Kodi Matenda Omwe Osakhala Oledzera Amatenda Bwanji?

Zakudya Zathanzi Zingathe Kuchepetsa Vuto Lanu la NAFLD

Matenda Osakhala Oledzera Matenda a Chiwindi , kapena NAFLD, akuwonjezeka ku United States chifukwa cha kuchuluka kwakukulu kwa kunenepa kwambiri kwa zaka makumi atatu zapitazo. M'mayiko otukuka, anthu 20 mpaka 40 peresenti ya anthu ambiri ali ndi matenda ena a chiwindi ndipo amatha kuwonjezeka ndi msinkhu.

Povomerezedwa mwachangu ngati matenda kumayambiriro kwa zaka za m'ma 1980, matenda osakwaniridwa ndi mafuta a chiwindi amatsutsana ndi madokotala.

Odwala ndi odwala matenda a shuga anali atapanga mavitamini a chiwindi ndi ziwindi zowonjezera zomwe zimawoneka mofanana ndi omwe amamwa moledzeretsa, koma ambiri a iwo ankatsutsa kuti iwo samamwa mopitirira muyeso.

Chiwindi Ntchito Yoyambira

Chiwindi ndi chiwalo chanu chachikulu mkati. Imachita ntchito zambiri kuphatikizapo:

• kupanga zonse zomwe mumadya ndi kumwa
• kukoka poizoni m'magazi anu
• kumenyana ndi matenda
• kulamulira shuga la magazi
• kuthandiza kupanga mahomoni ndi mapuloteni

Zizindikiro

Chiwindi chimalemera pafupifupi mapaundi atatu. Pamene zoposa 5 mpaka 10 peresenti ya kulemera kwanu kwa chiwindi ndi mafuta, muli ndi "chiwindi cha mafuta." Ngakhale mafuta ochuluka kwambiri a chiwindi, kapena kuti steatosis, amachititsa mavuto ena, amachititsa kuti zizindikiro za matenda a chiwindi zisagwire ntchito, kuphatikizapo:

• kutopa
• kunyoza
• ululu wamimba
• khungu lakuda kapena maso (monga jaundice)

Kutupa komwe kumayambitsa kupweteka ndi chizindikiro chozizwitsa cha kuvulala kwa chiwindi mu matenda omwe sali oledzeretsa a chiwindi, omwe angayambitse matenda a chiwindi.

Mukangowononga chiwindi, thupi lanu limatsitsa collagen kuti likonze. Fibrosis kapena kuphulika kwa minofu ya chiwindi kenako imatha.

Pamene nthendayi yopanda mafuta ya chiwindi imakula, pafupifupi 10 peresenti ya milandu idzakula m'zaka khumi zikubwerazi ku NASH kapena nthenda yotchedwa steatohepatitis.

NASH ikhoza kupita ku:

• chiwindi kapena kuuma kwa chiwindi
• chiwindi cholephera
• khansa ya chiwindi
• imfa

Kudziwa

Kuzindikira molondola za matenda osagwiritsidwa ntchito ndi chiwindi ndilo gawo loyambako pochita izi, nthawi zina, matenda aakulu. Dokotala wanu nthawi zambiri amadziwa kuti matenda a chiwindi ndi mafuta:

• kupereka mayesero kuti azindikire mapangidwe amphamvu a chiwindi
• kulamula ultrasound kudziwa ngati muli ndi chiwindi chofutukuka
• kuchita chiwindi cha chiwindi kuti mudziwe ngati muli ndi NASH kapena chiwindi chochepa cha mafuta

Zowopsa

Ngakhale zifukwa zenizeni za NAFLD sizidziwike, odwala ali ndi zinthu zina zomwe zimakhalapo kale, kuphatikizapo:

• kunenepa kwambiri
• mtundu 2 wa shuga
• ali ndi matenda opatsirana pogonana

Kuonjezera apo, kulemera kwa NAFLD kumawonjezeka ndi kuchuluka kwa kunenepa kwambiri, ndipo mafuta a m'mimba kapena m'mimba amawoneka kuti akuwonjezera chiopsezo cha NASH zoopsa, ngakhale odwala omwe ali ndi chiwerengero cha mthupi (BMI) mwachibadwa.

Kuganizira Zakudya

Zimene mumadya ndi zakudya zomwe zimapereka zimathandiza kuti pakhale kuyambika, kupititsa patsogolo, ndi chithandizo cha NAFLD. Zakudya zomwe zimawonjezera ngozi yanu ndizo kudya:

• zakudya zamakono
• chakudya chochuluka mu mafuta a hydrogenated (mafuta odzola)
• mapuloteni ambiri kuchokera ku zinyama, zomwe zimapangitsa kuti mafuta ambiri ndi mafuta a kolesterol azidya kwambiri

• zakumwa zochuluka kwambiri zokometsetsa ndi mazira a chimanga a fructose

Zakudya zomwe zimachepetsa chiopsezo chanu cha NAFLD ndi izi:

• kudya zambiri zochepa
• kudya mapuloteni kuchokera ku whey kapena magwero a masamba, mmalo mwa nyama ndi tchizi
• Kutaya 3 mpaka 10 peresenti ya thupi lanu
• kuwonjezera fiber, tiyi, ndi khofi pa zakudya zanu

_Zotsatira:

_{Angulo, Paul, ndi Lindor, Keith. Matenda Osakhala Oledzera Matenda a Chiwindi. Journal of Gastroenterology ndi Hepatology (2002) 17 (Suppl.) S186-S190.}

_{Matenda Oopsa a Chiwindi. Chipepala cha Canada Liver Foundation. Idapezeka pa December 10, 2012.}

_{Lazo, et al. "Matenda omwe si oledzeretsa odwala chiwindi ndi kufa pakati pa akuluakulu a US: akuyembekezera kuphunzira." BMJ. 2011 Nov 18; 343: d6891.}

_{Ludwig, et al. Nonalcoholic steatohepatitis: Chipatala cha Mayo chikumva ndi matenda omwe sanatchulidwepo mpaka pano. Mayo Clinic 1980; 55: 434-8.}

_{Matenda Osakhala Oledzera Matenda a Chiwindi (NAFLD). American Liver Foundation Mndandanda wa Zowonjezera za Anthu. Idapezeka pa December 10, 2012.}

_{Nonalcoholic Steatohepatitis. Dipatimenti ya Zaumoyo Zachilengedwe za US and Human Services Sheet Information. Idapezeka pa December 7, 2012.}