Ukuqonda iBile Acid Malabsorption

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Kufunyaniswa njani?
• Inyangwa njani?
• Amayeza
• Ukutya
• Ukuhlala ne-BAM

Yintoni i-bile acid malabsorption?

I-acid acid malabsorption (BAM) yimeko eyenzekayo xa amathumbu akho engakwazi ukufunxa i-bile acid ngokufanelekileyo. Oku kubangela i-bile acid eyongezelelweyo emathunjini akho, anokubangela urhudo olunamanzi.

Ibile lulwelo lwendalo olwenziwa ngumzimba wakho esibindini. Kuyafuneka ukwetyisa okufanelekileyo. Ibile iqulethe iiasidi, iiproteni, iityiwa kunye nezinye iimveliso. I-bile duct eqhelekileyo iyisusa kwisibindi sakho iye kwi-gallbladder yakho, apho igcinwa de utye. Xa usitya, ikhontrakthi yakho ye-gallbladder kwaye ikhupha le nyongo isisu sakho.

Nje ukuba inyongo isisu sakho kunye namathumbu amancinci, iiasidi ezikwi-bile zinceda ekuyekeni ukutya kunye nezakhamzimba ukuze umzimba wakho ukwazi ukukufunxa ngokufanelekileyo. Kwikholoni yakho, i-bile acid iphinda ibuyiselwe kwigazi lakho ukuze iphinde isetyenziswe kwakhona.

Ngamaxesha ngamaxesha, ii-bile acid azibuyiswa ngokufanelekileyo, zikhokelela kwi-BAM. I-bile acid eninzi kwikholoni yakho inokukhokelela kurhudo kunye nokugcina amanzi, yiyo loo nto ngamanye amaxesha i-BAM ibizwa ngokuba yi-bile acid urhudo.

Ziintoni iimpawu?

Uphawu oluphambili lwe-BAM lurhudo. Ityuwa kunye namanzi avela kwi-bile acid kwikholoni yakho kuthintela ilindle ekubeni lenze ngokufanelekileyo, kukhokelela kurhudo. Olu tyatyazo lunokwenzeka yonke imihla okanye ngamaxesha athile kuphela.

Abanye abantu abane-BAM banamava okuqunjelwa kunye nesifo sorhudo, esibhekisa ngesiquphe esidinga ukusebenzisa indlu yangasese ngokukhawuleza.

Ibangelwa yintoni?

Ngamanye amaxesha, akukho nkcazo icacileyo yokuba kutheni ikholoni ingabuyisi ngokupheleleyo i-bile acid. Xa oku kusenzeka, ibizwa ngokuba yi-BAM ephambili.

Ngamanye amaxesha, iziphumo ze-BAM zivela kwimeko engaphantsi. Umzekelo, kuqikelelwa ukuba malunga nesinye kwisithathu sabantu abane-bowel syndrome kunye nesifo sohudo (IBS-D) bane-BAM.

I-BAM inokuba luphawu lwenye imeko. Oku kubizwa ngokuba yi-BAM yesibini.

Eminye imiqathango enxulumene ne-BAM yesibini ibandakanya:

• Isifo sikaCrohn
• isifo se-celiac
• izifo ezincinci zamathumbu
• izifo zepancreatic
• ukwanda kwebacteria emathunjini amancinci

Iziphumo ebezingalindelekanga zonyango zinokuba negalelo kwi-BAM.

Kufunyaniswa njani?

Kukho iimvavanyo ezimbalwa ezikhoyo eYurophu ezinokukunceda ukufumanisa i-BAM, kodwa uninzi alufumaneki e-United States. Nangona kunjalo, ngokweKliniki yaseMayo, iimvavanyo ezimbini ngoku ziyafumaneka ekusetyenzisweni kwe-US, enye yeenjongo zophando kunye nolunye usetyenziso lweklinikhi:

• i-serum yokuzila i-C4, yokusetyenziswa kophando kuphela
• Uvavanyo lwe-bile acid ye-fecal

Uvavanyo lwe-fecal bile acid lubandakanya ukuqokelela iisampuli zestool ngaphezulu kweeyure ezingama-48 kunye nokuzivavanya ngeempawu ze-bile acid.

