Kumu maʻamau o ka ʻeha o ka ʻōpū

Anter

• ʻO nā kumu maʻamau o ka ʻeha o ka ʻōpū # 1
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 2:
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 3:
• Inā loaʻa iā ʻoe nā hōʻailona ʻōpū i ʻoi aku ma mua o ʻekolu mahina, a laila ʻeha paha kou ʻōpū i nā hōʻailona irritable bowel syndrome.
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 4:
• ʻO ka hapa nui o nā wahine he lactose intolerant, paʻakikī i ka hoʻoheheʻe ʻana i ka waiū, ice cream a me kekahi mau paʻakai. Ke kani nei kou ʻōpū ʻeha me kēia ʻano?
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 5:
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 6:
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 7:
• Nā kumu maʻamau o ka ʻeha o ka ʻōpū, #8:
• Nānā no

Ke noʻonoʻo nei i ka ʻeha o kou ʻōpū? HELE ANA kaʻana like i nā kumu maʻamau o ka ʻeha o ka ʻōpū a hāʻawi i nā ʻōlelo aʻo kūpono i ka mea e hana hou ai.

Makemake ʻoe e pale i ka ʻeha o ka ʻōpū mau loa? Mai ʻai. Mai koʻikoʻi. Mai inu. A, a lana ka manaʻo e like me ka heck ʻaʻohe o kekahi o kou ʻohana i loaʻa ka mōʻaukala o nā pilikia ʻōpū. ʻAʻole kūpono maoli, ʻeā? ʻO ka mea pōmaikaʻi, ʻaʻole pono ʻoe e hele i nā mea ʻoi loa e ʻike maikaʻi ai.

ʻO ka hana mua: E hana i kahi manawa me kāu kauka. ʻIke maopopo, akā, ʻaʻole hoʻopuka kekahi mau wahine i ko lākou ʻōpū i ka wā o nā kipa keʻena no ka mea, ʻoiaʻiʻo, ʻike lākou iā lākou he mea hilahila loa, "wahi a Dayna Early, MD, he gastroenterologist ma ke kula ʻo Washington University School of Medicine ma St. Louis. e nānā i kou nohona: Hiki iā ʻoe ke hoʻōla iā ʻoe iho i kou kaumaha ma ka hoʻopau ʻana i kekahi mau ʻano āu e ʻike ʻole ai ke hōʻeha nei i kāu ʻōpū.

ʻO ka hope, mai hopohopo -- ʻoiai inā he lāʻau lapaʻau kou pilikia, nui nā koho lapaʻau. Ke kōkua ʻole nā ​​loli nohona, pinepine ka lāʻau. "ʻAʻole pono nā wahine e ʻeha," wahi a Early. Ma ʻaneʻi, papa inoa ka poʻe gastroenterologists koʻikoʻi o ka ʻāina i nā kumu maʻamau o ka ʻeha ʻana i nā wahine - a hāʻawi i nā hoʻonā maʻalahi no ka wikiwiki ʻana.

ʻO nā kumu maʻamau o ka ʻeha o ka ʻōpū # 1

Kaumaha nui ʻoe. ʻO ka lawe ʻana i nā paona ʻē aʻe hiki ke waiho iā ʻoe i mea maʻalahi i ka hoʻomohala ʻana i nā gallstones, nā waihona paʻa o ka cholesterol a i ʻole nā ​​paʻakai calcium e hiki ke hōʻeha i ka ʻeha o ka ʻōpū ma luna o kou ʻōpū ʻākau, wahi a Raymond.

Kū ʻo Gallstones a hiki i ka 20 pākēneka o nā wahine ʻAmelika ma o ka makahiki 60, a ʻo nā wahine ma waena o nā makahiki 20 a me 60 he ʻekolu mau manawa e hoʻomohala iā lākou ma mua o nā kāne.

