Is fructose malabsorption chikamu cheBS puzzle? Fructose rudzi rwehuga hunowanikwa mumichero nemimwe miriwo. Imwe tsvakurudzo yakatarisa basa iro kunyorera zvokudya zvine fructose zvine zviratidzo zvisingafadzi zvekudya. Kunyange zvazvo zvishoma uye zvakatangira, dhiyabhorosi yekutanga inofanirwa kutarisa kana iwe unofungidzira kuti michero iri kuwedzera kumatambudziko ako emukati.
Chii Chinonzi Fructose Malabsorption?
Zviratidzo zve fructose malabsorption, yaimbozivikanwa sefructose kusawirirana, inokanganisa kudya kusinganzwisisi mushure mekudya kana kunwa zvokudya kana zvinwiwa zvine fructose, shuga inowanikwa mumichero yakawanda. Mamiriro acho anofungidzirwa kuti ndiwo mugumisiro we fructose usati wanyatsopindira mumukomana muduku . Iyo fructose inogadzira nzira yayo mumukati mukuru iyo inogadzirirwa uye inoviriswa nemakemikari emukuchi. Izvi zvinogona kukanganisa GI motility uye zvinokonzera kudiwa isina kudiwa uye kubvisa.
Vamwe vanhu vane fructose malabsorption vanogona kubvumira zvishoma zvishoma fructose, asi zviratidzo zvinowanikwa apo fructose yakawanda inogadzirwa munguva shoma shoma. Kune vamwe vanhu, fructose malabsorption inogona kuva mugumisiro wediki mudumbu bhakitiriya kudarika (SIBO). Kuzivikanwa kwefructose malabsorption chinhu chinokosha chepfungwa yekushandiswa kwemaFODMAP shoma yeBS.
Fructose malabsorption inoratidzika zvakasiyana-siyana kudarika fructose inokonzera kusawirirana, genetic disorder inowanzoongororwa mucheche.
Kuziva
Iyo hydrogen breath breath inogona kuitwa, kuyera huwandu hwehydrogen mumhepo inotevera kugoverwa kwechinangwa che fructose. Kuwedzerwa kwehydrogen kunotendwa kunoratidza kuti fructose mune mhinduro yakabikwa nemaabhakitiriya mumatumbo makuru.
Zvisinei, iyo hydrogen breath test haisi yakakwana yakavimbika. Inogona kuratidza mhinduro yakanaka kunyange kana munhu asina malabsorption. Kunyange zvazvo dzimwe dzidzo dzinoti dzinokosha, vamwe vanotaura kuti hazvirevi.
Chidiki chebhakitiriya chinoputika (SIBO) chimwe chinogona kuongororwa apo hydrogen breath breath test yakanaka, uye chiremba anofanira kusarudza kana ichi ndicho chakakodzera kuongororwa pane fructose malabsorption.
Ndezvipi zvitsva zvinotsvakurudza?
Chimwe chidzidzo chakaita kuti muenzanisi pakati pevanhu vane utano uye vanhu vakazviziva sevanotambura nefructose kusawirirana zvichienderana nekuti ivo vakawana kubvongodza uye kugadzikana mushure mokudya zvimwe zvibereko. Kunyangwe zvigumisiro zvinofanirwa kushandurwa nemuchenjeri nekuda kwenhamba shomanana yevanhu (8 varwere, 4 masimba) avo vakabatanidzwa mukudzidza, zvigumisiro zvinonakidza. Vavengi vanozvimiririra vaiva nehupamhi hwehutrojeni uye vakawana ruzivo rwekuwedzera uye kugadzikana semugumisiro wekunwa mhinduro kupfuura ivo vanhu vane utano hwakanaka.
Kuwana kuti nyaya dzekuedza dzakawana zviratidzo kubva fructose sarudzo yacho pachayo yakatsanangurwa mune imwe dzidzo, iyo yakashandisa vanhu vakawanda.
Vose 183 vanhu vakanga vasina zviratidzo zvisina kutsanangurwa zvekudya zvakabatanidzwa. Vatatu vevatatu vevanhu ava vakaona zviratidzo zvemuviri mushure mekugadzirisa chirongwa chefructose. Zviratidzo izvi zvaisanganisira kunyarara, kurwadziwa kwepamuviri , kubvongodza, kubata uye kuchinja mutsika.
Chimwe chidzidzo chakatarisa zvakananga fructose kusawirirana kune vanhu vakuru vanowanikwa neBS. Pakati pevadzidzi makumi masere (80) vadzidza, chikamu chimwe chetatu chaive nechirwere che hydrogen breath test result mushure mekugadzira fructose solution. Kubva ava varwere, 26 vakapinda muchiitiko chekutsvaga gore rimwe chete gare gare. Pakuzotevera-14, varwere ava vakarondedzera kuti vakakwanisa kutevera fructose-inorambidzwa kudya uye vane ruzivo rwekuvandudza mune zviratidzo zvekurwadziwa, kubata, kubhururuka, indigestion uye chirwere.
Kuoma ne fructose imwe yezvakakosha zvakagadziriswa kumashure kwezasi yeFODMAP yedzidziso yeBS . Iyi nyanzvi yakagamuchira tsvakurudzo yakawanda kubudirira kwayo mukuderedza zviratidzo zveBS.
The Bottom Line
Kutsvakurudza pamusoro pebasa re fructose malabsorption mu IBS richiri muzvikamu zvaro zvokutanga. Zvisinei, kana zviratidzo zvako zvegesi, kubvongodza uye kubuda kwemahara zvinoratidzika zvakabatana nekugadzirwa kwemichero, dambudziko re fructose rinogona kuva chimwe chinhu chokufunga. Chengeta diary yezvokudya kwevhiki dzinoverengeka kuti uone kana pane ukama hwakadaro. Kana zvakadaro, taura nachiremba wako pamusoro pekugona kutora hydrogen breath test uye kubvunza chiremba wako nezvekuedza kudya kudya .
Sources:
> Zvokudya Zvirwere uye Kusagadzikana 105: Fructose Malabsorption. American Gastroenterological Association. http://www.gastro.org/info_for_patients/food-allergies-and-intolerances-105-fructose-malabsorption
Choi, Y., Kraft, N., Zimmerman, B., Jackson, M. & Rao, S. Fructose Kuvhiringidzika muBS uye Utility yeFructose-Inorambidzwa Zvokudya. Nyaya yeKliniki Gastroenterology 2008 42: 233-238.
> Fedewa A, Rao SSC. Dietary Fructose Kusagadzikana, Fructan > Kuvhiringidzika > uye FODMAPs. Current Gastroenterology Reports . 2013; 16 (1). doi: 10.1007 / s11894-013-0370-0.
Mann, N. & Cheung, E. "Fructose-induced breath hydrogen kune varwere vane kusagadzikana kwezvibereko. " Journal of Clinical Gastroenterology 2008 42: 157-159.
> Yao CK, Tuck CJ. The clinical value of breathing hydrogen testing. Nyaya yeGastroenterology uye Hepatology . 2017; 32: 20-22. doi: 10.1111 / jgh.13689.