Kodi simukuyamwa bwino zomwe mumadya? Tiyeni tikambirane za izi (Malabsorption)!

Kodi nthawi zambiri mumakhala ndi mavuto a m'mimba? Kodi nthawi zina mumamva kukhuta komanso kutopa ndi mpweya? Kapena nthawi zambiri mumavutika ndi kudzimbidwa? Nthawi zina timaganiza kuti izi ndi zinthu zachibadwa, zomwe zimachitika chakudya chikakhala chokometsera pang'ono. Komabe, ngati zizindikirozi zikupitirira, mwina chifukwa chakuti thupi lanu silikutenga michere yomwe limafunikira kuchokera muzakudya zomwe mumadya. Mu zamankhwala, timatcha vutoli (Malabsorption).

Kodi ichi ndi chiyani (Malabsorption)?

Mwachidule, kusamwa bwino chakudya ndi mawu ofala otanthauza kulephera kwa thupi lanu kuyamwa bwino zakudya zomwe mumadya. Ili si matenda amodzi okha, koma vuto lomwe lingayambitsidwe ndi zinthu zambiri. Taganizirani izi, tikamadya chakudya, kuti chipereke mphamvu ndi zakudya m'thupi lathu, chiyenera kugayidwa bwino ndi kuyamwa, eti?

Tikhoza kugawa njira yogayira chakudya m'magawo atatu:

1. Gawo Loyamba: Kudula chakudya bwino ndikuchigawa m'zidutswa zogayidwa.

2. Gawo lachiwiri: Kutenga zakudya zonse zofunika m'thupi kuchokera ku chakudya chomwe chagayidwa.

3. Gawo Lachitatu: Kutulutsa zinyalala zomwe zatsala zinthu zonse zabwino zitayamwa.

Tsopano, ngati muli ndi vuto la kugaya chakudya, vutoli likhoza kukhala pa gawo lililonse mwa magawo awa. Kusamwa chakudya m'thupi ndi gawo la gawo lachiwiri . Izi zikutanthauza kuti ngakhale chakudya chigayidwa, michere yake siilowa m'thupi. Izi zitha kuchitika chifukwa cha matenda monga kusowa kwa ma enzyme omwe amalepheretsa thupi kugaya zakudya zina (monga anthu ena sangathe kugaya mkaka) ndi matenda osiyanasiyana am'mimba omwe amakhudza dongosolo lanu la kugaya chakudya.

Kodi chimachitika ndi chiyani ngati pali malabsorption?

Ngati muli ndi vuto la kusamwa bwino chakudya, mwina mukuvutika kuyamwa zakudya zonse, kapena mwina mukuvutika kuyamwa zakudya zochepa chabe. Zinthu zomwe simungathe kuyamwa zimatuluka m'chimbudzi chanu popanda kugayidwa. Anthu ambiri omwe ali ndi vuto la kusamwa bwino chakudya alinso ndi matenda monga kutsegula m'mimba, zomwe zingapangitse kuti vutoli liziipireipire. Izi zili choncho chifukwa mukakhala ndi vuto la kutsekula m'mimba, chakudya chimadutsa m'matumbo mwachangu kwambiri, kotero kuti zakudya sizimakhala ndi nthawi yoti zilowe m'thupi.

M'kanthawi kochepa, kusamwa bwino chakudya kungayambitse kusokonezeka m'mimba komanso kusasangalala chifukwa zakudya zina sizingagayidwe. Koma pakapita nthawi, thupi lanu lidzayamba kusonyeza kuperewera kwa zakudya zomwe simungathe kuzidya. Ngati mulibe zakudya zokwanira - monga mapuloteni, mafuta, ndi chakudya - mudzayamba kuona zizindikiro za kusowa zakudya m'thupi, monga kuchepa kwa minofu ndi kufooka kwa chitetezo cha mthupi . Mofananamo, ngati mulibe zakudya zokwanira - monga mavitamini ndi mchere - maso anu, mafupa, khungu, ndi tsitsi lanu zingakhudzidwe.

Kodi mitundu ikuluikulu ya malabsorption ndi iti?

Matenda ena a m'mimba, monga Celiac Disease ndi Inflammatory Bowel Disease (IBD), angayambitse mavuto pa kuyamwa kwa mitundu yonse ya michere. Nthawi zina, mungakhale ndi vuto loyamwa michere inayake yokha. Nazi zina mwa mitundu iyi:

Chakudya sichimayamwa bwino ndi thupi.

