Ukuqonda i-Bile Acid Malabsorption

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Imithi
• Ukudla
• Ukuhlala neBAM

Kuyini i-bile acid malabsorption?

I-Bile acid malabsorption (BAM) yisimo esenzeka lapho amathumbu akho engakwazi ukumunca i-bile acid kahle. Lokhu kubangela ama-bile acid angeziwe emathunjini akho, angadala uhudo lwamanzi.

Inyongo uketshezi lwemvelo olwenziwa ngumzimba wakho esibindini. Kuyadingeka ekugayeni okufanele. IBile iqukethe ama-acid, amaprotheni, usawoti kanye neminye imikhiqizo. Umgudu ovamile we-bile uyisusa esibindini sakho iye kwi-gallbladder yakho, lapho igcinwa khona uze udle. Uma udla, i-gallbladder yakho iyangena futhi ikhiphele le nyongo esiswini sakho.

Lapho inyongo isiswini sakho namathumbu amancane, ama-acid akwi-bile asiza ekudilizeni ukudla nezakhi zomzimba ukuze umzimba wakho ukwazi ukukumunca kahle. Kwikholoni yakho, ama-bile acid abuyiselwa emuva egazini lakho ukuze asetshenziswe futhi.

Ngezikhathi ezithile, ama-bile acids awabuyiselwa kabusha kahle, okuholela ku-BAM. I-bile acid eningi kakhulu kukholoni yakho ingaholela kuhudo nasezihlalweni ezinamanzi, yingakho i-BAM kwesinye isikhathi ibizwa ngokuthi yi-bile acid isifo sohudo.

Ziyini izimpawu?

Uphawu oluyinhloko lwe-BAM uhudo. Usawoti namanzi avela ku-bile acid kukholoni yakho kuvimbela indle ukuba yakheke kahle, okuholele kuhudo. Lesi sifo singavela nsuku zonke noma ngezikhathi ezithile kuphela.

Abanye abantu abane-BAM nabo babhekana nokuphefumula nokuhuda, okuphathelene nokudinga ngokuzumayo ukusebenzisa indlu yangasese ngokushesha okukhulu.

Kubangelwa yini?

Kwezinye izimo, akukho ncazelo ecacile yokuthi kungani ikholoni lingabuyisi ngokuphelele i-bile acid. Uma lokhu kwenzeka, ibizwa nge-primary BAM.

Kwezinye izimo, i-BAM ibangelwa isimo esingaphansi. Isibonelo, kulinganiselwa ukuthi cishe ingxenye eyodwa kwezintathu zabantu abane-irritable bowel syndrome nohudo (IBS-D) bane-BAM.

I-BAM ingaba futhi uphawu lwesinye isimo. Lokhu kubizwa ngokuthi yi-BAM yesibili.

Ezinye izimo ezihlobene ne-BAM yesibili zifaka:

• Isifo sikaCrohn
• isifo se-celiac
• izifo ezincane zamathumbu
• izifo zepancreatic
• ukukhula okuthe xaxa kwamagciwane emathunjini

Imiphumela emibi yemithi nayo ingaba nomthelela ku-BAM.

Kutholakala kanjani?

Kukhona izivivinyo ezimbalwa ezitholakalayo eYurophu ezingasiza ukuxilonga i-BAM, kodwa eziningi azitholakali e-United States. Kodwa-ke, ngokusho kweMayo Clinic, izivivinyo ezimbili manje sezitholakala ekusetshenzisweni kwe-U.S., Okunye ngezinjongo zocwaningo nokunye ukusetshenziswa kwemitholampilo:

• i-serum yokuzila C4, yokusetshenziswa kocwaningo kuphela
• ukuhlolwa kwe-bile acid fecal

Ukuhlolwa kwe-fecal bile acid kufaka ukuqoqa amasampula endle phakathi namahora angama-48 nokuwahlola izimpawu ze-bile acid.

