshwe ngamafutha. Amanzi kuphela awawususi uwoyela, akunjalo? Sisebenzisa uhlobo oluthile loketshezi lokuwasha ngalokho. Into efanayo nensipho eyenzayo, lolu ketshezi olubizwa ngokuthi i-bile luyawenza ukuze luncibilikise amafutha ekudleni esikudlayo.
Inyongo iyisitho esincane esifana nesikhwama esifana nepheya esitholakala ngaphansi kwesibindi sakho. Inyongo ekhiqizwa yisibindi igcinwa okwesikhashana kulenyongo, njengethangi lamanzi.
Iyiphi insizakalo enikezwa yileli nyongo emzimbeni?
Lokhu kufeza izinto ezimbili ikakhulukazi.
1. Kusiza ekugayeni uwoyela (amafutha)
Uma udla ukudla okunamafutha, uma kungena emathunjini akho, ama-hormone athile athumela isignali enyongweni yakho, ethi, "Kulungile, manje ngidinga usizo lwakho, thumela inyongo." Bese inyongo iyafinyela bese ikhipha inyongo engxenyeni yokuqala yamathumbu akho amancane.
Into ebaluleke kakhulu ku-bile yinhlanganisela ebizwa ngokuthi usawoti we-bile . Lawa aphula amaconsi amakhulu kawoyela ekudleni bese ewaguqula abe amaconsi amancane kawoyela. Kufana nokufaka izingcezu ezinkulu ku-blender bese uzigaya. Lokhu sikubiza ngokuthi i-emulsification .
Uma uwoyela uqhekeka ube yizicucu ezincane kanje, ama-enzyme okugaya ukudla emzimbeni wethu angagaya uwoyela kalula futhi amunce izakhamzimba (ama-fatty acid) egazini. Umzimba ungabe ususebenzisa lezo zakhamzimba njengamandla.
2. Ukususa imfucuza emzimbeni
Ngaphezu kokugaya amafutha, i-bile yenza omunye umsebenzi obalulekile. Lokho ukususa eminye yemfucuza enqwabelana emizimbeni yethu. Isibonelo , i-bilirubin .
I-Bilirubin iwumkhiqizo ophuzi owakhiwa lapho amangqamuzana egazi abomvu emzimbeni wethu efa ngokuhamba kwesikhathi futhi ewohloka. Akukuhle ukuthi le bilirubin iqoqeke emzimbeni. Ngakho-ke, i-bile isebenza njengesithuthi sokuthwala le bilirubin isuka esibindini iye emathunjini. Bese ikhishwa emzimbeni kanye nendle. Eqinisweni, le nqubo yiyo enikeza indle yakho umbala wayo onsundu.
I-bile ikhiqizwa futhi igcinwa kuphi?
Lokhu kulula kakhulu.
- Kukhiqizwe yi: Isibindi sakho. Isibindi sikhiqiza phakathi kwamamililitha angu-800 no-1000 enyongo ngosuku, okungaba cishe amabhodlela amabili amanzi.
- Indawo Yokugcina: Uma isibindi sesikhiqizwe, i-bile ihamba ngemibhobho ye-bile bese igcinwa enyongweni . Inyongo ingaphatha cishe amamililitha angu-30-80 oketshezi ngesikhathi esisodwa, okungangendebe encane.
Iquketheni inyongo?
Inyongo akuyona into eyodwa nje, iyinhlanganisela yezinhlanganisela eziningi.
- I-Cholesterol
- Ama-bile salts noma ama-bile acids
- Amanzi
- Ama-phospholipid (futhi uhlobo lwamafutha)
- I-Bilirubin
- Usawoti womzimba njenge-potassium ne-sodium
- Ezinye izinsimbi ezifana nethusi
Kuzo zonke lezi, njengoba sishilo ngaphambili, ingxenye ebaluleke kakhulu usawoti we-bile. Wenza umsebenzi oyinhloko wokuphula amafutha.
