Ngokuqhelekileyo, ngexesha lokutya, i-bile eveliswa yiiseli zesibindi ingena kwi-duodenum ukunceda ukugaya. Kodwa ngamanye amaxesha kwenzeka ukuba i-bile esuka emathunjini iphonswa kwisisu, kwaye isifo esinjalo kumachiza kuthiwa i-duodenogastric reflux.
Kwezinye iimeko le nto inokubangelwa zizifo zenkqubo yokugaya (i-duodenitis engapheliyo, i-cholecystitis, ukunyanzeliswa komsebenzi wokuvala i-pyloric, i-hernia diaphragmatic, njl.), Kwezinye iindawo ezihlukeneyo zezilwanyana. Ngamanye amaxesha le nto ibonakala kwinani elininzi labantu abaphilileyo, kodwa ukuba lingazibonakalisi ngokwabo, lesi sifo asibala kwaye asiyidingi unyango. Siza kufumanisa ukuba zeziphi iimpawu kunye nokunyangwa kwe-pathological ejection ye-bile kwisisu.
Iimpawu ze-ejection ye-bile kwisisu
Umfanekiso weklinikhi wale nzekayo kubandakanya ukubonakaliswa:
- Ukutshukunyiswa emva kokutya (ukutshisa kunye ne-esophagus);
- ukubethelwa kwomoya ngomuncu obenziwayo;
- umva wokrakra emlonyeni;
- ukuqhaqhaqhafaza, ukuxhamla esiswini emva kokutya;
- i-rezi okanye intlungu ye-spasmodic kwisithili se-epigastric;
- isicupunu, ukuhlanza kunye nokuxutywa kwe-bile;
- ubukho kwiilwimi eziluhlaza.
Unyango lwe-ejection ye-bile kwisisu
Kufuneka kuqondwe ukuba le nto ibangela ukuba kuphazamiseke imeko ye-gastric mucosa, oko kukuthi, ikhokelela kwiinkqubo ze-atrophic. Ngoko ke, ngeempawu ezinokukrokrela, kufuneka uqhagamshelane nangoko ngumbutho oza kuthi, emva kokuqhuba ukuxilongwa, uya kukhetha inkqubo yokonyango. Iqhinga lokuphatha i-bile ye-bile kwisisu kufuneka isekelwe kwizizathu zokuhlaziya i-reflux, i. Okokuqala, into ebangelwayo kufuneka iqedwe (zombini iindlela zokugada kunye nezolondolozo zingasetyenziselwa oku).
Ukongezelela, kuyimfuneko ukunciphisa umphumo ombi we-bile kwiindonga zesisu, esivame ukumiselwa unyango lweziyobisi ngala maqela alandelayo:
- Iprokinetics ekhethiweyo (i-Motilium, i-Cisapride, njl. Njl.) Ngamayeza anokukhuthaza ukususwa kokuqala kokusuka esiswini kwaye ulungelelanise ithoni yee-sphincters.
- Iproton pump inhibitors (Esomeprazole, Rabeprazole, njl.) Okanye i-antacids (Maalox, Almagel, njl.) Yizithunywa ezinciphisa ubudibene kwisisu.
- I-ursodeoxycholic acid - into eguqula i-bile acids esiswini kwisifom
Kubalulekile ukulandela ukutya okunempilo kunye nokutya.
Unyango lwe-ejection ye-bile kwisisu kunye nezilwanyana zomntu
Iziphumo ezilungileyo zibonisa indlela yokukhupha i-bile kwisisu, equka ukusetyenziswa kwejusi yamazambane esanda kulungiselelwa ngama-50 mg 3-4 amaxesha ngosuku ngemini engama-20 ngaphambi kokutya.