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Kufungisisa nezve kurwadziwa kwako mudumbu? SHAPE inogovera zvikonzero zvakajairika zvekurwadziwa nemudumbu uye inopa mazano anoshanda pane zvekuita zvinotevera.

Unoda kudzivisa kurwadziwa mudumbu zvachose? Usadya. Usanetseke. Usanwa. Oo, uye tariro senge heck kuti hapana munhu mumhuri yako ane nhoroondo yematambudziko anotambudzika futi. Hazvina kunyatsoitika, handiti? Neraki, haufanirwe kuenda kune zvakanyanyisa kuti unzwe zvirinani.

Danho rokutanga: Ronga nguva nachiremba wako. Zvinonzwika zviri pachena, asi vamwe vakadzi havaunze marwadzo emudumbu panguva yekushanya kwehofisi nekuti, kutaura chokwadi, vanovawana vachinyadzisa, "anodaro Dayna Early, MD, gastroenterologist paWashington University School of Medicine muSt. ongorora mararamiro ako: Kazhinji unogona kuzvirapa pakutambudzika kwako nekungobvisa dzimwe tsika dzaungasatomboziva kuti dziri kukonzera kurwadziwa kwemudumbu mako.


Chekupedzisira, usazvinetse -- kunyangwe dambudziko rako riri rekurapa, pane zvakawanda zvekurapa sarudzo. Kana kuchinja kwemararamiro kusingabatsiri, mishonga inowanzoita. "Hapana chikonzero chekuti vakadzi vatambure," Early anodaro. Pano, nyika inotungamira gastroenterologists inonyora zvinowanzoitika zvinokonzeresa nhamo yekugaya mumadzimai - uye kupa mhinduro dziri nyore dzekunzwa zvirinani kukurumidza.

Zvinowanzokonzera kurwadziwa nemudumbu # 1

Unoremerwa. Kutakura mapaundi ekuwedzera kunogona kukusiya uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uch '' ''

Gallstones inowanikwa kusvika ku20 muzana yevakadzi veAmerica nezera remakore makumi matanhatu, uye vakadzi vari pakati pemakore makumi maviri ne60 vane mukana wakapetwa katatu wokuva nawo kupfuura varume.

Kurema kwakanyanya kunokwidzawo njodzi yeGERD: Imwe ongororo yakaburitswa Nyamavhuvhu yapfuura kuBaylor College yeMedicine yakawana kuti vanhu vakafutisa vaive ne50 muzana vane mukana wekuva nezviratidzo zveGERD pane avo vane huremu hune hutano. "Kuwedzera uremu kunoisa dzvinyiriro padumbu rako, izvo zvinozoisa simba pavharuvhu pakati pedumbu nesophagus yako, zvichiita kuti zvive nyore kuti asidhi itsigire," Early anotsanangura. Kurasikirwa nemamirioni gumi kusvika gumi nemashanu kunogona kukwana kubvisa marwadzo emudumbu aya.


Une zviratidzo zveGERD, kusanganisira kurwadziwa nemudumbu? Nhanho yekutanga yekurapa kweGERD inosanganisira kuita mararamiro uye shanduko yekudya.

Zvinowanzoitika Zvikonzero zveDumbu Marwadzo, # 2:

Iwe urikubuda pamusoro-pe-counter mishonga, pachinzvimbo chekutarisa chaunodya. Munhu wose anotora neapo mashoko Tums, asi kana uri Montana pamusoro-the-yemabhuku asidhi blockers mangwanani, masikati nousiku, muve Gerd, gastroesophageal reflux chirwere, zvirwere zvinokonzerwa nomudumbu asidhi kuti anotama dumbu rako kupinda yegurokuro yenyu, kazhinji mhedzisiro yekushaya simba muvhasuru yemhasuru iyo inoparadzanisa dumbu neiyo yegurokuro.

Ongororo ya2005 yakabudiswa mupepanhau rezvokurapa Gut yakagumisa kuti kusvika makumi maviri muzana yevese vekuMadokero vanotambura nezviratidzo zveGERD - uye danho rekutanga rekuwana hutano rinosanganisira kuchinja mararamiro, sekutarisa zvaunodya.

Zvakananga zvekudya - zvinoti michero yemichero, madomasi nemadomasi sauces, chokoreti, waini uye zvinwiwa zvine caffeine - zvinogona kukonzera zviratidzo zveGERD. Kuti ubatsire nekurapa kweGERD, chiremba wako anogona zvakare kuti iwe uchengete diary yezvokudya kwemavhiki maviri kuti iwe ugone kuona kuti ndezvipi zvikafu zviri matambudziko chaiwo kwauri, anowedzera Roshini Rajapaksa, MD, gastroenterologist kuNew York University Chikoro cheMishonga.


