Zvinokonzera Diarrhea Mushure mekudya

Zvikonzero Zvaunogona Kuve Uchida Kuenda Kumashure

Kuwana chirwere chakanaka mushure mokudya iwe kunozivikanwa sehutachire hwepaspandi. Zvinogona kunge zvangotanga kuitika, pane imwe nguva iyo yakaoma, kana iwe ungave wakave nayo kwenguva yakareba uye iyo isingagumi. Kudzidza nezvezvikonzero zvinowanzokonzera chirwere shure kwekudya kuchakubatsira kukwanisa kushanda nachiremba wako pane chirongwa chinoshanda chekurapa.

Chero chipi zvacho chitsva kana chinoramba chichigadzirisa chirwere chinofanira kuendeswa kune chiremba wako kuitira kuti iwe uwane chirongwa chekuongorora uye chirongwa chekurapa.

Kunyangwe chirwere chemashure mushure mekudya chingakonzerwa nechimwe chehutano hwakarondedzerwa pano, chinogonawo kuva chiratidzo chemamwe zvirwere zvakakomba.

Zvinokonzerwa Nehutachiona Hwehutachiona Mushure mekudya

Kurwisa kwemahara kunowanzoitika kamwe kamwe kwekurambana zvikamu. Dhairrhea nokuda kwechikonzero chero chipi zvacho chinogona kuitika mushure mekudya, sezvo chiito chisina kujeka chokudya chinokurudzira musimba kufamba mukati memukati mako makuru kubvisa ura hwako. Paunenge uine chikonzero chinokonzerwa nehutachiona, chepfu yezvokudya, kana IBS, zvipikano izvi zvingave zvakasimba uye zvinorwadza kupfuura zvinowanzoitika uye zvinouya nepfungwa yekukurumidzira. Izvi zvinogona kuva zvikonzero zvinokonzera chirwere chemahara:

• Mabhakitiriya zvirwere zvakadai saSalmonella kana E. coli
• Zvokudya zvine chepfu
• Zvirwere zvepachirwere (zvinowanzozivikanwa se "chironda chemimba")
• Zvirwere zvakadai seGiardia
• Mishonga yakadai sean antacids, antibiotics, chemotherapy
• Lactose kusawirirana (inogonawo kuva chikonzero chisingaperi)
• Inokanganisa bowel syndrome ine chirwere chinokonzera ( IBS-D ), iyo inogonawo kuva chikonzero chisingaperi

Zvaungaita Kuti Uwane Diarrhea Yakanaka

1. Gara hydrated. Iwe unofanirwa kutora nzvimbo dzemvura nemaminerari ayo muviri wako usingagamuchiri nekuda kwekukurumidza kuenda kwechigaro kuburikidza nemamiriro ako. Edza kunwa mvura uye kuchenesa jisi yemichero uye sip broth.
2. Usakurumidza kushandisa rinopfuura-the-counter diarrhea chigadzirwa chakadai seImodium kana Kaopectate. Izvi zvigadzirwa hazvifaniri kushandiswa kana une fevri kana kune mucus kana ropa muzvigaro zvako. Pepto Bismol inogona kunge yakasarudzwa asi tarisa nechiremba wako kutanga. Hapana yemishonga iyi inofanira kupiwa kune vana pasina mvumo kubva kuchiremba chomwana.

1. Iva nehanya nehupenyu hwako uye udye chete zvokudya zviduku. Tarisa mazita ezvokudya kana iwe uine chirwere chekuda uye zvokudya kuti urege kudzivirira kana une chirwere . Mushure mokunge diarrhea yenyu yapfuura, dzidzai zvingadye kana iwe uchinzwa zviri nani .

Nguva Yekudaidza Chiremba Wako

Iwe unofanira kudana chiremba wako pakarepo kana uri kutarisana nechimwe chezviratidzo zvinotevera:

• Ropa muzvigaro zvako
• Zviratidzo zvekushaya simba kwemuviri zvinosanganisira kurara kwemukoro, yakaoma muromo, maziso anozununguka
• Fever inopfuura 100 F kana iyo inopedza mazuva anopfuura matatu
• Dambudziko guru romudumbu
• Kuwedzera kwezvirwere zvekurara, kana chirwere chinenge chiripo mazuva maviri gare gare mucheche kana mwana, uye mazuva mashanu gare gare kune munhu mukuru.
• Zivai zviratidzo zvekutsvaira kwekutsvaira, izvo zviratidzo zvinokuvadza zvakanyanya kuchenjerera kudanwa kwekukurumidza kubvunzurudza. Izvi zvinosanganisira kubuda ropa, kurutsa, kusava nenzara, kuora kwekurema, fivha, kurwadziwa kwepamuviri nekupwanya usiku, nekushaya ropa.

