Yonke into ekufuneka uyazi malunga novavanyo lokuphefumla i-hydrogen
Imfundo yezeMpiloIsicaphucaphu, isitshisa, isisu, isisu esihambisayo, urhudo-eli qela leempawu zesisu linokubangela uxinzelelo olukhulu. Kwaye, bahlala bemangalisa. Kunokuba nzima ukukhomba ngokuthe ngqo ukuba yintoni ebangela yonke le ngxaki yesisu.
Ngenisa uvavanyo lokuphefumla i-hydrogen. Olu vavanyo olulula, olungelulo olungenelelayo lunokulinganisa amanqanaba erhasi ekuphefumlweni kwakho ukumisela ukuba kutheni uziva ezo ngxaki zesisu, nokuba zivela ekukhuleni kwebhakteria okanye ukungaginywa nto.
Uvavanyo lokuphefumla lwe-hydrogen lusebenza njani?
Ukuthatha uvavanyo lokuphefumla i-hydrogen yinkqubo entle ethe ngqo, kodwa ifuna ukulungiswa. Uya kuba nokutya okhethekileyo ngaphambi kovavanyo, uchithe malunga neeyure ezimbini kwi-ofisi kagqirha ngosuku lovavanyo, emva koko ulinde malunga neeveki ezimbini ufumane iziphumo zakho.
Ukulungiselela uvavanyo
Kuxhomekeka kugqirha wakho, ukulungiswa kungaqala naphi na iiveki ezine kusuku olungaphambi koviwo.
- Inyanga ngaphambili , yeka ukuthatha ii-antibiotics kwaye uphephe ukuba ne-colonoscopy.
- Kwiiveki ezimbini ngaphambili , yeka ukuthatha iiprobiotic.
- Kwiveki enye ngaphambili , kunqunyanyiswe ukusetyenziswa kwesisu, ukutshaya, nokwenza umthambo.
- Kwiintsuku ezimbini ngaphambili , yeka ukuthatha nayiphi na iprokinetics.
Iprokinetics ngamayeza aqhele ukusetyenziselwa i-acid reflux (cinga Reglan , Ipepcid , kunye Nexium ) Osebenza ngokwandisa motility. Oko kuthetha ukuba bayakhawulezisa ixesha elithathwayo ukuze kungabikho nto ngaphakathi kwisisu sakho, ngaloo ndlela kususwe nantoni na enokubangela ukuba i-acid reflux -kodwa isuse neentsholongwane uvavanyo lwe-hydrogen oluzama ukuyichonga. Sifuna ukwazi ukuba ngaba isigulana sinegciwane elingaphaya, utshilo Mackenzie Jarvis , IDM.Sc., umyaleli kwisebe lezonyango lwangaphakathi kunye ne-gastroenterology e-Atrium Health Gastroenterology kunye neHepatology. La mayeza anokuhambisa izinto ngokukhawuleza kwaye akushiye ngaphandle kwempendulo ecacileyo.
Ngenye imini ngaphambili , kufuneka ulandele ukutya okungqongqo, okuseleyo okuseleyo. Inciphisa ukutya okuphezulu kwifayibha, istatshi, icarbs kunye neswekile. UJarvis uthi ukunqanda ipasta, iziqhamo, ubisi, itshizi, isonka esenziwe nge-grainy, i-ayiskhrim, iimveliso zobisi kunye nesoda. Usenayo inkukhu, intlanzi, amaqanda, amanzi, ikofu, iti, kunye nemali encinci yesonka esimhlophe kunye nerayisi emhlophe (kuba iphantsi kwifayibha).
Umhla wovavanyo , ungatyi okanye usele nantoni na ecaleni kwamanzi (oko kubandakanya iminti yokuphefumla nentshungama).
Ngexesha lovavanyo
Umhla wovavanyo lwakho, uya kuchitha malunga neeyure ezimbini kwiofisi kagqirha. Okokuqala, ugqirha wakho uya kukunika isisombululo seswekile ukusela. UJarvis unika abaguli bakhe isiselo eswekile, kunye neMercy Medical Center gastroenterologist UBryan Curtin, MD, inika abaguli bayo iswekile, i-lactulose, i-fructose, i-fructan, okanye i-lactose. Iswekile yeyona nto ixhaphakileyo.
Ngeyure yokuqala emva kokusela isisombululo, uya kuqhuma kwisixhobo sokuqokelela umphefumlo qho ngemizuzu eli-15. Ijongeka ngathi yingxowa enetyhubhu yovavanyo eqhotyoshelweyo. Kwiyure yesibini, uya kuqhuma kwisixhobo rhoqo emva kwemizuzu engama-30. Ugqirha Curtin ucela abaguli bakhe ukuba bagcine idayari ngendlela abavakalelwa ngayo kuvavanyo, bephawula ukuba banazo na iimpawu. Okwangoku, iiteknoloji zelebhu ziya kuhlalutya inani legesi ye-hydrogen kunye negesi yemethane kwisampulu nganye yokuphefumla oyinikayo.
