Kujwayelekile ukuthi ukuhamba kwethu kwamathumbu kushintshe kancane kuye ngokuthi sidlani. Kodwa wake waphawula ukuthi indle yakho inokwakheka okungavamile okunamafutha noma okunamafutha? Ingabe iyantanta emanzini, inombala okhanyayo, futhi inephunga elibi elingabekezeleleki? Uma lokhu kungenzeki usuku olulodwa noma ezimbili, kodwa kuqhubeka, kungaba uphawu lokuthi kukhona okungahambi kahle emzimbeni wethu. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi 'indle enamafutha' noma 'i-steatorrhea' ngokwezokwelapha.
Kalula nje, iyini i-Steatorrhea?
I-Steatorrhea iwukuba indle yakho inamafutha amaningi kakhulu. Kalula nje, uma amafutha ekudleni okudlayo engagaywanga kahle futhi engamuncwa ngumzimba, amafutha angamuncwanga ayaphuma endle. Lesi simo sibizwa ngokuthi i-fat malabsorption .
Into ebalulekile ukuthi i-Steatorrhea ayisona isifo, kodwa uphawu lwesinye isimo esiyisisekelo.
Izici ezivamile zalolu hlobo lwesitulo yilezi ezilandelayo:
- Ukukhula ngosayizi .
- Ukuba nesimo esikhululekile nesimanzi.
- Ukuba nokubukeka okunamafutha noma okunamafutha .
- Mhlawumbe kunegwebu.
- Ukuphaphatheka njengobumba.
- Inephunga elibi kakhulu, elingabekezeleleki .
- Amanzi antanta esitsheni sendlu yangasese .
- Ubunzima bokuhlanza (isitsha sendlu yangasese sinamathela).
Lokhu kungenzeka uma udla ukudla okunamafutha ngezikhathi ezithile. Kodwa uma lezi zimpawu ziqhubeka, akuwona umqondo omuhle ukuzishaya indiva.
Kungani amafutha avela esitulweni sethu? Kwenzekani ngesikhathi sokugaya ukudla?
Cabanga ngokugaya amafutha njengomdlalo weqembu. Kunabadlali abathathu abaphambili kulo mdlalo: isibindi, i-pancreas, kanye nomathumbu amancane.
1. Isibindi: Isibindi sikhiqiza uketshezi olubizwa ngokuthi “i-bile.” Le bile iphula izinhlayiya ezinkulu zamafutha zibe ezincane.
2. I-Pancreas: I-pancreas ikhiqiza ama-enzyme akhethekile adingekayo ukuze kugaywe amafutha.
3. Amathumbu amancane: Inyongo evela esibindini kanye nama-enzyme avela ku-pancreas aqoqana emathunjini amancane. Yilapho amafutha ehlakazeka khona ngokuphelele bese emuncwa emzimbeni.
I-Steatorrhea iyenzeka uma kukhona okungahambi kahle kule nqubo.
- Uma ama-pancreas engakwazi ukukhiqiza ama-enzyme anele .
- Uma isibindi singakwazi ukukhiqiza inyongo eyanele .
- Ngisho noma lezi zenziwe, uma zingenakuthunyelwa emathunjini amancane ngenxa yokuvaleka kwemigudu yokuphefumula.
- Noma, kukhona umonakalo othile emathunjini amancane uqobo.Uma ungakwazi ukumunca amafutha.
Yiziphi izimbangela eziyinhloko ze-steatorrhea?
Kunezimo eziningana zezokwelapha ezingabangela lesi simo. Kulula ukuziqonda ngokuzihlukanisa ngokwesigaba sesitho esithintekayo.
| Isitho/uhlelo oluthintekile | Izimo zezokwelapha ezingaba khona |
|---|---|
| Izinkinga ezihlobene ne-pancreas (Ukuntuleka kokukhiqizwa noma ukutholakala kwama-enzyme) |
|
| Izinkinga zesibindi kanye ne-bile duct (ukukhiqizwa kwenyongo okuphazamisekile noma ukutholakala kwayo) |
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| Izinkinga zamathumbu amancane (ukuphazamiseka kokugaya ukudla noma ukumuncwa kwamafutha) |
|
Udokotela uthola kanjani imbangela yalokhu?
Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela.Uzokubuza ngezimpawu zakho bese ekuxilonga. Angase futhi enze izivivinyo ezithile ukuze athole imbangela eqondile.
