Zachidule za IBD Zakudya ndi Zakudya Zakudya
Funsani anthu khumi omwe ali ndi matenda opatsirana (IBD, omwe ali ndi Crohn's disease ndi ulcerative colitis) pa zakudya zawo ndipo mudzalandira mayankho khumi okhudza zakudya, maphikidwe , ndi momwe zizindikiro zimakhudzira. Izi ziri chifukwa palibe yankho limodzi lokha lokhudza zakudya ndi zakudya pa IBD.
Monga momwe zilili ndi mitu yambiri yokhudzana ndi IBD, pali malingaliro ambiri ndipo osati mochuluka mwa njira ya deta.
Komabe, pali njira zina zomwe anthu omwe ali ndi IBD angagwiritse ntchito pofuna kupeza njira yopezera zakudya zabwino zomwe zimadyetsa thupi lawo.
Nchifukwa chiyani Sizitchuka Kwambiri za Zakudya ndi IBD?
Zakudya ndi nkhani yovuta kuphunzira. Anthu omwe amaphatikizidwa pa maphunziro aliwonse a zakudya ayenera kumamatira ku zakudya zomwe amapatsidwa. Ngati iwo satero, izi zingabweretse mavuto ambiri. Izi sizikutanthauza kuti maphunziro okhudza zakudya ndi osatheka. Ndipotu, monga mbali zambiri za IBD zikuzimvetsetsedwera, maphunziro a zakudya tsopano akupangidwa.
Ngakhale gulu la IBD likudikirira zotsatira za maphunziro amenewa, lingaliro loyenera ndi kudalira zomwe tikuzidziwa tsopano.
Kuwonjezera mavuto a chakudya ndi vuto lodziwonekera. Pali maphunziro omwe amasonyeza kuti anthu omwe ali ndi IBD ndi madokotala awo ali ndi malingaliro osiyana pa zakudya. Kafukufuku wina amasonyeza kuti odwala ambiri kuposa madokotala amaganiza kuti zakudya zimakhudza IBD. Odwala amalankhulanso kuti sanalandire malangizo pa zakudya, komabe pafupifupi madokotala onse amati apereka malangizo pa izo. Ndipo theka la odwala amati adatsata malangizo a dokotala pa zakudya.
Kodi Zakudya Zimakhudza Bwanji IBD?
Zakudya siziri chifukwa cha IBD kapena mankhwala a IBD .
Komabe, n'kofunika kuti odwala omwe ali ndi IBD aziwotcha matupi awo ndi chakudya chopatsa thanzi. Pa nthawi yowonongeka , ndikofunika kwambiri kuganizira za zakudya zomwe zimathandiza kuti thupi liziyenda bwino ndi kutupa.
Anthu ambiri omwe ali ndi IBD amaletsa chakudya panthawi yosavuta kuti athe kuchepetsa zizindikiro monga ululu ndi kutsekula m'mimba. Koma zakudya zowonongeka zingayambitse mavitamini komanso zimakhudza umoyo wa moyo-chifukwa china chomwe chithandizo cha IBD choyenera komanso kubwerera ku chakudya choyenera ndi chofunikira.
Kupanda njala kumakhala kofala kwa anthu omwe ali ndi IBD, makamaka pa nthawi yovuta. Izi zingapangitse kukhala ndi thanzi labwino kwambiri. Zimakhala zachilendo kwa anthu omwe ali ndi IBD kulimbana ndi kulemera. Kudya zakudya zowonjezera zakudya zowonjezera zakudya, chakudya chambiri chocheperako, komanso kulenga zakudya ndi zakudya, monga kuyesera zakudya pa kutentha kosiyanasiyana, ndi njira zomwe zingathandize.
Kodi Zakudya Zabwino Ndi Zotani kwa IBD?
Palibe zakudya zomwe zawonetsedwa kuti zithandize anthu omwe ali ndi IBD. Anthu ena amanena kuti kusintha zakudya zawo kumathandiza zizindikiro zawo.
Koma palibe zakudya zomwe zawonetsedwa kuti zithandize anthu onse okhala ndi IBD.
