Ukuqonda ukutya kokulungelelaniswa kwe-IBS Treatment
Mhlawumbi kwakusidlo sakusihlwa kunye ne-apple pie eye yakuvumela ukuba uzive ukhululekile kwaye unesizi. Okanye mhlawumbi kwakuyi-salad ye-pasta owaye wayidla isidlo sasemini, isiqwenga se-watermelon esanambitha njengehlobo, okanye i-margarita oyithandayo kwindawo yokutyela yaseMexico. Kuzo zonke iimeko, ukungahambi kwakho kwafika ngokukhawuleza kwaye kwalandelwa imfuneko esiphuthumayo yokukhupha amathambo akho.
Emva kokuhamba ngokukhawuleza kwindlu yokuhlambela, eso siganeko sasiphelile.
Ukutya okubangela ukuba uxinzelelo lwakho lwentlungu lungabonakali, kodwa banezinto ezifanayo. Zonke ziqulethe ii-carbohydrate ezincinci ezinokuthi zifake kwi-tractes tract, kubangela ukucima, i-gas, isisu, isisu, okanye isifo sohudo kubantu abanentsholongwane yokugulisa isisu (IBS) kunye nezinye iingxaki zesisu.
Ukutya okunjalo kuthiwa yi-FODMAP, isichazimi esichaza i-oligosaccharides, i-disaccharides, i-monosaccharides kunye ne-polyols. "I-FODMAP" inokuzwakala ihlekisayo, kodwa iimpawu ezi zinto kubangelwa ukuba akukho nto ehlekayo. Iindaba ezilungileyo kukuba ukutya okuphantsi kwe-FODMAP kunokunceda ukunciphisa iimpawu ezinjalo.
Kutheni i-FODMAP iCause Cause
Njengoko kuchaziwe ngasentla, ii- FODMAP zi-carbohydrate ezifutshane. Xa i-enzymes efunekayo ukuze iphule ezi zinto zingekho okanye zingabikho-okanye abathumeli abafunekayo ukuba baphathe izondlo kwiindonga zamathumbu abazisebenzisi ngokugcwele-ushukela awunamathele kwaye uhlale emanzini.
Oku kungakhokelela ekukhuleni kwamanzi kwindlela yamathumbu emathunjini kunye nokuvuthwa ngokukhawuleza ngamanzi ebhaktheriya.
Ngenxa yoko, umathumbu uphazamiseka ngamanzi angaphezulu kunye negesi eveliswayo, enokubangela ukubetha kunye nentlungu ngendlela engaphantsi kwemizuzu engama-30. Oku kudla ngokuhamba kunye nesidingo esiphuthumayo sokuba neentshukumo zokuhamba, ezinokuthintela iimpawu.
Thatha i-fructose, umzekelo. Itholakala ngokukhululekile ekudleni kwaye liyinxalenye ye-sucrose (itafile ishukela). I-Fructose ibanjwe emathunjini amancinci ngokusebenzisa abathumeli ababini. Lowo uthatha i-fructose kuphela unamandla aphantsi. Olunye, olusebenzayo lubonakalisa kuphela xa i-glucose ikhona. Xa kukho i-fructose ngaphezu kwe-glucose emanzini, i-fructose ayifumananga kakuhle, ibangela iimpawu ze-IBS. Xa umlinganiselo we-glucose ukuya kwi-fructose iphezulu, zombini i-carbohydrate ifakwe kakuhle.
Iipolyol ihlukile, nangona kunjalo. Iipolyolls azixhamli kakuhle emathunjini amancinci. Xa befikelela emathunjini amakhulu, banokuwela i-lining yangaphakathi ngama-pores. Ezinye izifo zinganciphisa ubungakanani bepore, okwenze kube nzima ukufumana iipolisi. Njengoko bevumba, iipolisi ziyakrhola umthamo emathunjini amancinci, kubangele urhudo oluninzi.
Ukujonga ngokukhawuleza kwiNdima yoxinzelelo
Ukuxinezeleka kudlala indima enkulu kwi-IBS. Nangona iimpawu ziqala nanini na ebomini, zivame ukubonakala kwiminyaka ekhulayo kunye neenkolishi kwaye ziqhubeke zikhulile. Ukongezelela, abafazi abane-IBS banamathuba okubanjwa, kanti abantu abane-IBS banakho amathuba okuhanjiswa.
Abantu abaninzi abane-IBS bafumanisa ukuba i-FODMAP kuphela ibangela iimpawu xa zisabela kwixinzelelo ngenxa yokuxhalaba okanye ukuxinezeleka.
Ngaphezu koko, uphando lubonise ukuba i-hypnosis ingaba yinkqubela njengokukhusela i-FODMAP ekukhuseleni iimpawu ukuba zenzeke.
