Zotsatira Zabwino, Zochita, ndi Zabwino
Funsani akatswiri osiyanasiyana-madokotala, odwala zakudya, ndi anamwino-momwe amamvera za zakudya zamagetsi za matenda a shuga ndipo mwina mumamva mayankho osiyanasiyana. Mayankho ena akhoza kukhala okhudzana ndi zochitika zawo, pamene zina zimachokera ku umboni wa sayansi-kodi zimagwira ntchito, ndizopindulitsa zotani / zowonjezereka, ndi zina zotero.
Funsani anthu angapo omwe ali ndi matenda a shuga zomwe amaganiza za izo, ndipo mudzamva mayankho osiyanasiyana.
Chifukwa cha ichi ndi chifukwa palibe anthu awiri omwe ali ndi shuga omwe ali ofanana chimodzimodzi-pamene njira iyi ya zakudya imatha kugwira ntchito kwa ena, sizitanthauza kwa onse. Chakudya cha Ketogenic chingathe kukhala ndi cholinga, koma kuuma kwawo ndi kuwongolera kungachititse kuti zikhale zovuta kutsatira ndipo zingayambitse matenda ena (monga cholesterol yakwezeka) ngati satsatira bwino. Phunzirani zambiri za chakudya cha ketogenic ndi kufufuza kumbuyo kwake.
Kodi Chakudya cha Ketogenic N'chiyani?
Chakudya cha ketogenic ndi zakudya zowonjezera chakudya chomwe chimapatsa chakudya cha mafuta kwambiri (pafupifupi pansi pa magalamu 50) ndikuwonjezera mafuta. Lingaliro ndi kupanga kachipangizo kake kagayidwe ka ketosis kuti mafuta athe kugwiritsidwa ntchito mphamvu kusiyana ndi zimagawenga.
Ndondomeko ya zakudya izi zakhala zikugwiritsidwa ntchito kuyambira m'ma 1920 pochiza matenda monga khunyu. Masiku ano, chakudya cha ketogenic chikugwiritsidwa ntchito pa matenda osiyanasiyana, kuphatikizapo, glioblastoma, dementia, kayendedwe ka zolemera, shuga, khansara, ngakhalenso ziphuphu.
Kuwonjezera apo, othamanga akhala akudziwika kuti amagwiritsa ntchito ndondomekoyi kapena zosiyana za dongosolo ili kukweza masewero olimbitsa thupi, ndi kutaya mafuta.
Sarah Currie, MS, RD, munthu wophunzitsa munthu wina komanso wolemba zakudya wodzitcha amati, "Palibe kukayikira kuti chakudya cha ketogenic chimagwiritsira ntchito kuwonongeka kwa mafuta.
Zomwe ndikukumana nazo, anthu amapita molakwika ngati samangokhalira kudya zakudya zamtundu uwu ndikuletsa masamba odyetsera zomera. "
Ndikofunika kunena kuti pali mitundu yosiyanasiyana ya zakudya za ketogenic. Zosintha zina zimalimbikitsa kudya zosakwana kapena zofanana ndi magalamu 30 a chakudya m'tsiku ndipo musamayeke zina zamadzimadzi monga, mapuloteni ndi mafuta. Ngakhale zakudya zamtundu wa ketogenic zimakhala zosavuta kwambiri.
Kawirikawiri, zakudya za ketogenic zimalimbikitsa kudya, 25-50 magalamu a nsomba zamadzimadzi patsiku. Anthu omwe amatsatira zakudya za ketogenic amafunika kudya 60-70 peresenti ya mafuta awo, 20-30 peresenti kuchokera ku mapuloteni, ndipo osapitirira 5-10 peresenti kuchokera ku mavitamini. Munthu wina akutsatira zakudya za kalori 1800, amayesetsa kudya ma gramu 140, mapuloteni 90 ndi 45 magalamu a tsiku ndi tsiku.
Monga momwe mungaganizire, mapulani odya awa angakhale ovuta kuwunika opanda malangizo kuchokera kwa akatswiri ophunzitsidwa. Choncho, ndikofunika kukhala ndi kumvetsetsa bwino momwe mungayambitsire zakudya komanso momwe mungapitirire kuti muthe kuchita bwino komanso mosamala.
Ketosis vs. Ketoacidosis
Musanayambe kuganizira za mtundu uwu wa kudya anthu omwe ali ndi shuga ayenera kumvetsetsa kusiyana pakati pa ketoacidosis ndi ketosis.
Ketoacidosis ndi ngozi yowopsa yomwe imapezeka pamene shuga wa magazi imayamba kuopsa, zomwe zimachititsa kuti thupi liwononge mafuta kuti likhale mafuta ndipo zimapangitsa kuti ketoni ipangidwe.
