Kutsvakurudza kunoratidza kuwirirana kukuru kunoshamisa pakati pekusuruvara kwemawere (IBS) uye shuga (lactose, fructose , uye sorbitol) kusawirirana. Kana uri kutarisana neBS, kudzidza nezvedzidzo idzi kunogona kukubatsira kuona kana kusagadzikana kwekushuga kuri kutora chikamu muzviratidzo zvako.
Lactose Kusagadzikana
Kusagadzikana kwechikase ndechiitiko umo munhu anosangana nezviratidzo zvekudya shure kwekudya mazai emisi.
Izvi zvinokonzerwa nekushayikwa kwe enzyme lactase. Zvinofungidzirwa kuti vazhinji vairwara neBibS vaizobatsirwa nekubvisa michero yekurai kubva pane kudya kwavo.
Chimwe chidzidzo chikuru-chechi chakaenzanirana nevanenge vaine vashanu vaAIBS vane 336 varwere avo vakazviona se "mukaka usingatsvaki." Pedyo ne70 kubva muzana yevanhu vari mumapoka maviri aya akaedza maitiro ekurasikirwa kwelasise kubva ku hydrogen breath test (HBT) .
Vanyori vanopedzisira vachiti nekuda kweizvi huwandu hwehuwandu, HBT inofanirwa kupiwa nguva dzose kuvarwere vose vanofunga kuti vanotambura kubva kuBS. Zvinosuruvarisa, izvo zvakadzidza hazvina kusanganisira boka rekuchengetedza utano.
Kushushikana Kusagadzikana Kusanganiswa
Chidzidzo chiduku chakacherechedza kubatana pakati pekusagadzikana kwehuga uye hutachiona hwezvirwere . Kunyanya, chidzidzo chacho chaive nevatachiri makumi maviri nevashanu vaitora hydrogen mweya yekuongorora mushure mekunge vachinwa mhando dzakasiyana dzemhinduro. Izvi zvaisanganisira lactose, fructose, sorbitol, sucrose, uye kusanganisira fructose uye sorbitol.
Zvikamu makumi mapfumbamwe kubva muzana zvevadzidzi vakabvunzurudza vakaedza kuve nekusagadzikana kwemashuga. Mushure mekuregererwa kwezvokudya kwezvinhu zvinokanganisa, 40 muzana yevarwere vane ruzivo rwakaratidzwa kuvandudzwa.
Chidzidzo chikuru kwazvo chakaonawo lactose, fructose, uye sorbitol kusawirirana kune varwere vane zvirwere zvehutano hwebasa.
Pakati pa 239 varwere, 94 vakawana nzira yekuongororwa yeBS , asi vamwe vose vakagoverwa sevane maitiro anoshanda.
Kushandisa hydrogen uye methane kuedza, 90 muzana yezvidzidzo izvi zvakawanikwa kuti vanotambura nemamwe marudzi okusagadzikana. Chikamu chikuru chakaratidza kusawirirana kune zvinopfuura imwechete ye shuga. Nekugadziriswa kwezvokudya, inenge hafu yezvidzidzo muboka rimwe nerimwe rakaratidza chiratidzo chikuru chekuvandudza.
Basa Romakumbo Mashoma Bhakitiriya
Imwe nzira inowanikwa inobva kuvatsvakurudzi vanochengetedza kuti madumbu emukaka akawandisa (SIBO) inonyanya kukosha muBS symptomatology. Iyi nyanzvi inofunga kuti SIBO inogona kuonekwa kuburikidza nekushandiswa kweHyrogen breath breathing shure kwekudyiwa kwe lactulose, shuga iyo miviri yedu isingagoni kudyiwa.
Inofungidzirwa kuti kana hydrogen breath inokura nokukurumidza mushure mekunge munhu anwa chirongwa che lactulose, ichi chiratidzo chokuti mabhakitiriya aripo mumucheche muduku . Uyewo, inokonzera kuvirisa kunoguma nemhepo yekufema hydrogen.
