Ungase uzwe noma ungakaze uzwe i-buzz mayelana nokusetshenziswa kwe-ketogenic yokudabuka kwesifo sofuba (IBS). Ukudla okune-ketogenic ukudla okuqinile kakhulu ekuqaleni okwakhiwa njengendlela yokwelapha isifo sokuwa. Ngenxa yokuthi ukhetho lwezokwelapha lwe-IBS lungalinganiselwe , abantu abanesifo ngokuvamile bazama amasu okunye njengendlela yokubhekana nezimpawu futhi lokhu kungafaka phakathi ukwenza izinguquko ezinkulu zokudla.
Kulesi sihloko, uzofunda ukuthi ukudla okunomsoco kunjani nokuthi kungukuthi kuyinto ephephile noma ewusizo yini ongayicabangela ukuzama i-IBS yakho.
Kuyini Ukudla Kwe-Ketogenic?
Ukudla kwe-ketogenic i-carbohydrate eqinile kakhulu, ephansi kakhulu, amafutha aphezulu, ukudla okunamaprotheni amaningi. Ukudla kumele kusetshenziswe kuphela ngaphansi kokuqondiswa udokotela kanye nokusekelwa nokuqondiswa komuntu odla ukudla.
Ukudla kwakuqale uklanyelwe njengendlela yokwelapha isithuthwane, futhi kukhona ucwaningo oluningi lokubonisa ukuthi lunamandla okunciphisa umsebenzi wokubamba abanye abantu abanenkinga. Ukucwaninga ngokudla kwakwandiswe endaweni yokukhuluphala futhi uphinde ucwaningo luye lwabonisa ukuthi lungaba ukudla okunomsoco wokulahlekelwa isisindo. Ukusetshenziswa kokudla kwe-ketogenic njengokwelashwa okuphumelelayo kwezinye izinkinga zezempilo okwamanje kuqhubeka.
Kuyini i-Ketosis?
Ukuze uqonde kangcono indlela ukudla okune-ketogenic kusebenza ngayo, kungadingeka ubuyekeze ubujamo bomzimba wakho ukuze uthole ukuqonda okuyisisekelo isimo somzimba esibizwa ngokuthi i-ketosis.
Ngokuvamile imizimba yethu isebenzisa i-carbohydrate yamandla. Uma sizila ukudla noma silandela ukudla okuncane kakhulu kwe-carbohydrate izinsuku ezimbalwa, imizimba yethu iphuma ku-glucose egciniwe futhi iphoqeleka ukuba iphenduke amafutha ukuze uphethiloli. Lokhu kufezwa ngokukhiqizwa kokuthile okuthiwa imizimba ye-ketone. Izinga lobukhona balezi keton zingalinganiswa ngokuhlola umchamo wakho, igazi noma umoya.
Uma i-ketone ikhona, umzimba kuthiwa usesimweni se-ketosis futhi kubonisa ukuthi umzimba wakho manje uthola amandla ayo kumafutha esikhundleni sama-carbohydrate.
Esikhathini esidlule, i-ketosis ibhekwa njengesizwe sezempilo okufanele sikhathazeke ngaso. Kodwa-ke, umbono wamanje wukuthi lo-ketose omnene awusizo nje kuphela, kodwa mhlawumbe ungase ube nezinzuzo ezithile zezempilo.
Izinkinga Zempilo Okungazuzisa
Njengoba kushiwo ngenhla, kunezindawo ezimbili lapho kunesisekelo sokusekela okucwaninga ngokuphumelela kokudla kwe-ketogenic:
1. Ukufa kwesifo: Ukusebenza kokudla okune-ketogenic kuye kwasekelwa ucwaningo kusukela ngo-1920, kanye nocwaningo olukhulu kakhulu oluhlola ukudla okusetshenziselwa ukusetshenziswa nezingane. Kodwa-ke, kukhona nobufakazi obuningi bokuthi bungasebenza kubantu abadala abanesisulu. Ngokujwayelekile ukudla kusetshenziselwa kanye nemithi yokulwa ne-anti-seizure. Ucwaningo luye lwabonisa ukuthi abantu abaningi abazama ukudla banokunciphisa ukuvama kokubamba. Ngamaphesenti amancane, ukudla kuphumelela kakhulu kangangokuthi baba yiziqhwaga ngokuphelele. Iqembu elincanyana, ukudla kuphumelela kakhulu kunemithi yokulwa ne-anti-seizure.
