Ka hoʻomaopopo ʻana i ka Bile Acid Malabsorption

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Laau Lapaʻau
• Meaʻai
• Noho me BAM

He aha ka malabsorption o ka bile acid?

ʻO ka bile acid malabsorption (BAM) kahi kūlana i hiki ke hiki ʻole i kou mau ʻōpū ke omo pono i nā waikawa bile. ʻO kēia ka hopena i nā acid bile keu i loko o kou ʻōpū, kahi e hiki ai i ka diarrhea wai.

ʻO ka bile kahi wai kūlohelohe e hana ai kou kino i ke ake. Pono no ka digestion kūpono. Loaʻa i ka bile nā ​​waikawa, nā protein, nā paʻakai, a me nā huahana ʻē aʻe. E hoʻoneʻe ke kahena o ka bile maʻamau mai kou ake i kāu gallbladder, kahi e mālama ai a hiki i kou wā e ʻai ai. Ke ʻai ʻoe, ʻaelike kāu gallbladder a hoʻokuʻu i kēia bile i loko o kou ʻōpū.

I ka manawa o ka ʻōpū i loko o kou ʻōpū a me kou ʻōpū liʻiliʻi, kōkua nā waikawa i ka pā i ka haki ʻana i ka meaʻai a me nā mea momona i hiki i kou kino ke omo iā lākou me ka maikaʻi. I kou kolona, ​​hoʻopili hou ʻia nā waikā o ka bile i kāu kahe o ke koko i hiki ai iā lākou ke hoʻohana hou.

Mai kēlā manawa kēia manawa, ʻaʻole hoʻopili hou ʻia nā wai o ka bile, a hiki i ka BAM. ʻO ka nui o ka waikawa bile i loko o kāu kolona hiki ke alakaʻi i ka diarrhea a me ka pahu wai, ʻo ia ke kumu i kapa ʻia ai ka BAM i kekahi manawa ʻo diarrhea acid bile

He aha nā hōʻailona?

ʻO ka ʻōuli nui o BAM ka maʻi diarrhea. ʻO ka paʻakai a me ka wai mai ka waikawa o ka bile i kāu kolone e pale ai i nā noho mai ka hana pono ʻana, a hiki i ka palahī. Hiki paha kēia diarrhea i kēlā me kēia lā a i kekahi manawa wale nō paha.

ʻIke kekahi poʻe me BAM i ka bloating a me ka pīhoihoi wikiwiki, kahi e pili ana i ka pono koke e hoʻohana i ka lumi hoʻomaha i ka wā hiki.

He aha ke kumu?

I kekahi mau hihia, ʻaʻohe wehewehe maopopo no ke kumu e hoʻopau ʻole ai ke kolone i nā waikawa bile. Ke kū kēia, ua kapa ʻia ʻo BAM kumu.

I nā hihia ʻē aʻe, loaʻa nā hopena o ka BAM mai kahi ʻano paʻa. ʻO kahi laʻana, ua koho ʻia ma kahi o ka hapakolu o ka poʻe me ka maʻi hanu huhū a me ka maʻi diarrhea (IBS-D) i loaʻa ka BAM.

Hiki i ka BAM ke lilo i hōʻailona o kahi kūlana ʻē aʻe. Kuhi ʻia kēia ma ke ʻano he BAM lua.

ʻO nā kūlana ʻē aʻe e pili ana i ka lua o ka BAM:

• Maʻi ʻo Crohn
• maʻi celiac
• nā maʻi ʻōpū liʻiliʻi
• maʻi maʻi pancreatic
• hoʻoulu iki koʻohune

Hiki i nā hopena o nā lāʻau ke kōkua i ka BAM.

Pehea ia ʻike?

Aia kekahi mau hoʻokolohua i loaʻa i ʻEulopa i hiki ke kōkua i ke kuhi ʻana i ka BAM, akā ʻaʻole loaʻa nā mea he nui ma United States. Eia nō naʻe, e like me ka Mayo Clinic, loaʻa ʻelua mau hoʻokolohua i kēia manawa no ka hoʻohana ʻana o U.S., hoʻokahi no nā hana noiʻi a me nā hoʻohana lapaʻau ʻē aʻe.

• hoʻokēʻai serum C4, no ka noiʻi hoʻohana wale nō
• hoʻāʻo fecal bile acid

ʻO ka hoʻāʻo fecal bile acid ka hōʻiliʻili ʻana i nā laulau o ka noho ma kahi o 48 mau hola a me ka nānā ʻana iā lākou no nā hōʻailona o ka waikawa bile.

