Zofooka Zaumoyo ndi Matenda a Crohn

Zamkati

• Mitundu Yakusowa Kwa Zakudya
• Ma calories
• Mapuloteni
• Mafuta
• Chitsulo
• Vitamini B-12
• Folic acid
• Mavitamini A, D, E, ndi K
• Nthaka
• Potaziyamu ndi Sodium
• Calcium
• Mankhwala enaake a
• Zizindikiro za Malabsorption
• Zifukwa za Malabsorption
• Kuchiza kwa Malabsorption
• Funso:
• Yankho:

Anthu akamadya, zakudya zambiri zimawonongeka m'mimba ndikuziyamwa m'matumbo ang'onoang'ono. Komabe, mwa anthu ambiri omwe ali ndi matenda a Crohn - komanso pafupifupi onse omwe ali ndi matenda ang'onoang'ono a Crohn's - matumbo ang'onoang'ono samatha kuyamwa michere moyenera, zomwe zimapangitsa kudziwika ngati malabsorption.

Anthu omwe ali ndi matenda a Crohn ali ndi matumbo otupa. Kutupa kapena kukwiya kumatha kuchitika mbali iliyonse yamatumbo, koma imakhudza gawo lotsika la m'matumbo ang'onoang'ono, omwe amadziwika kuti ileamu. Matumbo ang'onoang'ono ndipamene pamafunika kuyamwa michere yambiri, anthu ambiri omwe ali ndi matenda a Crohn samadya komanso kuyamwa michere bwino. Izi zitha kubweretsa mavuto osiyanasiyana, kuphatikiza kuyipa kwa mavitamini ndi michere. Kuperewera kwama vitamini ndi mchere kumapeto kwake kumatha kubweretsa zovuta zina, monga kuchepa kwa madzi m'thupi komanso kuperewera kwa zakudya m'thupi.

Mwamwayi, kuyezetsa magazi kumatha kuthandiza madotolo kudziwa ngati anthu omwe ali ndi matenda a Crohn akupeza mavitamini ndi michere yomwe amafunikira. Ngati sali, atha kutumizidwa kwa gastroenterologist kuti akawunike. Dokotala wa gastroenterologist ndi munthu wodziwa matenda omwe amakhudza matumbo ndi chiwindi. Angalimbikitse dongosolo la chithandizo kwa munthu yemwe ali ndi vuto la kuperewera kwa zakudya m'thupi chifukwa cha matenda a Crohn.

Mitundu Yakusowa Kwa Zakudya

Anthu omwe ali ndi matenda a Crohn atha kukhala ndi vuto kutengera mavitamini ndi michere yambiri, kuphatikiza:

Ma calories

Ma calories amachokera ku macronutrients, monga chakudya, mapuloteni, ndi mafuta. Ngati wina sakumwa mafuta okwanira chifukwa cha malabsorption, nthawi zambiri amataya thupi lolemera mwachangu kwambiri.

Mapuloteni

Anthu omwe ali ndi matenda a Crohn angafunikire kuwonjezera mavitamini awo chifukwa cha:

• kugwiritsa ntchito mankhwala othamanga kwambiri, monga prednisone
• Kutaya magazi nthawi yayitali kapena kutsegula m'mimba
• mabala kapena ziphuphu zomwe zimakhudza matumbo ang'onoang'ono

Mafuta

Anthu omwe ali ndi matenda oopsa a Crohn komanso omwe adachotsapo ileamu yopitilira 3 angafunike kuphatikiza mafuta athanzi muzakudya zawo.

Chitsulo

Kuperewera kwa magazi m'thupi, kapena kusowa kwa maselo ofiira ofiira athanzi, ndi zotsatira zoyipa za matenda a Crohn. Vutoli limatha kubweretsa kusowa kwachitsulo, anthu ambiri omwe ali ndi Crohn amafuna zowonjezera zowonjezera zachitsulo.

Vitamini B-12

Anthu omwe ali ndi kutupa kwakukulu ndipo amachotsedwa ileamu nthawi zambiri amafuna jakisoni wokhazikika wa vitamini B-12.

Folic acid

Anthu ambiri omwe ali ndi matenda a Crohn amatenga sulfasalazine kuti athe kuchiza matenda awo. Komabe, mankhwalawa atha kukhudza kuthekera kwa thupi kupukusa mafuta, ndikupangitsa kuti zowonjezera za folic acid zikhale zofunikira. Anthu omwe ali ndi matenda a Crohn's jejunum, kapena gawo lapakati lamatumbo ang'onoang'ono, angafunikenso kuwonjezera kudya kwawo kwa folic acid.

Mavitamini A, D, E, ndi K

Zofooka zamavitamini osungunuka mafuta nthawi zambiri zimalumikizidwa ndi mafuta osakanikirana ndi kutupa kwamatumbo ang'ono. Zitha kukhalanso zokhudzana ndi kuchotsedwa kwa zigawo zazikulu za ileamu kapena jejunum. Kuopsa kwakusowa kwa vitamini D kumakhulupiriranso kuti kumakhala kwakukulu mwa anthu omwe amatenga cholestyramine, chifukwa mankhwalawa amatha kusokoneza kuyamwa kwa vitamini D.

Nthaka

Anthu omwe ali ndi matenda a Crohn angafunike kumwa ma zinc ngati:

• ali ndi kutupa kwakukulu
• kukhala ndi kutsekula m'mimba kosatha
• awachotsa jejunum
• akutenga prednisone

Zinthu izi zimatha kusokoneza kuthekera kwa thupi kuyamwa zinc.