Anthu ena amakhudzidwa ndi chakudya chimodzi kapena zingapo (shuga). Mutha kuzindikira izi makamaka ngati mpweya, kudzimbidwa, ndi kupweteka m'mimba mwanu . Chakudya chomwe sichimayamwa bwino m'matumbo mwanu ang'onoang'ono chimapangidwa ndi mabakiteriya m'matumbo mwanu akuluakulu. Mabakiteriyawa amawasandutsa mpweya ndi mafuta afupiafupi. Mpweya umenewo umayambitsa mpweya m'mimba mwanu, ndipo mafuta afupiafupi angapangitse ndowe zanu kukhala zonenepa kwambiri.

Mafuta salowa bwino m'thupi

Iyi ndi njira yodziwika bwino ya kusayamwa bwino kwa mafuta m'thupi. Imatha kukhala ndi zifukwa zambiri. Mafuta omwe salowa m'matumbo ang'onoang'ono amalowa m'matumbo akuluakulu, zomwe zimayambitsa ndowe zamafuta, zofanana ndi kutsegula m'mimba. Timatchanso izi kuti steatorrhea. Mtundu uwu wa ndowe ndi wamafuta, wamadzi, komanso wonunkha . Ungakhale wopepuka komanso woyandama m'madzi. Chifukwa mafuta salowa bwino, kuyamwa kwa mavitamini osungunuka mafuta (mavitamini A, D, E, ndi K) kumachepanso.

Kusabvongodza kwa asidi ya bile

Nthawi zina mafuta sangalowe m'thupi chifukwa ndulu, ndulu, kapena chiwindi sizipanga ndulu yokwanira. Koma nthawi zina chifukwa chake chimakhala china. Kenako, ma asidi a ndulu osayamwa amakhalabe m'matumbo ang'onoang'ono ndikulowa m'matumbo akulu. Zotsatirapo izi zimatchedwa Bile Acid Malabsorption. Mchere wa ndulu womwe umatsala mwanjira imeneyi umawonjezera kutulutsa madzi m'matumbo akulu, zomwe zimapangitsa kutsegula m'mimba kwa nthawi yayitali .

Mapuloteni satengedwa bwino ndi thupi

Kawirikawiri, pokhapokha ngati muli ndi vuto la mtundu winawake wa puloteni, kutanthauza kuti, simungathe kuigaya, nthawi zambiri mumakhala ndi mavuto otenga puloteni yokha. Zitsanzo za izi ndi kulephera kugaya puloteni yomwe ili mu mkaka komanso kulephera kugaya zakudya zomwe zili ndi gluten.

Kodi zizindikiro zake ndi ziti ngati pali kusabzalidwa bwino kwa mankhwala?

Poyamba, kusamwa bwino chakudya kungawoneke ngati kusadya bwino chakudya. Zizindikiro zake ndi izi:

• Kupweteka m'mimba.
• Kutupa, kudzaza mimba.
• Kutuluka mpweya pafupipafupi (gasi).
• Kusanza ndi kusanza.
• Kutsegula m'mimba.
• (Steatorrhea) - Chimbudzi chonenepa, chamafuta, nthawi zina chosintha mtundu, choyandama.

Pakapita nthawi, zizindikiro za kusowa zakudya m'thupi zimayamba kuonekera.

Kusowa zakudya m'thupi kwa michere yofunika kungawoneke motere:

• Kuchepetsa thupi mosadziwa.
• Kutaya minofu, kuchepetsa thupi.
• Matenda obwerezabwereza (chifukwa cha chitetezo chamthupi chochepa).
• Khungu limakhala labuluu ngakhale litakhala ndi bala laling'ono.
• Khungu louma, zilonda za pakhungu.
• Tsitsi louma, kutayika kwa tsitsi.
• Kusowa madzi m'thupi (kusowa kwa madzi m'thupi).
• (Edema) - Kutupa kwa thupi (chifukwa cha kusunga madzi m'thupi).
• Kuchepa kwa magazi m'thupi - kufooka, chizungulire, kufooka.
• Kukwiya nthawi zonse, kusowa chidwi, kutopa.
• Kusiya kapena kusasamba kosakhazikika kwa akazi (Amenorrhea).
• Kuchedwa kukula kwa ana.

