Kuyini i-Fructose Malabsorption?

-Delile

• Ukungabekezelelani okubangelwa ifa le-fructose
• Izimbangela
• Izimpawu
• Izici zobungozi
• Ukuxilongwa
• Ukuphathwa
• I-Fructose malabsorption: I-Q & A.
• Q:
• A:
• Umbono

Ukubuka konke

I-Fructose malabsorption, ngaphambili eyayibizwa ngokuthi ukungabekezelelani kokudla kwe-fructose, kwenzeka lapho amangqamuzana ebusweni bamathumbu engakwazi ukudiliza i-fructose kahle.

UFructose ushukela olula, owaziwa ngokuthi i-monosaccharide, ovela kakhulu ezithelweni nakweminye imifino. Kutholakala nakuju, umpe we-agave, nokudla okuningi okusetshenzisiwe okuqukethe ushukela ongeziwe.

Ukusetshenziswa kwe-fructose kusuka kwisiraphu ephezulu yommbila we-fructose kukhuphuke ngaphezu kwamaphesenti ayi-1 000 kusukela ngo-1970-1990. Kungenzeka ukuthi lokhu kukhuphuka kokusetshenziswa kuholele ekwandeni kwe-fructose malabsorption kanye nokungabekezelelani.

Uma usebenzisa i-fructose futhi uzizwa unezinkinga zokugaya, ungathinteka yi-fructose malabsorption.

AmaFructans angama-carbohydrate abilayo ahlanganiswe ngamaketanga amafushane e-fructose anento eyodwa enamathiselwe i-glucose unit. Ukungabekezelelani kweFructan kungahle kuhlangane ne-fructose malabsorption noma kube imbangela yezimpawu.

Ukungabekezelelani okubangelwa ifa le-fructose

Inkinga ebucayi kakhulu nesimo esingahlobene ngokuphelele ukungabekezelelani kwe-fructose (HFI). Lesi yisimo sezakhi zofuzo esingavamile esithinta umuntu oyedwa kwabangu-20 000 kuya ku-30,000 futhi senzeka ngoba umzimba awenzi i-enzyme edingekayo ukuze kudilizwe i-fructose. Lokhu kungaholela ezinkingeni ezinkulu zezempilo njengokuhluleka kwesibindi uma kungalandelwa ukudla okuqinile kwe-fructose. Isimo sitholakala kakhulu lapho ingane iqala ukudla ukudla kwengane noma ifomula.

Izimbangela

I-Fructose malabsorption ijwayelekile, ithinta umuntu oyedwa kwabathathu. Izithwali ze-Fructose ezitholakala kuma-enterocyte (amaseli emathunjini akho) zinesibopho sokuqinisekisa ukuthi i-fructose iqondiswa lapho idinga ukuya khona. Uma unokuntuleka kwabathwali, i-fructose ingakha emathunjini akho amakhulu futhi ibangele izingqinamba zamathumbu.

I-Fructose malabsorption ingaba ngenxa yezimbangela eziningi ezibandakanya:

• ukungalingani kwamagciwane amahle namabi emathunjini
• ukudla okuphezulu kokudla okucwengisisiwe nokwenziwe
• izingqinamba zamathumbu ezingaphambi kwesikhathi ezinjenge-irritable bowel syndrome (IBS)
• ukuvuvukala
• ukucindezeleka

Izimpawu

Izimpawu ze-fructose malabsorption zifaka:

• isicanucanu
• ukuqunjelwa
• igesi
• ubuhlungu besisu
• isifo sohudo
• ukuhlanza
• ukukhathala okungapheli
• i-malabsorption yezakhi ezithile zomzimba, njenge-iron

Ngaphezu kwalokho, kunobufakazi bokuthi kuxhumanisa i-fructose malabsorption nokuphazamiseka kwemizwelo nokudangala. ikhombise ukuthi i-fructose malabsorption ihlotshaniswa namazinga aphansi e-tryptophan, adlala indima enkulu ekuthuthukiseni ukuphazamiseka kwengcindezi.

Izici zobungozi

Uma unezinkinga ezithile zesisu ezifana ne-IBS, isifo sikaCrohn, i-colitis, noma isifo se-celiac, kungenzeka ukuthi ube ne-fructose malabsorption noma ukungabekezelelani kokudla.

Kodwa-ke, ukuthi ngabe enye ibangela enye akucaci. Kulokho okubandakanya iziguli ezingama-209 ezine-IBS, cishe ingxenye eyodwa kwezintathu yayinokubekezelelana kwe-fructose. Labo abathobela ukukhawulela i-fructose babone ukuthuthuka kwezimpawu. Uma uhlala neCrohn's, lo mhlahlandlela wokudla okunempilo ungasiza futhi.

Ngaphezu kwalokho, uma udla ukudla okungenayo i-gluten kodwa usenezimpawu, ungahle ube nenkinga nge-fructose. Akukaze kube ngumqondo omubi ukuthi uhlolwe i-fructose malabsorption uma unenkinga enkulu yamathumbu.

Ukuxilongwa

Ukuhlolwa kokuphefumula kwe-hydrogen ukuhlolwa okuvamile okusetshenziselwa ukuxilonga izingqinamba nge-digesting fructose. Kuyisivivinyo esilula esingafaki ukudonswa kwegazi. Uyacelwa ukuthi ubeke umkhawulo kuma-carbohydrate ngobusuku obandulelayo futhi usheshe ekuseni kokuhlolwa.