Zvinokonzerwa Nehutachiona Husingagumi Mushure mekudya

Dambudziko rinopfurikidza nehurwere mushure mokudya kunogona kuve nekuda kwehutano hwakasiyana-siyana hwehutano huri nekurwara kwenguva refu sechiratidzo. Kana uine chimwe chezvinetso izvi, chiito chakarekudya kudya chinogona kushanda sechirwere chekurwisa zvirwere.

Kutaura nezvechirwere chepachirwere chinogona kubatsira kuburitsa hurumende kubva kuchiratidzo chekumhanyira kuchivanze mushure mekudya.

• Utachiona : Sezvo nehutachiona hwehutachiona, kune hutachiona hunogona kukonzera chirwere chisingaperi. Izvi zvinosanganisira Clostridium difficile , Giardia lamblia , uye amoeba.
• Irritable bowel syndrome (IBS) : Kungoita chiito chisina kujeka chokudya kunogona kukwana kuvhara chiratidzo cherwere mune vamwe vanhu vane IBS. Hazvizivikanwi zvakajeka nei kune hutano hwakadaro hwehutachiona hwehutano mune chirwere ichi.
• Bile acid diarrhea (BAD): Vanotsvakurudza vari kutanga kutora uchapupu hwokuti vamwe vanhu vanoonekwa kuti vane IBS zvechokwadi vane BAD. Bile acids yakavanzwa nehuturu yako kuitira kuti chirwere chako chekudya chive chekudya mafuta. Kana aya acid isati yadzoserwa zvakanaka, inoshandiswa kukurudzira zvipembenene mumatumbo ako makuru, zvichiita kuti uwedzere. Dzimwe nguva chikonzero cheBAD hachizivikanwi; dzimwe nguva zvinowanikwa mushure mekuvhiyiwa kana chirwere chinosanganisira nhengo dzako dzekudya (yako gallbladder, pancreas kana musikana wako muduku, somuenzaniso).

