Kev noj zaub mov hauv tsoob siab plob tsis so tswj hlwb

Ib qho tseem ceeb ntawm txoj kev kho rau cov neeg mob kuaj mob IBS (chim siab plob tsis so tswj syndrome) yog noj zaub mov. Noj zaub mov hauv lub cev tsis haum plab yuav tsum muaj cov khoom noj uas tau yooj yim los ntawm lub plab. Ntawm chav kawm, tsis txhob qhaj thiab ua siab ntev rau ib tus neeg mob ntawm qee yam khoom noj. Hais txog lub hauv paus ntsiab lus ntawm lub koom haum ntawm cov khoom noj ntawm cov kab mob saum toj no-kuj hnub no yuav muaj kev hais lus.

Yog tias IBS muaj mob qhov hnyuv thiab (los yog) cem quav, ces kev noj haus yuav tsum yog kev ua kom tiav, xam cov ntsiab lus ntawm cov roj carbohydrates, proteins thiab cov rog, nce ntxiv cov roj zaub. Nws yog ib qho tsim nyog yuav tsum tsis txhob noj cov zaub mov thiab cov khoom noj uas ua kom cov txheej txheem ntawm fermentation thiab putrefaction nyob rau hauv cov nyhuv loj, cov extractives, cov khoom uas muaj cov roj hauv cov roj yam tseem ceeb, thiab cov roj cholesterol; nyob rau hauv lem, cov khoom yog ntxiv, nyob rau hauv uas tus nqi ntawm kev noj haus fiber ntau yog nce (millet, buckwheat thiab pearl barley). Hais txog tus nqi calorific, peb tuaj yeem hais tias nws yuav tsum tau kwv yees li 2500-2800 kcal.

Kev saib xyuas tshwj xeeb yuav tsum them rau kev noj haus hauv IBS, yog tias raws plab prevails. Nyob rau lub sij hawm thaum muaj kev sib zog, kev noj haus yuav tsum muaj nyob rau hauv txoj cai npaum protein. Nws yog ib qho tsim nyog kom tsis txhob noj cov roj qab rog thiab, ntawm chav kawm, cov khoom, kam rau ua kom txo tau. Nws yog tseeb hais tias los ntawm kev noj haus nws yog ib qhov tsim nyog yuav tsum tau tshem tawm cov khoom uas muaj kev txav deb (nyom, plhaw, beets, carrots thiab lwm yam txiv hmab txiv ntoo thiab zaub). Yog hais tias koj raug kev txom nyem los ntawm flatulence, cais cabbage, legumes, lwm yam khoom noj uas muaj digestible carbohydrates yooj yim. Koj yuav tsum tsis nco qab txog npias, txiv tsawb, txiv ntseej, raisins, txiv hmab txiv ntoo thiab kua txiv hmab txiv ntoo. Sorbitol thiab fructose kuj tuaj yeem ua rau flatulence, uas ntxiv rau cov tshuaj thiab cov khoom noj khoom haus, uas yog cov nplua nuj nyob hauv cov txiv hmab txiv ntoo thiab txiv hmab txiv ntoo. Nyob rau hauv tus, qhov kev noj haus muaj peev xwm ua tau zoo heev, tsuas yog pub hais tias cov pluas noj yuav tsum yog 4-6, thiab thaum hmo ntuj muaj kiag li txwv. Feem ntau, IBS yog nrog los ntawm lactose intolerance (lub npe hu ua lactose deficiency). Hauv qhov no, qhov kev noj haus rau RK syndrome no yuav tsum tsis txhob muaj ntau cov khoom noj siv mis.

