Hausi kunwisa zvakanaka zvaunodya here? Ngatikurukurei nezveizvi (Malabsorption)!

Unowanzova nematambudziko emudumbu here? Dzimwe nguva unonzwa wakaguta uye une gasi here? Kana kuti unowanzo tambura nekuzvimba kwechiropa? Dzimwe nguva tinofunga kuti izvi zvinhu zvakajairika, chimwe chinhu chinoitika kana chikafu chiine munyu. Zvisinei, kana zviratidzo izvi zvikaramba zviripo, zvinogona kunge zvichikonzerwa nekuti muviri wako hausi kutora zvinovaka muviri zvaunoda kubva muchikafu chaunodya. Mukurapa, tinodana chirwere ichi kuti (Malabsorption).

Chii ichi (Malabsorption)?

Zvichitaurwa zviri nyore, kusanyungudika kwemuviri (malabsorption) izwi rinowanzo reva kusakwanisa kwemuviri wako kupinza zvinovaka muviri zvakanaka kubva muchikafu chaunodya. Ichi hachisi chirwere chimwe chete, asi chirwere chinogona kukonzerwa nezvinhu zvakawanda. Funga nezvazvo, patinodya chikafu, kuti chipe simba nekudya kunovaka muviri kumuviri wedu, chinofanira kugayiwa zvakanaka uye kunyudzwa, handiti?

Tinogona kupatsanura maitiro ekugaya chikafu muzvikamu zvitatu:

1. Chikamu Chekutanga: Kucheka chikafu zvakanaka uye kuchipwanya kuita zvidimbu zvinogayiwa.

2. Chikamu chechipiri: Kutora zvese zvinovaka muviri zvinodiwa nemuviri kubva muchikafu chinogayiwa.

3. Chikamu Chechitatu: Kubvisa marara anosara mushure mekunge zvinhu zvese zvakanaka zvatorwa.

Zvino, kana uine matambudziko ekugaya chikafu, dambudziko rinogona kunge riri padanho ripi zvaro rekugaya chikafu. Kusadya chikafu zvakanaka chikamu chedanho rechipiri . Izvi zvinoreva kuti kunyangwe chikafu chichigayiwa, zvinovaka muviri hazvipindi mumuviri. Izvi zvinogona kukonzerwa nemamiriro ezvinhu akadai sekushomeka kwema enzymes anotadzisa muviri kugaya chikafu chimwe (semuenzaniso, vamwe vanhu havagone kugaya mukaka) uye zvirwere zvakasiyana-siyana zvemudumbu zvinokanganisa kugaya chikafu.

Chii chinoitika kana paine malabsorption?

Kana uine chirwere chekusamwisa muviri, ungave nedambudziko rekunwa zvinovaka muviri zvese, kana kuti ungave nedambudziko rekunwa zvinovaka muviri zvishoma chete. Zvinhu zvausingakwanise kunwa zvinobuda mutsvina yako zvisina kugayiwa. Vanhu vazhinji vane chirwere chekusamwisa muviri vanewo zvirwere zvakaita semanyoka, izvo zvinogona kuwedzera dambudziko iri rekunwa. Izvi zvinokonzerwa nekuti kana uine manyoka, chikafu chinofamba nemudumbu mako nekukurumidza, saka zvinovaka muviri hazviwani nguva yekunwa.

Munguva pfupi, kusanwa zvakakwana kwemuviri kunogona kukonzera marwadzo mudumbu uye kusagadzikana nekuti zvimwe zvekudya hazvigone kugayiwa. Asi nekufamba kwenguva, muviri wako unotanga kuratidza kushomeka kwezvinovaka muviri zvausingakwanise kunwisa. Kana usina macronutrients - akadai seprotein, mafuta, uye makabhohaidhiretsi - uchatanga kuona zviratidzo zvekushaikwa kwezvokudya, zvakaita sekurasikirwa netsandanyama uye immune system isina simba . Saizvozvowo, kana usina micronutrients - senge mavhitamini nemaminerari - maziso ako, mapfupa, ganda, nebvudzi zvinogona kukanganiswa.

Ndedzipi mhando huru dzemalabsorption?

