Niaj hnub no, ntau zaus, tus kws kho mob plab zom mov hauv kev xyaum siv tshuaj los tshem tawm cov kua tsib hauv kev kho cov kab mob thiab raws li kev tiv thaiv ntawm ntau yam kab mob ntawm lub gallbladder thiab mob siab.
Qhov no tau yooj yim los ntawm cov tshuaj choleretic zoo uas ua rau txo qis qhov mob sai sai, chav kawm ntawm tus kab mob tau yooj yim dua, thiab nrog lawv cov kev pab, kev tiv thaiv kev vam meej ntawm kev rov huam tuaj yog nqa tawm.
Cais, nws tsim nyog hais tias kev noj cov tshuaj no ua rau muaj kev cuam tshuam cov txheej txheem pathological los tiv thaiv cov teeb meem yav dhau los.
Txhawm rau kom pom tseeb qhov xav tau rau cov tshuaj choleretic, koj yuav tsum nkag siab meej meej tias cov kua tsib yog dab tsi, nws lub hom phiaj yog nyob ntawm theem ntawm lub cev xeeb ntxwv thiab cov txheej txheem ntawm kev txav mus rau hauv cov hnyuv.
Cov kua tsib yog cov roj ntsha ua kua tsim nyob rau hauv lub siab thiab nyob hauv lub zais khoom.
Nws muaj cov iab iab, muaj ntxhiab tsw tshwj xeeb thiab, raws li lub sijhawm nws tsim, nws yuav muaj xim daj, xim av lossis ntsuab. Kev ua haujlwm ntawm cov kua tsib yog ua raws cov kev muaj sia hauv tib neeg lub cev:
- kev tsim ntawm emulsions thiab kev nqus ntawm cov rog uas tau nkag mus rau lub plab zom mov;
- kev ua kom nrawm nrawm ntawm cov tshuaj lom neeg hauv cov hnyuv thiab cov quav, uas tsim nyog rau cov khoom siv ua kom tag nrho cov zaub mov los ntawm cov khoom nruab nrog cev;
- assimilation ntawm calcium, roj-soluble vitamins, cov roj cholesterol.
Hom tshuaj choleretic
Niaj hnub no hauv cov tshuaj, ntau hom tshuaj choleretic yog siv uas ua tau raws li cov kev cai ntawm kev kho mob, thiab tseem coj mus rau hauv tus account lub cev nqaij daim tawv ntawm tus neeg mob lub cev.
Yog li, cov tshuaj muaj peev xwm txheeb xyuas cov tshuaj raws li cov qeb ntawm lawv siv, qhov xwm ntawm cov tshuaj ua kom zoo thiab nqus tau, tus nqi ntawm kev faib tawm thiab kev tawm ntawm cov tshuaj choleretic los ntawm tib neeg lub cev.
Cov tshuaj choleretic niaj hnub tau muab faib ua ntau pawg
Choleretic tshuaj uas ua rau kom cov kua tsib ntau dua los ntawm nplooj siab vim qhov nquag ua ke nrog cov kua tsib kua qaub
- Cov tshuaj choleretic tseeb:
- Choleretics, uas suav nrog cov kua tsib kua qaub, ua raws ntawm cov tsiaj los yog cov khoom xyaw rau tsob nroj, piv txwv li, tshuaj ntsuab rho tawm, tsiaj cov kua tsib;
- Synthetic choleretic tshuaj nyob rau hauv cov qauv tshuaj lom neeg cov khoom siv uas tau ua los ntawm cov organic sib txuas thiab muaj peev xwm tsim cov khoom loj bile;
- Cov nroj tsuag tshuaj uas muaj cov choleretic effect (siv nyob rau hauv daim ntawv ntawm decoctions thiab infusions).
- Hydrocholetic tshuaj. Cov feem ntawm cov tshuaj no txhawb kev nce hauv bile, diluting nws nrog dej.
