Kodi Fructose Malabsorption ndi Chiyani?

Zamkati

• Choloŵa cha fructose tsankho
• Zoyambitsa
• Zizindikiro
• Zowopsa
• Matendawa
• Kuwongolera
• Fructose malabsorption: Q&A
• Funso:
• Yankho:
• Chiwonetsero

Chidule

Fructose malabsorption, yomwe kale inkatchedwa kuti zakudya fructose tsankho, imachitika pamene maselo omwe ali pamatumbo sangathe kuwononga bwino fructose.

Fructose ndi shuga wosavuta, wotchedwa monosaccharide, yemwe amabwera makamaka kuchokera ku zipatso ndi ndiwo zamasamba. Amapezekanso mu uchi, timadzi tokoma, ndi zakudya zambiri zopangidwa zomwe zimakhala ndi shuga wowonjezera.

Kugwiritsa ntchito kwa fructose kuchokera ku manyuchi a chimanga a fructose kwawonjezeka kupitirira 1,000 peresenti kuyambira 1970-1990. N'zotheka kuti kuwonjezeka kwa kumwa kumeneku kwachititsa kuti kuwonjezeka kwa fructose malabsorption ndi tsankho.

Ngati mumamwa fructose ndikumva zovuta zakugaya, mutha kukhudzidwa ndi fructose malabsorption.

Fructans ndimadzimadzi otsekemera omwe amapangidwa ndi maunyolo amfupi a fructose okhala ndi gawo limodzi lama glucose. Kusalolera kwa Fructan kumatha kukhala limodzi ndi fructose malabsorption kapena kukhala komwe kumayambitsa zizindikilo.

Choloŵa cha fructose tsankho

Vuto lalikulu kwambiri komanso chosagwirizana kwathunthu ndi tsankho la kubadwa kwa fructose (HFI). Ichi ndi chibadwa chosowa chomwe chimakhudza 1 mwa anthu 20,000 mpaka 30,000 ndipo chimachitika chifukwa thupi silipanga enzyme yomwe ikufunika kuti iwononge fructose. Izi zitha kubweretsa mavuto azaumoyo monga kulephera kwa chiwindi ngati zakudya zopanda malire za fructose sizikutsatiridwa. Matendawa amapezeka nthawi zambiri mwana akayamba kudya chakudya cha mwana kapena chilinganizo.

Zoyambitsa

Fructose malabsorption ndiyofala, imakhudza mpaka 1 mwa anthu atatu. Onyamula a Fructose omwe amapezeka mu ma enterocyte (maselo m'matumbo mwanu) ali ndi udindo wowonetsetsa kuti fructose ikupita komwe ikuyenera kupita. Ngati mukusowa onyamula, fructose imatha kulowa m'matumbo anu akulu ndikupangitsa mavuto am'matumbo.

Fructose malabsorption itha kukhala chifukwa cha zifukwa zambiri zomwe zimaphatikizapo:

• Kusiyanitsa kwa mabakiteriya abwino ndi oyipa m'matumbo
• kudya kwambiri zakudya zoyengedwa komanso zopangidwa
• Matenda okhalapo monga matumbo opweteka (IBS)
• kutupa
• nkhawa

Zizindikiro

Zizindikiro za fructose malabsorption ndi monga:

• nseru
• kuphulika
• mpweya
• kupweteka m'mimba
• kutsegula m'mimba
• kusanza
• kutopa kwambiri
• kusabola bwino kwa zakudya zina, monga chitsulo

Kuphatikiza apo, pali umboni womwe umalumikiza fructose malabsorption ndimatenda amisala komanso kukhumudwa. adawonetsa kuti fructose malabsorption imalumikizidwa ndimayeso ochepa a tryptophan, omwe amatenga gawo lalikulu pakukula kwa zovuta zakukhumudwa.

Zowopsa

Ngati muli ndi vuto linalake lam'matumbo monga IBS, matenda a Crohn, colitis, kapena matenda a celiac, mumakhala ndi vuto la kudya kwa fructose malabsorption kapena tsankho.

Komabe, ngati chimodzi chimayambitsa chimzake sichikudziwika. Mwa omwe anali ndi odwala 209 omwe ali ndi IBS, pafupifupi gawo limodzi mwa magawo atatu aliwonse anali ndi tsankho la fructose. Omwe anali ovomerezeka poletsa fructose adawona kusintha kwa zizindikilo. Ngati mukukhala ndi Crohn's, bukuli lithandizanso.

Kuphatikiza apo, ngati mukudya zakudya zopanda thanzi koma mukukhalabe ndi zizindikilo, mutha kukhala ndi vuto ndi fructose. Simalingaliro oyipa konse kuti mufufuzidwe ngati muli ndi vuto lalikulu lamatumbo.

Matendawa

Kuyesedwa kwa mpweya wa haidrojeni ndimayeso wamba omwe amagwiritsidwa ntchito pozindikira zovuta zomwe zikugayidwa ndi fructose. Ndi mayeso osavuta omwe samakhudza kukoka magazi. Mukuyenera kuchepetsa chakudya usiku watha komanso kusala m'mawa wamawa.

