Kodi muli ndi ndowe yamafuta kwambiri? Tiyeni tikambirane za izi (Steatorrhea)

Ndizachilendo kuti matumbo athu asinthe pang'ono kutengera zomwe timadya. Koma kodi mwaonapo kuti ndowe zanu zimakhala ndi mafuta kapena mafuta achilendo? Kodi zimayandama m'madzi, zimakhala zotuwa, komanso zimakhala ndi fungo loipa losapiririka? Ngati izi sizichitika kwa tsiku limodzi kapena awiri, koma zikupitirira, zitha kukhala chizindikiro chakuti pali vuto linalake m'thupi lathu. Lero tikulankhula za vuto ili lotchedwa 'ndowe zamafuta' kapena 'steatorrhea' m'mawu azachipatala.

Mwachidule, kodi Steatorrhea ndi chiyani?

Steatorrhea ndi pamene ndowe yanu ili ndi mafuta ambiri. Mwachidule, pamene mafuta omwe ali mu chakudya chomwe mumadya sakugayidwa bwino ndi thupi, mafuta osayamwa amatuluka mu ndowe. Vutoli limatchedwa fat malabsorption .

Izi ndi zizindikiro zodziwika bwino za mtundu uwu wa chopondapo:

• Kukula kukula .
• Kukhala ndi khalidwe lotayirira komanso lamadzimadzi.
• Kukhala ndi mawonekedwe amafuta kapena mafuta .
• Mwina thovu.
• Kukhala wotumbululuka ngati dongo.
• Kukhala ndi fungo loipa kwambiri, losapiririka .
• Madzi akuyandama m'mbale ya chimbudzi .
• Kuvuta kutsuka (kumata kwa chimbudzi).

Izi zingachitike ngati mudya chakudya chonenepa nthawi zina. Koma ngati zizindikirozi zikupitirira, si bwino kuzinyalanyaza.

N’chifukwa chiyani mafuta amaonekera m’chimbudzi chathu? N’chiyani chimachitika panthawi yogaya chakudya?

Ganizirani za kugaya mafuta ngati masewera a timu. Pali osewera atatu akuluakulu pamasewerawa: chiwindi, kapamba, ndi matumbo ang'onoang'ono.

1. Chiwindi: Chiwindi chimapanga madzi otchedwa "bile." Bile iyi imaswa tinthu tamafuta tambiri kukhala ting'onoting'ono.

2. Pancreas: Pancreas imapanga ma enzyme apadera ofunikira kugaya mafuta.

3. Matumbo ang'onoang'ono: Ndudu yochokera ku chiwindi ndi ma enzyme ochokera ku kapamba amasonkhana m'matumbo ang'onoang'ono. Apa ndi pomwe mafuta amasweka kwathunthu ndikulowa m'thupi.

Steatorrhea imachitika ngati china chake chalakwika panthawiyi.

• Ngati kapamba sangathe kupanga ma enzyme okwanira .
• Ngati chiwindi sichingathe kupanga ndulu yokwanira .
• Ngakhale izi zitapangidwa, sizingatumizidwe ku matumbo ang'onoang'ono chifukwa cha kutsekeka kwa njira zotulutsira madzi m'thupi.
• Kapena, pali kuwonongeka kwina kwa matumbo ang'onoang'ono.Ngati simungathe kuyamwa mafuta.

Kodi zifukwa zazikulu za steatorrhea ndi ziti?

Pali matenda angapo omwe angayambitse vutoli. N'zosavuta kuwamvetsa mwa kuwagawa m'magulu malinga ndi chiwalo chomwe chikukhudzidwa.

Kodi dokotala amapeza bwanji chifukwa cha izi?

Ngati muli ndi zizindikiro izi, pitani kwa dokotala.Iye adzakufunsani za zizindikiro zanu ndikukuyesani. Akhozanso kuchita mayeso ena kuti adziwe chomwe chimayambitsa matendawa.