Kusowa zakudya m'thupi kungawoneke motere:

• Kusawona bwino usiku (kusowa kwa Vitamini A).
• Mafupa ofooka, kupweteka kwa mafupa (kusowa kwa Vitamini D).
• Kutuluka magazi m'kamwa, kutuluka magazi m'mphuno (kusowa kwa Vitamini K).
• Lilime lofiira, zilonda za lilime (kusowa kwa Vitamini B12).
• Kutuwa, kufooka, chizungulire (kusowa kwa vitamini m'thupi).

Kodi zifukwa zazikulu zomwe zimayambitsa kusamwa bwino kwa chakudya m'thupi ndi ziti?

Kusamwa madzi m'thupi (malabsorption) kungakhale kwakanthawi, monga ngati muli ndi kachilombo ka m'mimba kapena chimfine cha m'mimba. Koma kusamwa madzi m'thupi kwa nthawi yayitali kumachitika chifukwa cha matenda omwe mwakhala nawo kwa nthawi yayitali. Pali zifukwa zambiri zomwe zimayambitsa kusamwa madzi m'thupi (malabsorption), koma nthawi zambiri zimagawidwa m'magulu angapo.

Kuwonongeka kwa matumbo ang'onoang'ono

Zakudya zambiri zomwe mumadya zimalowa m'matumbo ang'onoang'ono (zina zimalowanso m'matumbo akuluakulu). Mucous nembanemba ya m'matumbo anu imakhudzidwa ndi kutulutsa ma enzymes ogaya chakudya komanso kuyamwa chakudya chamadzimadzi m'magazi mwanu. Komabe, mucous nembanemba iyi imatha kuwonongeka ndi kutupa (enteritis) ndi kuvulala. Kuwonongeka kumeneku kungakhale kwakanthawi (koopsa) kapena kwa nthawi yayitali (kosatha). Pali zifukwa zingapo zomwe zimapangitsa izi:

• Matenda opatsirana monga matenda a Whipple ndi Tropical Sprue.
• Matenda a m'mimba otupa (IBD) monga Ulcerative Colitis ndi Matenda a Crohn.
• Matenda a Autoimmune monga Celiac Disease.
• Kugwiritsa ntchito mankhwala ena mopitirira muyeso.
• Kusokonezeka kwa Kugwiritsa Ntchito Mowa.
• Chithandizo cha radiation ndi chemotherapy.
• (Matenda a M'mimba Mwachidule) - Kuchepa kwa matumbo ang'onoang'ono.
• (Kukula Kwambiri kwa Mabakiteriya a M'mimba Mwaing'ono - SIBO) - Kukula Kwambiri kwa mabakiteriya m'matumbo ang'onoang'ono.
• Kuchuluka kwa asidi m'mimba m'matenda monga Zollinger-Ellison Syndrome.

Pancreas, ndulu, matenda a chiwindi

Pancreas yanu, chiwindi, ndi ndulu zimagwira ntchito limodzi ndi matumbo anu ang'onoang'ono kuti zikuthandizeni kugaya chakudya. Pancreas imapanga ma enzyme ofunikira kugaya chakudya. Chiwindi ndi ndulu zimapanga ndikusunga ndulu. Ndulu iyi ndi yofunika kwambiri pogaya mafuta. Chakudya chikadyedwa, ziwalozi zimatulutsa madzi ake m'matumbo ang'onoang'ono. Komabe, ngati ziwalozi sizikugwira ntchito bwino chifukwa cha matenda enaake, matumbo ang'onoang'ono sangathe kugaya bwino ndikuyamwa chakudya. Zitsanzo:

• Kusakwanira kwa kapamba.
• (Cystic Fibrosis).
• Kutsekeka kwa Mitsempha ya Bile.
• Matenda a ndulu.
• Matenda a Chiwindi.

Matenda a Lymphatic System

Mafuta amalowa m'magazi kuchokera m'matumbo anu ang'onoang'ono kudzera m'mitsempha ya lymph. Ngati mitsempha iyi yatsekedwa chifukwa cha matenda a dongosolo la lymphatic, kuyamwa kwa mafuta kumatha kusokonekera. Lymphangiectasia ya m'matumbo ndi Lymphoma ndi zitsanzo ziwiri za izi.

