Ukuzila kwe-IBS: Kuyasebenza?

-Delile

• Ingabe ukuzila ukudla kuyasiza IBS?
• Yini i-motor migigrating complex, futhi ihlobene kanjani nokuzila ukudla ne-IBS?
• Kungani ukuzila ukudla kungathuthukisa i-IBS
  
• Kungani ukuzila ukudla kungasizi i-IBS
• Yiziphi izindlela ezahlukahlukene zokwelapha i-IBS?
• Ukuguqulwa kokudla
• Umsebenzi womzimba
• Yehlisa amazinga okucindezeleka
• Ama-Probiotic
• Imithi
• I-IBS itholakala kanjani?
• Yini ebangela i-IBS?
• Ziyini izimpawu ze-IBS?
• Okubalulekile

Ukuphila ne-irritable bowel syndrome (IBS) kuyindlela yokuphila yabantu baseMelika abangamaphesenti ayi-12, kulinganiselwa ucwaningo.

Ngenkathi imbangela ngqo ye-IBS ingaziwa, izimpawu zokungakhululeki esiswini, ubuhlungu besisu obuphakathi, uhudo, ukuqunjelwa, ukuqunjelwa kanye negesi zaziwa kakhulu kulabo ababhekana nalesi sifo samathumbu (GI).

Njengoba kunezimpawu eziningi kakhulu ezandayo ezingalindeleka, abantu abaningi bayazibuza ukuthi ukuguqulwa kwendlela yokuphila njengokuzila kungasiza ukuphatha i-IBS.

Ingabe ukuzila ukudla kuyasiza IBS?

Ukuguqulwa kwendlela yokuphila kwesinye isikhathi okuvela lapho kuxoxwa nge-IBS kuyazila. Izinhlobo ezimbili zokuzila ezihlobene ne-IBS ukuzila ukudla ngezikhathi ezithile nokuzila isikhathi eside.

Ngokuzila ukudla ngezikhathi ezithile, uyashintsha phakathi kwezikhathi zokudla nezikhathi zokungadli.

Enye indlela ethandwayo yokuzila ukudla ngezikhathi ezithile ihilela ukukhawulela ukudla kwakho kuze kufinyelele ebangeni lesikhathi lamahora ayisishiyagalombili. Isibonelo, ukusetshenziswa kwakho kokudla kungenzeka phakathi kuka-1: 00 ntambama nango-9: 00 ebusuku.

Ukuzila isikhathi eside kufaka ukukhawulela ukudla futhi mhlawumbe noketshezi isikhathi eside (okungukuthi, amahora angama-24 kuya kwangu-72).

Ngokusho kukaRyan Warren, RD, isazi sokudla okunomsoco esibhedlela saseNewYork-Presbyterian naseWeill Cornell Medicine, inzuzo noma ukungabi khona kokuzila ku-IBS kuncike kakhulu thayipha ye-IBS kanye ne imbangela we-IBS.

"Iziguli ezihlushwa yi-IBS zithola izimpawu ezahlukahlukene ngenxa yezinhlobonhlobo zezifo eziyisisekelo," kusho uWarren. "Lokhu kumele njalo kubhekwe ngaphambi kokwenza izincomo zomtholampilo."

Kodwa-ke, ukuzila ukudla njengendlela yokuphatha i-IBS kuncane. Izifundo ezintsha ziyadingeka ukuze wazi kahle ukuthi ukuzila ukudla kuyithinta kahle yini i-IBS.

Yini i-motor migigrating complex, futhi ihlobene kanjani nokuzila ukudla ne-IBS?

Ukufuduka kwemoto eyinkimbinkimbi (i-MMC) kuyiphethini ehlukile yomsebenzi we-electromechanical obonwe ku-GI umsipha obushelelezi ngezikhathi phakathi kokudla, njengezikhathi zokuzila.

UWarren uthi ukucabanga ngakho njengezigaba ezintathu “zamagagasi okuhlanza” emgodini ongenhla we-GI owenzeka njalo ngemizuzu engama-90 phakathi kokudla nokudla okulula.

Yilo mbono abanye abantu abathi unikela emiphumeleni emihle yokuzila ukudla nge-IBS. Kepha yize kunocwaningo oluningi ngeMMC uqobo, kuncane kakhulu okungekho bufakazi besayensi bokuxhasa indima yabo ekunciphiseni izimpawu ze-IBS.

