Kodi fructose malabsorption ndi mbali ya chipangizo cha IBS ? Fructose ndi mtundu wa shuga wopezeka mu zipatso ndi masamba. Kafukufuku wina adawona momwe kudya zakudya zomwe zili ndi fructose zili ndi zizindikiro zosasangalatsa za kugaya. Ngakhale kuti ndi zochepa komanso zoyambirira, deta yoyamba iyenera kuyang'ana ngati mukuganiza kuti zipatso zikuthandizira m'mimba mwathu.
Kodi Fructose Kodi Malabsorption N'chiyani?
Zizindikiro za fructose malabsorption, zomwe poyamba zimatchedwa kuti fructose kusalolera, zimakhala zovuta kudya pambuyo podya kapena kumwa zakumwa kapena zakumwa zomwe zili ndi fructose, shuga wopezeka mu zipatso zambiri. Matendawa amaganiza kuti ndi zotsatira za fructose zomwe sizikudziwika bwino m'matumbo aang'ono . Fructose ndiye imalowa mkati mwa matumbo akulu pomwe imayikidwa ndi kuyaka ndi mabakiteriya m'mimba. Izi zimakhudza GI motility ndipo zimapereka mpweya wosafuna ndikuwombera.
Anthu ena omwe ali ndi fructose malabsorption amatha kulekerera pang'ono fructose, koma zizindikiro zimachitika pamene fructose yambiri yayamwa nthawi yayitali kwambiri. Kwa anthu ena, fructose malabsorption ingakhale chifukwa cha ubongo wambiri wamatumbo (SIBO). Kuzindikiritsa fructose malabsorption ndichinthu chofunikira kwambiri pamaganizo pogwiritsa ntchito zakudya zochepa za FODMAP kwa IBS.
Fructose malabsorption ndizosiyana kwambiri ndi matenda osiyana nawo monga fructose osalana, matenda obadwa nawo omwe amapezeka kuti ali mwana.
Kudziwa
Mayeso a mpweya wa haidrojeni angakhoze kuchitidwa, kuyeza kuchuluka kwa hydrogen mu mpweya wotsatira kumeza kwa njira ya fructose. Kuwonjezeka kwa hydrogen kukukhulupirira kuti zikusonyeza kuti fructose mu njira yathyoledwa ndi mabakiteriya m'matumbo akulu.
Komabe, kuyesera kwa mpweya wa hydrogen sikudalirika kotheratu. Ikhoza kusonyeza zotsatira zabwino ngakhale munthuyo alibe malabsorption. Ngakhale kuti ndemanga zina zimati ndi zofunika, ena amanena kuti ndizosakwanira.
Matenda aang'ono a m'matumbo (SIBO) ndi ena omwe amatha kudziwa ngati matenda a hydrogen akuyendera bwino, ndipo dokotala ayenera kudziwa ngati ndilo matenda oyenera kupatula kuti fructose malabsorption.
Kodi Zotsatira za Kafukufuku ndi ziti?
Kafukufuku wina adafanizira pakati pa anthu abwino ndi anthu omwe amadziwika kuti ali ndi vuto la fructose osagwirizana chifukwa chakuti amatha kuphulika ndi kukhumudwa atadya zipatso zina. Ngakhale zotsatirazo ziyenera kumasuliridwa mosamala chifukwa cha anthu ochepa kwambiri (odwala 8, olamulira 4) omwe adagwira nawo phunzirolo, zotsatira zake ndi zosangalatsa. Odwala odzidzidzidzi anali ndi miyeso yapamwamba ya haidrojeni ndipo adakhala akugwedezeka kwambiri komanso akunyengerera chifukwa cha kumwa mowa wothetsera mavuto kusiyana ndi omwe ali ndi thanzi labwino.
Kupeza kuti mayesero oyesedwawo anawona zizindikiro za fructose yankho lokhalo linayankhidwa mu phunziro lina, lomwe linagwiritsa ntchito anthu ochulukirapo.
Anthu okwana 183 omwe anali ndi zizindikiro zosadziwika za kugaya anagawana nawo. Anthu atatu mwa anayi alionse adziwona zizindikiro za m'mimba pokhapokha atayambitsa njira ya fructose. Zizindikiro izi zimaphatikizapo kukhumudwitsa, kupweteka kwa m'mimba , kuphulika, kumangirira komanso kusintha chizoloŵezi cha m'mimba.
Kafukufuku wina anawoneka mwachindunji kusagwirizana kwa fructose kwa akuluakulu omwe amapezeka ndi IBS. Pa ophunzira 80 omwe anaphunzirapo, pafupifupi gawo limodzi mwa magawo atatu aliwonse anali ndi zotsatira zabwino zowunikira mpweya wa hydrogen potsatira njira yothetsera fructose. Mwa odwalawa, 26 adachita nawo zotsatira zotsatila chaka chimodzi. Potsatira otsogolera, odwala 14wa adanena kuti amatha kudya zakudya zowonjezereka za fructose ndipo amadziwa kusintha kwakukulu kwa zizindikiro za ululu, kubetchera, kuphulika, kutsekula m'mimba ndi kutsekula m'mimba.
Kuvuta ndi fructose ndi chimodzi mwa zifukwa zazikulu zomwe zimachokera ku mfundo zochepa za FODMAP za IBS . Mfundo imeneyi yalandira kafukufuku wowonjezera kuti ikhale yogwira mtima pochepetsa zizindikiro za IBS.
Mfundo Yofunika Kwambiri
Kafukufuku wokhudza fructose malabsorption mu IBS akadali pamayambiriro ake. Komabe, ngati zizindikiro za gasi, kuphulika ndi kutsegula m'mimba zikuwoneka ngati kugwirizana kwa zipatso, vuto la fructose lingakhale chinthu choyenera kuganizira. Khalani ndi diary chakudya kwa masabata angapo kuti mudziwe ngati pali mgwirizano woterowo. Ngati ndi choncho, lankhulani ndi dokotala wanu za momwe mungathere kuyesa kupuma kwa hydrogen ndikufunsani dokotala wanu za kuyesa kudya zakudya .
Zotsatira:
> Chakudya Chosakaniza ndi Kusamvetsetsana 105: Fructose Malabsorption. American Gastroenterological Association. http://www.gastro.org/info_for_patients/food-allergies-and-intolerances-105-fructose-malabsorption
Choi, Y., Kraft, N., Zimmerman, B., Jackson, M. & Rao, S. Fructose Kusagwirizana mu IBS ndi Utility wa Fructose-Restricted Diet. Journal of Clinical Gastroenterology 2008 42: 233-238.
> Fedha A, Rao SSC. Fructose Zakudya Zosasamala, Fructan > Kusasamalana > ndi FODMAPs. Mauthenga Amakono Okhudza Gastroenterology . 2013; 16 (1). lembani: 10.1007 / s11894-013-0370-0.
Mann, N. & Cheung, E. "Kupuma kwa Fructose komwe kunapangitsa kuti odwala ali ndi vuto losabala zipatso. " Journal of Clinical Gastroenterology 2008 42: 157-159.
> Yao CK, Tuck CJ. Kuchepetsa kupuma kwa hydrogen. Journal of Gastroenterology ndi Hepatology . 2017; 32: 20-22. lembani: 10.1111 / jgh.13689.