Uma unayo i-IBS, kungokwemvelo ukuthi ungase uzibuze ukuthi amathumba akho "aphukile" empeleni amnika izakhi ezivela ekudleni odlayo. Ungase uzibuze ukuthi omunye umonakalo wesikhathi eside wenziwa emzimbeni wakho. Ake sibheke ukuthi yini eyaziwa nge-malabsorption ne-IBS ukuze ufake ukukhathazeka okuthile ukuphumula.
Kusho Ukuthini Ukushaywa Kwegazi?
Ukuze uqonde ukushaywa kwe-malabsorption, udinga ukwazi ukuthi ukuthatha ukuthatha ukuthini kusho kumongo wokugaya.
Ukwamukela izakhi ezisuka ekudleni esikudlayo kuwumsebenzi oyinhloko wesistimu yokugaya ukudla . Ezinye izakhi zithathwa yisisu, kepha izakhi eziningi zithandwa ngumathumbu omncane . Lokhu kuhlanganisa ukumuncwa kwama-carbohydrate, amafutha, amaminerali, amaprotheni, namavithamini. Ukuze izakhi zifakwe emzimbeni, zidinga ukuthi ziphulwe zibe yizinhlayiya ezincane ezanele zokudlulela emigodini yethu yegazi.
Ngakho-ke, i-Malabsorption yisimo lapho izakhi ezingenakuthola khona amathumbu amancane njengoba ngokuvamile kulindeleke.
Yini i-Malabsorption Syndrome?
I-Malabsorption syndrome yisimo sezempilo lapho umzimba unzima ukuwuthatha izakhi ezidingekayo. Lokhu kungaholela ezinkingeni zempilo ezibalulekile njengoba umzimba ungatholi izakhi, amavithamini namaminerali okudinga impilo enhle.
Izifo ezingabangela ukushaywa kwe-malabsorption zihlanganisa:
- I-HIV / AIDS
- Isifo se-Celiac
- I-pancreatitis engapheli
- Isifo sikaCrohn
- Isifo samathumbu esifushane
- Ukukhuphuka kwamagciwane amathumbu amancane
- Isifo sika-Whipple
Izimpawu ze-Malabsorption
Umuntu angazi kanjani ukuthi awunakutholi izakhi ozidingayo? Nazi ezinye izimpawu:
- Ukuvimbela kanye negesi
- Uhudo
- Ukuhluleka ukukhula (izingane)
- Izitshalo ezikhulayo kanye / noma ezinamafutha
- Ukulahleka kwemisipha
- Ukulahlekelwa kwesisindo
I-Malabsorption ne-IBS
Yebo, ezinye zezimpawu ze-malabsorption zifana nelezo ze-IBS. Uzokhululeka ukwazi ukuthi akukholelwa ukuthi i-IBS ibangela ukuphazamiseka kwanoma yiziphi izakhi ezisemqoka. Kodwa-ke, ezinye izinkinga zokuhlukumeza ingase zibe ngemuva kwezimpawu zakho ze-IBS. Eqinisweni, ukushaywa kwe-carbohydrate ye-carbohydrate ethile kudlala indima enkulu ekucabangeni ngemuva kokudla okuphansi kwe-FODMAP ye-IBS. Kuthiwa ukuthi ngenxa yokuthi ama-carbohydrate awaxhunyiwe emathunjini amancane, ayangena emathunjini amakhulu, lapho ahlangana khona nama-bacteria, abangela izimpawu ze-IBS. Ake sibheke amanye ama-carbohydrate athize:
- I-Fructose : I- Fructose i-carbohydrate etholakala enzandweni nasezintweni eziningi. Ukudla kwethu kwe-fructose kuye kwanda ngokuphawulekayo ngokufaka isiraphu ye-fructose ephezulu ekudleni okuningi okulula. Kulinganiselwa ukuthi umuntu oyedwa kulaba abathathu une-fructose malabsorption, okusho ukuthi ayinakho okwanele kwamamolekli okuthutha adingekayo ukuhambisa i-fructose egazini esuka emathunjini amancane. Uma izimpawu zakho ze-IBS zivame ukonakala ngemva kokudla i-fructose, ungase ube nenkinga ye-fructose malabsorption.
