Chiwindi: pomwe ili, imagwira ntchito komanso matenda akulu
Zamkati
- Ntchito zazikulu
- 1. Kugaya mafuta
- 2. Kusunga shuga ndi kumasulidwa
- 3. Mapuloteni kupanga
- 4. Kuthetsa poizoni
- 5. Kupanga mafuta m'thupi
- 6. Kusunga mavitamini ndi mchere
- 7. Kuwonongeka kwa maselo ofiira amwazi
- 8. Kukonzekera kwa magazi
- 9. Kusintha kwa ammonia kukhala urea
- 10. Kugwiritsa ntchito mankhwala osokoneza bongo
- 11. Kuwonongeka kwa tizilombo
- Matenda akulu a chiwindi
- 1. Chiwindi chamafuta
- 2. Matenda a chiwindi
- 3. Matenda a chiwindi
- 4. Kulephera kwa chiwindi
- 5. Khansa
- Kuyezetsa matenda a chiwindi pa intaneti
- Nthawi yoti mupite kwa dokotala
Chiwindi ndi chiwalo chomwe chimagaya chakudya, chomwe chili kumtunda chakumanja kwa m'mimba, pansi pa diaphragm komanso pamwamba pamimba, impso ndi matumbo. Chiwalochi chili pafupifupi 20 cm, chimalemera pafupifupi 1.5 kg mwa amuna ndi 1.2 kg mwa akazi ndipo chimagawika m'magawo 4: kumanja, kumanzere, caudate ndi lalikulu.
Ntchito imodzi yayikulu pachiwindi ndi kusefa magazi ndikuchotsa poizoni, koma imakhalanso ndi ntchito zina zofunika monga kupanga mapuloteni, zinthu zotseketsa, triglycerides, cholesterol ndi bile, mwachitsanzo.
Chiwindi chimatha kusintha kwambiri ndichifukwa chake ndizotheka kupereka gawo lachiwalo ichi, ndikupereka ndalama m'moyo. Komabe, pali matenda ambiri omwe angakhudze chiwalo ichi, monga matenda a chiwindi, mafuta a chiwindi kapena chiwindi. Chifukwa chake, ndikofunikira kukaonana ndi a hepatologist ngati zizindikiro zikuwoneka zomwe zitha kuwonetsa matenda monga kupweteka kwa m'mimba kapena khungu lachikaso kapena maso. Onani zizindikiro zazikulu zomwe zingasonyeze vuto la chiwindi.
Ntchito zazikulu
Chiwindi ndi chiwalo chomwe chimagwira ntchito zambiri zofunika mthupi:
1. Kugaya mafuta
Chiwindi ndiye chiwalo chachikulu chomwe chimagwira nawo gawo la mafuta m'makeke kudzera pakupanga bile, madzi am'mimba, omwe amatha kuwononga mafuta kukhala mafuta acid, omwe amalowetsedwa m'matumbo ang'onoang'ono.
Kuphatikiza apo, bile imalepheretsa komanso kuchepetsa asidi wam'mimba ndipo ili ndi bilirubin, chinthu chachikasu chobiriwira chomwe chimapereka utoto pamipando.
2. Kusunga shuga ndi kumasulidwa
Chiwindi chimachotsa shuga wambiri m'magazi ndikusungira glycogen, yomwe imagwiritsa ntchito mphamvu, kusunga shuga wamagazi pakati pa chakudya ndikugwira ntchito ngati malo osungira shuga m'thupi. Ngati pakufunika, chiwalo ichi chimatha kusintha glycogen kukhala shuga, ndikuutumiza m'magazi kuti agwiritsidwe ntchito ndi ziwalo zina.
Kuphatikiza apo, chiwindi chimathanso kusintha galactose ndi fructose kukhala shuga kuti ugwiritse ntchito ngati mphamvu.
3. Mapuloteni kupanga
Chiwindi chimapanga mapuloteni ambiri omwe amapezeka m'magazi, makamaka albin, omwe amagwira ntchito yayikulu pakukhazikitsa kuchuluka kwa magazi, pakugawa zamadzimadzi mthupi komanso poyendetsa zinthu zosiyanasiyana m'magazi monga bilirubin, fatty acids, mahomoni, mavitamini, michere, zitsulo, ayoni ndi mankhwala ena.
Mapuloteni ena opangidwa ndi chiwindi ndi transerrin, yomwe imatumiza chitsulo ku ndulu ndi m'mafupa, ndi fibrinogen, yomwe ndi yofunika pakumitsa magazi.
4. Kuthetsa poizoni
Chiwindi chimagwira ntchito yofunika kwambiri poteteza thupi ku zinthu zowopsa monga mowa, mwachitsanzo, kukhala ndi mphamvu zosefa magazi, kuchotsa poizoni yemwe amatumizidwa ku impso ndikuchotsa mumkodzo.
5. Kupanga mafuta m'thupi
Chiwindi chimatulutsa cholesterol kuchokera muzakudya zonenepa kwambiri, zomwe zimatumizidwa m'magazi ndimamolekyulu otchedwa lipoproteins, monga LDL ndi HDL.
