Kumvetsetsa Bile Acid Malabsorption

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Mankhwala
• Zakudya
• Kukhala ndi BAM

Kodi bile acid malabsorption ndi chiyani?

Bile acid malabsorption (BAM) ndichikhalidwe chomwe chimachitika pamene matumbo anu sangathe kuyamwa ma bile acid moyenera. Izi zimabweretsa ma bile acid m'matumbo mwanu, omwe amatha kuyambitsa kutsekula kwamadzi.

Kuphulika ndimadzimadzi achilengedwe omwe thupi lanu limapanga m'chiwindi. Ndikofunikira kuti chimbudzi chikhale choyenera. Mchere umakhala ndi zidulo, mapuloteni, mchere, ndi zinthu zina. Mchitidwe wamba wa bile umasunthira kuchoka pachiwindi kupita ku ndulu yanu, komwe imasungidwa mpaka mutadya. Mukamadya, ndulu yanu imadula ndikumatulutsa ndulu m'mimba mwanu.

Ndulu ikakhala m'mimba mwanu ndi m'matumbo ang'onoang'ono, zidulo zomwe zili mu ndulu zimathandizira kuphwanya chakudya ndi michere kuti thupi lanu lizitha kuyamwa bwino. Mu khola lanu, bile acid amabwezeretsedwanso m'magazi anu kuti azigwiritsidwanso ntchito.

Nthawi ndi nthawi, zidulo za bile sizibwezeretsedwanso moyenera, zomwe zimabweretsa BAM. Kuchuluka kwa bile acid mu colon yanu kumatha kubweretsa m'mimba ndi chopondapo madzi, ndichifukwa chake BAM nthawi zina amatchedwa kutsegula m'mimba kwa bile acid.

Zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha BAM ndi kutsegula m'mimba. Mchere ndi madzi ochokera ku asidi asidi m'matumbo anu amateteza chimbudzi kuti chisapangidwe bwino, zomwe zimayambitsa matenda otsekula m'mimba. Kutsekula kumeneku kumatha kuchitika tsiku lililonse kapena nthawi zina.

Anthu ena omwe ali ndi BAM amakhalanso ndi zotupa komanso zotsekula m'mimba mwachangu, zomwe zikutanthauza kuti mwadzidzidzi amafunika kugwiritsa ntchito chimbudzi posachedwa.

Zimayambitsa chiyani?

Nthawi zina, palibe kufotokozera momveka bwino chifukwa chomwe colon sichimabwezeretsanso bile acid. Izi zikachitika, amatchedwa BAM yoyamba.

Nthawi zina, BAM imachokera pachikhalidwe. Mwachitsanzo, akuti pafupifupi munthu mmodzi pa atatu alionse amene ali ndi matenda opatsirana ndi kutsekula m'mimba (IBS-D) ali ndi BAM.

BAM ikhozanso kukhala chizindikiro cha vuto lina. Izi zimatchedwa BAM yachiwiri.

Zinthu zina zokhudzana ndi BAM yachiwiri ndi izi:

• Matenda a Crohn
• matenda a celiac
• Matenda ang'onoang'ono amatumbo
• matenda opatsirana
• kukula kwa bakiteriya kakang'ono m'mimba

Zotsatira zoyipa zamankhwala zimathandizanso ku BAM.

Kodi amapezeka bwanji?

Pali mayesero ochepa omwe amapezeka ku Europe omwe angathandize kuzindikira BAM, koma ambiri sapezeka ku United States. Komabe, malinga ndi Mayo Clinic, mayesero awiri tsopano akupezeka kuti agwiritsidwe ntchito ku US, imodzi yofufuzira ndi ntchito ina yachipatala:

• seramu yosala C4, yogwiritsira ntchito kafukufuku kokha
• fecal bile acid mayeso

Kuyesa kwa fecal bile acid kumaphatikizapo kusonkhanitsa masitayilo pakadutsa maola 48 ndikuwayesa ngati ali ndi bile acid.