- Ukuhlaziywa kwamafutha endle: Lokhu kuhilela ukuqoqa isampula yendle yakho isikhathi esingangezinsuku ezintathu bese ulinganisa inani lamafutha akuyo. Lokhu kungasiza ekunqumeni ukuthi udonse amafutha angakanani ekudleni okudlile nokuthi kungakanani okukhishwe endle yakho.
- Ukuhlolwa kwe-D-xylose: Lokhu kungasiza ekunqumeni ukuthi inkinga isemathunjini amancane noma e-pancreas/esibindini. Uphuza uketshezi oluqukethe ushukela olubizwa ngokuthi i-D-xylose, bese kuhlolwa isampula yomchamo wakho (noma mhlawumbe igazi) emahoreni ambalwa kamuva. Uma lo shukela ukhona emchameni, kusho ukuthi umuncwe kahle ngamathumbu. Ngakho inkinga ingaba kuma-pancreas noma esibindini. Kodwa uma kungekho shukela emchameni, udokotela angathola ukuthi inkinga ibangelwa ukumuncwa kabi kwamathumbu.
Ngaphezu kwalokho, i-endoscopy, ama-scan, noma okunye ukuhlolwa kwegazi kungacelwa kuye ngembangela.
Ukwelashwa nokudla kunjani?
Ukwelapha i-steatorrhea empeleni kusho ukwelapha isimo esiyisisekelo esiyimbangela. Isibonelo:
- Uma ama-enzyme e-pancreatic enganele, ama-enzyme abizwa ngokuthi i-Pancreatic Enzyme Replacement Therapy (PERT) anikezwa ngesimo samaphilisi.
- Uma kunenkinga ngokukhiqizwa kwenyongo, kunikezwa imithi efanele (isib. i-Ursodeoxycholic acid).
Ngaphezu kwalokho, izinkinga ezivela ekumuncweni kwamafutha ngendlela engafanele nazo zidinga ukwelashwa. Eyinhloko ukuntuleka kwamavithamini . Uma amafutha engamuncwa, amavithamini ancibilikayo amafutha njengevithamini A, D, E, kanye ne-K awamuncwa. Ngakho-ke, udokotela angase atuse ukuthatha la mavithamini njengezithasiselo.
Kufanele unakekele kanjani ukudla?
Izinguquko eziqondile zokudla okudingeka uzenze zizoncika embangela ye-steatorrhea yakho. Kungcono ukuxoxa ngalokhu nodokotela wakho.
- Uma kwenzeka ngezikhathi ezithile (ngenxa yokudla ukudla okunamafutha amaningi): Nciphisa izinto ezifana nebhotela, amafutha aqinile, uwoyela kakhukhunathi, uwoyela wesundu, inyama ebomvu, nokudla okucutshunguliwe.
- Uma kungenxa yenkinga yokumuncwa kwamafutha (i-Malabsorption): Lapha indaba ihlukile kancane. Umzimba udinga amafutha ukuze uthole amandla owadingayo. Ngakho-ke, udokotela angase akucebise ukuthi wengeze ukudla okwengeziwe okuqukethe amafutha anempilo (amafutha angagcwalisiwe) esikhundleni samafutha amabi. Izibonelo:
- Izinhlanzi ezinamafutha njenge-salmon, i-tuna, ne-mackerel
- Ama-avokhado
- Amafutha omnqumo
- Amabhotela amantongomane
- Ukudla okucebile ngamavithamini ancibilikayo:
- I-Vitamin A: Amafutha enhlanzi, ibhotela, amaqanda, izaqathi
- I-Vitamin D: izinhlanzi ezinamafutha, amakhowe, ukuchayeka elangeni
- I-Vitamin E: Imbewu yelanga, ama-alimondi
- I-Vitamin K: Imifino eluhlaza okotshani njengespinashi nekale
Umlayezo Wokuya Nawe Ekhaya
- I-Steatorrhea (indle enamafutha) akuyona isifo, kodwa uphawu olubalulekile olubonisa inkinga yangaphakathi emzimbeni.
- Izimpawu eziyinhloko ukuthi indle imhlophe, inephunga elibi, inamafutha, futhi intanta emanzini.
- Uma lezi zimpawu ziqhubeka, ungazinaki futhi ubone udokotela wakho ngokushesha ukuze uthole imbangela.
- Lokhu kungase kube ngenxa yesifo esihlobene ne-pancreas, isibindi, noma amathumbu amancane.
- Ukwelashwa kuncike esimweni esiyisisekelo, futhi ukulawula ukuntuleka kokudla okunempilo okufana namavithamini A, D, E, kanye no-K nakho kubaluleke kakhulu.
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