- I-Lactose : I-Lactose yi-ushukela otholakala emikhiqizo yobisi. Abantu abanezinkinga ze-lactose abanalo okwanele kwe-enzyme lactase ukuze baqede i-lactose ukuze bangene emathunjini amancane.
- I-Sugar Alcohols: Uphuzo oludakayo luhlanganisa i-FODMAPs mannitol ne-sorbitol. Ukuphuza utshwala ushukela kutholakala kwezinye izithelo, imifino, kanye nokunambitheka okufakelwayo. Kulinganiselwa ukuthi cishe abantu abangaba ngu-50% abakwazi ukungenisa ushukela ophuza ezingeni lomathumbu omncane.
- Ama-Fructans namaGalactan: Ama- Fructans atholakala ezinhlameni ezifana nekolweni, nemifino enjenge-anyanisi negalikhi. Ama-Galactans, ngezinye izikhathi abizwa ngokuthi i-GOS, atholakale emigqumeni. Lawa maqembu amabili ama-carbohydrate ayisibonelo sokuthi i-malabsorption ingase ibe yinhle kithi. Sonke asikho amandla ama-enzyme adingekayo ekuthatheni lawa-carbohydrate. Kucatshangwa ukuthi kunezinzuzo zezempilo ezivela kulokho iqiniso lokuthi la ma-carbohydrate angena emathunjini amakhulu futhi ahlangane nama- bacteria ethu asegulini .
I-Bile Acid Malabsorption
Lolu hlobo lwe-malabsorption luhlukile kulabo esixoxile ngakho kuze kube manje ngoba le nkinga ayikhombisi nokuphazamiseka kwezidakamizwa, kodwa kunalokho i-malabsorption ye-bile acids. Ama-acids e-bile yizinto ezikhishwe kwi-gallbladder ukusiza ekudleni kwamafutha okudla. Uma umuntu ene-bile acid malabsorption, lawa ma-acids awahambelani kahle emathunjini amancane futhi ngaleyo ndlela angene emathunjini amakhulu. Kuthiwa ukuthi i-bile acid malabsorption ingadlala indima kwezinye izimo ze- IBS-D :
Okufanele Ukwenze Uma Ucabanga Unayo Inkinga Ye-Malabsorption?
- Khuluma nodokotela wakho! Udokotela wakho usesimweni esihle kakhulu sokuhlola izimpawu zakho kanye nezimbangela ezikhona. Uma kunesidingo, udokotela wakho angakuthumela izivivinyo ezenzelwe ukuhlola ukuthi kukhona inkinga ye-malabsorption.
- Gcina idayari yokudla. Ukubhala phansi ukudla okudlayo kanye nezimpawu ozizwayo kungakusiza ukuba ubheke amaphethini afana ne-malabsorption.
- Zama ukudla kokuqeda. Uma wena noma udokotela wakho usola ukuthi kungenzeka ukushaywa indiza kunhlobo oluthile lwe-carbohydrate, ungase uqede umonakalo ongakusiza ekudleni kwakho isikhathi esithile bese ubona ukuthi yimiphi imiphumela enempawu zakho.
Imithombo:
UBarrett, J. & Gibson, P. "Ukulungiswa Kwemitholampilo Ye-Malabsorption Ye-Fructose kanye Nezinye Izinqamuzana Zama-Carbohydrate" I- Gastroenterology Esebenzayo 2007 XXXI: 51-65
"I-Malabsorption" I- Medline Plus ifinyelelwe ngoJuni 26, 2015.
I-Minocha, A. & Adamec, C. (2011) I-Encyclopedia of the Digestive System kanye ne-Digestive Disorders (2nd Ed.) ENew York: Amaqiniso kufayela.