Eyona >> Impilo-Ntle >> Ukutya oku-3 okufanelekileyo kwe-IBS-kunye nokutya okungu-9 ukunqanda

Ukutya oku-3 okufanelekileyo kwe-IBS-kunye nokutya okungu-9 ukunqanda

Impilo-ntle Ezi zicwangciso zokutya zinokunceda abantu abaninzi ukunciphisa iimpawu

Isifo esichaphazelayo samathumbu, okanye i-IBS, yingxaki eqhelekileyo kwithumbu lesisu, ichaphazela iipesenti ezili-10 ukuya kwi-15% yabantu eUnited States. Ibangela iimpawu zesisu ezinje:

Ukuxinana esiswini
Ukuqhawula
Irhasi
Amagqabantshintshi kwisitulo
Utshintsho kwimikhwa yamathumbu (ubude kunye nembonakalo)

Abanye abantu abane-IBS banokuqunjelwa okanye urhudo, ngelixa abanye benokuthi batshintshe phakathi kwaba babini. Ukuphazamiseka kunokubangela ukungonwabi kodwa kungonakalisi amathumbu.

Abaphandi abazi ukuba yintoni kanye kanye ebangela i-IBS, kodwa bafumanise ukuba esi sifo sichaphazela abantu basetyhini ngokuphindwe kabini kunamadoda. Uninzi lwabantu abane-IBS bancinci kunama-45. Usengozini enkulu ukuba unembali yosapho ye-IBS okanye imiba yezempilo yengqondo.

Akukho luvavanyo luchanekileyo lwe-IBS. Umboneleli wakho wezempilo unokuthatha isitulo kunye neesampulu zegazi kunye ne-X-ray ukulawula ezinye iimeko. Banokucebisa ikholonoscopy ukujonga utshintsho okanye ukungaqhelekanga kwisisu sakho, njenge-colitis.

Nge-IBS, iimpawu ziya kuza kwaye zihambe, ngokunokwenzeka ubomi bakho bonke. Nangona kungekho nonyango kule meko, kunokwenzeka ukuyilawula ngokutya kwakho kunye namayeza. Into oyityayo ayibangeli IBS, kodwa ukutya okuthile ngamanye amaxesha kunokubangela ukuvutha.

Ezinxulumene: IBS vs. IBD: Yeyiphi endinayo?

Izidlo ezi-3 ezilungileyo ze-IBS

Ke kukuphi ukutya okukhuselekileyo ekutyeni, kwaye zeziphi ekufuneka uziphephe xa une-IBS? Nangona iintlobo ezithile zokutya zinokubangela iingxaki kwabanye abane-IBS, akukho mpendulo icacileyo okanye ukutya kwe-IBS kwindalo yonke okusebenzela wonke umntu.

Ukutya okanye iqela elithile lokutya linokuba nefuthe elibi komnye umntu, kodwa lingabinampembelelo komnye, Utshilo uElie Abemayor, MD, oyiNtloko yeCandelo lezoNyango, iGastroenterology, Isibhedlele saseMntla Westchester eNew York. Kwaye, uyongeza, iimpawu zinokutshintsha ngokuhamba kwexesha. Abantu abachatshazelwe lubisi ngoMvulo banokuba nobisi ngoLwesine kwaye baphile.

Oku kunqongophala kweempawu ze-IBS kunokwenza ukuba kube nzima ukufumanisa ukuba zeziphi ukutya ezibangela zona. Abantu abane-IBS banokugcina idayari yento abayityayo kunye nayo nayiphi na imiqondiso yokugula ukuze babone ukuba banokuchonga ukutya okungunobangela kwaye benze utshintsho kwindlela otya ngayo.

1. Ukutya okuphantsi kwe-FODMAP

Ababoneleli abaninzi bezempilo baya kuncoma ukutya okungafunekiyo kokunganyamezeli kokutya kunye neemvakalelo. Uya kuyeka ukutya ukutya okuthile kwaye emva koko udibanise nganye nganye de ufumane enye ebangela iimpawu zakho.

