Awuyifunxi kakuhle into oyityayo? Makhe sithethe ngale nto (iMalabsorption)!

Ngaba uhlala uneengxaki zesisu? Ngaba ngamanye amaxesha uziva uhluthi kwaye unegesi? Okanye udla ngokuba ne-flatulence? Ngamanye amaxesha sicinga ukuba ezi zizinto eziqhelekileyo, into eyenzekayo xa ukutya kuneziqholo. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka, kusenokwenzeka ukuba umzimba wakho awufunxi izondlo ozifunayo ekutyeni okutyayo. Kwizonyango, esi sisifo sibizwa ngokuba yi-Malabsorption.

Yintoni le (iMalabsorption)?

Ngamafutshane, i-malabsorption ligama eliqhelekileyo elichaza ukungakwazi komzimba wakho ukufunxa izondlo ngokufanelekileyo ekutyeni okutyayo. Esi asisosifo sinye, kodwa yimeko enokubangelwa zizinto ezininzi. Cinga ngako, xa sisitya ukutya, ukuze kunike amandla nesondlo emizimbeni yethu, kufuneka kugaywe kwaye kufunxwe ngokufanelekileyo, akunjalo?

Singayahlula inkqubo yokugaya ukutya ibe ngamacandelo amathathu:

1. Inxalenye Yokuqala: Ukunqumla ukutya kakuhle nokukuqhekeza kube ziingceba ezikwaziyo ukugaywa.

2. Inxalenye yesibini: Ukufunxa zonke izondlo ezifunwa ngumzimba ekutyeni okucoliweyo.

3. Inxalenye Yesithathu: Ukukhupha inkunkuma eseleyo emva kokuba zonke izinto ezilungileyo zifunxwe.

Ngoku, ukuba uneengxaki zokugaya ukutya, ingxaki inokuba kuyo nayiphi na kwezi zigaba. Ukungatyi ukutya kuyinxalenye yesigaba sesibini . Oku kuthetha ukuba nangona ukutya kugaywa, izondlo azifunxwa emzimbeni. Oku kunokubangelwa ziimeko ezifana nokungabikho kwee-enzyme ezithintela umzimba ekugayweni kokutya okuthile (umzekelo, abanye abantu abakwazi ukugaya ubisi) kunye nezifo ezahlukeneyo zamathumbu ezichaphazela inkqubo yakho yokugaya ukutya.

Kwenzeka ntoni xa kukho i-malabsorption?

Ukuba une-malabsorption, usenokuba nengxaki yokufunxa zonke izondlo, okanye unokuba nengxaki yokufunxa izondlo ezimbalwa kuphela. Izinto ongenakukwazi ukuzifunxa ziphuma endle yakho ngaphandle kokuba zigaywe. Abantu abaninzi abane-malabsorption bakwanazo neemeko ezifana norhudo, nto leyo enokwenza le ngxaki yokufunxa ibe mandundu. Oku kungenxa yokuba xa une-diarrhea, ukutya kuhamba ngokukhawuleza emathunjini akho, ngoko ke izondlo azinaxesha lokufunxa.

Ngexesha elifutshane, ukungafunxwa kokutya kunokubangela ukungonwabi esiswini kunye nokungakhululeki kuba ukutya okunye akukwazi ukugaywa. Kodwa ngokuhamba kwexesha, umzimba wakho uya kuqala ukubonisa ukunqongophala kwezondlo ongenakukwazi ukuzifunxa. Ukuba awunazo izakhamzimba ezininzi – ezifana neeproteni, amafutha, kunye neecarbohydrate – uya kuqala ukubona iimpawu zokungondleki kakuhle, ezifana nokuphelelwa yimisipha kunye nobuthathaka benkqubo yomzimba yokuzikhusela . Ngokufanayo, ukuba awunazo izakhamzimba ezininzi – ezifana neevithamini kunye neeminerali – amehlo akho, amathambo, ulusu kunye neenwele zinokuchaphazeleka.

Ziziphi iintlobo eziphambili ze-malabsorption?

Ezinye izifo zamathumbu, ezifana neCeliac Disease kunye neInflammatory Bowel Disease (IBD), zinokubangela iingxaki ngokufunxwa kwazo zonke iintlobo zezondlo. Kwezinye iimeko, unokuba neengxaki zokufunxwa kwesondlo esithile kuphela. Nazi ezinye zeentlobo:

Iicarbohydrate azifunxwa kakuhle ngumzimba.

