Da farko kallo, ba ze yi wani ma'ana cewa akwai dangantaka tsakanin ƙwannafi da ƙwayoyin cuta ba. Ta yaya wani abu mai ban sha'awa (ƙwararrun) yana da wani abu da za a yi tare da wani abu mai nisa (ƙwannafi)? Duk da haka, akwai ka'idar da ke tattare da su biyu. Bari mu duba ...
Ka'idar Wannan Ƙwayar Ƙwayar Ciwon Binciken Ƙananan Ƙwayar Cutar GERD
A cikin littafinsa, Fast Tract Digestion , Norman Robillard, Ph.D.
ya sa yanayin da ƙwayar cutar kwayar cutar ta jiki (SIBO) zata iya zama ainihin dalilin cutar cututtukan gastroesophageal (GERD).
SIBO ne yanayin kiwon lafiya wanda akwai kwayoyin da yawa a cikin ɓangaren ƙananan ƙwayar ƙwayar zuciya , wurin da wadannan kwayoyin halitta ba za su kasance ba. GERD wata cuta ce wadda ciki take ciki da ƙwayar ciki na cinye rufin esophagus (reflux acid), haifar da alamar ƙwayar ido.
Ta yaya za a haɗa waɗannan biyu? Dokar Dokta Robillard shine gas din da kwayoyin dake zaune a cikin ƙananan hanji ya sanya matukar damuwa kan ƙwayar hankalin ciki da ciki wanda zai iya tura ruwa daga ciki zuwa cikin esophagus.
Bugu da ƙari, ga gano sabon hanyar da za a dubi dalilin GERD, Dokta Robillard ya ba da sabuwar kallo ga magani. Bai yarda da amfani da magunguna masu rage-cututtukan acid ba, musamman ma amfani da masu kwantar da hanzari na proton (PPIs), wanda shine a halin yanzu magani na GERD.
Maganarsa ita ce, rage yawan ƙwayar ciki da aka samu daga PPI na taimakawa wajen ciwon kwayar cuta a cikin ƙananan hanji a farkon wuri, yayin da mai ciki yana taimakawa wajen kare kwayoyin cutar daga jikin mutum.
Abin da Dokta Robillard ya ba da shawarar ita ce, marasa lafiya na GERD sun bi abincin da ba shi da kyau a cikin abin da ya kira "ƙwayar juyawa" carbohydrates.
Yana da imanin cewa rage cin abinci a cikin waɗannan carbohydrates na taimakawa wajen farfadowa da wadannan kwayoyin cutar da kuma ƙara yawan gas ɗin da ke haifar da reflux.
Abin sha'awa shine, jerin sunayen carbohydrates da ya gujewa suna da kama da wadanda ke cikin ƙananan FODMAP na IBS . Bambanci mai mahimmanci shine abincin da ke da tsire-tsire a cikin sitaci mai karfi, irin su banbanci mara kyau da masara, wanda aka karfafa a kan rage cin abinci na FODMAP amma Dr Robillard ya hana shi ta hanyar kula da GERD.
Kimiyya Bayan Tarihin
Kodayake ka'idar ta tilastawa, har yanzu babu bincike da yawa don tallafawa shi.
Ɗaya daga cikin karamin bincike ya shafi samun marasa lafiya na GERD haɗiye wani bayani na ko dai fructooligosaccharides (FOS) ko placebo bayan abinci na mako daya kowane. FOS ba su da digestible kuma, sabili da haka, suna samuwa don yin amfani da kwayar cutar ta tsakiya. Abin sha'awa, FOS shine nau'i na FODMAP , wanda aka samu a abinci kamar albasa, tafarnuwa, da bishiyar asparagus.
Masu binciken sun gano cewa FOS ta kara yawan lokutan shakatawa da tsokoki na jiki, tare da kara yawan adadin acid da kuma alamun GERD. A cikin wannan binciken, ba a ambaci SIBO ba, amma masu binciken sun yanke shawarar cewa shi ne cikas a cikin sashin da ya haifar da karuwar cutar bayyanar GERD.
Wata ƙananan binciken da aka gano ya nuna cewa abincin mai yawancin carbohydrate ya inganta ingantacciyar bayyanar GERD a cikin ƙananan marasa lafiya na GERD.
Layin Ƙasa
A yanzu, ana ganin duk abin da za mu iya ƙaddara shi ne, wannan wata ka'ida ce mai ban sha'awa. Da fatan, za a gudanar da bincike mai zurfi don gano idan abinci maras amfani da carbohydrate ya tabbatar da SIBO da sauƙaƙe alamun GERD. Abin baƙin ciki, kudade don maganin abincin da ake amfani da shi don maganin likita yana nuna rashin lafiya. Da kaina, Ina so in ga wasu bincike kan yadda ko kadan-FODMAP cin abinci yana da tasiri a kan ƙwayar cututtuka - abin da na ji daga abokan cinikin da ke cikin cin abinci.
GERD na da karfi shine yanayin da likitanku ya fi dacewa. Duk da haka, idan wannan ka'idar ta sauko maka, magana da likita game da shi. Idan ka yanke shawara cewa kana so ka gwada yawancin abincin da Dokar Robillard ya ba da shawarar da kuma duba sakamakonsa akan alamun bayyanarka, ya kamata ka tuntuɓi mai sana'ar cin abinci mai cin abinci don tabbatar da cewa duk abubuwan da ake bukata don cin abinci.
Sources
Austin, G., et.al. "Hanyoyin Cutar Gwazaccen Raunin Gishiri Ya Karu da Gastroesophageal Dama da Kwayoyin Halitta " Cutar cututtuka da Kimiyya
Piche, T., et.al. "Tsarin gwiwar cinikayya yana haifar da ciwon haɗin gwiwar maganin cutar kanjamau cikin cutar gastroesophageal" Gastroenterology 2003 124: 894-902.
Robillard, N. (2012) Fast Tract Digestion: ƙwannafi . Watertown, MA: Kiwon Lafiya na Kai.