{"id":218,"date":"2024-04-21T12:05:30","date_gmt":"2024-04-21T12:05:30","guid":{"rendered":"https:\/\/terviseleht.eu\/?p=218"},"modified":"2024-04-26T14:17:52","modified_gmt":"2024-04-26T14:17:52","slug":"oige-toit-on-arritunud-soole-puhul-tohusam-kui-ravimid","status":"publish","type":"post","link":"https:\/\/terviseleht.eu\/?p=218","title":{"rendered":"\u00d5ige toit on \u00e4rritunud soole puhul t\u00f5husam kui ravimid"},"content":{"rendered":"\n

Dieetravi on \u00e4rritunud soole s\u00fcndroomi (IBS) korral efektiivsem kui ravimid. Need on G\u00f6teborgi \u00fclikoolis l\u00e4biviidud uuringu tulemused. Toitumise kohandamine v\u00e4hendab haigusn\u00e4hte seitsmel patsiendil k\u00fcmnest.<\/h4>\n\n\n\n

\u00c4rritatud soole s\u00fcndroom (IBS) on levinud haigus, mis p\u00f5hjustab erineva raskusastmega k\u00f5huvalu, gaaside teket, k\u00f5hupuhitus, k\u00f5hulahtisust ja k\u00f5hukinnisust. Need n\u00e4hud v\u00f5ivad olla erineva raskusega ja esineda v\u00e4ga erinevates kombinatsioonides.<\/p>\n\n\n\n

Raviks soovitatakse s\u00fc\u00fca sageli ja v\u00e4he korraga; v\u00e4ltida kohvi, alkoholi ja gaseeritud jooke. On ravimeid, mis leevendavad spetsiifilisi s\u00fcmptomeid nagu gaasid v\u00f5i k\u00f5hukinnisus, k\u00f5hulahtisus, puhitus v\u00f5i k\u00f5huvalu. M\u00f5nikord kasutatakse ka antidepressante.<\/p>\n\n\n\n

Ajakirjas The Lancet Gastroenterology & Hepatology avaldatud uuringus v\u00f5rreldi kolme raviviisi: kahte dieeti ja \u00fchte, kus kasutatakse ravimeid. Osalejad olid G\u00f6teborgi Sahlgrenska \u00fclikooli haigla raskete v\u00f5i m\u00f5\u00f5dukate IBS-i s\u00fcmptomitega t\u00e4iskasvanud patsiendid.<\/p>\n\n\n\n

S\u00fcmptomid paranesid enim p\u00e4rast toidulaual tehtud muudatusi<\/h3>\n\n\n\n

1\ufe0f\u20e3 Esimesele r\u00fchmale anti toitumisn\u00f5uandeid, mida ikka s\u00fcndroomi puhul antakse – s\u00fc\u00fca sagedamini, kuid v\u00e4he korraga ning s\u00fc\u00fca v\u00e4hem k\u00e4\u00e4ritatavaid s\u00fcsivesikuid, mida tuntakse FODMAP<\/strong>-idena. Viimaste hulka kuuluvad nt. laktoosi, kaunvilju, sibulaid ja teravilju sisaldvad toidud, mis k\u00e4\u00e4rivad k\u00e4\u00e4rsooles ja v\u00f5ivad s\u00fcndroomi korral valu p\u00f5hjustada.<\/p>\n\n\n\n

2\ufe0f\u20e3 Teine r\u00fchm sai dieetravi, kus toidus oli v\u00e4he s\u00fcsivesikuid ning proportsionaalselt palju valku ja rasva.<\/p>\n\n\n\n

3\ufe0f\u20e3 Kolmandas r\u00fchmas said patsiendi k\u00f5ige t\u00fclikamate s\u00fcmptomite leevendamiseks parima v\u00f5imaliku ravimi.<\/p>\n\n\n\n

Igas r\u00fchmas oli umbes 100 osalejat ja raviperioodid kestsid neli n\u00e4dalat. Kui teadlased seej\u00e4rel uurisid, kui h\u00e4sti osalejad ravile reageerisid, kasutades v\u00e4ljakujunenud \u00e4rritunud soole s\u00fcndroomi s\u00fcmptomite hindamisskaalat, olid tulemused selged.<\/p>\n\n\n\n

