Ukubonakala kwe-bile ngaphakathi kwesisu kuyinkqubo yokugulisa umzimba okufanele ingajwayelekile. Ngaphezu kwalokho, ukuthi lesi simo sihambisana nezinzwa ezingathandeki futhi kubonisa ukungasebenzi kahle emzimbeni, kungaholela emiphumeleni enjalo emibi njengokulimala kwamathambo, i-gastritis, isilonda nomdlavuza wesisu. Ukuze uvimbele lokhu, lapho izimpawu zokuqala zokukhipha ubhiya esiswini kufanele zihlolwe yi-gastroenterologist.
Izimpawu zokukhipha ubhiya esiswini:
- ukuguquka kwenhliziyo ngokuhambisana nokufutheka;
- ubuhlungu, ukuzwa okuvuthayo nokukhathazeka esifundeni se-epigastric;
- ukubethelela ngomunyu omunyu;
- ukumboza okuphuzi ngolimi ;
- isicanucanu, ukuhlanza kwe-bile;
- ukuzwa njalo ukoma.
Izizathu zokuphonsa i-bile ngaphakathi esiswini
Ukukhubazeka kungabangelwa izici ezihlukahlukene. Sibala uhlu oluyinhloko kubo:
- Ukungahleleki kwe-anatomic okubangelwa ukungenelela okusebenzayo emaphethelweni emathunjini, ngenxa yalokho ukungafaneleki komsebenzi wesango kuthuthukisa, ukukhubazeka okungapheli komsebenzi we-duodenum.
- Ukwephulwa kobuciko be-bile ducts, lapho i-bile ingena ngqo esiswini.
- Izifo ezivuvukala zesisu, gallbladder, duodenum nesibindi (duodenitis, cholecystitis, isibindi, isibindi sokugaya i-bile, njll).
- Ukungahambisani nokudla, ukusetshenziswa kokudla ngokweqile, okuholela ekungeneni kokudla ku-duodenum, kuphahlazeka futhi kuguqulwe ukuphonsa ukudla nge-mix mix of bile.
- Hlala endaweni ohlangothini lwesobunxele ngemva kokudla.
- Ukucindezeleka ngokomzimba ngokushesha ngemva kokudla okunamandla.
- Ukubhema, ukuphuza utshwala nokudla okulimazayo.
Indlela yokuphatha ukukhishwa kwe-bile esiswini?
Uma kunezibonakaliso zokwenza ubhiya, kuhle ukuba ungangabazi ukuvakashela udokotela. Ngemuva kwezifundo eziningana, kuhlanganise nokuhlolwa kwegazi kanye nomchamo, i-coprogram, i-ultrasound yesisu, i-esophagogastroduodenoscopy, njll, imbangela izosungulwa futhi ukwelashwa okufanele kuyomiswa.
Ukuze uthole ukwelashwa kokukhipha ubhiya, kuye ngokuthi imbangela yalesi sifo, izindlela ezimbili zokwelashwa ezizimele nezindlela zokuhlinzwa zingasetshenziswa. Uma kungenakwenzeka ukuphulukisa ngokuphelele, ukwelashwa okuyisimangaliso kuyasetshenziswa, inhloso yokunciphisa ukubonakaliswa kwemitholampilo yesifo nokuthuthukisa ikhwalithi yokuphila kwesiguli.
Imithi yokwelashwa ihloselwe ukunciphisa isenzo esicasulayo se-bile emangqamuzaneni omzimba wesisu nesisu, kanye nokuqinisekisa ukuhlanzwa okwanele. Ukuphathwa kwezidakamizwa kungabandakanya imithi elandelayo:
- i-pyrokinetics - indlela yokugqugquzela ukuphuma ngokushesha kwesisu nokususa i-bile kuyo (domperidone, metoclopramide);
- ama-antiacids - izidakamizwa ezingapheliyo ezinciphisa i-acidity esiswini (maalox, almagel, lansoprazole, rabeprazole, esomeprazole);
- i-ursodeoxycholic acid - into ekwazi ukuguqula ama-acids e-bile ibe ifomu elincincile amanzi;
- izidakamizwa ezithuthukisa gallbladder motility (magnesium sulfate, sorbitol, cholecystokinin);
- antispasmodics (drotaverin, papaverine, scopolamine), njll.
Ukudla uma uphonsa ibilingi esiswini
Uma ukhathazekile ngokuphonsa ubilongo esiswini, kufanele ucabangele ukudla kwakho. Nazi izincomo eziyinhloko zokudliwa kwalesi sifo:
- Ukudla kufanele kuthathwe njalo izikhathi ezingu-5 - 6 ngosuku ezinxenyeni ezincane.
- Kufanele ushiye ukudla okuthosiwe, okubhemayo, okuneziphuzo namafutha.
- Kunconywa ukunciphisa ukusetshenziswa kwe-chocolate, amabhisikidi, utshwala, ikhofi, ama-bouillon agcwele.
- Kuyinto efiselekayo ukufaka phakathi kokudla okuningi kwemikhiqizo ye-mucous (jelly, oatmeal, njll).