Le Nhlangano Yilapho Iningi Amavithamini Namaminerali Aphethwe Ngokudla
Amathumbu amancane ithambo elide ngamamitha angu-20 eliyingxenye yegciwane lokugaya futhi lixhuma isisu nomathumbu omkhulu . Ngenxa yokuthi isikhathi eside, kufanele siphenduke futhi siguqule isisu. Umathumbu omncane yilapho iningi lokugaya khona kwenzeka khona: amavithamini amaningi namaminerali, kanye namafutha kanye namanzi, atholakala emathunjini amancane.
Ama-muscle contractions, okuthiwa i-peristalsis, ukuhambisa ukudla emathunjini amancane njengoba kugujwa.
Ama-enzyme emathunjini amancane asebenza ukudiliza ukudla ezingeni lezakhi. Lezi zinkimbinkimbi zenziwa ezinye izitho bese zihanjiswa emathunjini amancane, noma zifihlwa udonga lwamathumbu. Uma ukudla kuphuliwe, kungabanjwa bese kufaka igazi.
Izigaba Zezinambuzane Ezincane
Amathumbu amancane ahlukaniswe abe izingxenye ezintathu eziyinhloko, futhi izinqubo ezahlukene zenzeka ngayinye. Izingxenye zomathumbu amancane yizona:
- I-Duodenum: Isigaba sokuqala nesifushane, esiphezulu esifane ne "C." Ukudla kudlula esiswini kuya ku-duodenum nge-muscle okuthiwa i-sphincter ye-pyloric. I-iron ingena kwi-duodenum.
- IJejunum: Ama-Sugars, ama-amino acids, nama-fatty acids afakwa kule ngxenye yamathumbu amancane.
- I-Ileum: Le ngxenye yokugcina yamathumbu amancane lapho i-vitamin B12, i-bile acids, nezinye izakhi ezitholakala khona.
Ukudla Kwamathumbu Amancane Kanjani
I-pancreas yilapho kudala khona ama-enzyme yokugaya, futhi adluliselwa ngenduku emathunjini amancane.
La ma-enzyme aphule ukudla ukuze angene futhi asetshenziswe ngumzimba. Ama-protein, amafutha, nama-carbohydrate ahlaziywe ezingxenyeni zawo futhi athathwa yi-villi etholakala nge-jejunum ne-ileum. I-villi yizakhi ezivela edongeni elingaphakathi emathunjini amancane njengeminwe noma izinwele futhi zithathe izakhi.
Izifo zika Crohn ze-intestine encane
Lapho isifo sikaCrohn (uhlobo olulodwa lwesifo sofuba, noma i-IBD ) luthinta intombazane encane, ukumunwa kwamavithamini namaminerali kungathinteka.
I-neocolitis yindlela ejwayelekile kunazo zonke zesifo sikaCrohn , futhi lapho kuhileleke khona ingxenye yokugcina yamathumbu amancane kanye nesisu esikhulu. I-Ileitis yilona uhlobo lwesifo sikaCrohn esithinta i-ileum, futhi yilona uhlobo lwesibili olujwayelekile kakhulu lwe-Crohn's disease. Abantu abane-ileocolitis noma ileitis bangase bangabi nevithamini B12 ngoba ukuvuvukala kungavimbela ukumunca kwayo kulebula. Lezi zinhlobo zesifo sikaCrohn nazo zingabangela ukungabi khona kwamavithamini anamafutha amaningi (A, D, E, no-K), ngoba ama-salts e-bile enza lula ukutholakala kulawo mavithamini nawo afakwa kwi-ileum.
IJjunoileitis uhlobo oluthile oluncane lwesifo sikaCrohn esithinta i jejunum. Ngenxa yokuthi iningi lama-vithamini, amaminerali, amaprotheni, amafutha, nama-carbohydrate ayenzeka ku-jejunum, ukuvuvukala kulesi sigaba samathumbu amancane kungabangela ukungapheli okuningana kokudla okunomsoco.
Isifo se-Gastroduodenal Crohn yisinye isimo esingavamile sesifo esithinta i-duodenum (kanye nesisu).
Amaminerali angathinteka afaka i-iron, i-calcium, ne-magnesium, ngoba bonke baxhunyiwe kwi-duodenum.
I-intestine encane ne-J-Pouch
Ukuhlinza nge-J-pouch (okubizwa nangokuthi isikhwama se-ileal noma ukuhlinzwa oku-anal anastomosis (IPAA) kwenziwa ukwelapha i-ulcerative colitis noma i-familial adenomatous polyposis (FAP). Kulesi ukuhlinzwa, ikoloni isusiwe futhi i-ileum isetshenziselwa ukwakha isikhwama esakhiwe njenge "J" (ngezinye izikhathi "S" noma "W" singadalwa). Ngenxa yokuthi i-j-poch idalwe kusukela ku-ileum, uma iqala ukuvuvukala (njengokwenza ngenxa ye-pouchitis), ukungahleleki kwe-vitamin kanye ne-mineral kungenzeka.
Ezinye izifo kanye nemibandela ye-intestine encane
Ngaphandle kwesifo sikaCrohn, izifo eziningana nezimo ezingathinta intombazane encane, kuhlanganise:
- Ukuvimbela izifo
- Isifo se-Celiac
- I-Gastroenteritis
- Izifo
- Umdlavuza wesisu
- Ukunyuka kwamathumbu emathunjini
- Ukungavumelani kwe-Lactose
- Ama-polyps
- Izilonda
Umthombo:
I-American Gastroenterological Association. Isikhungo Sokubekezela: Isifo Sokukhukhumeza Isifo. " 2014. 17 Nov 2014.
Impilo ye-MUSC. "Amathumba Amancane." Isikhungo se-MUSC Digestive Disease. 2014. 17 Nov 2014.