Zano rimwe chete rekudzora marwadzo emudumbu: Zadza chikafu chine fiber-semichero, maveji uye zviyo zvakakwana uye gumisa mafuta akazara. Chidzidzo cheBaylor College yeMedicine chakawana kuti vanhu vaidya kudya kwakanyanya-fiber (anokwana magiramu makumi maviri pazuva) vaive makumi maviri muzana muzana mukana wekutambura nezviratidzo zveGERD, uye avo vaidya chikafu chakaderera mumafuta akazara vakatemawo maitiro avo.

Zvinowanzoitika Zvikonzero zveDumbu Marwadzo, # 3:

Unenge wakangotsikirirwa zvisingaite. Unombozvibvunza here kuti sei uchizomhanya kuchimbuzi pese paunenge uchipesana nenguva yekushanda kana kunetsekana nekurwa nemurume wako? Paunenge wapererwa, mazinga akakwira emahomoni ekushushikana anoita kuti dumbu rako ribatane uye dumbu rako rifambe, zvichiita kuti vapinde mugwara, anodaro Patricia Raymond, MD, chiremba weGI kuEastern Virginia Medical School muNorfolk, Va. (Stress mahormone zvakare anogona kubatsira mukuwedzeredza kwedumbu acid, zvichikuita kuti ubatwe nezviratidzo zveGERD.)

Pamusoro peizvozvo, kushushikana kunowanzo beka kudya kwakashata (funga mafuta, machipisi akagadzirwa uye makuki ane faibha shoma), izvo zvinogona kukonzeresa kupatirwa, uye kutotumbuka. Kana iwe uchiziva kuti uchave nezuva rakaoma, ronga kudya zvakajairika zvidiki zvekudya kuti usanyanya nzara kana kuguta zvakanyanya uye kudzivirira kunyanyisa kuzadza mu caffeine - zvese izvi zvinogona kukonzera kurwadziwa nemudumbu.

Wobva watama kufamba: Aerobic Workout (tarisa kwemaminetsi makumi matatu) haingobatsire kubvisa kusagadzikana, zvinobatsirawo kurwisa chero kuzvimbirwa nekumhanyisa kufamba kwechikafu kuburikidza neyakagaya nzira yako, anodaro Raymond. Ramba uchiverenga kuti uwane ruzivo nezve irritable bowel syndrome uye kurwadziwa kwayo nemudumbu.

Kana iwe uine zviratidzo zvemudumbu kweinopfuura mwedzi mitatu, ipapo kurwadziwa kwemudumbu kwako kunogona kunge kuchirwadza ura zviratidzo zvechirwere.

Tsvaga zvimwe pane Shape.com.

Zvinowanzoitika Zvikonzero zveDumbu Marwadzo, # 4:

Une ura husina kutsamwa. Kana iwe wakambove nekurwadziwa kwematumbo kwemwedzi inopfuura mitatu, unogona kuve nezvinonzi navanachiremba zvinokanganisa bowel syndrome (IBS), dambudziko rinokanganisa mumwe chete pavakadzi vashanu. Mamiriro ezvinhu aya anoratidzwa nekuputika, gasi uye kushandura manyoka uye kuvimbiswa kunounzwa nechero chinhu kubva pakuchinja kwekudya kusvika mukushushikana, anodaro Raymond.

Bvunza chiremba wako nezve IgG antibody bvunzo, bvunzo yeropa inobatsira kuona zvakanyanya kunzwisiswa kwechikafu, inoratidza Mark Hyman, MD, aimbova director wezvekurapa weCanyon Ranch muLenox, Mass., uye munyori weUltrametabolism (Scribner, 2006). Ongororo yeBritain yakawana kuti kubvisa chikafu kubva pane zvaunodya zvichibva pabvunzo mhinduro kwakavandudza kutsamwa kwe bowel syndrome zviratidzo ne26 muzana.

"Zvimwe zvidzidzo zvinoratidza peppermint-oiri capsules, inowanikwa muzvitoro zvezvekudya, inobatsira kudzoreredza zviratidzo zveBS nekuzorodza colon," anowedzera Michael Cox, MD, gastroenterologist paMercy Medical Center muBaltimore. (Tsvaga mapiritsi e "enteric coated"; aya anoputsika mukoloni, kwete mudumbu umo anogona kukonzera kutsamwa.)

Kana ako ekutsamwa bowel syndrome zviratidzo zviri pakati nepakati, vanofanirwa kuvandudza neaya maviri matipi. Kune dzimwe nyaya dzakakomba, chiremba wako anogona kukupa Zelnorm, mushonga unodzora kufamba kwezvituru kuburikidza nemuura mako, uye unogona kupa zano shanduko yekudya uye nzira dzekuzorora, dzakadai seyoga. Dumbu kurwadziwa kunogona kuitika kana iwe uri lactose isingashiviriri. Kuti uwane rumwe ruzivo nezvekuva lactose isingashiviriri, ramba uchiverenga.

