Izimbangela Ezivamile Zobuhlungu Besisu

-Delile

• Izimbangela ezivamile zobuhlungu besisu # 1
• Izimbangela Ezivamile Zobuhlungu Besisu, # 2:
• Izimbangela Ezivamile Zobuhlungu Besisu, # 3:
• Uma ube nezimpawu zamathumbu isikhathi esingaphezu kwezinyanga ezintathu, khona-ke izinhlungu zesisu sakho zingase zibe izimpawu ze-bowel syndrome ezicasulayo.
• Izimbangela Ezivamile Zobuhlungu Besisu, # 4:
• Amaphesenti amaningi abesifazane awabekezelelani ne-lactose, alwela ukugaya ubisi, u-ayisikhilimu kanye noshizi. Ingabe izinhlungu zakho zesisu zizwakala ngalolu hlobo?
• Izimbangela Ezivamile Zobuhlungu Besisu, # 5:
• Izimbangela Ezivamile Zobuhlungu Besisu, # 6:
• Izimbangela Ezivamile Zobuhlungu Besisu, # 7:
• Izimbangela Ezivamile Zobuhlungu Besisu, #8:
• Buyekeza kwe-

Uzibuza ngezinhlungu zakho zesisu? UBUME ihlanganyela izimbangela ezivame kakhulu zobuhlungu besisu futhi inikeza iseluleko esisebenzayo sokuthi yini okufanele uyenze ngokulandelayo.

Ufuna ukugwema ubuhlungu besisu unomphela? Ungadli. Ungacindezeli. Ungaphuzi. O, futhi ngethemba ukuthi akekho emndenini wakho onomlando wezinkinga zesisu. Akulona iqiniso ngempela, akunjalo? Ngenhlanhla, akudingekile ukuba wedlulele ngale ndlela ukuze uzizwe ungcono.

Isinyathelo sokuqala: Yenza i-aphoyintimenti nodokotela wakho. Kuzwakala kusobala, kodwa abanye besifazane abaziphakamisi izinhlungu zesisu ngesikhathi sokuvakasha kwabo ehhovisi ngoba, uma singagwegwesi, bazithola zibangela amahloni,” kusho uDayna Early, MD, udokotela wezifo zesisu eWashington University School of Medicine eSt. hlola impilo yakho: Imvamisa ungazilapha ekucindezelekeni kwakho ngokususa imikhuba ethile ongase ungaboni ukuthi ibanga izimpawu zobuhlungu besisu sakho.

Okokugcina, ungakhathazeki -- ngisho noma inkinga yakho ingeyezokwelapha, ziningi izindlela zokwelapha ongakhetha kuzo. Uma izinguquko zendlela yokuphila zingasizi, ngokuvamile imithi iyasiza. "Asikho isidingo sokuthi abesifazane bahlupheke," kusho u-Early. Lapha, ama-gastroenterologists ahamba phambili aklelisa izimbangela ezivame kakhulu zomaye wokugaya ukudla kwabesifazane - futhi anikeze izixazululo ezilula zokuzizwa ushesha kangcono.

Izimbangela ezivamile zobuhlungu besisu # 1

Ukhuluphele ngokweqile. Ukuthwala amakhilogremu athe xaxa kungakushiya usengozini yokuthola amatshe enyongo, amadiphozithi aqinile e-cholesterol noma osawoti we-calcium angadala izinhlungu ezinzima esiswini esiswini sakho sokudla, kusho uRaymond.

Ama-gallstones avela kumaphesenti angama-20 abesifazane baseMelika abaneminyaka engama-60, kanti abesifazane abaphakathi kweminyaka engama-20 nengama-60 banamathuba aphindwe kathathu okuwakhulisa kunabesilisa.

Isisindo esiningi siphinde siphakamise ingozi ye-GERD: Ucwaningo olulodwa olwanyatheliswa ngo-Agasti odlule e-Baylor College of Medicine lwathola ukuthi abantu abakhuluphele babengamaphesenti angu-50 amathuba okuba nezimpawu ze-GERD kunalabo abanesisindo esinempilo. "Isisindo esengeziwe sifaka ingcindezi esiswini sakho, okugcina sekufaka ingcindezi ku-valve ephakathi kwesisu nesisu sakho, okwenza kube lula ukuthi i-acid ikwazi ukwenza isipele," kuchaza u-Early. Ukulahlekelwa ngamakhilogremu angu-10 kuye kwayi-15 kungase kwanele ukuqeda lezi zinhlungu zesisu.

