Uyazi ukuthi iyini le "nyongo" emzimbeni wakho? Ake sixoxe ngayo kalula!

Sonke siyadla ukudla. Kodwa wake wazibuza ukuthi ukudla esikudlayo, ikakhulukazi ukudla okunamafutha, kuhlukaniswa kanjani kube yizicucu ezincane ukuze imizimba yethu ikwazi ukumunca? Namuhla sizokhuluma ngoketshezi olubaluleke kakhulu olukhiqizwa yimizimba yethu olusiza ngalokho. Lokhu sikubiza ngokuthi "i-bile". Kungenzeka ukuthi uke wakuzwa kuthiwa `(i-bile)`.

Iyini inyongo? Yenzani ngempela?

Kalula nje, i-bile iwuketshezi olujiyile, olunamathelayo, oluluhlaza okotshani oluphuzi olukhiqizwa yisibindi sethu. Inombala ophuzi. Umsebenzi wayo oyinhloko ukusiza ekugayweni kokudla esikudlayo. Ikakhulukazi, i-bile inekhono elimangalisayo lokuphula amafutha ekudleni esikudlayo.

Ake sithi sidla ukudla okunamafutha, isibonelo irayisi elithosiwe noma ukudla okuthosiwe. Bese kuthi amanye ama-hormone emzimbeni wethu athumele isignali enyongweni yethu, athi, "Kulungile, manje khipha inyongo." Inyongo iyisitho esincane esifana nesikhwama ngaphansi kwesibindi, lapho kugcinwa khona inyongo.

Ngakho-ke, uma lesi siginali sifika, inyongo iyafinyela bese ikhipha inyongo iye engxenyeni yokuqala yamathumbu ethu amancane, i-duodenum . Usawoti wenyongo enyongweni (lezi yizinto ezibaluleke kakhulu enyongweni) uphula amaconsi amakhulu kawoyela ekudleni abe yizicucu ezincane. Lokhu sikubiza ngokuthi i-emulsification . Kufana nokusebenzisa insipho ukuxuba amanzi namafutha ndawonye.

Cabanga nje, kukhona ibhola elikhulu lamafutha, kunzima ukuligaya. Usawoti we-bile uyafika uphule lelo bhola lamafutha libe yinqwaba yamaconsi amancane. Bese kuthi amanye ama-enzyme okugaya ukudla emzimbeni wethu akwazi ukugaya kalula lawa mafutha amancane. Bese lawa ma-fatty acid amuncwa egazini lethu futhi asetshenziswe ngumzimba ukuthola amandla owadingayo.

Ngaphezu kokusiza ekugayeni amafutha, i-bile inesinye umsebenzi obalulekile. Okusho ukuthi, isiza ukususa imfucuza engafuneki emizimbeni yethu, njenge-bilirubin. I-Bilirubin ingumphumela wokuwohloka okuvamile kwamangqamuzana ethu abomvu egazi. I-Bile isebenza njengomthwali othwala le bilirubin isuka esibindini iye emathunjini futhi iphume emzimbeni ngendle.

I-bile ikhiqizwa kuphi? Igcinwa kuphi?

Inyongo ikhiqizwa yisibindi sethu . Isibindi sikhiqiza phakathi kwamamililitha angu-800 no-1000 (okungukuthi phakathi kwama-ounces angu-27 no-34 oketshezi) wenyongo ngosuku. Cabanga ukuthi kungakanani lokho!

Ngemva kokuba i-bile yenziwe yisibindi, ihamba ngemibhobho ye-bile bese igcinwa enyongweni.Inyongo ifana nethangi elincane eduze kwesibindi eligcina inyongo kuze kube yilapho idingeka. Inyongo ivame ukubamba amamililitha angu-30 kuya kwangu-80 oketshezi (okungukuthi phakathi kwama-ounces angu-1 no-2.7 oketshezi).

Iquketheni inyongo?

Inyongo yakhiwe ngamakhemikhali ahlukahlukene. Ayinhloko yile:

• I-Cholesterol
• Usawoti we-bile noma ama-bile acid: Lokhu yikho okusiza kakhulu ekugayweni kwamafutha.
• Amanzi
• Ama-phospholipid: Lawa uhlobo lwamafutha ayinkimbinkimbi aqukethe i-phosphorus.
• I-Bilirubin: Umbala owakhiwe ngokuqhekeka kwamaseli abomvu egazi.
• Usawoti womzimba: Isibonelo, i-potassium ne-sodium.
• Ithusi nezinye izinsimbi.

