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Whipple ’s disease ( WD ) is an passing rare disease produced by the bacterium Tropheryma whippelii . The risk factors are unknown although it seems to affect more middle - aged men . It is characterized by a syndrome of malabsorption , tie in with other clinical manifestations such as arthralgia ( joints nuisance ) and even in modern stages , cerebral participation .
What is a Good Diet for Whipple’s Disease?
Many of the diseases such as Whipple ’s disease that cause malabsorption syndrome have a specific treatment , for example , the suppression of food containing milk sugar and gluten inlactose intoleranceandceliac diseaserespectively , the humble - residue diet in idiopathiculcerative colitisand inCrohn ’s disease .
The dietetic guidelines uncouth to all diseases including Whipple ’s disease that occur with a malabsorption syndrome have as target : Increase digestion and absorption , temperate intestinal transit and improve the state of nutrition .
The Whipple ’s disease diet must be strictly balanced , that is , fulfil the needs of vigor and all nutrients , ascertain that the symmetry between the latter are adequate and that must be achieved in each food intake . The ingestion of a reduced amount of solid food each time , along with the increase in intellectual nourishment frequency , allows these necessary to be met at the same time .
The ingestion of dietary fiber , especially the fibrillar type , should be much eliminated , since it damages the mucosa of the little intestine , already injured . Therefore , it is recommend not to rust the “ viands ” ( banana tree , tubers and starchy roots ) whole but in puree , the beans should be passed through a homogenizer and strained , the fruits should be consumed in juices , moil vegetables , soft rice and that is not precooked . Pasta and whole pale yellow boodle are contraindicate .
The Whipple ’s disease dieting must provide proteins of mellow digestibility contribute by red or lily-white centre well chop . The heart and soul hasheesh spread with soy is not advisable because soy provides more dietetical roughage .
Sweets in sirup and sugary foods are prohibited because they increase osmolality and can causediarrheadue to an osmotic effect .
The Whipple ’s disease dieting should have a down in the mouth - fat substance to forefend steatorrhea ( bearing of adipose tissue in BM ) . The administration of intermediate chain fatty dose , if possible , is utile .
It is advisable not to eat fried foods , mayonnaise , butter or animal fat . Peanut nougat is prohibited for its fat and sugar content .
It is recommend to rule out milk and milk derivatives due to the eventuality of a comparative lactase deficiency . These foods can be sub for soya bean yoghurt .
About Malabsorption Syndrome
The malabsorption syndrome happen as a result of a shortage in the enteric immersion of dissimilar nutrient , that mean it is produced by the abnormal transfer of imbibe substances from the intestinal lm to the internal environment , which may be due to different physiopathological mechanisms and obey various causes .
Absorption is the principal mapping of the intestine . The small intestine of a supposedly respectable grownup soul has a full sphere of approximately 2 million cm2 . This is achieved through 3 types of morphological specialization : the connivent valves , the intestinal villi and the microvilli of the enterocyte . At the level of the membrane of the luminal pole of the enterocyte ( microvillus membrane ) , there are proteins with a two-fold function , morphological - enzymatic , which are involved in the completion of the digestion of carbohydrate and proteins in the diet .
In the little intestine , there are 2 types of digestion : luminal and tissue layer . The first occurs basically in the lumen of the Hammond organ and preferentially pretend the fatness in the dieting . The surface or membrane digestion is of interest to the carbohydrates and protein of the diet and is carried out when these are take up to the glycoproteic fiber of the glycocalyx , where the enzymes that hydrolyse the part digest food are situate , for the completion of the digestion .
Conclusion
The lit on the nutritionary treatment of Whipple ’s disease is scarce . However , it is known that due to the difficulties in absorbing food link with Whipple ’s disease , the medico may recommend that you take vitamin and mineral supplements to ensure adequate nutrition . Your organic structure may call for the extra sum of money of vitamin calciferol , folic acid , atomic number 20 , iron , and Mg .
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