Uphando lubonisa ukulungelelaniswa okumangalisayo phakathi kwentsholongwane ekhubazayo (IBS) kunye noshukela (i-lactose, i- fructose , ne-sorbitol) ukungathobeli. Ukuba ujongene ne-IBS, ukufunda malunga nalezi zifundo kunokukunceda ukuba unyanzelise ukuba ushukela udlale inxaxheba kwimpawu zakho.
Ukunyanzeliswa kwaLactose
Ukunganyamezelani kwaLoctose yimeko apho umntu afumana iimpawu zokugaya emva kokutya iimveliso zobisi.
Oku kungenxa yokusilela kwe-enzyme lactase. Kucingelwa ukuba izigulane ezininzi ze-IBS ziya kuxhamla ekupheliseni iimveliso zobisi ekudleni kwazo.
Isifundo esisodwa esikhulu siqhathanise nezigulane ezingama-IBS ezingama-336 ezithe zazifumanisa ngokuthi "ubisi obungavumelaniyo." Ephantse kuma-70 ekhulwini abantu ngabanye kumaqela abavavanyelwe ukunyamezela kwe-lactose ngokusekelwe kuvavanyo lwe- hydrogen (HBT) .
Ababhali baphetha ngokuthi ngenxa yeli phesenti ephezulu, i-HBT imele ilawulwe ngokuqhelekileyo kuzo zonke izigulane ezicinga ukuba zihlupheke kwi-IBS. Ngelishwa, eso sifundo asizange sifake iqela lokulawula impilo.
Ukudibanisa kweShukela
Uphando oluncinci lukhangela ikhonkco phakathi kokunyanzelana noshukela kunye nezifo zesifo . Ngokukodwa, isifundo sinezigulane ezingama-25 ziphantsi kokuhlolwa kokuphefumula kwe-hydrogen emva kokusela izicwangciso ezahlukeneyo. Ezi ziquka i-lactose, i-fructose, i-sorbitol, i-sucrose, kunye ne-fructose ne-sorbitol.
Amaphesenti angama-90 kwabafundi abathathi-nxaxheba bavavanyelwa ukuba banokunyamezela. Emva kokuthintela kokutya kwezinto ezikhubekisayo, iipesenti ezingama-40 zezigulane ezinokuphucula uphawu oluphawulekayo.
Uphando olukhulu kakhulu lujonge i-lactose, i-fructose, kunye ne-sorbitol ukunganyamezelani kwizigulane ezinezifo zengqondo.
Kuzo izigulane ezingama-239, ezingama-94 zidibene ne- criteria ye - diagnostic ye-IBS , ngelixa abanye bebekwahlula njengezikhalazo ezisebenzayo.
Ukusebenzisa ukuhlolwa kwe-hydrogen kunye ne-methane, iipesenti ezingama-90 zezifundo zafunyanwa zixhatshazwa luhlobo oluthile lokunganyamezelani. Inxalenye enkulu ibonisa ukunyamezelana kwimihlobo engaphezulu kwesinye iswekile. Ngokunciphisa izondlo, malunga nesiqingatha sezifundo kwiqela ngalinye lafumana ukuphuculwa kweempawu ezibalulekileyo.
Umsebenzi we-Abestestine Overgrowth
Olunye ucinga luvela kubaphandi abagcina ukuba i- intestine ye-intestine (overflow) ye-bacterial (SIBO) iyona nto ibalulekileyo kwi-IBS i-symptomatology. Le ngqungquthela igxininisa ukuba i-SIBO ingafumaneka ngokusetyenziswa kovavanyo lokuphefumula kwe-hydrogen emva kokungenwa kwe-lactulose, ushukela onokuthi umzimba awunakukugaya.
Kucingelwa ukuba ukuba amazinga omphefumlweni we-hydrogen aphakanyiswa nje emva kokuba umntu esela isisombululo se lactulose, oku kubungqina bokuba iibhaktheriya zikhona emathunjini amancinci . Ngaloo nto, kubangela ukuvuthwa okuphumela ekuphefumuleni kwe-hydrogen.