Gcina ukhumbule ukuba olu vavanyo lusenokubakho okuncinci e-United States, ke ugqirha wakho usenokuthi emva koko enze uxilongo ngokulawula ezinye iimeko ezinokubangela urhudo lwamanzi, njengolunye uhlobo lwe-malabsorption. Banokuyalela nokuba amayeza asetyenziselwa ukunyanga i-BAM ukubona ukuba iyanceda na. Ukuba iimpawu zakho ziqala ukuphucula amayeza, oku kunokuba ngokwaneleyo ukwenza uxilongo.

Inyangwa njani?

Unyango lwe-bile acid malabsorption ihlala ijolise kunyango kunye notshintsho kwindlela otya ngayo. Uninzi lwabantu abane-BAM bafumana ezona ziphumo zibalaseleyo ngokusebenzisa indibaniselwano yezi zimbini.

Kwiimeko ezininzi ze-BAM yesibini, ukunyanga imeko engaphantsi kunokuphelisa neempawu.

Amayeza

Olona hlobo lonyango lusetyenziselwa ukunyanga i-BAM ibizwa ngokuba yi-bile acid binder. Ibopha kunye ne-bile acid kwindawo yakho yokwetyisa, enciphisa ifuthe labo kwikholoni yakho.

I-Bile acid binders zihlala kunyango lwehudo olunxulunyaniswa ne-BAM. Ezinye zezibophelelo eziqhelekileyo ze-bile acid zibandakanya:

• icholestyramine (Questran)
• icolestipol (Colestid)
• icolesevelam (iWelchol)

Ukutya

Utshintsho ekudleni lunokunceda ekunciphiseni iziqendu zorhudo ukuba unayo i-BAM. Ibile iyafuneka ekucoleni ukutya okunamafutha. Oku kuthetha ukuba umzimba wakho kufuneka ukhuphe i-bile kunye ne-bile acid xa usitya ukutya okuninzi okunamafutha amaninzi.

Ukulandela ukutya okunamafutha asezantsi kunokunciphisa isixa se-bile acid esiveliswa ngumzimba wakho, sibangela ukuba incinci kuyo yenze indlela eya kwikholoni. Ukuba namanqanaba asezantsi e-bile acid kwikholoni yakho anciphisa amathuba okuba urhudo ukuba une-BAM.

Ukunciphisa ukutya okutyayo, zama ukunqanda ukutya:

• ibhotolo kunye imajarini
• imayonnaise
• ukutya okuthosiweyo okanye isonka
• Izinto ezibhakiweyo, ezinje ngee-croissants, iicookies, kunye ne-pastries
• inyama yesidlo sasemini, izinja ezishushu, isoseji, ibhekoni, okanye enye inyama egqityiweyo
• iimveliso ezinobisi ezinamafutha apheleleyo, ezinje ngokuhombisa cream okanye ukhilimu omuncu

Gcina ukhumbula ukuba umzimba wakho usafuna amafutha ukuze usebenze kakuhle. Zama ukutshintshela okunye ukutya okungasentla kula mafutha asempilweni, anje ngala:

• iavokhado
• iintlanzi ezinamafutha, ezifana nesalmon kunye nesardini
• Amantongomane, kubandakanya iicashews kunye neeamangile

Ngelixa la mafutha alunge ngakumbi emzimbeni wakho, kuya kufuneka uzame ukuwasebenzisa ngokumodareyitha ukuba une-BAM. Ugqirha wakho angakuthumela kumchazi wezidlo okanye umcebisi ngezondlo obhalisiweyo. Ngokudibeneyo, unokwenza isicwangciso sokutya esisebenzela indlela yakho yokuphila kwaye sikuncede ukulawula iimpawu zakho.

Ukuhlala ne-BAM

Uninzi lwabantu abane-bile acid malabsorption baphendula kakuhle kunyango kwaye banako ukuthintela okanye ukulawula iimpawu zabo ngamayeza kunye notshintsho kwindlela yokuphila. Ukuba wena kunye nogqirha wakho niyakwazi ukuchonga imeko ebangela ukuba i-BAM, unokukwazi ukuyiphelisa imeko ngokunyanga ingxaki.