Yintoni iFructose Malabsorption?

Umxholo

• Ukunganyamezelani kwe-fructose
• Oonobangela
• Iimpawu
• Imiba yomngcipheko
• Uxilongo
• Ulawulo
• Fructose malabsorption: Q&A
• Q:
• A:
• Imbonakalo

Ushwankathelo

I-Fructose malabsorption, eyayibizwa ngokuba kukunganyamezelani kokutya, yenzeka xa iiseli kumphezulu wamathumbu zingakwazi ukwaphula ngokufanelekileyo i-fructose.

UFructose siswekile elula, eyaziwa ngokuba yi-monosaccharide, evela ikakhulu kwiziqhamo nakweminye imifuno. Kwakhona kufumaneka kubusi, i-agave nectar, kunye nokutya okuninzi okucutshungulwayo okuneeshukela ezongeziweyo.

Ukusetyenziswa kwe-fructose ukusuka kwisiraphu yengqolowa ephezulu ye-fructose kunyuke ngaphezulu kweepesenti ze-1,000 ukusukela ngo-1970-1990. Kungenzeka ukuba oku kunyuka kokusetyenziswa kukhokelele ekunyukeni kwe-fructose malabsorption kunye nokunganyamezelani.

Ukuba usebenzisa i-fructose kwaye uzive unemicimbi yokugaya, unokuchaphazeleka yi-fructose malabsorption.

I-Fructans zii-carbohydrate ezinokuvuthwa ezidityaniswe ngamatyathanga amafutshane e-fructose kunye neyunithi enye yeswekile edityanisiweyo. Ukunyamezelana kweFructan kunokuhlala kunye ne-fructose malabsorption okanye kungoyena nobangela weempawu.

Ukunganyamezelani kwe-fructose

Umcimbi obaluleke ngakumbi kunye nemeko engadibaniyo kwaphela kukunganyamezelani kwe-fructose (HFI). Le yimeko enqabileyo yemfuza echaphazela i-1 kubantu abangama-20 000 ukuya kuma-30,000 kwaye yenzeka kuba umzimba awenzi i-enzyme ifuneke ukuze ichithe i-fructose. Oku kunokukhokelela kwimicimbi enzulu yezempilo enje ngokusilela kwesibindi ukuba ukutya okungqongqo okungahambelani ne-fructose akulandelwa. Imeko ihlala ifunyanwa xa umntwana eqala ukutya ukutya komntwana okanye ifomula.

Oonobangela

I-Fructose malabsorption iqhelekile, ichaphazela ukuya kwi-1 kwabathathu abantu. Abathwali beFructose abafunyenwe kwii-enterocytes (iiseli emathunjini akho) banoxanduva lokuqinisekisa ukuba i-fructose ijolise apho kufuneka iye khona. Ukuba unokusilela kwabaphetheyo, i-fructose inokwakha amathumbu akho amakhulu kwaye ibangele imiba yamathumbu.

I-Fructose malabsorption inokubangelwa zizizathu ezininzi ezibandakanya:

• ukungalingani kweentsholongwane ezilungileyo nezimbi emathunjini
• ukutya okuphezulu kunye nokutya okucutshungulwayo
• Imicimbi yamathumbu esele ikho efana nesifo sesibindi esibuhlungu (IBS)
• ukudumba
• uxinzelelo

Iimpawu

Iimpawu ze-fructose malabsorption zibandakanya:

• isicaphucaphu
• ukudumba
• irhasi
• intlungu zesisu
• urhudo
• ukugabha
• ukudinwa okungapheliyo
• i-malabsorption yezondlo ezithile, njenge-iron

Ukongeza, kukho ubungqina obudibanisa i-fructose malabsorption kunye nokuphazamiseka kwemood kunye nokudakumba. ibonakalise ukuba i-fructose malabsorption yayihambelana namanqanaba asezantsi e-tryptophan, edlala indima enkulu kuphuhliso lweengxaki zokudakumba.

Imiba yomngcipheko

Ukuba uneengxaki ezithile zesisu ezifana ne-IBS, isifo sikaCrohn, isifo se-colitis, okanye isifo se-celiac, kunokwenzeka ukuba ube ne-fructose malabsorption okanye ukunganyamezelani.

Nangona kunjalo, ukuba ngaba omnye ubangela omnye akucaci. Kwizinto ezazibandakanya izigulana ezingama-209 ezine-IBS, malunga nesinye kwisithathu sasinokunganyamezelani kwe-fructose. Abo babathobela ukuthintela i-fructose babona ukuphucuka kweempawu. Ukuba uhlala neCrohn's, esi sikhokelo sesondlo sinokukunceda.

Ukongeza, ukuba unokutya okungenagluten kodwa usenempawu, unokuba nengxaki nefructose. Akuzange kube licebo elibi ukuba ujongiwe kwi-fructose malabsorption ukuba unengxaki enkulu yamathumbu.

Uxilongo

Uvavanyo lokuphefumla i-hydrogen luvavanyo oluqhelekileyo olusetyenziselwa ukufumanisa imiba ngokugaya i-fructose. Kuvavanyo olulula olungabandakanyi ukutsalwa kwegazi. Uyacelwa ukuba unciphise ii-carbohydrate kubusuku obungaphambili kwaye ukhawuleze ngentsasa yovavanyo.