Abanye abantu banovelwano kwi-carbohydrate enye okanye ezingaphezulu (iswekile). Unokubona oku ikakhulu njengegesi , ukudumba, kunye nentlungu esiswini sakho . Iicarbohydrate ezingafunxwanga kakuhle emathunjini akho amancinci zivundiswa ziibhaktheriya emathunjini akho amakhulu. Ezi bhaktheriya zijika zibe yigesi kunye nee-fatty acids ezimfutshane. Loo gesi ibangela igesi esiswini sakho, kwaye ii-fatty acids ezimfutshane zinokwenza isitulo sakho sibe namafutha ngakumbi.

Amafutha awafunxwa kakuhle ngumzimba

Olu luhlobo oluqhelekileyo lokungafunxwa kakuhle kwamafutha. Lunokuba nezizathu ezininzi. Amafutha angafunxwayo emathunjini amancinci adlulela emathunjini amakhulu, nto leyo ebangela ukuba kubekho indle enamafutha, efana nerhudo. Sikwabiza le steatorrhea. Olu hlobo lwendle lunamafutha, lunamanzi, kwaye lunuka kakubi . Lunokuba nombala okhanyayo kwaye ludada emanzini. Ngenxa yokuba amafutha engafunxwayo kakuhle, ukufunxwa kweevithamini ezinyibilikayo emathunjini (iivithamini A, D, E, kunye ne-K) nako kuyaphazamiseka.

Ukungafunxwa kwe-asidi ye-bile

Ngamanye amaxesha amafutha awakwazi ukufunxwa kuba inyongo, imibhobho yenyongo, okanye isibindi azivelisi inyongo eyaneleyo. Kodwa ngamanye amaxesha unobangela uba yinto eyahlukileyo. Emva koko, ii-asidi zenyongo ezingafunxwanga zihlala emathunjini amancinci zize zidlulele emathunjini amakhulu. Esi siphumo sibizwa ngokuba yi-Bile Acid Malabsorption. Iityuwa zenyongo ezihlala ngale ndlela zonyusa ukukhutshwa kwamanzi emathunjini amakhulu, nto leyo ebangela urhudo olude .

Iiproteni azifunxwa kakuhle ngumzimba

Ngokubanzi, ngaphandle kokuba awukwazi ukunyamezela uhlobo oluthile lweproteni, oko kukuthi, ukungakwazi ukuyigaya, kunqabile ukuba neengxaki zokufunxa iproteni yodwa. Imizekelo yoku kukungakwazi ukugaya iproteni esebisini kunye nokungakwazi ukugaya ukutya okunegluten.

Zithini iimpawu xa kukho i-malabsorption?

Ekuqaleni, ukufunxa ukutya okungafunekiyo kunokubonakala ngathi kukungakwazi ukutya kakuhle. Iimpawu zingabandakanya:

• Intlungu yesisu.
• Ukudumba, ukugcwalisa isisu.
• Ukuphuma komoya rhoqo (igesi).
• Isicaphucaphu nokuhlanza.
• Urhudo.
• (I-Steatorrhea) - Indle enamafutha, enamafutha, ngamanye amaxesha etshintsha umbala, edada emanzini.

Ekuhambeni kwexesha, iimpawu zokungondleki kakuhle ziqala ukubonakala.

Ukungondleki kakuhle kwezondlo ezibalulekileyo kunokubonakala ngolu hlobo:

• Ukunciphisa umzimba ngengozi.
• Ukulahlekelwa yimisipha, ukwehla kobunzima.
• Izifo ezixhaphakileyo (ngenxa yokungabikho komzimba oqinileyo).
• Ulusu lujika lube luhlaza okwesibhakabhaka nokuba kukho umkrwelo omncinci.
• Ulusu olomileyo, izilonda zesikhumba.
• Iinwele ezomileyo, ukulahleka kweenwele.
• Ukuphelelwa ngamanzi emzimbeni (ukungabikho kwamanzi emzimbeni).
• (Ukudumba) - Ukudumba komzimba (ngenxa yokugcina ulwelo).
• I-anemia - ukuphaphatheka, ubuthathaka, isiyezi.
• Ukucaphuka rhoqo, ukungabi namdla, ukudinwa.
• Ukuyeka okanye ukuya exesheni ngendlela engaqhelekanga kwabasetyhini (i-Amenorrhea).
• Uphuhliso olulibazisekileyo ebantwaneni.

