Pambuyo-mitu-zenizeni zenizeni kufufuza zokhudzana ndi kulemera
Ndemanga ya September 2016 mu nyuzipepala ya The New York Times inapempha mayeso a zakudya zochepa za carb musanapite ku opaleshoni yonyamulira. Izi zili ndipempha, mwamsanga, kwa ife omwe tadzipereka kumoyo monga mankhwala. Apa pali njira zothandizira ku khitchini, osati malo opangira! Koma mwatsoka, ndemanga iyi ikusocheretsa. Palibe chifukwa chomveka chotsutsana ndi zakudya zochepa; ali pafupi kugwira ntchito mufupikitsa ndikulephera nthawi, monga wina aliyense.
Ngakhale pali kugawa kwabwino kwa zakudya ndi thanzi kunja uko, pali zambiri zomwe zimapitirizabe kuganiza ndi zolakwika; sikungathe kuwatengera onse pano. Koma gawo ili la New York Times ndi loyenera kufufuza ndi kufotokoza, makamaka chifukwa cha kukambirana kwakukulu, kofunikira komwe kumalimbikitsa.
Garth Davis, MD, ndi membala weniweni wa bungwe la zaumoyo ndipo ali oyenerera kuti adziwe m'mene olemba nkhaniyi adawonetsera kuti ntchito ya opaleshoni imawonongeka, yomwe imakhala yogwira ntchito bwino. Amagwiritsa ntchito mankhwala ochepetsa thupi komanso opaleshoni ku Houston, kumene ali dokotala wamkulu wa opaleshoni yolemetsa ku Memorial City Hospital. Iye ndi amenenso analemba mabuku a Proteinaholic: Chifukwa Chake Kudandaula Kwathu ndi Nyama Kumatipha , komanso Mtsogoleli wa Ophunzira pa Kupepesa Kuwonongeka .
Dr. Davis akuyang'ana kuchokera kumtunda ndipo amapereka chitsimikizo chenicheni cha zakudya zomwe zimadalira kwambiri komanso zowonjezereka zogwirizana ndi kulemera kwa kulemera kwa moyo ndi moyo wonse.
Maganizo a Opaleshoni Operekera Zofooka: Garth Davis, MD
Monga dokotala wa opaleshoni wolemera komanso wodwala wodwala odwala ambirimbiri oposa zikwi khumi ndi zisanu, ndinadabwa ndi nkhani yaposachedwapa ya New York Times , "Musanapereke $ 26,000 pa Opaleshoni ya Kulemera kwa Thupi, Chitani Izi." Chidutswacho chili ndi zilakolako zomwe ndikufuna kutero.
Choyamba: Olemba amatanthawuza kuti opaleshoni ya kulemera siigwira ntchito.
Kuchita kwa opaleshoni yolemetsa kwatsimikiziridwa kwa zaka zambiri ndi maphunziro akuluakulu. Ngakhale kuti olembawo akuyang'ana pamapepala angapo ofufuzira, onsewa anachitidwa nthawi yochepa. Ndiye olemba amayesera kuyerekezera opaleshoni yolemetsa yochepetsa ku carb diet. Apanso, sangathe kufotokoza molondola. Kafukufuku wa nthawi yayitali pa zakudya zochepa za carb akusowa chifukwa anthu sangathe kupirira nawo chifukwa cha zotsatira zake.
Zotsatira zazing'ono zochepa za zakudya zochepa za carb zimaphatikizapo kudzimbidwa, kufooka, chizungulire, kupweteka mutu, kusokonezeka, kupweteka kwa m'mimba, kukhumudwa, kunyoza, kusanza, kukhumudwa, kukhumudwa, komanso kupweteka kwa minofu.
Zotsatira za nthawi yayitali za carb kuchepetsa zingakhale ndi mkulu cholesterol, matenda a mtima, miyala impso, fupa, erectile kulephera, kusoŵa zakudya m'thupi, ndi ngozi yowopsa ya khansa.
Olembawo amatchula olemba olemba 10 omwe akulemba masabata awiri. Pofufuza zazing'ono izi, ndizochita kwa nthawi yaying'ono, musatipatse deta yokwanira kuti tifotokoze zowonjezera.