Zvimwe zvirwere zvemudumbu, zvakaita seCeliac Disease neInflammatory Bowel Disease (IBD), zvinogona kukonzera matambudziko ekunwa kwemarudzi ese ezvinovaka muviri. Mune zvimwe zviitiko, unogona kunge uine matambudziko ekunwa zvinovaka muviri chete. Heano mamwe emhando dzacho:

Makabhohaidhiretsi haapindirwe zvakanaka nemuviri.

Vamwe vanhu vanonzwa gasi rimwe kana kupfuura (shuga). Unogona kuona izvi zvakanyanya segasi, kuzvimba, uye kurwadziwa mudumbu . Makabhohaidhiretsi asinganyudzwe zvakanaka mudumbu mako madiki anoviriswa nemabhakitiriya ari mudumbu mako makuru. Mabhakitiriya aya anoashandura kuita gasi uye ma-fatty acids mapfupi. Gasi iroro rinokonzera gasi mudumbu mako, uye ma-fatty acids mapfupi anogona kuita kuti tsvina yako iwedzere kukora.

Mafuta haanyudzwe zvakanaka nemuviri

Iyi imhando yakajairika yekusanyungudika kwemafuta mumuviri. Inogona kuva nezvikonzero zvakawanda. Mafuta asinganyungudike muura hudiki anopinda muura hukuru, zvichikonzera tsvina ine mafuta, yakaita semanyoka. Isu tinodanawo kuti steatorrhea. Rudzi urwu rwetsvina rune mafuta, rwakaita semvura, uye runonhuwa . Runogona kunge rune ruvara rwakajeka uye rwuchiyangarara mumvura. Nekuti mafuta haanyungudike zvakanaka, kunyungudika kwemavhitamini anonyungudika mumafuta (vhitamini A, D, E, uye K) kunokanganiswawo.

Kusabatwa kweasidhi ye bile

Dzimwe nguva mafuta haagone kunyudzwa nekuti gallbladder, bile ducts, kana chiropa hazviburitse bile yakakwana. Asi dzimwe nguva chikonzero chacho chimwe chinhu. Zvadaro, bile acids dzisina kunyudzwa dzinosara muura hudiki dzopinda muura hukuru. Mhedzisiro iyi inonzi Bile Acid Malabsorption. Munyu webile unoramba uripo nenzira iyi unowedzera kuburitswa kwemvura kubva muura hukuru, zvichikonzera manyoka kwenguva refu .

Mapuroteni haapindirwe zvakanaka nemuviri

Kazhinji, kunze kwekunge usingakwanise kugaya puroteni, kureva kuti, haugone kugaya, hazviwanzoitika kuti uwane matambudziko ekunwa puroteni chete. Mienzaniso yeizvi ndeyekusagona kugaya puroteni iri mumukaka uye kusagona kugaya chikafu chine gluten.

Ndezvipi zviratidzo kana paine kusanyatsonwiwa kwemushonga?

Pakutanga, kusanyungudika kwemuviri kungaita sekunge kusagaya zvakanaka. Zviratidzo zvinogona kusanganisira:

• Kurwadziwa kwemudumbu.
• Kuzvimba, kuzadza dumbu.
• Kufamba kwemhepo kakawanda (gasi).
• Kusvotwa nekurutsa.
• Manyoka.
• (Steatorrhea) - Chituru chine mafuta, chine mafuta, dzimwe nguva chinoshanduka ruvara, chinoyangarara.

Nekufamba kwenguva, zviratidzo zvekusadya zvakakwana zvinotanga kuoneka.

Kusadya zvakanaka kwezvinovaka muviri zvakakosha kunogona kutaridzika seizvi:

• Kuderedza uremu usingadiwi.
• Kurasikirwa netsandanyama, kudzikira kwehuremu.
• Zvirwere zvinowanzoitika (nekuda kwekushomeka kwemasoja emuviri).
• Ganda rinoshanduka kuita bhuruu kunyangwe paine kukuvara kudiki.
• Ganda rakaoma, maronda eganda.
• Bvudzi rakaoma, kurasikirwa nebvudzi.
• Kushaya mvura mumuviri (kushaya mvura mumuviri).
• (Edema) - Kuzvimba kwemuviri (nekuda kwekusabatwa kwemvura mumuviri).
• Anemia - kucheneruka, kushaya simba, dzungu.
• Kugumbuka nguva dzose, kushaya hanya, kuneta.
• Kurega kuenda kumwedzi kana kusaenda kumwedzi zvisina kurongeka kuvakadzi (Amenorrhea).
• Kunonoka kukura kwevana.

