Ukuba unayo i-IBS, kuyinto engokwemvelo ukuba usenokuzibuza ukuba "izibilini" zakho zithatha izondlo ezivela kukutya odlayo. Usenokuzibuza ukuba omnye umonakalo wexesha elide ukwenziwa emzimbeni wakho. Makhe sijonge oko kwaziwa malunga ne-malabsorption kunye ne-IBS ukwenzela ukubeka uloyiko lokuphumla.
Kuthetha ukuthini i-Malabsorption?
Ukuze uqonde i-malabsorption, kufuneka ukwazi ukuba kuthini ukuthatha umthamo kwisimo sokutya.
Ukunyuselwa kwezondlo ezivela kwisidlo esiyidlayo ngumsebenzi oyintloko weenkqubo zokutya . Ezinye izondlo zixutywa zizidumbu zethu, kodwa ezininzi izondlo zithathwa ngumathumbu omncinci . Oku kubandakanya ukuxutywa kwe-carbohydrates, amafutha, amaminerali, amaprotheni kunye namavithamini. Ukuze izondlo zifakwe, kufuneka ziphulwe zibe ziincinci ezincinci ngokwaneleyo ukuba zidlulele kwiimida zethu zegazi.
I-Malabsorption, ngoko ke, iimeko apho izondlo ezingenakunyulwa ngumathumbu omncinci njengoko kwakuqhelekileyo kulindeleke.
Yintoni i-Malabsorption Syndrome?
I-Malabsorption syndrome yimeko yempilo apho umzimba unzima ukufumanisa izondlo ezibalulekileyo. Oku kungakhokelela kwiingxaki zempilo njengoko umzimba ungafumani izondlo, iivithamini kunye neemaminerali ezifuna impilo enempilo.
Izifo ezinokubangela ukuba i-malabsorption ibandakanye:
- HIV / AIDS
- Isifo seCeliac
- I-pancreatitis engapheliyo
- Isifo sikaCrohn
- Isifo esifutshane samathumbu
- Inambuzane encinci yebhaktile
- Isifo se-Whipple
Iimpawu zeMalabsorption
Ngaba umntu uyazi njani ukuba awunamkeli izondlo ozifunayo? Nazi ezinye iimpawu:
- Ukubetha kunye negesi
- Uhudo
- Ukungaphumeleli ukukhula (abantwana)
- Izithambiso ezinamanzi kunye / okanye ezigcobileyo
- Ukulahleka kwemisipha
- Ukuhla ukusinda
Malabsorption kunye ne-IBS
Ewe, ezinye zeempawu ze-malabsorption zifana nezo ze-IBS. Uya kukhululeka ukwazi ukuba ayikholelwa ukuba i-IBS ibangela ukuba i-malabsorption nayiphi na izondlo eziphambili. Nangona kunjalo, ezinye iingxaki ze-malabsorption zingabangela iimpawu zakho ze-IBS. Enyanisweni, i-malabsorption ye-carbohydrates ethile inendima enkulu ekucingeni emva kokutya okuphantsi kwe-FODMAP ye-IBS. Kucatshulwa ukuba ngenxa yokuba i-carbohydrate ayinakunyuswa kumgangatho wesisu esincinci, ayifaka emathunjini amakhulu, apho asebenzisana khona nama-bacterial gut, okubangelwa iimpawu ze-IBS. Makhe sijonge ezinye i-carbohydrate ezithile:
- I-Fructose : I-Fructose i-carbohydrate efumaneka kwizandi kunye neziqhamo ezininzi. Ukutya kwethu kwe-fructose kuye kwandiswe ngokuphawulekayo kunye nokubandakanywa kwe-syrup ye-fructose ephezulu kwiindawo ezininzi zokutya. Kuqikelelwa ukuba omnye kwaba bantu abathathu une-fructose malabsorption, nto leyo ithetha ukuba ayinalo ngokwaneleyo iamolekyu zothutho ezifunekayo ukuze zenze i-fructose ibe yigazi ukusuka emathunjini amancinci. Ukuba iimpawu zakho ze-IBS zihlala zibuhlungu emva kokudla i-fructose, unokuba ne-fructose malabsorption ingxaki.