Kungani ukuzila ukudla kungathuthukisa i-IBS

Uma izimpawu zakho zivela njengempendulo ekudleni - njengegesi, ukuqunjelwa, noma isifo sohudo ngemuva kokudla - uWarren uthi izikhathi zokuzila ezinde (noma ukuhlukaniswa kokudla okuhlelekile) zingasiza ekuphatheni lezi zinhlobo zezimpawu.

Lokho kungenxa yokuthi amaphethini wokuzila angasiza ukuthuthukisa indlela ye-MMC. UWarren uthi lokho kungathuthukisa izimpawu ezithile ze-IBS, ikakhulukazi lapho ukukhula kwamabhaktheriya amancane emathunjini kuyimbangela okusolwayo noma eqinisekisiwe.

"Kukhombisa ukuthi umsebenzi we-MMC ongaphansi kakhulu uhambisana nokukhula kwamagciwane amancane emathunjini (SIBO), okungahle kube yimbangela ye-IBS," kuchaza uWarren.

"Amaphethini wokuzila angathuthukisa ukuhamba kwamathumbu okuhambisana ne-MMC, okuvumela okuqukethwe kwamathumbu ukuhamba kahle ngepheshana le-GI," engeza.

Lokhu kushukumiseka okuhle kubalulekile, kusho uWarren, ngoba kusiza ukunciphisa ukwenzeka kwe-SIBO nokuvutshelwa okweqile kokuqukethwe kokudla okungagcina kudala izimpawu ze-IBS.

"Ukuzila ukudla kuhlotshaniswa nezinzuzo ezilwa nokuvuvukala, zokuphulukisa amathumbu ngokusebenzisa ukuphakanyiswa kwayo kokusebenzisa i-autophagy (inqubo yemvelo amaseli alimele azithobisa futhi azivuselele ngayo," kusho uWarren. Lokhu-ke, kungaba nemiphumela emihle kwizimpawu ze-IBS.

Ngokwengeziwe, uWarren uthi ukuzila ukudla kungaxhunyaniswa nezinguquko ezinhle ku. "Ukugcina i-gut microbiota elinganiselayo (okungukuthi, enezinhlobo ezahlukahlukene zezinto ezizuzisayo) kubaluleke kakhulu ekuphatheni i-IBS," engeza.

Kungani ukuzila ukudla kungasizi i-IBS

Ngokusho kukaWarren, ukuzila ukudla kungasizi i-IBS ezimweni lapho isikhathi eside sokuzila ekugcineni kuholela ekusetshenzisweni kwezingxenye ezinkulu zokudla ekugcineni kokuzila.

"Umthamo owedlulele wokuqukethwe kokudla esigabeni esiphezulu se-GI kungadala izimpawu kwabanye abantu," kusho uWarren. "Ngakho-ke, ukuzila ukudla kungahle kudilize uma kuba yisizathu sokudla ngokweqile ngokuhamba kosuku."

UWarren uthi emsebenzini wakhe neziguli eziveza izinhlobo ezithile ze-gut hypersensitivity, ukulamba noma ukungabi nokudla kungaba yimbangela.

Uchaza ukuthi izimpawu ezithile ze-IBS zingenzeka ngokuphendula kwesisu singenalutho kulaba bantu. Izimpawu zingafaka:

• ubuhlungu
• ukunyanyiswa
• isicanucanu
• isisu siduma
• i-asidi ye-asidi

"Kulezi ziguli, kuncane, ukudla okuvamile kunganconywa njengenye indlela yokuhlukaniswa kokudla okuhlelekile noma isikhathi eside sokuzila," kusho uWarren.

Yiziphi izindlela ezahlukahlukene zokwelapha i-IBS?

Njengoba ucwaningo nobufakazi besayensi ngokuzila ukudla buyindlala, kubalulekile ukubheka ezinye izindlela zokwelapha i-IBS.

Izindaba ezimnandi kukhona ukuguqulwa okuningana kwendlela yokuphila kanye nemithi okufanele icatshangwe engaphatha izimpawu ze-IBS:

Ukuguqulwa kokudla

Enye yezindawo zokuqala ukuqala ukwelapha i-IBS kukudla kwakho. Ukuhlonza nokugwema ukudla okubangela ukhiye ngokuphatha izimpawu.

Ngokuya ngobukhulu bezimpawu zakho, lokhu kungafaka ukudla okune-gluten nohlobo lwe-carbohydrate ebizwa nge-FODMAPs. Ukudla okuphezulu kuma-FODMAP kufaka phakathi izithelo ezithile nemifino, ubisi, okusanhlamvu neziphuzo.

