Sangalalani Maphikidwe Ngakhale ndi EoE!
Zakudya zisanu ndi chimodzi za kudya zakudya (SFED) ndi imodzi mwa zakudya zomwe zimakonda kwambiri ngati muli ndi eosinophilic esophagitis (EoE). Pofuna kuthandizira kudziwa zakudya zomwe zimachititsa kuti matenda a EoE akule kwambiri, zakudyazi zimathetsa 6 zizindikiro zomwe zimayambitsa matendawa .
- Mkaka wa ng'ombe
- Mazira
- Nkhalango & mtedza wa mitengo
- Zakudya Zam'madzi (nsomba ndi nsomba za chipolopolo)
- Soy
- Tirigu
Zakudya zisanu ndi chimodzizi zimaphikidwa ndi odyera kapena m'nyumba. Zingakhale zokhumudwitsa kuti muwerenge maphikidwe m'mabuku ophika kapena pa intaneti yomwe nthawi zambiri imaphatikizapo zina mwa zakudya izi. Tidzakambirana zowonjezereka zomwe mungagwiritse ntchito posintha maphikidwe mu maphikidwe oyanjana ndi EOE kuti mukhale ndi zakudya zabwino.
Tirigu
Tirigu ndi chimodzi mwa zizindikiro zofala kwambiri, zomwe zimayambitsa matenda opatsirana pogonana omwe amapezeka ndi ana (2 ndi omwe amachititsa kuti anthu aziwoneka bwino) komanso anthu akuluakulu (omwe amawonekera kwambiri). Tirigu amaphatikizapo mapuloteni anayi omwe angayambitse matenda okhudza EoE kuphatikizapo: albumin, globulin, ndi gluten (gliadin & glutenin). Mwamwayi pali zofukufuku zochepa ndi zosiyana zokhudzana ndi momwe mbewu zina zomwe zimaphatikizapo mapuloteni omwewo zimagwira ntchito ndi maopositi omwe amatsutsana nawo.
Mwinamwake mwamva kuti ngati mukutsatira zakudya za SFED, muyenera kusiya kupatula balere ndi rye. Komabe nkhaniyi ili ndi kafukufuku wochepa komanso wosagwirizana ndi zomwe akunenazo. Chifukwa chakuti mapuloteni ambiri sakhala ndi mapuloteni ofanana ndi tirigu, muyenera kukambirana ngati kuchotsedwa kwabwino ndi dokotala wanu. Nkhumbazi zimapangidwanso mu mafakitale omwe ali ndi tirigu ndipo akhoza kukhala ndi tirigu mwa iwo.
Muyenera kusamala ndi zinthu zina zamaguleni pamsika, monga momwe zasinthidwa mwa njira yomwe imachotsa zakudya zawo zamchere, mavitamini B, ndi kufufuza mchere. Mu maphikidwe, mutha kusinthanitsa ufa wa tirigu ndi magetsi awa:
- Kinoya
- buckwheat
- gluten wopanda oat
- mpunga wofiira
- mapira
Mchenga wa quinoa ndi wofiira amadziwika kwambiri ngati omwe amaloŵa tirigu.
Mkaka wa Ng'ombe
Mkaka wa khola watchulidwa kuti ndi chimodzi mwa zovuta kwambiri zomwe zimayambitsa matenda a eosinophilic epopititis mwa ana onse (omwe amawonekera kwambiri) komanso akuluakulu (2 ndi omwe amachititsa kuti anthu aziwoneka). Puloteni yomwe imayambitsa reactivity ndi EoE imadziwika ngati casein. Kuwonjezera pa mkaka wa ng'ombe, zakudya zina zomwe zimakhala ndi mapuloteni ofanana ndi awa: tchizi, ayisikilimu, khofi, whey mapuloteni, chokoleti, ndi marinades. Olowera m'malo omwe mungagwiritse ntchito kupewa mkaka wa ng'ombe koma kukhala ndi chakudya chofanana ndi awa:
- mkaka wa mpunga wolimba
- mkaka wolimba kwambiri
- mkaka wa flax
Ndikofunika kuzindikira kuti mkaka wa amondi kapena mkaka wa khungwe sungagwiritsidwe ntchito m'malo mwa mkaka wa ng'ombe, chifukwa zonse zimakhala mitengo ya mtedza yomwe imachotsedwa ku SFED.
Mazira
Kusintha dzira kungakhale kochepa chifukwa cha chiwerengero cha zifukwa zomwe timagwiritsa ntchito mazira pokonzekera chakudya. Nazi malingaliro angapo omwe mungagwiritse ntchito m'malo mwa mazira anu mukufunikira kuphika.
Mtengo Wotsalira Umakhala Wolemba 1 Mazira - Waukulu Kumangirira
- 1 supuni yowonjezera Flour
- 3 Supuni Zamadzi
- Muziganiza mpaka dzira-ngati
Mbewu ya Chia Wopatsa 1 Mazira - Waukulu Wa Chofufumitsa
- 1 Supuni ya Chia Mbeu
- 1/3 Komiti ya Madzi
- Kokani ndi kukhazikitsa kwa mphindi 15.
