Kuti athandize chiwindi cha wodwala, madokotala amamupatsa iye hepatoprotectors - njira zomwe zimayambitsa chiwalo ichi. Ngati munthu akusowa mankhwala a hepatoprotectors, mndandanda wa mankhwala omwe amatsimikiziridwa bwino umathandiza kumvetsa mndandanda wa mankhwala osokoneza bongo, ndipo makampani opanga mankhwala amapereka mankhwala pafupifupi 200.
Hepatoprotectors - zizindikiro
Anthu ambiri amawona kuti chiwindi-mankhwala a chiwindi amachititsa zodabwitsa, kubwezeretsa ngakhale chiwalo chowonongedwa mowa kapena kachilombo. Madokotala amatsutsa cholakwika ichi ndipo amachititsa kuti ngakhale atsimikizidwe bwino kwambiri za chiwindi ndi njira yothandizira - zomwe zimapangitsa kuti azidzipulumutsa okha. Kulandira nthawi imodzi kwa kachirombo ka shuga sikudzapulumutsa chiwindi ku zotsatira za matendawa, chakudya ndi zakumwa zoledzeretsa - tengani mankhwala omwe mukufuna maphunziro. Perekani mankhwala a mtundu umenewu ayenera madokotala okha, ngati mankhwalawa sangabweretse zotsatira zabwino.
Kugwiritsa ntchito mankhwala a hepatoprotectors, mndandanda wa mankhwala ogwiritsidwa ntchito pansi pano, ndizofunika kutsogolera moyo wathanzi - kudya zakudya, kusuta fodya ndi kumwa mowa, kukhalabe ndi thanzi labwino la zakudya zamakono ndi zovuta kwambiri zomwe zimayambitsa matenda a chiwindi. Hepatoprotectors - mndandanda wa zizindikiro:
- Chiwindi chakumwa ndi chidakwa. Matendawa ngati palibe chithandizo cha mankhwala amadzaza ndi kukula kwa chiwindi. Pofuna kubwezeretsa chiwindi pakadali pano, simuyenera kungotenga hepatoprotectors, koma kuleka kumwa mowa.
- Chiwindi cha matenda a chiwindi cha chiwindi. Ndi mtundu uliwonse wa tizilombo - A, B kapena C, chiwonongeko cha chiwindi chimapezeka, kotero kuti matendawa amatchulidwa pamodzi ndi mankhwala osokoneza bongo.
- Hepatosis ya mafuta a chiwindi. Matendawa ndi omwe amatsogoleredwa ndi anthu ovutika kwambiri ndi matenda a shuga. Hepatoprotectors amalamulidwa kuti azichepetsa kuchepa kwa chiwindi komanso zakudya komanso masewera olimbitsa thupi.
- Mankhwala a hepatitis (oyambirira toxic biliary cirrhosis). Pachifukwa ichi, mankhwalawa amatumizidwa kuti athe kuchepetsa zotsatira zoopsa za mankhwala pachiwindi.
Hepatoprotectors - mtundu
Mtundu wa mankhwalawa dokotala amatsimikiza, malinga ndi mkhalidwe wa wodwalayo ndi sitepe ya kuwonongeka kwa minofu ya chiwindi. Malingana ndi zigawo zazikuluzikulu, pali mitundu yotsatira ya hepatoprotectors:
- phospholipids;
- kukonzekera kwa bile;
- pamaziko a amino acid;
- chiyambi cha nyama;
- chomera chomera;
- Zakudya.
Chofunika kwambiri phospholipids
Mankhwalawa amagwiritsidwa ntchito kwambiri pochiza matenda a chiwindi. Chofunika kwambiri phospholipids ndi esters zomwe zili m'kati mwa maselo ndi kubwezeretsa ntchito yawo, kuimiritsa mapuloteni ndi mankhwala ofanana ndi mankhwala, asiye njira yothetsera maselo a chiwindi. Mankhwalawa ndi oletsedwa kwa ana osapitirira zaka khumi ndi ziwiri komanso osakondana. Hepatoprotectors - zofunika phospholipids, mndandanda wa mankhwala omwe ali ndi umboni wotsimikizirika:
- Essentiale N (Essentiale Forte N) - chiwopsezo choteteza shuga pa soya phospholipids, imagwiritsidwa ntchito kuwononga kwa chiwindi kapena chiwindi;
- Phospholip - maziko a lecithin ya mankhwala, imayikidwa chifukwa cha mafuta a shuga, kuledzeretsa kwa thupi;
- Essel Forte - ili ndi phospholipids, nicotinamide, mavitamini, amalembedwa ku matenda a chiwindi ndi ndulu.