ʻO ka nui o ke kaumaha ke piʻi aʻe ka pilikia o GERD: Ua ʻike ʻia kahi noiʻi i paʻi ʻia ma ʻAukake i hala ma ka Baylor College of Medicine he 50 pakeneka ka nui o ka poʻe paona i loaʻa nā hōʻailona GERD ma mua o ka poʻe i ke kaumaha olakino. "Hoʻokau ke kaupaona ke kaomi i kou ʻōpū, a laila kaomi i ka kiwikā ma waena o ka ʻōpū a me kou esophagus, no laila e maʻalahi ai ke hoʻi ʻana o ka waikawa," Hōʻike mua ʻo Early. ʻO ka lilo ʻana o 10 a 15 paona wale nō paha ua lawa ia e hoʻopau ai i kēia ʻeha ʻōpū.

Loaʻa nā hōʻailona GERD, me nā ʻeha o ka ʻōpū? ʻO ka hana mua o ka mālama ʻana i ka GERD e pili ana i ka hoʻololi ʻana i ka nohona a me ka meaʻai.

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 2:

Ke kau nei ʻoe i nā lāʻau lapaʻau ma mua o ka pā, ma kahi o ka nānā ʻana i kāu mea e ʻai ai. Lawe nā kānaka āpau i nā Tums i kēlā me kēia manawa, akā inā ʻoe e iho i lalo o ka counter acid blockers i ke kakahiaka, awakea a me ka pō, loaʻa paha iā ʻoe iā GERD, maʻi reflux gastroesophageal, kahi ʻano maʻi mau i hoʻokumu ʻia e ka ʻōpū ʻōpū e neʻe mai kou ʻōpū a i kou esophagus, ka hopena maʻamau o kahi nāwaliwali i ka mākala muscular e hoʻokaʻawale i ka ʻōpū a me ka esophagus.

ʻO ka loiloi 2005 i paʻi ʻia ma ka puke moʻolelo olakino ʻo Gut i ​​hoʻoholo ai a hiki i ka 20 pakeneka o nā poʻe Komohana a pau e loaʻa i nā hōʻailona GERD - a ʻo ka hana mua i ke olakino e pili ana i ka hoʻololi ʻana i ka nohona, e like me ka nānā ʻana i kāu mea e ʻai ai.

ʻO nā meaʻai kikoʻī - ʻo ia hoʻi nā hua citrus, ʻōmato a me nā kohu kōmato, kokoleka, waina a me nā mea inu caffeine - hiki ke hoʻoulu i nā hōʻailona GERD. No ke kōkua ʻana i ka mālama ʻana i ka GERD, hiki i kāu kauka ke mālama i kahi diary meaʻai no ʻelua pule i hiki iā ʻoe ke kuhikuhi i nā meaʻai i pilikia nui iā ʻoe, hoʻohui ʻo Roshini Rajapaksa, M.D., he gastroenterologist ma ke Kula Nui o ke Kulanui o New York.

Hoʻokahi manaʻo e hōʻemi i ka ʻeha o ka ʻōpū: Hoʻopiha i nā meaʻai momona-momona e like me nā huaʻai, nā mea ʻai a me nā hua holoʻokoʻa a kau palena i ka momona momona. Ua ʻike ʻia kahi haʻawina ʻo Baylor College of Medicine ʻo ka poʻe i ʻai i nā meaʻai kiʻekiʻe-fiber (ma ka liʻiliʻi he 20 grams i ka lā) he 20 pakeneka ka liʻiliʻi o ka loaʻa ʻana o nā hōʻailona GERD, a ʻo ka poʻe i ʻai i ka meaʻai haʻahaʻa i ka momona momona e ʻoki i ko lākou pilikia.

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 3:

Hoʻopilikia wale ʻia ʻoe ma mua o ka hilinaʻi ʻole. Mahalo paha no ke aha ʻoe e holo ai i ka lumipaku i kēlā me kēia manawa ke kūʻē ʻoe i ka palena palena palena paʻa o ka hana a hopohopo paha e hakakā me kāu kāne? Ke makaʻu ʻoe, hoʻokiʻekiʻe nā kiʻekiʻe o nā hormones stress i nā kuʻina maʻamau o kou ʻōpū a me kou kolone, e hoʻohele iā lākou i nā spasms, wahi a Patricia Raymond, MD, he kauka GI ma ke Kula Lapaʻau ʻo Eastern Virginia ma Norfolk, Va. (Stress Hiki i nā hormones ke kōkua i ka hoʻonui ʻana i ka waika o ka ʻōpū, e maʻalahi ai ʻoe i nā hōʻailona GERD.)

