Ekuboneni kokuqala, kubonakala kungenzi nhlobo ukuthi kuyoba nokuxhumana phakathi kwe-heartburn ne-gut gut bacteria. Kungenzeka kanjani ukuthi okuthile okungezansi (amathumbu) kunoma yini enyukayo (ukushaya inhliziyo)? Nokho, kunombono othakazelisayo ohlanganisa lezi ezimbili. Ake sibheke ...
Inkolelo yokuthi Ukuqothulwa Kwebhaktheriya Omncane Kwama-intestine Kubangelwa i-GERD
Encwadini yakhe, Fast Tract Digestion , Norman Robillard, Ph.D.
yenza icala lokuthi umthamo omncane we-intestine we-bacterial overgrowth (SIBO) ungase ube imbangela yangempela ye-reflux isifo se-gastroesophageal (GERD).
I-SIBO yisimo sezempilo lapho kukhona amabhaktheriya amaningi kakhulu engxenyeni engenhla yamathumbu amancane , indawo lapho lezi zinhlobo ezincane okungadingeki khona. I-GERD yisifo lapho i-asidi esiswini ishisa khona uhlaka lwesifo (i-reflux acid), okwenza kube nesifo sokuphuza.
Lababili bangaxhunyiwe kanjani? Inkolelo kaDkt. Robillard yukuthi igesi ekhishwa amabhaktheriya ahlala emathunjini amancane abeka ingcindezi eyanele emathunjini amancane nesisu ukuthi angashukumisa i-asidi kusukela esiswini kuya endaweni.
Ngaphezu kokukhomba indlela entsha yokubheka imbangela ye-GERD, uDkt. Robillard uphinde ubheke ukubukeka okusha kokwelapha. Akahambisani nokusetshenziswa kwemithi yokunciphisa i-asidi, ikakhulukazi ukusetshenziswa kweproton pump inhibitors (PPIs), okwamanje ukuphathwa okujwayelekile kweGERD.
Umbono wakhe wukuthi isisu esinciphile esiswini esivela kuma-PPIs sinomthelela ekukhuleni kwamabhaktheriya emathunjini amancane ekuqaleni, njengoba isisu se-asimisi senza indima yokuvimbela ngokugcina amabhaktheriya ekukhuleni amathumbu amancane.
Okushiwo nguDkt. Robillard ukuthi iziguli ze-GERD zilandela ukudla okuncane kulokho akubiza ngokuthi "kunzima ukugaya" ama-carbohydrate.
Inkolelo yakhe yokuthi ukudla okuphezulu kulezi zinhlayiya kunomthelela kokubili okweqile kwala mabhaktheriya kanye nokukhuphuka kwegesi okukhipha ngqo i-reflux.
Ngokuthakazelisayo, uhlu lwakhe lwe-carbohydrate ukugwema lufana kakhulu nolwadla oluphansi lwe-FODMAP lwe-IBS . Umehluko obalulekile yilokho okudla okunamandla kumatashi angenayo, njengobhanana obungavuthi kanye nommbila, okukhuthazwa ekudleni okuphansi kwe-FODMAP kodwa odangelwa uDkt. Robillard ngokuphatha i-GERD.
I-Science Behind theory
Nakuba le mbono iphoqelela, akukabi kakhulu ucwaningo lokusekela.
Esinye isifundo esincane sathinteka ukuba iziguli zeGERD zigwinye isisombululo se-fructooligosaccharides (i-FOS) noma i-placebo ngemva kokudla kwesonto elilodwa ngalinye. I-FOS ayilona i-digestible futhi, ngenxa yalokho, iyatholakala ukuze ifakwe ngamabhaktheriya emathumbu. Ngokuthakazelisayo, ama-FOS angumhlobo we-FODMAP , atholakala ekudleni okunjenge-anyanisi, u-garlic, ne-asparagus.
Abacwaningi bathola ukuthi i-FOS yakhula izikhathi zokuziphumula kwemisipha ye-sphincter esondayo, futhi yandisa inani le-acid reflux nezimpawu ze-GERD. Kulesi sifundo, kwakungekho okushiwo yi-SIBO, kodwa abacwaningi baphetha ngokuthi ukuvutshelwa ngaphakathi kwekoloni okwenze ukwanda kwezimpawu ze-GERD.
Esinye isifundo esincane kakhulu sathola ukuthi ukudla okuncane kwe-carbohydrate kuthuthukise kakhulu izimpawu ze-GERD eqenjini elincane leziguli ze-GERD ezikhulu kakhulu.
Okubalulekile
Okwamanje, kubonakala sengathi konke esingaphetha ukuthi lokhu kuyimbono eyithakazelisayo. Ngithemba, ucwaningo oluqhubekayo luzoqhutshwa ukuze uthole ukuthi ukudla okuphansi kwe-carbohydrate kuxazulula ngempela i-SIBO futhi kunciphise izimpawu ze-GERD. Ngeshwa, ukuxhaswa ngemithi yokwelapha ngezinkinga zezokwelapha kuvame ukungabi nalutho. Ngomuntu siqu, ngingathanda ukubona ukucwaninga ukuthi ngabe ukudla okuphansi kwe-FODMAP kungathinta yini izimpawu zokushaya inhliziyo - into engiyizwile kumakhasimende asekudleni .
I-GERD eqhubekayo yisimo esiphethwe kahle udokotela wakho. Kodwa-ke, uma le ncazelo ibonisana nawe, khuluma nodokotela wakho ngakho. Uma unquma ukuthi ufuna ukuzama ukudla okuphansi kwe-carbohydrate okuphakanyiswa nguDkt. Robillard bese uhlola imiphumela yawo ezigodini zakho, kufanele uthintane nomsebenzi oqeqeshiwe wokudla ukuqinisekisa ukuthi zonke izidingo zakho zokudla okunomsoco zihlangene.
Imithombo
I-Austin, G., et.al. "Ukudla Okunciphisa I-Carbohydrate Kuthuthukisa I-Reflux Ye-gastroesophageal kanye Nezibonakaliso Zaso" Izifo Zokugaya Nezifo
I-Piche, T., et.al. "Ukuvuthwa kwama-colonic kunethonya elincane lokusebenza kwesifo se-sphincter kwisifo se-reflux se-gastroesophageal" Gastroenterology 2003 124: 894-902.
U-Robillard, N. (2012) Ukugaya okusheshayo kweThikithi: Ukuguquka kwesisu . I-Watertown, MA: I-Self Health Publishing.