Ukutya okuphantsi kwe-FODMAP kukutya okupheliswa okuqhelekileyo kwe-IBS. I-FODMAP imele ii-oligosaccharides ezinokutsha, ii-disaccharides, i-monosaccharides kunye neepolols. Amathumbu amancinci kwezinye ane-IBS anengxaki yokufumana ezi ntlobo ze-carbohydrate, kwaye emva kokutya ukutya okuphezulu kwe-FODMAP, abanye abantu bafumana ukuxinana, urhudo, ukuqunjelwa, isisu kunye nokutsha.

Ukutya okuncinci kwe-FODMAP, uyakuyeka ukutya okanye unciphise:

I-Fructans kunye ne-GOS, efumaneka kwingqolowa, irye, itswele, igalikhi, kunye nembotyi
Lactose
I-Fructose, enobusi, ii-apile, kunye nesiraphu yengqolowa ephezulu ye-fructose
Iimveliso ezineswiti ezigcina ngo -ol (sorbitol, mannitol, xylitol, kunye nemaltitol)

Isitshixo apha kukuba utya ukutya okuphantsi kwe-FODMAP, oko kuthetha ukuba okunye koku kutya kunokunyamezelwa kwimali encinci. Owona mthombo wolwazi ukwazi into ekhuselekileyo nengakhuselekanga IYunivesithi yaseMonash , Eyile ukutya kwaye ine-app echaza amanqanaba eFODMAP kukutya.

Ukutya okuphantsi kwe-FODMAP kwenzelwe ukuba okwethutyana. Uya kuzama iiveki ezimbalwa ukuze ubone ukuba iimpawu zakho ziphuculwe. Ukuba uziva ungcono, uya kuqala kancinci ukongeza ukutya okuphezulu kwe-FODMAP kwakhona kukutya kwakho. Emva kokuba ufumene ukuba kukuphi ukutya okubangela iimpawu zakho ze-IBS, unokukhawulela okanye uziphephe.

Ngenxa yokuba oku kutya kunzima kakhulu, kunokukunceda ukusebenzisana nesondlo okanye isondlo sokutya oqeqeshelwe ukutya okuphantsi kwe-FODMAP.

Ezinxulumene: Yintoni ukunyamezelana kwelactose?

2. Ukutya okungenagluten

Enye inketho yokunciphisa iimpawu ze-IBS kukutya okungahambisani ne-gluten. I-Gluten yiprotheni yengqolowa, ibhali kunye nerye. Uya kuyifumana kwi:

Ukutya okuziinkozo
Iinkozo
Ipasta
Ukutya okuninzi okusetyenzisiweyo

Ukutya okungenagluten kuhlala kunabantu abanesifo se-celiac (ukunganyamezelani kwe-gluten), kodwa uphando lubonisa ukuba inokunceda ekunciphiseni iimpawu kubantu abane-IBS.

3. Ukutya okuphezulu

Kubantu abane-IBS ngokuqunjelwa (IBS-C), ifibre ngakumbi ekutyeni kwabo inokuthambisa isitulo kwaye yenze kube lula ukudlula, oko ke kukhuthaza ukuhamba kwamathumbu rhoqo.

I-microbiome yethu isebenzisa ifayibha ukugcina amathumbu ethu esempilweni, utshilo uParastoo Jangouk, MD, ugqirha wegastroenterologist oqinisekiswe yibhodi UAustin Gastroenterology eTexas. Xa uthatha ifayibha, umzimba wakho uwuguqula ube zii-acids fatty chain, ezona zibaso kwiiseli zethu zamathumbu. Ukutya okwahlukileyo kwizityalo kunye nefayibha kubalulekile ekugcineni amathumbu ethu esempilweni.

I-fiber e-Soluble, uhlobo olufumaneka kwiimbotyi, iziqhamo, kunye neemveliso ze-oat, kucingelwa ukunciphisa iimpawu ze-IBS.Uninzi lwabantu baseMelika batya kuphela malunga ne-10-15 yeegram zosinga ngosuku kodwa kufuneka bajonge i-25-35 yeegram. Abantu abane-IBS abanomdla kwi-fiber kufuneka bayongeze kancinci kukutya kwabo, ukuqala nge-2 ukuya kwi-3 gram ngosuku. Ifayibha eninzingaphambi kokuba umzimba wakho ukulungele kunokubangela irhasi kunye nokudumba.

