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Kunyumba Zaumoyo Ubwino Ubwino oi-Neha Ghosh Wolemba Neha Ghosh | Zasinthidwa: Lachitatu, Januware 23, 2019, 10: 38 [IST]

Mwala wa Chikhodzodzo: Mankhwalawa amathetsa ndulu. Zithandizo zapakhomo za Gall Stones | Boldsky

Mtima, chiwindi ndi impso zimagwira ntchito zosiyanasiyana zomwe zimagwira ntchito kuti thupi liziyenda bwino. Chiwalo china chomwe sichimadziwika ndi ndulu, mpaka pokhapokha mutavutika ndi ndulu. Munkhaniyi, tikulemba zamankhwala achilengedwe ndi zakudya zoyenera kudya ndikupewa miyala yamtengo wapatali.

Kodi Ntchito Ya Gallbladder Ndi Chiyani?

Nduluyo ndi chiwalo chaching'ono chokhala ngati peyala chomwe chimangokhala pansi pa chiwindi komanso kumanja kwa mimba. Imasonkhanitsa ndikusunga bile yomwe imapangidwa ndi chiwindi. Ndulu, itatha kusonkhanitsa ndi kusunga ndulu, imawonjezera ndulu mu chakudya ikamalowa m'matumbo ang'onoang'ono. Buluyo amathandizira kuphwanya mafutawo kukhala mafuta acids panthawi ya chimbudzi ^[1] .

Chifukwa chake, ndikofunikira kuti ndulu ikhale ndi thanzi labwino kuti chimbudzi chikhale choyenera komanso kupewa zinthu monga khansa ndi ndulu mothandizidwa ndi chakudya choyenera ndi mankhwala achilengedwe.

Nchiyani Chimayambitsa Miyala Yamiyala?

Cholesterol wambiri ikasungidwa mu ndulu, mawonekedwe am'miyala. Izi zimachitika makamaka chifukwa chodya moperewera ^[ziwiri] , ^[3] .

Milero imakhala ndi cholesterol chosungunuka, koma cholesterol yochuluka kwambiri imayambitsa kupangidwa kwa miyala yaying'ono yolimba mu ndulu yotchedwa cholesterol gallstones ^[4] . Komanso miyala mu ndulu imapangidwa ndi kuchuluka kwa bilirubin kapena calcium mchere womwe umatchedwa miyala ya pigment ^[5] .

Anthu omwe ali onenepa kwambiri kapena onenepa kwambiri amakhala ndi chiopsezo chachikulu chokhala ndi miyala yamtengo wapatali ^[6] .

Kodi Zizindikiro Za Mwala Wamiyala Ndi Ziti?

• Ululu paphewa lamanja

• Nseru ndi kusanza

• Ululu wammbuyo pakati pamapewa anu

• Kupweteka modzidzimutsa kumtunda chakumanja kwa mimba yanu

Zithandizo Zachilengedwe Zamiyala Yamiyala

1. Mafuta a Castor

Mafuta a Castor amagwiritsidwa ntchito ngati kuyeretsa ndulu. Zimagwira ntchito pochotsa cholesterol m'thupi ^[7] . Mafuta a Castor ali ndi machiritso komanso odana ndi zotupa zomwe zimathandiza kuchepetsa ululu, chizindikiro chofala chokhudzana ndi ma gallstones ^[8] .

• Kutenthetsani kapu ya mafuta a castor ndikulowetsa cheesecloth mmenemo. Chotsani mafuta ochulukirapo pa cheesecloth ndikuyiyika kumanja kwamimba kwanu.

• Gwirani nsalu ndikukulunga pepala la pulasitiki pamimba. Ikani thumba lamadzi otentha pamwamba pake kwa mphindi 30.

• Chitani izi katatu pamlungu.

2. Tiyi ya tsabola

Peppermint imakhala ndi gawo lachilengedwe lotchedwa terpene lomwe limatha kuthana ndi miyala yamtengo wapatali komanso imathandizira kugaya poyambitsa kutuluka kwa bile ndi timadziti tina tamagayidwe m'mimba ^[9] .

