Ngakhale zingakhale zochititsa chidwi kuti muwone chiwindi chakuyandama, kaŵirikaŵiri palibe choyenera kudera nkhaŵa ndipo nthawi zambiri chimakhudzana ndi chinachake chimene muyenera kudya. Nazi zifukwa ziwiri zazikuluzikulu zachitetezo ichi.
Gasi wochulukirapo m'sitolo
Nthaŵi zambiri, chopondapo chimakhala chifukwa cha chinachake chimene mudya. Ngati mudya chinthu chomwe chimayambitsa gasi (kapena kudya chakudya chachikulu), mpweya umasakanikirana ndi chotupa m'matumbo.
Mpweya wochuluka umapangitsa kuti phokoso likhale lochepa kwambiri, zomwe zimapangitsa kuti liziyandama pamene limagunda mbale ya chimbudzi.
Nazi mitundu ina ya zakudya zomwe zingapange mpweya:
- Maapulo, mapeyala, mapichesi, prunes
- Zosangalatsa zotsekemera
- Katsitsumzukwa, atitchoku, mabala a maluwa, broccoli, anyezi
- Nyemba
- Zipatso za zipatso
- Uchi
- Sodas ndi zakumwa zofewa
- Zakudya zopanda shuga ndi chingamu
Zambiri mwa zakudyazi zili ndi shuga zomwe zingayambitse mafuta ambiri. Mitengo yamaluwa, maapulo, mapichesi, ndi zakudya zopanda shuga, mwachitsanzo, zili ndi sorbitol. Sodas, wokondedwa, ndi timadziti ta zipatso ndipamwamba kwambiri mu fructose.
Anthu omwe ali ndi vuto la lactose (vuto limene limakhudza anthu akuluakulu a ku Africa, Asia, Puerto Rico, ndi America ku America) akhoza kukhala ndi chifuwa chachikulu ngati akudya mkaka ndi mankhwala a mkaka. Ndi mavitamini otsika (lactase) omwe amafunika kuyesa shuga (lactose) mumkaka, akhoza kukhala ndi mazira ndi gasi atatha mkaka, zomwe zingayambitse kutayika. Kuphatikiza apo, nthawi zambiri zimakhala zowonongeka ndi anthu omwe ali ndi matenda opweteketsa mtima (IBS).
Ngati chopondapo chanu chikuyambitsidwa ndi chakudya chopatsa mafuta, chifuwa chanu chiyenera kubwerera mwamsanga msanga mukatha kuchepetsa zakudya zomwe zimakuvutitsani.
Mafuta M'masitolo (Steatorrhea)
Ngakhale kuti nsomba zambiri zimayandama ndi zotsatira za chinachake chomwe mudya, zikutanthauzanso kuti mafuta odyera sakuyendetsedwa bwino ndi thupi ndipo amathera muchitetezo chanu, chomwe chimatchedwa steatorrhea.
Kawirikawiri zinthu zofewa, zofukiza, komanso zonunkhira, zimakhala zolimba kwambiri kumbali ya chimbuzi ndipo zimakhala zovuta kuchotsa.
Matenda a m'mimba angayambitse steatorrhea (monga tizilombo toyambitsa matenda a giardiasis), koma amakhalanso ndi mankhwala enaake omwe amadziwika kuti asokoneze matumbo (monga Crohn's , matenda a Celiac , kupitirira kwa mabakiteriya , kupweteka kwa mabakiteriya fibrosis , matenda a Graves , ndi matenda ochepa a m'mimba).
Steatrrhea ingakhalenso ngati chizindikiro cha zinthu zomwe zimakhudza nkhanza, ndulu, kapena chiwindi. Mavuto amenewa nthawi zambiri amadziwika ndi kuchepa kwa chiwindi (kapangidwe kakang'ono kamene kamapangidwa ndi mphukira) ndi / kapena bile salt (mtundu wa mankhwala opangidwa m'chiwindi). Zonsezi zimafunikira kuthyola mafuta.
Pano pali mawonekedwe angapo omwe angayambitse mtundu uwu woyandama:
- Kuperewera kwapang'onopang'ono. Kaŵirikaŵiri zokhudzana ndi uchidakwa kapena ndondomeko zam'mimba, matenda opatsirana amadzimadzi amadziwika ndi kutupa kwapascita. Kuphatikizana ndi choyandama choyandama, zizindikiro zimapweteka m'mimba, kupweteka kumbuyo, kupweteka m'mimba, ndi kulemera. Amagwirizananso ndi matenda a shuga .
Sclerosing cholangitis. Nthawi zina zimagwirizanitsidwa ndi ulcerative colitis , sclerosing cholangitis imadziwika ndi kutupa, kupweteka, ndi kuwonongeka kwa bile mkati ndi kunja kwa chiwindi. Zizindikiro zimaphatikizapo ziwalo zoyandama, kutopa, khungu lopweteka, malungo / chifuwa, jaundice, ndi mitsempha yamdima.
