Bile kuleana pili i ka digestion

Bile - ka mea, 'o ka nalo akepaʻa hepatocyte keena. Ua accumulates i ka poe liilii, bile ducts, a laila, komo i ka pono leki uea, a ma ia - ka gallbladder 12 a me ka duodenum. Oihana no ka kino o ka bile e nui. Kekahi o kona papa kuhikuhiE oihana - ka mea, ua komo i loko o ka keʻano o ka hanaʻana o ka digestion.

Where bile ua waiho waho?

Ka laau awaawa, bladder mea he papaa pahu no ka bile. Iloko o kaʻeleu pae o ka digestion, ka wā mai o ka'ōpū i loko o ka duodenum 12 komo hapa 'ia' hōʻuluʻulu manaʻo ai, ma laila ua anao? Aou kona i kā mākou dala. I ka papa kuhikuhiE oihana o kanaka bile - kekahi hapa ma ka digestion a me ka stimulation o secretory haʻawina a me ka motility o ka liʻiliʻi naʻau liʻiliʻi, a no hoi e hōʻoiaʻiʻo ka aaioee o ka meaʻai bolus.

Bile, a ua hookuu ia i loko o ka digestive'āpana o ka gallbladder, i kapaia o ka oo, a hookuu pololei a hiki i ke akepaʻa - ka opiopio, a me akepaʻa.

Kaʻina a me ka biliary excretion o ka bile

Ke kaʻina hana o ka hoʻomakaʻia i ka hepatocytes malu (cholepoiesis) ia lŘlŘ noke. Ka mea, lawe mai i ka moʻo o ka kānana koko waiwai i loko o ka bile capillaries. Eia, aie i ka reabsorption o ka wai a me ka mea pōhaku paʻakai e kau i ke kahua hope loa o ka haku mele 'ana o ka secretory fluids. Kēia kaʻina ua hana i loko o ka bile ducts a me ka gallbladder. Part o ka bile kahe 'ana i loko o ka naʻau liʻiliʻi, ka mea, ua kapaia hepatic paha opiopio. Akā, kona papa kuhikuhiE nuipa a ua loaa i loko o ke au bladder, i kolo ana ma ka bile ducts. Gallbladder bile accumulates, e lilo ia manoanoa a me kia. He uala eleele ma mua o ke akepaʻa.

Iloko o ka lā, i ke akepaʻa aeee i loko o nā mākua paka ma kahi o nā nā lika o secretions. E hookeai ana au ia apuepue komo i ka naʻau liʻiliʻi. Postprandial biliary excretion ia lŘlŘ (holekinez) i loko o 12-duodenum. Aia bile hana like me ka digestive, like hoʻi me bacteriostatic a me ka hoʻokonukonu. E. Hoʻokō 'ia mea he mea hoʻokonukonu o ka bile? Iecaianoaaiiuo a me biliary excretion.

Penei, o ka nui bile nāʻakika kuu i loko o ka nū holo (ka puka aa koko), ka mea kiʻekiʻe lākou lehulehu i loko o ka bile haku mele 'ana, a, me ka, emi ua synthesized ma hepatocytes. I ka mana o ka bile, a pancreatic wai kumu o digestion.

o ka haku mele 'ana o ka bile

Ke kumu nui ke keʻena o ka bileʻakika i cholic. Loa (67%) - he cholicʻakika a me ka chenodeoxycholic. Na koeʻakika - kiʻekiʻe, 'o ia hoʻi, nā mea loaʻa o kēia mau nāʻakika: deoxycholic, alloholievaya, lithocholic a me ka ursodeoxycholic ...

A pau i ka bile nāʻakika i loaʻa ma kēia mea iʻike i keʻano o ka hui me ka taurine a me ka glycine. Ka maʻiʻo o ka nui dala o ka paʻakai, a potasiuma Ion haawi i kona'ākilikai NaI bile.

Eia hou, i ka haku mele 'ana o ka bile nā kekahi ke aloha' ona :

• Phospholipids.
• Kumuʻiʻo i huiʻia,ʻo ia immunoglobulins A a me M.
• Bilirubin a me ka biliverdin (bile pigments).
• Naʻokoko.
• Mucin.
• Lecithin.

Nō hoʻi, Ion o kekahi mea hiki ke hooheheeia (kiniki, keleawe, ke kēpau pōkā, makanekiuma, indium, o Hereme), nā wikamina A, B, C.

A pau ma luna o eiiiiiaiou ka i kekahi hapa o ka a me ka ake, gallbladder a me ka bile, akā, mea e pili ana i 5 mau manawa haʻahaʻa ma mua o ko lākou lehulehu i loko o ka mua ma mua i loko o ka lua.

bile kuleana pili i

Ka mea,ʻano nui hai aku i ka hana o ka gastrointestinal'āpana. me ka moʻo o enzymatic reactions bile hana ma ka digestion hou pili.

