Kunzwisisa Bile Acid Malabsorption

Zvemukati

• Ndezvipi zviratidzo?
• Chii chinokonzera?
• Inoonekwa sei?
• Inorapwa sei?
• Mishonga
• Kudya
• Kugara neBAM

Chii chinonzi bile acid malabsorption?

Bile acid malabsorption (BAM) mamiriro anoitika kana ura hwako husinga gone bile acids zvakanaka. Izvi zvinoguma nekuwedzera bile acids mumatumbu ako, izvo zvinogona kukonzera manyoka emvura.

Biri inoyerera yakasikwa inoitwa nemuviri wako muchiropa. Izvo zvinodikanwa kugadzirwa kwakakodzera. Bile ine acids, mapuroteni, munyu, uye zvimwe zvigadzirwa. Iyo yakajairika bile duct inoifambisa kubva kuchiropa chako ichienda kune yako nduru, kwainochengeterwa kusvikira iwe wadya. Paunodya, nduru yako inobvumirana uye inosunungura iyi bile mudumbu rako.

Kamwe iyo bile iri mudumbu rako uye mudumbu ura, iyo acids iri mu bile inobatsira kuputsa chikafu uye zvinovaka muviri kuitira kuti muviri wako ugone kuzvitora nemazvo. Mukoloni yako, bile acids inodzoreredzwa muropa rako kuitira kuti igone kushandiswa zvakare.

Nguva nenguva, iyo bile acids haina kudzoreredzwa zvakanaka, zvichitungamira kune BAM. Yakawandisa bile acid mukoloni yako inogona kukonzeresa kuita manyoka uye chigaro chemvura, ndosaka BAM dzimwe nguva inonzi bile acid manyoka.

Ndezvipi zviratidzo?

Chiratidzo chikuru cheBAM manyoka. Munyu uye mvura kubva kune bile acid mukoloni yako inodzivirira zvituru kubva pakugadzira zvakanaka, zvichitungamira kurwere. Iyi manyoka inogona kuitika zuva rega rega kana chete pano neapo.

Vamwe vanhu vane BAM vanoonawo kuputika uye kuita manyoka nekukurumidza, izvo zvinoreva kungoerekana vachida kushandisa chimbuzi nekukurumidza sezvazvinogona.

Chii chinokonzera?

Mune zvimwe zviitiko, hapana tsananguro yakajeka yekuti nei colon isanyatso kudzoreredza bile acids. Kana izvi zvikaitika, inonzi primary BAM.

Mune zvimwe zviitiko, BAM inoguma kubva pasi pechimiro. Semuenzaniso, zvave zvichifungidzirwa kuti chinenge chikamu chimwe muzvitatu chevanhu vane chirwere chinokanganisa ura uye manyoka (IBS-D) vane BAM.

BAM inogona zvakare kuve chiratidzo cheimwe mamiriro. Izvi zvinonzi sekondari BAM.

Mimwe mamiriro ane hukama neBAM yechipiri inosanganisira:

• Chirwere cheCrohn
• chirwere ichi
• diki ura hosha
• chirwere chepancreatic
• dumbu remukaka rebhakitiriya rakakura

Migumisiro yemishonga inogonawo kupa BAM.

Inoonekwa sei?

Iko kune mashoma bvunzo anowanikwa muEuropean anogona kubatsira kuongorora BAM, asi mazhinji haawanikwe muUnited States. Nekudaro, sekureva kweMayo Clinic, bvunzo mbiri dzave kuwanikwa kushandiswa kweUS, imwe yekutsvagisa uye kumwe kushandiswa kwechipatara:

• kutsanya serum C4, yekutsvagisa shandisa chete
• fecal bile acid bvunzo

Iyo fecal bile acid bvunzo inosanganisira kuunganidza zvituru sampuli mukati menguva yemaawa makumi mana nemasere nekuzviongorora kune zviratidzo zve bile acid.

