ʻAʻole anei ʻoe e omo pono i kāu meaʻai? E kamaʻilio kākou e pili ana i kēia (Malabsorption)!

Loaʻa pinepine iā ʻoe nā pilikia ʻōpū? Manaʻo paha ʻoe i kekahi manawa ua piha a ua ʻōpū? A i ʻole ua ʻeha pinepine ʻoe i ka flatulence? I kekahi manawa manaʻo mākou he mau mea maʻamau kēia, kahi mea e hana ʻia ke ʻala iki ka meaʻai. Eia naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​​​no ka mea paha ʻaʻole e omo ana kou kino i nā meaola e pono ai mai ka meaʻai āu e ʻai ai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano (Malabsorption).

He aha kēia (Malabsorption)?

I ka ʻōlelo maʻalahi, ʻo ka malabsorption kahi huaʻōlelo maʻamau no ka hiki ʻole o kou kino ke omo pono i nā meaola mai ka meaʻai āu e ʻai ai. ʻAʻole kēia he maʻi hoʻokahi, akā he kūlana i hiki ke hana ʻia e nā kumu he nui. E noʻonoʻo e pili ana i ia mea, i ka wā e ʻai ai mākou i ka meaʻai, i mea e hāʻawi ai i ka ikehu a me ka meaʻai i ko mākou kino, pono e hoʻoheheʻe pono ʻia a omo ʻia, ʻeā?

Hiki iā mākou ke hoʻokaʻawale i ke kaʻina hana o ka ʻeli ʻana i ka meaʻai i ʻekolu ʻāpana:

1. Māhele ʻEkahi: Ke ʻoki maikaʻi ʻana i ka meaʻai a me ka wāwahi ʻana iā ia i mau ʻāpana hiki ke ʻai ʻia.

2. Māhele ʻelua: Ke omo ʻana i nā meaolaola a pau e pono ai ke kino mai ka meaʻai i ʻeli ʻia.

3. Māhele ʻEkolu: Ke hoʻokuʻu aku i nā mea ʻōpala i koe ma hope o ka omo ʻana i nā mea maikaʻi a pau.

I kēia manawa, inā loaʻa iā ʻoe nā pilikia ʻōpū, hiki i ka pilikia ma kekahi o kēia mau pae. ʻO ka malabsorption kekahi ʻāpana o ka pae ʻelua . ʻO ia hoʻi, ʻoiai ua ʻeli ʻia ka meaʻai, ʻaʻole i komo nā meaola i loko o ke kino. Hiki ke hana ʻia kēia e nā kūlana e like me ka hemahema o ka enzyme e pale ai i ke kino mai ka ʻeli ʻana i kekahi mau meaʻai (no ka laʻana, ʻaʻole hiki i kekahi poʻe ke ʻeli i ka waiū) a me nā maʻi ʻōpū like ʻole e hoʻopilikia i kāu ʻōnaehana ʻōpū.

He aha ka mea e hana ai inā loaʻa ka malabsorption?

Inā loaʻa iā ʻoe ka malabsorption, pilikia paha ʻoe i ka omo ʻana i nā meaolaola āpau, a i ʻole pilikia paha ʻoe i ka omo ʻana i kekahi mau meaolaola kikoʻī. Hoʻopuka ʻia nā mea hiki ʻole iā ʻoe ke omo i loko o kou ʻōpala me ka ʻole o ka hoʻoheheʻe ʻia. He nui ka poʻe me ka malabsorption i loaʻa i nā maʻi e like me ka diarrhea, hiki ke hoʻonui i kēia pilikia o ka omo ʻana. ʻO kēia no ka mea ke loaʻa iā ʻoe ka diarrhea, neʻe wikiwiki ka meaʻai ma o kou ʻōpū, no laila ʻaʻohe manawa o nā meaolaola e omo ʻia.