Yog tsis muaj kev ntseeg tias muaj ntau lub tswv yim uas txhawb thiab txhim kho cov tsos mob uas yog cov yam ntxwv ntawm plab hnyuv qaub nyob hauv lub siab plob tsis so tswj syndrome nrog plab. Ntau ntawm lawv yog underestimated thiab, hmoov tsis, yog tsis siv nyob rau hauv lub SRK. Cov no muaj xws li kev tsim tawm ntawm cov qauv uas ua rau kom txo qis ntawm cov khoom noj thiab zaub mov noj, qhov tseem ceeb, uas yuav luag tsis muaj kev txwv rau kev npaj cov zaub mov zoo rau cov neeg mob. Tam sim no nws yog pov thawj tias lub xeev morphofunctional ntawm lub zauv epitalyum ntawm lub plab hnyuv plab yog txuam nrog deficiency ntawm fatty acids uas yog omega-3 thiab omega-6, magnesium, zinc, vitamins. Cov neeg mob yog pathologically ntshai los ntawm cov khoom noj khoom haus, yog li lawv sim txwv tsis tag tsuas muaj ntau yam khoom, tab sis kuj tus naj npawb ntawm lawv nyob rau hauv koj noj, uas feem ntau ua rau zaub mov mob (ntev), thiab kuj nyob rau ntawm lub hauv paus ntawm vicious voj voog ntawm pathogenesis. Qhov kev tiv thaiv kev txhaj tshuaj tiv thaiv secondary (secondary immunological failure) yog ib qho kev tshwm sim. Hauv qhov no, ntau tus kws sau ntawv qhia ntxiv rau kev noj haus ntawm cov neeg mob nrog kev noj haus tshuaj uas muaj omega-3 thiab omega-6 fatty acids, thiab raws li tej co kab kawm.

Kev txhim kho ntawm kev qhia txog kev kho nrog cov fibers uas muaj zaub mov noj, tseem mob heev thiab tsis daws kom txog rau thaum xaus ntawm qhov teeb meem nyob rau hauv cov tshuaj, thiab kom raug - hauv gastroenterology. Heev soj ntsuam cov kev tshawb fawb ntsig txog qhov kev luj xyuas ntawm cov txiaj ntsim ntawm kev noj haus fiber ntau hauv IBS. Thiab qhov tshwm sim yog qhov sib txawv heev.

Yog tias peb tham txog IBS nrog cem quav, tus neeg mob cov zaub mov yuav tsum muaj kev txhawb nqa nrog cov roj PV (indigestible PV) (ntxiv mus - kev noj haus fiber ntau), uas txhim kho mob plab (prokinetics); IBS nrog raws plab - nyob rau hauv kev noj haus yuav tsum ntau dej-soluble PV (pectin).

Cov kev tshawb fawb ntawm cov xyoo tsis ntev los no tau pom tias PV, nyob ntawm seb lawv cov yeeb yam, muaj teebmeem txawv ntawm tus neeg lub rooj zaum. Cov paj ntoo, txiv hmab txiv ntoo thiab zaub yog tsim nyog siv rau hauv kev plob tsis so tswj lub siab plab hnyuv plab nrog mob raws plab. Muaj qee qhov li (dej-soluble) fiber ntau xws li kev ua kom zoo li detoxification. Qhov thiaj li hu ua "broom effect". Cias muab, tshem tawm cov co toxins los ntawm lub cev.

Tam sim no lub sij hawm nyob rau Nyiajpoom Teb, lawv tab tom sim tsim lub tshuab kom tau cov no heev PV los ntawm cov kua. Yog hais tias koj ntxiv PV rau zaub mov, lawv yuav tsis hloov cov khoom nruab nrog cev ntawm cov dej qab zib thiab cov khoom, tab sis yuav tsuas muab lawv cov khoom.

Yog tias IBS nrog cem quav, ces txuag daim duab yuav pab tau nplej thiab rye bran, cov hauv paus hniav thiab algae, cereals thiab txiv hmab txiv ntoo. Thiab yog tias peb tham txog kev npaj rau kev lag luam, peb tuaj yeem hais fibromed, microcrystalline cellulose los yog eubicor. Tag nrho cov tshuaj no ua rau kom qhov pib ntawm txoj hnyuv. Kuj tsim rau cov neeg uas tsis raug kev txom nyem los ntawm IBS, tab sis leej twg muaj teeb meem nrog constipation situational. Tab sis, koj yuav tsum tsis txhob koom tes nrog, koj tuaj yeem ua rau muaj kev poob siab.