Unezimpawu ze-GERD, kufaka phakathi izinhlungu zesisu? Isinyathelo sokuqala sokwelashwa kwe-GERD sifaka phakathi ukwenza ushintsho endleleni yokuphila kanye nokudla.

Izimbangela Ezivamile Zobuhlungu Besisu, # 2:

Uthola amakhambi ezitolo, esikhundleni sokubuka okudlayo. Wonke umuntu uthatha ama-Tums ngezikhathi ezithile, kodwa uma wehlisa ama-acid blockers ekuseni, emini nasebusuku, ungase ube ne-GERD, isifo se-reflux ye-gastroesophageal, isifo esingamahlalakhona esibangelwa yi-asidi yesisu enyakaza esiswini sakho ingene emgudwini wakho, ngokuvamile umphumela wobuthakathaka ku-valve yemisipha ehlukanisa isisu kanye nomminzo.

Ukubuyekezwa kwango-2005 okushicilelwe kumagazini wezokwelapha iGut kuphethe ngokuthi amaphesenti angama-20 abo bonke abantu baseNtshonalanga abahlushwa yizimpawu ze-GERD - kanti isinyathelo sokuqala sokuthola impilo sihilela ukwenza izinguquko endleleni yokuphila, njengokubuka lokho okudlayo.

Ukudla okukhethekile - okuyizithelo ezisawolintshi, utamatisi nososo katamatisi, ushokoledi, iwayini neziphuzo ezine-caffeine - kungadala izimpawu ze-GERD. Ukusiza ekwelashweni kwe-GERD, udokotela wakho futhi angakugcina idayari yokudla amasonto amabili ukuze ukwazi ukukhomba ukuthi yikuphi ukudla okuyizinkinga ezithile kuwe, unezela uRoshini Rajapaksa, MD, ongudokotela wezifo zesisu eNew York University School of Medicine.

Ithiphu elilodwa lokunciphisa izinhlungu zesisu: Gcwalisa ukudla okunothe nge-fiber njengezithelo, imifino nezinhlamvu futhi unciphise amafutha agcwele. Ucwaningo lweBaylor College of Medicine luthole ukuthi abantu abadla ukudla okuphezulu kwe-fiber (okungenani ama-gramu angama-20 ngosuku) babenamathuba amancane okuhlaselwa yizimpawu ze-GERD ngamaphesenti angama-20, futhi labo abadla ukudla okuphansi kumafutha agcwele basike izingqinamba zabo.

Izimbangela Ezivamile Zobuhlungu Besisu, # 3:

Umane ucindezeleke ngaphezu kokukholwa. Wake wazibuza ukuthi kungani ugcina ngokugijimela endlini yangasese njalo uma uphikisana nesikhathi esinqunyiwe sokusebenza noma ukhathazeka ngokulwa nomyeni wakho? Lapho ufiphazekile, amazinga aphakeme amahomoni okucindezeleka enza kusebenze ukufinyela okuvamile kwesisu sakho kanye nekholoni, okubangela ukuba kungene izinhlungu, kusho uPatricia Raymond, MD, udokotela we-GI e-Eastern Virginia Medical School eNorfolk, Va. (Stress ama-hormone nawo angaba nesandla ekukhiqizweni ngokweqile kwesisu esiswini, akwenze uthambekele kakhulu kwizimpawu ze-GERD.)

Ngaphezu kwalokho, ukucindezeleka kuvame ukuzala ukudla okungenamsoco (cabanga ngamafutha, ama-chips acutshunguliwe namakhukhi ane-fiber encane kakhulu), okungabangela ukuqunjelwa, nokuqunjelwa nakakhulu. Lapho wazi ukuthi uzoba nosuku olunzima, hlela ukudla ukudla okuncane okujwayelekile ukuze ungalambi kakhulu noma usuthe kakhulu futhi uvikele ukuzitika ngokweqile nge-caffeine - konke okungadala izinhlungu zesisu.