Kugwira ntchito ndi wolemba zakudya wodzitetezera kumapereka chithandizo chabwino kwambiri cha kupeza chakudya chomwe chimathandiza ndi zizindikiro ndipo sikutsekereza mavitamini ndi zakudya. Nazi zina mwa zakudya zomwe nthawi zambiri zimayankhulidwa zokhudzana ndi IBD:
- Chakudya chokhacho chokhacho (EEN). Chakudya chokha chomwe chawerengedwa mokwanira kuti pali umboni wabwino wa sayansi kuti uzigwiritse ntchito ndi EEN. EEN yasonyezedwa kuthandizira ku matenda a Crohn kwa ana, koma pali umboni wosatsutsika kuti umagwira ntchito bwino kwa akuluakulu. Zakudya zimenezi ndi madzi ndipo zimaperekedwa kupyolera mu chubu yomwe imatsikira m'mphuno mpaka kumimba, nthawi zambiri usiku. Mfundo yofunika kwambiri pa chakudya chimenechi sikuti imathandiza kusintha zizindikiro, koma zingathandizenso kutupa m'mimba.
- Zakudya zamadzimadzi. Zakudya zamadzimadzi sizikulimbikitsidwa, makamaka. Koma pali nthawi zomwe zingagwiritsidwe ntchito. Nthawi ziwiri pamene zakudya zamadzimadzi zingakonzedwe kuphatikizapo opaleshoni kapena ngati pali gawo (gawo lochepa kwambiri m'matumbo) liripo. Imeneyi ndi chakudya chimene, moyenera, sichiyenera kutengedwera kwa nthawi yaitali chifukwa chimachepetsa kudya kwa zakudya.
- Zakudya zochepa. Zakudya zochepa zitha kugwiritsidwa ntchito pakapita nthawi pambuyo pochita opaleshoni kapena panthawi yopsereza. Kuletsa kuchuluka kwa fiber kungapangitse malo ochepa. Zingathandizenso kuchepetsa kupweteka kapena kupweteka chifukwa cha chakudya chochepa chomwe chikuyenda m'matumbo. Zakudya zimenezi sizitanthauza kuti azitsatiridwa nthawi yayitali ndipo anthu omwe ali ndi IBD ayenera kubwerera ku zakudya zowonjezereka zomwe zikuphatikizapo zakudya zamtundu uliwonse mwamsanga.
- Zakudya za Lactose. Anthu ena omwe ali ndi IBD angapeze kuti shuga wa mkaka ( lactose ) umayambitsa kuphulika, kutsegula m'mimba, kapena kusokonezeka. Zizindikiro zimatha kukhala wofatsa kapena wovuta. Kudula mankhwala onse a mkaka okhala ndi lactose kunja kwa zakudya ndi njira yabwino yopewera zizindikiro.
- Zakudya zamadzimadzi tokha (SCD). SCD ndi zakudya zomwe zimachotsa mbewu, lactose, ndi shuga kuchokera ku zakudya. Cholinga chachikulu cha chakudya chimenechi ndi chakuti odwala ambiri amawapeza kuti ndi ovuta komanso ovuta kuwatsatira. Sitinaphunzirepo mozama kuti anthu ogwiritsidwa ntchito ndi IBD azigwiritsa ntchito motere. Komabe, sizingaganizidwe kuti ndizovulaza.
- Zakudya zochepa za FODMAP. " FODMAP " ndi chidule cha oligosaccharides, otchedwa disaccharides, monosaccharides, ndi polyols. Cholinga cha chakudya chimenechi ndi kuletsa zakudya zilizonse zomwe zili ndi FODMAP. Anthu ambiri samadziŵa kuti zakudya zomwe zili pamwamba-FODMAP kapena low-FODMAP , choncho ndi bwino kuyesa zakudya izi pamene mukugwira ntchito limodzi ndi munthu wodya zakudya amene amamvetsa IBD. Pakhala pali maphunziro ang'onoang'ono pa zakudya zochepa za FODMAP ndi IBD zomwe zasonyeza zotsatira zabwino. Zilonda zam'chipatala ndizofunika kuti chakudyachi chisawonongeke kwa gulu lonse la odwala ndi IBD.
Kodi Anthu Amene Ali ndi IBD Angadziwe Bwanji Mavuto a Zakudya?
Kuwona zakudya zomwe zingayambitse zizindikiro za kutsegula m'mimba kapena kutsegula m'mimba kungatenge nthawi ndi bungwe. Kulemba diary yowonjezera chakudya yomwe imaphatikizapo zizindikiro ndi momwe zimakhudzira zakudya zina zingathandize kupeza zovuta. Mbali yofunika kwambiri yosunga diary ya chakudya ndiyomwe ikugwirizana ndi izo ndipo imaphatikizapo zambiri ngati momwe zingathere.
