Ngakhale asayansi samadziŵa bwinobwino chifukwa chake ndi motani momwe zimakhalira, zimakhala zikuchitika pamene bile yanu ili ndi cholesterol wambiri, bilirubin yochulukirapo, osati salt salts, kapena pamene ndulu yanu ikugwira ntchito mosalekeza. Anthu ena amakhala ndi ziopsezo zamatumbo, monga msinkhu, kunenepa kwambiri, matenda ena, ndi kudya ndizoopsa.
Zomwe Zimayambitsa
Zitsulo zamaluwa zimakhala ndi chiwalo chokhala ndi peyala chomwe chili pachiwindi kudzanja lamanja la mimba. Nkhumbayi ndi yaitali pafupifupi masentimita atatu ndipo mamita inchi m'lifupi mwake, ndipo imasungira ndi kutulutsa bile m'matumbo kuthandiza mchere.
Kuthira ndi madzi omwe amapangidwa ndi chiwindi chomwe chimathandiza kuchimake. Chophimba chimakhala ndi zinthu zotchedwa bile salts zomwe zimachita ngati zotupa zachilengedwe kuti zithetse mafuta mu chakudya chomwe timadya. Pamene chakudya chimachokera m'mimba kupita m'mimba, chimbudzi chimatulutsanso bile m'madzi . Miphika iyi, kapena timachubu, imathamanga kuchokera ku chiwindi kupita m'mimba. Kutseka kumathandizanso kuchotsa cholesterol wambiri kuchoka m'thupi. Chiwindi chimayambitsa cholesterol mu bile, yomwe imachotsedwa mthupi kudzera mu kadyedwe kake.
Ambiri ofufuza amakhulupirira kuti chimodzi mwa zinthu zinayi ndizofunika kupanga mawonekedwe:
- Cholesterol wambiri mu bile: Bile imakhala supersaturated ndi cholesterol, kutanthauza kuti ili ndi cholesterol kwambiri kuposa bile yanu ikhoza kupasuka. Izi zikhoza kuchititsa kuti mafuta a mitsempha ya m'magazi ayambe kugwedezeka.
- Kuchulukitsa bilirubin m'thupi lanu: Pali zinthu zina zathanzi zomwe zingayambitse bilirubin kwambiri m'thupi lanu, kuphatikizapo chiwindi cha chiwindi, matenda enieni a magazi, ndi matenda anu. Zambiri za bilirubin zingapangitse mtundu wa pigment.
- Ochepa bile salt m'thupi lanu: Izi zingachititse kuti nyongolotsi zikhale chifukwa chakuti mulibe salt salt okwanira kuti muchepetse cholesterol mu bile kapena chifukwa chokhala ndi cholesterol wochulukira mu bile yanu kuti muwonongeke.
- Zosavuta kugwiritsira ntchito ndondomeko: Nkhumba sizimagwira ntchito mokwanira kuti ikhale yopanda mankhwala nthawi zonse kapena mwathunthu, zomwe zingapangitse kuti bile yanu ikhale yambiri.
Genetics
Ngati muli ndi mbiri yakale ya banja lanu, mwayi wanu wakukulitsa ndiwopambana. Komabe, kafukufuku wambiri wasonyeza kuti majini amangopanga 25 peresenti ya chiopsezo chachikulu chokhala ndi ziphuphu.
Ngati ndiwemwenye wam'merika, pangakhale pangidwe la chibadwa kuti muthe kuchepetsa makilogalamu apamwamba a cholesterol mu bile.
Zochitika Zowopsa Kwamoyo
Pali zinthu zambiri zomwe zimayambitsa matenda omwe amachititsa kuti mitsempha yambiri ikhale yambiri, kuphatikizapo kunenepa kwambiri, kutaya mwamsanga, komanso kudya.
Kunenepa kwambiri
Kunenepa kwambiri ndi chiwopsezo chachikulu cha mitsempha. Asayansi nthawi zambiri amagwiritsa ntchito njira ya masamu yomwe imatchedwa thupi mass index (BMI) pofuna kutanthauzira kunenepa kwambiri (BMI = kulemera mu kilogalamu yomwe igawidwa ndi mamitala mamita awiri). Pamene muli ochepa kwambiri, mumakhala ndi chiopsezo chachikulu chokhala ndi ziphuphu.
Kafukufuku wambiri wasonyeza kuti amayi omwe ali ndi BMI yapamwamba amakhala pafupifupi katatu kuti akhale ndi mazimuna ngati azimayi omwe ali ndi thanzi labwino la BMI.
N'chifukwa chiyani kunenepa kwambiri ndi chinthu choopsa kwa mitsempha yambiri, koma ofufuza amakhulupirira kuti mu anthu ovuta kwambiri, chiwindi chimatulutsa mafuta ambiri m'thupi.
Chowonjezera cholesterol chimabweretsa supersaturation mu gallbladder.
Kutaya Kulemera Mwamsanga
Anthu omwe amalephera kulemera mofulumira amakhala pachiopsezo chachikulu chokhala ndi ziphuphu. Ndipotu, gallstones ndi chimodzi mwa mavuto ofunika kwambiri azachipatala. Chiyanjano cha kudya zakudya zam'mimba chimangobwera posachedwa.