Bese uyanyakaza: Ukujima kwe-aerobic (okuhloswe okungenani imizuzu engama-30) ngeke kuvele kusize ukuqeda ingcindezi, kuzosiza futhi ukulwa nanoma yikuphi ukuqunjelwa ngokusheshisa ukuhamba kokudla ngomgudu wakho wokugaya ukudla, kusho uRaymond. Qhubeka ufunde imininingwane mayelana nesifo samathumbu esibuhlungu nobuhlungu besisu sayo.

Uma ube nezimpawu zamathumbu isikhathi esingaphezu kwezinyanga ezintathu, khona-ke izinhlungu zesisu sakho zingase zibe izimpawu ze-bowel syndrome ezicasulayo.

Thola okuningi kuShape.com.

Izimbangela Ezivamile Zobuhlungu Besisu, # 4:

Unamathumbu acasulwa kalula. Uma uke waba nobuhlungu bamathumbu isikhathi esingaphezu kwezinyanga ezintathu, ungase ube nalokho odokotela abakubiza ngokuthi i-irritable bowel syndrome (IBS), inkinga ethinta cishe oyedwa kwabesifazane abahlanu. Lesi simo sibonakala ngokuqunjelwa, igesi kanye nokushintshana kwesifo sohudo nokuqunjelwa okulethwa yinoma yini kusukela ekushintsheni kokudla kuya ekucindezelekeni, kusho uRaymond.

Buza udokotela wakho ngokuhlolwa kwe-IgG antibody, ukuhlolwa kwegazi okusiza ukukhomba ukuzwela okuthile kokudla, kuphakamisa uMark Hyman, MD, owayengumqondisi wezokwelapha eCanyon Ranch eLenox, Mass., Nombhali we-Ultrametabolism (Scribner, 2006). Ucwaningo lwaseBrithani lwathola ukuthi ukususa ukudla ekudleni kwakho ngokusekelwe emiphumeleni yokuhlolwa kuthuthukisa izimpawu ze-bowel syndrome ecasulayo ngamaphesenti angu-26.

"Olunye ucwaningo lukhombisa amaphilisi ka-peppermint-oil, atholakala ezitolo ezidayisa ezempilo, asiza ekunciphiseni izimpawu ze-IBS ngokuphungula ikoloni," kunezela uMichael Cox, M.D., ongudokotela wamathumbu eMercy Medical Center eBaltimore. (Bheka amaphilisi "e-enteric coated"; lawa aphuka kukholoni, hhayi esiswini lapho angabangela ukucasuka.)

Uma izimpawu zakho zesifo samathumbu ezicasulayo ziphakathi, kufanele zithuthuke ngalezi zindlela ezimbili. Ezimweni ezimbi kakhulu, udokotela wakho angase akunikeze i-Zelnorm, umuthi olawula ukuhamba kwendle emathunjini akho, futhi angase asikisele izinguquko zokudla kanye nezindlela zokuphumuza ingqondo, njenge-yoga. Izinhlungu zesisu zingenzeka uma ungabekezeleli i-lactose. Ukuze uthole ulwazi olwengeziwe mayelana nokungabekezelelani kwe-lactose, qhubeka nokufunda.

Amaphesenti amaningi abesifazane awabekezelelani ne-lactose, alwela ukugaya ubisi, u-ayisikhilimu kanye noshizi. Ingabe izinhlungu zakho zesisu zizwakala ngalolu hlobo?

Izimbangela Ezivamile Zobuhlungu Besisu, # 5:

Awubekezelelani ne-lactose. Cishe oyedwa kwabesifazane abane unenkinga yokugaya i-lactose, ushukela otholakala ngokwemvelo emikhiqizweni yobisi njengobisi, u-ayisikhilimu noshizi othambile. Uma usola ukuthi ukuqhuma kwakho kwegesi noma kwesisu kungumphumela wokungabekezelelani kwe-lactose, ungasika imikhiqizo yobisi amasonto ambalwa ukuze ubone ukuthi izimpawu ziyathuthuka yini, kuphakamisa uJohn Chobanian, MD, udokotela wezifo zasesibhedlela eMount Auburn Hospital eCambridge, Mass.

