Umbhali: Bobbie Johnson
Umhla Wokudalwa: 5 Utshazimpuzi 2021
Hlaziya Umhla: 18 Eyenkanga 2024
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What REALLY Happens When You Take Medicine?
Ividiyo: What REALLY Happens When You Take Medicine?

Umxholo

Ukucinga malunga neentlungu zakho zesisu? UBUME wabelana ngezona zizathu zixhaphakileyo zentlungu yesisu kwaye unikezela ngeengcebiso ezisebenzayo malunga nokuba wenze ntoni ngokulandelayo.

Ngaba ufuna ukunqanda iintlungu esiswini ngonaphakade? Musa ukutya. Sukuba noxinzelelo. Musa ukusela. Owu, kwaye ndiyathemba ukuba akukho mntu kusapho lwakho unembali yeengxaki zesisu. Ayichanekanga ncam, akunjalo? Ngethamsanqa, awunyanzelekanga ukuba uye kwezi zinto zigqithileyo ukuze uzive ungcono.

Inyathelo lokuqala: Yenza idinga nogqirha wakho. Izandi ezicacileyo, kodwa abanye abafazi abazisi iintlungu zesisu ngexesha lotyelelo lweofisi kuba, ngokunyanisekileyo, bazifumana beneentloni,” utshilo uDayna Early, MD, i-gastroenterologist kwiYunivesithi yaseWashington School of Medicine eSt. Vavanya indlela ophila ngayo: Rhoqo unokuziphilisa kuxinzelelo lwakho ngokususa imikhwa ethile ongayiqondiyo ukuba ibangela iimpawu zentlungu esiswini sakho.


Okokugqibela, ungakhathazeki- nokuba ingxaki yakho yeyonyango, zininzi iindlela zokhetho. Xa utshintsho kwindlela yokuphila lungancedi, amayeza ahlala esenza. Akukho mfuneko yokuba abasetyhini bahlupheke, utshilo u-Early. Apha, i-gastroenterologists yelizwe ekhokelela kuluhlu lwezona zinto zixhaphakileyo zoyeha wokugaya ukutya kwabasetyhini- kwaye unike izisombululo ezilula zokuziva ungcono ngokukhawuleza.

Izizathu eziqhelekileyo zentlungu yesisu # 1

Utyebe kakhulu. Ukuthwala iipawundi ezongezelelekileyo kunokushiya usengozini yokuphuhlisa iinyongo, iidipozithi eziqinileyo zecholesterol okanye iityuwa zekhalsiyam ezinokubangela iintlungu zesisu esiswini sakho sasekunene, utshilo uRaymond.

I-Gallstones iyenzeka ukuya kuthi ga kwi-20 pesenti yabasetyhini baseMelika ngeminyaka engama-60, kwaye abafazi abaphakathi kweminyaka engama-20 ukuya kwengama-60 banamathuba aphindwe kathathu okuba baphuhlise kunamadoda.

Ubunzima obugqithisileyo buphakamisa umngcipheko we-GERD: Olunye uphononongo olupapashwe nge-Agasti ephelileyo kwiKholeji yaseBaylor yezoNyango yafumanisa ukuba abantu abatyebe kakhulu banamathuba angama-50 eepesenti yokuba neempawu zeGERD kunalezo zinobunzima obunempilo. "Ubunzima obongezelelekileyo bubeka uxinzelelo esiswini sakho, esiya kuthi sibeke uxinzelelo kwivelufa phakathi kwesisu kunye nomqala wakho, ngokwenza njalo kube lula ukuba i-asidi ibuye," kuchaza u-Early. Ukuphulukana ne-10 ukuya kwi-15 yeepawundi kunokwanela ukuphelisa ezi ntlungu zesisu.


Ngaba unazo iimpawu zeGERD, kuquka iintlungu zesisu? Inyathelo lokuqala lonyango lwe-GERD lubandakanya ukwenza indlela yokuphila kunye notshintsho kwindlela otya ngayo.

