Kawirikawiri, pakudya, bile yomwe imapangidwa ndi maselo a chiwindi imalowa mu duodenum kuti imuthandize kuchira. Koma nthawi zina zimakhala kuti bile kuchokera m'matumbo imaponyedwa m'mimba, ndipo matenda oterewa amatchedwa reflux ya duodenogastric.
Nthawi zina izi zikhoza kukhala chifukwa cha matenda a m'mimba (matenda aakulu a duodenitis, cholecystitis, kufooketsa ntchito yotsekemera ya pyloric, hernia diaphragmatic, etc.), mwa ena ndi matenda osiyana. Nthaŵi zina izi zimapezeka mumtundu wambiri wa anthu wathanzi, koma ngati sichisonyeza nokha, matendawa sawerengeka ndipo safuna chithandizo. Tidzapeza kuti zizindikiro ndi chithandizo cha matenda a chiberekero cha mimba m'mimba.
Zizindikiro za ejection ya bile m'mimba
Chithunzi cha kachipatala cha vutoli chikuphatikizapo mawonetseredwe awa:
- Kutsekemera pambuyo pa kudya (kuyaka pambali pamimba);
- Kutsekemera kwa mpweya ndi wowawasa;
- kumverera kwaukali mkamwa;
- Kupweteka, raspiranie m'mimba musanadye chakudya;
- kupweteka kwa rezi kapena spasmodic m'dera la epigastric;
- kunyoza, kusanza ndi kusakaniza kwa bile;
- kukhalapo m'chinenero cha chikwangwani chachikasu.
Kuchiza kwa ejection ya bile mmimba
Tiyenera kumvetsetsa kuti chodabwitsa ichi chimakhudza chikhalidwe cha chapamimba mucosa, chomwe chimatsogolera kuntchito. Choncho, ndi zizindikiro zokayikitsa, muyenera kuonana ndi katswiri mwamsanga, yemwe atatha kuchipatala, adzasankha njira yothandizira. Njira yothetsera ejection ya mimba m'mimba iyenera kukhazikitsidwa pazifukwa za reflux, i.e. Choyamba, chokhumudwitsa chiyenera kuchotsedwa (njira zonse zopangira opaleshoni ndi zowonetsera zingagwiritsidwe ntchito pa izi).
Kuwonjezera pamenepo, m'pofunika kuchepetsa zotsatira zoipa za bile pamakoma a m'mimba, zomwe nthawi zambiri zimaperekedwa mankhwala opatsirana ndi magulu awa:
- Selective prokinetics (Motilium, Cisapride, ndi zina zotero) ndi mankhwala omwe amachititsa kuti kuchotsa zinthu zam'mbuyo kumayambiriro ndikuyambitsanso mzere wa sphincters.
- Proton pump inhibitors (Esomeprazole, Rabeprazole, etc.) kapena antacids (Maalox, Almagel, etc.) ndi othandizira omwe amachepetsa acidity mmimba.
- Ursodeoxycholic acid - chinthu chomwe chimasintha bile chimachita m'mimba kukhala mawonekedwe osungunuka madzi, ndi zina zotero.
Ndikofunika kutsatira zakudya zabwino ndi zakudya.
Kuchiza kwa ejection ya bile m'mimba ndi mankhwala ochiritsira
Zotsatira zabwino zimasonyeza njira yowonjezera ya bile kuchokera m'mimba, yomwe imaphatikizapo kugwiritsa ntchito madzi okwanira 50 mg 3-4 pafupipafupi mphindi 20 asanadye.