Need, kes olid traditsiooniliste toitumisn\u00f5uannete r\u00fchmas ja s\u00f5id v\u00e4he nn FODMAP sisaldavat toitu, v\u00e4henesid s\u00fcmptomid oluliselt 76% -l. Madala s\u00fcsivesikute ning k\u00f5rge valgu- ja rasvasisaldusega toidu r\u00fchmas oli see osakaal 71% ja ravimite r\u00fchmas 58%.<\/p>\n\n\n\n

K\u00f5ik r\u00fchmad teatasid oluliselt paremast elukvaliteedist, kahanenud f\u00fc\u00fcsilistest, \u00e4revuse ja depressiooni s\u00fcmptomitest.<\/p>\n\n\n\n

Isikup\u00e4rastamise t\u00e4htsus<\/h4>\n\n\n\n

Kuuekuulise j\u00e4lgimise ajal, kui osalejad olid osaliselt naasnud oma varasemate toitumisharjumuste juurde, p\u00fcsis suurel osal siiski kliiniliselt oluline s\u00fcmptomite leevenemine: 68% traditsiooniliste toitumisn\u00f5uannete ja madala FODMAP-i r\u00fchmas ning 60% madala s\u00fcsivesikute sisaldusega dieedi r\u00fchmas.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Sanna Nybacka, Stine St\u00f6rsrud and Magnus Simr\u00e9n, Sahlgrenska Academy at the University of Gothenburg. Photo by Margareta G. Kubista, Malin Arnesson and Johan Wingborg<\/p>\n\n\n\n

Uuringut juhtisid G\u00f6teborgi \u00fclikooli Sahlgrenska akadeemia teadur ja dietoloog Sanna Nybacka, dotsent Stine St\u00f6rsrud ja professor ja vanemkonsultant Magnus Simr\u00e9n.<\/p>\n\n\n\n

“Selle uuringuga saame n\u00e4idata, et dieedil on IBS-i ravis keskne roll, kuid on mitmeid alternatiivseid ravimeetodeid, mis on t\u00f5husad,” \u00fctleb Sanna Nybacka.<\/p>\n\n\n\n

“Me vajame rohkem teadmisi selle kohta, kuidas IBS-i ravi tulevikus k\u00f5ige paremini isikup\u00e4rastada, ja uurime t\u00e4iendavalt, kas on teatud tegureid, mis v\u00f5ivad ennustada, kas inimesed reageerivad erinevatele raviv\u00f5imalustele paremini,” j\u00e4reldab ta.<\/p>\n\n\n\n

Uuring https:\/\/www.thelancet.com\/journals\/langas\/article\/PIIS2468-1253(24)00045-1\/abstract<\/a><\/p>\n\n\n\n

Loe ka: S\u00fcsinikuhelmed ravivad soole- ja maksahaigusi https:\/\/terviseleht.eu\/?p=195<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Dieetravi on \u00e4rritunud soole s\u00fcndroomi (IBS) korral efektiivsem kui ravimid. Need on G\u00f6teborgi \u00fclikoolis l\u00e4biviidud uuringu tulemused. Toitumise kohandamine v\u00e4hendab haigusn\u00e4hte seitsmel patsiendil k\u00fcmnest. \u00c4rritatud soole s\u00fcndroom (IBS) on levinud… <\/p>\n","protected":false},"author":2,"featured_media":220,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[9,7,11,8],"tags":[171,161,36,164,169,160,18,167,170,172,141,21,168,166,162,163,165,17,90],"class_list":["post-218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ennetus","category-ravi-ja-ravimid","category-toit-ja-toidulisandid","category-vaimne-tervis","tag-alkohol","tag-arritunud","tag-dieet","tag-fodmap","tag-gaasid","tag-ibs","tag-kehakaal","tag-kohulahtisus","tag-kohvi","tag-laktoos","tag-mikrobioom","tag-naised","tag-puhitus","tag-rasvad","tag-soole","tag-sundroom","tag-susivesikud","tag-toit","tag-valgud"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts\/218"}],"collection":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=218"}],"version-history":[{"count":1,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts\/218\/revisions"}],"predecessor-version":[{"id":221,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts\/218\/revisions\/221"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/media\/220"}],"wp:attachment":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=218"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=218"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}