• Onjezerani masamba angapo a tsabola mu kapu ya madzi owiritsa.

• Lolani kuti likhale lotsetsereka kwa mphindi zochepa ndikukhetsa madzi.

• Imwani tsiku lililonse pakudya.

3. Msuzi ndi tsabola

Turmeric imakhala ndi chida chogwira ntchito chotchedwa curcumin chomwe chimadziwika kuti chimakhala ndi anti-inflammatory, machiritso, anticancer ndi antioxidant. Kampaniyi imatha kuchepetsa kuchuluka kwa mapangidwe am'miyala. Piperine, chophatikizira chogwiritsira ntchito tsabola wakuda, kuphatikiza ndi curcumin, chitha kukulitsa mphamvu ya curcumin, poteteza kukula kwa miyala ya ndulu ^[10] .

• Sakani kapu yamadzi, onjezani supuni ya tiyi ya turmeric ndi uzitsine tsabola wakuda.

• Muzifulumiza ndi kumamwa tsiku lililonse.

4. Chanca Piedra wopanga zakutchire

Madokotala ambiri amalangiza odwala awo chanca piedra kuti azitha kuchiza ndulu ndikusungabe ndulu, impso ndi chiwindi. Kugwiritsa ntchito chanca piedra wopanga zakutchire kumalepheretsa kupangika kwa miyala kumayambiriro ^{[khumi ndi chimodzi]} .

• Onjezerani masamba owuma mu chikho cha madzi otentha.

• Chitani phompho kwa mphindi 10.

• Sungani zakumwa ndikumwa tsiku lililonse.

5. Apple cider viniga

Vinyo wosasa wa Apple amakhala ndi asidi ya asidi yomwe imathandiza kuthana ndi miyala ya ndulu. Zimathandizanso kuchepetsa kupweteka kwa ndulu powonjezera milingo ya michere ya antioxidant ndi mavitamini ^[12] .

• Mu kapu yamadzi ofunda, onjezerani supuni 2 za viniga wa apulo cider.

• Imwani izi m'mawa mopanda kanthu.

Anthu omwe ali ndi ma gallstones amatha kukhala ndi zizindikilo zosiyanasiyana zam'mimba komanso amakhala pachiwopsezo chokhala ndi cholecystitis yovuta kapena yayitali. Chifukwa chake, nazi zakudya zomwe muyenera kudya ndikupewa popewa komanso kuchiza ma gallstones ^[13] .

Zakudya Zodyera Kuteteza Miyala

1. Zipatso za zipatso

Zipatso za citrus monga mandimu, mandimu, malalanje, zipatso zamphesa, ndi zina zambiri, zimadzaza ndi vitamini C. Kafukufuku akuwonetsa kuti vitamini C, antioxidant wosungunuka m'madzi imalepheretsa ma gallstones kuyamba. Chifukwa chake vitamini C imaphwanya cholesterol yomwe yasungidwa mu bile ^[14] . Idyani zipatso za vitamini C pafupipafupi.

2. Zipatso ndi ndiwo zamasamba zolemera

Pectin ndimadzi osungunuka m'madzi omwe amapezeka mu zipatso monga maapulo, mapeyala, zipatso, maula, magwafa, ndi zina zambiri, ndi masamba monga kaloti, beetroot, parsnips, nyemba zobiriwira, ndi zina zotero. kuchokera mthupi kupyola chopondapo ^{[khumi ndi zisanu]} . Khalani ndi zipatso ndi ndiwo zamasamba zolemera tsiku lililonse.

3. Garlic ndi anyezi

Malinga ndi kafukufuku, kumwa adyo ndi anyezi kumatha kuchepetsa kuchuluka kwa mafuta am'magazi a cholesterol ndi 40%. Ofufuza apeza kuti adyo ndi anyezi zidakulitsa michere iwiri yamafuta am'magazi a cholesterol - cholesterol 7 alpha-hydroxylase ndi sterol 27-hydroxylase ^[16] .

