Kushandisa bile mukati mudumbu.

Kana iwe uine shungu inopisa mudumbu, kubata uye kuora mwoyo, zvino zvichida izvi ndizvo zvinoguma zvekuita sekukandira bile mukati mudumbu. Kukura uye zviratidzo zvakasvibiswa zvechiitiko ichi zvinokonzera kucherechedza nekuona uye, sechigumisiro, kwete kunyatsobudirira kurapwa. Iyo jira ye bile mukati mudumbu inowanzoitika zvikuru nezvinetso zvakasiyana-siyana mukushanda kwechiropa uye gallbladder inokonzerwa nekuputira mushonga mune imwe kana nhengo mbiri.

Kunyangwe bile, yakakwirira pH maitiro inowanikwa, izvo zvinoreva, nemakemikari zvakasikwa, inenge iri sarpine solution, zvakasiyana nedumbu, iyo inoratidzirwa nemamiriro emasikiriti nekuda kwezvakanyorwa zvehydrochloric acid. Somugumisiro, kukandira ivhu mukati mudumbu kunoshungurudza chikonzero chemucosa wekupedzisira.

Munzvimbo yakanakisisa, kukandwa kweB bile kunogona kukonzerwa nebhaal kudya zvikuru munguva dzezororo. Muchiitiko ichi, nekuda kwehuwandu hwezvokudya zvinopinda, zvakaderedzwa zvakare ku duodenum uye, kutambanudza zvishoma, zvinokonzera reflux kana kudzoka kwezvokudya zvevanhu (ejection ye bile mukati mudumbu). Zvimedu zvezvokudya zvinobva kumativi ekumusoro emukati muduku, zvichienderana neaarkaline reaction, inogumbura gastric mucosa, zvichiita huteremia uye kuumba gastritis.

Pachikonzero chekunyunyuta kwemurwere chete, zvakaoma kuziva kushandiswa kwebiya kusvikira mudumbu, zviratidzo zvayo zvishoma uye zvakafanana nezviratidzo zvezvese zvirwere zvepamu. Wokutanga waunofanira kuonana naye gastroenterologist. Munhu ane ruzivo nyanzvi achapa zvose zvakaoma zvekudiwa kuongororwa maitiro. Kutanga zvakakosha kuburikidza nekuongororwa kwebhokisi yakasarudzwa uye iyo kana mapeti ayo, zvino shandisa kuongorora chiropa. Mukuwedzera, chidzidzo chekuumbwa kwe bile, pamwe chete neruzhinji rwekuongorora ropa. Nzira huru yekuongororwa kwezvinhu izvi zviri mukati ndeye ultrasound kuongororwa, iyo migumisiro yaro ndeyekugumisa pamusoro pekuvapo kana kusavapo kwe dilated bile ducts (ukuru hwechikamu chinopera chechipiri), pamwe nekufananidzwa kwe echogenic kwechimiro chechiropa.

Pakati pezvikonzero zvinokonzera kukanganisa kushandiswa kwebibi mudumbu, zvakakosha kuziva zvirwere zvakasiyana-siyana zvekuvhiringidza zvechiropa uye gallbladder, pamwe nekuputsika muhutano (kuvhiringidzika kana kuvhara) kwebate ducts.

Chimwe chikonzero chekusimbiswa kweododenal gastral reflux kunogona kuve kukanganisa kwe sphincter pakati pemudumbu uye duodenum.

Injai ye bile mukati mudumbu inofambidzana nezviratidzo zvinotevera: kupisa uye kurwadziwa munharaunda yepigastric, kubata uye kuora mwoyo neacidic aftertaste.

Chimwe chezvinhu zvakakomba zvehutachiona chemuviri, izvo zvinokwanisa kuita zviratidzo zvakadaro zvakafanana uye zvinofanana nechipatara chakafanana, chiri cheptic ulcer yemudumbu uye duodenum.

Pakati pekuongorora zvirongwa, zvakakosha kusimbisa inonyanya kudzidzisa - fibrogastroduodenoscopy (FGDS) kana esophagogastroduodenoscopy (EFGDS). Mukuwedzera, ultrasound kuongororwa kwezviviri zvemuviri kunowanikwawo. Hazvina mubvunzo kukosha kunyoreswa uye kuongororwa kweropa (pamwe chete nehupenyu hwehupenyu, kusarudza vakasununguka uye kusunga bilirubin mu serum), purogiramu uye mujeri mutoo wakaedzwa.

Kutaura nezvekurapa, zvakakosha kubhadhara zvakanyanya kunyanzvi, izvo zvipi zvese zvirwere zvegomba rekudya zvinofanira kugara zvichinyanya kugoverwa, pamwe nekuwanda kwezvokudya kudya kane kana kanomwe pazuva. Pakati penzira dzekubika ndekupa zvakanakisa ndiro dzakagadzirirwa kupisa, kubika, kubikwa uye kubikwa. Usashandisa doro zvisina kufanira, kofi, chokoti, mafuta ekudya. Mukuwedzera, zvakakodzera kufungisisa uye nekuramba kusvuta.