Potaziyamu ndi Sodium

Colon, kapena m'matumbo akulu ndi omwe amachititsa kukonza madzi ndi ma electrolyte. Anthu omwe adachotsedwa chiwalo ichi opaleshoni amafunika kuwonjezera kudya kwa potaziyamu ndi sodium. Pali chiopsezo chowonjezeka cha kutayika kwa potaziyamu mwa anthu omwe amatenga prednisone ndipo nthawi zambiri amatsekula m'mimba kapena kusanza.

Calcium

Steroids imalepheretsa kuyamwa kwa calcium, kotero anthu omwe amamwa mankhwalawa kuti athetse matenda a Crohn adzafunika kuphatikiza calcium yambiri muzakudya zawo.

Mankhwala enaake a

Anthu omwe ali ndi matenda otsekula m'mimba kapena omwe amachotsedwa ileamu kapena jejunum sangathe kutenga magnesium. Ichi ndi mchere wofunikira pakukula kwamfupa ndi machitidwe ena amthupi.

Zizindikiro za Malabsorption

Anthu ambiri omwe ali ndi matenda a Crohn samakumana ndi zizindikiritso za malabsorption, chifukwa chake ndikofunikira kuyesedwa pafupipafupi za kuperewera kwa zakudya. Zizindikiro za malabsorption zikawonekera, zimatha kukhala:

• kuphulika
• mpweya
• kupweteka m'mimba
• chimbudzi chachikulu kapena chamafuta
• kutsekula m'mimba

Pakakhala vuto lalikulu la malabsorption, kutopa kapena kuwonda mwadzidzidzi kumathanso kuchitika.

Zifukwa za Malabsorption

Zinthu zingapo zokhudzana ndi matenda a Crohn zimatha kuyambitsa kusokonekera kwa magazi:

• Kutupa: Kupitilira, kutupa kwanthawi yayitali kwamatumbo ang'onoang'ono mwa anthu omwe ali ndi matenda ang'onoang'ono a Crohn's disease nthawi zambiri kumabweretsa kuwonongeka kwa matumbo. Izi zitha kusokoneza kuthekera kwa limba kuyamwa michere moyenera.
• Mankhwala: Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a Crohn, monga corticosteroids, amathanso kukhudza kuthekera kwa thupi kuyamwa michere.
• Kuchita Opaleshoni: Anthu ena omwe achotsedwa gawo la m'matumbo awo ang'onoang'ono amatha kukhala ndi matumbo ochepa otsala kuti atenge chakudya. Matendawa, omwe amadziwika kuti mafupa ofupikira, ndi osowa. Nthawi zambiri zimangopezeka mwa anthu omwe amakhala ndi matumbo ochepera 40 mainchesi otsalira pambuyo pochita maopaleshoni angapo.

Kuchiza kwa Malabsorption

Kusintha kwa michere nthawi zambiri kumakhala chithandizo chothandiza kwa anthu omwe alibe zoperewera chifukwa cha matenda a Crohn. Zakudya zotayika zimatha kusinthidwa ndi zakudya zina ndi zowonjezera zakudya. Zowonjezera zimatha kumwedwa pakamwa kapena kuperekedwa kudzera mumitsempha (kudzera m'mitsempha).

Kupewa zakudya zina ndikofunikanso pochiza malabsorption. Zakudya zosiyanasiyana zimatha kupangitsa kuti mpweya kapena kutsekula m'mimba zikuwonjezeke, makamaka pakuwotcha, koma mayankho ake ndi amodzi. Zakudya zomwe zingakhale zovuta ndizo:

• nyemba
• mbewu
• burokoli
• kabichi
• zakudya za zipatso
• batala ndi margarine
• zonona zolemera
• zakudya zokazinga
• zakudya zokometsera
• zakudya zokhala ndi mafuta ambiri

Anthu omwe ali ndi zotsekeka m'mimba angafunikire kupewa kudya zakudya zopatsa thanzi, monga zipatso zosakaniza ndi ndiwo zamasamba.

Anthu omwe ali ndi matenda a Crohn amalimbikitsidwa kuti azidya zakudya zopatsa thanzi, zopatsa thanzi kuti alimbikitse kuyamwa kwa mavitamini ndi michere. Zimalimbikitsidwanso kudya chakudya chochepa tsiku lonse ndikumwa madzi ambiri. Mkaka ungafunikire kupewa, chifukwa ena omwe ali ndi matenda a Crohn amakhala osalolera mkaka.

Funso:

Kodi zakudya zina zingathandize kupewa kuperewera kwa zakudya m'thupi mwa anthu omwe ali ndi matenda a Crohn? Ngati ndi choncho, ndi ati?

Wosadziwika wodwala

Yankho:

Inde, zakudya zina zitha kuthandiza. Avocado ndi mafuta osavuta kudya komanso olemera kwambiri, oyster amakhala ndi iron ndi zinc, ndipo amadyera masamba obiriwira ali ndi folate, calcium, ndi iron (kuphatikiza chakudya cha vitamini C monga zipatso kapena zipatso). Salimoni wamzitini wokhala ndi mafupa, mkaka wolimba wokhala ndi calcium, nyemba, ndi mphodza ndizinthu zabwino kwambiri zopangira michere yomwe nthawi zambiri imadwala malabsorbed.

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