Amaphuzu okucwaninga aqondaniswe ngokumangalisayo phakathi kwesifo sofuba (IBS) nesifo sofu (i-lactose, fructose , ne-sorbitol) ukungabekezelelani. Uma ubhekene ne-IBS, ukufunda ngalezi zifundo kungakusiza ukuba ubone ukuthi ukubekezelelana ushukela kudlala yini ingxenye yezibonakaliso zakho.
Ukwehlukana kwe-Lactose
Ukungabekezelelani kwe-Lactose yisimo lapho umuntu ehlangabezana nezimpawu zokugaya emva kokudla imikhiqizo yobisi.
Lokhu kungenxa yokuntuleka kwe-enzyme lactase. Kucatshangwa ukuthi iziguli eziningi ze-IBS zizozuza ngokuqeda imikhiqizo yobisi ekudleni kwazo.
Esinye isifundo esikhulu salinganisa iziguli ezingu-500 ze-IBS ezineziguli ezingu-336 ezazizibonela ngokuthi "ubisi obungavumiyo." Amaphesenti angama-70 abantu ngabanye kulawo maqembu ahlolwe ukubekezelelana kwe-lactose ngokususelwa ekuhlolweni kwe- hydrogen breath (HBT) .
Abalobi baphetha ngokuthi ngenxa yale phesenti ephezulu, i-HBT kufanele ihanjiswe njalo kubo bonke abagulayo abacatshangwa ukuthi bahlupheka nge-IBS. Ngeshwa, leso sifundo asizange sifake iqembu lokulawula okunempilo.
Izingxube zokungaboni ukuphuza
Ucwaningo oluthile lubuke ukuxhumana phakathi kokungabekezeki kokushukela nokugula kwesifo . Ngokuqondile, isifundo sasineziguli ezingama-25 ezitholwa yi-hydrogen ukuhlolwa kokuphefumula emva kokuphuza izixazululo ezihlukahlukene. Lezi zihlanganisa i-lactose, i-fructose, i- sorbitol, i-sucrose, kanye nenhlanganisela ye-fructose ne-sorbitol.
Amaphesenti angamashumi ayisishiyagalolunye abathintekayo abahlolwayo bavivinya ukuthi kukhona ukubekezelelana okungenani kokushukela. Ngemuva kokuvinjelwa kokudla kwezinto ezicasulayo, amaphesenti angu-40 weziguli ayenziwe ngcono okuphawulekayo.
Ukutadisha okukhulu kakhulu kwabuye kubheka i-lactose, i-fructose, nokungahambisani kwe-sorbitol ezigulini ezinenkinga yokusebenza kwamathumbu.
Kulezi ziguli ezingu-239, abangu-94 bahlangabezana ne- diagnostic criteria ye-IBS , kuyilapho bonke abanye behlukaniswa ngokuthi babe nezikhalazo ezisebenzayo.
Ukusebenzisa ukuhlolwa kwe-hydrogen ne-metethane, amaphesenti angama-90 kwezihloko atholakale ehlushwa uhlobo oluthile lokungabekezelelani. Ingxenye enkulu yabonisa ukubekezelelani kunhlobo olulodwa ketshukela. Ngomkhawulo wokudla, cishe ingxenye yesihloko sezifundo eqenjini ngalinye labhekana nokuthuthukiswa kwamalengiso okuphawulekayo.
Indima Yezinambuzane Ezincane Zezinambuzane Zesibindi
Umbono ohlukile uvela kubacwaningi abagcina ukuthi inqwaba ye-intestine ye-bacterial overgrowth (SIBO) iyisici esiyinhloko ku-IBS symptomatology. Le mbono igcizelela ukuthi i-SIBO ingatholakala ngokusetshenziswa kwe-hydrogen ukuhlolwa kokuphefumula emva kokungenwa kwe-lactulose, ushukela ongenakugaya imizimba yethu.
Kucatshangwa ukuthi uma amazinga e-hydrogen umoya evuka maduze emva kokuba umuntu ephuza isisombululo se-lactulose, lokhu kuwubufakazi bokuthi amabhaktheriya akhona emathunjini amancane . Futhi, kubangela ukuvutshelwa okuphumela ekuphefumuleni kwe-hydrogen.