Kuyesera zakudya zowononga chakudya ndi njira ina yomwe ingathandize. Kuti mugwiritse ntchito njirayi, ndikofunika kupeza uphungu wa wothandizira odwala - makamaka chakudya cholembetsa-popeza chakudya chotero chingakhale chokwanira komanso chosokoneza. Kuchotsa zakudya ziyenera kuchitidwa kanthawi kochepa mpaka pangakhale kusamvana kosakwanira kwa chakudya . Ngati zakudya kapena magulu odyera ayenera kuzipewa mosalekeza, katswiri wa zakudya akhoza kupanga ndondomeko yomwe imathandiza kuti vitamini ndi mineral zikhale zowonjezera.
Kodi Pali Ndondomeko Zambiri Zodyera Zakudya?
Anthu omwe ali ndi IBD amafunika kudya zakudya zowonjezera zomwe zimapatsa thanzi thupi. Munthu aliyense amene ali ndi IBD adzapeza chakudya chake chomwe chimagwirira ntchito kwa iwo. Ndibwino kupeza maphikidwe omwe ali ndi zakudya zokoma komanso zolekerera ndikuphunzira kuphika. Izi zidzakuthandizani kupeŵa chakudya chosavuta kapena zakudya zowonjezera pamene mukulimbana ndi kutopa kapena zizindikiro zina zosokoneza.
Pali njira zina zomwe zimapereka mutu kumvetsetsa momwe mungadye ndi IBD:
- Mowa. Kumwa ndi mbali ina yosiyana kwa munthu aliyense amene ali ndi IBD. Ena angapeze kuti mowa ukhoza kutsogolera mpweya ndi kuphulika. Mankhwala ena omwe amachititsa matenda a IBD kapena IBD angagwirizane ndi mowa, choncho ndi bwino kukaonana ndi dokotala kapena wamankhwala musanayambe kumwa. Mowa umakhudza dongosolo la kudya, makamaka chiwindi, ndipo izi ziyenera kuganiziridwa ndi kukambidwa mothandizidwa ndi wothandizira zaumoyo.
- Zakumwa zakumwa. Mafuta ena angapangitse kuti bloating ndi gasi , zomwe sizikufunidwa, makamaka pa nthawi yovuta.
- Zakudya zokazinga. Zakudya zokazinga nthawi zambiri zimakhala zonenepa kwambiri ndipo zimakhala zopanda mphamvu ndipo zingayambitse kutsekula m'mimba mwa anthu ena.
- Zakudya zam'mwamba. Fiber ndi gawo lofunika kwambiri la zakudya zokwanira, koma zakudya zomwe zimakhala ndi mitsempha yambiri monga mtedza, chimanga, mbewu, ndi popcorn-zingakhale zoletsedwa. Izi ndizochitika makamaka opaleshoni ya m'mimba (opaleshoni ya ostomy kapena j-pouch ) komanso kwa aliyense amene ali ndi vuto.
- Lactose. Kusagwirizana kwa Lactose n'kofala. Kuthetsa mkaka kumathandiza kupeŵa zizindikiro zilizonse zomwe zimayambitsa shuga mkaka.
Chidziwitso Chochokera
Anthu ambiri omwe ali ndi IBD ali ndi mgwirizano wovuta ndi chakudya ndipo amayesetsa kudziwa zomwe angadye. Chiyeso ndi zolakwika zimakhala nthawi yambiri komanso zokhumudwitsa, koma panopa ndi njira yabwino kwambiri yopezera zakudya zomwe zimathandiza kupeŵa zizindikiro komanso zomwe ziri zathanzi.
Cholinga cha mankhwala opatsirana pogwiritsa ntchito IBD ndi kuteteza zizindikiro ndi kutupa ndikubwerera ku zakudya zabwino mwamsanga. Ndipo njira yabwino yopitira ku chakudya chopatsa thanzi ndi kufunafuna thandizo kuchokera kuntchito ndikugwira ntchito limodzi ndi akatswiri odziwa zaumoyo.
> Zosowa
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> Prince AC, Myers CE, Joyce T, Irving P, Lomer M, Whelan K. "Kutsekemera kwa mafuta m'thupi (Low FODMAP Diet) mu Kachitidwe Kachilombo Kulimbitsa Zizindikiro Zogwira Ntchito M'mimba Odwala Odwala Matenda Opatsirana." Inflamm Bowel Dis . 2016 May; 22: 1129-1136.