Kukonzekera kwa bile acid
Mankhwala a chiwindi ndi ndulu ndi bile acid ndi mankhwala ndi ursodeoxycholic asidi, iwo akulimbikitsidwa ndi cholelithiasis, ndipo iwo amatsutsana mu calcium maonekedwe mu gallbladder, pachimake kutupa kwa ndulu:
- Ursofalk , Ursosan - kuchepetsa mlingo wa kolesterolini, kulimbitsa chiwindi cha maselo a chiwindi, kulimbikitsa kukhetsa miyala ya mafuta m'thupi mu ndulu, kuchepetsa kuwonongeka kwa chiwindi cha poizoni;
- Livedoksa - ili ndi mphamvu yogwiritsira ntchito cytoprotective, kuteteza thupi, kuyambitsa kuthetsa zinthu zina, kumawonjezera kutentha kwa mafuta m'thupi komanso kumachepetsa mpangidwe wa miyala ya mafuta m'thupi, osatulutsa zotsatira za poizoni bile acids.
Amino zidulo za chiwindi
Mankhwala-hepatoprotectors a mitundu yosiyanasiyana awagawa m'magulu awiri - ndi amino acid ademetionine ndi amino acid ornith aspartate. Zotsatira za mankhwalawa zimadalira chinthu chofunika kwambiri:
- Heptral , heptor - imakhala ndi ademetionin, amino acid imakhala ndi mphamvu yowonongeka komanso yotchedwa antitoxic, imayikidwa kuti ikhale ndi mafuta a shuga, chiwindi cha hepatitis, poizoni wa mowa;
- Hepa-Merz - imakhala ndi aspartate, amino acid imathandiza kuchepetsa chiwerengero cha ammonia ndikukhala ndi mphamvu ya chiwindi, yomwe imaperekedwa kwa mafuta ndi shuga ya shuga.
Hepatoprotectors ya chiyambi cha nyama
Kukonzekera-hepatoprotectors kwa chiwindi cha nyama zimachokera ku zigawo za chiwindi cha ziweto. Amagwiritsidwa ntchito pochizira matenda a chiwindi, kuthamanga kwa magazi, matenda a shuga, koma si oyenera kupewa matenda a chiwindi. Pazinthu zabwino za hepatoprotectors zamtundu wotere, madokotala amadziwa kuti ali ndi luso lapamwamba lokhazikitsa poizoni ndi kubwezeretsa ntchito za limba. Kuipa kwa mankhwala osokoneza bongo kumaphatikizapo chiopsezo chachikulu cha chifuwa, chitetezo chosatetezeka komanso chiopsezo chotenga matenda a immunopathological.
Mankhwala abwino kwambiri a chiwindi cha chiwindi cha nyama:
- Sirepar - imachititsa kuti chiberekero chikhazikitsidwe, chimachotsa poizoni, zimakhudza kwambiri hematopoiesis ndi kucha kwa erythrocytes, zimapangitsa kuti magazi aziwoneka m'chiwindi;
- Hepatosan - pokhala m'matumbo, imayambitsa matenda, ndipo imakhala ndi mphamvu ya kutsekula kwa mpweya, kuwonetsa mphamvu za chiwindi.