Ekusekeleni le mbono, isifundo esisodwa sathola ukuthi izihloko eziningi ezivivinyelwe ukubekezelelana kwe-lactose ngokusebenzisa i-hydrogen breath test zihlolwe kahle nge-lactulose ukuhlolwa kokuphefumula.
Lokhu kusikisela ukuthi inkinga eyinkimbinkimbi yayiyi-SIBO hhayi ukubekezelelana kwe-lactose .
Ucwaningo olukhulu lwahlolwa iziguli ezingu-98 ze-IBS ngokuba khona kwe-SIBO nokubekezelelana ushukela. Amaphesenti angamashumi ayisithupha nanhlanu kulaba abagulayo be-IBS bavivinyelwe i-SIBO ngokusekelwe ekuhlolweni kwe-lactulose. Lezi ziguli zazivame kakhulu ukuhlolwa kokuphefumula kwe-hydrogen ngemva kokudla i-lactose, i-fructose, ne-sorbitol kunelabo abangazange babonakale bebhekene ne-SIBO.
Iziguli ze-SIBO zabe seziphathwe ngama- antibiotic kuze kube yilapho zingasabonakali impendulo enhle ekuhlolweni kwe-lactulose. Lezi ziguli zabonakala zingenakuncipha kakhulu ukuze zihlolwe kahle nge-lactose, i-fructose, ne-sorbitol ukungabekezelelani.
Abacwaningi baphetha ngokuthi i-SIBO ingaba yimbangela yokuhlolwa kokungathembeki esikhundleni sokungabekezelelani kwangempela kwalaba ushukela.
Okubalulekile
Nakuba kungase kube khona impikiswano mayelana nenkinga yangempela, lezi ziphumo zosesho zibonisa ngokucacile ukuthi kukhona ubudlelwane obuphakathi kokungabekezelelani ushukela kanye ne-IBS. Uma uhlushwa yi-IBS, kubalulekile ukuthi uhlole indima i-lactose, i-fructose, ukungaboni ngaso linye kwe-sorbitol, kanye ne-SIBO, okungenzeka idlale ngezimpawu zakho.
Indawo enhle okumele uqale ukuxoxa nodokotela wakho ukubona ukuthi yikuphi uhlobo lokuhlolwa kokuxilongwa kokungaboni ngaso sonke isikhathi kungaboniswa kuwe. Ungase futhi uthathe ukucabangela ukugcina idayari yokudla nokuzama ukudla okuqedile ukuze ubone ukuthi ukuvimbela ushukela kukusiza uzizwe ungcono.
> Imithombo:
> Fernandez-Banares F, et.al. I-malabsorption ye-Sugar ku-disease functional disease: impendulo yomtholampilo. I-American Journal ye-Gastroenterology. 1993; 88: 2044-2050.
> Goldstein R, > Bravermna > D, Stankiewicz H. I-Carbohydrates Malabsorption kanye nomthelela wokunciphisa ukudla ngezimpawu ze-Irritable Bowel Syndrome kanye nezikhalazo ze-Functional Bowel. I-Israel Medical Association Journal. 2000; 2: 583-587.
> Vernia P, DiCamillo M, i-Marinaro V. Lactose Malabsorption, i-Irritable Bowel Syndrome kanye nokubekezelelana koMama okuzibikela. Izifo ze-Digestive ne-Liver. 2001; 33: 234-239.
> I-Pimental M, Kong Y, i-Park S. Breath Ukuhlola Ukuhlola Ukungabi Nolwazi Lwase-Lactose E-Irritable Bowel Syndrome I-correlates ne-Lactulose Ukuhlolwa futhi Angeke Ikhombise I-Lactose I-Malabsorption Yeqiniso. I-American Journal ye-Gastroenterology. 2003; 98: 2700-2704.
> Nucera >, G. et.al. Ukuphefumula okungavamile kuhlola i-Lactose, > i-Fructose, > no-Sorbitol ku-Irritable Bowel Syndrome Kungase Kuchazwe Ngokweqile Kwama-Abtestinal Abondin. I-Pharmaceutical Pharmacy & Therapeutics. 2005; 21: 1391-1395.