Pamene ketoni zambiri zimakula mu thupi, magazi amatha kukhala amodzi. Matendawa ndi ofala kwambiri kwa anthu omwe ali ndi matenda a shuga a mtundu wa 1 chifukwa samapanga insulini iliyonse. Pakati pa ketoacidosis, magazi pH amatsika ndi ketoni m'magazi amatha kupitirira 20 mmol / l.
Mosiyana ndi ketoacidosis, ketosis amatanthauza kuti thupi lanu likugwiritsa ntchito mafuta chifukwa cha mafuta ndipo zingayambitse ketoni zomwe zimatha kufika pa 7/8 mmol / l popanda kusintha pH.
Pa ketosis, zimanenedwa kuti ketoni sichidutsa m'magawowa chifukwa ubongo umatha kugwiritsa ntchito ketoni m'malo mwa glucose.
Ndiye kodi izi zikutanthauza chiyani kwa munthu yemwe ali ndi shuga? Ngati achita bwino ndi kuyang'aniridwa, anthu ambiri omwe ali ndi shuga (pokhapokha atakhala ndi matenda a impso kapena matenda a mtima) akhoza kutsata bwinobwino chakudya chimenechi. Komabe, nthawi zonse n'kofunika kukambirana ndi dokotala wanu woyamba.
Kafukufuku
Kafufuzidwe pa zakudya za ketogenic ndi shuga ndikulonjeza; Komabe, vutoli limakhalapo nthawi yambiri chitetezo komanso kuthandizira zakudya. Ndipotu, mu 2018 Malamulo a Chisamaliro cha Shuga, American American Diabetes Association inanena kuti kafukufuku wasonyeza phindu lodzichepetsa la zakudya zochepa kwambiri m'thupi kapena ketogenic (zosakwana 50 g gagahydrate patsiku) ndipo kuti njirayi ingakhale yoyenera Kugwiritsa ntchito nthawi yayitali (mpaka miyezi 3-4) ngati wodwalayo akufunira, popeza pali kafukufuku wa nthawi yayitali yomwe imatchula zopindulitsa kapena zovulaza.
Kafukufuku ambiri omwe amawunika zakudya za ketogenic amachokera kumapeto kwa nthawi yayitali. Mwachitsanzo, mu kafukufuku, poyeza odwala 262 kwa masabata khumi, kumene odwala ankadya chakudya cha ketogenic chomwe chinaphatikizapo chakudya cha masamba atatu mpaka asanu, masamba odyetserako, ndi mafuta odya mpaka atadzaza (poyang'ana pa khalidwe la mafuta), onse ophunzira adatha kuthetsa mankhwala osakaniza a shuga, magazi a hemoglobin a1c adachepetsedwa, ndipo athandizidwa ndi triglycerides . Ophunzira adalandira matenda a shuga ndi maphunziro okhutira zakudya ndipo anali kutsatiridwa kwambiri ndi wophunzira wathanzi. Kuonjezerapo, iwo amanena kuti tsiku ndi tsiku magetsi amayang'ana shuga (kuti athe kulandira kusintha kwa mankhwala). Kuwongolera kunaphatikizanso njira zothetsera khalidwe ndi maphunziro a gulu / kugawidwa kwa anzawo.
Kufufuza kwa meta komwe kunalingalira kafukufuku khumi ndi atatu kuti anthu omwe amapatsidwa zakudya zamakono (zosakwana 50 magalamu patsiku) anawonetsa kuchepa kwa thupi, ndi diastolic ya magazi poyerekeza ndi iwo omwe adya zakudya zonenepa zopangidwa ndi mafuta osachepera 30 peresenti. Kuonjezerapo, iwo omwe ankatsatira chakudya cha ketogenic anali ndi kuchuluka kwa cholesterol chabwino (HDL). Koma, adawonjezeranso ku LDL (cholesterol choipa).
Kufufuza kwina komwe kunaphatikizapo maphunziro asanu ndi anayi ndi 734 odwala matenda a shuga, anapeza kuti chakudya chochepa cha m'magazi chinakhudza kwambiri mazinga a HbA1c ndipo anachepetsa kwambiri matenda a triglycerides (chizindikiro cha matenda a mtima). Koma, zakudya zochepa za m'magazi sizinagwirizane ndi kuchepa kwa kolesterolo wathunthu ndi LDL cholesterol.