Ukudla ukudla okuncane ngezikhathi ezijwayelekile nakho kuyisiphakamiso esivamile, esiphikisana nomqondo wokuzila ukudla. Lokho kusho, kunocwaningo oluningi ngokusetshenziswa kokudla okuvamile kunokuzila.

Ngokwengeziwe, udokotela wakho angancoma ukuthi wandise ukudla kwakho kwe-fiber futhi uphakamise uketshezi lwakho.

Umsebenzi womzimba

Ukubamba iqhaza ekuzivocavoca umzimba nasezenzweni zomzimba ozijabulelayo kungasiza ekunciphiseni ukucindezeleka, okusiza ngezimpawu ze-IBS.

Yehlisa amazinga okucindezeleka

Ukuzijwayeza imisebenzi yokwehlisa ingcindezi, njengokuphefumula okujulile, ukuphumula, ukuzindla nokusebenza komzimba, kungakusiza ukuthi ukhulule imisipha yakho futhi wehlise nengcindezi. Abanye abantu futhi bathola impumelelo ngezinkulumo zokwelapha zokuphatha amazinga okucindezeleka.

Ama-Probiotic

Ama-Probiotic ayisengezo esingaphezulu kwamakhompiyutha udokotela wakho angancoma ukuthi asize ekubuyiseleni i-gut flora.

Umqondo wama-probiotic ukuthi ungangenisa ama-microorganisms aphilayo ohlelweni lwakho olungathuthukisa impilo yakho. Khuluma nodokotela wakho mayelana nokuthi yimaphi ama-probiotic kanye nomthamo ongakulungela.

Imithi

Udokotela wakho angakunikeza umuthi ozosiza nge-IBS. Ezinye zezinto ezijwayelekile ziyasiza:

• phumuza ikholoni
• dambisa isifo sohudo
• sikusize udlule indle kalula
• ukuvimbela ukwanda kwamagciwane

I-IBS itholakala kanjani?

Udokotela wakho uzoqala abukeze umlando nezimpawu zakho zempilo. Bazofuna ukukhipha ezinye izimo ngaphambi kokuya phambili.

Uma kungekho okukhathazayo ngezinye izindaba zezempilo, udokotela wakho angancoma ukuhlolwa kokungabekezelelani kwe-gluten, ikakhulukazi uma uhlangabezana nohudo.

Ngemuva kwalokhu kuhlolwa kokuqala, udokotela wakho angasebenzisa izindlela ezithile zokuxilonga ze-IBS. Lokhu kufaka phakathi, okuhlola izinto ezinjengezinhlungu zesisu namazinga obuhlungu lapho kudluliswa isitulo.

Udokotela wakho angacela futhi umsebenzi wegazi, isiko lesitokisi, noma i-colonoscopy.

Yini ebangela i-IBS?

Lona ngumbuzo wamarandi ayisigidi, futhi owodwa ongenayo impendulo eqondile. Lokho kusho ukuthi, ochwepheshe bayaqhubeka nokubheka izinto ezithile ezinikelayo, kufaka phakathi:

• izifo ezinzima
• izinguquko kuma-bacteria emathunjini
• ukuvuvukala emathunjini
• ikholoni elizwela ngokweqile
• amasiginali ahleleke kahle phakathi kobuchopho namathumbu

Ngokwengeziwe, izinto ezithile zokuphila zingadala i-IBS, efana:

• ukudla okudlayo
• ukwanda kwezinga lakho lokucindezeleka
• izinguquko ze-hormonal ezihambisana nomjikelezo wokuya esikhathini

Ziyini izimpawu ze-IBS?

Ngenkathi ubukhulu bezimpawu bungahluka, kunezimpawu ezimbalwa ezijwayelekile okufanele uzibheke lapho ukhomba i-IBS, efana nale:

• ubuhlungu esiswini
• izinguquko ekunyakazeni kwamathumbu
• uhudo noma ukuqunjelwa (futhi kwesinye isikhathi zombili)
• ukuqunjelwa
• uzizwe sengathi awukaqedi ukunyakaza kwamathumbu

Okubalulekile

Ngenkathi abanye abantu bethola ukukhululeka kwizimpawu ze-IBS ngokuzila ukudla, ucwaningo nobufakazi besayensi buncane. Kudingeka izifundo eziningi.

Uma ucabanga ukuzila ukudla, thintana nodokotela wakho noma isazi sokudla esibhalisiwe. Bangakusiza unqume ukuthi ngabe le kuyindlela efanelekile kuwe.