• Kusanthula mafuta m'chimbudzi: Izi zimaphatikizapo kusonkhanitsa chitsanzo cha ndowe yanu kwa masiku amodzi kapena atatu ndikuyesa kuchuluka kwa mafuta omwe ali mmenemo. Izi zingathandize kudziwa kuchuluka kwa mafuta omwe mwatenga kuchokera muzakudya zomwe mwadya komanso kuchuluka kwa mafuta omwe atuluka m'chimbudzi chanu.
• Kuyesa kwa D-xylose: Izi zingathandize kudziwa ngati vuto lili m'matumbo ang'onoang'ono kapena kapamba/chiwindi. Mumamwa madzi okhala ndi shuga otchedwa D-xylose, kenako mkodzo wanu (kapena mwina magazi) umayesedwa patatha maola angapo. Ngati shuga uyu ali mumkodzo, zikutanthauza kuti watengedwa bwino ndi matumbo. Choncho vuto likhoza kukhala mu kapamba kapena chiwindi. Koma ngati mulibe shuga mumkodzo, dokotala angadziwe kuti vutoli likuchitika chifukwa cha kusayamwa bwino m'matumbo.

Kuphatikiza apo, endoscopy, scans, kapena mayeso ena a magazi angapangidwe kutengera chifukwa chake.

Kodi chithandizo ndi zakudya zili bwanji?

Kuchiza steatorrhea kwenikweni kumatanthauza kuchiza vuto lomwe limayambitsa steatorrhea. Mwachitsanzo:

• Ngati ma enzyme a kapamba sakwanira, ma enzyme otchedwa Pancreatic Enzyme Replacement Therapy (PERT) amaperekedwa ngati mapiritsi.
• Ngati pali vuto ndi kupanga ndulu, mankhwala oyenera (monga Ursodeoxycholic acid) amaperekedwa.

Kuphatikiza apo, mavuto omwe amabwera chifukwa cha kusayamwa bwino kwa mafuta m'thupi ayeneranso kuthandizidwa. Chofunika kwambiri ndi kusowa kwa mavitamini . Mafuta akasayamwa bwino, mavitamini osungunuka m'mafuta monga mavitamini A, D, E, ndi K sayamwa. Chifukwa chake, dokotala angalimbikitse kumwa mavitaminiwa ngati zowonjezera.

Kodi muyenera kusamalira bwanji chakudya?

Kusintha kwenikweni kwa zakudya zomwe muyenera kuchita kudzadalira chomwe chimayambitsa steatorrhea yanu. Ndi bwino kukambirana izi ndi dokotala wanu.

• Ngati zimachitika nthawi zina (chifukwa chodya zakudya zonenepa kwambiri): Chepetsani zinthu monga batala, mafuta olemera, mafuta a kokonati, mafuta a kanjedza, nyama yofiira, ndi zakudya zokonzedwa kale.
• Ngati ndi chifukwa cha vuto la kuyamwa mafuta (Malabsorption): Apa nkhani ndi yosiyana pang'ono. Thupi limafuna mafuta kuti lipeze mphamvu zomwe limafunikira. Chifukwa chake, dokotala angakulangizeni kuti muwonjezere zakudya zambiri zokhala ndi mafuta abwino (mafuta osakhuta) m'malo mwa mafuta oipa. Zitsanzo:
• Nsomba zamafuta monga salimoni, tuna, ndi mackerel
• Ma Avokado
• Mafuta a azitona
• Mafuta a mtedza
• Zakudya zokhala ndi mavitamini osungunuka mafuta ambiri:
• Vitamini A: mafuta a nsomba, batala, mazira, kaloti
• Vitamini D: nsomba yamafuta, bowa, kutentha kwa dzuwa
• Vitamini E: Mbewu za mpendadzuwa, amondi
• Vitamini K: Ndiwo zamasamba zobiriwira monga sipinachi ndi kale