Kushaya chikafu chinovaka muviri mu micronutrient kunogona kutaridzika seizvi:

• Kusaona zvakanaka usiku (kushomeka kweVitamin A).
• Mapfupa asina simba, kurwadziwa kwemapfupa (kushomeka kweVitamin D).
• Kubuda ropa mumatadza, kubuda ropa mumhino (kushomeka kweVitamin K).
• Rurimi rutsvuku, maronda erurimi (kushomeka kweVitamin B12).
• Kuchenuruka, kushaya simba, dzungu (kushaya mavhitamini).

Ndezvipi zvikonzero zvikuru zvekusabatwa zvakanaka kwemuviri?

Kusanwa doro mumuviri kunogona kuva kwenguva pfupi, sepaya paunenge uine tupukanana twemudumbu kana furuu yemudumbu. Asi kusanwa doro mumuviri kwenguva refu kunokonzerwa nechirwere chawagara uinacho kwenguva yakareba. Kune zvikonzero zvakawanda zvinokonzera kusanwa doro mumuviri, asi zvinowanzoiswa muzvikamu zvishoma.

Kukuvadzwa kwemukati meura mudiki

Zvizhinji zvezvinovaka muviri zvinonyudzwa muura hudiki (zvimwe zvinonyudzwawo muura hukuru). Mucheka wemukati wemadziro eura hwako unobatanidzwa mukuburitsa ma enzymes ekugaya chikafu uye kunyudza chikafu chemvura muropa rako. Zvisinei, mucheka uyu unogona kukuvara nekuzvimba (enteritis) uye kukuvara. Kukuvara uku kunogona kuva kwenguva pfupi (kwakakomba) kana kwenguva refu (kwenguva refu). Pane zvikonzero zvakati wandei zveizvi:

• Zvirwere zvinotapukira zvakaita seWhipple's Disease neTropical Sprue.
• Zvirwere zveIBD zvakaita seUlcerative Colitis neCrohn's Disease.
• Zvirwere zve autoimmune senge Celiac Disease.
• Kushandisa mishonga yakawanda zvakanyanya.
• Dambudziko rekushandisa doro.
• Kurapa nemwaranzi uye chemotherapy.
• (Short Bowel Syndrome) - Kupfupika kweura hudiki.
• (Kukura Kwebhakitiriya Mudumbu Mudiki - SIBO) - Kukura Kwebhakitiriya Mudumbu Mudiki.
• Kugadzirwa kwakanyanya kweacid mudumbu muzvirwere zvakaita seZollinger-Ellison Syndrome.

Dambudziko repancreas, gallbladder, chiropa

Chiropa chako, chiropa, nenduru zvinoshanda pamwe chete neura hwako hudiki kuti zvikubatsire kugaya chikafu. Chiropa chinoburitsa ma enzymes akakosha ekugaya chikafu. Chiropa nenduru zvinogadzira uye zvinochengeta nduru. Nyora iyi inokosha pakugaya mafuta. Kana chikafu chikadyiwa, nhengo idzi dzinoburitsa zvinobuda muura hudiki. Zvisinei, kana nhengo idzi dzisiri kushanda zvakanaka nekuda kwechimwe chirwere, ura hudiki hahugone kugaya chikafu zvakanaka. Mienzaniso:

• Kusakwana kwepancreatic.
• (Cystic Fibrosis).
• Kuvharika kwenzira dzemudumbu.
• Zvirwere zveDundira.
• Chirwere cheChiropa.

Zvirwere zveSistimu yeLymphatic

Mafuta anotorwa kubva muura hwako hudiki achipinda muropa rako kuburikidza nemidziyo yeropa. Kana midziyo iyi ikavharika nekuda kwezvirwere zve lymphatic system, mafuta anogona kukanganisika. Lymphangiectasia yemudumbu neLymphoma mienzaniso miviri yeizvi.