Izinto ezibangela ukutya kwi-IBS

Nangona ukutya okubangelwa yi-IBS kunokwahluka kuye komnye umntu, ukutya okuthile kunokubangela iingxaki. Umboneleli wakho wezempilo unokucebisa ukuba unciphise:

Iziphuzo zekhabhoni
Iziselo ezinxilisayo
Zobisi
Iswekile
Izinto zokuthambisa ezingezizo
Ukutya okucutshungulwayo
Icaffeine
Izongezo zemichiza
Ukutya okunamafutha

Olunye ukhetho lonyango lwe-IBS

Kunye notshintsho kwindlela otya ngayo, zikho ezinye iindlela zokuthintela nokunyanga i-IBS flare-up.

Amayeza

Unyango lweziyobisi lubaluleke kakhulu kubantu abanesifo sokuqaqanjelwa ngamathumbu esinganyangekiyo esingangcono kwiinguqulelo zokutya.

Izidambisi phatha ukuqhina okubangelwa yi-IBS. Ubisi lweMagnesia (Imagniziyam hayidroksayidi yomlomo) kunye Miralax (I-polyethylene glycol) zimbini iindlela onokukhetha kuzo.
Izibonelelo zefiber njenge Imetamucil (psyllium) inokwenza kube lula ukudlula isitulo.
Anticholinergics / Antispasmodics njenge Bentyl (dicyclomine) kunye ILevsin (hyoscyamine) usebenza ukunciphisa iintlungu zesisu okanye ukungonwabi, ngesiqhelo emva kokutya.
Iimpawu zokuthintela urhudo thintela kwaye unciphise urhudo. Iimpawu ziquka Imodium (loperamide) kunye Lomotil (diphenoxylate kunye neatropine).
Iziyobisi ezichasene noxinzelelo inokunceda ngoxinzelelo lweemvakalelo olubangelwa yi-IBS. Uphando lubonisa Unxibelelwano phakathi kwe-IBS kunye noxinzelelo, uxinzelelo kunye nokunye ukuphazamiseka kwemood.
Ukudakumba , ngeedosi ezisezantsi, bunokuhlisa ubungakanani beempawu zentlungu ukusuka emathunjini ukuya kwingqondo. Umboneleli wakho wezempilo unokuyalela i-tricyclic njengo-Elavil (amitriptyline), Tofranil ( imipramine ), okanye I-Pamelor (umgca wendlela).
Amayeza eentlungu njenge ILyrica (pregabalin) okanye Neurontin (gabapentin) inokunciphisa iintlungu zesisu se-IBS kunye nokudumba.
Amayeza amiselweyo ajoliswe kwi-IBS ziboniswa ukuba ziyasebenza ekunyangeni iimpawu ze-IBS ezinjengorhudo kunye nokuqunjelwa. Babandakanya Lotronex (i-alosetron), Xifaxan (rifaximin), kunye IViberzi (eluxadoline) yesifo sorhudo esibalulekileyo kwi-IBS, kunye Amitiza (lubiprostone), Linzess (linaclotide), kunye neTrulance (plecanatide) yokuqunjelwa kunye ne-IBS.

Ezinxulumene: Fumana amanye amayeza e-IBS

Izinto zokuphila

Abantu abane-bowel syndrome engacaphukiyo banokulawula iimpawu zabo ngotshintsho kwindlela yokuphila njengokusela amanzi amaninzi, ukuzilolonga rhoqo, ukulala ngokwaneleyo. Kukwakho neengcebiso, ngakumbi ezo zijongana noxinzelelo okanye uxinzelelo, ezinokuthi zenze ukuba iimpawu zibembi.

Inkqubo ehambelana nezempilo

Akukho bungqina buqinileyo, kodwa olunye uphando lubonisa ukuba iindlela zonyango ngaphandle kweyeza eziqhelekileyo kunokuba luncedo kubantu abane-IBS.