I ka wā pōkole, hiki i ka malabsorption ke hoʻonāukiuki i ka ʻōpū a me ka ʻoluʻolu ʻole no ka mea ʻaʻole hiki ke hoʻoheheʻe ʻia kekahi mau meaʻai. Akā i ka hala ʻana o ka manawa, e hoʻomaka ana kou kino e hōʻike i nā hemahema i nā meaola hiki ʻole iā ʻoe ke omo. Inā nele ʻoe i nā macronutrients - e like me ka protein, ka momona, a me nā carbohydrates - e hoʻomaka ʻoe e ʻike i nā hōʻailona o ka ʻai ʻole, e like me ka hoʻopau ʻana o nā ʻiʻo a me ka nāwaliwali o ka ʻōnaehana pale . Pēlā nō, inā nele ʻoe i nā micronutrients - e like me nā huaora a me nā minelala - hiki ke hoʻopilikia ʻia kou mau maka, iwi, ʻili, a me ka lauoho.

He aha nā ʻano nui o ka malabsorption?

ʻO kekahi mau maʻi ʻōpū, e like me ka maʻi Celiac a me ka maʻi mumū o ka ʻōpū (IBD), hiki ke hoʻopilikia i ka omo ʻana o nā ʻano meaola āpau. I nā hihia ʻē aʻe, loaʻa paha iā ʻoe nā pilikia i ka omo ʻana i kahi meaola kikoʻī wale nō. Eia kekahi o nā ʻano:

ʻAʻole komo pono nā kalapona i ke kino.

He maʻalahi kekahi poʻe i hoʻokahi a ʻoi aku paha mau kalapona (suka). E ʻike paha ʻoe i kēia ma ke ʻano he kinoea, pehu, a me ka ʻeha i loko o kou ʻōpū . ʻO nā kalapona i komo pono ʻole ʻia i loko o kou ʻōpū liʻiliʻi e hoʻoulu ʻia e nā bacteria i loko o kou ʻōpū nui. Hoʻololi kēia mau bacteria iā lākou i kinoea a me nā waikawa momona kaulahao pōkole. Hoʻoulu kēlā kinoea i ke kinoea i loko o kou ʻōpū, a hiki i nā waikawa momona kaulahao pōkole ke hoʻonui i ka momona o kāu mau ʻōpala.

ʻAʻole i komo pono ka momona e ke kino

He ʻano maʻamau nō hoʻi kēia o ka malabsorption. Hiki ke loaʻa i nā kumu he nui. ʻO ka momona i komo ʻole ʻia i loko o ka ʻōpū liʻiliʻi e hele i loko o ka ʻōpū nui, e hana ana i nā ʻōpala momona, e like me ka maʻi diarrhea. Kāhea pū mākou i kēia steatorrhea. He ʻaila kēia ʻano ʻōpala, wai, a pilau . He māmā paha kona kala a lana i ka wai. No ka mea ʻaʻole i komo pono ka momona, ua pilikia pū ka omo ʻana o nā huaora momona-soluble (nā huaora A, D, E, a me K).

Ka malabsorption o ka waikawa bile

I kekahi manawa, ʻaʻole hiki ke omo ʻia ka momona no ka mea ʻaʻole lawa ka bile i hana ʻia e ka gallbladder, nā ʻauwai bile, a i ʻole ke akepaʻa. Akā i kekahi manawa, ʻo ke kumu kekahi mea ʻē aʻe. A laila, noho nā waikawa bile i omo ʻole ʻia i loko o ka ʻōpū liʻiliʻi a hele i loko o ka ʻōpū nui. Ua kapa ʻia kēia hopena ʻaoʻao ʻo Bile Acid Malabsorption. ʻO nā paʻakai bile e noho nei ma kēia ʻano e hoʻonui i ka hoʻokuʻu ʻia ʻana o ka wai mai ka ʻōpū nui, e hoʻoulu ai i ka maʻi diarrhea lōʻihi .

ʻAʻole komo pono ka protein i ke kino

Ma keʻano laulā, ke ʻole ʻoe e hoʻomanawanui i kahi ʻano protein kikoʻī, ʻo ia hoʻi, ka hiki ʻole ke hoʻoheheʻe iā ia, he mea kakaikahi ka loaʻa ʻana o ka pilikia o ka omo ʻana i ka protein wale nō. ʻO nā hiʻohiʻona o kēia ka hiki ʻole ke hoʻoheheʻe i ka protein i loko o ka waiū a me ka hiki ʻole ke hoʻoheheʻe i nā meaʻai i loaʻa ka gluten.