Agar Agar Wopatsa 1 Mazira - Great For Binding
- 1 supuni ya Agar Agar
- 3 Supuni ya Madzi
Nthomba Zopatsa Mbalame Yoyamba 1 Mazira - Great for Moisture
- ½ Cup of Banana Mashed
Applesauce Wopatsa Mazira 1 Mazira - Great for Moisture
- ¼ Cup of Applesauce (osatulutsidwa)
Mbatata yosakaniza Yopatsa 1 Mazira - Great For Binding
- 2 Zakudya Zamatenda Zophimba (White kapena Sweet)
Mbewu ndi Mtedza Wamtengo
Nkhuta ndi mtedza wamtengo zimakhala zovuta kuziyika m'maphikidwe ophika. Nutsiti zamtengo zimaphatikizapo mitundu yosiyanasiyana ya mtedza. Nazi ena mwa mtedza wambiri wamtundu umene umayenera kuchotsedwa:
- amondi
- mashesa
- mtedza wa macadamia
- Mitsuko ya Brazil
- mtedza wa pine
- pistachios
- walnuts
Nkhuta ndi mtedza wamtundu zimagwiritsidwa ntchito kuti zikhale zomveka komanso zojambula m'malo mofunikira kwambiri. Izi nthawi zambiri zimangodumphira, kapena mukhoza kuziyika ndi mbewu ya mpunga kapena tirigu wochuluka wopanda gluten. Komabe ngati mukuyang'ana kuti mutengere zakudya zamagulu, mukhoza kugwiritsa ntchito mbewu zomwe zikuphatikizapo: Chia, flax, ndi hemp.
Zakudya Zam'madzi
Nsomba ndi nkhono ndizochokera kwa mapuloteni ambiri ndi Omega-3 fatty acids, zomwe ziri zabwino kwa thanzi la mtima wanu. Mofanana ndi nthikiti ndi mtedza wamtengo, simungathe kupeza malo ofanana ndi nsomba. Komabe kwa mapuloteni, mungagwiritse ntchito zakudya zina zochepa monga nkhuku. Mofananamo, monga m'malo mwa omega-3 fatty acids, mukhoza kuwonjezera mafuta anu a mafuta ndi mafuta a canola.
Soy
Soy ndi zovuta kufanana ndi kukoma kwake ndipo mungafunikire kuwonjezera mchere kuti mulawe. Komabe pano pali njira zingapo zowonjezera soya m'maphikidwe:
- Nkhumba Zoumba
- Mkaka wa Koconut
- Mbewu ya Azitona
- Vinyo wofiira
Kusintha Zakudya
Kuonetsetsa kuti mupitirize kudya zakudya zoyenera kudzakuthandizani kuti musadwale matenda osoŵa zakudya m'thupi mukamatsatira zakudya za SFED. Mukamagwiritsa ntchito zakudya zopangira zakudya m'phika lanu, mumagwiritsanso ntchito maphikidwe omwe amasangalala ndi zakudya zosiyanasiyana. Kupeza malo omwe amalowetsa m'malo mwainu ndisankha nokha. Yesetsani ndi malingaliro awa kuti mupeze zomwe mumakonda kwambiri. Sangalalani!
Zotsatira:
Doerfler, B., Bryce, P., Hirano, I. & Gonsalves, N. (2015). Njira yowonjezereka yopangira chithandizo chamankhwala kwa anthu akuluakulu omwe ali ndi matenda opatsirana pogonana: Chicago. Dis Esphagus. 28 (1): 42-58. onetsani: 10.1111 / dote.12175
Ana Odya Chakudya Chake. (nd). Chinsinsi Chothandizira Zomwe Mankhwala Amachokera M'thupi. Idapezeka pa January 30, 2016 kuchokera ku http://www.kidswithfoodallergies.org/page/soy-allergy-recipe-substitutions.aspx
Kliewer, KL, Venter, C., Cassins, AM, Abonia, JP, Aceves, SS, Bonis, PA ... Rothenberg, ME (2015). Kodi tirigu, balere, rye, ndi / kapena gluten ziyenera kupezeka pa chakudya cha 6? Journal of Allergy ndi Clinical Immunology. J Zachilombo Zamtundu wa Immunol. pii: S0091-6749 (15) 01726-1. lembani: 10.1016 / j.jaci.2015.10.040.
Anthu Omwe Amayendera Zochita Zachikhalidwe. (nd). Kusintha kwa mazira. Idapezeka pa January 30, 2016 kuchokera ku http://www.peta.org/living/food/egg-replacements/
Swanson Vitamins. (2014). Nkhumba Yophika Zakudya: Pewani Mazira Momwe Mungaperekere Maphikidwe Anu. Idapezeka pa January 30, 2016 kuchokera ku http://www.swansonvitamins.com/blog/kaitlins-blog/egg-substitutes.
Dipatimenti ya Ulimi ya United States. (2016). Mafunso Ofunsidwa Kawirikawiri (Mafunso). Idapezeka pa January 30, 2016 kuchokera ku http://www.ars.usda.gov/Main/docs.htm?docid=6233#omgea