Izizathu eziqhelekileyo zobuhlungu besisu, # 2:

Ukhupha amayeza athengwayo, endaweni yokubukela into oyityayo. Wonke umntu uthatha iiTums ngamanye amaxesha, kodwa ukuba uhla ngaphezulu kwe-counter-blocker blockers kusasa, emini nasebusuku, unokuba ne-GERD, isifo se-reflux se-gastroesophageal, imeko enganyangekiyo ebangelwa sisisu esisuka esiswini sakho uye kwisisu sakho, ngokuqhelekileyo isiphumo sobuthathaka kwivalve ye-muscular eyahlula isisu kunye nommizo.

Uphononongo luka-2005 olupapashwe kwijenali yezonyango iGut yagqiba kwelokuba ukuya kuthi ga kwi-20 yepesenti yabo bonke abantu baseNtshona abaneempawu zeGERD - kwaye inyathelo lokuqala lokufumana impilo libandakanya ukwenza utshintsho kwindlela yokuphila, njengokujonga into oyityayo.

Ukutya okuthe ngqo - eziziqhamo zesitrasi, iitumato kunye neetumato isosi, itshokholethi, iwayini kunye neziselo ezinecafini - kunokubangela iimpawu zeGERD. Ukukunceda kunyango lwe-GERD, ugqirha wakho unokugcina idayari yokutya kangangeeveki ezimbini ukuze ukwazi ukubona ukuba zeziphi ukutya ezizezakho iingxaki, wongeza uRoshini Rajapaksa, MD, ugqirha wegastroenterologist kwiSikolo seYunivesithi yaseNew York.


Ingcebiso enye yokunciphisa iintlungu zesisu: Gcwalisa ukutya okutyebileyo njengeziqhamo, imifuno kunye neenkozo ezipheleleyo kunye nokunciphisa amafutha. Isifundo seKholeji yaseBaylor yoNyango sifumanise ukuba abantu abatya ukutya okunefayibha ephezulu (ubuncinci iigram ezingama-20 ngemini) babenamathuba angama-20 eepesenti ukuba bahlupheke ngenxa yeempawu zeGERD, kwaye abo batya ukutya okuncinci kumanqatha agcweleyo basika neengxaki zabo.

Oonobangela abaqhelekileyo beentlungu zesisu, #3:

Uxinzelelo nje ngaphandle kokukholelwa. Ukhe uzibuze ukuba kutheni uphelela ekubeni ubaleke uye kwigumbi lokuhlambela ngalo lonke ixesha uphikisana nomsebenzi omiselweyo okanye uxhalabile malunga nokulwa nomyeni wakho? Xa utyhafile, amanqanaba aphakamileyo oxinzelelo lwamahomoni enza ukuba isisu sakho kunye nekholoni yakho ibonakale, nto leyo ebangela ukuba bangene kwi-spasms, utshilo uPatricia Raymond, MD, ugqirha we-GI e-Eastern Virginia Medical School eNorfolk, Va. iihormoni nazo zinokuba negalelo ekuvelisweni kakhulu kwesisu esiswini, sikwenza ukuba uchaphazeleke ngakumbi kwiimpawu zeGERD.)

Ngaphezulu kwalonto, uxinzelelo luhlala lubangela ukutya okungalunganga (cinga okunamafutha, iichips ezigqityiweyo kunye neicookies ezinefayibha encinci), ezinokubangela ukuqunjelwa, kunye nokudumba okungakumbi. Xa usazi ukuba uya kuba nosuku olunzima, cwangcisa ukutya ukutya okuncinci rhoqo ukuze ungalambi kakhulu okanye uhluthe kakhulu kwaye uphephe ukuzinkcinkca kwi-caffeine-yonke loo nto inokubangela iintlungu zesisu.

Emva koko hamba: Umthambo we-aerobic (ujolise ubuncinci imizuzu engama-30) awuyi kunceda nje ukukhupha uxinzelelo, kuya kunceda ukulwa nakuphi na ukuqhina ngokukhawulezisa ukuhamba kokutya kwindlela yakho yokugaya, uRaymond uthi. Qhubeka ufunda ngolwazi malunga ne-irritable bowel syndrome kunye neentlungu zesisu.