Namanje awuqiniseki? Buza udokotela wakho ngokuhlolwa komoya we-hydrogen, lapho ushaya khona esikhwameni ngemuva kokwehlisa isiphuzo esine-lactose. Izinga eliphakeme le-hydrogen likhombisa ukuthi awubekezeleli i-lactose. Kepha noma kunjalo, awudingi ukuyeka ubisi.

I-yoghurt kanye noshizi oqinile kulula kakhulu ukuthi umzimba wakho uqhekeke; iyogathi iqukethe ama-enzyme akusiza ukucubungula i-lactose futhi ushizi oqinile awunayo i-lactose eningi kwasekuqaleni. Ungase futhi ukwazi ukubuyisa uhlelo lwakho lokugaya ukudla ukuze wephule i-lactose ngokudla ubisi oluncane izikhathi eziningana ngosuku amasonto amathathu noma amane, ngokusho kwabaphenyi basePurdue University.

Abanye besifazane bathola nokuthi ukuphuza ubisi nokudla kunciphisa nezimpawu zobuhlungu besisu. "Ngincoma ukuqala ngengxenye yenkomishi yobisi ngokudla, futhi uma lokhu kubekezelelwa, ngemuva kwezinsuku ezimbalwa, ukwenyuse kancane inani ukuze uphuze izinkomishi ezingama-2-3 ngosuku," kusho umlobi ocwaningayo uDennis Savaiano, Ph. D., isikhulu se-Purdue University's School of Consumer and Family Sciences e-West Lafayette, Ind. Noma zama ukuphuza ubisi olungenayo i-lactose kanye/noma uphuze amaphilisi e-Lactaid ngaphambi kokudla ubisi; zombili ziqukethe i-lactase, i-enzyme ehlukanisa i-lactose. Abesifazane nabo bangaba nezinhlungu zesisu uma bengabekezelelani ne-fructose.

Ukukhawulela izithelo nokugwema ezithile kungasiza ekulawuleni izinhlungu zesisu nokuqunjelwa esiswini okuhambisana nokuba ne-fructose engabekezelelani.

Izimbangela Ezivamile Zobuhlungu Besisu, # 6:

Udla izithelo eziningi kakhulu. Ucwaningo lwe-University of Kansas Medical Center luthole ukuthi cishe isigamu sazo zonke iziguli ezikhala ngegesi engachazeki nokuqunjelwa yisisu ngemuva kokuthola amagremu angama-25 e-fructose (ushukela olulula otholakala esithelweni) empeleni kubangelwe ukungabekezelelani kwe-fructose, okusho ukuthi imizimba yabo ayikwazi ukugaya kahle i-fructose. Njengokungabekezelelani kwe-lactose, lesi simo singatholakala ngokuhlolwa komoya.

Uma uhlushwa ukungabekezelelani kwe-fructose, isinyathelo sakho sokuqala kufanele kube ukulahla imikhiqizo equkethe i-fructose njengoshukela oyinhloko, njengejusi ye-apula, kusho umlobi ocwaningayo uPeter Beyer, MS, RD, uprofesa wezokudla nokudla kokudla eNyuvesi yaseKansas.

Yize ungekho isidingo sokufunga izithelo ngokuphelele, kungadingeka ukuthi ugweme izinhlobo ezithile: "Kufanele ukhawulele ukusetshenziswa kwezithelo eziphakeme kakhulu ku-fructose, njengama-apula nobhanana," kuchaza uBeyer. I-aphula elilodwa eliphakathi linama-gramu ayi-8 we-fructose, ibhanana elilodwa eliphakathi licishe libe yi-6, inkomishi ye-cantaloupe enekhubhu inezingu-3 kanti amabhilikosi anencane kunegremu lilodwa.

Elinye isu: Sabalalisa izithelo zakho zansuku zonke ukuze ungazidli ngasikhathi sinye, ukugwema izinhlungu zesisu.