Khumbula ukuthi lokhu kuhlolwa kusenokutholakala okulinganiselwe e-United States, ngakho-ke udokotela wakho kungenzeka enze ukuxilongwa ngokulawula ezinye izimo ezingadala uhudo lwakho lwamanzi, njengolunye uhlobo lwe-malabsorption. Bangaze banikeze nemithi esetshenziselwa ukwelapha i-BAM ukubona ukuthi iyasiza yini. Uma izimpawu zakho ziqala ukuthuthuka ngemithi, lokhu kunganele ukwenza ukuxilongwa.

Ilashwa kanjani?

Ukwelashwa kwe-bile acid malabsorption kuvame ukugxila emithini nasekuguqukeni kokudla. Iningi labantu abane-BAM bathola imiphumela emihle ngokusebenzisa inhlanganisela yalokhu okubili.

Ezimweni eziningi ze-BAM yesibili, ukwelapha isimo esingaphansi nakho kungasusa izimpawu.

Imithi

Uhlobo oluyinhloko lwemithi esetshenziselwa ukwelapha i-BAM ibizwa nge-bile acid binder. Ibopha ngama-bile acid asendleleni yakho yokugaya ukudla, enciphisa umthelela wawo kukholoni yakho.

Izibopho ze-acid acid zivame ukwelapha isifo sohudo esihambisana ne-BAM. Ezinye izibopho ze-bile acid ezijwayelekile zifaka:

• icholestyramine (i-Questran)
• i-colestipol (Colestid)
• i-colesevelam (Welchol)

Ukudla

Izinguquko zokudla zingasiza futhi ekunciphiseni iziqephu zohudo uma une-BAM. Ukudilizwa kuyadingeka ekugayeni ukudla. Lokhu kusho ukuthi umzimba wakho kufanele ukhiphe ama-bile amaningi ne-bile acid lapho udla ukudla okuningi okunamafutha amaningi.

Ukulandela ukudla okunamafutha amancane kunganciphisa inani le-bile acid elikhiqizwa ngumzimba wakho, kubangele okuncane kwalo ukuthi kufinyelele kukholoni yakho. Ukuba namazinga aphansi e-bile acid kukholoni yakho kwehlisa amathuba akho okuba nohudo uma une-BAM.

Ukunciphisa ukudla kwakho okunamafutha, zama ukugwema ukudla:

• ibhotela nemargarini
• imayonnaise
• ukudla okuthosiwe noma okunesinkwa
• izimpahla ezibhakiwe, ezinjenge-croissants, amakhukhi, namakhekhe
• inyama yasemini, izinja ezishisayo, isoseji, ubhekeni, noma enye inyama esetshenzisiwe
• imikhiqizo yobisi egcwele amafutha, njengokukhipha ukhilimu noma ukhilimu omuncu

Khumbula ukuthi umzimba wakho usadinga amanye amafutha ukuze usebenze kahle. Zama ukushintshanisa okunye kokudla okungenhla kulawa mafutha anempilo, njenge:

• ukwatapheya
• izinhlanzi ezinamafutha, njenge-salmon ne-sardine
• amantongomane, kufaka phakathi ama-cashews nama-alimondi

Ngenkathi la mafutha angcono emzimbeni wakho, kusamele uzame ukuwadla ngokulinganisela uma une-BAM. Udokotela wakho angakudlulisela kumeluleki wezokudla noma kumeluleki wezokudla. Ngokubambisana, ungakha uhlelo lokudla olusebenzela indlela yakho yokuphila futhi likusize ukuphatha izimpawu zakho.

Ukuhlala neBAM

Iningi labantu abane-bile acid malabsorption liphendula kahle ekwelashweni futhi liyakwazi ukuvimbela noma ukuphatha izimpawu zalo ngemithi nangokushintsha kwendlela yokuphila. Uma wena nodokotela wakho nikwazi ukukhomba isimo esingumgogodla esidala i-BAM, nikwazi ukusisusa ngokuphelele lesi simo ngokuphatha inkinga eyimbangela.