Cov pob txha yog xim daj kua qaub ntsuab los ntawm daim siab (hepatocytes) tsis tu ncua.
Synthesized bile accumulates nyob rau hauv lub bile ducts, thiab los ntawm muaj nws nkag mus rau hauv lub gallbladder thiab duodenum, qhov twg nws yuav siv sij hawm ib tug active ib feem nyob rau hauv lub txheej txheem ntawm kev zom. Tsuav tus kab mob tseem nyob hauv plab hnyuv, feem ntau nws tau txais cov khoom noj uas tau muab tshem tawm, thiab so yog tshem tawm ntawm lub cev nrog rau quav.
Yog hais tias lub functions ntawm tsim ntawm bile rau ib yam dab tsi yog ua txhaum, ces daim siab thiab gallbladder inflammatory kab mob ua mob, ntxiv nrog, digestion deteriorates. Nyob rau hauv cov ntaub ntawv no, muab sau rau choleretic npaj, daim ntawv thiab kev faib tawm uas nyob rau hauv ib daim ntawv zoo li, peb yuav sim qhia rau hauv qab no.
Cholagogue tshuaj
Qhia tau meej cholagogue txhais tias:
- ntuj keeb kwm (artichoke extract, tansy, burdock keeb kwm, pob kws stigmas, dandelion keeb kwm, nettle nplooj, immortelle, thiab lwm yam);
- hluavtaws.
Raws li hom kev txiav txim siab (pharmacodynamics), qhov kev faib tawm ntawm kev npaj cholagogue niaj hnub yog ntau dua, tab sis tag nrho cov ntawm lawv muaj peev xwm muab tag nrho ua ke hauv ob pawg:
- Choleretics - ntxiv dag zog rau tsim ntawm bile acids (LC) thiab bile.
- Cholekinetics thiab cholespismolytics - txhim kho tus kabmob ntawm txoj hauv lub duodenum los ntawm qhov ua rau lub sijhawm qis qis qis lossis lwm tus relaxing lub sphincter ntawm Oddi thiab cov musculature ntawm lub bile ducts.
Qhov kev cais no yog qhov tseem ceeb, vim feem ntau cov kev npaj cholagogue zoo sib npaug zoo li qub thiab cov leeg tawm ntawm lub cev.
Choleretics
Cov pab pawg ntawm cov tshuaj cholagogue, dhau los, muaj cov nram qab no.
Cov choleretics tseeb yog cov yeeb tshuaj, qhov tseem ceeb ntawm qhov uas yuav ua rau lub tso zis ntawm cov kua mis thiab lactic acid. Cov tshuaj no tuaj yeem:
- muaj cov ncaj qha LCD (Holenzim, Allochol, Vigheratin, thiab lwm yam);
- muab hluavtaws (Nicodin, Oxafenamid, Tsikvalon, Odeston, thiab lwm yam);
- muaj lub natural origin (Tanachevol, Holosas, Flakumin, Convaflavin, thiab lwm yam);
Hydrocholeretics yog cov tshuaj uas ua rau kom muaj cov kab mob ntxiv ntawm lub hlwb ntawm lub siab vim yog cov dej. Ntawm pawg no, qhov zoo tshaj plaws cholagogue preparations yog sawv cev los ntawm cov ntxhia dej (Jermuk, Essentuki No. 17, No. 4, Izhevskaya, thiab lwm yam.), Sodium salicylate thiab valerian-based khoom.
Kev npaj ntawm cov pab pawg no raug sau tseg rau cov kab mob kis mob siab; ua txhaum ntawm outflow ntawm bile (dyskinesia ntawm bile ducts). Yog tias tsim nyog, cov tshuaj no muab tso ua ke nrog tshuaj tua kab mob, tshuaj ntaus kab mob, ua pa.
Cholekinetics thiab choleospasmolytics
Rau cov xwm txheej, qhov cuam tshuam ntawm qhov uas muab kev nce rau hauv lub suab nrov ntawm cov roj hmab thiab cov yas ducts (cholekinetics), suav nrog:
- magnesium sulfate;
- cholecystokinin;
- npaj raws li barberry ;
- mannitol;
- choleritin;
- pituitrin;
- sorbitol;
- xylitol.
Cov cholagogue preparations no yog qhia rau mob cholecystitis, kev ua txhaum ntawm cov kua qaub (dyskinesia), atony ntawm lub gallbladder, tus kab mob siab ntev.
Cov tshuaj uas ua kom lub dag lub zog ntawm lub pob yas qaub (holespazmolitiki):
- platyphylline;
- atropine;
- metocinium iodide;
- extract ntawm belladonna;
- aminophylline;
- papaverine;
- drotaverine;
- mebeverin;
- olimethine.
Qhov no subgroup ntawm choleretic npaj yog zoo rau cholelithiasis thiab dyskinesia ntawm hyperkinetic daim ntawv no.
Ceev faj
Sau cov tshuaj teev muaj npe yuav tsum yog tus kws kho mob tshwj xeeb, vim lawv qhov kev txiav txim txawv. Cholagogue npaj rau giardiasis, piv txwv li, thiab nrog pancreatitis, cholecystitis , kab mob siab yuav txawv. Yog li ntawd, kev noj tshuaj rau yus tus kheej tsuas ua rau kom mob loj tuaj xwb.