Kulephera kugaya zakudya zina (Kusalolera chakudya)

Kulephera kugaya chakudya kapena mapuloteni enaake kungakhale zotsatirapo zoyipa za matenda am'mimba. (Chitsanzo ndi kulephera kugaya fructose). Koma nthawi zina anthu amabadwa opanda ma enzyme ofunikira kugaya zakudya zinazake. (Chitsanzo chabwino kwambiri cha izi ndi kulephera kugaya lactose - Lactose Intolerance).

Kodi mungadziwe bwanji ngati muli ndi vuto la malabsorption?

Monga matenda ambiri am'mimba, kuzindikira matenda a malabsorption ndi njira yodziwira pang'onopang'ono. Dokotala wanu adzayamba wakuyang'anani kaye ndikuwona mbiri yanu yachipatala ndi zizindikiro zake. Malabsorption ingakayikidwe ngati muli ndi mbiri ya matenda aakulu am'mimba kapena munachitidwa opaleshoni.

Kusamwa bwino chakudya ndi kusowa zakudya m'thupi kungakayikidwe kwambiri ngati pali zizindikiro zina, monga steatorrhea (chimbudzi chamafuta) chomwe chatchulidwa pamwambapa ndi kutsegula m'mimba kosalekeza, kapena kuchepa kwa magazi m'thupi komanso kuchepa kwa minofu. Komabe, nthawi zina, izi sizikudziwika bwino. Dokotala wanu adzachita mayeso oyenera kuti adziwe chomwe chikukuchititsani kusasangalala.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matenda a malabsorption?

• Mayeso a Mpweya: Kuyesa mpweya wa hydrogen kungathandize kuzindikira matenda monga kusagwirizana ndi lactose, mavuto enaake a carbohydrate kugaya chakudya, ndi SIBO (kukula kwambiri kwa mabakiteriya a m'matumbo ang'onoang'ono).
• Kuyesa Chimbudzi: Kuyesa chimbudzi kungathe kuyeza kuchuluka kwa mafuta omwe ali mu chimbudzi chanu ndipo kungathandize kuzindikira mafuta omwe salowa bwino m'thupi. Kungathenso kuzindikira zinthu monga matenda opatsirana ndi matenda a kapamba.
• Mayeso a Magazi: Izi zingasonyeze zizindikiro za kusowa kwa michere yomwe ingayambitsidwe ndi kusayamwa bwino chakudya komanso matenda enaake monga Matenda a Celiac.
• Kuyesa Thukuta: Iyi ndi njira yeniyeni yodziwira vutoli (Cystic Fibrosis).
• Mayeso Ojambula: Dokotala wanu angafune kuyang'ana ziwalo za m'mimba mwanu kuti aone ngati pali zizindikiro zilizonse. Izi zitha kuphatikizapo GI X-ray Exam, Endoscopic Ultrasound, kapena Video Capsule Endoscopy.
• Kufufuza kwa Matumbo Ang'onoang'ono:Dokotala angafune kutenga chitsanzo cha minofu kuchokera m'matumbo anu ang'onoang'ono kuti akayesedwe mu labu. Biopsy iyi ikhoza kuyang'ana umboni wa kuwonongeka kwa mucosa m'matumbo anu. Chitsanzo ichi chikhoza kutengedwa panthawi ya endoscopy.

Kodi kulephera kumeza mankhwala oletsa kuyamwa kwa mankhwala kumachiritsidwa bwanji?

Pali zifukwa zambiri zomwe zimayambitsa kusamwa bwino kwa mankhwala m'thupi, ndipo zotsatira zake ndi zambiri. Chithandizo chanu chidzatsimikiziridwa kutengera izi.

Kuti muchiritse mavuto a kusamwa bwino kwa chakudya, mungafunike zakudya zowonjezera . Zitha kuperekedwa ngati zakumwa kudzera pakamwa, kudzera mu chubu (kudya m'chubu), kapena kudzera mumtsempha (IV - kudzera m'mitsempha). Mungafunikenso kumwa ma enzyme apadera ogaya chakudya. Izi zitha kukhala chifukwa chakuti simungathe kugaya chakudya china kapena chifukwa chakuti kapamba wanu sakugwira ntchito bwino. Ngati muli ndi vuto la kusamwa bwino kwa chakudya m'thupi, mungapatsidwe chinthu chotchedwa bile acid sequestrant kuti mupewe kutsegula m'mimba.