He aha nā hōʻailona inā loaʻa ka malabsorption?

I ka wā mua, ʻike ʻia paha ka malabsorption e like me ka indigestion maʻalahi. Hiki i nā hōʻailona ke komo pū me:

• ʻEha ʻōpū.
• Pehu ʻana, hoʻopiha i ka ʻōpū.
• Ka hele pinepine ʻana o ka ea (kinoea).
• Ka luaʻi a me ka luaʻi.
• Ka maʻi pākī.
• (Steatorrhea) - Momona, ʻaila, i kekahi manawa ʻeleʻele, nā ʻōpala lana.

Me ka hala ʻana o ka manawa, e ʻike ʻia nā hōʻailona o ka ʻai ʻole.

Hiki ke nānā aku ka hemahema o nā meaʻai koʻikoʻi penei:

• Ka pohō kaumaha i manaʻo ʻole ʻia.
• Ka nalowale ʻana o nā ʻiʻo, ka pohō kaumaha.
• Nā maʻi pinepine (ma muli o ka palekana haʻahaʻa).
• Polū ka ʻili ʻoiai me kahi palapū liʻiliʻi.
• ʻIli maloʻo, nā ʻeha ʻili.
• Lauoho maloʻo, hāʻule ka lauoho.
• Dehydration (nele i ka wai i loko o ke kino).
• (Edema) - Ka pehu ʻana o ke kino (ma muli o ka paʻa ʻana o ka wai).
• Anemia - keʻokeʻo, nāwaliwali, dizziness.
• Hoʻonāukiuki mau, nele i ka hoihoi, luhi.
• Ka pau ʻana a i ʻole ka hoʻopau ʻana o ka menstruation i nā wahine (Amenorrhea).
• Ka lohi o ka ulu ʻana o nā keiki.

Hiki ke nānā aku ka maʻi ʻai ʻole o ka micronutrient penei:

• Ka emi ʻana o ka ʻike i ka pō (ka nele o ka Vitamin A).
• Nā iwi nāwaliwali, ʻeha iwi (ka nele o ka Vitamin D).
• Ke kahe koko ʻana o nā ʻāʻī, ke kahe koko ʻana o ka ihu (ka nele o ka Vitamin K).
• ʻAlelo ʻulaʻula, nā ʻeha alelo (ka nele o ka huaora B12).
• ʻEleʻele, nāwaliwali, poniuniu (anemia nele i ka huaora).

He aha nā kumu nui o ka malabsorption?

Hiki i ka malabsorption ke lilo i mea manawa pōkole, e like me ka wā e loaʻa ai iā ʻoe kahi ʻōpū ʻōpū a i ʻole ka maʻi ʻōpū. Akā, ʻo ka malabsorption lōʻihi ke kumu o kahi maʻi maʻi i loaʻa iā ʻoe no ka manawa lōʻihi. Nui nā kumu o ka malabsorption, akā maʻamau lākou e hāʻule i loko o kekahi mau ʻano.

Ka hōʻino ʻana i ka uhi o ka ʻōpū liʻiliʻi

Hoʻopili ʻia ka hapa nui o kāu mau meaʻai i loko o ka ʻōpū liʻiliʻi (hoʻopili ʻia kekahi i loko o ka ʻōpū nui). Pili ka uhi mucous o kou mau paia ʻōpū i ka hoʻopuka ʻana i nā enzymes digestive a me ka hoʻopili ʻana i ka meaʻai wai i loko o kou koko. Eia nō naʻe, hiki ke hōʻino ʻia kēia uhi mucous e ka mumū (enteritis) a me ka ʻeha. Hiki i kēia hōʻino ke lilo i mea manawa pōkole (acute) a i ʻole ka lōʻihi (chronic). Aia kekahi mau kumu no kēia:

• nā maʻi lele e like me ka maʻi Whipple a me ka Tropical Sprue.
• ʻO nā maʻi ʻōpū mumū (IBD) e like me ka maʻi ʻo Crohn a me ka ulcerative colitis.
• Nā maʻi autoimmune e like me ka maʻi Celiac.
• Ka hoʻohana nui ʻana i kekahi mau lāʻau lapaʻau.
• Ka Maʻi Hoʻohana ʻona.
• ʻO ka lāʻau lapaʻau radiation a me ka chemotherapy.
• (Short Bowel Syndrome) - Pōkole o ka ʻōpū liʻiliʻi.
• (Ka ulu nui ʻana o ka bacteria ma ka ʻōpū liʻiliʻi - SIBO) - Ka ulu nui ʻana o ka bacteria ma ka ʻōpū liʻiliʻi.
• ʻO ka hana nui ʻana o ka waikawa o ka ʻōpū ma nā kūlana e like me Zollinger-Ellison Syndrome.

Nā maʻi pancreas, gallbladder, nā maʻi ate

Hana pū kou pancreas, akepaʻa, a me ka gallbladder me kou ʻōpū liʻiliʻi e kōkua iā ʻoe e hoʻoheheʻe i ka meaʻai. Hoʻopuka ka pancreas i nā enzymes digestive koʻikoʻi. Hoʻopuka a mālama ka ate a me ka gallbladder i ka bile. He mea nui kēia bile no ka hoʻoheheʻe ʻana i nā momona. Ke ʻai ʻia ka meaʻai, hoʻokuʻu kēia mau kino i kā lākou mau mea huna i loko o ka ʻōpū liʻiliʻi. Eia naʻe, inā ʻaʻole hana pono kēia mau kino ma muli o kekahi maʻi, ʻaʻole hiki i ka ʻōpū liʻiliʻi ke hoʻoheheʻe pono a omo i ka meaʻai. Nā laʻana:

• Ka lawa ʻole o ka pancreas.
• (Cystic Fibrosis).
• Nā Pāpale ʻana o ka ʻAuwai Bile.
• Nā Maʻi ʻŌpū Gall.
• Maʻi ʻAke.

Nā maʻi o ka ʻōnaehana Lymphatic

Hoʻopili ʻia ka momona mai kou ʻōpū liʻiliʻi i loko o kou kahe koko ma o nā kīʻaha lymph. Inā paʻa kēia mau kīʻaha ma muli o nā maʻi o ka ʻōnaehana lymphatic, hiki ke hoʻopilikia ʻia ka omo ʻana o ka momona. ʻO ka Lymphangiectasia Intestinal a me Lymphoma ʻelua mau laʻana o kēia.

ʻAʻole hiki ke hoʻoheheʻe i kekahi mau meaʻai (Food Intolerances)

ʻO ka hiki ʻole ke hoʻoheheʻe i kekahi mau kalapona a i ʻole nā ​​​​protein hiki ke lilo i hopena ʻaoʻao o nā maʻi ʻōpū. (ʻO kahi laʻana ka hiki ʻole ke hoʻoheheʻe i ka fructose). Akā i kekahi manawa hānau ʻia nā kānaka me ka ʻole o nā enzymes e pono ai ke hoʻoheheʻe i kekahi mau meaʻai. (ʻO ka laʻana maikaʻi loa o kēia ka hiki ʻole ke hoʻoheheʻe i ka lactose - Lactose Intolerance).

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka malabsorption?

E like me nā maʻi ʻōpū he nui, he hana mālie iki ka ʻike ʻana i ka malabsorption. E nānā mua kāu kauka iā ʻoe a noʻonoʻo i kāu mōʻaukala olakino a me nā hōʻailona. Hiki ke kānalua ʻia ka malabsorption inā he mōʻaukala kou o ka maʻi ʻōpū mau a i ʻole ua hana ʻia ke ʻoki kino.