Ma luna o kēlā, hoʻoulu pinepine ka pilikia i ka ʻai ʻole (e noʻonoʻo i ka momona, nā ʻāpana i hana ʻia a me nā kuki me ka liʻiliʻi liʻiliʻi), hiki ke hoʻoulu i ka constipation, a ʻoi aku ka nui o ka bloating. Ke ʻike ʻoe e hele ana ʻoe i kahi lā paʻakikī, e hoʻolālā e ʻai i nā meaʻai liʻiliʻi maʻamau i ʻole ʻoe pōloli a māʻona paha a pale aku i ka inu ʻana i ka caffeine - hiki i kēia mau mea ke hoʻoulu i ka ʻeha o ka ʻōpū.

A laila e neʻe: ʻAʻole e kōkua wale ka hoʻomaʻamaʻa aerobic (no ka liʻiliʻi loa he 30 mau minuke) i ka hoʻopau ʻana i ke kaumaha, e kōkua pū nō hoʻi ia e pale aku i ka constipation ma ka wikiwiki ʻana i ka neʻe ʻana o ka meaʻai ma kāu ʻāpana digestive, wahi a Raymond. E hoʻomau i ka heluhelu no ka ʻike e pili ana i ka irritable bowel syndrome a me kona ʻeha ʻōpū.

Inā loaʻa iā ʻoe nā hōʻailona ʻōpū i ʻoi aku ma mua o ʻekolu mahina, a laila ʻeha paha kou ʻōpū i nā hōʻailona irritable bowel syndrome.

E ʻike hou aʻe ma Shape.com.

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 4:

He ʻōpū maʻalahi kou. Inā ʻeha ʻoe i ka ʻōpū ma mua o ʻekolu mau mahina, loaʻa paha iā ʻoe ka mea i kapa ʻia e nā kauka ʻo ka huhū o ka bowel syndrome (IBS), kahi pilikia e pili ana i hoʻokahi o kēlā me kēia wahine ʻelima. Hōʻike ʻia kēia maʻi e ka bloating, gas a me nā ʻano ʻē aʻe o ka diarrhea a me ka constipation i lawe ʻia e kekahi mea mai ka hoʻololi ʻana i ka meaʻai i ke kaumaha, wahi a Raymond.

E nīnau i kāu kauka e pili ana i ka hōʻike IgG antibody test, kahi hoʻāʻo koko e kōkua ai i ke kikoʻī ʻana i nā manaʻo nui o ka meaʻai, e ʻōlelo ana ʻo Mark Hyman, MD, he alakaʻi lapaʻau mua o Canyon Ranch ma Lenox, Mass., A me ka mea kākau o Ultrametabolism (Scribner, 2006). Ua ʻike ʻia kahi noiʻi Pelekane e hoʻopau ana i nā meaʻai mai kāu papaʻai e pili ana i nā hopena hōʻike i hoʻomaikaʻi ʻia nā ʻōuli o ka maʻi huhū e 26 pakeneka.

"Hōʻike nā noiʻi ʻē aʻe i nā peptint-aila pepmint-oil, i loaʻa ma nā hale kūʻai meaʻai olakino, kōkua i ka hoʻopakele ʻana i nā hōʻailona IBS ma ka hoʻomaha ʻana i ke kolona," i hoʻohui ʻia ʻo Michael Cox, M.D., he gastroenterologist ma Mercy Medical Center ma Baltimore. (E nānā i nā pila "enteric coated"; haki kēia i ke kolona, ​​ʻaʻole ka ʻōpū kahi e hoʻonāukiuki ai lākou.)