- I-Lactose : I-Lactose ishukela efumaneka kwimveliso yobisi. Abantu abanexholongwane ye-lactose abanalo ngokwaneleyo ye-enzyme lactase ukwenzela ukuba bachithe i-lactose ukuxhamla emathunjini amancinci.
- I-Sugar Alcohols: I- Sugar alcohols iquka i-FODMAPs mannitol kunye ne-sorbitol. I-Sugar alcohols ifumaneka kwezinye iziqhamo, imifuno kunye ne-sweeteners. Kulinganiselwa ukuba malunga nama-50% abantu abakwazi ukufumana i-sugar alcohols kwinqanaba elincinci.
- I-Fructans kunye nama-galactans: I- Fructans ifumaneka kwiingqolowa ezifana nengqolowa, kunye nemifuno enjenge-anyanisi kunye negalikhi. I-Galactans, ngamanye amaxesha ebizwa ngokuba yi-GOS, ifunyenwe kwimigqomo. La maqela amabini e-carbohydrates ngumzekelo wendawo apho i-malabsorption inokuba yinto enhle ngayo. Sonke asikho i-enzyme efunekayo ekuthineni le miqheqhejini. Kucingelwa ukuba kukho iinzuzo zezempilo ezivela kuloo nto yokuba ezi i-carbohydrate zenza indlela yazo emathunjini amakhulu kwaye zidibanisa ne- gut gut bacteria .
Bile Acid Malabsorption
Olu hlobo lwe-malabsorption alufani nelo sixoxe ngako ngoku kuba ingxaki ayithethi kunye ne-malabsorption yezondlo, kodwa kunokuba i-malabsorption ye-bile acids. I-bile acids yinto ekhishwe kwi-gallbladder ekuncedeni ukuphuka kwamafutha okutya. Ukuba umntu une-bile acid malabsorption, ezi zi-acids azihambelani kakuhle emathunjini amancinci aze angene emathunjini amakhulu. Kucatshulwa ukuba i-bile acid malabsorption inokudlala indima kwezinye iimeko ze- IBS-D :
Yintoni enokuyenza xa Ucinga ukuba unayo ingxaki yokugula?
- Thetha ugqirha! Ugqirha wakho usemgangathweni ophezulu wokuvavanya iimpawu zakho kunye nezizathu ezinokwenzeka. Ukuba kuyimfuneko, ugqirha wakho unokuthumela iimvavanyo ezilungiselelwe ukuvavanya ubukho beengxaki zokugula.
- Gcina idayari yokutya. Ukubhala phantsi ukutya oya kukutya kunye neempawu ozifumanayo kunokukunceda ukhangele iipatheni ezihambelana ne-malabsorption.
- Zama ukutywala ukutya. Ukuba wena okanye ugqirha wakho usenokukrokrela ukuba unokubakho i-malabsorption kuhlobo oluthile lwe-carbohydrate, unokuphelisa umonakalo obangelwa kukutya kwakho ixesha elide kwaye ubone ukuba yimpembelelo ekhoyo kwiimpawu zakho.
Imithombo:
Barrett, J. & Gibson, P. "Iimpawu zoKliniki zeMalabsorption ye-Fructose kunye nezinye izinto ezincinci zeCarbohydrates" I- Gastroenterology eSebenzayo 2007 XXXI: 51-65
"Malabsorption" I- Medline Plus ifumaneka ngo-Juni 26, 2015.
IMinocha, A. & Adamec, C. (2011) I-Encyclopedia ye-Digestive System kunye ne-Digestive Disorders (2nd Ed.) ENew York: Iinkcukacha kwiFayile.