• Gallbladder kubviswa : Pasina gorova, vamwe vanhu vanoona dambudziko nekusafuridzira kuronga kwe bile acid mumatumbo maduku uye makuru, zvichiita zviratidzo zvakafanana seBAD. Kunyangwe chiratidzo ichi chinowanzozvigadzirisa pakarepo mushure mezuva rekuvhiyiwa, kune vamwe vanhu rinoramba iri dambudziko rinoramba riripo.
• Kusagadzikana kweClasese : Vanhu vane lactose kusagadzikana havakwani zvakakwana zve enzyme inodiwa kubvisa lactose, shuga inowanikwa mumukaka nemikaka yemukaka. Izvi zvinogona kukonzera chiratidzo chekurara mushure mekudya zvokudya zvekudya. Kusagadzikana kwechikatise kunogona kuonekwa kuburikidza nekushandiswa kwekufemerwa kana kupedza kudya .
• Sugar malabsorption : Mukuwedzera kune lactose, vamwe vanhu havakwanisi kugadzira sukari fructose uye sorbitol. Fructose inowanikwa muzvibereko zvakawanda uye high fructose corn syrup. Sorbitol inowanikwawo mune zvimwe zvibereko pamwe chete nezvinotapira zvemuviri. Kufanana nekusagadzikana kwemurasise, fructose kana sorbitol malabsorption inogona kuonekwa kuburikidza nekushandiswa kwekufema kuongorora kana kudya kwekudya.
• Chirwere cheCeliac: Vanhu vane chirwere chechiliac vanoona maitiro ekugadzirisa mafungiro emvura mukupindura kunwa kweguten, puroteni inowanikwa mugorosi, rye, nebhari. Dhairrhea kubva kune chirwere chechiliac inowanzovhiringidza, uye chigaro chinogona kunge chichikwanisa kudonha panzvimbo pane kunyura. Chirwere cheCeliac ine mishonga yakakomba yehutano uye iwe unofanirwa kuongororwa nechirwere ichi kana uri kuwana chirwere chisingaperi mushure mekudya.
• Chirwere chechirwere chinokonzera chirwere (IBD) : Iyo miviri yeBD-Crohn's disease uye ulcerative colitis-inogona kuita kuti zviratidzo zvekurara mushure mekudya. Kusiyana nedzimwe dzezvinetso zvehutano zvinopfuura, chirwere cheBD chinogona kusanganisira zviratidzo zveropa muzvigaro . Chero chiratidzo chipi nechipi cheropa mune chigaro chinoda kuendeswa nokukurumidza kwachiremba wako.
• Dumping syndrome : Iyi syndrome inonyanya kuwanika nevanhu vakambovhiyiwa chirongwa chekurasikirwa. Dumping syndrome inowanzonziwo sechimbichimbi chekudya chinenge chichinyangarika nokuti zviri mukati momumvura zvinodhura nokukurumidza kusvika mudumbu duku. Kudya kunogona kukonzera zviratidzo zvakadai sehara, kunyanya kudya kudya nehupfu hwehutu hwakakosha.
• Microscopic colitis : Urwu hutachiona hwehutachiona hunoratidzika zvakasiyana nehutachiona hutachiona. Ne microscopic colitis, kuputika kwemasero akavhara mumatumbu kunogona kuonekwa chete kana micheka inotaridzika pasi pe microscope. Chinokonzera microscopic colitis haina kuzivikanwa. Zviratidzo zvaro zvinosanganisira zvirwere zvinoramba zvichiripo kana kuti zvishoma nezvishoma zvemvura yakachena.
• Kenza yeColon : Kurwara kwenguva refu hakusi chiratidzo chekenza yekoloni (kuvhiringidzika kungave kuwedzerwa), zvisinei chero kuchinja kupi zvako kwekufamba kwemafupa kwakabatanidzwa nekuvapo kwekenza. Zvimwe zviratidzo zvekenza yekoloni zvinosanganisira ropa mukati kana kuti pachigaro, kuneta, kuperevedza muviri, uye kusingazivikanwi kurasikirwa. Kana iwe uine zviratidzo izvi pamwe chete nehutachiona husingaperi, unoda kuona chiremba wako pakarepo.
• Pancreatic Exocrine Kusagutsikana : Mamiriro ezvinhu aya, pancreas haibereki zvakakwana masimba enzymes ekudya zvakakwana kudya zvokudya zvaunodya. Kunyangwe kune chiyero chepancreatic exocrine kushanda kunosanganisira kuyera huwandu hwemafuta muzvigaro, vatsvakurudzi vakatsanangura kuti kuedza uku kunogona kusava kwakarurama pakuona kusakwana kwakakwana kunokonzera postprandial diarrhea. Kutsvakurudza munharaunda iyi hazvikwanisi. Chiongorudzo chakawana imwe chidzidzo chakaratidza chiduku chezana reVIV-D varwere vanotambura ne pancreatic exocrine kusakwana. Mune imwe dzidiki shoma, IBS-D varwere vakapiwa pancrelipase, chimiro chepancreatic digestive enzymes, vakarondedzera kuderedzwa kwezvikamu zvemashure ekudzivirira.

Zvaunofanira Kuita Nezvinetso Zvisingagumi Nehurwere shure kwekudya

1. Udza chiremba wako. Chero chiratidzo chipi zvacho chisina kujairika chinofanira kugara chichiendeswa kune chiremba wako. Izvi zvinobatsira kuve nechokwadi kuti unogamuchira chirwere chakakodzera uye naizvozvo chirongwa chinobatsira chorongwa chingagadzirwa.
2. Tevedzera mirairo yechiremba wako kuti unyatsokwanisa kutarisira dambudziko rehutano hwako.
3. Idya zviduku zvamazuva ako ose uye usadya kudya kwemafuta, zvakadai sezvokudya zvakabikwa, mafuta anodya, uye mashizha akawanda. Zvokudya zvikurusa uye kudya kwemafuta zvinogona kuwedzera simba remuviri uye kunokonzera chirwere chemashure.
4. Shandisa zvidzidzo zvekuzorora kuti unyarare muviri wako. Nokuda kwehukama huri pakati pehupi hwako uye maronda ako , kushungurudzika kunogona kukonzera chirwere . Vanhu vazhinji vanotarisana nematambudziko akawanda muhupenyu hwavo, kwete kureva chokwadi chokuti kuva nehuda mushure mekudya kwenyu kunonetsa. Zvose zvakadzika kufema nekudzidzira muviri uye unyanzvi hunobudirira hwekudzimara hunobudirira hunobudirira mukunyaradza muviri wako uye naizvozvo kupa mikana yekuderedza kuderedza kubuda kwemarumbo ako.