Kusagona kugaya zvimwe zvekudya (Kusashivirira chikafu)

Kusagona kugaya mamwe makabhohaidhiretsi kana mapuroteni kunogona kuva mhedzisiro yezvirwere zvemudumbu. (Muenzaniso ndewekusagona kugaya fructose). Asi dzimwe nguva vanhu vanozvarwa vasina ma enzyme anodiwa kugaya zvimwe zvinovaka muviri. (Muenzaniso wakanakisisa weizvi kusagona kugaya lactose - Lactose Intolerance).

Ungaziva sei kana uine malabsorption?

Kufanana nezvirwere zvakawanda zvemudumbu, kuongorora chirwere chemalabsorption inzira inoitika zvishoma nezvishoma. Chiremba wako achatanga akuongorora uye ofunga nezvenhoroondo yako yezvekurapa uye zviratidzo. Malabsorption inogona kufungidzirwa kana uine nhoroondo yechirwere chemudumbu chisingaperi kana kuti wakambovhiyiwa.

Kusanwa zvakanaka kwemuviri uye kushaya chikafu zvinovaka muviri zvinogona kufungidzirwa zvakanyanya kana paine zvimwe zviratidzo, zvakaita sesteatorrhea yataurwa pamusoro apa (mafuta) uye manyoka anogara achiitika, kana kupererwa neropa uye kupera simba kwetsandanyama. Zvisinei, mune dzimwe nguva, izvi hazvisi pachena. Chiremba wako achaita bvunzo dzakakodzera kuti aone chikonzero chaicho chekusanzwa zvakanaka kwako.

Ndezvipi zviedzo zvinoshandiswa kuongorora malabsorption?

• Kuyedzwa Kwekufema: Kuyedzwa kwekufema kwehydrogen kunogona kubatsira kuona zvirwere zvakaita sekusawirirana nelactose, matambudziko chaiwo ekugaya makabhohaidhiretsi, uye SIBO (kukura kwakanyanya kwemabhakitiriya mudumbu).
• Kuongororwa kwetsvina: Kuongororwa kwetsvina kunogona kuyera huwandu hwemafuta ari mutsvina yako uye kunogona kubatsira kuona kusanyungudika kwemafuta. Kunogonawo kuona zvinhu zvakaita sehutachiona hwezvipembenene uye kusashanda zvakanaka kwepancreas.
• Kuongororwa kweRopa: Izvi zvinogona kuratidza zviratidzo zvekushaikwa kwezvinovaka muviri zvinogona kukonzerwa nekusanwa zvakanaka kwemuviri uye zvirwere zvakaita seCeliac Disease.
• Kuyedzwa Kwedikita: Iyi iongororo chaiyo yekuongorora chirwere (Cystic Fibrosis).
• Kuongororwa Kwemifananidzo: Chiremba wako angangoda kutarisa nhengo dzemuviri wako kuti aone kana paine zviratidzo. Izvi zvinogona kusanganisira GI X-ray Exam, Endoscopic Ultrasound, kana Video Capsule Endoscopy.
• Kuongororwa kweMatumbu Madiki:Chiremba angangoda kutora sampuli yenyama kubva muura hwako hudiki kuti iongororwe murabhoritari. Iyi biopsy inogona kutsvaga humbowo hwekukuvadzwa kwemukati meura hwako (mucosa). Iyi sampuro inogona kutorwa panguva ye endoscopy.

Kusabatwa kwemushonga mumuviri kunorapwa sei?

Kune zvikonzero zvakawanda zvinogona kukonzera kusanyungudika kwemushonga mumuviri, uye mhedzisiro yazvinogona kukonzera yakakura. Kurapwa kwako kuchasarudzwa zvichibva pazvinhu izvi.

Kuti urape migumisiro yekusanyungudika kwemuviri, ungangoda zvekudya zvinovaka muviri . Zvinogona kupiwa semvura nemuromo, kuburikidza nechubhu (kudya nechubhu), kana mutsinga (IV - intravenous). Ungangodawo kutora ma enzymes akakosha ekugaya. Izvi zvinogona kunge zvichikonzerwa nekuti haugone kugaya chimwe chikafu kana kuti pancreas yako haisi kushanda nemazvo. Kana uine bile acid malabsorption, ungangopihwa chimwe chinhu chinonzi bile acid sequestrant kuti ubatsire kudzivirira manyoka.