Ukungondleki kakuhle kwezakhamzimba kunokubonakala ngolu hlobo:

• Ukubona okunciphileyo ebusuku (ukunqongophala kweVitamin A).
• Amathambo abuthathaka, iintlungu zamathambo (ukunqongophala kweVitamin D).
• Iintsini eziphuma igazi, ukopha kwempumlo (ukungabikho kweVitamin K).
• Ulwimi olubomvu, izilonda zolwimi (ukungabikho kweVitamin B12).
• Ubumhlophe, ubuthathaka, isiyezi (i-anemia yokungabikho kweevithamini).

Ziziphi izizathu eziphambili zokungafunxwa kokutya?

Ukungafunxwa kokutya okungeyomfuneko kunokuba yinto yexeshana, njengaxa une-stomach bug okanye i-stomach flu. Kodwa ukungafunxwa kokutya okungeyomfuneko ixesha elide kubangelwa yimeko yezempilo oye waba nayo ixesha elide. Zininzi izizathu zokungafunxwa kokutya okungeyomfuneko, kodwa ngokubanzi ziwela kwiindidi ezimbalwa.

Ukonakala kwengaphakathi lamathumbu amancinci

Uninzi lwezondlo zakho zifunxwa emathunjini amancinci (ezinye zifunxwa emathunjini amakhulu). Ulwelwesi lwemiphunga lweendonga zamathumbu akho lubandakanyeka ekukhupheni ii-enzymes zokugaya ukutya kunye nokufunxa ukutya okumanzi egazini lakho. Nangona kunjalo, olu lwelwelwesi lwemiphunga lunokonakala kukudumba (i-enteritis) kunye nokwenzakala. Lo monakalo unokuba ngowexeshana (obukhali) okanye ixesha elide (ongapheliyo). Kukho izizathu ezahlukeneyo zoku:

• Izifo ezisulelayo ezifana neSifo sikaWhipple kunye neTropical Sprue.
• Izifo zamathumbu ezibangelwa kukudumba (IBD) ezifana neUlcerative Colitis kunye nesifo sikaCrohn.
• Izifo ezizikhuselayo emzimbeni ezifana neSifo seCeliac.
• Ukusetyenziswa kakhulu kwamayeza athile.
• Ingxaki Yokusetyenziswa Kotywala.
• Unyango ngemitha kunye ne-chemotherapy.
• (Isifo Sokudumba Okufutshane) - Ukufiphala kwamathumbu amancinci.
• (Ukukhula Okugqithisileyo Kwebhaktheriya Yamathumbu Amancinci - SIBO) - Ukukhula Okugqithisileyo Kwebhaktheriya Kumathumbu Amancinci.
• Ukuveliswa kakhulu kwe-asidi yesisu kwiimeko ezifana neZollinger-Ellison Syndrome.

I-pancreas, i-gallbladder, izifo zesibindi

I-pancreas yakho, isibindi, kunye ne-gallbladder zisebenza kunye namathumbu akho amancinci ukukunceda ukugaya ukutya. I-pancreas ivelisa ii-enzymes ezibalulekileyo zokugaya ukutya. Isibindi kunye ne-gallbladder zivelisa kwaye zigcine i-bile. Le bile ibalulekile ekugayeni amafutha. Xa ukutya kutyiwa, la malungu akhupha ukukhupha kwawo emathunjini amancinci. Nangona kunjalo, ukuba la malungu angasebenzi kakuhle ngenxa yesifo esithile, amathumbu amancinci awakwazi ukugaya nokufunxa ukutya ngokufanelekileyo. Imizekelo:

• Ukungasebenzi kakuhle kwepancreatic.
• (Icystic fibrosis).
• Ukuvaleka kwemibhobho yenyongo.
• Izifo zeSinyithi.
• Isifo sesibindi.

Izifo zeNkqubo yeLymphatic

Amafutha afunxwa emathunjini amancinci aye egazini lakho ngemithambo ye-lymph. Ukuba le mithambo ivalekile ngenxa yezifo zenkqubo ye-lymphatic, ukufunxwa kwamafutha kunokuphazamiseka. I-Lymphangiectasia yamathumbu kunye neLymphoma zimizekelo emibini yoku.

