Ukunikeza Ubufakazi Ngokudla Okusetshenzisiwe Ne-IBD
Q: Ingabe "Ukudla Okungcola" Kungabangela Ukugula Kwesibindi (IBD) ?
A: Kuye kwaba nokuphakama okungu-114% ezimweni ze-IBD (Isifo se-Crohn nesifo sochungechunge) okuholela ekubanjweni esibhedlela phakathi kwabantu abasha e-United Kingdom phakathi neminyaka phakathi kuka-2003 no-2014. Ukukhuphuka okukhulu kuye kwabangela ukucabangela ngalokho okungase kube khona ngemuva kwayo, futhi uma kukhona okuthile emvelweni okufaka isandla ekuthuthukiseni lezi zifo.
Singafaka izingalo zethu nxazonke zenkinga, kodwa, ukubeka kalula, ososayensi abazi ukuthi yini ebangela i-IBD.
Lokho Esikwenzayo
I-IBD isezakhiweni zethu zegciwane - ukuze kufakwe amagciwane angaphezulu kuka-100 njengoba edlala ingxenye ethile ekuthuthukiseni i-IBD. Isihluthulelo esilahlekile yisisusa: into noma izinto ezisemvelo "ezivula" i-IBD.
Omunye udokotela wase-United Kingdom ucashunwe yi-BBC ethi ukudla "ukudla okuningi okungenamsoco" kungandisa ingozi yokuthuthukisa i-IBD. (Izifundo eziningi zama-antibiotic nazo zanikezwa njengesisusa sokwamukelwa kwezibhedlela ze-IBD.) Udokotela kamuva wakhulula isitatimende ecacisa ukuthi akahlose ukucaphuna kwakhe ukufakazela ukuthi i-IBD yayizimele. Kwakungekho ukuchazwa ngencazelo eqondile ye "ukudla okungenamsoco."
Lokho Kusho Ukuthi "Ukudla Okungcolile"?
Abaningi emphakathini wegciwane le-IBD babethukuthele ukuthi abantu abane-IBD bangadli kahle, nokuthi ukudla okunomsoco kwakubangele IBD yabo.
Ezinye iziguli zashesha ukukhomba ukuthi zidle ukudla okunempilo - ngisho ne-vegan noma yemifino - ngaphambi kokuba zixilongwe. Abanye bazibuza ngezingane ezincane kakhulu, ngisho nezinsana, ezazitholakale zine-IBD futhi ezazingenakudliwa iminyaka eminingi yokudla okungenamsoco.
Uma umuntu ecabanga ngokuthi "ukudla okungenamsoco," kukhona okunye okukukhunjulwa okukukhunjulwayo: ama-potato chips, i-soda pop, i-ayisikhilimu kanye nokunye ukudla okunamafutha amaningi futhi akukho, noma kuncane kakhulu, okunomsoco.
Lezi zivame ukucabanga njengokudla kwaseNtshonalanga, kanti kuyiqiniso ukuthi abantu emazweni angewona aseWestern Cape bebelokhu bedla okuningi kwalokhu kudla eminyakeni yamuva.
Kuthiwani Ngokuthi "Ukudla Okucutshungwe"?
"Ukudla okungenamsoco" yigama elingacacile futhi akucaci ukuthi kusho ukuthini lelo gama mayelana nokuthuthukiswa kwe-IBD. Isikhathi esinembile kakhulu esingayisebenzisa lapho kuxoxwa ngokudla kanye nempilo kungase kube "ukudla okucutshungulwayo." Kodwa-ke, lelo gama lingase lidukise ngoba akuzona zonke ukudla okucutshungulwayo okungenampilo. Imifino ekhwaliwe kanye ne-yogurt, isibonelo, yizibonelo zokudla okucutshungulwayo okwamanje okubhekwa njengokudla okunempilo (uma kwenziwa ngaphandle kwezithasiselo). Ukudla ngezinye izithasiselo ngezinye izikhathi kubizwa ngokuthi "kakhulu" okusetshenziselwa, ngenkathi imifino enefrijini efriziwe noma amajusi amasha angase abizwe ngokuthi "minimally" okusetshenziswe.
Ijaji lingakapheli ukuthi ukudla okucutshungulwa kakhulu kungasiza ekuthuthukiseni IBD. Ama-sweeteners okufakelwayo, ngokungangabazeki, angabhekwa njengokudla okucutshungulwe kakhulu. Enye iphepha elishicilelwe ngo-2012 libhekisela ekusetshenzisweni okukhudlwana kwama-sweeteners okufakelwa njenge-saccharin kanye ne-sucralose njengesizathu esiyinhloko sokukhula kwe-IBD. Umphumela walezi zithokozi kuma-bacteria atholakale emgodleni wemathumbu kubhekwa ukuthi iyindlela yokwenza.
Ucwaningo lokulawulwa kwamacala olwenziwe e-Stockholm, eSweden ngawo-90 lwabheka abantu abane-IBD nokudla kwabo esikhathini esiyiminyaka emihlanu. Abalobi bathole ukuthi ekutadisheni kwabo, iziguli ezadla ama-gramu angu-55 noma ngaphezulu kwe-sucrose (ushukela etafuleni) ngosuku noma ezadla "ukudla okusheshayo" izikhathi ezingaphezu kwezingu-2 ngeviki zanda ingozi ehlobene yokuthuthukisa i-IBD. Idatha yabo iphinde ikhombise ukuthi ngaphezu kwama-gramu angu-15 e-fiber nsuku zonke kuhlotshaniswa nenengozi yesihlobo esinciphile yokuthuthukisa i-IBD. (Lokhu kubizwa ngokuthi yi-fiber ephezulu yabalobi, kodwa i-Institute of Medicine incoma ukuthi amadoda athathe ama-fibre ngosuku phakathi kuka-30 no-38, kanye nabesifazane abaphakathi kuka-21 no-25 amagremu.) Okunye isifundo esincane (iziguli ezingu-87) okwenziwe kwa-Israyeli futhi wabonisa ukuhlangana phakathi kokudla okuphakeme kwe-sucrose nokuthuthukiswa kwe-IBD.
Okubalulekile
Akusekho ukuvumelana mayelana nokuthi izithasiselo zokudla, ukudla okungenamsoco, noma ukudla okucutshungulwa kakhulu kungathinta kanjani ukuthuthukiswa kwe-IBD noma inkambo ye-IBD. Ukudla okunomsoco kubalulekile kuwo wonke umuntu - futhi kubaluleke kakhulu kubantu abane-IBD nalabo abasengcupheni yokungondleki noma ukungenisa kahle amavithamini namaminerali ekudleni. Kuyinto enhle ukusho ukuthi ukudla njengokudla okunempilo ngangokunokwenzeka kuyisizuzo esikhulu ekuvikeleni izifo eziningi, futhi kungasiza ekuthuthukiseni izimo zezempilo. Kungakhathaliseki ukuthi yini ekugcineni ephethwe ngokuphathelene nomthelela we "ukudla okungenamsoco" ku-IBD noma kwezinye izifo, kubalulekile ukukhumbula ukuthi abantu abane-IBD abafaki isifo sabo.
Imithombo:
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