Kurapa chinokonzera kusada kudya zvakanaka kunogona kuoma. Kana kuri kungotadza kudya zvakanaka, ungangoda kuchinja kudya kwako. Utachiona huri nyore hunogona kurapwa nemishonga inorwisa mabhakitiriya. Asi zvirwere zvinogara kwenguva refu zvinoda kurapwa kwakanyatsogadzirwa. Dzimwe nguva hapana mushonga unowanikwa ipapo ipapo, asi kuchinja mararamiro kunogona kubatsira kudzora zviratidzo.

Ko kusanyungudika kwemuviri kucharapwa here?

Izvi zvinoenderana nekuziva chikonzero chaicho uye kuchirapa nemazvo. Zvimwe zvikonzero zviri nyore kurapa kupfuura zvimwe. Kana wangoonekwa kuti une chirwere ichi, chiremba wako achakutsanangurira zvakadzama nezvechirwere chako. Kazhinji, kuchinja mararamiro ako kunogona kukubatsira kurapa chirwere ichi (malabsorption) nezviratidzo zvacho.

Vanhu vazhinji vanombosangana nedambudziko rekusagaya zvakanaka, kuzvimba, gasi, uye manyoka. Kana chimwe chinhu chaunodya chikasashanda kwauri, unogona kuona zviratidzo zvenguva pfupi, asi zvinowanzopera zvega. Rudzi urwu rwekusagaya zvakanaka haruna chekunetseka nezvarwo. Asi kana uine zviratidzo izvi nguva nenguva, zvinogona kuva chiratidzo chechimwe chinhu chakakomba. Manyoka anoramba aripo chinhu chaunofanira kugara uchinetseka nezvacho.

Kusanwa doro zvakanyanya kunogona kuva chikonzero chakavanzika chekushaya kudya kwakakwana. Nekuti kushaya kudya kwakakwana kunoitika zvishoma nezvishoma, unogona kusazviona kusvika kwanyanya, kunyanya kana uri munhu ane kudya kwakakwana. Izvi zvine njodzi zvikuru kuvana. Vanoda kudya kwakawanda kuti vakure uye vakure, uye vangasakwanisa kukuudza nezvezviratidzo zvavo. Kana mwana wako achiratidza zviratidzo zvekuramba achirwara mudumbu, kunyanya tsvina isina kusimba, zvakakosha kuona chiremba kuti ave nechokwadi chekuti haana chirwere chekusanwa doro zvakanyanya.

Ndeipi meseji yatinoda kuunza kubva munyaya ino?

Saka ikozvino tava kuziva kuti kusanwa chikafu zvakanaka (malabsorption) izwi rinowanzo shandiswa kureva kusakwanisa kwemuviri kupinza zvinovaka muviri kubva muchikafu chatinodya. Panogona kunge paine zvikonzero zvakawanda zveizvi, uye zviratidzo zvinogona kusiyana kubva pamunhu kusvika pamunhu.

• Kana uine zviratidzo zvakaita sekurwara mudumbu nguva nenguva, manyoka, kuzvimba, uye kudzikira uremu usingadi , usazvitore sekusagadzikana mukugaya chikafu.
• Kusanwa doro zvakanaka kunogona kukonzera kushaya chikafu chakakwana , izvo zvinogona kuva nemigumisiro yakaipa mumuviri.
• Kana iwe kana mwana wako mukaramba muine zviratidzo izvi, iva nechokwadi chekutsvaga rubatsiro rwechiremba .
• Kana chirwere ichi chikaonekwa nemazvo uye chikarapwa nemazvo, chinogona kudzorwa.

Yeuka, zvakakosha kuteerera zviri kutaurwa nemuviri wako. Kunyangwe zvingaita sezvinhu zvidiki, dzimwe nguva zvinogona kuva kutanga kwechimwe chinhu chikuru. Saka, kuchengetedza hutano hwako ndicho chinhu chinonyanya kukosha.

Kusanwa zvakanaka kwezvokudya , kushomeka kwezvekudya zvinovaka muviri, kugaya chikafu, manyoka, kushaya chikafu chinovaka muviri, kushomeka kwemavhitamini, dumbu rakavhiringika