Njengoba i- polycystic ovary syndrome (i-PCOS) iyisifo se-metabolic syndrome, enye yezinto eziyinhloko owesifazane onokwenzayo ukusiza ukuphatha isimo sakhe ukulahlekelwa isisindo nokugcina ukudla okunempilo. Izifundo eziningi ziye zathola ubudlelwane obuphakathi kokungalingani kwe-hormonal, ukumelana kwe-insulin , ukukhuluphala, ne-PCOS.
Amavithamini namaminerali yingxenye ebalulekile yimuphi umgomo wokudla okunempilo futhi ngokuvamile uyawunakwa.
Ezifundweni zamuva, sekube khona ukuhlangana okwenziwe phakathi kwe-vitamin deficiencies ne-PCOS. Eqinisweni, isifundo se-2014 eshicilelwe ku-Archives of Women's Mental Health sichaza ukuthi ukutholakala kwe-vitamin D kungase kube yingozi engaguquguqukayo yezimpawu zokucindezeleka kwabesifazane abane-PCOS.
Indlela ukungabi khona kwamavithamini kuthinta i-PCOS
Amavithamini anemisebenzi ebalulekile emzimbeni. Ngokwesibonelo, ukutholakala kwe-vitamin D kuye kwaxhunyaniswa ngokumelene ne-insulin ukumelana, i-PCOS, nokucindezeleka.
Kulaba besifazane abane-PCOS, amazinga aphezulu e-insulini angabangela ama-ovari ukwenza ama-androgens amaningi (iqembu lama-hormone ayingxenye emathweni abesilisa kanye nomsebenzi wokuzala). Lokhu kungabangela izinwele zomzimba ezandisiwe, izigaxa, nezikhathi ezingavamile noma ezimbalwa.
I-insulini yi-hormone esisiza amangqamuzana namazimba omzimba ukuthi asebenzise i-glucose futhi ukuba ne-insulin ukumelana kungakwandisa ingozi yakho kokubili isifo sikashukela ne-PCOS.
Kuye kwabonakaliswa ngaphambili ukuthi izidakamizwa ze-folate ne-vitamin B (12) zithuthukisa ukumelana kwe-insulin kuziguli ezine-syndrome ye-metabolic.
Yini Amavithamini Futhi Asebenza Kanjani?
Amavithamini ama-enzyme asiza ekwenzeni umsebenzi wabo njenge-coenzymes. I-enzyme iyiprotheni ekhethekile ebangela ukuphendula okuthile kwamakhemikhali. Ama-enzyme amaningi adinga i-coenzyme, eyakha ingxenye ebalulekile ye-enzyme. Ngaphandle kwe-coenzyme yayo, izinkulungwane zamasu ezomakhemikhali zingashiywa zingaphelele.
Kunezinhlobo ezimbili ezahlukene zamavithamini:
- Amavithamini anamafutha ahlanzekile adinga ama-molecule athile akhethekile okuthiwa ama-chylomicrons ukuba afakwe nawo ohlelweni lwe-lymphatic ngaphambi kokungena egazini. Uma bengena egazini, amaprotheni ayadingeka ukuba athathe imithwalo yegazi. Ngenxa yokuthi inani eliningi ligcinwa emathisini anamafutha, kungenzeka ukuqoqa amanani amaningi anjalo angaba yingozi. Lokhu kwenzeka kakhulu ngenxa yokuthatha izithako ezingavumelekile zamavithamini, hhayi ngenxa yokungalingani kokudla. Amavithamini A, D, E ne-K anamafutha ahlaziyekile.
I-Vitamin D, evame ukubizwa ngokuthi i-vitamin yelanga, ibonakala ibalulekile ekulawuleni ushukela wegazi nokuthuthukisa ukuzwela kwe-insulin. Amazinga aphansi kavithamini D nawo ahlotshaniswa nokuphikiswa kwe-insulin nokukhuluphala kwabesifazane abane-PCOS.
- Amavithamini ayenamanzi awanamanzi awadingi amaprotheni akhethekile ukusiza ukungena emzimbeni wegazi futhi akwazi ukuhamba ngokukhululekile kuwo wonke amangqamuzana egazi namzimba. Izamba ezingaphezulu zifihliwe emcinini, zivimbela isakhiwo esiyingozi. Amavithamini B no-C amavithamini ayenamanzi anamanzi.
