Ingabe i-fructose malabsorption ingxenye ye- IBS puzzle? I-Fructose wuhlobo lweshukela olutholakala ezitshalweni neminye imifino. Olunye ucwaningo lubheke indima yokufaka ukudla okuqukethe i-fructose inezibonakaliso ezingathandeki zokugaya ukudla. Nanobe kunomkhawulo okwedlulele futhi owokuqala, idatha yokuqala iqakathekile ukubheka uma usola ukuthi izithelo zifaka isandla ekucindezelekeni kwamathumbu.
Kuyini i-Fructose Malabsorption?
Izimpawu ze-fructose malabsorption, eyaziwa ngokuthi i-fructose ukungezwani, izidakamizwa zokugaya ukudla ngemva kokudla noma ukuphuza ukudla noma iziphuzo eziqukethe i-fructose, ushukela otholakala ezithelo eziningi. Lesi simo sicatshangwa ukuthi siwumphumela we-fructose engagcini ngokugcwele emathunjini amancane . I-fructose ibeka indlela yayo emathunjini amakhulu lapho isethelwe khona futhi igcwele amabhaktheriya emathumbu. Le nqubo ingathinta i-GI motility futhi ifake igesi engadingekile nokuqhakaziza.
Abanye abantu abane-fructose malabsorption bangakwazi ukubekezelela inani elincane le-fructose, kodwa izimpawu zenzeka uma i-fructose eningi isetshenziswa isikhathi esifushane kakhulu. Kwabanye abantu, i-fructose malabsorption ingase ibe umphumela we- intestine encane ye-bacterial overgrowth (SIBO). Ukuhlonza i-fructose malabsorption kuyisici esiyinhloko semfundiso yokusetshenziswa kwe- FODMAPs ephansi ye-IBS.
I-Fructose malabsorption yinkinga ehluke kakhulu kunokwehlukana kwe-fructose yefa, i-genetic disorder ngokuvamile ehlotshaniswa kwasebusana.
Ukuxilongwa
Ukuhlola ukuphefumula kwe-hydrogen kungenziwa, kulinganisa inani lika-hydrogen ekuphefumuleni okulandela ukungena kwesisombululo se-fructose. Kukholelwa ukuthi ukwanda kwe-hydrogen kubonisa ukuthi i-fructose esesixazululweni iye yavutha amabhaktheriya emathunjini amakhulu.
Noma kunjalo, ukuhlolwa kokuphefumula kwe-hydrogen akuthenjelwa ngokuphelele. Ingabonisa umphumela omuhle ngisho noma umuntu engenayo i-malabsorption. Nakuba ezinye izibuyekezo zithi ziwusizo, ezinye ziveza ukungathembeki kwayo.
Ukwehla kwamagciwane amancane emathumbu (SIBO) kungenye indlela yokuxilongwa lapho i-hydrogen breath test is positive, futhi udokotela kumele anqume ukuthi lokho kuyisifo esifanelekile kunokuba i-fructose malabsorption.
Yiziphi Izinkomba Zosesho?
Ucwaningo olulodwa lwenza umehluko phakathi kwabantu abanobuhle nabantu abazitholile njengabahlukumezeka ngokungahambisani kwe-fructose ngokusekelwe ekutheni babhekana nokuqhaqhaqhaza nokulala ngemva kokudla izithelo ezithile. Nakuba imiphumela kufanele ihunyushwe ngokucophelela ngenxa yenani elincane kakhulu labantu (iziguli ezingu-8, izilawuli ezingu-4) ezithintekayo ekutadisheni, imiphumela iyathakazelisa. Iziguli ezizimele zazinamazinga aphakeme kakhulu e-hydrogen futhi zathola isipiliyoni esiningi sokuziqhayisa nokuphuza ngokweqile ngenxa yokuphuza isisombululo kunabantu abaphilile.
Ukuthola ukuthi izihloko zokuhlolwa zibone izimpawu ezivela esixazululweni se-fructose ngokwayo kwaphindaphindiwe kwesinye isifundo, esasisebenzisa abantu abaningi kakhulu.
Inani labangu-183 abantu ababenezimpawu zokugaya ezingalindelekile babambe iqhaza. Amagumbi amathathu alaba bantu abhekana nezimpawu zesisu emva kokungenwa kwesisombululo se-fructose. Lezi zimpawu zazibandakanya u-flatulence, ubuhlungu besisu , ukubhubhisa, ukugcoba nokuguqula umkhuba wesilonda.
Ucwaningo olulodwa lwalubukeka ngokungahambisani nokuhlukumeza kwe-fructose kubantu abadala abathintekayo abane-IBS. Ezingxenyeni ezingu-80 zabahlanganyeli, cishe ingxenye eyodwa kwezintathu yayine-positive hydrogen breath test result emva kokufaka isisombululo se-fructose. Kulezi ziguli, abangu-26 bahlanganyele ekuhlolweni kokulandela emva konyaka. Ekulandeleni, iziguli ezingu-14 zabika ukuthi zikwazi ukuhambisana nokudla okunomkhawulo we-fructose futhi zathola ukuthuthukiswa okuphawulekayo ezimpawu zobuhlungu, ukugabha, ukubhubhisa, ukuhlukumezeka nokuhuda.
Inselele nge-fructose ingenye yezihluthulelo ezisemqoka ngemuva kwe- FODMAP ephansi ye-IBS . Lo mbono uthola ucwaningo olubalulekile ngokuphumelela kwawo ekunciphiseni izimpawu ze-IBS.
Okubalulekile
Ucwaningo mayelana nendima ye-fructose malabsorption ku-IBS isesezinyathelo zayo zokuqala. Kodwa-ke, uma izimpawu zegesi, ukubhula nokuhuda kubonakala sengathi kuhlobene nokufakelwa kwezithelo, inkinga ye-fructose ingaba yinto okufanele uyihlolisise. Gcina idayari yokudla amasonto amaningana ukuze ubone ukuthi kukhona ubuhlobo obunjalo. Uma kunjalo, khuluma nodokotela wakho mayelana nokuthi kungenzeka ukuthatha ukuhlolwa kokuphefumula kwe-hydrogen bese ubuza umbono wakho kadokotela ngokuzama ukudla kokuqeda .
Imithombo:
> Ukudla nokulondeka kokudla 105: Fructose Malabsorption. I-American Gastroenterological Association. http://www.gastro.org/info_for_patients/food-allergies-and-intolerances-105-fructose-malabsorption
U-Choi, Y., Kraft, N., Zimmerman, B., Jackson, M. & Rao, S. Fructose Ukungabekezelelani ku-IBS kanye nosizo lwe-Fructose-Restricted Diet. Journal of Gastroenterology Clinic 2008 42: 233-238.
> Fedewa A, Rao SSC. Ukungathembeki kokudla kwe-Fructose, Fructan > Ukungabekezeleli > kanye namaFODMAP. Imibiko ye-Gastroenterology yamanje . 2013; 16 (1). i-doi: 10.1007 / s11894-013-0370-0.
Mann, N. & Cheung, E. "Ukuphefumula okubangelwa i-Fructose okuphefumulayo ngeziguli ezinezinkinga zokungaboni ngaso sonke isikhathi. "I- Journal of Clinical Gastroenterology 2008 42: 157-159.
> Yao CK, Tuck CJ. Inani lomtholampilo lokuhlolwa kokuphefumula kwe-hydrogen. I-Journal ye-Gastroenterology ne-Hepatology . 2017; 32: 20-22. i-doi: 10.1111 / jgh.13689.