Pakutanga, hazvioneki kuita chero njere kuti paizove nekubatana pakati pekushushikana kwepfungwa uye kugadzira mabhakitiriya. Chimwe chinhu chinokwira pasi (mumatumbo) chingaita sei nechose chinokwira (kuora mwoyo)? Zvisinei, kune pfungwa inofadza inobatanidza mbiri. Ngatitarisei ...
Inyanzvi Inoti Kubata Kwebhakitiriya Yakaderera Kunokonzera GERD
Mubhuku rake, Fast Tract Digestion , Norman Robillard, Ph.D.
inokonzera kuti kamuviri kadiki kemubhakitiriya kakakanganiswa (SIBO) inogona kuva chikonzero chaicho chegastroesophageal reflux chirwere (GERD).
SIBO imamiriro ezvinhu ehutano umo kune mabhakitiriya akawanda kwazvo kumucheto wepamusoro wemukumbo muduku , nzvimbo iyo miviri miduku haifaniri kunge iri. GERD chirwere umo mudumbu inonzi acid inopisa denga reyophagus (acid reflux), zvichikonzera chiratidzo chekuora mwoyo.
Izvo izvi zviviri zvingave zvakabatana sei? Dhiyabhorosi Robillard nheyo ndeyokuti gesi inokonzerwa nebhakitiriya inogara mumudumbu muduku inokonzera zvakakwana pamucheche mudumbu uye mudumbu kuti inogona kukonzera asidi kubva mudumbu kusvika mudenga.
Mukuwedzera pakutsanangura nzira itsva yekuona chikonzero cheGERD, Dr. Robillard anopawo maitiro matsva ekurapwa. Haana kutsigira kushandiswa kwemishonga inogadzirisa asidi, kunyanya kushandiswa kweproton pump inhibitors (PPIs), iyo ikozvino ndiyo yakakodzera kurapwa kweGERD.
Nharo yake ndeyokuti kuderedza musimba weAiditi inokonzerwa nePPIs kunobatsira kuti bhakitiriya riwedzere mumatumbo maduku munzvimbo yekutanga, sezvo mudumbu weAIDS inoshanda basa rinodzivirira mukuchengetedza mabhakitiriya kuti asava nehutachiwana hutumbu.
Icho chinonzi Dr. Robillard anokurudzira ndechokuti varwere veGERD vanotevera kudya kunenge kwakaderera pane zvaanodana kuti "zvakaoma kudya" makhahydrates.
Iko kutenda kwake kuti kudya kunowedzera mumakidhihydrates aya kunobatsira zvose zvakapfurikidza zvebhakitiriya aya uye kuwedzerwa kwegesi kunowanzokonzera zvakananga reflux.
Zvinotoshamisa ndezvokuti urongwa hwake hwemakrohydrates kuti uzvidzivirire hwakafanana zvikuru nehuya hwe-FODMAP yezvokudya zveBS . Misiyano yakakosha ndeyezvokudya izvo zvakakwirira mumashikiti asingagadziki, zvakadai semabhanana asina kuibva uye chibage, izvo zvinokurudzirwa pane zvakaderera-FODMAP kudya asi zvakakanganiswa naDr. Robillard maererano nekurapa GERD.
Sayenzi Inopesana Nedzidziso
Kunyange zvazvo dzidziso yacho ichimanikidzika, hakuchina zvakawanda zvekutsvakurudza kuti zvitsigire.
Chimwe chidiki chekudzidza chakabatanidza kuva nevarwere veGERD vachigadzirisa mhinduro yefructooligosaccharides (FOS) kana placebo mushure mekudya kwevhiki imwe neimwe. FOS haisi-digestible uye, saka, inowanikwa kuti ifukidzwe nemakemikari emukumbo. Zvinofadza kuti FOS inoratidzira FODMAP , inowanikwa muzvokudya zvakaita seonikisi, garlic, uye asperagus.
Vatsvakurudzi vakawana kuti FOS yakawedzera nguva dzekuzorora kwemasimba esophageal sphincter, pamwe nekuwedzera huwandu hwe acid acid reflux uye zviratidzo zveGERD. Muchidzidzo ichi, kwakanga kusina kutaura pamusoro peSIBO, asi vatsvakurudzi vakagumisa kuti kwaiva kuvhenekera mukati mekoloni kwakakonzera kuwedzera kwezviratidzo zveGERD.
Chimwe chidzidzo chiduku zvikuru chakawana kuti kudya kwakaderera kweakagidhydrate kwakavandudza zviratidzo zveGERD mune boka duku revarwere veGERD vakaoma.
The Bottom Line
Nokuti zvino, zvinoratidzika kuti zvose zvatinokwanisa kugumisa ndezvekuti iyi inyaya inofadza. Tariro, kuwedzera kutsvakurudza kuchaitwa kuti uone kana kudya kwema-gluidhydrate kuchigadzirisa zvechokwadi SIBO uye kunoderedza zviratidzo zveGERD. Zvinosuruvarisa, mari yezvekudya kwezvokudya kwezvinetso zvezvehutano inowanzova shoma. Somunhu, ndinoda kuona zvimwe zvitsvakurudzo zvekuti kana kwete here kuderera-FODMAP yekudya kunobatsira pane zviratidzo zvekushaya mwoyo-chimwe chinhu chandakanzwa kune vatengi vari kudya.
Kuramba GERD ndiyo mamiriro ezvinhu akachengetedzwa nachiremba wako. Zvisinei, kana dzidziso iyi ichishandura iwe, taura nachiremba wako nezvayo. Kana ukasarudza kuti unoda kuedza kudya kwema-glucidharini yakakurudzirwa naDkt. Robillard uye woongorora zvayo pamigumisiro yako, unofanirwa kubvunzurudza unyanzvi wezvokudya unyanzvi kuti uone kuti zvose zvekudya zvako zvinodiwa zviri kuitika.
Sources
Austin, G., et.al. "Zvokudya Zvishoma-Carbohydrate Zvinokurudzira Gastroesophageal Reflux uye Zviratidzo Zvayo" Kuderedza Zvirwere uye Sciences
Piche, T., et.al. "Kuvirisa kwemakoloni kunokonzera kuderera kweeophageal sphincter basa mu gastroesophageal reflux" Gastroenterology 2003 124: 894-902.
Robillard, N. (2012) Fast Tract Digestion: Heartburn . Watertown, MA: Self Health Publishing.