Mukutsigira tsanangudzo iyi, kumwe kuongorora kwakawana kuti dzakawanda zvehurukuro dzakaedza kuve nehutachiona hwekusagadzikana kwe lactose uchishandisa hydrogen breath test yakaedzwawo zvakakosha pa lactulose kufema kufema.
Izvi zvinoratidza kuti dambudziko guru raiva SIBO uye kwete lactose kusawirirana .
Chidzidzo chikuru chakaedza varwere 98 IBS nokuda kwekuvapo kweSIBO uye kusagadzikana kwehuga. Makumi makumi matanhatu nevashanu kubva muzana yevashandi ava veBHS vakaongororwa kuti vawane SIBO yakavakirwa kubva ku test lactulose. Vaya varwere vainyanya kunge vaine maitiro akanaka e hydrogen breath shure mushure mokudya lactose, fructose, uye sorbitol kupfuura avo vasina kuzivikanwa sevanotambura neSIBO.
Vashandi veSIBO vakazotevera kurapwa nemishonga inorwisa mabhakitiriya kusvika pakusati vava kuratidza kupindura kwakanaka kuongororo ye lactulose. Vaya varwere vakazoonekwa sevasingakwanisi kuedza kuve nehutachiwana hwe lactose, fructose, uye sorbitol kusawirirana.
Vatsvakurudzi vanogumisa kuti SIBO inogona kunge iri chikonzero chekusavimbika kwekusavimbika kune pane kusakanganiswa kwechokwadi kweava sukari.
The Bottom Line
Kunyange zvazvo pangava nekukakavadzana pamusoro pezvinokonzera dambudziko iri, zvitsva zvinotsvakurudza zvinoratidza zvakajeka kuti pane ukama huri pakati pekusagadzikana kwehuga neBS. Kana iwe uchitambura kubva kuBib, zvakakosha kuongorora basa iro lactose, fructose, sorbitol kusagadzikana, uye SIBO, ingave iri kutamba muzviratidzo zvako.
Nzvimbo yakanaka yekutanga ndeyekukurukurirana nachiremba wako kuti uone kana chero chimiro chekuongorora kuongorora kusagadzikana kwekushuga kunogona kuratidzwa kwauri. Iwe unogonawo kufunga kufunga kuchengeta diary yezvokudya uye kuedza kudya kwekudya kuti uone kana kuvhara suga kunokubatsira kunzwa uchinaka.
> Sources:
> Fernandez-Banares F, et.al. Sugar malabsorption muhutachiona hwehutachiona hwehutachiona. American Journal of Gastroenterology. 1993; 88: 2044-2050.
> Goldstein R, > Bravermna > D, Stankiewicz H. Gedhaidhyrate Malabsorption uye Migumisiro Yezvokudya Zvokudya Zviratidzo zveIrritable Bowel Syndrome uye Mishonga Yemagetsi Inoshandiswa. Israel Medical Association Journal. 2000; 2: 583-587.
> Vernia P, DiCamillo M, Marinaro V. Lactose Malabsorption, Irritable Bowel Syndrome uye Kuzvidzivirira Kwekuita Misi Kusagadzikana. Digestive uye Chiropa Disease. 2001; 33: 234-239.
> Pimental M, Kong Y, Park S. Breath Kuedzwa kuongorora kuongorora kwechitose Kusagadzikana muIriritable Bowel Syndrome Correlates na Lactulose Kuedzwa uye Hatingarati Izvozvi Lactose Malabsorption. American Journal of Gastroenterology. 2003; 98: 2700-2704.
> Nucera >, G. et.al. Kuipa Kwemafuro Anoedza kuLuctose, > Fructose, > uye Sorbitol muIrritable Bowel Syndrome Ingave Ichitsanangurwa neKudukuka KweBhakiteriya Muduku. Alimentary Pharmacology & Therapeutics. 2005; 21: 1391-1395.