Chikamu chikuru chevakadzi vane lactose isingashiviriri, vachinetseka kugaya mukaka, ice cream uye mamwe machizi. Marwadzo ako mudumbu anonzwika senge aya mhando?

Zvinowanzoitika Zvikonzero zveDumbu Marwadzo, # 5:

Iwe hauna kushivirira lactose. Anenge mumwe pavakadzi vana anonetseka kugaya lactose, shuga inowanikwa zvakasikwa muzvigadzirwa zvemukaka semukaka, ice cream uye chizi chinyoro. Kana uchifungidzira kuti gasi rako kana dumbu rako rakaputika imhaka yekusagadzikana kwelactose, unogona kucheka zvigadzirwa zvemukaka kwemavhiki mashoma kuti uone kana zviratidzo zviri nani, anodaro John Chobanian, MD, chiremba we gastroenterologist paMount Auburn Hospital muCambridge, Mass.

Kunyange zvakadaro hauna chokwadi? Kumbira chiremba wako nezve iyo hydrogen mweya yekufema bvunzo, kwaunofuridzira muhomwe mushure mekudonhedza chinwiwa chine lactose. Kukwira kwehydrogen kunoratidza kuti hauna lactose isingashiviriri. Asi kunyangwe zvakadaro, haufanirwe kusiya mukaka.

Yogati uye chizi yakaoma ndizvo zviri nyore kuti muviri wako udimbuke; yogati ine ma enzymes ayo anobatsira iwe kugadzirisa iyo lactose uye yakaoma chizi haina yakawanda lactose pakutanga. Iwe unogona zvakare kukwanisa kudzora dumbu rako rekugaya kupaza lactose nekumedza zvidiki zvemukaka kanoverengeka pazuva kwevhiki nhatu kana ina, sekureva kweVatsvakurudzi vePurdue University.

Vamwe vakadzi vanoona zvakare kuti kunwa mukaka nechikafu kunoderedza marwadzo emudumbu. "Ini ndinokurudzira kutanga nehafu yekapu yemukaka pamwe nekudya, uye kana izvi zvikashivirirwa, mushure memazuva mashoma, zvishoma nezvishoma kuwedzera huwandu saka uri kusefa makapu 2-3 pazuva," anodaro munyori wekudzidza Dennis Savaiano, Ph. D., mukuru wePurdue University Chikoro cheVatengi neveMhuri Sayenzi muWest Lafayette, Ind. Kana edza kunwa mukaka usina-lactose uye / kana kutora mapiritsi eLactaid usati wadya dairy; ese ane lactase, iyo enzyme inoputsa lactose. Vakadzi vanogonawo kurwadziwa nemudumbu kana vasina fructose vasingashiviriri.

Kuremedza michero uye kudzivirira zvimwe zvinogona kubatsira kudzora marwadzo emudumbu uye kutumbuka kwemudumbu kunoenderana nekuve fructose isingashiviriri.

Zvinowanzokonzera Kurwadza Kwemudumbu, # 6:

Uri kudya michero yakawandisa. Yunivhesiti yeKansas Medical Center yekudzidza yakawana kuti ingangoita hafu yevarwere vese vachinyunyuta nezve gasi risingatsanangurike uye kutumbuka kwemudumbu mushure mekuva nemagiramu makumi maviri neshanu eiyo fructose (iyo svutugadzike inowanikwa muchero) zvakanyanyo kukonzerwa nekusafarira fructose, zvichireva kuti miviri yavo haigone kugaya fructose zvakanaka. Kufanana nekusagadzikana kwelactose, chirwere ichi chinogona kuonekwa nekuedza kufema.

Kana iwe uri kutambura nekuva fructose usingashiviriri, danho rako rekutanga rinofanirwa kunge riri rekubvisa pachena zvigadzirwa zvine fructose seshuga yekutanga, senge muto weapuro, anodaro munyori wekudzidza Peter Beyer, MS, RD, purofesa wezvekudya uye chikafu pa iyo Yunivhesiti yeKansas.

Kunyangwe iwe usinga fanirwe kupika chibereko zvachose, ungatofanira kudzivirira mamwe marudzi: "Iwe unofanirwa kudzora kudyiwa kwemichero iyo yakanyanya kukwirira mu fructose, senge maapuro nemabhanana," Beyer anotsanangura. Rimwe apuro riri pakati nepakati rine magiramu masere efructose, rimwe bhanana riri pakati nepakati rine anenge matanhatu, kapu yecubed cantaloupe ine 3 uye maapricots ane isingasviki giramu rimwe nerimwe.

