Ngokuvamile, ngesikhathi bedla, i-bile eyenziwa ngamaseli wesibindi ingena ku duodenum ukusiza ukugaya. Kodwa ngezinye izikhathi kwenzeka ukuthi i-bile esuka emathunjini iphonswe ngaphakathi kwesisu, futhi isifo esinjalo esibhedlela sibhekwa ngokuthi i-reflux ye-duodenogastric.
Kwezinye izimo lokhu kungenzeka ngenxa yezifo zesimiso sokugaya ukudla (i-duodenitis engavamile, i-cholecystitis, ukuqina komsebenzi wokuvala i-pyloric, i-diaphragmatic hernia, njll), kwabanye kuyi-pathology ehlukile. Ngezinye izikhathi lokhu kwenzeka kwenzeka ngenani elikhulu labantu abaphilile, kodwa uma lingabonakali, lesi sifo asibala futhi asidingi ukwelashwa. Sizobona ukuthi yiziphi izimpawu kanye nokwelashwa kwe-ejection ye-pathological ye-bile ngaphakathi esiswini.
Izimpawu zokukhishwa kwe-bile ngaphakathi kwesisu
Isithombe somtholampilo salesi simo esibucayi sibandakanya ukubonakaliswa okunjalo:
- ukuphuza inhliziyo ngemva kokudla (ukuvutha eceleni kwesisu);
- Ukubamba umoya ngomsindo omuncu;
- umuzwa wokufutheka emlonyeni;
- ukuvuvukala, isisu esiswini ngemuva kokudla;
- u-rezi noma ubuhlungu be-spasmodic esifundeni se-epigastric;
- isicanucanu, ukuhlanza nge-mix mix of bile;
- ukutholakala ngolimi lwe-plaque eliphuzi.
Ukwelashwa kwe-ejection ye-bile esiswini
Kumele kuqondwe ukuthi lesi simo sithinta kabi isimo se-mucosa esiswini, okungukuthi, siholela ezinkambisweni ze-atrophic. Ngakho-ke, ngezimpawu ezisolisayo, kufanele uthintane nochwepheshe ngokushesha lapho emva kokuthola ukuxilongwa, uzokhetha inkambo yokwelapha. Iqhinga lokuphatha i-ejection ye-bile esiswini kufanele lisekelwe kwizimbangela ze-reflux, isb. Okokuqala, isici esicasulayo kufanele sisuswe (kokubili izindlela zokuhlinzeka nezindlela zokuzivikela zingasetshenziselwa lokhu).
Ngaphezu kwalokho, kudingekile ukunciphisa umphumela omubi we-bile ezindongeni zesisu, okuvame ukwelashwa ngezidakamizwa ngamagciwane alandelayo:
- I-prokinetics ekhethiwe (i-Motilium, i-Cisapride, njll.) Yimithi ekhuthaza ukususwa kokuqala kokuqukethwe esiswini futhi ivuselele ithoni lezintambo.
- I-Proton pump inhibitors (Esomeprazole, Rabeprazole, njll) noma i-antacids (i-Maalox, i-Almagel, njll) yizithunywa ezinciphisa ama-asidi esiswini.
- I-ursodeoxycholic acid - into eguqula i-bile acids esiswini ibe ifomu elincincile amanzi, njll.
Kubalulekile ukulandela ukudla okunempilo nokudla okunempilo.
Ukwelashwa kwe-ejection ye-bile ngaphakathi kwesisu namayeza omuntu
Imiphumela emihle ibonisa indlela yokukhipha i-bile evela esiswini, okubandakanya ukusetshenziswa kwamanzi amazambane ama- 50 mg 3-4 izikhathi ezingu-10 ngemizuzu engama-20 ngaphambi kokudla.