Ukungakwazi ukugaya ukutya okuthile (Ukunganyamezelani nokutya)

Ukungakwazi ukugaya iicarbohydrate okanye iiproteni ezithile kunokuba yimiphumo emibi yezifo zamathumbu. (Umzekelo kukungakwazi ukugaya i-fructose). Kodwa ngamanye amaxesha abantu bazalwa bengenazo ii-enzymes ezifunekayo ukugaya izondlo ezithile. (Umzekelo ongcono woku kukungakwazi ukugaya i-lactose - i-Lactose Intolerance).

Uyazi njani ukuba une-malabsorption?

Njengezifo ezininzi zamathumbu, ukufumanisa ukuba i-malabsorption ayifumaneki yinkqubo ethatha ixesha elincinci. Ugqirha wakho uza kuqala akuhlole aze aqwalasele imbali yakho yezonyango kunye neempawu. I-malabsorption inokucingelwa ukuba unembali yesifo samathumbu esingapheliyo okanye ukhe watyandwa.

Ukungafunxwa kakuhle kwesisu kunye nokungondleki kakuhle kunokukrokrelwa kakhulu ukuba kukho iimpawu ezithile, ezifana ne-steatorrhea ekhankanyiweyo (isitulo esinamafutha) kunye norhudo oluqhubekayo, okanye i-anemia ecacileyo kunye nokuphelelwa ngamandla kwemisipha. Nangona kunjalo, kwezinye iimeko, oku akucaci kangako. Ugqirha wakho uya kwenza uvavanyo olufanelekileyo ukuze afumanise unobangela ochanekileyo wokungakhululeki kwakho.

Zeziphi iimvavanyo ezisetyenziselwa ukuxilonga i-malabsorption?

• Uvavanyo lokuphefumla: Uvavanyo lokuphefumla nge-hydrogen lunokunceda ekuchongeni iimeko ezinje ngokunganyamezelani ne-lactose, iingxaki ezithile zokugaya iicarbohydrate, kunye ne-SIBO (ukukhula kakhulu kwebhaktheriya yamathumbu amancinci).
• Uvavanyo lweSitulo: Uvavanyo lweSitulo lunokulinganisa ubungakanani bamafutha esitulweni sakho kwaye lunokunceda ekuxilongeni ukungafunxwa kwamafutha. Lunokufumanisa nezinto ezifana nosulelo lwe-parasites kunye nokungasebenzi kakuhle kwe-pancreatic.
• Uvavanyo lweGazi: Oku kungabonisa iimpawu zokunqongophala kwezakhamzimba ezithile ezinokubangelwa kukungafunxwa kakuhle kunye neemeko ezithile zonyango ezifana neSifo seCeliac.
• Uvavanyo lokubila: Olu luvavanyo oluthile lokufumanisa imeko (i-Cystic Fibrosis).
• Uvavanyo lweMifanekiso: Ugqirha wakho usenokufuna ukujonga amalungu omzimba wakho ukuze abone ukuba kukho naziphi na iimpawu. Oku kungabandakanya uvavanyo lwe-GI X-ray, i-Endoscopic Ultrasound, okanye i-Video Capsule Endoscopy.
• I-Biopsy yamathumbu amancinci:Ugqirha usenokufuna ukuthatha isampuli yezicubu zamathumbu akho amancinci ukuze zivavanywe kwilebhu. Olu vavanyo lwe-biopsy lunokukhangela ubungqina bomonakalo kulwelo lwamathumbu akho (mucosa). Olu vavanyo lunokuthathwa ngexesha le-endoscopy.

Iphathwa njani i-malabsorption?

Zininzi izinto ezinokubangela ukungafunxwa kakuhle kwesisu, kwaye uluhlu lweziphumo ezinokubangela oku lubanzi. Unyango lwakho luya kugqitywa ngokusekwe kwezi zinto.

Ukuze unyange imiphumo yokungafunxwa kokutya, ungadinga izongezo zesondlo . Zinokunikwa njengolwelo ngomlomo, ngetyhubhu (ukondla ngetyhubhu), okanye zifakwe emthanjeni (IV - ngemithambo). Ungadinga nokuthatha ii-enzymes ezikhethekileyo zokugaya ukutya. Oku kusenokuba kungenxa yokuba awukwazi ukugaya ukutya okuthile okanye ngenxa yokuba ipancreas yakho ayisebenzi kakuhle. Ukuba une-bile acid malabsorption, unganikwa into ebizwa ngokuba yi-bile acid sequestrant ukunceda ukuthintela urhudo.