Rimwe zano: Paradzira michero yezuva nezuva yemichero kuitira kuti urege kuidya yese kamwe chete, kudzivirira kurwadziwa nemudumbu.

Zvinowanzokonzera Kurwadza Kwemudumbu, # 7:

Uri kutsenga chingamu kuti usadye. Zvitende kana kusazvitenda, kukoira chingamu ndicho chikonzero chikuru chemarwadzo emudumbu. "Unowanzomedza mhepo yakawanda, iyo inogona kugadzira gasi uye kuzvimba," anotsanangura kudaro Christine Frissora, M.D., chiremba wegastroenterologist paNewYork-Presbyterian Hospital muNew York City. Mukuwedzera, mamwe mazamu asina shuga ane sweetener sorbitol, zvishoma zvishoma izvo zvinogona kukonzera kuzvimba mudumbu rako. "Sorbitol inodhonza mvura kupinda muura hwako hukuru, iyo inogona kukonzeresa uye, mumadosi akakwana zvakakwana, manyoka," Cox anotsanangura.

Imwe ongororo yakabudiswa mupepanhau reGastroenterology yakawana kuti magiramu gumi chete e sorbitol (yakaenzana nemapipi mashoma asina shuga) akabudisa zviratidzo zvemudumbu, asi magiramu makumi maviri akakonzera marwadzo uye manyoka. Zvimwe zvinotsiva shuga kuti zviongorore: maltitol, mannitol uye xylitol, zvakare inowanikwa mune imwe isina chingamu isina chingamu uye zvakare mune zvakaderera-carb zvigadzirwa. (Dzimwe nguva izvi zvakanyorwa se "shuga doro" pane mavara.)

Asi chimwe chezvikonzero zvinowanzokonzera kurwadziwa kwemudumbu chirwere chechiliac, chinotungamirirwa nekudya kwe gluten. Verenga pamusoro kuti uwane ruzivo!

Zvinowanzokonzera Kurwadza Kwemudumbu, #8:

Iwe unonzwisisa gorosi. Anenge mumwe muvanhu 133 muUnited States ane chirwere chechiliac, chinonziwo gluten kusashivirira, maererano ne2003 University of Maryland kudzidza. Mune vanhu vane chirwere chechiliac, gluten (inowanikwa mugorosi, rye, bhari uye zvakawanda zvakaputirwa zvigadzirwa), inogadzirisa maitiro e autoimmune ayo anoita kuti miviri yavo ibudise masoja ekudzivirira chirwere anorwisa villi, diki sebvudzi fungidziro mumatumbo madiki anotora mavhitamini, zvicherwa. nemvura, Cox anotsanangura.

Nekufamba kwenguva, aya villi akakuvara, zvichikonzera kupomba kwemudumbu uye kutumbuka kwemudumbu, uye zvichikutadzisa kubva kunotora zvinovaka muviri. Izvi zvinokuita kuti ubatwe zvakanyanya nehutachiona nemamineral kushomeka, pamwe nemamiriro akaita seanemia uye osteoporosis. Kune yakasimba genetic chibatanidza zvakare: Chirwere chinoitika mu5-15 muzana yevana uye vanun'una vevanhu vanayo.

Kunyangwe kuongororwa kwacho kuchigona kuitwa kuburikidza neyakareruka antibody yeropa bvunzo, chirwere checliac chinosuwa zvirinyore nekuti zviratidzo zvinonyatsoteedzera izvo zveamwe marwadzo emudumbu, senge lactose kusashivirira uye kutsamwa kwehurwere chirwere. "Ndakaona vakadzi vane chirwere ichi avo vakatambura kwemakore uye vakaongororwa zvisirizvo kana kuudzwa navanachiremba kuti zviratidzo zvavo zvese zvaive mumusoro wavo kana zvine chekuita nekushushikana," anodaro Frissora.

Kurapa ndiko kudya kwaunobvisa zviyo zvakadai segorosi, rye nebhari. "Kutevedzera kudya kwemahara kweguteni kunonyengera zvisingaite: Ungatofanira kuenda rwendo kune anoona nezvezvakanaka kuti ugadzire zvaunogona uye zvausingakwanise kudya," Pakutanga anobvuma. "Asi kana uchinge wagadzirisa kudya kwako, zviratidzo zvekurwadziwa kwemudumbu zvichapera." Zvokudya zveGluten zvisingabhadhari zvinowanikwa pamisika yezvokudya zvepanyama uye zvitoro zvezvokudya zvehutano.

Kuti uwane rumwe ruzivo nezve kukosha kwe gluten yemahara chikafu, ona "Celiac Disease" on Chimiro pamhepo kana tinya pano kuti uwane rumwe ruzivo nezve kuchengetedza chikafu chisina-gluten.

Ongororo ye

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