Kuqhelekile ukuba intshukumo yethu yamathumbu itshintshe kancinci kuxhomekeke kwinto esiyityayo. Kodwa ngaba wakha waphawula ukuba indle yakho inesitayile esingaqhelekanga samafutha okanye amafutha? Ngaba iyadada emanzini, inombala okhanyayo, kwaye inevumba elibi elinganyamezelekiyo? Ukuba oku akwenzeki kangangeentsuku ezimbini, kodwa kuyaqhubeka, kunokuba luphawu lokuba kukho into engalunganga emzimbeni wethu. Namhlanje sithetha ngale meko ibizwa ngokuba yi-'oily stools' okanye 'steatorrhea' ngokwezonyango.
Ngamafutshane, yintoni iSteatorrhea?
I-Steatorrhea ithetha ukuba indle yakho inamafutha amaninzi kakhulu. Ngamafutshane, xa amafutha akukutya okutyayo engagaywanga kakuhle kwaye engafunxwanga ngumzimba, amafutha angafunxwanga ayaphuma kwindle. Le meko ibizwa ngokuba yi -fat malabsorption .
Into ebalulekileyo kukuba iSteatorrhea ayisosifo, kodwa luphawu lwenye imeko efihlakeleyo.
Ezi zilandelayo ziimpawu eziqhelekileyo zolu hlobo lwesitulo:
- Ukwanda kobukhulu .
- Ukuba nendalo ekhululekileyo nengamanzi.
- Ukuba nenkangeleko enamafutha okanye enamafutha .
- Mhlawumbi inegwebu.
- Ukuba mhlophe njengodongwe.
- Inevumba elibi kakhulu nelinganyamezelekiyo .
- Amanzi adada kwisitya sendlu yangasese .
- Ubunzima bokuhlamba (indlela encamathelayo ngayo isitya sendlu yangasese).
Oku kunokwenzeka ukuba utya ukutya okunamafutha ngamanye amaxesha. Kodwa ukuba ezi mpawu ziyaqhubeka, ayilocebo lilungileyo ukuzityeshela.
Kutheni amafutha ebonakala esitulweni sethu? Kwenzeka ntoni ngexesha lokugaya ukutya?
Cinga ngokugaya amafutha njengomdlalo weqela. Kukho abadlali abathathu abaphambili kulo mdlalo: isibindi, ipancreas, kunye namathumbu amancinci.
1. Isibindi: Isibindi sivelisa ulwelo olubizwa ngokuba yi-"bile." Le bile iqhekeza amasuntswana amakhulu amafutha abe ngamancinci.
2. I-Pancreas: I-pancreas ivelisa ii-enzymes ezikhethekileyo ezifunekayo ukuze kugaywe amafutha.
3. Amathumbu amancinci: Inyongo evela esibindini kunye nee-enzymes ezivela kwi-pancreas ziqokelelana emathunjini amancinci. Kulapho amafutha aqhekeka khona aze afunxwe emzimbeni.
I-Steatorrhea iyenzeka ukuba kukho into engahambi kakuhle kule nkqubo.
- Ukuba i-pancreas ayikwazi ukwenza ii-enzymes ezaneleyo .
- Ukuba isibindi asikwazi ukwenza inyongo eyaneleyo .
- Nokuba ezi zenziwe, ukuba azinakuthunyelwa emathunjini amancinci ngenxa yokuvaleka kwemibhobho.
- Okanye, kukho umonakalo othile kumathumbu amancinci ngokwawo.Ukuba awukwazi ukufunxa amafutha.
Ziziphi izizathu eziphambili ze-steatorrhea?
Kukho iimeko ezininzi zempilo ezinokubangela le meko. Kulula ukuziqonda ngokuzihlela ngokwezitho zomzimba ezichaphazelekayo.
| Isitho/inkqubo echaphazelekayo | Iimeko zempilo ezinokwenzeka |
|---|---|
| Iingxaki ezinxulumene nepancreas (Ukunqongophala kwimveliso okanye ukunikezelwa kwee-enzyme) |
|
| Iingxaki zesibindi kunye nomsele we-bile (ukuveliswa okanye ukufumaneka kwenyongo okungasebenzi kakuhle) |
|
| Iingxaki zamathumbu amancinci (ukungasebenzi kakuhle kokugaya ukutya okanye ukufunxwa kwamafutha) |
|
Ugqirha ufumana njani unobangela woku?
Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha.Uza kukubuza ngeempawu zakho aze akuhlole. Angenza novavanyo oluthile ukuze afumanise unobangela.
