Ya ndulu zikutanthauza.

Panopa, mwa matenda osiyanasiyana zimakhala zapadera malo kudwala kwa chiwindi ndi ndulu. Ponena za ntchito Nkhanza chiwindi, pakhoza kukhala kunaonekera pathologies zambiri: chiwindi, ndi matenda enaake, ndipo dystrophy ya chiyambi osiyana. Ambiri matenda zikuoneka kuti asokoneze kaphatikizidwe zidulo ya ndulu (ya ndulu). Koma chikhodzodzo ndulu, kusemphana chachikulu pa ntchito yake ndi kuchepetsa contractile ntchito.

Pali wapadera zinthu zimene zimalimbikitsa kutsegula wa ntchito kwa chiwindi (makamaka exocrine ake ntchito), womwe kumabweretsa mwai excretion wa ya ndulu mu duodenum ndi. Chotero cholagogue lero chimagwiritsidwa ntchito mchitidwe mankhwalawa limati matenda osiyanasiyana. Choyamba, mankhwala ntchito matenda a chiwindi, cholecystitis ndi cholangitis. njira opatsirana yokhudza nyumba chiwindi, chikhodzodzo ndulu, kapena thirakiti biliary amasonyeza ntchito mankhwala.

cholagogue onse anawagawa amene kuonjezera ya ndulu kupanga (cholepoiesis), ndi yambitsa ndi katulutsidwe wa ya ndulu (holekinez). Palinso mankhwala zinthu pa zifukwa ziwiri. Choleretic, nayenso agawanika pa choona (omwe amaonjezera kuchuluka kwa ya ndulu chifukwa yopanga ya ndulu kwambiri) ndi wabodza (omwe amaonjezera zili madzi ya ndulu ya).

Cholagogue anapereka kukonzekera zochokera ya ndulu asidi (mwachitsanzo, mankhwala "Allohol" ndi "Holenzim"). kupanga angagwiritsidwe ntchito pambali deta ya mankhwala asatayike ( "Oksafenamid" "Nicodin"). Angagwiritsidwenso ntchito tiyi choleretic. nthawi zambiri ntchito decoctions kapena kukonzekera zochokera tansy, thoroughwax ndi chimanga stigmas. Tikumbukenso kuti mankhwala zochokera zitsamba mankhwala ndi kutchulidwa achire zotsatira. Choncho cholagogue udzu immortelle mchenga, ntchito mu masiku oyambirira angapo a matenda, akhoza kuchotsa zizindikiro zonse chikhalidwe pathological.

Nkofunika kudziwa kuti nthawi ya zochita za mankhwala pamaziko a zidulo ya ndulu si kuposa maola atatu, pamene analogs kupanga kutalikitsa zotsatira za maola sikisi kapena seveni. Ubwino wina wa mankhwala kupanga ndi kanthu zovuta. Mwachitsanzo, mankhwala "Oksafenamid" osati nazo kanthu choleretic, komanso kumachepetsa mlingo wonse wa mafuta m'thupi m'magazi. Cholagogue zochokera mankhwala adzalandira osati cholimba yekha ndi kutilimbikitsa kugonjetsedwa, komanso kumasintha zotsatira hepatoprotective pa dongosolo chiwindi.

Mumatsatira nembanemba mucous ya duodenum ndi, holekinetiki yambitsa mbadwo ndi yobereka wa timadzi mu magazi (cholecystokinin), imbaenda kulalikira mwakhama contractile a ndulu ya. Normal kudula ndulu kumathandiza stagnation wa ya ndulu, malowedwe a mu magazi ndiponso kupewa mapangidwe miyala ducts ndi ndulu.

Tikumbukenso kuti cholagogue ntchito osati zolinga achire, komanso ngati pokonzekera njira yodziwira (mwachitsanzo, mmatumbo intubation).

Pakati contraindications zikuluzikulu mpaka ntchito choleretic ndi holekinetiki - pachimake yotupa chiwindi matenda. Komanso contraindicated kusankhidwa mankhwala choleretic odwala matenda osachiritsika a minofu chiwindi (fibrosis ndi matenda enaake).

Choncho, lero pali mndandanda wa zosiyanasiyana mankhwala kuthetsa stagnation mu ndulu, amene amalola dokotala kusankha mankhwala yabwino yoti ndipo kwambiri ogwira mu nkhani imeneyi.