Hiki ke kānalua nui ʻia ka malabsorption a me ka malnutrition inā loaʻa kekahi mau hōʻailona, ​​​​e like me ka steatorrhea i ʻōlelo ʻia ma luna (nā ʻōpala momona) a me ka maʻi diarrhea mau, a i ʻole ka anemia maopopo a me ka hoʻopau ʻana o nā ʻiʻo. Eia nō naʻe, i kekahi mau hihia, ʻaʻole maopopo loa kēia. E hana kāu kauka i nā hoʻokolohua kūpono e hoʻoholo ai i ke kumu pololei o kou ʻeha.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i ka malabsorption?

• Nā Hoʻāʻo Hanu: Hiki i kahi hoʻāʻo hanu hydrogen ke kōkua i ka ʻike ʻana i nā kūlana e like me ka lactose intolerance, nā pilikia hoʻoheheʻe carbohydrate kikoʻī, a me SIBO (ka ulu nui ʻana o ka bacteria intestinal liʻiliʻi).
• Nā Hoʻāʻo Noho: Hiki i kahi hoʻāʻo noho ke ana i ka nui o ka momona i loko o kou noho a hiki ke kōkua i ka ʻike ʻana i ka malabsorption momona. Hiki iā ia ke ʻike i nā mea e like me nā maʻi parasitic a me ka hana ʻole o ka pancreatic.
• Nā hoʻāʻo koko: Hiki i kēia ke hōʻike i nā hōʻailona o nā hemahema meaʻai kikoʻī i hiki ke hana ʻia e ka malabsorption a me nā kūlana olakino kikoʻī e like me ka maʻi Celiac.
• Hoʻāʻo Hou: He hoʻāʻo kūikawā kēia no ka ʻike ʻana i ke kūlana (Cystic Fibrosis).
• Nā Hoʻāʻo Kiʻi: Makemake paha kāu kauka e nānā i nā ʻōpū o kāu ʻōnaehana hoʻoheheʻe e ʻike inā he mau hōʻailona. Hiki i kēia ke komo pū me kahi hoʻokolohua GI X-ray, Endoscopic Ultrasound, a i ʻole Video Capsule Endoscopy.
• ʻO ka Biopsy ʻōpū liʻiliʻi:Makemake paha ke kauka e lawe i kahi hāpana o nā ʻiʻo mai kou ʻōpū liʻiliʻi no ka hoʻāʻo ʻana ma kahi keʻena hoʻokolohua. Hiki i kēia biopsy ke nānā i nā hōʻike o ka hōʻino ʻana i ka uhi o kou ʻōpū (mucosa). Hiki ke lawe ʻia kēia hāpana i ka wā o kahi endoscopy.

Pehea e mālama ʻia ai ka malabsorption?

Nui nā kumu kumu o ka malabsorption, a he ākea ka laulā o nā hopena e hiki ai ke hana. E hoʻoholo ʻia kāu lāʻau lapaʻau ma muli o kēia mau mea.

No ka mālama ʻana i nā hopena o ka malabsorption, pono paha ʻoe i nā mea hoʻohui meaʻai . Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he wai ma ka waha, ma o kahi paipu (hānai paipu), a i ʻole i loko o kahi aʻa (IV - intravenous). Pono paha ʻoe e lawe i nā enzymes digestive kūikawā. Hiki paha kēia no ka mea ʻaʻole hiki iā ʻoe ke hoʻoheheʻe i kahi meaʻai a i ʻole no ka mea ʻaʻole hana pono kāu pancreas. Inā loaʻa iā ʻoe ka malabsorption bile acid, hiki ke hāʻawi ʻia iā ʻoe kahi mea i kapa ʻia he bile acid sequestrant e kōkua i ka pale ʻana i ka maʻi diarrhea.

Hiki ke paʻakikī iki ka mālama ʻana i ke kumu nui o ka malabsorption. Inā he meaʻai ʻole wale nō ia, pono paha ʻoe e hoʻololi i kāu papaʻai. Hiki ke mālama ʻia nā maʻi maʻalahi me nā antibiotics. Akā, pono nā maʻi lōʻihi i ka mālama kūikawā. I kekahi manawa ʻaʻohe lāʻau koke, akā hiki i nā hoʻololi ʻana i ke ʻano o ka nohona ke kōkua i ka kaohi ʻana i nā hōʻailona.