E hoʻomanaʻo i ka palena o ka loaʻa o kēia hōʻike ma United States, no laila hiki i kāu kauka ke hana i kahi hōʻailona ma o ka hoʻoholo ʻana i nā kūlana ʻē aʻe e hoʻonāukiuki ana i kāu wai wai, e like me kahi ʻano malabsorption. Kauoha paha lākou i kahi lāʻau i hoʻohana ʻia e mālama iā BAM e ʻike inā he kōkua ia. Inā hoʻomaka kou mau ʻōuli me ka lāʻau, ua lawa paha kēia e hana i kahi hōʻailona.

Pehea e mālama ʻia ai?

Hoʻomaopopo pinepine ka mālama ʻana no ka malabsorption acid bile i ka lāʻau a me nā loliʻai. Loaʻa ka hapanui o ka poʻe me BAM i nā hopena maikaʻi loa ma o ka hoʻohana ʻana i kahi hui o nā mea ʻelua.

I nā manawa he nui o ka lua o ka lua o ka lua o ka lua o ka lua, BAM, ke mālama ʻana i ke kūlana kumu hiki ke hoʻopau pū i nā hōʻailona.

Laau Lapaʻau

ʻO ka ʻano nui o ka lāʻau i hoʻohana ʻia e mālama ai iā BAM i kapa ʻia he binder acid binder. Hoʻopaʻa ia me nā waikawa bile i loko o kāu wahi digestive, kahi e hoʻēmi ai i ko lākou hopena ma kāu kolone.

ʻO nā mea paʻa i ka waikawa bile ma ka mālama ʻana i ka maʻi palahō e pili pū ana me BAM. ʻO kekahi mau mea paʻa bile acid e hoʻopili pū ʻia:

• cholestyramine (Questran)
• colestipol (Colestid)
• ʻO Colesevelam (Welchol)

Meaʻai

Hiki paha i nā loliʻai ke kōkua i ka hōʻemi ʻana i nā hanana o ka maʻi pākē inā loaʻa iā ʻoe ka BAM. Koi ʻia ka bile no ka ʻai ʻana i ka momona. ʻO kēia ka mea e hoʻokuʻu i kou kino i nā bile a me nā bile acid ke ʻai ʻoe i nā meaʻai he nui i momona.

Ma hope o kaʻai momona momona hiki ke hōʻemi i ka nui o ka waikawa bile i hana ai i kou kino, e hoʻoliʻiliʻi i ka hapa o ia mea i kou kolone. ʻO ka loaʻa ʻana o nā pae o nā bile acid i haʻahaʻa i kāu kolona e hoʻohaʻahaʻa i kou manawa o ka maʻi diarrhea inā he BAM kāu.

I mea e hōʻemi ai i kāu lawe ʻana i ka momona, e hoʻāʻo e hōʻole i ka ʻai ʻana:

• ka bata a me ka margarine
• mayonnaise
• nā meaʻai palai a berena paha
• nā mea i hoʻomoʻa ʻia, e like me nā croissant, nā kuki, a me nā pā
• nā meaʻai awakea, nā ʻīlio wela, ka sausage, bacon, a i ʻole nā ​​meaʻai i hana ʻia
• nā huahana waiū momona piha, e like me ka whipping cream a i ʻole ka waiū awaawa

E hoʻomanaʻo e pono ana i kou kino i kahi momona e hana pono. E hoʻāʻo e kuapo i kekahi o nā meaʻai ma luna aʻe no kēia mau momona momona, e like me:

• ʻāpala
• iʻa momona, e like me ka salemona a me ka sardine
• nā nati, me nā cashews a me nā ʻalemone

ʻOiai ʻoi aku ka maikaʻi o kēia mau momona no kou kino, pono ʻoe e hoʻāʻo e hoʻopau iā lākou i ka hoʻohaʻahaʻa inā loaʻa iā BAM. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi dietitian i hoʻopaʻa inoa ʻia a i ʻole aʻoaʻo aʻoaʻo aʻoaʻo. Hiki pū, hiki iā ʻoe ke hana i kahi papaʻai papaʻai e hana no kou nohona a kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

Noho me BAM

ʻO ka hapa nui o ka poʻe me ka malabsorption bile acid e pane maikaʻi i ka mālama ʻana a hiki iā lākou ke pale a mālama i kā lākou mau ʻōuli me nā lāʻau a me nā loli nohona. Inā hiki iā ʻoe a me kāu kauka ke hoʻomaopopo i kahi ʻano kumu e hoʻokumu nei i ka BAM, hiki paha iā ʻoe ke hoʻopau i ke kūlana ma o ka mālama ʻana i ka pilikia o lalo.