Cov kab mob choleretic choleretic nrog stagnation ntawm cov kua tsib pab txhawm rau txhawm tawm ntawm cov kua tsib vim muaj kev txhim kho hauv lub suab nrov ntawm lub qog plab nrog ua kom cov nyhuv tawm ntawm cov kua tsib.
Cov tshuaj cholespasmolytic ua rau kom qhov ncauj tawm ntawm lub qhov ncauj vim yog cov nyhuv so rau ntawm txoj hnyuv thiab lub zais zis:
- Synthetic antispasmodics;
- Cov tshuaj antispasmodic uas tau tsim rau ntawm tsob ntoo;
- anticholinergic tshuaj.
Txhais tau hais tias kom txo qhov lithogenicity index ntawm bile. Cov tshuaj no yog siv los ua cov neeg sawv cev rau tus mob cholelithiasis, tuaj yeem yaj lub pob zeb hauv lub zais zis:
- cov tshuaj muaj tshuaj ursodeoxycholic thiab chenodeoxycholic bile acids;
- Txhais tau tias nyob hauv cov cheebtsam uas muaj tshuaj lom lipid-dissolving, piv txwv li methyl tert-butyl ether.
Cov tshuaj choleretic, uas yog hom tshuaj lom neeg muaj cov kua tsib kua qaub, yog cov tshuaj ua rau lub hauv paus ntawm cov tsiaj.
Feem ntau cov khoom siv raw yog cov kua tsib hauv nws cov qauv ntuj, feem ntawm cov txiav, nplooj siab, thiab mucosa ntawm cov hnyuv hauv cov tsiaj. Vim li no, cov tshuaj choleretic ntawm pawg no yog hu ua tshuaj yeeb tsiaj.
Ntxiv rau cov khoom siv hauv cov tsiaj, cov nyom choleretic muaj xws li cov tshuaj ntsuab ntawm cov nroj tsuag uas muaj cov ntxim ntxim choleretic.
Choleretics ntawm cov keeb kwm hluavtaws yog tau los ntawm cov organic ua ke. Cov tshuaj no yog choleretic, thiab, ntxiv rau, lawv muaj txiaj ntsig zoo rau kev kho mob lub plab thiab lub plab zom mov, txo cov roj hauv cov ntshav hauv cov ntshav, thiab tseem tua cov kab mob pathogenic uas ua rau muaj kev mob rau lub plab biliary, thiab, ntxiv rau, nres cov txheej txheem o.
Tsis tas li, choleretic npaj ntawm cov keeb kwm hluavtaws tshem tawm txoj kev yaug thiab fermentation hauv cov hnyuv, ua kom zoo tuaj yeem ua kom tsam plab, qhov quav tsis zoo.
Cov nroj tsuag tshuaj uas muaj cov nyhuv choleretic pab txhawb kev txhim kho daim siab ua haujlwm, kev tsim cov kua tsib, thaum tib lub sijhawm txo nws cov kev ntxhib los mos.
Tsis tas li ntawd, cov nroj tsuag ua rau muaj kev nce ntxiv hauv cov ntsiab lus ntawm bile cholates. Cov nroj tsuag tshuaj kuj muaj cov txiaj ntsig cholekinetic, uas yog, lawv muaj peev xwm nce kev tsim cov kua tsib, thiab tib lub sijhawm txhim kho nws cov kev ua kom tshem tawm, uas nyob hauv cov nyom kho cov tib neeg lub cev.
Txhais tau tias raws cov nroj tsuag tshuaj ntsuab tseem muaj cov tshuaj tua kab mob zoo, tiv thaiv kev mob thiab ua kom tsis zoo nkauj.
Vim tias qhov tseeb tias qhov muaj pes tsawg leeg ntawm kev npaj muaj suav nrog cov nroj tsuag tshuaj xwb, lawv feem ntau hu ua tshuaj ntsuab npaj ua kom tshem tawm cov kua tsib.