Pambuyo pokhala ndi anthu omwe ali ndi zakudya zochepa zedi komanso ndi chapamimba chodutsa, zotsatira zake sizingafanane.
Ndimawona kuti 80 peresenti mpaka 85 peresenti ya chifuwa changa cha m'mimba amachiza mankhwala awo a shuga patapita zaka zisanu, zomwe zimapindulitsa kwambiri. Palibe maphunziro a zaka zisanu pa zakudya zochepa za carb chifukwa anthu ambiri sangathe kukhalapo kwa nthawi yayitali.
Chachiwiri: Olembawo akuganiza kuti odwala omwe amawona opaleshoni ya opaleshoni anali asanayesere kudya.
Ndipotu, odwala onse ochita ntchito ayesa kudya zakudya zolemera, nthawi zambiri. Ambiri adya kuchokera "kumisasa ya mafuta" monga ana. Nthenda imodzi yomwe odwala athu amayesa ndiyo zakudya za Atkins (njira yotchuka kwambiri ya carb), nthawi zambiri, zomwe zimachititsa kuti azidya chakudya.
Palibe amene amapita opaleshoni popanda kuchita khama pa kudya. Kwa makampani ambiri a inshuwalansi, kuyesayesa kuyesetseratu kuyesayesa ndi kovomerezeka, ndipo ndikudziwa madokotala ochipatala ochepa amene angagwire ntchito kwa wodwala yemwe sanayambepo kuchepetsa thupi.
Chachitatu : Olembawo amasonyeza kusowa kwa chidziwitso chokhudza mizu yomwe imayambitsa matenda a shuga.
Amawoneka kuti akuganiza kuti matenda a shuga ndi chabe chifukwa cha shuga wambiri , pamene kwenikweni shuga wamkulu ndi chizindikiro, osati chifukwa, cha shuga. Zakudya za m'magazi m'munsi zimasiya shuga ya magazi, koma sizithetsa vutoli-thupi silingathe kukonza ma carbu.
Zoona, matenda a shuga amayamba chifukwa cha mafuta omwe amakhala m'maselo a minofu ndi a chiwindi. Izi zimapangitsa kuti thupi likhale lotha kupanga insulini yolandira, ndipo popanda mapulogalamu a insulini, shuga sungalowe mu selo. Zakudya zochepa za carb zidzataya shuga wa magazi, koma sizidzathetsa vuto lalikulu la insulin kukana .
Chachinayi: Olembawo akuwoneka kuti chakudya chochepa cha carb chinali chakudya chovomerezeka komanso chokha chokha cha shuga mpaka posachedwapa.
Izi ndi zabodza chabe. Ndipotu, ku yunivesite ya Duke m'ma 1940, Walter Kempner, MD, anachiza matenda a shuga ndi Mphamvu ya Rice.
Kuyambira mu 1976 mayesero ochiritsira matenda omwe anagwiritsidwa ntchito nthawi zonse amasonyeza kuti ntchito yochiritsira matenda a shuga imathandiza kwambiri. Ndipo kafukufuku waposachedwapa wothandizidwa ndi National Institutes of Health (NIH) watiwonetsa kuti zakudya zodyera zimagwira ntchito kwambiri kuposa dongosolo la zakudya za chikhalidwe cha American Diabetes Association (ADA). Chotsatira chake, ADA ikuphatikizapo njira zodyera chomera monga chakudya chokonzekera chakudya pa zokondweretsa zawo za anthu omwe ali ndi shuga.
Zoonadi, chakudya chokhazikika cha kalori chidzakhala ndi phindu pokhuza shuga ya magazi.
Chachisanu: Olembawo amanena kuti zakudya zochepa za carb zakhala zitasiyidwa molakwika ndipo ziyenera kubwezeretsedwa.
Lingaliro ndilokuti chakudya chochepa cha carb chinagwira ntchito koma "mafuta ochepa" pasanapite nthawi, ndipo molakwika, anathetsa kutchuka kwa zakudya zochepa. Zakudya zochepa za carb zakhala zikuzungulira kuyambira zaka za m'ma 1800. Pakhala zaka zambiri zogulitsa kwambiri kupyolera muzaka zomwe zimapereka mafuta otsika kwambiri monga graya woyera. Komabe, chakudyacho chabwereza mobwerezabwereza, osati chifukwa cha ziwalo zochepa za mafuta, koma chifukwa zotsatira zake zakhala zikugwiritsidwa ntchito nthawi yaitali.