4. Zakudya zokhala ndi magnesium yambiri

Kafukufuku wofalitsidwa mu The American Journal of Gastroenterology adawonetsa kuti kuwonjezeka kwa kudya kwa magnesium kuchokera muzakudya kumachepetsa chiopsezo chamunthu chokhala ndi miyala yamtengo wapatali. Kudya kwambiri kwa magnesium kumachepetsa chiopsezo cha ndulu ndi 28 peresenti ^[17] . Idyani zakudya zokhala ndi magnesium yambiri monga peyala, mtedza, mbewu, masamba obiriwira obiriwira, ndi zina zambiri.

5. Mafuta a Polyunsaturated

Mafuta a polyunsaturated omwe amapezeka m'mafuta a maolivi, mafuta a canola, walnuts, flaxseed, nsomba, mafuta a soya, mafuta a mpendadzuwa, ndi zina zambiri, ndi othandiza poletsa kupanga ma gallstones. Mafuta abwinowa amachotsa cholesterol m'mimba ndipo amachepetsa ziwopsezo ^[18] .

6. Malo otchedwa Psyllium

Psyllium ndi mtundu wa ulusi wosungunuka womwe umapezeka nthawi zambiri ngati mankhusu, granules kapena ufa wazakudya zam'mawa ndi zinthu zophika. Amatha kumangirira ndi mafuta ochulukirapo mu ndulu ya bile yomwe imalimbikitsa kutuluka kwawo mthupi. Izi zimalepheretsa kupanga miyala yamtengo wapatali ^[19] . Kuphatikiza apo, psyllium imawonjezera mafuta m'thupi komanso amachepetsa cholesterol choipa.

7. Lecithin

Lecithin ndi mafuta omwe amapezeka mu zakudya monga nyemba za soya, mazira a mazira, oatmeal, kabichi, chokoleti ndi mtedza. Kafukufukuyu akuwonetsa kuti lecithin itha kuthandizira kupewa kupangika kwa mwala wamafuta posunga mafuta m'thupi mwa ndulu ^{[makumi awiri]} . Kafukufuku wina anapeza kuti kumwa lecithin yolemera kwambiri ya soya kwa miyezi 6 kunachepetsa miyala ^{[makumi awiri ndi mphambu imodzi]} .

8. Kafeini

Zakumwa za tiyi kapena khofi monga tiyi ndi khofi zitha kuchepetsa kwambiri chiwopsezo cha matenda am'mimba polimbikitsa kutulutsa ndulu ndikuchepetsa mafuta m'mitsempha ^[22] . Kafukufuku wina winanso awonetsa mphamvu ya caffeine popewa kupangika kwa miyala ya cholesterol ^{[2. 3]} , ^[24] .

Zakudya Zomwe Muyenera Kupewa Pamiyala

1. Zakudya zamadzimadzi zoyengedwa

Zakudya zokhala ndi ma carbs oyeretsedwa monga shuga, ufa, mbewu zoyengedwa, zakudya zokazinga, zakumwa zozizilitsa kukhosi ndi sitashi zimawonjezera chiopsezo cha kukanika kwa ndulu powonjezera kukhathamira kwa bile cholesterol ndikuchulukitsa chiwopsezo cha kupangika kwa mwala wa cholesterol ^[25] .

2. Mafuta okhuta

Mafuta okhuta omwe amapezeka muzakudya zopangidwa amalola kuti cholesterol ipezeke mu bile. Kafukufuku adawonetsa kuti mafuta azakudya omwe ali ndi mafuta ochulukirapo amathandizira kukulitsa miyala yamwala ^[26] . Komanso, nyama yofiira yamafuta imakhala ndi mafuta okhutira. Chifukwa chake, muchepetse kugwiritsa ntchito mafuta okhutira.

3. Zogulitsa mkaka wonse

Zakudya zamkaka zamkaka wonse zimakhala ndi mafuta ochulukirapo omwe angapangitse ngozi yakapangidwe kazitsulo. Chifukwa chake, sinthani mkaka wosalala kapena mkaka wamafuta ochepa kuti muwonetsetse kuti ndulu yanu sikukhudzidwa.

