Kufunika Iron Kuti Pangani Maselo Akumagazi, Koma IBD Mayiteteze Kutseka Kwake
Ngati muli ndi matenda opatsirana (IBD) , dokotala wanu angayang'ane nthawi zonse zachitsulo chanu, makamaka panthawi yomwe imayambitsa magazi. Kupanga kuchuluka kwa magazi kumadalira mbali zina zazitsulo za thupi, zomwe zingathe kutha chifukwa cha magazi ndi malabsorption koma zimaphatikizidwa ndi kuwonjezeka kwa chitsulo. Chifukwa chakuti IBD imakhudzidwa ndi kutuluka mwazi ndi malabsorption, zida zachitsulo ziyenera kuyesedwa nthawi zonse ndi zofooka zomwe zimachitidwa ngati pakufunikira.
Mmene Thupi Limagwiritsira Ntchito Zitsulo
Iron imatengeka m'gawo loyamba la matumbo aang'ono , otchedwa duodenum . Hemoglobin (mapuloteni mu maselo ofiira a magazi) imatenga pafupifupi 70% ya chitsulo chopezeka m'thupi. Hemoglobin ndi yofunika kwambiri kwa thupi, chifukwa imapereka mpweya ndi ziwalo ndi mpweya. Thupi limasungira chitsulo chaching'ono (m'chiwindi, fupa, fupa, ndi minofu), pafupifupi 15 peresenti ya zitsulo zake zonse, ngati zida zachitsulo zimayamba kuchepa. Zitsulo zotsalira 15% zimagwiritsidwa ntchito m'ma protein mu matenda osiyanasiyana.
Pamene sitolo ya thupi imatsika pansi (zomwe zingayambitse matenda omwe amadziwika ngati kuchepa kwa magazi ) zimayamba kutenga chitsulo china kuchokera ku zakudya. Ngati chitsulo chimafika pamtundu wambiri, thupi limatenga zitsulo zochepa kuchokera ku zakudya.
Anthu Amene Ali ndi IBD Amene Angamange Kufooka kwa Iron
Anthu omwe ali ndi matenda a Crohn ndi matenda a zilonda zam'mimba nthawi zambiri amakumana ndi kutaya mwazi m'magazi awo. Kuchuluka kwa magazi kumasiyanasiyana kwambiri kuchokera kwa munthu ndi munthu.
Kutsekemera kumakhala kofala pamene matumbo akulu amathandizidwa m'malo mwa matumbo aang'ono.
Malabsorption imathandizanso kuti asakhale ndi chitsulo. Izi ndizowona makamaka kwa omwe ali ndi matenda a Crohn a m'mimba, chifukwa m'mimba mwaing'ono amapezeka kwambiri mavitamini ndi mchere.
Zimene Mungachite Ponena za Kulephera kwa Iron
Ngati zitsulo zili zochepa, zakudya zambiri zitsulo zingathandize kuthetsa vutoli. Iron imapezeka mu mitundu iwiri: chifuwa, chomwe chimapezeka mu nyama, komanso chosakhala chala, chomwe chimapezeka mu zomera. Thupi limatulutsa chitsulo chosungunuka, chifukwa chake kusowa kwa chitsulo kumakhala kofala pakati pa anthu odyetsa zamasamba. Kugwiritsa ntchito zitsulo zosagwiritsidwa ntchito kwachitsulo komanso zakudya zomwe zili ndi vitamini C wambiri zomwe zingakuthandizeni kupeza zitsulo zopanda chitsulo. Chakudya chomwe chili ndi chitsulo chophatikizapo:
- Ng'ombe (chuck ndi tenderloin) (heme)
- Chicken chiwindi (heme)
- Kumva (heme)
- Oyster (heme)
- Turkey (heme)
- Zosakaniza (osati zitsulo)
- Lentils (osati-heme)
- Mazira a soya (osalimba)
Kwa anthu omwe ali ndi IBD, zitsulo zingakhale zofunikira. Zakudya zowonjezera zimaperekedwa mu mlingo wa 325 mg zomwe zimatengedwa katatu katatu patsiku. Zida zowonjezera ziyenera kugwiritsidwa ntchito mosamala chifukwa zingayambitse kupweteka ndi kudzimbidwa ndikupangitsa kuti thumba likhale lakuda . Kutenga zakudya zowonjezera ndi zakudya kungachepetse zotsatirazi. Chitsulo chimakhala ndi firi kapena friji fomu. Thupi limapanga mosavuta fomu.
Chitsulo chochuluka chingakhale chakupha, makamaka kwa ana. Dokotala ayenera kuyang'anira mosamala aliyense amene ali ndi IBD amene amafunikira thandizo lachitsulo.
Zotsatira:
Office of Food Supplements, National Institutes of Health. "Zowonjezera Zakudya Zolemba: Iron." Ma Institutes of Health 24 Aug 2007. 18 May 2014.
Gomollón F, Gisbert JP. "Matenda a m'magazi ndi kutupa thupi." World J Gastroenterol 2009 Oct 7; 15: 4659-4665. 18 May 2014.