1. Ma lalo o kona keiki, he mea ka emulsification o nā mea momona, ae maikaʻi ana i ko lakou omo.
2. Ua neutralizes ka palapala ole o ka pepsin (gastric wai ka papa kuhikuhiE ke keʻena), i mea hiki ke luku pancreatic nā'ūhū.
3. Haʻalele no ka motility o ka uuku liʻiliʻi.
4. Ua stimulates ka? Iecaianoaaiiie o mucus.
5. Gastrointenstialnyh haʻalele no ka? Iecaianoaaiiie o hormones, secretin a me ka cholecystokinin, a i hua mai ma keena o ka mea liilii, naʻau liʻiliʻi, a he hoʻonui i ka rula o ka secretion o ka pancreas.
6. Ua ālai 'mea pīlali (mea pīlali) o koʻohune a me proteinaceous eiiiiiaiou.
7. Ua loaʻa he antiseptic ia ma luna o ka naʻau liʻiliʻi, a ua komo i loko o ke kahua o feces.

Ke'ī mai, i ka hana o ka bile ma ka digestion hiki ole ke overemphasized. He pono i ka bile digestive kaʻina, hoomaka iho i loko o ka opu, mau a me ka welau a maluhia i loko o ka naʻau liʻiliʻi.

Bile waiwai i ke kanaka kino

No laila, ua loaʻa i ka papa kuhikuhi hana o ka bile pili me ka digestive kaʻina. He aha ka hana ina, no kekahi kumu, hoʻololi i ka haku mele 'ana o ka bile paha ia, aole ia i komo i ka digestive'āpana? Shortage a me ka nele o ka mea hiki aku ai i ka hoʻoponopono pathologies:

• Cholelithiasis.
• Steatorrhea.
• Gastroesophageal reflux maʻi (GERD), a me kekahi poe e ae.

cholelithiasis

Kēia pathology kānāwai ma muli i ka'ōpaha haku mele 'ana o ka bile. Keia ua kapaia lithogenic bile. Ua waiwai ka mea, e loaʻa i ka pololei, ka wahaheʻe i loko o kaʻai,ʻo ia ina ka ai ua Kīwala'ō ma lalo holoholona bipi kūpaluʻia. ake bile oihana i e hihia hoʻi i ka hopena o ka endocrine maʻi. Eia hou kekahi, lithogenic waiwai o ka hepatic secretion e loaʻa me ka hopena o kāna hana o ka lipid pūnao, a ua ana pu ma ka mahuahua ma ke kino paona. Ke kumu no ka loli o ka haku mele 'ana bile hiki no hoi i infectious a me kaʻawahia ake poho paha insufficientlyʻeleu Aloha Hawaii (nele o ka hoʻokō').

stearrhea

I haiia ae maluna,, ka mana pili me ka bile emulsification o kona kaikea a. Inā no kekahi kumu i ka bile ekolu pohaku, e kahe ana i loko o ka uuku naʻau liʻiliʻi , e ka hoʻokemu momona 'ole e hana, a me ka mea, hoʻomaka e ku mai ana ma na feces. ʻO ia ke hiki mai me ka deficiency i loko o ka hepatic secretion o ka bile nāʻakika (loli i loko o kona haku mele 'ana). Ma kēia hihia, na feces i keʻokeʻo paha poʻo a me ka waʻa hana mau. Kēia pathology ua kapaia steatorrhea. Me keia maʻi, i ke kino, aole ia e i lawa ka nui o kona kaikea a, momoma nāʻakika a me kekahi mau nā wikamina. Ma muli o ka steatorrhea hoomanawanui haʻahaʻa na naau oʻu, 'ole. I, Ua i hakuloli i ka chyme.

Pehea e nana i ka bile?

I mea e noiʻi ana i ka 'ole a me ka hana o ka bile, hoʻohana i ka nui iaoia o fractional duodenal intubation. Kēia kaʻina hana ninoieo o elima anuu:

1. Basal secretion o ka bile - mea he auaaeaiea o ka pono bile leki uea 12 secretion a me duodenal ulcer. Ua mau ma kahi o 15 minuke.
2. Secretory pae kakali a paʻa sphincter o Oddi. Ka lōʻihi like 'ole o kēia pae o 3 minuke.
3. Pae kaawale ana o na koena hapa A. bile mau ma kahi o 5 minuke.
4. Pae kaawale gallbladder bile wahi B. kēia manawa mau no ma kahi o 30 minuke.
5. Hoʻokaʻawale o hepatic bile - he hapa S. kēia pae mau ka hola 20 minuke.

Penei, he hapa 3 o ka bile. mea okoa ma ka haku mele 'ana a pau o ia mau mea. I ka loa i kia bile vesical - hapa B. Ua loaʻa i ka huina nui o ka momoma nāʻakika, bilirubin, a me nā bile eiiiiiaiou.

Kēia papa hana e leie aku ke ao, e hooholo i ka physical waiwai o ka bile, kona haku mele 'ana, i ka nui o ka make bladder, i ke ano o ka biliary'āpana , a me ka hōʻike i ka IIeEeAIEUAA o ka pathological kaʻina.