Ndapita ku American Society ya Bariatric Physicians (yomwe tsopano ikutchedwa OMA) msonkhano wa pachaka; Zakudya zochepa za carb zakhala mwala wapangodya wa bungwe ili. Iwo apitiliza kugwiritsira ntchito chakudya ichi, osati kusiya monga olemba angakukhulupirire.
Funso langa ndiloti, ngati zakudya zochepa zagalimoto zimagwiritsidwa ntchito ndi odwala ambiri kangapo, ndipo amagwiritsidwa ntchito ndi madokotala ambiri pofuna kuyesa matenda a shuga ndi kunenepa kwambiri , nanga n'chifukwa chiyani tilibe vuto lalikulu? Mwachiwonekere, zakudya zochepa za carb sizigwira ntchito ngati njira yothetsera nthawi yaitali. Pamene ndikuuza odwala anga, "Ngati mutachita zomwe mwachita nthawi zonse, mudzapeza zomwe mwakhala nazo nthawi zonse."
Kuuza munthu wodwalayo wodwala matenda a shuga kuti apitirize kudya zakudya zinazake zapakhungu ndizochititsa manyazi kwambiri ndipo ndizoyenera kusamalidwa bwino ndi matendawa.
Kodi Mungatani Kuti Muzisunga Bwino Kusintha Mtundu wa Shuga?
Dzifunseni nokha funso ili: Ndi mitundu iti padziko lapansi yomwe ili ndi thanzi labwino kwambiri komanso lachilombo chocheperako kwambiri? Kufufuza kwa Zigawuni za Zifupa za Blue Blue kunapeza malo angapo padziko lapansi omwe ali ndi thanzi labwino komanso chiwerengero chachikulu cha anthu zana limodzi. Zakudya za madera osiyanawa zimakhala ndi ulusi wamba-zonse zimayang'aniridwa ndi zakudya zokhudzana ndi mafuta.
Anthu a ku Asia akhala akudya carbu monga mpunga ndi mbatata monga chodalirika. Ndipo ngakhale kuti kale matenda a shuga ku Asia analibe, China ndi mayiko ena a ku Asia tsopano ayamba kuwona kuchuluka kwa nthendayi osati chifukwa cha carbs, koma chifukwa cha nyama yomwe ikukhala yofunika kwambiri mu zakudya.
Pamene mauthenga akupitiriza kusindikizidwa mopitirira malire, kawirikawiri zambiri zolakwika zokhudzana ndi zakudya zochepa, owerenga amachita mantha kwambiri ndi carbu. Kuopa kumeneku kumapangitsa kuti nyama zizigwiritsa ntchito kwambiri. Izi zowonjezera kugwiritsiridwa ntchito kwa nyama ndizovuta, chifukwa zingathe kuwonjezera kuopsa kwa matenda a mtima ndi matenda a mtima pamene zikuwonjezera chiopsezo cha khansa.
Ndimagwirizana ndi olemba kuti tikhoza kuthetsa kufunikira kwa opaleshoni kwa anthu ena kudzera mu zakudya, koma zakudyazi ziyenera kukhala zapamwamba kwambiri mu zipatso, ndiwo zamasamba, zamasamba, ndi mbewu zonse. Malingaliro anga kwa odwala omwe ali ndi kunenepa kwambiri ndi shuga ndi kudya kwambiri zakudya zonse, zakudya zodyera komanso kuchita masewera olimbitsa thupi. Ayenera kusiya zakudya zowonongeka ndi kuganizira zakudya zabwino zomwe zimapangitsa anthu ambiri kukhala ndi thanzi labwino komanso opanda matenda.
Ngati kunenepa kwambiri kapena mtundu wa shuga 2 ndi koopsa, opaleshoni ndi chida chothandiza kwambiri. Palibe zakudya zilizonse pafupi ndi chitsimikizo chotsimikizika cha opaleshoni, ndipo mu nthawi yamakono, opaleshoni ndi njira yabwino kwambiri. Zomwe zikunenedwa, chidachi chiyenera kugwiritsidwa ntchito kusintha moyo wathanzi, osati monga mapeto mwaokha.