Hepatoprotectors ya zomera zinachokera
Masamba a hepatoprotectors ndi gulu lalikulu la mankhwala ochizira chiwindi. Phytopreparations ikhoza kutulutsa chitetezo cha bile, kuchotsa poizoni, kufulumira kukonzanso. Chimake chochuluka cha zomera za hepatoprotectors ndi silymarin, zomwe zimapangidwa kuchokera mkaka nthula. Nazi mankhwala omwe amagwiritsidwa ntchito kwambiri:
- Karsil - imayambitsa maselo a chiwindi, kuletsa kutuluka kwa michere ndi kudya kwa poizoni, kumapangitsa njira yobwezera chiwalo;
- Gepabene - normalizes secretion wa bile, amatsitsimutsa bile duct spasm, amachotsa poizoni, bwino chiwindi ntchito;
- Liv 52 - amathandiza kubwezeretsa maselo a chiwindi ndi kuonetsetsa kuti thupi limagwira ntchito.
BADA kwa chiwindi
Ambiri ndizokonzekera zitsamba, zomwe zimakhala ngati zoteteza. Popeza kuti matenda a chiwindi ndi omwe amatsutsana kwambiri, amayi poyembekeza mwanayo ndi ana ang'onoang'ono akhoza kupatsidwa zakudya zowonjezera kuti ziwathandize kugwira chiwindi. Kugwiritsa ntchito mankhwala pachiwindi ndi mkaka wa mkaka ndi zigawo zina zazomera. Mavitamini-hepatoprotectors, mndandanda wa mankhwala ogwiritsidwa ntchito motsimikizirika:
- Galstena - amalembedwa kuti azidwala matenda opatsirana amtundu komanso matenda a chiwindi, gallbladder;
- Hepel - imathetsa kutupa ndi ululu, normalizes ntchito ya matumbo, imayambitsa kusungunuka kwa bile, imachotsa poizoni;
- Ovesol - chakudya choonjezerapo chochokera ku oat ndi zomera zina, ali ndi zotsutsa-zotupa, zowonongeka, choleretic effect;
- Hofitol - kukonzekera kwa atitchoku, normalizes ntchito zotetezera chiwindi ndi chikhalidwe cha ma tishu, zimayambitsa kutuluka kwa bile, zimachepetsa kutsekemera kwa bile ndipo zimateteza kuphulika kwake, zimachotsa poizoni.
Hepatoprotectors ndi kutsimikiziridwa bwino - lembani
Madokotala amayiko ambiri akutsutsabe kuti pali mankhwala ogwiritsira ntchito mankhwala opangira chiwindi. Kwa iwo amene akuyang'ana mankhwala othandizira a hepatoprotectors, mndandanda wa mankhwala ndi kutsimikiziridwa kwachipatala effecti:
- Chofunikira kwambiri phospholipids kuphatikizapo mapangidwe a interferon amachiritsidwa bwino ndi matenda a hepatitis C;
- bile acid kukonzekera bwino kuthetsa chisokonezo cha bile;
- Kukonzekera ndi amino acid kumakhudza kwambiri chiwindi ngati kukana mowa.
Kuyeza kwa hepatoprotectors
Mankhwala abwino kwambiri a hepatoprotectors ankayang'anitsidwa ndi madokotala kuti atsimikizire kuti iwo anali othandiza, ndipo anatsimikiziridwa kuti:
- Nthendayi ya Phospholipids imakhala ndi ubwino wambiri wa matenda a hepatosis, chiwindi cha chiwindi, chochepa - ndi chiwindi cha chiwindi;
- Ursofalk, Ursosan - ndipamwamba kwambiri mu chiwindi;
- Heptor, Heptral - njira yeniyeni yogwiritsira ntchito matenda a chiwindi ndi chiwindi cha uchidakwa ;
- Galstena, Hepel - kuchepa kwa chiwindi cha hepatitis, chiwindi, hepatosis.
Ntchito ya hepatoprotectors
Madokotala amakhulupirira kuti mankhwala osokoneza bongo amachititsa kuti asakhale ndi zizindikiro zina zachipatala. Mankhwala ena amatha kukhala othandiza pa nthawi imodzi ndipo ndi yopanda pake kapena yowopsa. Dokotala ayenera kupereka mankhwala, makamaka hepatologist. Ndipo odwala onse omwe ali ndi matendawa ayenera kukumbukiridwa - njira yamatsenga yokonzanso chiwindi siilipo.