Onani Zolemba Pazolemba

[1]Marteau, C., Sastre, B., Iconomidis, N., Portugal, H., Pauli, A. M., & Gérolami, A. (1990). pH malamulo mu ndulu ya munthu: kuphunzira kwa odwala omwe ali ndi ndulu zopanda matenda. hepatology, 11 (6), 997-1002.
[ziwiri]Stinton, L. M., Myers, R. P., & Shaffer, E. A. (2010) Epidemiology yamiyala yamiyala. Zipatala za Gastroenterology ku North America, 39 (2), 157-169.
[3]Park, Y., Kim, D., Lee, JS, Kim, YN, Jeong, YK, Lee, KG, & Choi, D. (2017) .Mgwirizano wapakati pazakudya ndi ma gallstones a cholesterol ndi pigment pakati pa odwala cholecystectomy: a kafukufuku wokhudza milandu ku Korea. Journal of Health, Population and Nutrition, 36 (1).
[4]Sedaghat, A., & Grundy, S. M. (1980). Makandulo a cholesterol komanso mapangidwe amiyala ya cholesterol. New England Journal of Medicine, 302 (23), 1274-1277.
[5]Soloway, R. D., Trotman, B. W., & Ostrow, J. D. (1977). Gastroenterology, 72 (1), 167-182.
[6]Radmard, A. R., Merat, S., Kooraki, S., Ashrafi, M., Keshtkar, A., Sharafkhah, M., ... & Poustchi, H. (2015). Matenda a Gallstone ndi kunenepa kwambiri: kafukufuku wokhudzana ndi kuchuluka kwa mafuta m'mimba komanso kusiyana pakati pa amuna ndi akazi. Annnology of hepatology, 14 (5), 702-709.
[7]Hisatsugu, T., Igimi, H., & Nishimura, M. (1972) Kutha kwa mwala wamunthu. Buku Lopanga Opaleshoni ku Japan, 2 (2), 62-72.
[8]Iqbal, J., Zaib, S., Farooq, U., Khan, A., Bibi, I., & Suleman, S. (2012). Antioxidant, Antimicrobial, and Free Radical Scavenging Potential of Aerial Part of Periploca aphylla ndi Ricinus communis. ISRN Pharmacology, 2012, 1-6.
[9]Ellis, W. R., Somerville, K. W., Whitten, B.H, & Bell, G. D. (1984). Pilot kuphunzira kwamankhwala ophatikizana amwala am'mimba ndi ndulu yapakati ya chenodeoxycholic acid ndikukonzekera terpene. Br Med J (Clin Res Ed), 289 (6438), 153-156.
[10]Li, Y., Li, M., Wu, S., & Tian, Y. (2015). Kuphatikiza kwa curcumin ndi piperine kumalepheretsa kupangidwa kwa ndulu mu mbewa za C57BL6 zomwe zimadyetsedwa ndi zakudya zamagulu: kaya NPC1L1 / SREBP2 ikugwira nawo ntchitoyi? Lipids mu Zaumoyo ndi Matenda, 14 (1).
[khumi ndi chimodzi]Pezani nkhaniyi pa intaneti Barros, M. E., Schor, N., & Boim, M. A. (2003). Zotsatira za chotulutsa amadzimadzi kuchokera ku Phyllantus niruri pa calcium oxalate crystallization mu vitro. Kafukufuku wamatenda, 30 (6), 374-379.
[12]Nazıroğlu, M., Güler, M., gzgül, C., Saydam, G., Küçükayaz, M., & Sözbir, E. (2014). Vinyo wosasa wa Apple amasintha seramu lipid mbiri, erythrocyte, impso, ndi chiwindi cha nembanemba cha oxidative kupsinjika kwa mbewa za ovariectomized zomwe zimadyetsa cholesterol yambiri. Journal of Membrane Biology, 247 (8), 667-673.
[13]Gaby, A. R. (2009). Njira zopewera kupewetsa ndi kuchiza ma gallstones Kuwunika kwamankhwala ena, 14 (3), 258.
