Bile aiki a narkewa

Bile - yana da wani m hanta hepatocyte Kwayoyin. Yana accumulates a kananan bile ducts, sa'an nan ya shiga cikin na kowa bututu da kuma ta hanyar shi - da gallbladder 12 da duodenum. Ayyuka ga jikin bile suna da muhimmanci. Daya daga cikin babban ayyuka - shi ne da hannu a cikin matakai na narkewa.

Ina bile aka adana?

A gall mafitsara ne a ajiya tank for bile. A lokacin aiki lokaci na narkewa, a lokacin da fito daga ciki a cikin duodenum 12 shiga partially narkewar abinci, a can ne kasaftawa ta matsakaicin adadin. Babban ayyuka na mutum bile - wani bangare a narkewa da ruri daga secretory aiki da kuma motility na kananan hanji, wanda ya hada da tabbatar da aiki da abinci bolus.

Bile, wanda aka saki a cikin narkewa kamar fili da gallbladder, da ake kira da balaga da saki kai tsaye zuwa hanta - matasa, ko hanta.

Tsari da kuma biliary excretion na bile

A tsari na samar da wani m hepatocytes (cholepoiesis) ya auku ci gaba. Su za'ayi jerin tacewa jini abubuwa a cikin bile capillaries. Bugu da ari, saboda da reabsorption na ruwa da kuma ma'adinai salts daukan sanya karshe samuwar abun da ke ciki na secretory ruwaye. Wannan tsari ne da ya yi a cikin bile ducts da kuma gallbladder. Sashe na daga cikin bile gudana kai tsaye a cikin hanji, shi ne ake kira hanta ko matasa. Amma ta babban taro da aka tara a cikin gall mafitsara, wanda motsa tare da bile ducts. Gallbladder bile accumulates, shi ya zama da kauri da kuma mayar da hankali. Shi ne duhu fiye da hanta.

A lokacin da rana, da hanta Kwayoyin a manya nuna game da biyu lita na secretions. Azumin da wuya ya shiga cikin hanji. Postprandial biliary excretion auku (holekinez) a 12-duodenum. Akwai bile ayyukan matsayin narkewa kamar, kazalika da bacteriostatic da tsaiko. E. Tsari kanta ne kayyadewa na bile samarwa da kuma biliary tukar tumbi.

Saboda haka, mafi bile acid saki a cikin portal wurare dabam dabam (portal jannayẽnsa), da hakan da taro a bile abun da ke ciki da kuma, daidai da, kasa da aka hada da hepatocytes. The ayyuka na bile da pancreatic ruwan asali narkewa.

da abun da ke ciki na bile

Babban bangaren bile acid ne cholic. Mafi (67%) - a cholic acid da kuma chenodeoxycholic. Sauran acid - sakandare, watau, Kalam na wadannan biyu acid: deoxycholic, alloholievaya, lithocholic da ursodeoxycholic ...

Duk da bile acid da ake samu a wannan sirrin a cikin nau'i na mahadi da taurine da glycine. A ciki mai yawa sodium da kuma potassium ions yana da wani alkaline dauki bile.

Bugu da kari, da abun da ke ciki na bile hada da wasu kwayoyin abubuwa :

• Phospholipids.
• Protein mahadi, wato immunoglobulins A kuma M.
• Bilirubin da biliverdin (bile pigments).
• Cholesterol.
• Mucin.
• Lecithin.

Har ila yau, ions na wasu karafa (tutiya, jan, gubar, magnesium, indium, Mercury), bitamin A, B, C.

All sama aka gyara wani bangare ne na da hanta, gallbladder da bile, amma shi ne game da 5 sau ƙananan fiye da taro a farko, fiye da na biyu.

bile aiki

Su yafi dangantaka da aikin da gastrointestinal fili. bile aiki a narkewa hade da wani jerin enzymatic halayen.