Unyango: Uphando luxutywe malunga nezibonelelo zolu nyango, olubandakanya ukufaka iinaliti ezincinci kulusu lwakho kwiindawo ezifanelekileyo. Uvavanyo olunye lweklinikhi ibonisa abantu abafumene unyango babone ukuphucuka, ngelixa enye ifumanise ukuba i-acupuncture yokwenyani ibingcono kunohlobo olulinganisiweyo.
Unyango (Hypnosis): Kukho obunye ubungqina ukuba i-hypnotherapy eqondiswe esiswini (GDH) iphucula iimpawu ze-IBS, unxunguphalo, uxinzelelo, ukukhubazeka, kunye nomgangatho wobomi, kodwa kufuneka uphando olungaphezulu.
Ingqiqo: Olu hlobo lokucamngca olujolise ikakhulu lunokunceda abantu abane-IBS, kodwa abukho ubungqina obaneleyo bokwazi ngokuqinisekileyo ukuba buyasebenza.
Yoga: Nye isifundo esincinci ibonisa ukuba i-yoga ingaziphucula iintlungu zesisu, ukuqhina, kunye nesicaphucaphu, kwaye iziphumo zihlala iinyanga ezimbini ubuncinci.
Izibonelelo zokutya: Abaphandi baphande izongezo ezinje ngamayeza amaTshayina, ioyile yepepermint, i-elm emtyibilizi, ijusi yealoe vera, kunye neeprobiotic ze-IBS, kodwa kunzima ukwazi ukuba zisebenza kangakanani de kugqitywe ngakumbi.

Ezinye izongezo zokutya zinokubangela iziphumo ebezingalindelekanga okanye zinokunxibelelana namayeza kagqirha. Ngaphambi kokusebenzisa indlela ezincedisayo yezempilo, thetha nomboneleli wakho wezempilo.Banokunika iingcebiso kwiingcali kwaye bakwazise ukuba izongezo ziya kudibana namayeza owathathayo ngoku.

Ezinxulumene: Ungazilawula njani ngokukhuselekileyo iimpawu ze-IBS ngexesha lokukhulelwa

Ukutshintshwa kwe-Fecal microbiota (FMT)

Olu nyango luphando lwe-IBS kuxa umntu ophilileyo ebeka isitulo kwikholoni yomntu one-IBS. Uluvo olungemva kwenkqubo kukutshintsha amabacteria asempilweni. Abaphandi ngoku baqhuba iimvavanyo zeklinikhi kwi-FMT. Okwangoku, ekuphela kokusetyenziswa okuvunyiweyo kwe-FMT kukuphindaphinda okanye ukuqina kweClostridium difficile colitis.

Okukwintsusa

I-IBS yimeko enzima. Akukho sizathu ngqo okanye indlela yokufumanisa isifo, kwaye ekubeni iimpawu zohluka ukusuka komnye umntu ukuya komnye, akukho lunyango lusemgangathweni. Kodwa, inzululwazi yenza inkqubela phambili.
Lixesha elinomdla kuphando lwe-IBS, utshilo uGqirha Jangouk. Sifunda ngakumbi nangakumbi, ngakumbi malunga nokunxibelelana kwamathumbu obuchopho, inkqubo yokwetyisa, kunye ne-gut microbiome. Kule minyaka ili-10 izayo, siza kukuqonda ngcono okwenzekayo ngesi sifo kunye ne-pathophysiology yaso.

Okwangoku, uGqirha Abemayor uthi inyathelo lokuqala elibalulekileyo kunyango lwe-IBS kukuba oogqirha kunye nezigulana zivume ukuba iimpawu ziyinyani. Abantu bacinga ukuba kusezintloko zabo nje. Ayiyo. Yimeko apho kukho umahluko we-physiologic kubantu abane [IBS] kunye nabantu abangenayo. Ukuqinisekisa iimpawu zabo kunyango kwabanye abantu.

Kungathatha uvavanyo kunye nephutha, kodwa uninzi lwabantu oluchongwe ukuba lunayo i-IBS luyakwazi ukulawula iimpawu zalo ngokutya kunye notshintsho kwindlela ophila ngayo. Abo bane-IBS enzima banokufuna amayeza.

Khangela utshintsho kwiimpawu zakho okanye ukuba ziqhubela phambili ngaphaya kwento eqhelekileyo ye-IBS, njenge: