I-Leaky Gut Syndrome: Izimpawu, Izimbangela, Ukuxilongwa, kanye Nokwelashwa

I-Leaky gut syndrome yisimo sezempilo esihlobene nesifo uhlelo lokugaya ukudla lapho ulwelwesi lwamathumbu luvuza futhi luvumele ubuthi namagciwane ukuthi angene ngaphakathi emathunjini nasegazini. Nakuba i-leaky gut syndrome ingesona isimo sezokwelapha esiqashelwayo esingatholwa, ucwaningo olwengeziwe kule ndawo lungasiza ekuthuthukiseni ukuqonda mayelana nokungeneka kwamabhaktheriya nobunye ubuthi egazini obungase budlale indima ebalulekile ezimweni zezempilo ezihlukahlukene njengesifo sika-Crohn.

Iyini i-Leaky Gut Syndrome?

Igama elithi "amathumbu avuzayo" libhekisela ekulimaleni kolwelwesi lwamathumbu ngenxa yezizathu ezahlukene. Isisu namathumbu kugcwele ama-enzyme okugaya ukudla kanye nama-bacterium e-gut anempilo asiza ekuhlukaniseni izakhamzimba ezivela ekudleni nasemanzini zibe ama-molecule asebenzisekayo namuncwa ukuze akhiqize amandla kanye nokukhula nokulungisa. Izindonga zamathumbu zivumela ukumuncwa kwamanzi nezakhamzimba ukuthi kudlule emgudwini wegazi kuyilapho kuvimbela izinto eziyingozi ukuthi zingadluli. Ukungena kwamathumbu okunjalo okukhethayo kwaziwa ngokuthi i-intestinal permeability. 

Ukwanda okungapheli kwesimo sokuvuthwa kwamathumbu ngokuvamile kubizwa ngokuthi i-leaky gut syndrome. Kulesi simo, amagciwane, ubuthi, ngisho nezinhlayiya zokudla ziqala ukungena egazini. 

Ubani Othola Amathumbu Avuzayo?

Izimbangela ezaziwayo nezingenzeka ze-leaky gut syndrome zibandakanya ukuguguleka okuhlelekile kolwelwesi lwamathumbu. Kwenzeka kancane kancane kunokuba kungazelelwe. Nakuba kungenzeka ukuthi ilimale okwesikhashana, amathumbu akhelwe ukuba alungiswe futhi agcwaliswe njalo. Nakuba ithumbu lenzelwe ukuzilungisa nokuzigcwalisa njalo, ukuguguleka okuphelele kuze kube yilapho izinhlayiya nobuthi bungakwazi ukungena olwelweni kudinga umzamo omkhulu. Izimo ezingalapheki, ukusetshenziswa isikhathi eside kwezinto ezithile ezifana notshwala noma izidakamizwa, noma isifo esingamahlalakhona kungase kuholele ekwandeni kokungena kwamathumbu, okuholela ekuvuzeni kwe-gut syndrome. Ukwelashwa ngemisebe kungase futhi kuholele ku-leaky gut syndrome kwabanye abantu.

Izimbangela ze-leaky gut syndrome zibandakanya ukulimala okungapheli nokujwayelekile kolwelwesi lwamathumbu okungaholela ekwandeni kokungena. Ngakho-ke, izici zokucindezeleka ezivamile zansuku zonke ezifana nokudla, indlela yokuphila yokunganyakazi, kanye nengcindezi engapheli zingase zisebenze ngokunqwabelanayo ukuze zifake amathumbu phansi.

Izimpawu ze-Leaky Gut Syndrome

Azikho izimpawu ezisobala ezihlobene ne-leaky gut syndrome noma ukwanda kokungena. Nokho, lesi simo singase sibangelwe ukulimala kolwelwesi lwamathumbu. Izimpawu ze-leaky gut syndrome zingahluka kakhulu futhi zingabandakanya okulandelayo:

• Igesi nokuqunjelwa
• Uhudo
• Ukungagayeki okubuhlungu ngenxa yokulahlekelwa yi-mucosa yamathumbu 
• Ukushiswa amathumbu
• I-gastrointestinal mucositis kusuka ekwelapheni ngemisebe
• Amandla aphansi noma ukukhathala okungapheli
• bekhanda
• Izinguquko ohlelweni lokugaya ukudla, njenge-irritable bowel syndrome (IBS)
• Izinkinga zesikhumba ezifana ne-eczema, induna, nokuqubuka
• ebuthakathaka izivikeli mzimba
• Ukudideka nobunzima bokugxila 
• Ukungezwani nokudla kanye/noma ukungabekezelelani
• Izinkinga zempilo yengqondo njengokucindezeleka, ukukhathazeka, nokuphazamiseka kokunaka 

Izimbangela ze-Leaky Gut Syndrome

Kukholelwa ukuthi izinto eziningi ziyimbangela ye-leaky gut syndrome, njenge: 

• Ukuphuza utshwala ngokweqile: Abantu abaphuza kakhulu futhi nsuku zonke bavame ukuba sengozini enkulu yokuba nesifo esivuzayo.
• Ukucindezeleka Okungapheli: Ukucindezeleka, ngokuvamile, kungase kuholele ezimweni eziningi. Ukucindezeleka okungapheli isikhathi eside kungase kubangele izimo, kuhlanganise ne-leaky gut syndrome.
• Ukuntuleka kokudla okunomsoco kanye nokudla okungenamsoco: Isizathu se-leaky gut syndrome kungenzeka ukuthi sibangelwa ukuntula isikhathi eside kwezakhi ezibalulekile njenge-zinc, kanye ukushoda kwamavithamini. Ukwenyuka kokudla okuthile okunjengoshukela, ikakhulukazi ukudla okushintshwe izakhi zofuzo, i-fructose, imikhiqizo yobisi, njll., nakho kungase kubangele ukwanda kokungena, okuholela ekuvuzeni kwe-gut syndrome.
• Ukusetshenziswa kwama-NSAID: Ukusebenzisa izidakamizwa ezingezona ze-steroidal ezilwa nokuvuvukala kungase kube nomthelela ekwandeni kwengozi yokungena okungaholela ku-leaky gut syndrome.

I-Leaky Gut Diagnosis

Ayikho inqubo ejwayelekile yokuxilonga yokuxilongwa kwamathumbu avuzayo, njengoba izimpawu zingase zihlanganise uxhaxha lwezinkinga ezingahlobene. Ukwengeza, akukho ukuhlolwa kwamathumbu okuvuzayo ukukala ukuvuza kwamathumbu okungase kubonise ukuvuza kwamathumbu. Kodwa-ke, ukuhlolwa okuhlukahlukene kungase kusetshenziselwe ukubheka ubufakazi bokwanda kokungena kwamathumbu. Lokhu kuhlola kungase kuhlanganise okulandelayo.

• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi lokuxilongwa kwamathumbu avuzayo kungasiza ekunqumeni ukungena kwebhaktheriya. Izazi zezifo zingase zibheke amasosha omzimba athile kanye nama-endotoxin anganikeza ukuqonda kokungena kwamathumbu.
• Ukuhlolwa komchamo: Ukuhlolwa komchamo kungasiza ukukala amazinga kashukela emchameni ukuqonda ukuthi yimuphi ushukela ongadlula ezindongeni zamathumbu. 
• I-tissue biopsy: Ukuhlolwa kwaselabhorethri kwesampula yesicubu esisuka emathunjini kungasiza ukuqonda isici sokungena kolwelwesi lwamathumbu.
• Ukuhlolwa kwe-Endoscopic: Ukuhlolwa kwe-endoscopic okuthuthukisiwe kungasiza odokotela bahlole ulwelwesi lwamathumbu ngokugxila okukhulu nokukhulisa ukuze baqonde izinga lokungena kolwelwesi lwamathumbu.
• Ukuhlolwa kwe-Allergy: Ukuhlolwa kokungezwani komzimba nakho kungasiza ekunqumeni amazinga e-IgE ukuze kuhlonzwe noma yikuphi ukungezwani komzimba okungenzeka kubangele i-leaky gut syndrome.

Ukwelashwa Kwamathumbu Avuzayo

Okuwukuphela kwendlela yokwelapha amathumbu avuzayo ukwelapha imbangela. Ukwelashwa okuqondile kwezimo ezingase ziholele ekwandeni kokungena kwamathumbu kungasiza ukulungisa ulwelwesi lwamathumbu. Ukwelashwa kwamathumbu avuzayo okusebenza ngempumelelo kubandakanya ukwenza ukuguqulwa kokudla kanye nendlela yokuphila ukuze kube lula ukuphulukiswa kolwelwesi lwamathumbu. Ukwenza izinguquko ezinjalo kungase kungadambi nje kuphela izimpawu ezivamile zesifo amathumbu kodwa futhi ithuthukisa impilo yonke kanye nobuqotho be-gut lining. Ngaphezu kokulungiswa kokudla, izinguquko ezilandelayo zendlela yokuphila zingasiza ekuthuthukiseni ukugaya futhi zibe nomthelela ekulungiseni amathumbu avuzayo: 

• Ukuzivocavoca njalo
• Ukuphatha nokunciphisa ingcindezi
• Ukulala ngokwanele njalo ebusuku
• Ukuyeka ukubhema nokusebenzisa utshwala
• Ukugwema ukusetshenziswa okungadingekile kwama-antibiotic 

Izingozi Zezingozi

Ukungalingani kumagciwane amathumbu kungase kuthinte impilo yonke yamathumbu, okungase kuhlanganise nokwanda kokungena kwamathumbu. Izinkinga ezinjalo zingase zibangele amasosha omzimba, okuholela ekuvuvukeni kanye nokwanda kokungena, okubangela i-leaky gut syndrome. Ezinye izimo nazo zandisa ingozi yokuthola i-leaky gut syndrome, okuhlanganisa: 

• I-irritable bowel syndrome (i-IBS)
• Isifo sikaCrohn
• Isifo se-Celiac
• Diabetes
• I-Polycystic ovarian syndrome (PCOS)
• Isifo esingalapheki sesibindi 
• Ukwelashwa kokudla

Ezinye izifundo futhi ziphakamisa ukuthi i-leaky gut syndrome ingase iqalwe izimo zempilo yengqondo njengokukhathazeka nokudangala. Kodwa-ke, ucwaningo olwengeziwe luyadingeka ukuze kutholakale izimbangela nezici eziyingozi ze-leaky gut syndrome.