Hydrocholeretics muaj peev xwm nce qhov bile ntau vim tias qhov txo qis hauv nws qhov kev kub siab, txo qis viscosity, uas ua tiav los ntawm kev nce hauv cov dej hauv nws. Hauv qhov no, kev tshem tawm cov kua tsib ua tau yooj yim dua, thiab kev tiv thaiv cov tsos ntawm cov pob zeb hauv lub zais zis yog tiav.
Cov tshuaj cholekinetic txhim kho txoj haujlwm ua haujlwm ntawm lub qog thiab tib lub sijhawm so cov leeg ntawm cov leeg. Yuav kom nkag siab txog cov nyhuv ntawm cholekinetic tus neeg sawv cev, nws yog qhov yuav tsum tau hais meej tias qhov kev sib txuas ntawm lub zais zis nrog duodenum yog nqa los ntawm cov kua tsib, ua kom cov kua tsib nkag mus rau hauv duodenum.
Ntawd yog, yog hais tias lub suab nrov ntawm cov kua tsib ntawm lub nce, nws nqaim, uas txwv tsis pub cov kua dej tawm dawb. Nrog rau lub suab txo ntawm lub zais plab, nws tsis tuaj yeem yooj yim thawb cov kua tsib hauv cov kua tsib, thaum muaj cov kev xav paub uas yuav tsum sib cais los ntawm dab tsi tshwm sim ntawm tus mob qog nqaij hlav thiab pom tshwm sim.
Cov tshuaj cholespasmolytic tau muab faib ua tej pawg raws li cov kev kho mob uas tau hais tawm, tab sis thaum kawg cov nyhuv ntawm lawv txoj haujlwm zoo ib yam. Cov tshuaj cholespasmolytic tshem tawm kev hnoos qeev, nthuav tawm cov kua tsib, ua kom yooj yim hla cov kua tsib mus rau hauv txoj hnyuv.
Cov tshuaj no feem ntau siv rau hauv kev kawm me me los daws qhov mob hauv cov kab mob ntawm cov kua tsib lub tog raj thiab lub zais zis.
Txhais tau hais tias yuav pab txo qis ntawm cov roj ntsha lithogenic ntawm cov kua tsib yog siv rau yaj lub pob zeb hauv lub zais plab, thiab tseem siv los ua cov tshuaj prophylactic rau kev tsim cov tshiab.
Vim tias cov neeg sawv cev zoo li no muaj peev xwm hais tawm cov teeb meem choleretic, lawv tau tsim kev txiav txim siab tias yog pawg choleretic.
Cov tshuaj kho rau tshem tawm cov kua tsib - ib daim ntawv teev npe
Cov npe tshuaj tua kab mob choleretic. Ua ntej, cov npe tshuaj nyob thoob ntiaj teb tau qhia, tom qab ntawd cov npe coj mus muag nyob rau hauv uas cov tshuaj feem ntau yuav luam tawm.
Kev Dag Siv Yis
- Allochol, Cholenzym, Vigeratin, Liobil;
- Dehydrocholic acid - Hologon;
- Ntsev ntsev ntawm dehydrocholic acid - Decholine, Biliton, Suprakal, Kholamid, Kholomin.
Khoom cua Choleretics
- Hydroxymethylnicotinamide
- Gimecromon
- Osalmid
- Cyclvalon
Tshuaj ntsuab choleretics
- Helichrysum paj extract (flaming);
- Pob kws stigma extract (Peridol, Insadol);
- Tansy extract (Tanacehol, Tanaflon, Sibektan, Solarin);
- Turmeric Extract (Convaflavin, Febihol);
- Skumpia nplooj extract (Flacumin);
- Barberry nplooj thiab cag extract (Berberine sulfate, Berberis-Homaccord, Berberis ntxiv);
- Rosehip extract (Holosas, Cholemax, Holos);
- Hemp Datys Extract (Datiscan);
- Plaub hau extract (Pekvokrin);
- Artichoke Extract (Hofitol, Cholebil);