Emerging theories on Postprandial Diarrhea Syndrome in IBS

Zvitsva zvitsva zviri kubuda zvinoratidza kuti chimwe chinhu chingave chiri kuitika kune vamwe varwere vakamboonekwa vane chirwere-chinonyanya kunetseka bowel syndrome (IBS-D). Kutsvakurudza nezvekurara kwepasipirasi kwakanyanya. Heano dzimwe nzira dzakatanga kutsvakurudza kutsvaga:

• Postprandial Diarrhea Syndrome: VaBhishopi vaviri veBS, Drs. Mari naCamilleri, vakapa zvitatu zvinokonzera izvo zvavanoti "postprandial diarrhea syndrome." Vanobvuma kuti zviratidzo zvekuongorora zvinokwana, uye zvinoratidza kuti kupindura kwakanaka mukurapwa kwechinetso chakakosha kunogona kushanda sechisimbiso chekuongorora. Vanotenda zvitatu zvirwere zvinofanira kuonekwa: bile acid malabsorption (BAM) , pancreatic exocrine insufficiency, uye kushaya glucosidase.
• Kuwedzeredza Gastric Acid: Kuwandisa kwezvakawanda zvegastric acid kwenguva yakareba zvakabatanidzwa nekugadzirwa kwegastroesophageal reflux chirwere (GERD). Chidzidzo chiduku chakawana kuti mishonga yeGERD yakapiwa boka revarwere veBS-D yakaguma nekuderera kukuru kwezviratidzo zvekurara uye postpandial nokukurumidza. Zvisinei, izvi zvitsva hazvina kudzokororwa.
• Mudhadzi Wemvura Muduku Mukati: Bhuku revanotsvakurudza rakawana kuti, kana richienzaniswa nehutano hwakanaka, IBS-D varwere vane mvura shoma mumatumbo maduku uye inopfuura nekukurumidza kusvika mumatumbo makuru, izvo zvingaita kuti chirwere chemashure chinopisa. Uku kutsvakurudza kunotaura ne FODMAPs nheyo yeBS sezvokudya zvine high osmotic value (zvinoreva kuti inobereka mazinga akawanda emvura) inonyanya kunetsa vanhu vane IBS. Kana ichokwadi, kukura kwemishonga inononoka kutama nguva uye saka zviri nani kutarisa kubuda kwemvura mumatumbo makuru kunogona kuva kwekukosha.

Icho Chinyorwa Pamusoro pePostprandial Diarrhea Research

Zviri pachena, kutsvakurudza kune zvikonzero zvinokonzerwa nehuwandu hwemashure muBS zvakanyanya zvishoma, uye naizvozvo hapana kugadzirisa kugadzirisa kunogona kuwanikwa. Mukuwedzera, pasinei nekusiyana kwezvinyorwa zvinoratidzika zvinotsanangura dambudziko, dambudziko pamusoro pemishonga yechirwere ichi haisipo, saka hazvina kunyatsojeka kusvika ikozvino kuti mishonga inobatsira varwere, uye izvo zvisingaiti.

Tariro, kutsvakurudza kumwe kuchawedzera kujekesa panyaya yacho uye kupa dzimwe nzira dzakanaka dzokurapa. Panguva ino, kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge wadya, taura nyaya yacho nachiremba wako kuti uone kana imwe yezvirongwa zvinorongwa zvingave yakachengeteka iwe.

Shoko Rinobva

Apo chirwere chinokonzera nguva pakarepo mushure mekudya zvinenge zvakaoma kufara kudya. Unogona kungwarira zvekudya uye kufunganya nezvekudya chero zvachose. Iwe hausi woga. Vanhu vazhinji vane chiratidzo ichi. Shingai nachiremba wenyu kuti muwane chinokonzera. Iwe unogona kukwanisa kuwana mhinduro kuitira kuti unakidzwe nekudya kwako usingatyi yekuda kumhanyira kuimba.

> Sources:

> DiBaise JK, Islam RS " Bile Acids: Chinhu Chisinganzwisisiki uye Chisinganzwisisiki Chokurwara Kwirwere Dzakaipa " Practical Gastroenterology 2012 36 (10): 32-44

> Diarrhea. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/symptoms-causes.

> Marciani, L., et.al. "Postprandial Changes Muduku Muduku Wemuviri Wehutano Muhutano Hwakanaka uye Varwere Vane Irritable Bowel Syndrome" Gastroenterology 2010 138: 469-477.

> Mari M, Camilleri M. "Kudzokorora: Mutungamiri wePostprandial Diarrhea Syndrome" The American Journal of Medicine 2012 125: 538-544.

> Wedlake L, et.al. "Kuongorora kwakarongeka: kuwandisa kweIdiopathic Bile Acid Malabsorption Sezvinoratidzwa neSeHCAT Kuverenga Muvarwere vane Diarrhea-predominant Irritable Bowel Syndrome" Alimentary Pharmacology and Therapeutics 2009 30: 707-717.