Kuchiza chomwe chimayambitsa kusamwa bwino kwa chakudya kungakhale kovuta kwambiri. Ngati ndi vuto la kusadya bwino, mungafunike kusintha zakudya zanu. Matenda osavuta amatha kuchiritsidwa ndi maantibayotiki. Koma matenda a nthawi yayitali amafunika chithandizo chapadera. Nthawi zina palibe mankhwala omwe amachizidwa nthawi yomweyo, koma kusintha kwa moyo kungathandize kuchepetsa zizindikiro.

Kodi kulephera kumeza mankhwala kudzachiritsidwa?

Izi zimadalira kudziwa chomwe chikuyambitsa ndikuchichiza moyenera. Zina mwa zifukwa zimakhala zosavuta kuchiza kuposa zina. Mukapezeka ndi matendawa, dokotala wanu adzakufotokozerani tsatanetsatane wa vuto lanu. Nthawi zambiri, kusintha kwa moyo wanu kungakuthandizeni kuchiza vutoli (malabsorption) ndi zizindikiro zake.

Anthu ambiri nthawi zina amakumana ndi vuto la kusagaya bwino chakudya, kudzimbidwa, mpweya, ndi kutsegula m'mimba. Ngati chakudya chomwe simukudya sichikugwira ntchito kwa inu, mungakhale ndi zizindikiro zakanthawi, koma nthawi zambiri zimatha zokha. Mtundu uwu wa kusagaya bwino chakudya si chinthu chodetsa nkhawa nacho. Koma ngati mumakhala ndi zizindikirozi nthawi zonse, zingakhale chizindikiro cha vuto lalikulu. Kutsegula m'mimba komwe kumapitirira ndi chinthu chomwe muyenera kuda nkhawa nacho nthawi zonse.

Kusamwa madzi m'thupi kungakhale chifukwa chobisika cha kusowa kwa zakudya m'thupi. Chifukwa kusowa zakudya m'thupi kumayamba pang'onopang'ono, simungazindikire mpaka zitakula kwambiri, makamaka ngati ndinu munthu wodya bwino. Izi ndi zoopsa kwambiri kwa ana. Amafunika zakudya zambiri kuti akule bwino, ndipo sangakuuzeni za zizindikiro zawo. Ngati mwana wanu akuwonetsa zizindikiro za kuvutika m'mimba mobwerezabwereza, makamaka ndowe zotayirira, ndikofunikira kuonana ndi dokotala kuti atsimikizire kuti alibe vuto la kusamwa madzi m'thupi.

Kodi uthenga umene tikufuna kutenga kuchokera m'nkhaniyi ndi wotani?

Chabwino, tsopano tikudziwa kuti kusamwa bwino chakudya ndi mawu ofala otanthauza kulephera kwa thupi kuyamwa zakudya kuchokera muzakudya zomwe timadya. Pali zifukwa zambiri zomwe zimayambitsa izi, ndipo zizindikiro zimatha kusiyana malinga ndi munthu.

• Ngati mukukumana ndi zizindikiro monga kuvutika m'mimba pafupipafupi, kutsegula m'mimba, kudzimbidwa, komanso kuchepa thupi mwangozi , musamangoganiza kuti ndi vuto la kusagaya bwino chakudya.
• Kusamwa madzi m'thupi kungayambitse matenda a kusowa zakudya m'thupi , zomwe zingakhudze thupi lonse.
• Ngati inu kapena mwana wanu mukupitirizabe kukhala ndi zizindikiro izi, onetsetsani kuti mwapeza upangiri wa dokotala .
• Ngati matendawa atapezeka bwino ndikuchiritsidwa moyenera, vutoli nthawi zambiri limatha kuthetsedwa.

Kumbukirani, ndikofunikira kumvetsera zomwe thupi lanu likukuuzani. Ngakhale zingawoneke ngati zazing'ono, nthawi zina zimatha kukhala chiyambi cha chinthu chachikulu. Chifukwa chake, kusamalira thanzi lanu ndiye chinthu chofunikira kwambiri.

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