Bhiri isiri yakasvibirira mvura yakasvibiswa nemasero emuropa (hepatocytes) achienderera mberi.
Bhati rinoshandiswa rinounganidza mu bile ducts, uye kubva ipapo inopinda mu gallbladder uye duodenum, uko inotora chikamu chinoshanda mukugadzira kudya. Chero bedzi iyo bile ichifamba nemukati, yakawanda yacho inoyamwa nemakemikari, uye iyo yose inobviswa pamuviri pamwe chete nemidziyo.
Kana mabasa ekuumbwa kwebi nechinangwa chero chipi zvacho akaputsika, saka chiropa uye gallbladder zvirwere zvinoputika zvinorwara, mukuwedzera, kudya kunowedzera. Muchiitiko ichi, ipai choleretic mazano, urongwa uye maitiro ayo mune imwe fomu yakanyanyisa, tichaedza kuisa pasi apa.
Zvimwe zvinodhaka zvinodhaka
Kusiyanisa cholagogue zvinoreva:
- chinowanzobva (artichoke extract, tansy, burdock midzi, zviyo zvegorosi, dandelion midzi, nettle mashizha, immortelle, nezvimwewo);
- synthetic.
Maererano nemaitiro ekuita (pharmacodynamics), kusarudzwa kwemazuva ano ekugadzirira kwacho kunowedzera, asi zvose zvacho zvinogona kusanganiswa mumapoka maviri:
- Choleretics - kusimbisa kuumbwa kwe bile acid (LC) uye bile.
- Cholekinetics uye cholespismolytics - kuvandudza excretion ye bile mu duodenum kuburikidza nekusimudzira kushandiswa kweguruvladder kana kuti kunobatsira kupora sphincter yeOdidi uye musculature ye bile ducts.
Ichi chikamu chinenge chiine mamiriro ezvinhu, sezvo huwandu hwekugadzirira echolagogue mazvigadziro zvakafanana nekuvandudza zvose pamwe nekuvhara kwebi.
Choleretics
Iboka iri remishonga inonzi cholagogue, zvakare, rine inotevera inorongwa.
Zvechokwadi choleretics imishonga, izvo zvakanyanya kuwedzera kuvhara kweva bile uye lactic acid. Iyi mishonga inogona:
- ine LCD yakananga (Holenzim, Allochol, Vigheratin, nezvimwe);
- nyora (Nikodin, Oxafenamid, Tsikvalon, Odeston, etc.);
- vane zvisikwa (Tanachevol, Holosas, Flakumin, Convaflavin, etc.);
Hydrocholeretics madhiragi anowedzera kubudiswa kwebe nemasero echiropa nekuda kwechikamu chemvura. Pakati peboka iri, zvakanakisisa cholagogue zvakagadzirwa zvinomiririrwa nemvura yemvura (Jermuk, Essentuki Nhamba 17, Nha. 4, Izhevskaya, etc.), sodium salicylate uye valerian-based products.
Kugadzirira kweboka iri kunorayirwa kune zvirwere zvisingaperi zvechirwere chechiropa; kukanganisa kwebuda ye bile (dyskinesia ye bile ducts). Kana zvichidikanwa, zvinodhaka izvi zvinosanganiswa nemishonga inorwisa mabhakitiriya, marashi, analgesics.
Cholekinetics uye choleospasmolytics
Kune zvinhu, iyo inogadzirisa iyo inowedzera kuwedzera kwekutaura kweguruvladder uye ducts (cholekinetics), inosanganisira:
- magnesium sulfate;
- cholecystokinin;
- Kugadzirira kubva pa barberry ;
- mannitol;
- choleritin;
- pituitrin;
- sorbitol;
- xylitol.
Zvokugadzirira izvi zvinoratidzirwa zvinoratidzirwa zvekusingaperi zvelecyststitis, kuputsa kwekubuda kwe bile (dyskinesia), atony ye gallbladder, chisingarapiki hepatitis.
Zvimwe zvinoderedza mutsara we bile bile (holespazmolitiki):
- platyphylline;
- atropine;
- metocinium iodide;
- kubvisa bladladonna;
- aminophylline;
- papaverine;
- drotaverine;
- mebeverin;
- olimethine
Ichi chikamu chekugadzirisa choleretic chinoshanda kune cholelithiasis uye dyskinesia ye hyperkinetic form.
Chenjerera
Kunyora mishonga inongororwa inofanira kuva chiremba chete, sezvo chiito chavo chinopesana. Cholagogue kugadzirira giardiasis, somuenzaniso, uye nepascreatitis, cholecystitis , hepatitis ichave yakasiyana. Nokudaro, kuzvipira kunogona kungowedzera mufananidzo wechirwere.