1. A karkashin tasirin da take da can ne emulsification na fats, haka gudanarwa da su sha.
2. Yana kau da cutarwa sakamakon pepsin (na ciki da ruwan 'ya'yan itace babban bangaren), wanda shi ne ikon hallaka pancreatic enzymes.
3. Activates da motility na kananan hanji.
4. Yana stimulates samar da gamsai.
5. Gastrointenstialnyh activates samar da hormones, secretin da cholecystokinin, wanda ake samar da sel da kananan hanji da kuma taimako zuwa ga tsari na mugunya na pancreas.
6. Ya hana mannewa (mannewa) na jikin kwayoyin cutar da proteinaceous aka gyara.
7. Shi yana da wani antiseptic sakamako a kan hanjinsu da aka hannu a cikin samuwar tumbi.

Saboda haka, aikin da bile a narkewa ba za a iya overemphasized. Shi ne saboda bile narkewa kamar tsari, fara a cikin ciki, ya ci gaba da kuma ƙare a cikin hanji amince.

Bile darajar da jikin mutum

Saboda haka, za mu gano cewa, babban aiki na bile hade tare da narkewa kamar tsari. Me zai faru idan, saboda wasu dalilai, canza abun da ke ciki na bile ko ba ta shigar da narkewa kamar fili? Karancin ko rashin shi take kaiwa zuwa tsanani pathologies:

• Cholelithiasis.
• Steatorrhea.
• Gastroesophageal reflux cuta (Gerd), da sauransu.

cholelithiasis

Wannan Pathology iya faruwa saboda wani unbalanced abun da ke ciki na bile. Wannan ake kira lithogenic bile. Irin wannan Properties shi iya saya a lokacin na yau da kullum kurakurai a cikin abinci, wato idan abinci ne mamaye dabba fats. hanta bile ayyuka iya sosai a sakamakon endocrine cututtuka. Bugu da kari, lithogenic kaddarorin da hanta mugunya iya saya a sakamakon cuta da lipid metabolism, wanda mafi yawa ana tare da wani karuwa a jikin nauyi. Dalilin da canje-canje na bile abun da ke ciki kuma iya zama dauke da kwayar cutar da mai guba hanta lalacewa ko arancinsu aiki salon (rashin motsa jiki).

stearrhea

Kamar yadda aka ambata a sama, da ayyuka dangantawa da bile emulsification na fats. Idan saboda wasu dalilai da bile daina daga ƙarƙashinsu a cikin kananan hanji zuwa sha mai bai faru, kuma sun fara tsayawa daga cikin tumbi. A wannan zai iya faruwa da wani rashi a cikin hanta mugunya na bile acid (canji a cikin abun da ke ciki). A wannan yanayin, tumbi zama fari ko launin toka da kuma m daidaito. Wannan Pathology aka kira steatorrhea. Tare da wannan cuta, da jiki ba ya da isasshen muhimmanci fats, m acid da wasu bitamin. Saboda steatorrhea sha ƙananan hanji, t. Don. Su ba su saba wa irin chyme.

Yadda za a bincika bile?

Domin gudanar da bincike da sifa da aiki na bile, amfani da wani yawa Hanyar fractional duodenal intubation. Wannan hanya ta kunshi biyar matakai:

1. Basal mugunya bile - shi ne wani kasafi na kowa bile bututu 12 mugunya, kuma duodenal miki. Yana yana game minti 15.
2. Secretory lokaci ɗan hutu ko rufaffiyar sphincter na Oddi. A tsawon lokaci da wannan lokaci ne da minti 3.
3. Lokaci rabuwa da saura rabo A. bile yana game 5 da minti.
4. Lokaci rabuwa gallbladder bile rabo B. Wannan zamani yana for game da minti 30.
5. Kadaici da hanta bile - wani rabo S. Wannan lokaci yana kamar minti 20.

Saboda haka, a sashi na 3 na bile. Dukan su ne daban-daban a cikin abun da ke ciki. A mafi dabzar bile vesical - rabo B. Yana ƙunshi mafi girma adadin m acid, bilirubin, da kuma sauran bile aka gyara.

Wannan hanya damar da nazari domin sanin jiki Properties na bile, abun da ke ciki, da adadin da gall mafitsara, da yanayin da biliary fili , da kuma gane sarrafawa na pathological tsari.