Cholesterol ndiyofunika kuti thupi lizigwira bwino ntchito, kutenga nawo gawo popanga vitamini D, mahomoni monga testosterone ndi estrogen, ndi bile acid omwe amasungunula mafuta, kuphatikiza pakupezeka mu membo wamaselo onse mthupi.
6. Kusunga mavitamini ndi mchere
Chiwindi chimasunga mavitamini A, B12, D, E ndi K, omwe amalowetsedwa kudzera muzakudya ndikuzigawira thupi lonse kudzera m'magazi. Mavitaminiwa ndiofunikira pakukula ndikukula kwa khungu, kukonza thanzi la maso, kulimbitsa chitetezo cha mthupi, kuphatikiza kulimbitsa mafupa ndi mano.
Mchere wina, monga chitsulo ndi mkuwa, umasungidwanso m'chiwindi ndipo ndiwofunikira pamachitidwe osiyanasiyana amthupi, monga kupanga mphamvu komwe kumagwira ntchito yama cell, kaphatikizidwe ka mapuloteni monga collagen ndi elastin, kuteteza motsutsana ndi zopitilira muyeso zaulere komanso popanga mapuloteni m'chiwindi.
7. Kuwonongeka kwa maselo ofiira amwazi
Chiwindi chimagwira nawo mbali pakuwononga maselo ofiira, omwe amatchedwanso maselo ofiira, omwe amakhala pafupifupi masiku 120.
Maselowa akakhala akale kapena achilendo, chiwindi chimagaya maselo ofiira ndikutulutsa chitsulo chomwe chimakhala m'maselo amenewo m'magazi kuti fupa likhale ndi maselo ofiira ambiri.
8. Kukonzekera kwa magazi
Chiwindi chimagwira nawo gawo lokhazikitsa magazi potseka magazi powonjezera kuyamwa kwa vitamini K kudzera pakupanga kwa bile, kuphatikiza pakusunga vitamini m'maselo ake, zomwe ndizofunikira pakukhazikitsa magazi othandiza magazi kuundana.
9. Kusintha kwa ammonia kukhala urea
Chiwindi chimasintha amoniya, yomwe imachokera ku kagayidwe kabwino ka mapuloteni azakudya, komanso omwe ndi owopsa m'thupi, kupita ku urea, kulola kuti izi zichotsedwe kudzera mumkodzo.
10. Kugwiritsa ntchito mankhwala osokoneza bongo
Chiwindi ndiye chiwalo chachikulu chomwe chimagwiritsa ntchito mankhwala, mowa ndi mankhwala osokoneza bongo, chifukwa chimapanga ma enzyme omwe amanyoza komanso kusokoneza zinthuzi, kuti athandizidwe kupyola mkodzo kapena ndowe.
Ntchito iyi ya chiwindi ndiyofunika kupewa kuledzera ndi mitundu iyi yazinthu, koma itha kukhala yofunikira kuyambitsa mankhwala ena monga omeprazole kapena capecitabine, omwe amafunika kupangika ndi chiwindi kuti akhale ndi mphamvu.
11. Kuwonongeka kwa tizilombo
Chiwindi chili ndi maselo oteteza, otchedwa Kupffer cell, omwe amatha kuwononga tizilombo tating'onoting'ono monga mavairasi kapena mabakiteriya omwe amatha kulowa m'chiwindi kudzera m'matumbo, ndikupangitsa matenda.
Kuphatikiza apo, maselowa amatha kulimbana ndi matendawa popanga zinthu zoteteza thupi ndikuchotsa mabakiteriya m'magazi.
Matenda akulu a chiwindi
Ngakhale ndi chiwalo cholimba, pali zovuta zingapo zomwe zimatha kukhudza chiwindi. Nthawi zambiri, munthuyo samatha kuwonetsa zizindikilo, pamapeto pake amapeza kusintha kwamayeso amachitidwe omwe amayesa michere ya chiwindi monga ALT, AST, GGT, alkaline phosphatase ndi bilirubin, kapena kudzera m'mayeso ojambula monga tomography kapena ultrasound, mwachitsanzo.
Matenda akulu omwe angakhudze chiwindi ndi awa:
1. Chiwindi chamafuta
Chiwindi chamafuta, chomwe chimadziwika mwasayansi ngati chiwindi chamafuta, chimachitika pakakhala mafuta ochuluka mchiwindi, omwe nthawi zambiri amayamba chifukwa chakumwa mowa mopitirira muyeso, kusadya bwino kapena matenda monga kunenepa kwambiri, matenda ashuga komanso cholesterol.
Poyamba, chiwindi chamafuta sichimayambitsa zisonyezo, koma pakapita patsogolo kwambiri chimatha kuyambitsa kuwonekera kwa zowawa zam'mimba, kuchepa thupi, kutopa ndi kufooka kwapadera, ndi nseru ndi kusanza, mwachitsanzo. Chithandizocho chimaphatikizapo kusintha kwa zakudya, kusintha kwa moyo komanso / kapena chithandizo cha matenda omwe atha kupangitsa kuti mafuta azisungidwa m'chiwindi. Onani momwe zakudya zamafuta zamafuta ziyenera kuchitidwira.