Ukuba nazo zonke lezi zinto ngobuningi obufanele kubaluleke kakhulu ekusebenzeni kwebhethi.

Yiziphi izimo ezivamile ezingase zenzeke ezihlobene ne-bile?

Ngezinye izikhathi, uma kukhona ukuphazamiseka ekukhiqizweni noma ekugelezeni kwenyongo, izinkinga zenyongo zingavela. Nazi ezinye zezimo ezinjalo:

• Amatshe enyongo: Lezi yizakhiwo eziqinile, ezifana namatshe ezakha ngaphakathi kwenyongo. Zakhiwe kakhulu yi-cholesterol, i-bilirubin, noma kokubili.
• I-Cholecystitis: Lokhu ukuvuvukala kwenyongo. Lokhu kuvame ukwenzeka lapho amatshe enyongo evimba imisele yenyongo.
• I-Cholangitis: Lokhu ukutheleleka okwenzeka ngaphakathi kwemisele yenyongo . Lokhu kungenzeka uma amatshe enyongo enyongo ehlala emimiseleni yenyongo futhi evaleka.
• I-Choledocholithiasis: Lokhu ukwakheka kwamatshe emgudwini we-bile ovamile, umgudwini oyinhloko we-bile othwala i-bile isuka esibindini kanye ne-gallbladder iye emathunjini amancane.
• Ukuvaleka kwemisele yenyongo: Imisele yenyongo ingavaleka ngenxa yamatshe enyongo, izicubu ezibomvu, izimila, noma ezinye izimbangela. Lokhu kuvimbela inyongo ukuthi ingagelezi kahle, okubangela izinkinga ngokugaya ukudla kanye nokumuncwa kwezakhamzimba.

Ziyini izimpawu zezinkinga ze-bile?

Izinkinga zenyongo zingabangela izimpawu ezahlukahlukene. Kodwa-ke, nazi ezinye zezimpawu ezivame kakhulu:

• Ubuhlungu engxenyeni ephezulu kwesokudla noma ephakathi kwesisu sakho (esiswini): Lokhu kuvame ukuba uphawu lokuqala lwezinkinga zenyongo. Ubuhlungu bungaba bubukhali noma bube buthuntu. Bungafika budlule. Lobuhlungu bungaba bubi kakhulu ngemva kokudla ukudla okunamafutha. Ubuhlungu bungase budlulele nasemhlane noma ehlombe lakho lesokudla.
• Isicanucanu nokuhlanza: Lezi futhi izimpawu ezivamile zezinkinga zenyongo. Zingase zihambisane nobuhlungu besisu.
• Ukungagayeki kahle kokudla:Ungase uzwe ubuhlungu esifubeni, umuzwa wokugcwala ngemva kokudla, kanye nokungakhululeki esiswini esingaphezulu.
• Umkhuhlane kanye nokubanda: Lokhu kungaba izimpawu zokutheleleka. Ukutheleleka kungavela ezimweni ezifana ne-cholecystitis.
• I-Jaundice: Lokhu kwenzeka lapho isikhumba sakho kanye namehlo akho amhlophe ephenduka aphuzi. Lokhu kwenzeka lapho izinga le-bilirubin egazini lakho landa. Lokhu kusho ukuthi umsele we-bile ungavaleka.
• Ukushintsha kombala wendle: Uma indle yakho ivaliwe, indle yakho ingaba nombala okhanyayo noma ofana nobumba.

Into ebaluleke kakhulu ukukhumbula ukuthi lezi zimpawu zingabangelwa nezinye izimo zezokwelapha. Uma unezimpawu ezinjengalezi, ikakhulukazi uma zinzima noma ziqhubeka, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okufanele futhi uxoxe ngokwelashwa.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale impilo yesimiso sethu sokugaya ukudla?

Odokotela bangase basebenzise ukuhlolwa kwegazi okufana nalokhu ukuhlola izinto ezithile ezihlobene nenyongo yakho:

• Ukuhlolwa kokusebenza kwesibindi: Lokhu kuhlola amazinga ama-enzyme esibindi, amaprotheni, kanye ne-bilirubin egazini lakho. Amazinga angajwayelekile angabonisa izinkinga ngesibindi sakho, i-gallbladder, noma i-bile ducts.
• Ukuhlolwa kwe-Bilirubin: Lokhu kulinganisa ngqo izinga le-bilirubin egazini lakho. Amazinga aphezulu e-bilirubin angaba uphawu lokuvaleka kwe-bile duct noma ezinye izinkinga.