Inā haʻahaʻa nā hōʻailona o ka irritable bowel syndrome, pono lākou e hoʻomaikaʻi me kēia mau hoʻolālā ʻelua. No nā hihia ʻoi aku ka paʻakikī, hiki i kāu kauka ke kuhikuhi iā Zelnorm, kahi lāʻau e hoʻoponopono ai i ka neʻe ʻana o nā stools ma o kou ʻōpū, a e ʻōlelo paha i nā loliʻai a me nā ʻano hoʻomaha, e like me yoga. Hiki ke ʻeha ka ʻōpū inā ʻaʻole ʻae ʻoe i ka lactose. No ka ʻike hou aku e pili ana i ka lactose intolerant, e hoʻomau i ka heluhelu.

ʻO ka hapa nui o nā wahine he lactose intolerant, paʻakikī i ka hoʻoheheʻe ʻana i ka waiū, ice cream a me kekahi mau paʻakai. Ke kani nei kou ʻōpū ʻeha me kēia ʻano?

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 5:

ʻAno ʻole ʻoe i ka lactose. Ma kahi o hoʻokahi o ʻehā mau wahine e pilikia i ka ʻeli ʻana i ka lactose, kahi kō i loaʻa maʻa mau i nā huahana waiū e like me ka waiū, ka ʻaikalima a me ka tī palupalu. Inā manaʻo ʻoe ʻo kāu kōkō a ʻōpū paha ka hopena o ka hoʻomanawanui ʻole o ka lactose, hiki iā ʻoe ke ʻoki i nā huahana waiū no ʻelua mau pule e ʻike inā hoʻomaikaʻi nā ʻōuli, ʻōlelo ʻo John Chobanian, MD, kahi gastroenterologist ma Mount Auburn Hospital ma Cambridge, Mass.

ʻAʻole naʻe maopopo? E nīnau i kāu kauka e pili ana i ka hoʻāʻo ʻana i ka hanu hydrogen, kahi āu e puhi ai i loko o kahi ʻeke ma hope o ka inu ʻana i kahi inu lactose-laced. Hōʻike nā pae kiʻekiʻe o ka hydrogen i kāu intolerant lactose. Akā naʻe, ʻaʻole pono ʻoe e haʻalele i ka waiū.

ʻO ka yogurt a me ka tī paʻakikī ka maʻalahi o ka haki ʻana o kou kino; Loaʻa i ka yogurt nā enzymes e kōkua iā ʻoe e hana i ka lactose a ʻaʻohe nui o ka lactose i ka tīhi paʻa. Hiki paha iā ʻoe ke hoʻomaʻamaʻa hou i kāu ʻōnaehana digestive e wāwahi i ka lactose ma ka ʻai ʻana i ka waiū liʻiliʻi i nā manawa he nui i ka lā no ʻekolu a ʻehā mau pule, e like me ka poʻe noiʻi ʻo Purdue University.

ʻIke kekahi mau wahine i ka inu ʻana i ka waiū me ka meaʻai e hoʻoliʻiliʻi hoʻi i nā ʻōpū ʻeha o ka ʻōpū. "Paipai wau e hoʻomaka me ka hapalua o ke kīʻaha o ka waiū me kahi pāʻina, a inā e hoʻomanawanui ʻia kēia, ma hope o kekahi mau lā, e hoʻonui mālie ana i ka nui no laila ke ʻoki nei ʻoe i nā kīʻaha he 2-3 i ka lā," wahi a ka mea kākau noiʻi ʻo Dennis Savaiano, Ph. D., dean o Purdue University's School of Consumer and Family Science in West Lafayette, Ind. A i ʻole e hoʻāʻo e inu i ka waiū lactose ʻole a/a i ʻole e lawe i nā papa Lactaid ma mua o ka ʻai ʻana i ka waiu; Loaʻa nā lactase ʻelua, ʻo ka enzyme e wāwahi i ka lactose. Hiki i nā wahine ke loaʻa i ka ʻeha o ka ʻōpū inā ʻaʻole lākou i hoʻomanawanui i ka fructose.