Ukulawula Ukutya Kwakho
Into ephazamisayo nge-IBS kukuba akukho mvumelwano okanye isizathu sokuba i- FODMAP ivelise iimpawu . Yingakho kubalulekile ukuqeda yonke i-FODMAP ubuncinane beveki ezimbini-iiveki ezintathu zikhethwa. Oku kuvumela ukuba amanzi aphumle aze abuyele.
Emva kweveki ezimbini, uqala umngeni wakho emathunjini ngokubuyisela kwakhona enye i-FODMAP ngexesha. Ukuba ukutya kuya kubangela iimpawu, kuya kwenzeka ngokukhawuleza. Kwiiveki ezimbalwa, kufuneka uqonde ukuba yiziphi ii-FODMAP, kunye naluphi na umlinganiselo, zibangele iimpawu zakho-ezi zinto kufuneka uziphephe.
Ngeke kubekho isidingo sokuphepha ukutya ii-FODMAP ezingabangela iimpawu, njengoko ziyinxalenye yesondlo esinokutya, okunokulinganisela.
Ngoko, kwisigaba sokuqala se-FODMAP ingxaki yokutya, kufuneka uqede yonke i-FODMAPS ngokupheleleyo. Naphezu kwenani elikhulu lokutya omele uliphephe ngexesha lokuphelisa, kusekho ukutya okuninzi lwe-FODMAP ukuzonwabisa!
Inqaku elikhethekileyo ngeziqhamo nakuba. Ezinye iziqhamo ziqukethe ubuninzi okanye i-glucose ngaphezu kwe-fructose. Oku kuthetha ukuba abantu abane-IBS banokubanyamezela ngemali encinci. Kufuneka ziqeshwe kwisigaba sokuqala somngeni we-FODMAP, kodwa ingadliwa ngokukhawuleza kamva.
Kutheni abantu bengasabela kwii-FODMAP kwaye abanye abaziwa. Kwakhona akusoloko icacisa ukuba kutheni abanye abantu bangadla ixabiso elincinci leFODMAP ngaphandle kokufumana iimpawu. Yintoni ecacileyo kukuba ukuphelisa i-FODMAP kwiiveki ezimbini okanye ezintathu, kwaye ukubuyisela kwakhona omnye ngomnye, ngokuqhelekileyo ukutyhila ukutya okukhubekileyo.
Ngokuphephe ukutya okunjalo, malunga neepesenti ezingama-70 zabantu abane-IBS bafumana iimpawu zabo ziphela ngokupheleleyo. Ukuba ungomnye weepesenti ezingama-30 ezingaphumelelanga ngolu hlobo lokutya, jonga i-dietitian ukuze ucebise. I-dietitian isoloko ifuna ukubandakanyeka kumngeni weFODMAP ukuze uphumelele.
Emva kokuba ufumanisa ukuba kukuphi ukutya okubangela iimpawu zakho, ugweme ukutya oku kufuneka kube yinto eqhelekileyo. Ngokuqhelekileyo, oku kuthetha ukuphelisa ukutya okucwangcisiweyo, ekubeni i-FODMAP ifihla ukutya okuninzi okufakwe ngendlela yokukhusela kunye nokulondoloza. Ukuba udla ukutya okupheleleyo kunye nokutya ozilungiselelayo, uya kuba nako ukuphatha kakuhle.
Njengoko uphelisa ukutya okuphazamisa isisu sakho, kufuneka udibanise ukutya okuphezulu-FODMAP onokuyinyamezela ekudleni kwakho. Ukutya iintlobo ezahlukeneyo zezi zokutya kukukhuthaza ulwahlulo lwamabhaktheriya emathunjini emathumbu okugcina umzimba wakho unempilo. Ukuze ujulise intlungu, yenza umlinganiselo wokutya okuyimfuneko ukukhusela iimpawu.
UDkt. Cresci usebenza kwi-gastroenterology kwi-Clinic ye-Lerner Research Institute, kwaye ukhulisa uphando lwezonyango lweziko leZiko loLuntu.
> Imithombo:
> IiCatsos, P. IBS Simahla Simahla. 2 uEks. Portland, ME, Pond Cove Press, 2012.
> I-Scarlata, K. Impumelelo ephantsi kweFODMAP yokuphila. I-Dietitian namhlanje, ngoMatshi 2012.
> I-Scarlata, K. I-FODMAPs Indlela yokunciphisa ukunciphisa ukusetyenziswa kwee-carbs ezivakalayo ukulawula iimpawu zokukhubazeka kwamanzi. I-Dietitian Today 12: 8,30.
> Barrett JS. Ukwandisa ulwazi lwethu lwe-carbohydrate enokufutshane, enokufutshane yokulawula iimpawu zesisu. Iiklinikhi yokuLondolozwa kweNtsholongwane ka-2013; 28: 300-306