Ukuba uneempawu zamathumbu ngaphezulu kweenyanga ezintathu, emva koko iintlungu zesisu zisenokuba zizimpawu zesifo samathumbu.

Fumana ngakumbi kwi-Shape.com.

Oonobangela abaqhelekileyo beentlungu zesisu, # 4:

Unezibilini ezicaphuka lula. Ukuba ukhe wanentlungu yamathumbu ngaphezulu kweenyanga ezintathu, unokuba nento ogqirha bayibiza ngokuba kukucaphuka kwamathumbu (IBS), ingxaki echaphazela omnye kwabafazi abahlanu. Le meko ibonakaliswa kukudumba, irhasi kunye nokutshintshiselana korhudo kunye nokuqhina okuziswa yiyo nantoni na ukusuka kutshintsho lokutya ukuya kuxinzelelo, utshilo uRaymond.

Buza ugqirha wakho malunga novavanyo lwe-antibody ye-IgG, uvavanyo lwegazi olunceda ukuphawula uvakalelo oluthile lokutya, ucebisa uMark Hyman, M.D., owayengumlawuli wezonyango weCanyon Ranch eLenox, Mass., kunye nombhali we-Ultrametabolism (Scribner, 2006). Uphononongo lwaseBritani lufumene ukuba ukuphelisa ukutya kwisondlo sakho ngokusekelwe kwiziphumo zovavanyo kuphuculwe iimpawu zesifo se-bowel syndrome ngama-26 ekhulwini.

"Olunye uphando lubonisa iipilisi ze-peppermint-oyile, ezifumaneka kwiivenkile zokutya zempilo, zinceda ukukhulula iimpawu ze-IBS ngokukhulula ikholoni," wongezelela uMichael Cox, MD, i-gastroenterologist kwiZiko lezoNyango leMercy eBaltimore. (Jonga iipilisi "ezibotshwe enteric"; ezi zidiliza ikholoni, hayi isisu apho zinokubangela ukucaphuka.)

Ukuba iimpawu zakho zesisu esiswini ziyamodareyitha, kufuneka ziphucule ngezi ndlela zimbini. Kwiimeko ezinzima ngakumbi, ugqirha wakho unokukuyalela i-Zelnorm, iyeza elilawula ukuhamba kwesitulo ngamathumbu akho, kwaye unokucebisa utshintsho lokutya kunye neendlela zokuphumla, ezinje ngeyoga. Iintlungu zesisu zinokwenzeka ukuba awunyamezeli i-lactose. Ngolwazi oluthe kratya malunga nokunganyamezeli i-lactose, qhubeka ufunda.

Ipesenti enkulu yabasetyhini abanyamezeli i-lactose, besokola ukwetyisa ubisi, i-ayisikrimu kunye nezinye iitshizi. Ngaba iintlungu zesisu sakho zivakala ngolu hlobo?

Oonobangela abaqhelekileyo beentlungu zesisu, # 5:

Awunyamezeli lactose. Malunga nebhinqa elinye kwabane banengxaki yokwetyisa i-lactose, iswekile efumaneka ngokwemvelo kwiimveliso zobisi ezifana nobisi, i-ayisikrimu kunye netshizi ethambileyo. Ukuba ukrokrela ukuba irhasi okanye isisu sakho sokudumba sisiphumo sokunganyamezelani ne-lactose, ungasika iimveliso zobisi kangangeeveki ezimbalwa ukubona ukuba ziyaphucuka na iimpawu, ucebisa uJohn Chobanian, MD, ugqirha wamazinyo kwisibhedlele iMount Auburn eCambridge, Mass.

Ngaba awuqinisekanga? Buza ugqirha wakho malunga novavanyo lokuphefumla i-hydrogen, apho uvuthela engxoweni emva kokuhlisa isiselo esine-lactose. Amanqanaba aphezulu e-hydrogen abonisa ukuba awunyamezelani ne-lactose. Kodwa nangona kunjalo, awunakuyeka ubisi.