Izifo ezivamile ezihlobene nokukhiqizwa kwe-bile
Ngezinye izikhathi, uma kukhona ukuphazamiseka ekukhiqizweni noma ekugelezeni kwenyongo, izifo ezahlukahlukene zingavela. Nazi ezimbalwa zazo.
| Isimo sezokwelapha | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| Amatshe enyongo | Amatshe enyongo ayizinto eziqinile ezakha ngaphakathi kwenyongo. Akhiwa lapho i-cholesterol noma i-bilirubin inqwabelana kakhulu. |
| I-Cholecystitis | Ukuvuvukala kwenyongo. Lokhu kuvame ukubangelwa amatshe enyongo avimba umgudu wenyongo. |
| Ukutheleleka kwe-bile ducts (i-Cholangitis) | Uma itshe liphuma enyongweni bese libhajwa emgudwini wenyongo, ukutheleleka kungavela ngaphakathi kwalowo mgudwi. |
| Amatshe e-bile duct avamile (i-Choldocholithiasis) | Amatshe ahlala emgudwini we-bile ovamile, ipayipi eliyinhloko elithwala i-bile lisuka esibindini kanye nenyongo liye emathunjini. |
| Ukuvaleka kwepayipi lenyongo | Ukuvaleka kwemisele yenyongo ngenxa yamatshe, izibazi zokuhlinzwa, izimila, noma ezinye izimbangela. Lokhu kuvimbela inyongo ukuthi ingadluli. |
Wazi kanjani ukuthi unale nkinga? (Izimpawu)
Inkinga ngenyongo ingabangela izimpawu ezahlukahlukene, kodwa lezi yizona ezivame kakhulu.
| Isibonakaliso | Kuzwakala kanjani lokhu? |
|---|---|
| Ubuhlungu ohlangothini oluphezulu kwesokudla noma phakathi nesisu | Lolu uphawu oluyinhloko. Uma sikhuluma iqiniso, lutholakala ngaphansi kwezimbambo ohlangothini lwesokudla. Ubuhlungu bungaba bukhulu futhi buphele. Lobuhlungu bungenzeka ikakhulukazi ngemva kokudla ukudla okunamafutha. Ngezinye izikhathi lobu buhlungu buya emhlane nasehlombe lesokudla. |
| Isicanucanu nokuhlanza | Isicanucanu nokuhlanza kuvamile kanye nobuhlungu besisu. |
| Ukungagayeki kahle kokudla | Kungaba umuzwa wokugcwala, isilungulela, noma ubuhlungu besifuba ngemva kokudla. |
| Umkhuhlane kanye nokubanda | Lokhu kubonisa ukuthi kukhona ukutheleleka emzimbeni. Lokhu kungenzeka esimweni esifana ne-cholecystitis. |
| Ukuphuzi kwesikhumba namehlo (i-Jaundice) | Lokhu kwenzeka lapho i-bilirubin esikhulume ngayo ekuqaleni ingakwazi ukususwa emgudwini we-bile ngenxa yokuvaleka futhi iqoqana egazini. Lokhu kuyimpawu enkulu. |
| Ukushintsha kombala wesihlalo | Uma i-bile duct ivaliwe, i-bilirubin enikeza indle umbala wayo ayikwazi ukudlula. Ngenxa yalokho, indle ingaba nombala wobumba noma ibe nombala okhanyayo kakhulu. |
Into ebalulekile ukuthi lezi zimpawu zingavela nakwezinye izifo. Ngakho-ke uma unalezi zimpawu, ikakhulukazi uma ziqhubeka noma zinzima, qiniseka ukuthi ubona udokotela wakho ukuze uthole ukuxilongwa okufanele.
Dokotela, hlobo luni lokuhlolwa ongalunikeza?
Kuye ngezimpawu zakho, udokotela wakho angase akucele ukuthi uhlolwe kanje.
- Ukuhlolwa kokusebenza kwesibindi: Lokhu ukuhlolwa kwegazi. Kuhlola amazinga ama-enzyme esibindi, amaprotheni, kanye ne-bilirubin egazini lakho. Uma la mazinga engavamile, kungase kubonise inkinga ngesibindi sakho, i-gallbladder, noma i-bile ducts.
