Zvokudya zvepakutanga ndezvokudya zvinodhaka zvinowanzoshandiswa kune varwere vakanganisa zvirwere zvekudya. Zvisinei, kudya kunotanga kutarisa kutsva sezvinoita kurapwa kwechidiki chebhakitiriya bhakitiriya (SIBO), chinokonzerwa nemamwe mabhuku eBS.
Kunyange zvazvo inoramba ichingopesana, imwe tsvakurudzo yakaratidza kuti kuwanda kwemabhakitiriya mukati memukati maduku kunokonzera zviratidzo zveBS mune vamwe vanhu.
Imwe mushonga weSIBO inoshandiswa mune mamwe maantibioti, kusanganisira mishonga Xifaxan . Zvokudya zvepakutanga zviri kutaridzirwa sechinhu chinogona kushandiswa nemishonga inorwisa mabhakitiriya.
The Elemental Diet
Zvokudya zvepakutanga zviri kutariswa sezvinobvira kurapwa kweSIBO nekuda kwezvikonzero zvinotevera:
1. Mishonga muzvokudya zvepakutanga inofungidzirwa kuti yakanyatsogadziriswa mukati mekutanga chikamu chemukati mudumbu, uye saizvozvo kuderedza nhamba yezvokudya zvinowanika kune mabhakitiriya.
2. Zvokudya zvakagadziriswa zvakaratidzwa kuderedza nhamba yegate mabhakitiriya . Saka inotungamirirwa kuti inogona kubatsira kubvisa mabhakitiriya kubva mumukati muduku.
3. Vatsvakurudzi vanobva kune rimwe kliniki yekuedzwa yakabudiswa kusvika panguva ino, vanoti chekudya chekutanga chinogona kuwedzera huwandu hweB bile yakabudiswa kubva ku gallbladder. Izvi zvingangoti zvinyatsosimbisa mutsara muduku wekuchenesa, saka kuderedza mabhakitiriya mazinga.
4. Ava vatsvakurudzi vanofananidzawo kuti migumisiro yezvokudya pamasero emusununguko emumukati mukati mechidzitiro chematumbo inogonawo kubatsira kubvisa mabhakitiriya maduku.
Kutsvakurudza Kunotii?
Sezvambotaurwa, pane imwe chete yakabudiswa kuongorora pamusoro pekushandiswa kwezvokudya zvekutanga zveSIBO. Zvokudya zvakaongororwa zvinokonzerwa nekudya kune huwandu hwe lactulose mumhepo - chiyero chaifungidzirwa kuratidza kuvapo kwezvakawandisa zvebhakitiriya mudumbu duku.
Ruzivo rwakange rwasanganiswawo sekuguma kwekudya pane zviratidzo zveBS.
Muchidzidzo chacho, 93 vashandi veBIBS vaiva nemigumisiro yakaipa pamusoro peavo lactulose breath test (LBT) vakaderedza kudya kwavo kwekudya kwekutanga kwemavhiki maviri. Avo vakaramba vachiratidza zviratidzo zvisina kukodzera zveLBT mushure memavhiki maviri vakakurudzirwa kuti varambe vachiwedzera kwevhiki.
Pashure pemavhiki maviri okutanga, miedzo yeLBT yakawanikwa yakaonekwa mu80% yevarwere. Nhamba yacho yakawedzera kusvika ku 85% mushure mekuiswa kune avo vakatevera kudya kwevhiki.
Dhiyabhorosi yaive yakanyanya kuderera maererano nemigumisiro yezvokudya pamakiratidzo emakiriniki, kunyange zvazvo chidzidzo ichi chichiwedzera kuwedzera kwekuvandudzwa kwezviratidzo zveBS kune varwere vane LBT chaiyo pakuguma kwechidzidzo pasinei neBS sub-type , kana vachienzanisa nevaya vakaramba vachienda kuratidza zvikwata zvakakwirira zveLBT.
Kuenda pane Elemental Diet
Panguva ino, kune chidzidzo chimwechete chinoshandisa kushandiswa kwezvokudya zvekutanga kweSIBO. Zvingava zvakanaka kune imomo kuti ive mishonga yakakosha-yakagadzirirwa kushandiswa kwemishonga inorwisa mabhakitiriya, asi sekunozvino, kudya kwepakutanga hakuratiki kufanana nemutemo. Kunze kwekusava nekugadziriswa, zvidzidzo zvakawanda zvinoda kuitwa kuti zvivezve nemigumisiro inonakidza yekutanga kwekudzidza.
Zvisinei, kana IBS yako yakaoma kwazvo, uye mitsva yekuedza inoratidza kuti SIBO iri kutamba basa, chikafu chekutanga chinogona kuve chakafanira kuzviisa. Zvisinei, zvakakosha zvikuru kuti chero kudya kwakadaro kunoshandiswa chete pasi pekutarisirwa kweutano sezvo kudya kunenge kusina ngozi. Zvokudya hazvifaniri kushandiswa panguva imwe chete nemishonga ipi zvayo yemishonga inouraya SIBO .
Usaedza kuedza kuedza kugadzirisa zvekudya zvekutanga zvekudya. Zvokudya zvepakutanga zvinorondedzerwa pamusoro apa zvakagadzirwa nesayenzi kupa munhu nemiti yose inokosha muupenyu hwako. Iwe uchange uri kuisa hutano hwako pangozi yakakomba iwe uchiedza imwe nzira.
Sources:
Russell, R. " Elemental Zvokudya " Gut 1975 16: 68-79.
Pimentel, M., et.al. "Mazuva 14 Elemental Diet Anonyanya Kubudirira Mukugadzirisa Chirwere cheLuctulose Breath" 2004 49: 73-77. Digestive Diseases and Sciences
Pimentel, M. " A New IBS Solution " Health Point Press 2006.