Mukhoza kapena simunamvepo phokoso lokhudza kugwiritsira ntchito ketogenic chakudya cha matenda opweteka a m'mimba (IBS). Chakudya cha ketogenic ndi zakudya zovuta kwambiri zomwe poyamba zinayambika monga chithandizo cha khunyu. Chifukwa chakuti njira zamankhwala za IBS zikhoza kuchepa, anthu omwe ali ndi vuto nthawi zambiri amayesa njira zina zothana ndi zizindikiro ndipo izi zingaphatikizepo kupanga kusintha kwakukulu kwa zakudya.
Mwachidule ichi, mudzaphunzira kuti chakudya cha ketogenic ndi chiyani kapena ayi kapena chinthu chothandizira kuti muganizire kuyesera IBS yanu.
Kodi Chakudya cha Ketogenic N'chiyani?
Chakudya cha ketogenic ndi chokhazikika kwambiri, chochepa kwambiri m'thupi, mafuta ambiri, mapuloteni apamwamba. Zakudyazi ziyenera kugwiritsidwa ntchito poyang'aniridwa ndi dokotala komanso ndi chithandizo ndi chitsogozo cha wodyetsa zakudya.
Chakudyacho choyamba chinalinganizidwa ngati chithandizo cha khunyu, ndipo pali kafukufuku wambiri kuti asonyeze kuti akhoza kuthetsa ntchito yogwira ntchito kwa anthu ena omwe ali ndi matendawa. Kafukufuku wokhudza zakudya adakula mpaka kufika polemera kwambiri ndipo kafukufuku wasonyeza kuti ikhoza kukhala chakudya chothandiza kulemera. Kugwiritsiridwa ntchito kwa zakudya za ketogenic monga mankhwala othandizira mavuto ena azaumoyo pakali pano.
Kodi Ketosis N'chiyani?
Kuti mumvetse bwino mmene chakudya cha ketogenic chimagwirira ntchito, mungafunikire kuwonanso bizinesi ya thupi lanu kuti mumvetsetse chikhalidwe cha thupi chomwe chimatchedwa ketosis.
Kawirikawiri matupi athu amagwiritsira ntchito chakudya cha mphamvu. Tikamasala kudya kapena kutsatira chakudya chamagazi kwambiri kwa masiku angapo, matupi athu amatuluka mu shuga komanso amasungunuka kuti apange mafuta. Izi zimapangidwa ndi kupanga thupi lotchedwa ketone. MaseĊµere a kupezeka kwa ketoniwa akhoza kuyesedwa poyesera mkodzo wanu, magazi kapena mpweya.
Ma ketone alipo, thupi limatchedwa kuti ketosis ndipo limasonyeza kuti thupi lanu tsopano likupeza mphamvu kuchokera ku mafuta m'malo mwa mafuta.
M'mbuyomu, ketosis ankaonedwa kuti ndi thanzi labwino. Komabe, lingaliro la tsopano ndilokuti wofatsa ketosis sikuti ndi owopsa chabe, koma mwina akhoza kukhala ndi thanzi labwino.
Matenda Amene Angapindule
Monga tafotokozera pamwambapa, pali magawo awiri omwe ali ndi mphamvu zofufuzira kafukufuku kuti athandizire zakudya zamakono:
1. Khunyu: Kupambana kwa chakudya cha ketogenic kwathandizidwa ndi kafukufuku kuyambira mu 1920, ndi kufufuza kwakukulu komwe kukuyesa kudya zakudya zogwiritsidwa ntchito ndi ana. Komabe, palinso umboni wochuluka wakuti ukhoza kukhala wogwira mtima kwa akulu omwe ali ndi khunyu. Kawirikawiri chakudyacho chimagwiritsidwa ntchito pamodzi ndi mankhwala oletsa kupweteka. Kafukufuku wasonyeza kuti anthu ambiri omwe amayesa zakudyazo amachepetsa kuchepa kwa kugwidwa. Kwa peresenti yaing'ono, zakudyazo zimakhala zothandiza kwambiri moti zimakhala zowonongeka kwathunthu. Kwa kagulu kakang'ono, zakudya zimakhala zothandiza kuposa mankhwala oletsa kupweteka.
2. Kulemera kwa thupi: Pali kafukufuku wambiri wathanzi kuti asonyeze kuti zakudya za ketogenic zimathandiza kuchepetsa kulemera.
Koma ochita kafukufuku samadziwa ngati kulemera kwake kumachitika chifukwa cha kulepheretsa kalori kapena ngati zimachitika chifukwa cha kuchepetsa zakudya. Pali kafukufuku wotsimikizira kuti choletsedwa cha m'magawo okha chingakhale chothandiza pa kulemera kwa kulemera. Kuletsa makapu kumathandizanso kuti zizindikiro za matenda a shuga (asanatuluke shuga), matenda a shuga a mtundu wa 2, ndi matenda a mtima. Ngati mukudabwa ngati chakudya chokhala ndi mafuta kwambiri chingapangitse kulemera, pali umboni wochuluka wakuti "mafuta" akale amachititsa kuti mukhale olemera "mukuganiza kuti panopa simatha.
Kwa mavuto ena azaumoyo, kafukufuku amapezeka pamayambiriro oyambirira. Pano, palibe mfundo zomveka zomwe zingagwiritsidwe ntchito.
Chakudya cha ketogenic chikuyesedwa ngati chithandizo chamankhwala awa:
- Zikodzo
- Matenda a Alzheimer
- Amyotrophic lateral sclerosis
- Autism
- Matenda a bipolar
- Kuvulala kwa ubongo
- Khansa
- Mutu
- Multiple sclerosis
- Matenda a Parkinson
- Matenda a Polycystic ovary
- Mavuto ogona
Zoopsa Zotheka
Ochita kafukufuku amakhulupirira kuti chakudya cha ketogenic ndi chakudya chopatsa thanzi labwino, koma kuyang'anira kwachipatala n'koyenera. Pali nkhawa zokhudzana ndi zotsatira za impso, kuphatikizapo chiopsezo chachikulu cha miyala ya impso. Mbali zina zomwe zimakhudzidwa ndi anthu omwe amatsata chakudya cha nthawi yaitali zimakhala ndi mitsempha yambiri yamagazi, mafupa a mafupa, ndi kuchepa.
Kodi Chakudya cha Ketogenic chingathandize IBS?
Mpaka pano, zikuwoneka kuti palibe maphunziro a kafukufuku wogwiritsira ntchito chakudya cha ketogenic kwa IBS.
Pali lipoti limodzi la zachipatala za kugwiritsidwa ntchito kwa "zakudya zochepa kwambiri" (VCLD) ndi odwala omwe amatsekula m'mimba kwambiri-IBS (IBS-D). Ichi chinali phunziro laling'ono, lalifupi kwambiri. Anthu 13 okha ochokera pachiyambi 17 anamaliza phunzirolo. Pulogalamu yophunzirayo inkafuna kuti ophunzira azitsatira VLCD kwa nthawi ya masabata anayi atatha kudya zakudya zoyenera kwa milungu iwiri. Ophunzira ambiri anali amayi ndipo onse anali olemera kwambiri. Zakudya zonse zidaperekedwa kwa ophunzira omwe amaphunzira nthawi yonse ya phunziro la sabata zisanu ndi chimodzi. Panthawi ya VCLD, chakudya chinali ndi 51% mafuta, 45% mapuloteni, ndi 4% zamagulupu. Momwemonso, chakudyachi chinali ndi mafuta ochepa komanso mapuloteni apamwamba kusiyana ndi momwe amachitira zakudya zamakono.
Zotsatirazo zinawonetsa kuti onse omwe amasonkhana akupereka chithandizo chokwanira cha zizindikiro pamasabata awiri omwe analipo pa VLCD, ndipo khumi mwa iwo akupereka chithandizo chokwanira pa masabata onse a chakudya choletsedwa. Kutonthozedwa mokwanira kwa zizindikiro monga muyeso kunali kungoyankha funso limene ophunzirawo anapemphedwa kamodzi sabata iliyonse. Zotsatira zina zimaphatikizapo malipoti ochepetsa kuchepa kwa ubweya ndi kupweteka ndi kupititsa patsogolo komwe kumawoneka muchitetezo chokhala ndi ubwino wa moyo.
Zotsatira izi ziyenera kuwonedwa ngati zoyambirira chifukwa cha chiwerengero chochepa cha ophunzira komanso nthawi yayitali yophunzira. Kuonjezera apo, panalibe gulu lolamulira, kotero silikudziwika ngati zotsatira zabwino zimachokera ku chiletso cha kagawodidi kapena kuchokera ku malo a placebo. Kumbukiraninso kuti zakudya zomwe ankaphunzira zinali zakudya zochepa kwambiri zamagulubudi, osati zakudya za ketogenic, kotero zimakhala zovuta kuganizira za zakudya zamakoteni. Pomaliza, ziyenera kuzindikila kuti ophunzira adapatsidwa chakudya chonse pa sabata zisanu ndi chimodzi, osati chinthu chomwe chimafotokozedwa mosavuta m'moyo weniweni.
Zimene muyenera kuyembekezera
Chakudya cha ketogenic chiyenera kuyang'aniridwa moyang'aniridwa ndi dokotala komanso mothandizidwa ndi odyetsa zakudya. Wopatsa thanzi amatsimikizira kuti dieter sichimatsatira malangizo a zakudya koma kuti akudya zakudya zokwanira. Malamulo ena a chithandizo amafunika kuti muzisala kudya musanayambe kudya, koma osati onse. Phindu la kusala kudya ndiloti limabweretsa nthawi ya ketosis mofulumira.
Munthu wodya zakudya akhoza kukuphunzitsani zakudya zomwe mungadye komanso momwe mungakonzekere kuti muzitsatira ndondomeko ya zakudya. Adzakhalanso ndi chitsogozo chokhudza vitamini ndi mineral zowonjezerapo zomwe muyenera kuzitenga kuti mupereke kwa omwe ataya chifukwa cha zakudya. Zakudya zowonjezera zomwe zimaperekedwa kwa munthu pa zakudya za ketogenic monga calcium, folic acid, iron ndi vitamini D.
Mukasankha kupita ku zakudya, mudzakhala kudya zakudya zambiri zomwe zili ndi zakudya za mafuta ndi zochepa zomwe zili ndi mapuloteni. Kusintha kwakukulu kumeneku kudzakhala chakudya chochepa chazakudya. Chifukwa cha kukanika kwa kagawodididwe, mukhoza kumatopa masiku oyambirira a zakudya. Ndikofunika kuti muzitsatira ndondomeko ya zakudya moyenera. Kudya ngakhale chakudya chimodzi chomwe sichimatsatira malangizowo chingachepe kwambiri phindu lililonse limene mungapeze kuchokera ku zakudya.
Mfundo Yofunika Kwambiri
Pakalipano palibe umboni wachipatala kuti zakudya za ketogenic zingakhale zothandiza kwa munthu yemwe ali ndi IBS. Zakudyazo n'zovuta kwambiri ndipo zingakhale zovuta kutsatira. Chifukwa cha kuchuluka kwa khama lanu, mungatumikire bwino mwa kupereka zakudya zochepa-FODMAP kuyesera - zakudya zomwe zili ndi kafukufuku wothandiza kuchipatala kuti zitsimikizire ntchito yake ya IBS. Ndi zakudya zochepa za FODMAP, palinso cholinga choletsera chakudya, koma ndi mitundu yeniyeni ya zakudya, zomwe zimatchulidwa palimodzi monga FODMAPs , zomwe zatsimikiziridwa kuti zasayansi zimayambitsa zizindikiro za IBS.
Ngati mutakayikira kuti mungakonde kupereka zakudya za ketogenic yesetsani, onetsetsani kuti mukambirane za zakudya ndi dokotala kuti muwonetsetse kuti izi sizikuvulazani mukupatsani mbiri yanu yapadera ya zamankhwala. Mudzafunikiranso kupeza munthu wodzitetezera wodalirika ndikugwira ntchito limodzi ndi munthu ameneyo kuti muonetsetse kuti zakudya zanu zonse zikukukhudzani.
Zotsatira:
Austin G, Dalton, C, Yuming H, et al. "Zakudya Zam'madzi Ochepa Kwambiri Zimapangitsa Zizindikiro ndi Mtundu wa Moyo mu Kutsekula m'mimba-Zovuta Kwambiri Zamadzimadzi Zoipa" Clinical Gastroenterology ndi Hepatology 2009; 7 (6): 706-708 ..
Paoli A, Rubini A, Volek JS, Grimaldi KA. "Kupitirira kuperewera kwa thupi: kubwereza kwa njira zothandizira zochepetsetsa kwambiri (ketogenic)" European Journal of Clinical Nutrition 2013; 67 (8): 789-796.
"Ketogenic Diet" webusaiti ya Epilepsy Foundation .