Kafukufuku akuwonetsanso kuti anthu olemera amapanga tizilombo tomwe timadya zakudya zambiri. Zakudya zochepa kwambiri za kalori nthawi zambiri zimatchulidwa monga zomwe zili ndi makilogalamu 800 patsiku, nthawi zambiri zimakhala ndi zakudya zomwe zimakhala ndi madzi ndipo zimatenga nthawi yaitali, makamaka masabata 12 mpaka 16.
Mitundu ya gallstones yomwe imapezeka mwa anthu omwe amadya zakudya zamakono kwambiri nthawi zambiri amakhala chete ndipo sabala zizindikiro zilizonse. Komabe, pafupifupi gawo limodzi mwa magawo atatu a dieters omwe analimbikitsa gallstones mu maphunziro anali ndi zizindikiro ndipo ambiri a iwo ankafuna opaleshoni ya chifuwa .
Mwala wamakono ndi wamba pakati pa odwala ambiri omwe amataya thupi mwamsanga pambuyo pa opaleshoni ya opaleshoni, yomwe kukula kwa m'mimba kuli kuchepa, kuteteza munthuyo kuti asadye mopitirira muyeso. Miyala yamtengo wapatali ikhoza kuchitika mkati mwa miyezi ingapo yoyamba pambuyo pa opaleshoni.
Kudya
Ochita kafukufuku amakhulupirira kuti kudya zakudya kungayambitse kusinthitsa kwa salt salts ndi cholesterol mu gallbladder. Cholesterol imawonjezeka ndipo kuchuluka kwa salt salt kumatsika. Kupita nthawi yaitali osadya (kupumula chakudya cham'mawa), chizoloŵezi chofala pakati pa dieters, chingachepetsenso ndondomeko yothandizira. Ngati nthendayi siimagwirizanitsa nthawi zambiri kuti ikatulutseni bile, zimakhala zolimba.
Ngati kulemera kwakukulu kapena kofulumira kumachepetsa chiopsezo chokhala ndi mitsempha yamatenda, kuchepetsa kuchepa kwapang'onopang'ono kungawone kuchepetsa chiopsezo chotenga ndulu. Komabe, maphunziro amafunika kuti ayese chiphunzitso ichi.
Zakudya zina zotsika kwambiri sizingakhale ndi mafuta okwanira kuti nyongolotsi izigwirizanitsa kuti zisawononge bile. Chakudya kapena chotupitsa chokhala ndi pafupifupi magalamu 10 (limodzi la magawo atatu a mafuta) ndizofunika kuti ndulu ikhale yogwirizana. Koma kachiwiri, palibe kafukufuku amene akugwirizanitsa ndi zakudya za zakudya zam'mimba kuti zikhale zoopsa.
Ndiponso, palibe kafukufuku amene adachitidwa pa zotsatira za kudya mobwerezabwereza pa mapangidwe a miyala, kupyolera mwa kutayika ndi kulemera kwake mobwerezabwereza kwawonetseredwa kuti zingakuthandizeni kukhala ndi mwayi wopanga ndulu.
Zochitika Zina Zamoyo
Zochitika zina za moyo zomwe zingakupangitse mwayi wanu wopanga ndondomeko zam'mimba monga:
- Chakudya chokhala ndi mafuta ambiri, chokwanira mu kolesterolini, ndi / kapena otsika kwambiri
- Osalandira masewera olimbitsa thupi okwanira
- Kusala kudya, komwe kumachepetsa kayendetsedwe ka ndulu, kulola mafuta m'thupi kuti asonkhanitse
Zoopsa Zina
Zina mwazidzidzidzi zomwe zimakhalapo m'matumbo ndi:
- Zaka 40 kapena kupitirira
- Gender (amayi ali pachiopsezo chachikulu kuposa amuna)
- Mitundu, makamaka Amwenye Achimereka ndi Mexican American
- Masamba akuluakulu a triglyceride
- Kachilombo kotchedwa high-density lipoprotein (HDL) kolesterolini
- Kutenga mankhwala osokoneza mafuta a kolesterolini
- Matenda a shuga
- Matenda a Crohn mu leamu ya terminal
- Mankhwala apamwamba a estrogen kuchokera mimba, ma ARV, kapena mapiritsi oletsa kubereka
- Matenda a chiwindi
- Matenda a tizilombo
- Cirrhosis
- Anemia
Pamene Magalayala Amakhala Odzidzidzimutsa
Miyala yamtengo wapatali ingayambitse mavuto aakulu. Zizindikiro zina zomwe muyenera kukambirana ndi adokotala mwamsanga zimaphatikizapo zigawenga zomwe zimaphatikizapo kutukuta, kuzizira, malungo, jaundice kapena zida zadongo . Ngati muli ndi ululu waukulu m'mimba pamodzi ndi kusanza kapena kutsekula m'mimba , muyenera kupita kuchipatala mwamsanga.
> Zotsatira:
> Johns Hopkins Mankhwala. Miyala.
> Chipatala cha Mayo Clinic. Miyala. Chipatala cha Mayo. Idasinthidwa November 17, 2017.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Kudya ndi Magallstones. National Institutes of Health. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Kusinthidwa November 2017.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Zizindikiro ndi Zimayambitsa Magalasi Amtengo Wapatali. National Institutes of Health. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Kusinthidwa November 2017.
> Portincasa P, Di Ciaula A, Grattagliano I. Kuteteza Matenda a Misa: Mlandu wa Magalasitala Matenda: Udindo ndi Mphamvu kwa Amayi Amanja. Korea Journal of Family Medicine . 2016; 37 (4): 205-213. do: 10.4082 / kjfm.2016.37.4.205.