[14]Walcher, T., Haenle, M. M., Kron, M., Hay, B., Mason, R. A.,… Kratzer, W. (2009). Kugwiritsa ntchito Vitamini C kumatha kuteteza magalasi: kafukufuku wowunika pa anthu osankhidwa mwachisawawa. BMC Gastroenterology, 9 (1).
[khumi ndi zisanu]Kritchevsky, D., Tepper, S. A., & Klurfeld, D. M. (1984). Zotsatira za pectin ndi mapadi pakupanga ndi kusinthanso kwa ma gallstones mu hamsters. Experientia, 40 (4), 350-351.
[16]Vidyashankar, S., Sambaiah, K., & Srinivasan, K. (2008). Zakudya za adyo ndi anyezi zimachepetsa kuchepa kwa mafuta am'magazi am'magazi am'magazi am'magazi oyeserera m'magulu oyeserera. Briteni Journal of Nutrition, 101 (11), 1621.
[17]Ko, C. W. (2008) .Magnesium: Kodi Mchere Umapewa Miyala Yamiyala? American Journal of Gastroenterology, 103 (2), 383-385.
[18]Kim, JK, Cho, SM, Kang, SH, Kim, E., Yi, H., Yun, ES,… Lee, DK (2012) .N-3 polyunsaturated fatty acid amalepheretsa mafuta am'magazi a cholesterol poletsa kupangira kwa mucin ndipamwamba Zakudya za kolesterolini mu mbewa. Zolemba za Gastroenterology and Hepatology, 27 (11), 1745-1751.
[19]Schwesinger, W. H., Kurtin, W. E., Tsamba, C. P., Stewart, R. M., & Johnson, R. (1999) .Mafuta osungunuka amadzimadzi amateteza ku mapangidwe a miyala ya cholesterol. American Journal of Opaleshoni, 177 (4), 307-310.
[makumi awiri]Angelico, M., Mogavero, L., Baiocchi, L., Nistri, A., & Gandin, C. (1995). Kutha kwa mafuta am'magazi am'magazi am'magazi am'mimba am'mimba amchere / lecithin: zotsatira za bile salt hydrophobicity ndi ma pH osiyanasiyana. Scandinavia Journal Of Gastroenterology, 30 (12), 1178-1185.
[makumi awiri ndi mphambu imodzi]Toouli, J., Jablonski, P., & Watts, J. M. (1975) .GALLSTONE KUTHETSEDWA KWA MUNTHU Wogwiritsa Ntchito CHOLIC ACID NDI LECITHIN. Lancet, 306 (7945), 1124-1126.
[22]Zhang, Y.-P., Li, W.Q., Dzuwa, Y.-L., Zhu, R.-T., & Wang, W.-J. Kuwunika mwatsatanetsatane ndi kusanthula meta: kumwa khofi komanso chiopsezo cha matenda am'mimba. Alimentary Pharmacology & Therapeutics, 42 (6), 637-648.
[2. 3]Lillemoe, K. D., Magnuson, T. H., High, R. C., Anthu, G. E., & Pitt, H. A. (1989). Caffeine imalepheretsa kupangika kwa miyala ya cholesterol. Opaleshoni, 106 (2), 400-407.
[24]Pezani nkhaniyi pa intaneti Gottlieb, S. (1999). Khofi wambiri, miyala yaying'ono yocheperako. BMM: British Medical Journal, 318 (7199), 1646.
[25]Thornton, J. R., Emmett, P.M, & Heaton, K. W. (1983). Zakudya ndi miyala ya ndulu: zotsatira za zakudya zoyengedwa komanso zosapanganitsidwa ndi mafuta m'thupi la bile cholesterol machulukitsidwe ndi bile acid metabolism.Gut, 24 (1), 2-6.
[26]Jonnalagadda, S. S., Trautwein, E. A., & Hayes, K. C. (1995). Mafuta azakudya omwe ali ndi mafuta okwanira (12 (0, 14∶ 0, ndi 16∶ 0) amalimbikitsa mapangidwe am'miyala okhudzana ndi mafuta a monounsaturated (18∶ 1) mu hamsters odyetsedwa ndi cholesterol. Lipid, 30 (5), 415-424.