Ukusilela kwesondlo kunye nezifo zikaCrohn

Umxholo

• Iindidi zokusilela kwesondlo
• Iikhalori
• Iiproteni
• Amafutha
• Intsimbi
• Vitamin B-12
• Ifolic acid
• Iivithamini A, D, E, kunye no-K
• Izinki
• Potassium kunye nesodium
• Ikhalsiyam
• Magnesium
• Iimpawu zeMalabsorption
• Oonobangela be-Malabsorption
• Unyango lwe-Malabsorption
• Q:
• A:

Xa abantu besitya, ukutya okuninzi kuyaphulwa esiswini kwaye kufakwa emathunjini amancinci. Nangona kunjalo, kubantu abaninzi abanesifo sikaCrohn - kwaye phantse kubo bonke abo banesifo esincinci seCrohn's-ithumbu elincinci alikwazi ukufunxa izondlo ngokufanelekileyo, kukhokelela kwinto eyaziwa ngokuba yi-malabsorption.

Abantu abanesifo sikaCrohn banomkhuhlane wamathumbu otshisayo. Ukudumba okanye ukucaphuka kunokwenzeka nakweyiphi na indawo yamathumbu emathunjini, kodwa ichaphazela icandelo elisezantsi lamathumbu amancinci, elaziwa ngokuba yiileum. Amathumbu amancinci kulapho kuthathwa khona ukutya okunesondlo, ngenxa yoko abantu abaninzi abanesifo sikaCrohn abagayeki kwaye abafunxi izondlo kakuhle. Oku kunokubangela iingxaki ezahlukeneyo, kubandakanya ukungabikho kakuhle kwamavithamini kunye neeminerali. Oku kusilela kweevithamini kunye nezamaminerali kunokukhokelela kwiziphumo ezongezekileyo zempilo, ezinje ngokuphelelwa ngamanzi emzimbeni nokungondleki.

Ngethamsanqa, uvavanyo lwegazi lunokunceda oogqirha babone ukuba abantu abanesifo sikaCrohn bafumana iivithamini kunye nezondlo abazifunayo. Ukuba abekho, banokuthunyelwa kugqirha wesisu ukuba avavanye. I-gastroenterologist ngumntu ojolise kwizifo ezichaphazela isifo samathumbu kunye nesibindi. Banokuncoma isicwangciso sonyango kumntu onesiphene sezondlo ngenxa yesifo sikaCrohn.

Iindidi zokusilela kwesondlo

Abantu abanesifo sikaCrohn banokuba nengxaki yokufumana inani elikhulu leevithamini kunye nezakha mzimba, kubandakanya:

Iikhalori

Iikhalori zithathwa kwimacronutrients, ezinje ngeecarbohydrate, iiprotein, kunye namafutha. Xa umntu engafaki iikhalori ezaneleyo ngenxa ye-malabsorption, bahlala belahlekelwa sisixa esikhulu sobunzima ngokukhawuleza.

Iiproteni

Abantu abanesifo sikaCrohn banokufuna ukongeza ukutya kwabo kwiprotein ngenxa:

• ukusetyenziswa kwee-steroids zedosi ephezulu, ezinje nge-prednisone
• ukulahleka kwegazi ixesha elide okanye urhudo
• amanxeba okanye amanqindi achaphazela amathumbu amancinci

Amafutha

Abantu abanesifo esibuhlungu sikaCrohn kwaye abaye basuswa ngaphezu kweenyawo ezintathu ze-ileum yabo banokufuna ukubandakanya amafutha asempilweni kwizidlo zabo.

Intsimbi

I-Anemia, okanye ukunqongophala kweeseli ezibomvu ezisegazini, sisiphumo esiqhelekileyo sesifo sikaCrohn. Le meko inokukhokelela ekusweleni kwentsimbi, abantu abaninzi abaneCrohn's bafuna ukongezwa kwesinyithi.

Vitamin B-12

Abantu abanokuvuvukala okukhulu kwaye abaye basusa iileum bahlala befuna ii-injection ze-vitamin B-12 rhoqo.

Ifolic acid

Abantu abaninzi abanesifo sikaCrohn bathatha i-sulfasalazine ukunyanga iimpawu zabo. Nangona kunjalo, eli yeza linokuchaphazela amandla omzimba okwenza i-folate, yenze ukuba i-folic acid yongeze eyimfuneko. Abantu abanesifo esibanzi seCrohn's jejunum, okanye icandelo eliphakathi lamathumbu amancinci, banokufuna ukongeza ukutya kwabo kwe-folic acid.

Iivithamini A, D, E, kunye no-K

Ukusilela kwezi vithamini zinyibilikayo kunamafutha zihlala zinxulunyaniswa ne-fat malabsorption kunye nokudumba kwamathumbu amancinci. Banokuthi banxulunyaniswe nokususwa kwamacandelo amakhulu e-ileum okanye yejejunum. Umngcipheko wokunqongophala kukavithamini D ukholelwa ekubeni uphezulu kubantu abathatha icholestyramine, njengoko eli yeza linokuphazamisa ukufunxwa kukavithamini D.

Izinki

Abantu abanesifo sikaCrohn banokufuna ukuthatha izongezo ze-zinc ukuba:

• Unokudumba okukhulu
• unesifo sohudo esinganyangekiyo
• zisuswe ijeeum zazo
• bathatha i-prednisone

Ezi zinto zinokuphazamisa ukukwazi komzimba ukufunxa i-zinc.

