Kafukufuku amasonyeza kuti pali kusiyana kwakukulu pakati pa matenda a m'mimba ndi IBS komanso shuga (lactose, fructose , ndi sorbitol). Ngati mukugwira ntchito ndi IBS, kuphunzira za maphunzirowa kungakuthandizeni kuzindikira ngati kusagwirizana kwa shuga kumasewera nawo mu zizindikiro zanu.
Kusagwirizana kwa Lactose
Kusagwirizana kwa Lactose ndi chikhalidwe chimene munthu amakumana ndi zizindikiro za kugaya atatha kumwa mkaka.
Izi zimachitika chifukwa cha kusowa kwa mavitamini a lactase. Amaganiza kuti odwala ambiri a IBS angapindule ndi kuchotsa mkaka pa zakudya zawo.
Kuphunzira kwakukulu kwakukulu kunayerekeza odwala pafupifupi IBS okwana 336 omwe ali ndi odwala 336 omwe adzipeza kuti ndi "mkaka wosasamala." Pafupifupi 70 peresenti ya anthu onse m'magulu onse awiriwa anayesa kusagwirizana ndi lactose kusagwirizana ndi hydrogen breath test (HBT) .
Olembawo amanena kuti chifukwa cha kuchuluka kwa chiwerengerochi, HBT iyenera kuperekedwa kwa odwala onse omwe akuganiza kuti akuvutika ndi IBS. Mwamwayi, phunzirolo silinaphatikize gulu lolamulira labwino.
Kusakanikirana kwa shuga
Kafukufuku wochepa anawona kugwirizana pakati pa kusagwirizana kwa shuga ndi matenda opatsirana . Mwachidziwitso, phunziroli linali ndi odwala 25 omwe akuyesa kuyesa kupuma kwa hydrogen atatha kumwa njira zosiyanasiyana. Izi zinaphatikizapo lactose, fructose, sorbitol, sucrose, kuphatikizapo fructose ndi sorbitol.
Anthu makumi asanu ndi anayi pa zana a ophunzira omwe adaphunzira anayesera kuti asasamvana ndi shuga. Pambuyo pa chakudya chokhumudwitsa, 40 peresenti ya odwala anali ndi chizindikiro chodziwika bwino.
Kuphunzira kwakukulu kwambiri kunayang'aniranso lactose, fructose, ndi kusagwirizana kwa sorbitol kwa odwala okhala ndi matenda opatsirana.
Pa odwala 239, 94 anakumana ndi zizindikiro za matenda a IBS , pamene ena onsewa anali ndi zifukwa zomveka.
Pogwiritsa ntchito kuyesa kwa hydrogen ndi methane, 90 peresenti ya nkhaniyi anapezeka akuvutika chifukwa cha kusagwirizana. Gawo lalikulu linasonyeza kusagwirizana ndi mtundu umodzi wokha wa shuga. Pokhala ndi zoletsa zakudya, pafupifupi theka la nkhanizo mu gulu lirilonse linakhala ndi chizindikiro chachikulu chowongolera.
Udindo wa Kutupa Kwabakiteriya Kakang'ono
Kafukufuku wina amachokera kwa ofufuza omwe amakhulupirira kuti kachilombo kakang'ono ka m'matumbo (SIBO) ndi chinthu chachikulu pa zizindikiro za IBS. Nthano imeneyi imanena kuti SIBO ingapezeke mwa kugwiritsa ntchito hydrogen kupima kupuma atangomaliza lactulose, shuga yomwe matupi athu sangathe kukumba.
Zimaganiziridwa kuti ngati mpweya wa hydrogen ukukwera msanga munthu atamwa mankhwala a lactulose, izi ndi umboni wakuti mabakiteriya alipo m'mimba mwachinyamatayo . Komanso, imayambitsa kutentha komwe kumapangitsa mpweya wa hydrogen.
Pofufuza chiphunzitsochi, kafukufuku wina adapeza kuti ambiri omwe adayesa zowonjezereka chifukwa cha kusagwirizana kwa lactose pogwiritsa ntchito hydrogen breath test ayesetsanso kuyesa kupuma kwa lactulose.
Izi zikusonyeza kuti vuto lalikulu linali SIBO osati lactose kusalolera .
Kuphunzira kwakukulu kunayesa odwala 98 a IBS chifukwa cha kukhalapo kwa SIBO ndi kusagwirizana kwa shuga. Odwala makumi asanu ndi limodzi mphambu zisanu pa asanu aliwonse a IBS anayezetsa SIBO zabwino pogwiritsa ntchito mayeso a lactulose. Odwalawa anali ovuta kwambiri kuti ayambe kuyesedwa ndi mpweya wa hydrogen pambuyo poyamwa lactose, fructose, ndi sorbitol kusiyana ndi omwe sanadziwike kuti akuvutika ndi SIBO.
Odwala a SIBO anali atachizidwa ndi maantibayotiki mpaka kufika poti asayesetsenso mayeso a lactulose. Odwalawa amawoneka kuti sali ochepa kwambiri kuti apitirizebe kuyesa zowonjezera lactose, fructose, ndi kusagwirizana kwa sorbitol.
Ofufuzawo akuganiza kuti SIBO ingakhale chifukwa cha kuyesayesa kosamvetsetseka kusiyana ndi kusakanikirana kwenikweni kwa shuga.
Mfundo Yofunika Kwambiri
Ngakhale kuti pangakhale kukangana kokhudza vuto lenileni, zofukufukuzi zikuwonetsa kuti pali mgwirizano pakati pa kusagwirizana ndi shuga ndi IBS. Ngati mukuvutika ndi IBS, ndikofunikira kuyesa ntchito yomwe lactose, fructose, kusagwirizana kwa sorbitol, komanso SIBO, akhoza kusewera mu zizindikiro zanu.
Malo abwino oti muyambe ndi kukambirana ndi dokotala wanu kuti muwone ngati mtundu uliwonse wa kuyesedwa kwa kusakanikirana kwa shuga ungasonyezedwe kwa inu. Mwinanso mutha kulingalira kusunga diary chakudya ndikuyesera kudya kuti muwone ngati kuchepetsa shuga kumakuthandizani kuti mukhale bwino.
> Zotsatira:
> Fernandez-Banares F, et.al. Malabsorption mu shuga wathanzi: zovuta zachipatala. American Journal of Gastroenterology. 1993; 88: 2044-2050.
> Goldstein R, > Bravermna > D, Stankiewicz H. Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zopweteka Mthupi Ndiponso Zochita Zogwira Ntchito Zovomerezeka. Israeli Medical Association Journal. 2000; 2: 583-587.
> Vernia P, DiCamillo M, Marinaro V. Lactose Malabsorption, Kutentha Kwambiri Kwambiri ndi Mkaka Wosagwirizana ndi Mkaka Wodzipereka. Matenda a Chiwindi ndi Chiwindi. 2001; 33: 234-239.
> Pimental M, Kong Y, Park S. Breath Kuyesera Kuyesa Lactose Kulekerera mu Yotchedwa Syndrome Syndrome Correlates With Lactulose Kuyesedwa ndipo Sitiyenera Kuwonetsa Lactose True Malabsorption. American Journal of Gastroenterology. 2003; 98: 2700-2704.
> Nucera >, G. et.al. Kupweteka kwachilendo kumayesa Lactose, > Fructose, >> ndi Sorbitol mu Irritable Bowel Syndrome Akhoza Kufotokozedwa ndi Kukula Kwambiri kwa Bakiteriya Amtumbo. Mankhwala Osokoneza Bwino ndi Opaleshoni. 2005; 21: 1391-1395.