Ngaba i-fructose malabsorption inxalenye yePS puzzle? UFructose luhlobo lweswekile olufumaneka kwiziqhamo kunye nemifuno. Olunye uphando lubhekise indima ebandakanya ukutya okuqulethe i-fructose inempawu ezingenelisayo zokugaya. Nangona kuncinci kakhulu kwaye kuqala, i-data yokuqala ibalulekile ukujonga ukuba uyasikrokra ukuba iziqhamo zinegalelo kumathumbu akho emathumbu.
Yintoni iFructose Malabsorption?
Iimpawu ze-fructose malabsorption, eyayibizwa ngokuba yi-fructose intolerance, i-digestive iyancipha emva kokutya okanye ukusela ukutya okanye iziphuzo eziqukethe i-fructose, iswekile efumaneka kwiziqhamo ezininzi. Le meko icatshangelwa ukuba yiphumo le-fructose engagcini ngokupheleleyo emathunjini amancinci . I-fructose yenze indlela yayo emathunjini amakhulu apho isetyenziswe khona kwaye ifakwe ngamabhaktheriya emathumbu. Le nkqubo inokuchaphazela i-GI motility kwaye igalelo kwigesi engafunekiyo kunye nokubetha.
Abanye abantu abane-fructose malabsorption banokunyamezela ixabiso elincinci le-fructose, kodwa iimpawu zenzeka xa i-fructose eninzi isetyenziswa ngexesha elifutshane kakhulu. Kwabanye abantu, i-fructose malabsorption ingaba ngumphumo we- intestine bergestin overgrowth (SIBO). Ukuchongwa kwe-fructose malabsorption yiyona nxalenye ebalulekileyo yenkolelo emva kokusetyenziswa kwe- FODMAP ephantsi ye-IBS.
I-Fructose malabsorption yimiqathango eyahlukileyo kunokuba i-fructose ibekezeleleke, i-genetic disorder efunyanwe ukususelwa ebuntwaneni.
Ukuxilongwa
Uvavanyo lokuphefumla i-hydrogen lwenziwa, ukulinganisa inani le-hydrogen ekuphefumlweni emva kokungeniswa kwesisombululo se-fructose. Ukwenyuka kwe-hydrogen kukholwa ukuba kubonisa ukuba i-fructose kwisisombululo iyanqandwa ngamabhaktheriya emathunjini amakhulu.
Nangona kunjalo, uvavanyo lokuphefumula i-hydrogen alukholwanga ngokupheleleyo. Ingabonisa imiphumo emihle nangona umntu engenawo malabsorption. Nangona ezinye iingxelo zithi zixabisekileyo, ezinye zibonisa ukungaqiniseki kwayo.
I-SIBO enye inambuzane ye-intestinal (SIBO) enye inokuxilongwa xa uvavanyo lwe-hydrogen lokuphefumula luyinto entle, kwaye ugqirha kufuneka amisele ukuba ngaba oko kukufumanisa ngokufanelekileyo kunokuba i-fructose malabsorption.
Ziziphi iziphumo zophando?
Olunye uphando lwenza umzekelo phakathi kwabantu abaphilileyo kunye nabantu abaye bazibonakalisa njengobunzima bokunganyamezeli kwe-fructose esekelwe kwinto yokuba babhekene nokuqhaqhaqhayisa kunye nokunyaniseka emva kokutya iziqhamo ezithile. Nangona iziphumo kufuneka zitshintshwe ngokuqaphela ngenxa yenani elincinci labantu (izigulane ezi-8, izilawuli ezi-4) ezithatha inxaxheba kwisifundo, iziphumo zinomdla. Izigulane ezizimeleyo zazinamazinga aphezulu ase-hydrogen kwaye zenza amava ngakumbi kunye nokunyaniseka ngenxa yokusela isisombululo kunokuba abantu abaphilileyo.
Ukufumanisa ukuba izifundo zokuvavanya zifumene iimpawu ezivela kwisisombululo se-fructose ngokwazo zaphinda ziphindwe kwisinye isifundo, esinye esasetyenziswa ngabantu abaninzi.
Inani labali-183 abantu ababengenayo impawu yokugaya inyama engabonakaliyo bathatha inxaxheba. Iigumbi ezintathu zala bantu bafumana iimpawu zesisu emva kokungeniswa kwesisombululo se-fructose. Ezi zimpawu ziquka ukuguquka, ubuhlungu besisu , ukuqhaqhaqhaqhaqhaqha, ukubethelwa kunye nokutshintsha kwimizi yesisu.
Olunye uphando lujonge ngokunyanisekileyo ukunyamezela kwe-fructose kubantu abadala abaxilongwa nge-IBS. Kwabathathi-nxaxheba abangama-80, phantse enye yesithathu ine-positive hydrogen test result emva kokungeniswa kwesisombululo se-fructose. Phakathi kwezi zi gulane, i-26 ithathe inxaxheba ekuhlolweni kokulandela emva konyaka. Ekulandeleni, ezi zi-14 zezi gulane zixelele ukuba zikwazi ukuthobela ukutya okunomdla kunye nokufumana ukuphuculwa okukhulu kwiimpawu zentlungu, ukubetha, ukuqhaqhaqhafaza, ukuhlengahlengisa kunye nehudo.
Ubunzima be-fructose ngenye yeziphumo eziphambili emva kwe- FODMAP ephantsi ye-IBS . Le ngcamango ifumene uphando olunzulu malunga nokuphumelela kwayo ekunciphiseni iimpawu ze-IBS.
Ngaphantsi
Uphando malunga nendima ye-fructose malabsorption kwi-IBS isesezigaba zayo zokuqala. Nangona kunjalo, ukuba iimpawu zakho zegesi, ukubhubhisa kunye nesifo sohudo kubonakala kufana nokungeniswa kweziqhamo, ingxaki ye-fructose ingaba yinto yokuqwalasela. Gcina idayari yokutya iiveki eziliqela ukugqiba ukuba kukho ubudlelwane obunjalo. Ukuba kunjalo, thetha ugqirha wakho malunga nokuba unokuthatha uvavanyo lokuphefumula kwe-hydrogen uze ucele umbono wakho ugqirha malunga nokuzama ukuphelisa ukutya .
Imithombo:
> Ukutya kunye nokunyanzeliswa kokutya 105: I-Fructose Malabsorption. American Gastroenterological Association. http://www.gastro.org/info_for_patients/food-allergies-and-intolerances-105-fructose-malabsorption
Choi, Y., Kraft, N., Zimmerman, B., Jackson, M. & Rao, S. Fructose Ukungathembeki kwi-IBS kunye ne-Utility ye-Fructose-Restricted Diet. Umbhalo we-Clinical Gastroenterology 2008 42: 233-238.
> Fedewa A, uRao SSC. Ukungathembeki kwe-Fructose, Fructan > Ukunyamezela > kunye neeFODMAP. Iingxelo zeGastroenterology zangoku . 2013; 16 (1). i-doi: 10.1007 / s11894-013-0370-0.
Mann, N. & Cheung, E. "Ukuphefumula kwe-Frostrose eyenza i-hydrogen kwizigulane ezinokungahambisani nenyameko. "I- Journal ye-Clinical Gastroenterology 2008 42: 157-159.
> Yao CK, Tuck CJ. Ixabiso leklinikhi yokuvavanya i-hydrogen. Umbhalo weGastroenterology kunye neHepatology . 2017; 32: 20-22. i-doi: 10.1111 / jgh.13689.