Ukudla okuyisisekelo kungukudla okwegazi okusetshenziselwa iziguli eziye zalahla izinhlelo zokugaya ukudla. Kodwa-ke, ukudla kuthola ukunakekelwa okusha njengendlela yokwelapha okwenyuka kwamagciwane amancane emathunjini (SIBO), imbangela ehloswe yecala le-IBS.
Nakuba kusalokhu kungavumelani, olunye ucwaningo luye lwabonisa ukuthi ukwanda kwamabhaktheriya ngaphakathi emathunjini amancane kunesibopho sezimpawu ze-IBS kwabanye abantu.
Ukwelashwa okulodwa kwe-SIBO kusetshenziswa ama-antibiotic athile, kuhlanganise nemithi ye- Xifaxan . Ukudla okuyisisekelo kubhekwe njengendlela ehlukile yokulwa nemithi elwa namagciwane.
I-Elemental Diet
Ukudla okuyisisekelo kubhekwe njengendlela yokwelashwa okungenzeka ku-SIBO ngenxa yezizathu ezilandelayo:
1. Izakhi ezitholakala ekudleni okuyisisekelo zikholelwa ukuthi zithinteka ngokuphelele engxenyeni yokuqala yamathumbu amancane, ngaleyo ndlela ukunciphisa inani lezingxenye zokudla ezitholakala kubhaktheriya.
2. Ukudla okuyi-Elemental kuye kwaboniswa ukunciphisa inani lama- gutter amabhaktheriya . Ngakho-ke kuthiwa kungase kube usizo ukuhlanza amabhaktheriya emathunjini amancane.
3. Abacwaningi abavela esilweni esisodwa sokuhlolwa okwelashwa okushicilelwe kuze kube yimanje, bathi ukudla okuyisisekelo kungandisa inani le-bile elikhishwe kwi-gallbladder. Lo mphumela wawuzoyiqinisa ngokuqinile umvuthwandaba omncane wokuhlanza amathumbu, ngaleyo ndlela ukunciphisa amazinga ebhaktheriya.
4. Laba bacwaningi abanjalo baphakamisa ukuthi imiphumela yokudla emasenjini omzimba ngaphakathi kwamathambo angasiza ekuqedeni amabhaktheriya amancane amathumbu.
Ucwaningo Luthini?
Njengoba kushiwo ngenhla, kunesifundo esisodwa esishicilelwe ekusetshenzisweni kokudla okuyisisekelo kwe-SIBO. Ukudla kuhlolisisa umphumela wokudla ezingeni le-lactulose ekuphefumuleni - isilinganiso esicatshangelwa ukubonisa ukuthi kukhona amabhethri amaningi ngokweqile emathunjini amancane.
Ukwaziswa kwaphinde kwaqoqwa mayelana nomphumela wokudla kwizimpawu ze-IBS.
Esicwaningweni, iziguli ezingama-93 ze-IBS ezaba nemiphumela engavamile ekuhlolweni kokuphefumula kwe-lactulose (LBT) zavimbela ukudla kwazo ekufakweni kokudla okuyisisekelo isikhathi semasonto amabili. Labo abaqhubeka bebonisa imiphumela engavamile ye-LBT ngemuva kwamasonto amabili bekwaziswa ukuthi baqhubeke ngesonto elengeziwe.
Ngemuva kwamasonto amabili okuqala, ukuhlola okujwayelekile kwe-LBT kubonwe ngeziguli ezingama-80%. Inombolo yenyuka yaba ngu-85% ngemuva kokufakwa kwalabo abalandela ukudla kweviki elengeziwe.
Idatha yayinganiselwe ngokuqondene nomphumela wokudla ezimpawu zomtholampilo, nakuba imibiko yocwaningo yanda ukuthuthukiswa kwezimpawu ze-IBS kuziguli ezine-LBT evamile ekupheleni kwesifundo kungakhathaliseki ukuthi yi- IBS encane , uma kuqhathaniswa nalabo abaqhubeka bonisa imiphumela ephakeme ye-LBT.
Ukuhamba nge-Elemental Diet
Kuleli phuzu, kunesifundo esisodwa kuphela esibhekisela ekusetshenzisweni kokudla okuyisisekelo kwe-SIBO. Kungaba kuhle ukuthi kube khona okunye okunomsoco okusekelwe ekusetshenzisweni kwama-antibiotic, kepha kusukela manje, ukudla okuyisisekelo akubonakali kufanelana nalo mthethosivivinywa. Ngaphandle kokungabonakali kahle, izifundo eziningi kudingeka ziqhutshwe ukuze ziphendulele imiphumela emihle yalolu cwaningo lokuqala.
Kodwa-ke, uma i-IBS yakho inzima kakhulu, futhi imiphumela yokuhlola ibonisa ukuthi i-SIBO idlala indima, ukudla okuyisisekelo kungahle kudingeke uzibeke. Kodwa-ke, kubaluleke kakhulu ukuthi noma yikuphi ukudla okunjalo kusetshenziselwa ukulawulwa kwezokwelapha njengoba ukudla kungenazo izingozi. Ukudla akufanele kusetshenziswe ngesikhathi esifanayo nanoma iyiphi imithi yokwelashwa ye-SIBO .
Ungalingwa ukuzama ukwakheka kokuqala kokudla okuyisisekelo. Ukudla okuyisisekelo okuchaziwe ngenhla kuye kwasungulwa ngokwesayensi ukunikeza umuntu zonke izakhi ezibalulekile empilweni yakho. Uzobeka impilo yakho engcupheni enkulu uma uzama okunye.
Imithombo:
URussell, R. " Izidlo Elemental " Gut 1975 16: 68-79.
I-Pimentel, M., et.al. "Ukudla okuyizinsuku eziyisishiyagalolunye (14-Elemental Diet) kuphumelela kakhulu ekuqondiseni ukuhlolwa kwe-Lactulose Breath Test" 2004 49: 73-77. Izifo ze-Digestive and Sciences
I-Pimentel, M. " Isixazululo se-IBS esisha " I-Health Point Press 2006.