Ekuboneni kokuqala, akubonakali ukuba yenze ingqiqo yokuba kuya kubakho ukudibanisa phakathi kokusuka kwintlungu kunye namagciwane. Yintoni into eyenza ngaphantsi (amathumbu) enokuyenza nayiphi na into ephakamileyo (ukukhuza intliziyo)? Nangona kunjalo, kukho imbono ekhangayo edibanisa ezimbini. Makhe sijonge ...
Iingcamango zokuthi i-intestine ye-intestine ye-intestine ibangele i-GERD
Kwincwadi yakhe, Fast Tract Digestion , uNorman Robillard, Ph.D.
yenza ityala elincinci le-intestine (SIBO) lingaba yimbangela yangempela yesifo se-reflux (GERD) yesifo se-gastroesophageal.
I-SIBO yimeko yempilo apho kuninzi amabhaktheriya enxalenye engaphezulu yamathumbu amancinci , indawo apho ezi zinto ezincinci akufanele zibe khona. I-GERD isifo apho isisu esiswini sitshisa umgca we-esophagus (i-reflux ye-asidi), ebangela uphawu lokusila.
Ezi zimbini zinokudibana njani na? Ingqungquthela kaDkt. Robillard kukuba igesi eveliswe yi-bhakteria ehlala emathunjini amancinci ibeka uxinzelelo olwaneleyo emathunjini nasesisu ukuba inokutshiza i-asidi isisu esiswini.
Ukongezelela ekuqaliseni indlela entsha yokujonga imbangela yeGERD, uDkt. Robillard unikezela ngolu hlobo olutsha unyango. Akavumelani nokusetyenziswa kwemithi yokunciphisa i-acid, ngokukodwa ukusetyenziswa kweproton pump inhibitors (PPIs), okwangoku unyango oluqhelekileyo lweGERD.
Ingcamango yakhe kukuba ukuba isisu esancinciweyo esiswini esivela kwi-PPIs sinceda ukugqithisa kwebhaktheriya emathunjini amancinci kwindawo yokuqala, njengoko isisu esiswini sinomdla wokuthintela ngokugcina ibhaktheriya ekukhutsheni amathumbu amancinci.
Oko uDkt. Robillard uncoma ukuba izigulane zeGERD zilandela ukutya okuphantsi koko akubiza ngokuba "kunzima ukugaya" i-carbohydrates.
Inkolelo yakhe yokuba ukutya okuphezulu kulezi zine-carbohydrate kuncedisa kokubili ukugqithisa kwezi bhaktheriya kunye nokwanda kwegesi evelisa ngokuthe ngqo imfucuza.
Kuyathakazelisa ukuba uluhlu lwakhe lwe-carbohydrates ukuphepha lufana kakhulu nelokutya okuphantsi kwe-FODMAP ye-IBS . Uhlobo olubalulekileyo kukuba ukutya okuphezulu kwi-starch engaxhatshazwayo, njengobhanana obungavuthiyo kunye nengqolowa, ezikhuthazwa kwisondlo se-FODMAP kodwa zidikibala nguDkt. Robillard ngokunyanga iGERD.
INzululwazi Yenza Iingcamango
Nangona le ngcamango iyanyanzelisa, akukho phando lophando oluninzi lokuxhasa.
Esinye isifundo esincinci sathintela ukuba izigulane zeGERD ziginye isisombululo se-fructooligosaccharides (i-FOS) okanye i-placebo emva kokutya kweveki nganye. I-FOS ayiyiyo yokugaya kwaye, ngoko ke, iyafumaneka ukuze ifakwe kwi-bacteria yamathumbu. Okuthakazelisayo kukuba i-FOS yinto yohlobo lwe-FODMAP , efumaneka kwizinto ezifana no-anyanisi, i-garlic kunye ne-asparagus.
Abaphandi bafumanisa ukuba ii-FOS zandise ixesha lokuphumla kwemisipha ye-sphincter, kunye nokwandisa inani le-acid reflux kunye neempawu ze-GERD. Kule sifundo, akukho nto ikhankanyiweyo nge-SIBO, kodwa abaphandi baphetha ngokuthi ukuvotshwa kwikholoni okwenze ukwanda kweempawu zeGERD.
Olunye uphando oluncinci lufumene ukuba ukutya okuncinane kwe-carbohydrate kwandise kakhulu impawu zeGERD kwiqela elincinci leGERD.
Ngaphantsi
Okwangoku, kubonakala ngathi sonke esinokuphetha kukuba le yinto ekhangayo. Ngethemba, uphando olongezelelweyo luya kwenziwa ukuze kutholakale ukuba ukutya okuncinane kwe-carbohydrate kuyayisombulula i-SIBO kwaye iyanciphisa iimpawu zeGERD. Ngelishwa, inkxaso-mali yokunyanga kwezonyango kwiingxaki zonyango iyancipha. Ngokomntu, ndiyakuthanda ukubona uphando malunga nokuba ukutya okanye ukutya okuphantsi kwe-FODMAP kunempembelelo kwiimpawu zentlungu-into endiyivile kubaxhasi abondla .
IGERD eqhubekayo yimeko elawulwa ngugqirha wakho. Nangona kunjalo, ukuba le ngqungquthela iyakuboniswa, xela ugqirha malunga nalo. Ukuba unqwenela ukuba ufuna ukuzama ukutya okuncinciweyo okunconywe nguDkt. Robillard kwaye uvavanya iimpembelelo zakho kwiimpawu zakho, kufuneka uqhagamshelane neengcali ezifanelekileyo zokutya ukuze uqinisekise ukuba zonke iimfuno zakho zondlovu zidibene.
Imithombo
Austin, G., et.al. I-Carbohydrates Diet kakhulu Iphucula i-Gastroesophageal Reflux kunye nezoMpawu zayo " Izifo zeNtsholongwane nezeSayensi
Piche, T., et.al. "Ukuvuthwa kwama-colonic kwathintela umsebenzi ophantsi we-sphincter kwisifo se-reflux yesifo se-gastroesophageal" Gastroenterology 2003 124: 894-902.
URobillard, N. (2012) UkuTyikitya kweTest Fast: Ukutshaya . Watertown, MA: Ukupapasha kwezeMpilo.