Ramba uchifunga kuti iyi bvunzo ichiri kushomeka kuwanikwa muUnited States, saka chiremba wako anogona pachinzvimbo chekuita kuongororwa nekutonga kunze kwemamwe mamiriro angave ari kukonzera manyoka ako emvura, senge imwe mhando yemalabsorption. Ivo vanogona kutomira mushonga unoshandiswa kurapa BAM kuti uone kana zvichibatsira. Kana zviratidzo zvako zvikatanga kuvandudzika nemushonga, izvi zvinogona kukwana kuti uongororwe.

Inorapwa sei?

Kurapa kwe bile acid malabsorption kazhinji kunotarisana nemushonga uye shanduko yekudya. Vanhu vazhinji vane BAM vanowana mhedzisiro yakanaka nekushandisa musanganiswa wevaviri.

Muzviitiko zvakawanda zvechipiri BAM, kurapa mamiriro ari pasi kunogona zvakare kubvisa zviratidzo.

Mishonga

Rudzi rukuru rwemishonga inoshandiswa kurapa BAM inonzi bile acid binder. Iyo inosunga neiyo bile acids mune yako digestive turakiti, iyo inoderedza kukanganisa kwavo pane yako colon.

Bile acid binders anowanzo kurapa manyoka ane hukama neBAM. Zvimwe zvinowanzoitwa bile acid binders zvinosanganisira:

• cholestyramine (Questran)
• colestipol (Colestid)
• colesevelam (Welchol)

Kudya

Dhijitari shanduko inogona zvakare kubatsira kudzikisira episodes yemanyoka kana iwe uine BAM. Bira inodikanwa kune kugaya kwemafuta. Izvi zvinoreva kuti muviri wako unofanirwa kuburitsa yakawanda bile uye bile acids kana iwe uchidya zvakawanda zvekudya zvakakora mumafuta.

Kuteedzera kudya kwakaderera-mafuta kunogona kudzikisira huwandu hwenyuchi asidi inogadzirwa nemuviri wako, zvichikonzera kushoma kwayo kuita nzira yayo kukoloni yako. Kuva nezvikamu zvakaderera zve bile acids mukoloni yako zvinoderedza mikana yako yekuva nemanyoka kana iwe uine BAM.

Kuti udzikise kudya kwako kwemafuta, edza kudzivirira kudya:

• ruomba nemargarini
• mayonnaise
• chikafu chakakangwa kana chingwa
• zvinhu zvakabikwa, senge macroissants, makuki, uye mapeke
• nyama dzekudya kwemasikati, imbwa dzinopisa, soseji, bhekoni, kana imwe nyama inogadzirwa
• akazara-mafuta zvigadzirwa zvemukaka, sekukwapura kirimu kana mukirimu wakasviba

Ramba uchifunga kuti muviri wako uchiri kuda mamwe mafuta kuti ushande nemazvo. Edza kuchinjanisa zvimwe zvekudya zviri pamusoro nekuda kwemafuta ane hutano, akadai se:

• avocado
• hove dzakakora, salmon uye sardines
• nzungu, kusanganisira mashewu nemaamondi

Nepo aya mafuta ari nani kumuviri wako, iwe unofanirwa kuramba uchiedza kuadya zvine mwero kana uine BAM. Chiremba wako anogona kukuendesa kune akanyoreswa wezvekudya kana wezano wezano. Pamwe chete, unogona kugadzira chirongwa chekudya chinoshandira mararamiro ako uye chinokubatsira kugadzirisa zviratidzo zvako.

Kugara neBAM

Vazhinji vanhu vane bile acid malabsorption vanopindura mushe pakurapwa uye vanokwanisa kudzivirira kana kugadzirisa zviratidzo zvavo nemishonga uye mararamiro ehupenyu. Kana iwe nachiremba wako muchikwanisa kuona mamiriro ari kukonzeresa BAM, unogona kukwanisa kubvisa mamiriro acho zvachose nekurapa dambudziko riri pasi apa.