Iyogathi kunye netshizi eqinileyo zezona zilula ukuba umzimba wakho uziqhekeze; iyogathi iqulethe ii-enzymes ezikunceda ekuqhubeni i-lactose kunye noshizi onzima aqukethe i-lactose kakhulu kwindawo yokuqala. Unako kwakhona ukukwazi ukubuyisela inkqubo yakho yokugaya ukuphula i-lactose ngokutya amanani amancinci obisi amaxesha amaninzi ngosuku kwiiveki ezintathu okanye ezine, ngokutsho kwabaphandi beYunivesithi yasePurdue.

Abanye abantu basetyhini bafumanisa ukuba ukusela ubisi kunye nokutya kunciphisa neempawu zentlungu esiswini. "Ndincoma ukuqala ngesiqingatha sekomityi yobisi ngokutya, kwaye ukuba oku kuyanyamezelwa, emva kweentsuku ezimbalwa, ngokucotha ukunyusa umthamo ukuze uphuze iikomityi ezi-2-3 ngosuku," kusho umbhali ofundayo uDennis Savaiano, Ph. D., umphathi weSikolo saBathengi kunye neeNzululwazi zezeNzululwazi kwiYunivesithi yasePurdue eWest Lafayette, eInd. Okanye zama ukusela ubisi olungena-lactose kunye / okanye uthathe iipilisi zeLactaid ngaphambi kokutya ubisi; zombini zine-lactase, i-enzyme eyaphula i-lactose. Abasetyhini banokufumana iintlungu zesisu ukuba ngaba abanyamezeleki nge-fructose.

Ukuthintela iziqhamo kunye nokuthintela ezinye kunokunceda ukulawula iintlungu zesisu kunye nokudumba kwesisu okunxulunyaniswa nokunganyamezelani kwe-fructose.

Oonobangela abaqhelekileyo beentlungu zesisu, # 6:

Utya iziqhamo kakhulu. Uphononongo lweYunivesithi yaseKansas Medical Centre lufumanise ukuba phantse isiqingatha sazo zonke izigulana ezikhalazela irhasi engachazwanga kunye nokudumba kwesisu emva kokuba neegram ezingama-25 zefructose (iswekile elula efumaneka kwiziqhamo) yayibangelwa kukunganyamezeli kwefructose, okuthetha ukuba imizimba yabo ayikwazi. ukugaya i-fructose ngokufanelekileyo. Njengokunganyamezeli kwelactose, le meko inokufunyaniswa ngovavanyo lomoya.

Ukuba unengxaki yokunganyamezelani kwe-fructose, inyathelo lakho lokuqala kufuneka ibe kukususa iimveliso eziqukethe i-fructose njengeswekile esisiseko, njengejusi ye-apile, utsho umbhali wokufunda uPeter Beyer, MS, RD, unjingalwazi we-dietetics kunye nesondlo KwiYunivesithi yaseKansas.

Ngelixa kungafuneki ukuba ufunge iziqhamo ngokupheleleyo, kuya kufuneka uphephe iintlobo ezithile: "Kufuneka unciphise ukusetyenziswa kweziqhamo eziphezulu kakhulu kwi-fructose, ezinje ngeeapile kunye neebhanana," u-Beyer ucacisa. Elinye iapile eliphakathi lineegram ezisi-8 zefructose, enye ibhanana ephakathi iphantse ibene-6, ikomityi yecantaloupe egayibhileyo inama-3 kwaye iiapilkosi zinegram engaphantsi kwegram enye.

Elinye iqhinga: Ukusasaza iziqhamo zakho zemihla ngemihla ukuze ungazityi zonke ngaxeshanye, ukunqanda iintlungu zesisu.

Izizathu eziqhelekileyo zobuhlungu besisu, # 7:

Uhlafuna itshungama ukugcina ukutya. Yikholwe okanye ungakholelwa, ukubambelela kwi-gum ngunobangela omkhulu weentlungu zesisu. UChristine Frissora, M.D., ugqirha wegastroenterologist kwiSibhedlele saseNewYork-Presbyterian uthi: “Udla ngokuginya umoya omninzi, nto leyo enokubangela irhasi kunye nokudumba.” Ukongeza, ezinye iintsini ezingenaswekile ziqulathe i-sweetener sorbitol, izixa nje ezincinci ezinokuthi zibe negalelo ekudumbeni esiswini sakho. "USorbitol utsala amanzi afike emathunjini akho amakhulu, anokubangela ukudumba kwaye, kwizinga eliphezulu ngokwaneleyo, urhudo," ucacisa uCox.