ʻO ka palena ʻana i nā hua a me ka hōʻalo ʻana i kekahi mau mea hiki ke kōkua i ke kaohi ʻana i ka ʻeha o ka ʻōpū a me ka ʻōpū o ka ʻōpū e pili ana me ka intolerant fructose.

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 6:

Ke ʻai nui nei ʻoe i nā hua. Ua ʻike ʻia kahi haʻawina ʻo University of Kansas Medical Center ua aneane ʻo ka hapalua o nā maʻi e hoʻopiʻi nei i ke kinoea i wehewehe ʻole ʻia a me ka ʻōpū ʻana o ka ʻōpū ma hope o ka loaʻa ʻana o 25 grams o ka fructose (ke kō maʻalahi i loaʻa i ka hua) ua kumu maoli ʻia e ka fructose intolerant, ʻo ia hoʻi ʻaʻole hiki i ko lākou kino. e hoʻōla pono i ka fructose. E like me ka hoʻomanawanui ʻole ʻana o ka lactose, hiki ke ʻike ʻia kēia ʻano me kahi hōʻike hanu.

Inā ʻeha ʻoe i ka ʻole o ka fructose intolerant, ʻo kāu hana mua e kāpae i nā huahana i loaʻa ka fructose ma ke ʻano he kō kō, e like me ka wai ʻāpala, wahi a ka mea kākau noiʻi ʻo Peter Beyer, MS, RD, he polofesa o nā papaʻai a me nā meaʻai ma ke Kulanui o Kansas.

ʻOiai ʻaʻole pono ʻoe e hoʻohiki i ka huaʻai, pono paha ʻoe e pale i kekahi mau ʻano: "Pono ʻoe e kaupalena i ka ʻai ʻana i nā huaʻai i kiʻekiʻe loa i ka fructose, e like me ka ʻāpala a me ka maiʻa," wehewehe ʻo Beyer. Loaʻa i hoʻokahi ʻāpala waena ma kahi o 8 mau gram o fructose, hoʻokahi maiʻa waena i aneane 6, he ʻapu o ka cantaloupe cubed he 3 a ʻoi aku ka liʻiliʻi o nā apricots ma mua o ka gram hoʻokahi.

ʻO kahi hoʻolālā ʻē aʻe: E hohola i kāu mau huaʻai i kēlā me kēia lā i ʻole ʻoe e ʻai ia mau mea a pau i ka noho hoʻokahi, i pale aku i ka ʻeha o ka ʻōpū.

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, # 7:

Ke nau nauha nei ʻoe i mea e pale ai ka meaʻai māmā. E manaʻoʻiʻo a ʻaʻole paha, ʻo ka ʻoki ʻana i ka ʻōpala ke kumu nui o ka ʻeha ʻōpū. "Ale pinepine ʻoe i ka nui o ka ea, hiki ke hana i ke kinoea a me ka bloating," wehewehe ʻo Christine Frissora, M.D., he gastroenterologist ma NewYork-Presbyterian Hospital ma New York City. Hoʻohui ʻia, loaʻa i kekahi mau gum gula kō ʻole ka sorbitol mea hoʻonanea, he mau mea liʻiliʻi wale nō i hiki ke kōkua i ka pehu ʻana i loko o kou ʻōpū. "Huki ʻo Sorbitol i ka wai i loko o kou ʻōpū nui, hiki ke kumu i ka ʻōpū ʻana a, i nā koina kiʻekiʻe, diarrhea," wehewehe ʻo Cox.

ʻO kahi noiʻi i paʻi ʻia i loko o ka puke pai Gastroenterology ʻike ʻia he 10 wale nō sorbitol (ka like o kekahi o nā candies manuahi kō ʻole) i hua mai i nā ʻōpū ʻōpū o ka ʻōpū, ʻoiai he 20 mau mū ka mea i loaʻa ai ka cramp a me ka diarrhea. ʻO nā mea pani kōpaʻa ʻē aʻe e nānā ai: maltitol, mannitol a me xylitol, loaʻa pū kekahi i loko o kekahi kīʻaha sugarless a me nā huahana haʻahaʻa-carb. (I kekahi manawa ua helu ʻia kēia mau mea e like me "nā ʻawaʻawa kō" ma nā lepili.)