2. Matenda a chiwindi
Hepatitis ndikutupa kwa chiwindi komwe kumatha kuchitika chifukwa cha matenda opatsirana a hepatitis A, B, C, D kapena E, koma ndimotchuka kwa anthu omwe amamwa mowa, mankhwala kapena mankhwala osokoneza bongo. Kuphatikiza apo, matenda ena amthupi okha komanso kunenepa kwambiri kumathanso kuwonjezera chiwopsezo cha matenda a chiwindi.
Zizindikiro zofala kwambiri ndi khungu lachikaso kapena maso ndipo chithandizo chimadalira chomwe chidayambitsa kutupa. Phunzirani zambiri za mitundu yosiyanasiyana ya matenda a chiwindi komanso momwe amachiritsira.
3. Matenda a chiwindi
Cirrhosis imachitika poizoni, mowa, mafuta m'chiwindi kapena matenda a chiwindi amayambitsa chiwonongeko chokhazikika cha maselo a chiwindi, ndikupangitsa kuti maselowa asinthidwe ndi minofu yolimba, ngati kuti ndi bala, yomwe imalepheretsa kugwira ntchito kwa chiwalo ichi, chomwe chingayambitse chiwindi kulephera .
Matendawa sangasonyeze zizindikilo zikafika poyambira, koma m'malo opita patsogolo kwambiri amatha kupweteka m'mimba, mkodzo wamdima kapena mipando yoyera, mwachitsanzo. Dziwani zina za ziwindi komanso momwe amathandizira.
4. Kulephera kwa chiwindi
Kulephera kwa chiwindi ndi matenda oopsa kwambiri pachiwindi, chifukwa chimalephera kugwira ntchito zake ndipo zimatha kubweretsa zovuta zingapo monga mavuto otseka magazi, ubongo wa edema, matenda am'mapapo kapena impso.
Matendawa amabwera pambuyo povulaza chiwindi mobwerezabwereza, chifukwa chogwiritsa ntchito mankhwala, matenda a chiwindi, matenda a chiwindi, chiwindi chamafuta, khansa kapena matenda am'thupi ndipo chithandizo chake chimachitika nthawi zonse ndikamaika chiwindi. Dziwani momwe kusamutsa chiwindi kumachitikira.
5. Khansa
Khansara ya chiwindi ndi mtundu wa chotupa chowopsa chomwe chimayamba kudwala sichikhala ndi zizindikilo, koma matendawa akamakula, zizindikilo monga kupweteka pamimba, kuonda, kutupa m'mimba kapena pakhungu komanso maso achikaso amatha kuwonekera, Mwachitsanzo, chithandizo chitha kuchitidwa ndi opareshoni, chemotherapy kapena kumuika chiwindi. Phunzirani momwe mungadziwire zizindikiro za khansa ya chiwindi.
Khansara yamtunduwu imatha kuyambitsidwa ndi mbiri ya banja ya khansa ya chiwindi, uchidakwa, matenda enaake, hepatitis kapena mankhwala monga vinyl chloride kapena arsenic.
Kuyezetsa matenda a chiwindi pa intaneti
Kuti mudziwe ngati mungakhale ndi matenda a chiwindi, onani zomwe mukumva:
- 1. Kodi mumamva kupweteka kapena kusasangalala kumtunda kwakumimba kwanu?
- 2. Kodi mumadwala kapena kuchita chizungulire pafupipafupi?
- 3. Kodi mumadwala mutu pafupipafupi?
- 4. Kodi mumamva kutopa mosavuta?
- 5. Kodi muli ndi mawanga angapo ofiirira pakhungu lanu?
- 6. Kodi maso anu kapena khungu lanu ndi lachikasu?
- 7. Kodi mkodzo wanu ndi wakuda?
- 8. Kodi mudamvako kusowa kwa njala?
- 9. Kodi malo anu ndi achikasu, otuwa kapena oyera?
- 10. Kodi mukumva kuti mimba yanu yatupa?
- 11. Kodi mumamva kuyabwa thupi lanu lonse?
Nthawi yoti mupite kwa dokotala
Zizindikiro zina zomwe zitha kuwonetsa matenda a chiwindi zimafuna thandizo lachipatala posachedwa ndikuphatikizira:
- Khungu lachikaso kapena maso;
- Kupweteka pamimba;
- Kutopa kwambiri;
- Thupi loyabwa;
- Kutupa m'mimba;
- Nseru kapena kusanza ndi magazi;
- Kumva kukhuta ngakhale mutadya pang'ono;
- Kutaya njala kapena kuonda;
- Mkodzo wamdima;
- Zowala zoyera kapena zoyera;
- Malungo;
- Kuwonekera kwa mikwingwirima kapena mabala pa thupi.
Zikatero, adokotala amatha kuyitanitsa mayeso monga magazi kapena kujambula, mwachitsanzo, kuti adziwe matendawa ndikupatsanso chithandizo choyenera kwambiri.