- Choledocholithiasis. Kukhalapo kwa imodzi kapena zambiri zamtundu wambiri m'kati mwa mankhwala. Nthaŵi zambiri, vutoli sichizindikiro ngati pokhapokha mwalawu ukulepheretsani kuti mukhale ndi malungo. Kuphatikiza pa ziwalo zoyandama, zizindikiro zimaphatikizapo kupweteka kumimba pamtunda kapena kumtunda kwapakati (mphindi 30), malungo, jaundice, kusowa kwa kudya, kunyoza, ndi kusanza.
- Khansara yapancreatic. Mtundu wa khansa yokhudza makoswe .
Nthawi Yomwe Muwone Dokotala Wanu
Ngakhale zidole zomwe nthawi zina zimayandama siziyenera kukudwalitsani, ndikofunika kukaonana ndi dokotala mukawona kuti kusintha kwanu kumakhala kwa nthawi yayitali kuposa masabata awiri kapena kukumana ndi zizindikiro zina (monga kunyoza, chizungulire, kupweteka kwa thupi, kupweteka m'mimba, kapena malungo).
Mitundu ina ya zimasintha (makamaka steatorrhea) ikhoza kukhala zizindikiro za chikhalidwe chimene chimafuna chithandizo.
Kuchiza kwa Zida Zokwera
Sitima yotentha chifukwa cha kuchuluka kwa gasi nthawi zambiri imakhala yopanda phindu ndipo imachoka popanda mankhwala. Popeza zakudya zingathandize pakukula kwazitsulo, ndizotheka kuti kusintha kwa zakudya zanu kungathandize pa nkhaniyi. Mwachitsanzo, ena othandizira zaumoyo anganene kuti achotseni chakudya chimodzi kapena ziwiri pa zakudya zanu pa nthawi kuti mudziwe ngati zakudya zimenezo zingakhale zikuthandizira kuti zikhale zoyandama, kapena kusunga mbiri ya zakudya zomwe mumadya ndi kusamba kwanu.
Ngati chakudya china chimawononga gasi, simungapewedwe. Enzyme yowonjezereka yowonjezera ilipo kuthandiza kuthandizira zakudya monga nyemba ndi mkaka. Kudya mbali zing'onozing'ono kungathandizenso.
Chithandizo cha steatorrhea chimadalira chikhalidwe chovuta. Mwachitsanzo, mankhwala a cystic fibrosis amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda ndi ofanana ndi omwe nthawi zambiri amasulidwa ndi mphukira.
Mawu Ochokera
Kukhala ndi chifuwa choyandama nthawi ndi nthawi kumakhala kofala komanso nthawi zambiri chakudya chimakhudzana. Zopweteka kwambiri ndi lactose mu malonda, mkaka wosungunuka, kapena shuga chakudya, kaya ndi raffinose nyemba, fructose chipatso, kapena sorbitol mu prunes, maapulo, kapena yamapichesi.
Zakudya zambiri zomwe zingayambitse gasi zimakhalanso ndi makhalidwe abwino. Nyemba, mwachitsanzo, ali ndi magalamu 10 a fiber pa kapu ndipo ali olemera mu antioxidants. Mmalo mopewa zakudya izi, yesetsani kudya zakudya zing'onozing'ono, kugawa chakudya chanu tsiku, ndikugwiritsanso ntchito mankhwala owonjezera omwe amathandiza thupi kukumba nyemba. Pewani zakudya zazikulu, zomwe zingapangitse kuti thupi likhale ndi zakudya zambiri.
Ngati vuto likuwoneka ngati lokhazikika (kapena mukuwona zizindikiro zina), lankhulani ndi dokotala wanu. Ngakhale zingakhale zochititsa manyazi kubweretsa, dokotala wanu amamva nkhani ngati izi nthawi zonse ndipo amatha kuzindikira zovuta zomwe zingakhale zogonjetsa kusintha kwanu.
> Zotsatira:
> Bailey J, Carter NJ, Neher JO. Mafunso a Clinical Questions: Kugwira ntchito moyenera kwa flatulence. Am Phys Physician. 2009 Jun 15; 79 (12): 1098-100.
> Bouchoucha M, Devroede G, Benamouzig R. Kodi zimayandama zokhudzana ndi matenda enaake? Eur J Gastroenterol Hepatol. 2015 Aug; 27 (8): 968-73.
> Ohge H, Levitt MD. Mpweya wamatumbo. Mu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Mimba ndi Matenda a Chiwindi. 9th ed. Philadelphia, PA: Saunders Elsevier; 2010: mutu 16.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse ya thanzi ndipo funsani dokotala musanagwiritse ntchito njira ina iliyonse ya mankhwala kapena kusintha kwa regimen yanu.