I-Leaky Gut Syndrome Diet - Ukudla okufanele Ukudle futhi Ukugweme

Ukwelashwa kwemvelo okuhle kakhulu kwe-leaky gut syndrome ukwenza izinguquko zokudla kanye nendlela yokuphila. Iziguli ezine-leaky gut syndrome ziyelulekwa ukuthi zenze izinguquko ezithile ukuze kuzuzwe ukululama okufunayo, njengokuthi: 

• Ukusebenzisa ama-Probiotics: Ama-probiotics alungiselelwe ngokukhethekile angasiza ukubuyisela ibhalansi yamagciwane amahle futhi abuyisele umgoqo wolwelwesi lwamathumbu. Ama-probiotics angasiza futhi ekuthuthukiseni impilo evamile yolwelwesi lwamathumbu ngokuvimbela ukwanda kohlobo olungalungile lwamagciwane emathunjini. 
• Kubandakanya ama-Prebiotics ekudleni: Ama-prebiotics athathwa ukuze kuthuthukiswe inani lama-bacterium amahle emathunjini futhi abasize ukuba balwe nezifo. Lawa ma-prebiotics angatholakala emifino.
• Ukugwema Amafutha Noshukela: Kubalulekile ukunciphisa ukusetshenziswa koshukela namafutha ukuze uvimbele ukukhula kwezinhlobo ezingalungile zamagciwane, kanye nokukhipha ama-emulsifiers anokhahlo okudla angabangela ukuvuvukala kwamathumbu.
• Ukugcina Ukudla Okunempilo Okufanelekile: Ukudla ukudla okulinganiselayo okuhlanganisa wonke ama-micronutrients abalulekile nama-macronutrients afana namavithamini namaminerali kungase kusize ukuqinisa amathumbu futhi kusize ukuthuthukisa isimo se-gut bacteria enempilo. Lezi zakhi zingasiza ukulungisa ulwelwesi lwamathumbu.

Isiphetho

I-Leaky gut syndrome ayisona isimo sezempilo esiqashelwa ngokusemthethweni kodwa singase sihlanganise uhlu olubanzi lwezinkinga eziholela ekwandeni kokungena kolwelwesi lwamathumbu, okuvumela amagciwane, ubuthi, nezinye izinhlayiya ukuba zingene egazini. Izinto ezimbalwa kukholakala ukuthi zidala amathumbu avuzayo, okuhlanganisa ingcindezi, ukudla, nezinye izinto ezijwayelekile njengezimo zempilo ezingapheli. Ukunciphisa ingcindezi nokuphatha ezinye izinkinga kungasiza ekwelapheni amathumbu avuzayo. Ukufuna usizo lwezokwelapha oluchwepheshile kungase futhi kube usizo ekulawuleni inkinga.

Ezibhedlela ze-CARE, sinethimba lodokotela be-gastroenterologist abahlakaniphe kakhulu abanokuhlangenwe nakho okubanzi ekuxilongeni izimo ezihlukahlukene zesisu, okuhlanganisa amathumbu avuzayo, kanye nokuhlinzeka ngezixazululo eziqondene nawe. Ukuze uhlele i-aphoyintimenti, xhumana nethimba lethu namuhla. 

Imibuzo Evame Ukubuzwa

1. Iyiphi indlela eshesha kakhulu yokwelapha amathumbu avuzayo?

Enye yezindlela ezingcono kakhulu zokwelapha amathumbu avuzayo ukudla ukudla okunempilo. Ukudla kufanele kube nokudla okucebile okukhuthaza ukukhula kwamagciwane anempilo emathunjini, njengezithelo, imifino, inyama engenamafutha, amafutha anempilo, nokudla okune-fibrous. 

2. Yiziphi iziphuzo ezelapha amathumbu avuzayo?

Iziphuzo ezicebile ngama-probiotic zingase zibe nenzuzo ekulungiseni ulwelwesi lwamathumbu nokwelapha amathumbu avuzayo.

3. Ngingahlola kanjani amathumbu avuzayo ekhaya?

Ukuhlolwa komchamo ekhaya kungasiza ukuhlola amathumbu avuzayo ekhaya. Umhlinzeki wezempilo angasiza ukuqonda izinyathelo ezihilelekile ekuhlolweni komchamo.

4. Ungakwazi yini ukulungisa amathumbu avuzayo ngokwemvelo?

Ukwelapha amathumbu avuzayo ekhaya ngokwemvelo kuhilela ukwenza izinguquko zokudla kanye nendlela yokuphila njengokudla ukudla okunempilo nokulinganiselayo, ukuvivinya umzimba njalo, nokugwema ukuphuza utshwala, amafutha agcwele angenampilo, ushukela, njll.