Ezifweni ezinzima ze-hepatological, ezihambisana nokuphulwa komkhiqizo nokuphuma kwe-bile, i-asidi-base balance, ukudakwa komzimba nokubhujiswa kwe-hepatocytes, ukwelashwa ngemithi yokwelapha kuyadingeka. Kuye ngokuthi isenzo senzani kanye nezithako eziyinhloko, zihlukaniswe ngamaqembu amaningana - izidakamizwa ezisekelwe ku-bile acid, imikhiqizo ephilayo (izitshalo nezilwane ezivela emzimbeni), izakhi zamaminithi amino acid kanye ne-phospholipids. Futhi kukhona izithasiselo eziphilayo eziphilayo (BAA) kanye nemithi yokwelapha ekhaya.
Uhlu lwezidakamizwa nge-bile acids ekwelapheni kwesibindi
Lolu hlobo lwemithi lubhekisela ezindleleni ezinamandla kakhulu zokuhlanza i-bile kusuka ku-cholesterol, ukuxoshwa kwesibindi nokubuyiselwa kwemisebenzi yayo. Imithi enjalo ikhiqizwa ngesisekelo se-ursodeoxycholic acid (i-UDCA) futhi inqunywe ukuthi i-hepatological pathologies ejulile - i- cirrhosis , i-hepatitis enzima, umonakalo omkhulu onobuthi nokudakwa kwesibindi.
Uhlu lwemali olusekelwe ku-UDCA:
- I-Ursosan;
- I-Ursofalk;
- Livedoksa;
- I-Ursuliv;
- I-Urdok;
- Exxhol;
- I-Ursodez.
Kubalulekile ukuthi uqaphele ukuthi amalungiselelo nge-bile acids anemibandela eminingi yokuqhathanisa futhi futhi akhiqiza nomphumela wokuzivikela wokuzivikela. Ngakho-ke, ukusetshenziswa kwabo okuzimele akumukeleki, ngisho kuyingozi. Ukwelapha kufanele kuhlanganiswe ne-hepatologist.
Izidakamizwa ezingcono kakhulu ezivela emvelweni wesibindi
Lolu hlobo lwemithi luhlukaniswe ngama-subgroups amabili:
1. Izindlela ezisekelwe emakhambi okugoma (ubisi lwe-thistle, i-artichoke):
- I-Karsil ;
- Legalon;
- I-Gepabene;
- I-Sylimar;
- amaphilisi nobisi thistle.
2. Imithi yemvelaphi yezilwane:
- I-Hepatosan;
- Isiphephelo;
- Progepar.
I-subgroup yokugcina iyisidakamizwa sokwelashwa kwe-fatty hepatosis, i-cirrhosis ne-hepatitis enkulu. Le mithi ayisetshenziswanga njengesisindo sokuvimbela futhi isetshenziselwa kuphela udokotela kadokotela. Zikhiqiza umphumela obizayo, ohlanganisa isifo sofuba, isifo se-antioxidant ne-detoxification, eshukumisa ukuvuselelwa kwe-hepatocytes nokubuyiselwa kwezicubu ze-parenchymal.
Imithi emisha esekelwe kuma-amino acids ekwelapheni kwesibindi
Uhlobo oluthiwa lwezidakamizwa lukhiqizwa ngesisekelo se-admetionine kanye ne-aspartate aspartate. Imithi ikhuthaza ukwelashwa kwamakhemikhali e-lipid nokususwa kwabo esibindi, ukuxoshwa komzimba, ukuthuthukisa i-cholestasis.
Uhlu lwamalungiselelo e-amino acid:
- I-Heptor;
- I-Berlition;
- UHepa-Mertz;
- I-Tioctacid;
- I-Glutargin;
- I-Espa-Lipon;
- I-Heptral.
Ekucwaningweni kwemitholampilo yezincazelo ezicacisiwe kuye kwasungulwa, ukuthi ukwamukela kwabo ngomlomo akukwenzi kahle noma yimuphi umphumela omuhle. Ukuphumelela okuphezulu kungatholakala kuphela ngokulawulwa kwezidakamizwa zokugcoba.
Ukwelashwa okuphumelelayo kwesibindi nemithi ye-phospholipid
I-Phospholipids yimithi ethandwa kakhulu futhi ethandwayo ku-hepatology practice, ngakho-ke ukukhetha kwabo kunkulu kakhulu:
- Essley Forte;
- I-Gepagard isebenza;
- I-Essentiale N ne-Essentiale Forte H;
- I-Phosphontsiale;
- I-Resalute Pro;
- Phosphogliv;
- Livolin Forte;
- Esledin.
Naphezu kohlu olukhulu lwemiphumela emihle yokwelashwa ngokusho kwemfundo, ukuphumelela kwezikhungo ezibalwe kuzobuzwa. Phakathi nocwaningo lwezokwelapha, akukho miphumela emihle yalezi zidakamizwa ekusebenzeni kwesibindi kwavezwa. Ngaphezu kwalokho, nge-hepatitis ye-viral, bavusa ukuqhuma kwe-bile, okufaka ekusebenzeni kwezinqubo zokuvuvukala.