- Uhlalutyo lwamafutha endle: Oku kuquka ukuqokelela isampuli yendle yakho kangangeentsuku ezi-1 ukuya kwezi-3 uze ulinganise ubungakanani bamafutha akuyo. Oku kunokunceda ekuqinisekiseni ukuba angakanani amafutha owafunxileyo ekutyeni okutyileyo kunye nokuba angakanani na aphumayo kwindle yakho.
- Uvavanyo lwe-D-xylose: Oku kunokunceda ekufumaniseni ukuba ingxaki ikwithumbu elincinci okanye kwi-pancreas/esibindini. Usela ulwelo oluneswekile olubizwa ngokuba yi-D-xylose, uze emva koko isampuli yomchamo wakho (okanye mhlawumbi igazi) ivavanywe emva kweeyure ezimbalwa. Ukuba le swekile ikhona kumchamo, oko kuthetha ukuba ifunxwe kakuhle ngamathumbu. Ngoko ke ingxaki isenokuba kwi-pancreas okanye esibindini. Kodwa ukuba akukho swekile kumchamo, ugqirha unokufumanisa ukuba ingxaki ibangelwa kukufunxwa kakuhle kwamathumbu.
Ukongeza, i-endoscopy, iiskeni, okanye olunye uvavanyo lwegazi lunokufuneka kuxhomekeke kwisizathu.
Injani unyango kunye nokutya?
Ukunyanga i-steatorrhea kuthetha ukunyanga imeko ebangela loo nto. Umzekelo:
- Ukuba ii-enzymes zepancreas azanelanga, ii-enzymes ezibizwa ngokuba yiPancreatic Enzyme Replacement Therapy (PERT) zinikwa ngendlela yeepilisi.
- Ukuba kukho ingxaki ngokuveliswa kwenyongo, kunikwa amayeza afanelekileyo (umz. i-Ursodeoxycholic acid).
Ukongeza, iingxaki ezivela ekungafunxwa kwamafutha nazo kufuneka ziphathwe. Eyona iphambili kukungabikho kweevithamini emzimbeni . Xa amafutha engafunxwa, iivithamini ezinyibilikayo kumafutha ezifana neevithamini A, D, E, kunye ne-K azifunxwa. Ke ngoko, ugqirha unokucebisa ukuba uthathe ezi vithamini njengezongezo.
Ufanele ukukhathalele njani ukutya?
Utshintsho oluchanekileyo kwindlela yokutya ekufuneka ulwenze luxhomekeke kwisizathu se-steatorrhea yakho. Kungcono ukuxoxa ngale nto nogqirha wakho.
- Ukuba kwenzeka ngamaxesha athile (ngenxa yokutya ukutya okunamafutha amaninzi): Nciphisa izinto ezifana nebhotolo, iioyile ezinamafutha amaninzi, ioyile yekhokhonathi, ioyile yesundu, inyama ebomvu, kunye nokutya okucutshungulwayo.
- Ukuba kungenxa yengxaki yokufunxwa kwamafutha (i-Malabsorption): Apha ibali lahlukile kancinci. Umzimba udinga amafutha ukuze ufumane amandla owadingayo. Ke ngoko, ugqirha unokukucebisa ukuba wongeze ukutya okunamafutha asempilweni (amafutha angagcwaliyo) endaweni yamafutha amabi. Imizekelo:
- Iintlanzi ezinamafutha ezifana nesalmon, i-tuna, kunye ne-mackerel
- Iiavokhado
- I-oyile ye-olivu
- Iibhotolo zamandongomane
- Ukutya okutyebileyo kwiivithamini ezinyibilikayo:
- IVithamin A: ioyile yeentlanzi, ibhotolo, amaqanda, iminqathe
- I-Vitamin D: iintlanzi ezinamafutha, amakhowa, ukuchatshazelwa lilanga
- IVithamin E: Imbewu yelanga, ii-almond
- IVithamin K: Imifuno eluhlaza okomnyama efana nesipinatshi kunye nekale
Umyalezo Wokuya Ekhaya
- I-Steatorrhea (indle enamafutha) ayisosifo, kodwa luphawu olubalulekileyo olubonisa ingxaki yangaphakathi emzimbeni.
- Iimpawu eziphambili kukuba indle imhlophe, inevumba elibi, inamafutha, kwaye idada emanzini.
- Ukuba ezi mpawu ziyaqhubeka, musa ukuzityeshela kwaye bonana nogqirha wakho ngoko nangoko ukuze ufumane unobangela.
- Oku kusenokuba ngenxa yesifo esinxulumene nepancreas, isibindi, okanye amathumbu amancinci.
- Unyango luxhomekeke kwimeko ebangela oku, kwaye ukulawula ukunqongophala kwezondlo ezifana neevithamini A, D, E, kunye no-K nako kubaluleke kakhulu.
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