Ukuxhasa le ngqungquthela, uphando oluthile lufumene ukuba ezininzi zezifundo ezavavanya ukunyamezela kwe-lactose ngokusebenzisa i-hydrogen test test nazo zavavanywa kakuhle kwi-lactulose yokuvavanya umoya.
Oku kuphakamisa ukuba inkathazo engundoqo yayiyi-SIBO kwaye ingekho ukunyanzeliswa kwe-lactose .
Uphando olukhulu lwavavanya izigulane ezingama-98 ze-IBS ngenxa yobukho be-SIBO kunye nokunyanzeliswa kweswekile. Amaphesenti angamashumi mathandathu anesihlanu kwezi zigulane ze-IBS zivavanywe kakuhle kwi-SIBO ngokusekelwe kuvavanyo lwe-lactulose. Ezi zi gulane zenzeke kakhulu ukuba zifumane iimvavanyo zokuphefumula ze-hydrogen emva kokutya i-lactose, i-fructose, kunye ne-sorbitol kunezo zingabonakaliswa njengobandezeleka kwi-SIBO.
Izigulane ze-SIBO zatshatyalaliswa ngokutsha kunye namayeza anokuthi angabonakali impendulo efanelekileyo kwi-test lactulose. Ezi zi gulane zabonwa ukuba zincinci kakhulu ukuba zivame ukuvavanya i-lactose, i-fructose, ne-sorbitol.
Abaphandi baphetha ngelithi i-SIBO ingaba yimbangela yokuvavanya ukunyamezela ngaphandle kokunyamezela kwangempela kwezi ushukela.
Ngaphantsi
Nangona kunokubakho ingxoxo malunga neengxaki eziyinyani, ezi ziphumo ziphandle zibonisa ukuba kukho ubudlelwane phakathi kokunyamezela kwe-sugar and IBS. Ukuba ufumana i-IBS, kubalulekile ukuba uhlolisise indima yokuba i-lactose, i-fructose, i-sorbitol ukunyamezela, kunye ne-SIBO, inokudlala kwimpawu zakho.
Indawo enokuqala ukuqala kukuba nencokola nodokotela wakho ukubona ukuba nayiphi na uhlobo lokuvavanya ukuxhatshazwa kweswekile kunokuboniswa kuwe. Ungaphinda ufune ukuqwalasela ukugcina idayari yokutya kunye nokuzama ukutywala ukutya ukuze ubone ukuba ukukhawulelisa ushukela kukunceda uzive ungcono.
> Imithombo:
> Fernandez-Banares F, et.al. I-malabsorption ye-Sugar kwisifo sezilonda zesifo: iziphumo zonyango. I-American Journal yeGastroenterology. 1993; 88: 2044-2050.
> Goldstein R, > Bravermna > D, Stankiewicz H. I-Carbohydrate Malabsorption kunye nemiphumo yeSithintelo seDetary kwiimpawu ze-Irritable Bowel Syndrome kunye nezikhalazo eziSebenzayo. I-Israel Journal Association Association. 2000; 2: 583-587.
> Vernia P, DiCamillo M, i-Marinaro V. I-Lactose Malabsorption, i-Irritable Bowel Syndrome kunye nokunyanzeliswa kwe-Milk. Ukugaya kunye neengxaki zesifo. 2001; 33: 234-239.
> I-Pimental M, Kong Y, iPrans S. Breath Ukuvavanya ukuvavanya i-Lactose Inxerance kwi-Irritable Bowel Syndrome I-correlates ne-Lactulose Ukuvavanya kwaye ingabonakali i-Lactose Malabsorption yangempela. I-American Journal yeGastroenterology. 2003; 98: 2700-2704.
> Nucera >, G. et.al. Ukuphunga okungavumelekanga Ukuhlolisisa i-Lactose, > I-Fructose, > kunye ne-Sorbitol kwi-Irritable Bowel Syndrome Ingaba ichazwa nguNgcinci lweBestinal Intestinal Overgrowth. I-Pharmacology & Therapeutics. 2005; 21: 1391-1395.