E ho'ōla ʻia anei ka malabsorption?

Pili kēia i ka ʻike ʻana i ke kumu pololei a me ka mālama pono ʻana iā ia. ʻOi aku ka maʻalahi o kekahi mau kumu e mālama ʻia ma mua o nā mea ʻē aʻe. Ke loaʻa iā ʻoe ka maʻi, e wehewehe kāu kauka i nā kikoʻī o kou kūlana. I nā hihia he nui, hiki i nā hoʻololi ʻana i ke ʻano o ka nohona ke kōkua iā ʻoe e mālama i ke kūlana (malabsorption) a me kāna mau hōʻailona.

He nui ka poʻe e ʻike i nā wā o ka ʻōpū ʻole, ka pehu ʻana, ke kinoea, a me ka maʻi pākī i kekahi manawa. Inā ʻaʻole hana kekahi mea āu e ʻai ai iā ʻoe, hiki iā ʻoe ke ʻike i nā hōʻailona manawa pōkole, akā naʻe nalo wale lākou iā lākou iho. ʻAʻohe mea e hopohopo ai kēia ʻano ʻōpū ʻole. Akā inā loaʻa iā ʻoe kēia mau hōʻailona ma ke ʻano maʻamau, he hōʻailona paha ia o kahi mea ʻoi aku ka koʻikoʻi. ʻO ka maʻi pākī e hoʻomau nei he mea ia e hopohopo mau ai ʻoe.

Hiki i ka malabsorption ke lilo i kumu huna o ka ʻai ʻole. No ka mea, lohi ka ulu ʻana o ka ʻai ʻole, ʻaʻole paha ʻoe e ʻike a hiki i ka wā e koʻikoʻi loa ai, ʻoiai inā he kanaka hānai maikaʻi ʻoe. He mea weliweli loa kēia no nā keiki. Pono lākou i nā meaʻai hou aʻe no ka ulu ʻana a me ka hoʻomohala ʻana, a ʻaʻole paha lākou e hiki ke haʻi iā ʻoe e pili ana i kā lākou mau hōʻailona. Inā hōʻike kāu keiki i nā hōʻailona o ka ʻōpū hou, ʻoiai nā ʻōpala palupalu, he mea nui e ʻike i ke kauka e hōʻoia ʻaʻole lākou i loaʻa i kahi maʻi malabsorption.

He aha ka leka a mākou e makemake ai e lawe i ka home mai kēia ʻatikala?

ʻAe, i kēia manawa ua ʻike mākou ʻo ka malabsorption kahi huaʻōlelo maʻamau no ka hiki ʻole o ke kino ke omo i nā meaola mai ka meaʻai a mākou e ʻai ai. Nui nā kumu no kēia, a hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka.

• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha pinepine o ka ʻōpū, ka maʻi pākī, ka pehu ʻana, a me ka pohō kaumaha i manaʻo ʻole ʻia , mai hoʻokuʻu wale iā ia he indigestion.
• Hiki i ka Malabsorption ke hoʻoulu i ka malnutrition , hiki ke loaʻa nā hopena maikaʻi ʻole i ke kino.
• Inā hoʻomau ʻoe a i ʻole kāu keiki i kēia mau hōʻailona, ​​​​e ʻimi pono i ke kōkua lapaʻau .
• Inā ʻike pololei ʻia a mālama pono ʻia, hiki ke kaohi pinepine ʻia kēia ʻano.

E hoʻomanaʻo, he mea nui e hoʻolohe i ka mea a kou kino e haʻi aku nei iā ʻoe. ʻOiai paha he mea liʻiliʻi ia, i kekahi manawa hiki ke lilo i hoʻomaka o kahi mea nui. No laila, ʻo ka mālama ʻana i kou olakino ka mea nui loa.

ʻO ka malabsorption, ka nele i ka meaʻai, ka ʻai ʻana, ka maʻi pākīkī, ka ʻai pono ʻole, ka nele i nā wikamina, ka ʻeha o ka ʻōpū