Kwiofisi kagqirha wakho, unikwa isisombululo se-fructose ephezulu ukuba usele, kwaye emva kwemizuzu engama-20 ukuya kwengama-30 iiyure ezininzi ukuphefumla kwakho kuyahlaziywa. Uvavanyo luphela luhlala malunga neeyure ezintathu. Xa i-fructose ingavumelekanga, ivelisa ixabiso eliphezulu le-hydrogen emathunjini. Olu vavanyo lilinganisela ukuba ingakanani i-hydrogen ekuphefumlweni kwakho ukusuka kule malabsorption.

Ukuphelisa i-fructose ekudleni kwakho yenye indlela yokuxelela ukuba unayo i-fructose malabsorption. Ngoncedo lwe-dietitian ebhalisiweyo, unokukhulisa isicwangciso sokususa ngokufanelekileyo nakuphi na ukutya okuqukethe i-fructose kwaye ubone ukuba iimpawu zakho ziyasombulula.

Abantu abahlukeneyo banokunyamezelana okwahlukileyo kwefructose. Abanye banokuba nzima ngakumbi kunabanye. Ukugcina iphepha lokutya kunokunceda ukulandela ukutya okutyileyo kunye naziphi na iimpawu onazo.

Ulawulo

Ukulawula umba ngokwaphuka kwefructose kubandakanya ukupheliswa kweswekile. Ukuphelisa ukutya okuqukethe amanqanaba aphezulu e-fructose yindawo elungileyo yokuqala. Oku kubandakanya:

• iisoda
• imivalo yokutya okuziinkozo
• iziqhamo ezithile, ezifana ne-prunes, amapere, iitsheri, iipesika, ii-apile, i-plums kunye nevatala
• ijusi yeapile kunye neapile cider
• Ijusi yepere
• i-ertyisi i-erty ertyisi
• busi
• iidessert ezinjenge-ayisikhrim, iilekese, kunye neicookies eziqukethe i-fructose sweeteners

Xa ufunda iilebheli, kukho izinto ezininzi ekufuneka ujonge kuzo xa uzama ukulawula i-fructose malabsorption. Khumbula oku kulandelayo:

• isiraphu yengqolowa ephezulu ye-fructose
• incindi yegave
• ikristalline fructose
• ifruse
• busi
• Yitshiswa
• fructooligosaccharides (iFOS)
• isiraphu yengqolowa eqinileyo
• iswekile yotywala

Ukutya kwe-FODMAP kunokuba luncedo xa uzama ukulawula imiba yokugaya i-fructose. I-FODMAP imele i-oligo-, di-, monosaccharides kunye neepolols. Ii-FODMAPs zibandakanya i-fructose, i-fructans, i-galactans, i-lactose kunye neepolol. Kwezinye iimeko, abo abane-fructose malabsorption abanako ukunyamezela i-fructans efumaneka kwingqolowa, i-artichokes, i-asparagus kunye ne-anyanisi.

Ukutya okuphantsi kwe-FODMAP kubandakanya ukutya ekulula ukuba kugaywe kubantu abaninzi, kwaye oku kunokunciphisa iimpawu eziqhelekileyo. Ukutya okune-1: 1 ratio ye-glucose ukuya kwi-fructose kunokunyamezelwa ngcono kwisidlo esisezantsi se-FODMAP kunokutya okuqukethe i-fructose engaphezulu kuneglucose. Esi sikhokelo sichaza ngokubanzi ukuba ungatya ntoni ngelixa ulandela ukutya okuphantsi kwe-FODMAP.

Fructose malabsorption: Q&A

Q:

Ngaba lukhona unyango olufumanekayo kwi-fructose malabsorption?

Isigulana esingaziwayo

A:

Ngelixa i-fructose malabsorption inokuphucula ngokutya okuncitshisiweyo kwe-fructose, le meko inokuthi iphakamise ukuba ukwanda kwebacteria emathunjini (SIBO) kuyadlala. Kwimeko apho kunjalo, ii-antibiotics, iiprobiotiki, i-enzyme yokugaya ukutya njenge-xylose isomerase, kunye nokutya okuguqulweyo kunokucetyiswa.

Natalie Butler, RD, LDAIimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

Imbonakalo

Imicimbi ye-Gut nge-fructose malabsorption iyahluka ukusuka komnye umntu ukuya komnye, kwaye kuya kuba njalo nonyango.

Nokuba unetyala elincinci okanye elibi, ukutya okunokupheliswa kwe-fructose okanye ukutya okuncinci kwe-FODMAP kunokuba luncedo. Ukulandela enye yezi ndlela zokutya kangangeeveki ezine ukuya kwezintandathu, emva koko uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde unyame ukunyamezela, yindlela efanelekileyo yokuqala. Ukulungelelanisa ukutya okusekwe kwiimpawu ezithile zokutya kuya kuba kokona kulungileyo.

Sebenza neengcali zokutya okunokukunceda ekuxhaseni apha kunye nokuphuhlisa isicwangciso kunye nawe.