Poyamba, sizikuwoneka kuti n'zosatheka kuti pakhale kugwirizana pakati pa kupweteka kwa mtima ndi matumbo mabakiteriya. Zingatheke bwanji kumtunda (m'matumbo) zogwirizana ndi chilichonse chokwera m'mwamba? Komabe, pali lingaliro lochititsa chidwi lomwe limagwirizanitsa ziwirizi. Tiyeni tiyang'ane ...
Lingaliro lakuti Bakiteriya Amtumbo Ambiri Ambiri Amayambitsa GERD
M'buku lake, Fast Tract Digestion , Norman Robillard, Ph.D.
amachititsa kuti kachilombo kakang'ono ka m'matumbo (SIBO) kakhoza kukhala chifukwa chenicheni cha matenda a reflux a gastroesophageal (GERD).
SIBO ndi thanzi limene muli mabakiteriya ambiri kumtunda kwa m'matumbo aang'ono , malo omwe tizilombo tizilomboti sitiyenera kukhala. GERD ndi matenda omwe asidi am'mimba amawotcha chida cha acodx (acid acid reflux), zomwe zimayambitsa chiwonongeko cha mtima.
Kodi awiriwa angagwirizane bwanji? Malingaliro a Dr. Robillard ndi akuti mpweya umene amapangidwa ndi mabakiteriya omwe amakhala m'mimba mwachinyamatayo amachititsa kuti matumbo aang'ono ndi m'mimba azikakamizika kwambiri kuti athe kusokoneza asidi kuchokera mmimba kupita kumimba.
Kuwonjezera pa kupeza njira yatsopano yoyang'ana chifukwa cha GERD, Dr. Robillard amaperekanso chithandizo chatsopano cha mankhwala. Sagwirizanitsa kugwiritsa ntchito mankhwala ochepetsa kuchepetsa asidi, makamaka kugwiritsa ntchito proton pump inhibitors (PPIs), yomwe panopa ndi mankhwala oyenera a GERD.
Lingaliro lake ndi lakuti kuchepa kwa mimba ya asidi chifukwa cha PPI kumapangitsa kuti mabakiteriya apitirire kwambiri m'mimba mwachisawawa, monga momwe asidi am'mimba amathandizira kuteteza mabakiteriya kuti asatuluke m'mimba.
Chimene Dr. Robillard akuyamikira ndi chakuti odwala GERD amatsata chakudya chomwe sichimafuna kuti azidya "zovuta kukumba" chakudya.
Ndi chikhulupiriro chake kuti chakudya chokwanira m'zakudya zimenezi chimapangitsa kuti mabakiteriya onsewa apitirire komanso kuti mafuta omwe akuwonjezeka omwe amachititsa kuti thupi liziyenda bwino.
Chochititsa chidwi, kuti mndandanda wake wa zakudya zimapewa ndi zofanana ndi za zakudya zochepa za FODMAP kwa IBS . Kusiyana kwakukulu ndi zakudya zomwe zimakhala zosakaniza, monga nthochi zosapsa ndi chimanga, zomwe zimalimbikitsidwa pa zakudya zochepa za FODMAP koma zidakhumudwitsidwa ndi Dr. Robillard pochiza GERD.
Sayansi Yotsutsa Lingaliro
Ngakhale kuti chiphunzitsochi chiri chokakamiza, pakadalibe kafukufuku wochuluka kuti athandizire.
Phunziro limodzi laling'ono linaphatikizapo kukhala ndi odwala GERD kuti athetse yankho la fructooligosaccharides (FOS) kapena placebo pambuyo pa chakudya sabata limodzi. FOS ndi osalimba ndipo, kotero, ilipo kuti idzapaka mphamvu ndi mabakiteriya a m'mimba. Chochititsa chidwi, FOS ndi mtundu wa FODMAP , womwe umapezeka mu zakudya monga anyezi, adyo, ndi katsitsumzukwa.
Ofufuzawa anapeza kuti FOS inachulukitsa nthawi yachisangalalo cha mitsempha yotchedwa sphincter minofu, komanso kuonjezera kuchuluka kwa acid reflux ndi zizindikiro za GERD. Mu phunziro ili, palibe kutchulidwa kwa SIBO, koma ochita kafukufukuwo anatsimikiza kuti inali nayonso mphamvu mkati mwa colon yomwe inachititsa kuti kuwonjezeka kwa zizindikiro za GERD.
Phunziro lina laling'ono kwambiri linapeza kuti zakudya zochepa zomwe zimakhala zochepa m'thupi zimakula bwino zizindikiro za GERD mu kagulu kakang'ono ka odwala omwe ali ovuta kwambiri.
Mfundo Yofunika Kwambiri
Pakali pano, zikuwoneka kuti zonse zomwe tingathe kuganiza ndizakuti izi ndi mfundo yokondweretsa. Tikuyembekeza, kufufuza kwina kudzachitika kuti mudziwe ngati chakudya chochepa chotsika m'magazi chimathetsadi SIBO ndi kuchepetsa zizindikiro za GERD. Mwamwayi, ndalama zothandizira mankhwala odwala amayamba kupezeka. Ndimakonda, ndikuwona kafukufuku wokhudzana ngati zakudya zochepa za FODMAP zimakhudza zizindikiro za kupweteketsa mtima - chinachake chimene ndamva kwa makasitomala omwe ali pa chakudya.
GERD yotsatila ndizoyendetsedwa bwino ndi dokotala wanu. Komabe, ngati lingaliroli likulongosola kwa inu, lankhulani ndi dokotala wanu za izo. Ngati mukuganiza kuti mukufuna kuyesa zakudya zochepa zomwe zimaperekedwa ndi Dr. Robillard ndikuyesa zotsatira za zizindikiro zanu, muyenera kuonana ndi katswiri wodziwa zakudya kuti muonetsetse kuti zosowa zanu zonse zikukwaniritsidwa.
Zotsatira
Austin, G., et.al. "Chakudya Chochepa Chokha cha Zakudya Zamagulukamo Amateteza Reflux ya Gastroesophageal ndi Zizindikiro Zake" Matenda a Simba ndi Sayansi
Piche, T., et.al. "Kutentha kwa ma Colonic kumakhudza kuchepetsa kutentha kwa sphincter mu matenda a reflux a gastroesophageal" Gastroenterology 2003 124: 894-902.
Robillard, N. (2012) Fast Tract Digestion: Kutentha kwachisoni . Watertown, MA: Kusindikiza Kwayekha.