Maganizo a akatswiri
Ngati mukuganiza za kuyamba chakudya cha ketogenic ndi bwino kuti musalowe mkati. Sarah Currie, MS, RD, akuti, "Ngati wina akuzolowera kudya 200 kapena kuposa magalamu a carbohydrate patsiku ndipo mwadzidzidzi amagwera mpaka 50 magalamu kapena kuchepetsa, iwo amamva kuti ali ndi chizindikiro komanso samakhala nawo nthawi yaitali kuti agwiritse ntchito mafuta monga mafuta. Kuchepetsa kuchepa kwa zakudya m'thupi kumathandiza anthu ena, koma kungakhale koopsa kwa munthu amene ali ndi matenda a shuga, makamaka ngati sakuyang'anira bwino shuga ndi mankhwala awo. "
Njira yabwino kwambiri yopezera zakudyazi ndikutsimikiza kuti mwalimbikitsidwa ndipo mwakonzeka kusintha ndikufunsana ndi dokotala kapena zakudya zolembedwera kuti mutsimikizire kuti zakudyazi ndi zabwino kwa inu. Maphunziro, chithandizo (onse awiri ndi anzawo) ndizofunikira kwambiri kuti zitheke kukhazikitsidwa. Kuwonjezera apo, kuyang'anira mosamala kagawidwe ka magazi ndi kayendedwe ka mankhwala kudzakhala kofunika kwambiri kwa anthu omwe ali ndi shuga.
Odwala ndi odwala matenda a shuga amavomereza kuti mtundu wa mafuta omwe mumasankha udzakhala wofunikira pa thanzi ndi moyo. Chifukwa chakuti kafukufuku wambiri wasonyeza kuti zakudya zochepa zamaginubweya / ketogenic zingawonjezere cholesterol choipa (chomwe chimayambitsa vuto la mtima wa mtima), ndikofunika kuchepetsa kudya kwa mafuta odzaza mafuta, mafuta obiriwira, mafuta, kirimu. Ndi bwino kusankha mafuta osatchulidwa, monga mafuta, mtedza, mbewu, avocado. Kuonjezerapo, cholinga chake chikugwirizana ndi chomera chokhazikika momwe zingathere. Akatswiri ena amapita kukavomereza kuti azitsatira chakudya cha ketogenic.
Akatswiri ambiri amalimbikitsanso zida zogwiritsira ntchito popangira zakudya kuti aziyeza mavitamini ndi mineral. Ngati anthu sakudya masamba okwanira, ndi zakudya zowonjezera kashiamu, akhoza kukhala pachiopsezo chifukwa cha kusowa kwawo ndipo angafunike uphungu wokhudzana ndi zakudya komanso zakudya zina.
Ngozi
Zakudya za ketogenic zingayambitse hypoglycemia (shuga wotsika magazi), makamaka ngati mankhwala sakuyang'aniridwa bwino. Kuonjezera apo, chifukwa chakudyacho n'choletsedwa, anthu amatha kudzimva okhaokha kapena kukhazikitsa ubale wabwino ndi chakudya. Choncho ndikofunika kumvetsetsa zofooka za zakudya komanso kukhala wokonzeka komanso wokonzeka kutenga zakudya zamtundu uwu.
Ngati kusiyana kwa zakudya za ketogenic kumakhala ndi mapuloteni ochulukirapo, kungayambitse impso ndipo sikuyenera kukhala odwala matenda a shuga omwe ali ndi matenda a impso.
Pamene chakudya chimaphatikizapo mafuta ambiri odzaza mafuta (mafuta, kirimu, nyama zowonongeka, tchizi chonse) ndipo sichiphatikizapo zakudya zambiri zowonjezera zomera, pangakhale chiopsezo chowonjezeka chokweza cholesterol (LDL) choipa, monga komanso kudzimbidwa. Ndichofunika kwambiri kuwonjezera kudya kwa masamba osakhala wowuma, mtedza, mbewu, ndi mapuloteni owonda.
Mawu Ochokera
Musanayambe kudya zakudya izi, ndikofunika kwambiri kuti mudziwe mmene mungayigwiritsire ntchito mosamala ndikuonetsetsa kuti mukuyang'aniridwa ndi dokotala, makamaka ngati mukugwiritsa ntchito mankhwala ochepetsa shuga. Pofuna kupanga mapulani a zakudya, ndibwino kupewa kudya mafuta odzaza mafuta, mafuta akuluakulu monga nyama yankhumba ndi soseji, mkaka wamafuta, mafuta, ndi zonona, chifukwa izi zimawonjezera cholesterol choipa (LDL).
M'malo mwake, sankhani mapuloteni okhuta, nkhuku, nsomba, nkhuku, ndipo muziika mafuta omwe ali ndi moyo wathanzi-mafuta, mtedza, mbewu, mtedza wa mafuta. Kuonjezera apo, mufuna kuphatikiza osachepera atatu mpaka asanu a masamba osakhala wowuma-njira yomwe mungakumane nayo ndi vitamini ndi mineral.
Chigamulo chakuti ngati izi ndizowonjezera kudya kwa nthawi yayitali akadali pano. Zingakhale zomveka kwambiri, kutsatira zakudya izi kwa kanthawi ndikuzionjezera mutakwanitsa zolinga zanu. Anthu apeza kupambana poonjezera zakudya zazing'ono zabwino m'magazi pambuyo pa miyezi ingapo.
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