Izimbangela Ezivamile Zobuhlungu Besisu, # 7:

Uhlafuna ushingamu ukuze ungadli. Kukholwe noma ungakukholwa, ukuxubana nezinsini kuyimbangela enkulu yezinhlungu zesisu. "Uvame ukugwinya umoya omningi, ongadala igesi nokuqunjelwa," kuchaza uChristine Frissora, M.D., udokotela wamathumbu esibhedlela saseNewYork-Presbyterian eNew York City. Ngaphezu kwalokho, ezinye izinsini ezingenashukela ziqukethe i-sweetener sorbitol, amanani amancane nje ayo angasiza ekuvuvukeni esiswini sakho. "USorbitol udonsela amanzi emathunjini akho amakhulu, angadala ukuqumba futhi, ngemithamo ephezulu ngokwanele, isifo sohudo," kuchaza uCox.

Ucwaningo olulodwa olushicilelwe ephephabhukwini i-Gastroenterology luthole ukuthi ama-gramu ayi-10 kuphela e-sorbitol (okulingana namacandi ambalwa angenashukela) akhiqiza izimpawu zokuqunjelwa yisisu, kuyilapho amagremu angama-20 edala amajaqamba nohudo. Ezinye izithasiselo zikashukela okufanele zigadwe: i-maltitol, i-mannitol ne-xylitol, nayo etholakala kwezinye izinhlaka ezingenashukela kanye nasemikhiqizweni ene-carb ephansi. (Ngezinye izikhathi lezi zifakwe kuhlu nje "njengama-sugar alcohols" kumalebula.)

Kodwa-ke esinye sezimbangela ezivamile zobuhlungu besisu yisifo se-celiac, esiphethwe yi-gluten free diet. Qhubeka ufunde ukuze uthole imininingwane!

Izimbangela Ezivamile Zobuhlungu Besisu, #8:

Uyazwela kukolweni. Cishe umuntu oyedwa kwabangu-133 e-United States unesifo se-celiac, esaziwa nangokuthi ukungabekezelelani kwe-gluten, ngokusho kocwaningo lwe-2003 University of Maryland. Kubantu abanesifo se-celiac, i-gluten (etholakala kukolweni, i-rye, ibhali nemikhiqizo eminingi ehlanganisiwe), ibeka ukusabela okuzenzakalelayo okwenza imizimba yabo ikhiqize amasosha omzimba ahlasela i-villi, izilinganiso ezincane ezinjengezinwele emathunjini amancane amunca amavithamini, amaminerali namanzi, kuchaza uCox.

Ngokuhamba kwesikhathi, lawa ma-villi ayalimala, abangela ukuqunjelwa esiswini nokuqunjelwa yisisu, nokukuvimbela ekutholeni izakhamzimba. Lokhu kukwenza ube lula ukuntula amavithamini namaminerali, kanye nezimo ezifana ne-anemia kanye ne-osteoporosis. Kukhona ukuxhumana okuqinile kofuzo futhi: Lesi sifo sivela kumaphesenti ayi-5-15 ezingane kanye nezingane zakubo zabantu abanaso.

Yize ukuxilongwa kungenziwa ngokuhlolwa kwegazi okulwa ne-antibody okulula, isifo se-celiac siphuthelwa kalula ngoba izimpawu zilingisa kakhulu ezinye zezimo zobuhlungu besisu, njengokungabekezelelani kwe-lactose kanye nesifo samathumbu esicasulayo. "Ngithole abesifazane abanalesi simo asebehlupheke iminyaka futhi abaxilongwanga kahle noma batshelwa odokotela ukuthi izimpawu zabo zonke bezisemakhanda abo noma zihlobene nengcindezi," kusho uFrissora.

Ukwelashwa kungukudla lapho uqeda okusanhlamvu okufana nokolweni, i-rye nebhali. "Ukulandela ukudla kwamahhala okungenama-gluten kuyinkohliso emangalisayo: Kungadingeka ukuthi uthathe uhambo lokuya kokondla ukuze uhlunge lokho ongakudla nongakudli," kuvuma u-Early. "Kodwa uma ushintsha ukudla kwakho, izimpawu zobuhlungu besisu zizophela." Ukudla okungenayo i-Gluten kuyatholakala ezimakethe zokudla kwemvelo kanye nezitolo zokudla kwezempilo.

Ukuthola eminye imininingwane ngokubaluleka kokudla kwamahhala kwe-gluten, bheka i- "Celiac Disease" on Umumo online noma chofoza lapha ukuthola eminye imininingwane ngokugcina ukudla okungenayo i-gluten.

Buyekeza kwe-