ʻO kekahi o nā kumu maʻamau o ka ʻeha o ka ʻōpū ʻo ia ka maʻi celiac, mālama ʻia e ka meaʻai ʻole gluten. E heluhelu no nā kikoʻī!

Nā kumu maʻamau o ka ʻeha o ka ʻōpū, #8:

Pili ʻoe i ka palaoa. Ma kahi o 133 i ka poʻe ʻAmelika Hui Pū ʻIa e ʻeha nei i ka maʻi celiac, a ʻo ka gluten intolerance hoʻi i ʻike ʻia, e like me ka noi ʻana ma ke Kulanui o Maryland ma 2003. I ka poʻe me ka maʻi celiac, ʻo ka gluten (loaʻa i ka palaoa, rai, ka bale a me nā huahana he nui i hoʻopaʻa ʻia), hoʻomaka i ka hopena autoimmune e hoʻohua ai ko lākou kino i nā antibodies e hoʻouka i ka villi, nā hiʻohiʻona liʻiliʻi e like me ka lauoho i loko o ka ʻōpū liʻiliʻi e komo i nā huaora, nā minela. a me ka wai, wehewehe ʻo Cox.

I ka hala ʻana o ka manawa, ua hōʻino ʻia kēia mau villi, ke kumu o ka ʻōpū ʻana o ka ʻōpū a me ka ʻōpū ʻana o ka ʻōpū, a me ka pale ʻana iā ʻoe mai ka omo ʻana i nā meaʻai. ʻO kēia ka mea e maʻalahi ai ʻoe i nā hemahema o ka vitamina a me ka mineral, a me nā kūlana e like me ka anemia a me ka osteoporosis. Aia kekahi loulou pilina ikaika: Loaʻa ka maʻi ma 5-15 pakeneka o nā keiki a me nā kaikaina o ka poʻe i loaʻa iā ia.

ʻOiai hiki ke hana i ke kuhi ma o kahi hōʻike koko antibody maʻalahi, ʻike maʻalahi ʻia ka maʻi celiac ma muli o ke ʻano like o nā ʻōuli me nā ʻano ʻeha o ka ʻōpū, e like me ka hoʻomanawanui ʻole o ka lactose a me ka maʻi huhū o ka bowel. "Ua ʻike wau i nā wahine me kēia ʻano i ʻehaʻeha ʻia i mau makahiki a ua kuhi hewa ʻia a i ʻole haʻi ʻia e nā kauka ua pili kā lākou mau hōʻailona i ko lākou poʻo a i ʻole pili i ke koʻikoʻi," wahi a Frissora.

ʻO ka lapaʻau kahi papaʻai kahi e hoʻopau ai i nā hua e like me ka palaoa, ka rai a me ka palaoa. "He mea paʻakikī ka hahai ʻana i ka meaʻai gluten free: pono paha ʻoe e hele i ka mea ʻai meaʻai e hoʻokaʻawale i kāu mea hiki a ʻaʻole hiki ke ʻai," wahi a Early. "Akā ke hoʻololi koke ʻoe i kāu papaʻai, e nalowale nā ​​ʻōpū o ka ʻōpū." Loaʻa nā meaʻai ʻole gluten ma nā mākeke meaʻai kūlohelohe a me nā hale kūʻai meaʻai olakino.

No ka ʻike hou aku e pili ana i ke koʻikoʻi o nā meaʻai gluten free, e ʻike i ka "Maʻi Celiac" ma Kinohi pūnaewele a i ʻole kaomi ma aneʻi no ka ʻike hou aku e pili ana i ka mālama ʻana i ka meaʻai gluten-free.

Nānā no