Iswekile iyaqhekeka emathunjini amancinci, utshilo uJarvis. Ukuba kukho iintsholongwane ezimbi emathunjini amancinci, iyabila, ivelise imveliso yeglucose njengehydrogen kunye nemethane. Sifunde isifundo ukubona ukuba kukho ukwanda kwe-hydrogen okanye i-methane edlulileyo kwisiseko. Ukuba kukho ukwanda kwenye okanye zombini, oko kuya kugqiba unyango.
Ezinye iinkqubo zesibhedlele zisebenzisa izixhobo zokuvavanya ekhaya, kodwa ngenxa yezixhobo ezisetyenzisiweyo kunye neendlela ezizodwa zokuqokelela, akuqhelekanga okwangoku.
Emva kovavanyo
Ngokwesiqhelo, abaguli bafumana iziphumo zabo zovavanyo malunga neeveki ezimbini. Ugqirha wakho uza kuhlalutya iziphumo ukuze abone ukuba kwaye nini na xa inani elikhulu le-hydrogen okanye i-methane livela kwiisampulu zakho zokuphefumla. Iofisi kaJarvis ihlanganisa iziphumo kwigrafu ukuze ifundwe ngokulula xa kuthelekiswa nesampulu yesiseko.
NgokukaGqirha Curtin, ukuba kukho i-hydrogen okanye i-methane yokunyuka kwamalungu angama-20 kwisigidi okanye nangaphezulu, oko kubonisa ingxaki. Ukwaphawula ukuba ukuba isigulana siba nesifo sorhudo ngexesha lovavanyo, uvavanyo lukhona ngaphandle kokubaluleka kwexabiso legesi. Ukwanda kweempawu ngexesha lovavanyo kubonisa i-visceral hypersensitivity.
Uvavanyo lomphefumlo lwe-hydrogen luchonga ntoni?
Uvavanyo lokuphefumla lwe-hydrogen lusetyenziselwa ikakhulu ukufumanisa isifo se-SIBO, okanye ukwanda kwebacteria emathunjini. Kodwa, ikwasetyenziselwa ukukhangela ezinye iingxaki zokugaya ukutya ezinje:
- Ubuninzi bemethanogen emathunjini (IMO)
- Ukwetyisa okungaqhelekanga zeswekile zokutya
- Ixesha lokuhamba ngokukhawuleza kwamathumbu amancinci
Uvavanyo lokuphefumla lwe-Hydrogen lunokunceda ukufumanisa isifo Isifo sengqondo sesifo (IBS) ngokuchonga i-visceral hypersensitivity (okanye, iintlungu zesisu esibuhlungu-uphawu lwesifo sengqondo esiswini). Zisisixhobo esinokukunceda ukulawula ezinye iimeko ezinokubangela iimpawu ezibonakala ngathi yi-IBS.
Kutshanje kufundwa yi-Imperial College yaseLondon Kutshanje kufunyaniswe ukuba iimvavanyo zokuphefumla kwe-hydrogen zikwanokubona umhlaza wokuqina kunye nesisu esiswini kumanqanaba okuqala.
SIBO
Ukuba ufunyaniswe une-SIBO, okanye ukwanda kwebacteria emathunjini amancinci, oko kuthetha ukuba iintsholongwane ezivela kwamanye amalungu emathumbu akho sele ziqalile ukuqokelela emathunjini amancinci-kwaye akufuneki zibekho.
Iimpawu zihlala zibandakanya:
- Ukunyathela
- Urhudo
- Ukuqunjelwa kwesisu okanye ukuqaqamba
- Isicaphucaphu
- Ukugcwala esiswini okanye ukungonwabi
- Irhasi enukayo
Unyango lwe-SIBO lujikelezo lwe-antibiotics (ngokuqhelekileyo neomycin okanye yongeza ). Ngaphandle konyango, nangona kunjalo, i-SIBO inokubuya, ngakumbi kwizigulana ezinezifo ezizimele-zinokufumana i-SIBO kangangenyanga, utshilo uJarvis.
Ezinxulumene: Iintsholongwane 101
IMO
I-IMO, okanye ukugcwala kwamathumbu emathunjini emathunjini, kuthetha ukuba iintsholongwane ezimbi ziye zafumba ngexesha lokuqhinwa. Uya kuba nazo zonke iimpawu ezifanayo ne-SIBO, ngaphandle kokuqhinwa endaweni yokuhambisa. Unyango luyafana, ngokunjalo-ujikelezo lwee-antibiotics ngokubanzi kunye nezo zenzelwe ngokukodwa isisu sakho, ngaphezu kwonyango lokuqunjelwa.