Olunye uphononongo olupapashwe kwiphephancwadi i-Gastroenterology lufumanise ukuba iigram ezili-10 ze-sorbitol (ezilingana neelekese ezimbalwa ezingenaswekile) zivelisa iimpawu zesisu, ngelixa iigramu ezingama-20 zibangela isitshingitshane kunye norhudo. Ezinye izinto ezingena endaweni yeswekile zokujonga: i-maltitol, i-mannitol kunye ne-xylitol, ikwafumaneka kwezinye iintshungama ezingenaswekile nakwimveliso ye-carb ephantsi. (Ngamanye amaxesha ezi zinto zidweliswa njengeelebheli.)

Ukanti esinye sezizathu eziqhelekileyo zentlungu yesisu sisifo se-celiac, esilawulwa kukutya okungekho gluten. Funda iinkcukacha!

Izizathu eziqhelekileyo zobuhlungu besisu, # 8:

Unomdla kwingqolowa. Malunga nomntu omnye kwabangama-133 e-United States unesifo se-celiac, esaziwa ngokuba kukunganyamezeli kwe-gluten, ngokutsho kwesifundo seYunivesithi yaseMaryland ngo-2003. Kubantu abanesifo se-celiac, i-gluten (efumaneka kwingqolowa, i-rye, irhasi kunye neemveliso ezininzi ezipakishweyo), ibeka i-autoimmune reaction eyenza imizimba yabo ivelise amajoni omzimba ahlasela i-villi, uqikelelo oluncinci lweenwele emathunjini amancinci afunxa iivithamini, iiminerali. kunye namanzi, uCox ucacisa.

Ngokuhamba kwexesha, ezi villi zonakaliswe, zibangela ukunyanzeliswa kwesisu kunye nesisu, kwaye kuthintele ukuba ufunxe izondlo. Oku kukwenza ukuba uchaphazeleke ngakumbi kukungabikho kweevithamini kunye nezamaminerali, kunye neemeko ezinjenge-anemia kunye ne-osteoporosis. Kukho ikhonkco elomeleleyo yemfuza kwakhona: Esi sifo senzeka kwi-5-15 ipesenti yabantwana kunye nabantwana bakowenu abantu abanaso.

Nangona ukuxilongwa kunokwenziwa ngovavanyo olulula lwegazi le-antibody, isifo se-celiac siphosakele ngokulula ngenxa yokuba iimpawu zixelisa ngokusondeleyo ezinye iimeko zentlungu yesisu, ezifana nokunganyangeki kwe-lactose kunye nesifo se-bowel syndrome. "Ndiye ndafumanisa ukuba abafazi banalo mqathango abaye bahlupheka iminyaka kwaye baye bafumanisa kakubi okanye baxelelwa oogqirha ukuba iimpawu zabo zonke zazisentloko okanye ezinxulumene noxinzelelo," kusho uFrissora.

Unyango kukutya apho ususa khona iinkozo ezifana nengqolowa, irye nerhasi. "Ukulandela ukutya okungenayo i-gluten kunzima kakhulu: kusenokufuneka uthathe uhambo oluya kwisondlo ukuze ulungise oko unako kunye ongakwaziyo ukukutya," u-Early uyavuma. "Kodwa xa uguqula ukutya kwakho, iimpawu zentlungu zesisu ziya kunyamalala." Ukutya okusimahla kweGluten kuyafumaneka kwiimarike zokutya kwendalo kunye nakwiivenkile zokutya ezempilo.

Ukufumana ulwazi oluthe kratya malunga nokubaluleka kokutya okungenayo igluten, bona "Isifo seCeliac" kwi Ubume kwi-Intanethi okanye cofa apha ngolwazi oluthe kratya malunga nokugcina ukutya okungahambelani ne-gluten.

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