Kudingeka iH Iron Ukwenza Amaseli Egazi, Kodwa IBD Ingavimbela Ukumnika Kwakhe
Uma une- inflammatory disease (IBD) , udokotela wakho angase aqaphele njalo izinga lakho lensimbi, ikakhulukazi ngesikhathi se-flare-up esibangela ukuphuma kwegazi. Ukukhiqizwa kwemali ejwayelekile yegazi kuxhomeke ekuhlanganyeleni kwezinto zokugcina izinsimbi zomzimba, ezingasuswa ngenxa yokuphuma kwegazi kanye ne-malabsorption kodwa zongezwa ngokunyuka kwensimbi. Ngenxa yokuthi i-IBD ihlotshaniswa nokuphuma kwegazi kanye ne-malabsorption, amazinga e-iron kufanele alinganiswe njalo nokuphululeka okuphathwayo uma kunesidingo.
Indlela umzimba osebenzisa ngayo insimbi
I-iron ithathwa engxenyeni yokuqala yamathumbu amancane , okuthiwa i- duodenum . I-Hemoglobin (iprotheni elamangqamuzana egazi obomvu) ithwala cishe u-70% wensimbi etholakala emzimbeni. I-hemoglobin ibalulekile emzimbeni, njengoba inikeza izicubu nezitho ezine-oxygen. Umzimba ugcina inqolobane encane yensimbi (esibindi, umnkantsha, i-spleen, nemisipha), cishe u-15% walokho okuqukethwe kwayo kwensimbi, uma ngabe amazinga e-iron aqala ukwehlisa. Ama-15% asele asele asetshenziselwa amaprotheni ezinhlobonhlobo zomzimba ezahlukene.
Njengoba isitolo somzimba sitholakala phansi (okungabangela isimo esaziwa ngokuthi i- anemia ) siqala ukuthatha insimbi eyengeziwe emithonjeni yokudla. Uma insimbi isemazingeni ajwayelekile, umzimba uthatha insimbi engaphansi kokudla.
Abantu abane-IBD abangase bahlakulele ukukhubazeka kwe-Iron
Abantu abanesifo sikaCrohn kanye nesifo sokulonda kwesilonda ngokuvamile babhekana nokulahleka kwegazi esitokisini sabo. Inani legazi lihlukahluka kakhulu kusuka komuntu kuya komuntu.
Ukukhipha isisu kuvame kakhulu uma intombazane enkulu ibandakanyeka kunokuba umathumbu omncane.
I-Malabsorption nayo ingabangela ukungabi nensimbi. Lokhu kuyiqiniso ikakhulu kulabo abane-Crohn's isifo samathumbu amancane, ngoba intombazane encane yilapho amavithamini amaningi namaminerali abanjwe ngumzimba.
Okufanele Ukwenze Ngokuphathelene Nokuntuleka Kwensimbi
Lapho amazinga e-iron ephansi, ukudla okunamandla ensimbi kungasiza ukulungisa inkinga. I-iron itholakala emafomu amabili: i-heme, etholakala enyameni, futhi engeyona i-heme, etholakala ezitshalweni. Umzimba uthola kalula i-heme iron, ngakho-ke ukulahlekelwa yensimbi kuvame kakhulu phakathi kwezitshalo nezitshalo. Ukusebenzisa imithombo ye-iron non-heme kanye nokudla okunamazinga aphezulu kavithamini C kuzosiza ekutholeni insimbi engeyona i-heme. Ukudla okunamandla kakhulu kuhlanganisa:
- Inkabi (i-chuck ne-tenderloin) (i-heme)
- Inkukhu yesibindi (i-heme)
- Izikhala (heme)
- Ama-Oysters (i-heme)
- I-Turkey (heme)
- I-grits (okungewona i-heme)
- I-lentils (okungewona i-heme)
- Ama-soya (okungewona i-heme)
Kubantu abane-IBD, izithako zensimbi zingadingeka. Izithako zivame ukunikezwa ngomthamo we-325 mg uthathe izikhathi eziphindwe kathathu ngosuku. Izithako ze-Iron kufanele zisetshenziswe ngokucophelela ngoba zingabangela ukuchotshozwa nokuqothulwa futhi kubangele isithunzi sibe mnyama . Ukuthatha izithako zensimbi ngokudla kunganciphisa lemiphumela emibi. Izithako ze-Iron ziza noma zifomu. Umzimba uthola kalula ifomu elifayo.
Insimbi eningi ingaba yingozi, ikakhulukazi ezinganeni. Udokotela kufanele aqondise ngokucophelela noma ubani onesi-IBD odingayo ukwesekwa kwensimbi.
Imithombo:
Ihhovisi Lokudla Kwezondlo, Izikhungo Zikazwelonke Zempilo. "Isitifiketi Sokufaka Isidlo Sokudla: I-Iron." Izikhungo Zikazwelonke Zempilo 24 Aug 2007. 18 Meyi 2014.
UGomollón F, uGisbert JP. "Izifo zesifo sofuba nezifo ezivuthayo." I- World J Gastroenterol 2009 Oct 7; 15: 4659-4665. 18 Meyi 2014.