Ku ofesi ya dokotala wanu, mumapatsidwa njira yayikulu yoti mumamwe, kenako mphindi 20 mpaka 30 zilizonse kwa maola angapo mpweya wanu umawunikiridwa. Mayeso onsewa amakhala pafupifupi maola atatu. Fructose ikakhala yosavomerezeka, imapanga hydrogen wochuluka m'matumbo. Kuyesaku kumayeza kuchuluka kwa hydrogen yomwe ili pampweya wanu chifukwa cha kusokonekera kwa magazi.

Kuchotsa fructose pazakudya zanu ndi njira ina yodziwira ngati muli ndi fructose malabsorption. Mothandizidwa ndi katswiri wazakudya, mutha kukhala ndi pulani yochotseratu zakudya zilizonse zomwe zili ndi fructose ndikuwona ngati matenda anu atha.

Anthu osiyanasiyana ali ndi kulolerana kosiyanasiyana kwa fructose. Ena atha kukhala ovuta kuposa ena. Kusunga magazini yazakudya kungathandize kutsata zakudya zomwe mwadya komanso zizindikiro zilizonse zomwe muli nazo.

Kuwongolera

Kuthetsa vuto ndikuwonongeka kwa fructose nthawi zambiri kumaphatikizapo kuchotseratu shuga. Kuchotsa zakudya zomwe zili ndi milingo yayikulu ya fructose ndi malo abwino kuyamba. Izi zikuphatikiza:

• masewera
• mipiringidzo yambewu
• zipatso zina, monga prunes, mapeyala, yamatcheri, mapichesi, maapulo, maula, ndi chivwende
• madzi apulo ndi cider apulo
• Madzi a peyala
• nandolo zosakaniza shuga
• wokondedwa
• ndiwo zochuluka mchere monga ayisikilimu, maswiti, ndi makeke okhala ndi zotsekemera za fructose

Mukamawerenga zilembo, pali zinthu zambiri zofunika kuzisamala mukamayang'anira fructose malabsorption. Kumbukirani zotsatirazi:

• mkulu wa chimanga wa fructose
• timadzi tokoma
• crystalline fructose
• fructose
• wokondedwa
• chilumba
• fructooligosaccharides (FOS)
• chimanga madzi zolimba
• shuga mowa

Zakudya za FODMAP zitha kuthandizanso poyesa kuthana ndi vuto lakugaya kwa fructose. FODMAP imayimira oligo-, di-, monosaccharides ndi ma polyols. Ma FODMAP amaphatikizapo fructose, fructans, galactans, lactose, ndi polyols. Nthawi zina, iwo omwe ali ndi fructose malabsorption amathanso kulekerera fructans omwe amapezeka mu tirigu, artichokes, katsitsumzukwa, ndi anyezi.

Zakudya zochepa za FODMAP zimaphatikizapo zakudya zomwe zimakhala zosavuta kuzidya kwa anthu ambiri, ndipo izi zitha kuthetsa zizindikilo. Zakudya zomwe zili ndi 1: 1 chiŵerengero cha shuga ndi fructose zitha kulekerera bwino pazakudya zochepa za FODMAP kuposa zakudya zomwe zimakhala ndi fructose yambiri kuposa glucose. Bukuli limaphatikizapo zomwe mungadye mukamadya zakudya zochepa za FODMAP.

Fructose malabsorption: Q&A

Funso:

Kodi pali mankhwala aliwonse a fructose malabsorption?

Wosadziwika wodwala

Yankho:

Ngakhale fructose malabsorption itha kusintha ndikuchepetsedwa kwa zakudya za fructose, vutoli lingatanthauzenso kuti bakiteriya wochulukirapo m'mimba (SIBO) akusewera. Mulimonsemo, maantibayotiki, maantibiotiki, michere ya m'mimba monga xylose isomerase, ndi zakudya zosinthidwa zitha kulimbikitsidwa.

Mayankho a Natalie Butler, RD, LDA akuyimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.

Chiwonetsero

Kutulutsa kwa fructose malabsorption kumasiyanasiyana malinga ndi munthu, momwemonso chithandizo.

Kaya muli ndi vuto lochepa kapena lovuta, zakudya zothetsera fructose kapena zakudya zochepa za FODMAP zitha kukhala zothandiza. Kutsatira chimodzi mwazakudya izi kwa milungu inayi kapena isanu ndi umodzi, kenako ndikubwezeretsanso pang'onopang'ono zakudya zosiyanasiyana za fructose ndikuwunika kulolerana, ndiyo njira yabwino yoyambira. Kusintha zakudya malinga ndi zizindikilo zanu kuchokera pazakudya ndibwino.

Gwiritsani ntchito katswiri wazakudya yemwe angakuthandizireni panjira ndikupanga dongosolo nanu.