Potassium kunye nesodium

Ikholoni, okanye amathumbu amakhulu anoxanduva lokucoca ulwelo kunye neelectrolyte. Abantu abaye basuswa eli lungu ngotyando kuya kufuneka bonyuse ukutya kwabo i-potassium kunye ne-sodium. Kukho umngcipheko okhulayo wokuphulukana ne potassium kubantu abathatha i-prednisone kwaye bahlala befumana urhudo okanye ukugabha.

Ikhalsiyam

I-Steroids iphazamisa ukufunxeka kwe-calcium, ke abantu abathatha la mayeza ukunyanga iimpawu zesifo sikaCrohn kuya kufuneka badibanise ikhalsiyam eninzi ekutyeni kwabo.

Magnesium

Abantu abanesifo sohudo esingapheliyo okanye abaye basusa iileum okanye ijeejum yabo abanako ukufumana ngokufanelekileyo i-magnesium. Esi sisimbiwa esiphambili sokukhula kwethambo kunye nezinye iinkqubo zomzimba.

Iimpawu zeMalabsorption

Abantu abaninzi abanesifo sikaCrohn abafumani zimpawu ze-malabsorption, ke kubalulekile ukuba uhlolwe rhoqo ukusilela kwesondlo. Xa iimpawu ze-malabsorption zivela, zinokubandakanya:

• ukudumba
• irhasi
• ukuxinwa sisisu
• izitulo ezinobunzima okanye ezinamafutha
• urhudo olungapheliyo

Kwiimeko ezinzima ze-malabsorption, ukudinwa okanye ukunciphisa umzimba ngokukhawuleza kunokwenzeka.

Oonobangela be-Malabsorption

Inani lezinto ezinxulumene nesifo sikaCrohn zinokuba negalelo kwi-malabsorption:

• Ukudumba: Ukuqhubeka, ukudumba ixesha elide kwamathumbu amancinci kubantu abanesifo esincinci sesifo sikaCrohn kuhlala kukhokelela ekonakaleni kwamathumbu emathunjini. Oku kunokuphazamisa ukukwazi komzimba ukufumana izondlo ngokufanelekileyo.
• Amayeza: Amayeza athile asetyenziselwa ukunyanga isifo sikaCrohn, njenge-corticosteroids, anokuchaphazela amandla omzimba okufumana izondlo.
• Ugqirha: Abanye abantu abaye banenxalenye yamathumbu abo amancinci asuswe ngotyando banokuthi babe nethumbu elincinci elishiyekileyo lokufunxa ukutya. Le meko, eyaziwa ngokuba sisifo esifutshane samathumbu, inqabile. Ihlala ifunyanwa kuphela kubantu abane-intshi ezingaphantsi kwe-40 yamathumbu amancinci aseleyo emva kotyando oluninzi.

Unyango lwe-Malabsorption

Ukutshintshwa kwezakhamzimba kuhlala kunyango olusebenzayo kubantu abanesiphene sesondlo ngenxa yesifo sikaCrohn. Ukulahleka kwezondlo kunokutshintshwa kukutya okuthile kunye nezongezo zokutya. Izongezo zinokuthathwa ngomlomo okanye zinikezwe ngomthambo (ngaphakathi).

Ukuthintela ukutya okuthile kubalulekile kunyango lwe-malabsorption. Ukutya okwahlukeneyo kunokwenza igesi okanye urhudo lube lubi kakhulu, ngakumbi ngexesha lokuphakama, kodwa iimpendulo zizodwa. Ukutya okunokubangela ingxaki kubandakanya:

• iimbotyi
• iimbewu
• ibrokholi
• ikhaphetshu
• ukutya kwe-citrus
• ibhotolo kunye imajarini
• ikrimu enzima
• ukutya okuthosiweyo
• ukutya okuneziqholo
• ukutya okunamafutha amaninzi

Abantu abane-blockage yamathumbu banokufuna ukunqanda ngokupheleleyo ukutya ukutya okunefayibha ephezulu, ezinje ngeziqhamo nemifuno eluhlaza.

Abantu abanesifo sikaCrohn bayakhuthazwa ukuba batye ukutya okusempilweni, okunesondlo ukuze bakhuthaze ukufunxwa kweevithamini kunye neeminerali. Kukwacetyiswa ukuba utye ukutya okuncinci emini kwaye usele amanzi amaninzi. Ideri inokufuna ukuthintelwa, njengoko abanye abanesifo sikaCrohn benganyamezelani nobisi.

Q:

Ngaba ukutya okuthile kunokunceda ukunqanda ukusilela kwesondlo kubantu abanesifo sikaCrohn? Ukuba kunjalo, ziziphi?

Isigulana esingaziwayo

A:

Ewe, ukutya okuthile kunokunceda. I-avocado ngamafutha atyekayo ngokulula kwaye ityebile kwi-folate, ii-oysters zine-iron kunye ne-zinc-zizityebi, kwaye kuphekwe imifuno emnyama enamagqabi atyebile kwi-folate, calcium, kunye nentsimbi (isibini esinevithamini C yokutya njenge-citrus okanye amajikijolo). I-salmon enkonkxiweyo enamathambo, i-calcium eneenqaba ezomeleleyo zezityalo, iimbotyi kunye neelentile nazo ziyimithombo efanelekileyo yezondlo ezidla ngokuba yi-malabsorbed.

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