Uvavanyo lweLactose lokunyamezelana

Uvavanyo lokunyamezelana neLactose lilinganisa amandla emathumbu akho ukophula uhlobo lweswekile ekuthiwa yi-lactose. Iswekile le ifumaneka kubisi nakwezinye iimveliso zobisi. Ukuba umzimba wakho awunako ukuyiphula le iswekile, kuthiwa unokunganyamezelani ne-lactose. Oku kunokubangela i-gassiness, iintlungu zesisu, iicramps, kunye norhudo.

Iindlela ezimbini eziqhelekileyo zibandakanya:

• Uvavanyo lwegazi lweLactose
• Uvavanyo lokuphefumla ngeHydrogen

Uvavanyo lokuphefumla i-hydrogen yeyona ndlela ikhethwayo. Ilinganisa ubungakanani behydrogen esemoyeni ophefumlela ngaphandle.

• Uya kucelwa ukuba uphefumlele kwisikhongozeli sohlobo lwebhaluni.
• Uya kusela into engamanzi enencindi yelactose.
• Iisampulu zokuphefumla kwakho zithathwa ngamaxesha amisiweyo kwaye inqanaba lehydrogen liyajongwa.
• Ngokwesiqhelo, ihydrogen encinci isemphefumlweni wakho. Kodwa ukuba umzimba wakho unengxaki yokuphuka kunye nokufunxa i-lactose, umoya we-hydrogen uyonyuka.

Uvavanyo lwegazi lokunyamezeleka kwe-lactose lujonga iswekile egazini lakho. Umzimba wakho udala i-glucose xa i-lactose iphuka.

• Kolu vavanyo, iisampulu zegazi ziya kuthathwa ngaphambi nasemva kokuba usele ulwelo olunelactose.
• Isampuli yegazi iyakuthathwa kumthambo engalweni yakho (ukuphindisela).

Akufanele utye okanye wenze umthambo onzima kangangeeyure ezisi-8 ngaphambi kovavanyo.

Akufuneki kubekho naziphi na iintlungu okanye ukungonwabi xa unika isampulu yokuphefumla.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu kancinci, ngelixa abanye besiva ukuqaqamba okanye ukuhlaba. Emva koko, kunokubakho ukuthotywa okuthile.

Umboneleli wakho wezempilo unokuyalela ezi mvavanyo ukuba unempawu zokunganyamezelani kwe-lactose.

Uvavanyo lokuphefumla luthathwa njengesiqhelo ukuba ukwanda kwe-hydrogen kungaphantsi kwamashumi amabini eepesenti kwisigidi (ppm) ngaphezulu kwenqanaba lakho lokuzila (pre-test).

Uvavanyo lwegazi luthathwa njengesiqhelo ukuba inqanaba leswekile yakho inyuka ngaphezulu kwe-30 mg / dL (1.6 mmol / L) kwiiyure ezimbini ukusela isisombululo se-lactose. Ukunyuka kwe-20 ukuya kwi-30 mg / dL (1.1 ukuya kwi-1.6 mmol / L) ayihambelani.

Qaphela: Uluhlu lwamaxabiso aqhelekileyo luyahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Imizekelo engentla ibonisa imilinganiselo eqhelekileyo yeziphumo zolu vavanyo.Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo.

Iziphumo ezingaqhelekanga zinokuba luphawu lokunganyamezelani kwe-lactose.

Iziphumo zovavanyo lokuphefumla ezibonisa ukonyuka komxholo we-hydrogen we-20 ppm ngaphezulu kwenqanaba lakho langaphambi kovavanyo kuthathwa njengokuqinisekileyo. Oku kuthetha ukuba unokuba nengxaki yokuphula i-lactose.

Uvavanyo lwegazi luthathwa ngokungaqhelekanga ukuba inqanaba lakho le-glucose lenyuka lingaphantsi kwama-20 mg / dL (1.1 mmol / L) kwiiyure ezimbini ukusela isisombululo se-lactose.

Uvavanyo olungaqhelekanga kufuneka lulandelwe luvavanyo lweglucose. Oku kuya kuphelisa ingxaki kunye nokukwazi komzimba ukufumana i-glucose.

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi elakhiweyo phantsi kolusu)
• Ukopha kakhulu
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo lokuphefumla lwe-Hydrogen yokunyamezelana kwe-lactose

• Uvavanyo lwegazi

UFerri FF. Ukunganyamezelani kweLactose. Ku: Ferri FF, ed. Umcebisi weKlinikhi kaFerri 2018. IPhiladelphia, PA: Elsevier; Ngo-2018: 812-812.e1.

I-Hogenauer C, iHammer HF. Maldigestion kunye malabsorption. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger & Fordtran's Amathumbu kunye nezifo zesibindi. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 104.

Semrad CE. Sondela kwisigulana ngesifo sorhudo kunye ne-malabsorption. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 140.

I-Siddiqi HA, uSalwen MJ, uShaikh MF, uBowne WB, ukufumanisa isifo kwilabhoratri yesifo samathumbu kunye nepancreatic. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 22.