Ngaphezu kwalokhu, uma kudingeka, izinto ezifana ne-"Ultrasound scan" kanye ne-"CT scan" nazo zingenziwa.

Yiziphi izindlela zokwelapha izinkinga ze-bile?

Izimo ezihlobene nenyongo ziyalashwa kuye ngenkinga. Ezinye izindlela zokwelapha ezivamile zifaka:

• Ama-antibiotic: Uma uvuvukele ngenxa yokutheleleka, udokotela wakho angase akunike ama-antibiotic ukuze akuphathe.
• Ukususwa kwe-Cholecystectomy: Lokhu kuyindlela yokwelapha evame kakhulu yamatshe enyongo kanye ne-cholecystitis. Kuhilela ukuhlinzwa ukuze kususwe inyongo . Ngokuvamile kwenziwa njengenqubo ye-laparoscopic. Lokhu kusho ukuthi amathuluzi afakwa ngokusikwa okuncane okuningana , kunokuba kusikwe okukhulu.
• I-Endoscopic retrograde cholangiopancreatography (ERCP): Lena inqubo esetshenziselwa ukuxilonga nokwelapha izinkinga zesibindi, i-gallbladder, i-bile ducts, kanye ne-pancreas. Isibonelo, le nqubo ingasusa amatshe emigudwini ye-bile ngaphandle kokuhlinzwa, kusetshenziswa ikhamera ekhethekile (i-scope).
• Ukuhlinzwa:Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa ukuze kuxazululwe imbangela yokuvaleka noma ukuvuvukala.

Yini esingayenza ukuze sigcine inyongo yethu iphilile?

Nazi ezinye izeluleko zokusiza ukugcina inyongo yakho iphilile:

• Gcina isisindo esinempilo kuwe: Ukukhuluphala ngokweqile kuyisici esiyingozi kuma-gallstones. Ukwehlisa isisindo kancane kancane kungasiza ekunciphiseni ingozi yezinkinga zesikhathi esizayo. Kodwa khumbula, ukunciphisa isisindo ngokushesha okukhulu ngesikhathi esisodwa nakho kuyisici esiyingozi kuma-gallstones.
• Ukudla okunamafutha aphansi: Ukudla ukudla okunamafutha aphansi, ikakhulukazi amafutha agcwele, kungasiza ekuvimbeleni amatshe enyongo. Lokhu kuyazuzisa ngisho nangemva kokwelashwa.
• I-fiber yokudla: Ukwengeza i-fiber eyanele ekudleni kwakho kungasiza ekukhuthazeni ukugaya ukudla okunempilo futhi kusize ekulawuleni amazinga e-cholesterol.

Njengoba usebenza usuku lonke, ungase ungacabangi kakhulu ngendlela umzimba wakho ogaya ngayo amafutha owawadla ekuseni. Imizimba yethu inakekela izinto eziningi kithi. Kodwa lapho kuvela izinkinga zokugaya ukudla, ikakhulukazi lezo ezihlobene ne-bile, zingaba nomthelela omkhulu empilweni yethu nasempilweni yethu. Uma unezimpawu ezishiwo ngenhla, njengobuhlungu ohlangothini oluphezulu kwesokudla lwesisu sakho, isicanucanu, nokuhlanza, kufanele nakanjani ubone udokotela. Nakuba lezi zimpawu zingabangelwa ezinye izimo, kubalulekile ukuthola ukuxilongwa okufanele kanye nokwelashwa ukuze kulondolozwe impilo ye-bile yakho kanye nohlelo lokugaya ukudla.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Inyongo iyisitho esithule kodwa esibaluleke kakhulu emizimbeni yethu. Ngaphandle kwayo, besingeke sikwazi ukugaya kahle ukudla okunamafutha noma ukususa eminye yemfucuza enqwabelana emizimbeni yethu.

• Nakekela ukudla kwakho: Yidla ukudla okulinganiselayo okunamafutha amancane kanye ne-fiber eningi.
• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kungaholela ezinkingeni ezifana namatshe enyongo.
• Ungazinaki izimpawu ezingavamile: Uma unezinhlungu esiswini noma i-jaundice, funa iseluleko sezokwelapha ngokushesha.

Khumbula, uhlelo lokugaya ukudla olunempilo lubalulekile empilweni enempilo. Inyongo enempilo nayo ibaluleke kakhulu kulokho!

Inyongo , ukugaya ukudla, inyongo, isibindi, amatshe enyongo, i-jaundice