Rashin haƙuri na Lactose

Lactose wani nau'in sukari ne wanda ake samu a madara da sauran kayan kiwo. Wani enzyme da ake kira lactase jiki yana buƙata don narkar da lactose.

Rashin haƙuri na Lactose yana tasowa lokacin da ƙananan hanji baya wadatar wannan enzyme.

Jikunan jarirai suna sanya lactase enzyme don su iya narkar da madara, gami da ruwan nono.

• Yaran da aka haifa da wuri (wanda bai kai ba) wani lokacin suna da rashin haƙuri na lactose.
• Yaran da aka haifa a cikakkiyar lokaci galibi basa nuna alamun matsalar kafin su kai shekaru 3.

Rashin haƙuri na Lactose ya zama gama-gari ga manya. Ba shi da haɗari sosai. Kimanin manya Amurkawa miliyan 30 suna da ɗan rashin haƙuri na lactose a shekara 20.

• A cikin fararen fata, rashin haƙuri a cikin lactose yakan taso ne a cikin yara sama da shekaru 5. Wannan shine zamanin da jikinmu zai iya daina yin lactase.
• A cikin Baƙin Amurkawa, matsalar na iya faruwa tun daga shekaru 2.
• Yanayin ya zama ruwan dare gama gari tsakanin manya da al'adun Asiya, Afirka, ko na Asalin Amurkawa.
• Ba shi da yawa a cikin mutanen arewa ko yammacin Turai, amma har yanzu na iya faruwa.

Rashin lafiya wanda ya shafi ko cutar da ƙananan hanjinka na iya haifar da ƙarancin enzyme na lactase. Jiyya na waɗannan cututtukan na iya inganta alamun rashin haƙuri na lactose. Waɗannan na iya haɗawa da:

• Yin tiyatar ƙananan hanji
• Cututtuka a cikin ƙananan hanji (ana yawan ganin wannan ga yara)
• Cututtukan da ke lalata ƙananan hanji, kamar su celiac sprue ko cutar Crohn
• Duk wata cuta da ke haifar da gudawa

Yaran na iya haifuwa tare da nakasar kwayar halitta kuma ba su da ikon yin kowane lactase enzyme.

Kwayar cututtuka sau da yawa yakan faru minti 30 zuwa 2 hours bayan samun kayan madara. Kwayar cutar na iya zama mafi muni lokacin da ka cinye adadi mai yawa.

Kwayar cutar sun hada da:

• Ciwan ciki
• Ciwon ciki
• Gudawa
• Gas (flatulence)
• Ciwan

Sauran matsalolin hanji, kamar cututtukan hanji, na iya haifar da alamomi iri ɗaya kamar rashin haƙuri na lactose.

Gwaje-gwaje don taimakawa wajen gano rashin haƙuri na lactose sun haɗa da:

• Gwajin numfashi na Lactose-hydrogen
• Gwajin haƙuri na Lactose
• Matsakaicin pH

Wata hanyar kuma na iya zama kalubalantar mara lafiya da gram 25 zuwa 50 na lactose a cikin ruwa. Ana tantance alamun cutar ta amfani da tambayoyin tambayoyi.

Hakanan ana gwada gwajin sati 1 zuwa 2 na cin abincin mara lactose kwata-kwata wasu lokuta.

Yanke cin abincin madara wanda ya ƙunshi lactose daga abincinku mafi sau da yawa yana sauƙaƙa bayyanar cututtuka. Hakanan duba alamun abinci don ɓoyayyun hanyoyin lactose a cikin samfuran nonmilk (gami da wasu giya) kuma ku guji waɗannan.

Yawancin mutane masu ƙananan matakin lactase na iya sha har zuwa rabin kofin madara a lokaci ɗaya (2 zuwa 4 awo ko 60 zuwa milliliters 60 zuwa 120) ba tare da alamun bayyanar ba. Manyan sabis (sama da awo 8 ko 240 mL) na iya haifar da matsala ga mutanen da ke da rashi.

Kayan madara wadanda zasu iya zama sauki a narke sun hada da:

• Buttermilk da cuku (waɗannan abincin sun ƙunshi ƙasa da lactose fiye da madara)
• Abincin madara mai narkewa, kamar yogurt
• Madarar akuya
• Cuku wuya cuku
• Madara da kayayyakin madara marasa Lactose
• Madarar shanu ta Lactase ga yara da manya
• Tsarin soy na jarirai masu ƙarancin shekaru 2
• Soya ko madarar shinkafa don yara

Zaka iya ƙara enzymes na lactase zuwa madara ta yau da kullun. Hakanan zaka iya ɗaukar waɗannan enzymes azaman capsules ko allunan da za'a iya taunawa. Hakanan akwai samfuran kiwo da yawa na kyauta.

Rashin samun madara da sauran kayan kiwo a abincinku na iya haifar da karancin sinadarin calcium, bitamin D, riboflavin, da protein. Kuna buƙatar 1,000 zuwa 1,500 MG na alli kowace rana dangane da shekarunku da jima'i. Wasu abubuwan da zaku iya yi don samun ƙarin alli a cikin abincinku sune:

• Auki abubuwan ƙarin alli tare da Vitamin D. Yi magana da mai ba da sabis na kiwon lafiya game da waɗanne waɗanda za ka zaɓa.
• Ku ci abincin da ke da ƙarin alli (kamar su ganye mai ɗanɗano, kawa, sardines, kifin gwangwani, da jatan lande, da broccoli).
• Sha ruwan lemu tare da kara alli.

Kwayar cutar galibi galibi tana tafiya yayin cire madara, da sauran kayan kiwo, da sauran hanyoyin lactose daga abincinku. Ba tare da canje-canje na abinci ba, jarirai ko yara na iya samun matsalolin girma.

Idan rashin haƙuri na lactose ya samo asali ne sakamakon rashin lafiya na zawo na ɗan lokaci, matakan lactase enzyme zasu dawo daidai cikin weeksan makonni.

Kira mai ba da sabis idan:

• Kuna da jariri ƙarami fiye da shekara 2 ko 3 wanda ke da alamun rashin haƙuri na lactose.
• Yaronku yana girma sannu a hankali ko baya samun kiba.
• Ku ko yaranku suna da alamun rashin haƙuri na lactose kuma kuna buƙatar bayani game da maye gurbin abinci.
• Kwayar cutar ku ta kara lalacewa ko kuma bata inganta da magani.
• Kuna ci gaba da sababbin bayyanar cututtuka.

Babu wata hanyar da aka sani don hana haƙuri da lactose. Kuna iya hana bayyanar cututtuka ta hanyar guje wa abinci tare da lactose.

Karancin Lactase; Rashin haƙuri da madara; Rashin disaccharidase; Rashin haƙuri rashin kayan abinci; Gudawa - rashin haƙuri na lactose; Bloating - rashin haƙuri na lactose

• Gudawa - abin da za a tambayi likitanka - yaro
• Gudawa - abin da za ka tambayi mai ba ka kiwon lafiya - baligi

• Gabobin tsarin narkewar abinci

Höegenauer C, Guduma HF. Maldigestion da malabsorption. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 104.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Ma'anar & hujjoji don rashin haƙuri da lactose. www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/definition-facts. An sabunta Fabrairu 2018. An shiga Mayu 28, 2020.

Semrad CE. Gabatarwa ga mai haƙuri tare da gudawa da malabsorption. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 131.