Ukunyanga unobangela oyintloko wokungafunxwa kokutya kunokuba nzima ngakumbi. Ukuba kukunganyamezelani nokutya, kunokufuneka utshintshe indlela otya ngayo. Usulelo olulula lunokunyangelwa ngamayeza okubulala iintsholongwane. Kodwa iimeko ezihlala ixesha elide zifuna unyango olukhethekileyo. Ngamanye amaxesha akukho nyango lukhawulezileyo, kodwa utshintsho kwindlela ophila ngayo lunokunceda ukulawula iimpawu.

Ngaba ukufunxwa okungalawulekiyo kuya kunyangwa?

Oku kuxhomekeke ekuchongeni unobangela ochanekileyo kunye nokuwunyanga ngokufanelekileyo. Ezinye izizathu kulula ukuzinyanga kunezinye. Wakuba ufunyenwe unesifo, ugqirha wakho uya kuchaza iinkcukacha zemeko yakho. Kwiimeko ezininzi, utshintsho kwindlela ophila ngayo lunokukunceda unyange imeko (malabsorption) kunye neempawu zayo.

Abantu abaninzi banamava ngamanye amaxesha okungakwazi ukutya kakuhle, ukudumba, igesi, kunye norhudo. Ukuba into oyityayo ayikusebenzeli, unokufumana iimpawu zexeshana, kodwa zihlala ziphela zodwa. Olu hlobo lokungakwazi ukutya kakuhle alunanto yakwenza ukhathazeke ngayo. Kodwa ukuba unazo ezi mpawu rhoqo, lunokuba luphawu lwento enzulu ngakumbi. Urhudo oluhlala lukho yinto ekufuneka uhlale uxhalabile ngayo.

Ukungafunxwa kokutya okungafunekiyo kunokuba sisizathu esifihlakeleyo sokungondleki kakuhle. Ngenxa yokuba ukungondleki kukhula kancinci, usenokungakuboni kude kube nzima kakhulu, ingakumbi ukuba ungumntu otyebileyo. Oku kuyingozi kakhulu ebantwaneni. Bafuna ukutya okunesondlo esingaphezulu ukuze bakhule kwaye baphuhle, kwaye basenokungakwazi ukukuxelela ngeempawu zabo. Ukuba umntwana wakho ubonisa iimpawu zokungakhululeki kwesisu rhoqo, ingakumbi indle ekhululekileyo, kubalulekile ukubona ugqirha ukuqinisekisa ukuba akanayo imeko yokungafunxwa ukutya okungafunekiyo.

Sithini isigidimi esifuna ukusithatha kweli nqaku?

Kulungile, ngoku siyazi ukuba i-malabsorption ligama eliqhelekileyo elichaza ukungakwazi komzimba ukufunxa izondlo ekutyeni esikutyayo. Zininzi izizathu zoku, kwaye iimpawu zinokuhluka kumntu nomntu.

• Ukuba ufumana iimpawu ezinje ngokuphazamiseka kwesisu rhoqo, urhudo, ukudumba, kunye nokunciphisa umzimba ngengozi , musa ukuyithatha njengento engacolisiyo.
• Ukungafunxwa kokutya kunokubangela ukungondleki kakuhle , nto leyo enokuba nemiphumo emibi emininzi emzimbeni.
• Ukuba wena okanye umntwana wakho niyaqhubeka nokuba nezi mpawu, qiniseka ukuba nifuna ingcebiso kagqirha .
• Ukuba ifunyaniswe ngokuchanekileyo kwaye inyangwa ngokufanelekileyo, le meko inokulawulwa rhoqo.

Khumbula, kubalulekile ukumamela oko umzimba wakho ukuxelela kona. Nangona kunokubonakala ngathi yinto encinci, ngamanye amaxesha kunokuba sisiqalo sento enkulu. Ke ngoko, ukunyamekela impilo yakho yeyona nto ibalulekileyo.

Ukungafunxwa kokutya , ukungabikho kokutya okunesondlo, ukugaya ukutya, urhudo, ukungondleki kakuhle, ukungabikho kweevithamini, isisu esibuhlungu