- Ukuhlolwa kwe-Bilirubin: Lokhu kulinganisa nezinga le-bilirubin egazini. Amazinga aphezulu e-bilirubin ayisibonakaliso esikhulu sokuvaleka kwe-bile duct.
- I-Ultrasound Scan: I-scan yesisu ingabona kalula amatshe enyongo noma ukuvuvukala.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike esimweni sakho esithile. Nazi ezinye zezindlela zokwelapha ezisetshenziswa kakhulu.
- Ama-antibiotic: Uma inyongo ivuvukele ngenxa yokutheleleka, udokotela uzokunikeza ama-antibiotic ukuze aqede ukutheleleka.
- Ukususwa kwe-Cholecyst: Lokhu kuyindlela yokwelapha evame kakhulu futhi ephumelelayo yamatshe enyongo kanye ne-cholecystitis. Ngokuvamile kwenziwa ngaphandle kokusikwa okukhulu, kusetshenziswa ikhamera ngokusebenzisa ukusikwa okuncane okuningana esiswini (inqubo ye-laparoscopic).
- I-ERCP (i-Endoscopic retrograde cholangiopancreatography): Lokhu akusilo ukuhlinzwa. Kuyinqubo lapho kufakwa khona ipayipi elinekhamera ngomlomo bese kususwa amatshe emigudwini yenyongo. Le nqubo isetshenziselwa ukuxilongwa nokwelashwa.
- Ukuhlinzwa Okuvulekile: Kwezinye izimo ezinzima, ukuhlinzwa okukhulu kungadingeka ukuze kususwe imbangela yokuvaleka noma kulawulwe ukuvuvukala.
Izinto esingazenza ukuze sigcine inyongo iphilile
Kunezinto ezimbalwa ezilula esingazilandela ukuvimbela noma ukunciphisa lezi zinkinga.
- Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kuyimbangela enkulu yamatshe enyongo. Uma wehlisa isisindo, kwenze kancane kancane, hhayi ngenqwaba enkulu. Ukwehlisa isisindo ngokushesha kakhulu nakho kungaba yimbangela yamatshe enyongo.
- Ukudla okunamafutha aphansi: Ukunciphisa ukudla kwakho amafutha, ikakhulukazi amafutha angenampilo, kungasiza ekuvimbeleni ukwakheka kwamatshe.
- Ukudla okucebile nge-fiber: Ukudla okucebile nge-fiber njengemifino, izithelo, kanye nemifino kusiza ukugcina uhlelo lokugaya ukudla luphilile futhi lulawule amazinga e-cholesterol.
Manje cishe usuyaqonda ukuthi lolu ketshezi olubizwa ngokuthi i-bile lubaluleke kangakanani emizimbeni yethu, yize singacabangi kakhulu ngalo ekuphileni kwethu kwansuku zonke. Imibuzo ephakamayo mayelana nalokhu ingaba buhlungu futhi ingakhululeki. Ngakho-ke, uma unezimpawu esikhulume ngazo ngaphambili, ikakhulukazi ubuhlungu ohlangothini lwesokudla lwesisu, isicanucanu, njll., ungakushayi indiva futhi ufune iseluleko sezokwelapha ngokushesha okukhulu. Khona-ke ungalondoloza impilo yesistimu yakho yokugaya ukudla kanye nenyongo.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhishwa kwenyongo kubalulekile ekugayeni ukudla okunamafutha nokususa imfucuza emzimbeni.
- Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ikakhulukazi ngemva kokudla okunamafutha amaningi, kungaba uphawu olukhulu lwesixwayiso senkinga yenyongo.
- Uma isikhumba noma amehlo akho ephenduka aphuzi (i-jaundice) noma indle yakho iphenduka umbala wobumba, bonana nodokotela ngokushesha ngoba kungaba yisimo esibi kakhulu.
- Ukulondoloza isisindo esinempilo nokulandela ukudla okunamafutha amancane, okune-fiber eningi kunganciphisa ingozi yezinkinga zenyongo.
- Uma ungabaza nganoma yisiphi isibonakaliso, funa iseluleko kudokotela wakho ngaso sonke isikhathi, kunokuba uqagele.
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