Amavithamini B abaluleke kakhulu ekusizeni ukulungisa izimpawu ze-PCOS njengoba zibalulekile esibindi ukuguqula amahomoni akho 'amadala' abe yizinto ezingenabungozi ezingahle zikhishwe emzimbeni.
Amavithamini B2, B3, B5, neB6 nawo ayasiza kakhulu ekulawuleni isisindo ngezindlela ezilandelayo:
- I-Vitamin B2: Inqubo yamafutha, ushukela, namaprotheni abe amandla.
- I-Vitamin B3: Ingxenye ye-glucose tolerance factor ekhishwa njalo uma ushukela wegazi uphuma, ukusiza ukugcina amazinga ngokulinganisela.
- I-Vitamin B5: Isekela ngokulahlekelwa isisindo ngokulawulwa kwe-fat metabolism.
- I-Vitamin B6: Ukugcina ibhalansi ye-hormone kanye no-B2 no-B3, kuyadingeka ukukhiqizwa kwe-hormone ejwayelekile ye-thyroid. Ukwehluleka kulawa mavithamini amathathu kungathinta umsebenzi we -roid futhi ngaleyo ndlela kuthinte umfutho wegazi.
Ama-Mineral Effect ane-PCOS
Amaminerali ayimpahla engahleliwe, okusho ukuthi ayaphila noma awaveli ezintweni eziphilayo ezifana nezitshalo noma izilwane.
Amaminerali awaqothulwanga nenqubo yokugaya umzimba noma ukulungiselela ukudla futhi ahlale egcina ubunikazi bakhe ngaphandle kokusebenza kwamakhemikhali.
Izibonelo zamaminerali zihlanganisa:
- I-sodium
- Potassium
- I-calcium
- I-Magnesium
Amaminerali akhonza imisebenzi eminingi ebalulekile emzimbeni. Amangqamuzana namazinyo akhiwa ngokuyinhloko nge-calcium, magnesium, ne-phosphorus. Ukulinganisa kwamanzi emzimbeni ikakhulukazi ngenxa yokuhamba kwamaminerali afana ne-sodium, i-potassium, ne-chloride ngaphakathi kwamagumbi ahlukene omzimba. I-calcium ne-potassium yizidlali eziyinhloko ekudlulisweni kwezimpawu zesisindo kanye nokuhlukana kwemisipha.
Umzimba ugcina ibhalansi lamaminerali ngezindlela ezihlukahlukene, kuye ngokuthi yizimbiwa. I-calcium igcinwe emzimbeni nasemathambo futhi ikhishwa lapho idingwa kwenye indawo emzimbeni. Lapho umzimba ulahlekile amanye amaminerali ayisihluthulelo, njengensimbi, umzimba uzokwandisa inani elitholwa ngesikhathi sokugaya. Ngokuvamile, amaminerali angagcinwa emathisini omzimba awanamatheli emazingeni anobuthi ngoba inani elidlulele lizoxoshwa emfucumfuceni. Izinhlamvu, imifino, ubisi, namaprotheni kukhona imithombo emihle yamaminerali okudla, kuyilapho izithelo, amafutha, noshukela akuzona.
I-Vitamin D iyadingeka ekutheni uketshezi lwe-calcium, okuqhubekela phambili phambili ekutheni i-vitamin ne-mineral yokudla efanelekile kubalulekile kwabesifazane abane-PCOS.
I-Magnesium iyancipha isimiso sethu sezinzwa futhi ivimbela ukukhiqizwa okuvamile kwe-cortisol (i-hormone yokucindezeleka). Uma sibhekene nokucindezeleka, kusho ukuthi umzimba uphinde ulahlekelwe i-magnesium njengoba usiza ukusekela izigulane eziyingozi, ezikhathala uma wenza i-cortisol. Izifundo manje ziyaqhubeka ukubona ukuthi abesifazane nabakwa-PCOS bangase babe nama-androgens amaningi ngokweqile ngenxa yokushintsha i-cortisol metabolism.
Imithombo:
Dudek, Susan G. Nutrition Essentials for Nursing Practice 4th Edition. ULippincott, uWilliams noWilkins. I-Philadelphia: 2001.
Naqvi S, et al. Izibikezelo zokucindezeleka kwabesifazane abane-polycystic ovary syndrome. I-Archives yeMpilo Yengqondo Yabesifazane.