Ehhovisi likadokotela wakho, unikezwa isisombululo se-fructose esiphezulu sokuphuza, bese kuthi njalo ngemizuzu engama-20 kuye kwengama-30 amahora amaningi umoya wakho uyahlaziywa. Isivivinyo sonke sithatha cishe amahora amathathu. Lapho i-fructose ingagunyaziwe, ikhiqiza inani eliphakeme le-hydrogen emathunjini. Lokhu kuhlolwa kukala ukuthi ingakanani i-hydrogen ekuphefumuleni kwakho kusuka kule malabsorption.

Ukuqeda i-fructose ekudleni kwakho kungenye indlela yokutshela uma une-fructose malabsorption. Ngosizo lwe-dietitian ebhalisiwe, ungakha uhlelo lokususa ngempumelelo noma yikuphi ukudla okuqukethe i-fructose bese ubona ukuthi izimpawu zakho ziyaxazululeka yini.

Abantu abahlukene banezinhlobo ezehlukene zokubekezelelana ze-fructose. Ezinye zingaba nzima kakhulu kunezinye. Ukugcina iphepha lokudla kungasiza ukulandelela ukudla okudlile kanye nanoma yiziphi izimpawu onazo.

Ukuphathwa

Ukuphatha inkinga ngokuwohloka kwe-fructose ngokuvamile kufaka phakathi ukuqeda ushukela. Ukuqeda ukudla okuqukethe amazinga aphezulu e-fructose yindawo enhle yokuqala. Lokhu kufaka phakathi:

• amasoda
• imishayo ethile yokusanhlamvu
• izithelo ezithile, ezinjengamapulumu, amapheya, ama-cherries, amapentshisi, ama-apula, ama-plums, nekhabe
• ijusi le-apula ne-apple cider
• ijusi eliphakathi kwe
• uphizi oshukela snap
• uju
• ama-dessert afana no-ayisikhilimu, uswidi, namakhukhi aqukethe okokunandisa i-fructose

Lapho ufunda amalebula, kunezithako eziningi okufanele uzibheke lapho uzama ukuphatha i-fructose malabsorption. Khumbula okulandelayo:

• isiraphu yommbila ephezulu ye-fructose
• umpe we-agave
• i-crystalline fructose
• fructose
• uju
• I-sorbitol
• ama-fructooligosaccharides (FOS)
• okuqinile kwesiraphu yommbila
• ushukela utshwala

Ukudla kwe-FODMAP nakho kungasiza lapho uzama ukuphatha izingqinamba zokugaya ze-fructose. I-FODMAP imele ama-oligo-, di-, monosaccharides nama-polyols abilayo. Ama-FODMAP afaka phakathi i-fructose, i-fructans, i-galactans, i-lactose, ne-polyols. Kwezinye izimo, labo abane-fructose malabsorption kungenzeka futhi bangabekezeleli ama-fructans atholakala kukolweni, i-artichokes, i-asparagus, no-anyanisi.

Ukudla okuphansi kwe-FODMAP kufaka ukudla okuvame ukuba lula ukugaya kubantu abaningi, futhi lokhu kungakhulula izimpawu ezivamile. Ukudla okune-1: 1 isilinganiso se-glucose ne-fructose kungabekezelelwa kangcono ekudleni okuphansi kwe-FODMAP kunalokho kudla okuqukethe i-fructose engaphezulu kune-glucose. Lo mhlahlandlela onemininingwane ufaka ongakudla ngenkathi ulandela ukudla okuphansi kwe-FODMAP.

I-Fructose malabsorption: I-Q & A.

Q:

Ngabe kukhona ukwelashwa okutholakalayo kwe-fructose malabsorption?

Isiguli esingaziwa

A:

Ngenkathi i-fructose malabsorption ingathuthuka ngokuncipha kokudla kwe-fructose, lesi simo singaphinde siphakamise ukuthi ukukhula kwamabhaktheriya amancane emathunjini (SIBO) kuyadlala. Kunoma ikuphi, ama-antibiotic, ama-probiotic, ama-enzyme wokugaya ukudla afana ne-xylose isomerase, kanye nokudla okuguquliwe kunganconywa.

UNatalie Butler, RD, Izimpendulo ze-LDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.

Umbono

Izinkinga ze-gut nge-fructose malabsorption ziyahlukahluka kuye ngomuntu, futhi kanjalo nokwelashwa kuzohluka.

Kungakhathaliseki ukuthi unecala elincane noma elibi, ukudla kokuqeda i-fructose noma ukudla okuphansi kwe-FODMAP kungasiza. Ukulandela okunye kwalokhu kudla amasonto amane kuya kwayisithupha, bese ubuyisa kancane kancane ukudla okwehlukile kwe-fructose nokuhlola ukubekezelelana, kuyindlela enhle yokuqala. Ukuhlenga ekudleni ngokuya ngezimpawu zakho ezithile ekudleni kuzoba ngcono kakhulu.

Sebenza nodokotela wezokudla ongakusiza ekuxhaseni endleleni futhi athuthukise uhlelo nawe.