Ezinxulumene: Impilo yamathumbu iyichaphazela njani impilo-ntle yakho
Ukwetyisa okungaqhelekanga zeswekile zokutya
Olu xilongo luthetha ukuba unengxaki yokwetyisa iswekile okanye ideri-eyaziwa njenge ukunganyamezelani kwe-fructose (ezibandakanya iswekile ezifumaneka kwitswele, iartichokes, amapere kunye nengqolowa) okanye Ukunyamezelana kwe-lactose (iswekile efumaneka kwiimveliso zobisi). Esi sifo, ngamanye amaxesha sibizwa ngokuba yi-malabsorption, sineempawu ezifanayo kwi-SIBO.
Ngelishwa, le miqathango ayinalo unyango. Endaweni yoko, unokulawula iimpawu ngokususa ukutya okuthile kwindlela otya ngayo. Ukuba awunyamezeli i-lactose, ezinye iimveliso ze-enzyme ezingaphaya kwekhawuntari, ezifana ILactaid , inokunceda ngokunjalo. Ngokukodwa kwabo bangakwaziyo ukugaya kakuhle i-lactose, qinisekisa ukuba ufumana i-calcium ngokwaneleyo kwizongezo.
Ezinxulumene: Zeziphi iivithamini ekufuneka ndizithathile?
Ixesha lokuhamba ngokukhawuleza kwamathumbu amancinci
Ukuba unayo ixesha lokuhamba elincinci elincinci ngokukhawuleza , kuthetha ukuba ukutya kuhamba ngamathumbu akho amancinci ngesantya esikhawulezayo kunesiqhelo, kukhokelela kurhudo, iintlungu zesisu, ukuqunjelwa, kunye nokuqunjelwa. Kuxhomekeke kwisizathu esisisiseko sexesha lakho lokuhamba ngokukhawuleza, unokwazi kuphela nyanga iimpawu . Thatha i-antidiarrheals, thintela iziselo ezi-carbonated, kwaye uyeke ukutya okunokubangela igesi engaphezulu.
Zichane kangakanani iimvavanyo zokuphefumla kwe-hydrogen?
Ukuvavanywa kokuphefumla kwe-Hydrogen ngamanye amaxesha kunokunika iiposta ezingeyonyani, kwaye, kuxhomekeke kwisiseko esisetyenzisiweyo, kunokuba ngaphezulu okanye kancinci kuthathelwe ingqalelo. Kwaye ezinye iilebhu Sebenzisa iiparameter ezahlukeneyo ixesha lokulinganisa amanqanaba erhasi-njengokuthatha imilinganiselo yokuphefumla rhoqo kwimizuzu engama-90 kuvavanyo olude, okanye yonke imizuzu engama-30 ukususela ekuqaleni kovavanyo- oko kunokukhokelela kwiziphumo ezigoso. Iimvavanyo zasekhaya zinegumbi elininzi ngakumbi lempazamo kulungiselelo nolawulo lovavanyo.
Yimalini uvavanyo lokuphefumla i-hydrogen?
Iindleko zovavanyo lokuphefumla i-hydrogen ziyahluka, kuxhomekeke kumboneleli wakho wezempilo kunye neinshurensi yakho. Ixabiso lemali linokuvela kwi- $ 145- $ 400. Hlola ngesicwangciso sakho se-inshurensi ukuze ubone ukuba ngaba uvavanyo kunye nawaphi na amayeza owafunayo ayogqunywa. Okanye, thetha nogqirha wakho malunga neendlela zokunciphisa iindleko.
Uvavanyo lokuphefumla lwe-Hydrogen lolona lusetyenziswa kakhulu, ukhetho olukhethiweyo lokuchonga i-SIBO kunye ne-IMO. Zimbalwa iindlela ezibiza kakhulu, ezihlasela ngakumbi ezikhoyo. Enye ibandakanya i-endoscopy ephezulu ngexesha apho ugqirha aspirates fluid evela emathunjini akho amancinci. Omnye usebenzisa iphilisi oyiginyeyo — iqokelela ulwelo olusetyenziswa ngoogqirha ukubala inani leentsholongwane kumathumbu amancinci.
Ukuba ucinga ukuba unokuba unayo i-SIBO okanye i-IMO, nxibelelana nomboneleli wakho wezempilo ukuze ufumanise ukuba ngaba uvavanyo lulungile na kuwe.