Kumbukirani kuti mayeserowa akadalibe ku United States, chifukwa chake dokotala akhoza kukupatsani matenda pofufuza zina zomwe zingayambitse matenda otsekula m'mimba, monga mtundu wina wa malabsorption. Akhozanso kupereka mankhwala omwe amathandizira kuchiritsa BAM kuti awone ngati zingathandize. Ngati zizindikiro zanu zikuyamba kusintha ndi mankhwala, izi zitha kukhala zokwanira kuti mupeze matenda.

Amachizidwa bwanji?

Chithandizo cha bile acid malabsorption nthawi zambiri chimayang'ana pa zamankhwala komanso kusintha kwa zakudya. Anthu ambiri omwe ali ndi BAM amapeza zotsatira zabwino pogwiritsa ntchito kuphatikiza ziwirizi.

Nthawi zambiri ku BAM yachiwiri, kuthana ndi vutoli kumathanso kuchotsa zizindikilo.

Mankhwala

Mtundu waukulu wa mankhwala omwe amagwiritsidwa ntchito pochizira BAM amatchedwa bile acid binder. Amamanga ndi ma bile acid am'magazi anu am'mimba, omwe amachepetsa kukhudzika kwanu.

Omanga ma asidi a asidi nthawi zambiri amachiza kutsekula m'mimba komwe kumakhudzana ndi BAM. Zina mwazodziwika za acid acid zimaphatikizapo:

• cholestyramine (Questran)
• chotsitsa (Colestid)
• colesevelam (Welchol)

Zakudya

Kusintha kwa zakudya kumathandizanso kuchepetsa magawo am'mimba ngati muli ndi BAM. Kuwotcha kumafunika pakudya mafuta. Izi zikutanthauza kuti thupi lanu liyenera kutulutsa ma bile ndi bile acid ambiri mukamadya zakudya zambiri zomwe zili ndi mafuta ambiri.

Kutsata chakudya chamafuta ochepa kumatha kuchepetsa kuchuluka kwa bile acid yomwe thupi lanu limatulutsa, kuyipangitsa kuti isafike pang'ono kupita koloni yanu. Kukhala ndi ma asidi ochepa m'matumbo anu kumachepetsa mwayi wanu wotsekula m'mimba ngati muli ndi BAM.

Pofuna kuchepetsa mafuta, yesetsani kupewa kudya:

• batala ndi margarine
• mayonesi
• zakudya zokazinga kapena buledi
• zinthu zophikidwa, monga ma croissants, makeke, ndi mitanda
• Zakudya zamasana, agalu otentha, soseji, nyama yankhumba, kapena nyama zina zopangidwa
• mkaka wamafuta wathunthu, monga kukwapula kirimu kapena kirimu wowawasa

Kumbukirani kuti thupi lanu likufunabe mafuta kuti agwire bwino ntchito. Yesani kusinthanitsa zakudya zina pamwambapa kuti mupeze mafuta athanzi, monga:

• mapeyala
• nsomba zamafuta, monga salimoni ndi sardini
• mtedza, kuphatikiza ma cashews ndi maamondi

Ngakhale mafutawa ndiabwino mthupi lanu, muyenera kuyesetsabe kuwagwiritsa ntchito pang'ono ngati muli ndi BAM. Dokotala wanu angakutumizireni kwa katswiri wazakudya kapena wothandizira zakudya. Pamodzi, mutha kupanga dongosolo lazakudya lomwe limagwira ntchito pamoyo wanu ndikuthandizani kuthana ndi zizindikilo zanu.

Kukhala ndi BAM

Anthu ambiri omwe ali ndi bile acid malabsorption amalabadira bwino kuchipatala ndipo amatha kupewa kapena kusamalira matenda awo ndi mankhwala komanso kusintha kwa moyo wawo. Ngati inu ndi dokotala mumatha kudziwa zomwe zikuyambitsa BAM, mutha kuthana ndi vutoli pochiza vutoli.