Ukulahlekelwa kwesisindo: Kuningi locwaningo lwezokwelapha ukubonisa ukuthi ukudla okune-ketogenic kuyasebenza ekulahlekeni kwesisindo.
Kodwa abacwaningi abazi ukuthi ukulahlekelwa isisindo kwenzeka ngenxa yekhalenda ukuvimbela noma uma kwenzeka ngenxa yomkhawulo we-carbohydrate. Kukhona ucwaningo lokusikisela ukuthi imingcele ye-carbohydrate yedwa ingasebenza ekulahlekeni kwesisindo. Ukuvimbela ama-carbohydrate nakho kungathuthukisa izimpawu zesifo se- metabolic (ngaphambi kwesifo sikashukela), uhlobo lwesifo sikashukela sesibili, nesifo senhliziyo. Uma uzibuza ukuthi ukudla okunamafutha aphezulu kungaholela kanjani ekuzuzeni isisindo, kukhona ubufakazi obuphawulekayo bokuthi "amafutha" amadala akukhumbuza ukuthi sekuphelelwe yisikhathi.
Ngezinye izinkinga zezempilo, ucwaningo lukhona kuphela ezinyathelweni zokuqala. Kuleli qophelo, akukho iziphetho eziqinile ezingadalwa.
Ukudla kwe-ketogenic kuhlolwa njengendlela yokwelashwa kwezimo zezempilo ezilandelayo:
- I-acne
- Isifo se-Alzheimer's
- I-Amyotrophic lateral sclerosis
- I-Autism
- Isifo se-bipolar
- Ukulimala kobuchopho
- I-Cancer
- Izinsizwa
- Multiple sclerosis
- Isifo sikaParkinson
- I-Polycystic i-ovary syndrome
- Izinkinga zokulala
Izingozi ezingenzeka
Abacwaningi bakholelwa ukuthi ukudla okune-ketogenic ukudla okuphephile ngokujwayelekile, kodwa ukuphathwa kwezokwelapha kuqinisekisiwe. Kukhona ukukhathazeka mayelana nemiphumela yezinso kungenzeka, kufaka phakathi ingozi ephezulu yezinso zezinso. Ezinye izindawo zokukhathalela abantu abalandela ukudla esikhathini eside zihlanganisa amazinga aphezulu egazi, i-bone fractures, futhi ikhula kancane.
Ingabe Ukudla Kwe-Ketogenic Kungasiza IBS?
Kuze kube manje, akubonakali ukuthi kukhona izifundo zokucwaninga ekusetshenzisweni kokudla kwe-ketogenic ye-IBS.
Kukhona umbiko owodwa wemitholampilo wokusetshenziswa "kokudla okuncane kakhulu kwe-carbohydrate" (VCLD) neziguli ezine- diarrhea-kakhulu i-IBS (IBS-D). Lokhu kwakuyincwajana encane kakhulu, esifushane kakhulu. Abantu abangu-13 kuphela abavela ku-original 17 baqede isifundo. I-protocol yokufundwa idinga ukuthi abahlanganyeli balandele i-VLCD isikhathi esingamaviki amane ngemuva kokulandela ukudla okujwayelekile kwamaviki amabili. Iningi labahlanganyeli bezingxenyekazi zabesifazane futhi bonke babenamandla ngokweqile. Zonke izidlo zanikezwa abahlanganyeli bezocwaningo isikhathi sokufunda isonto lesithupha. Phakathi nesigaba se-VCLD, ukudla kwakunamafutha angu-51%, amaprotheni angu-45%, no-4% we-carbohydrate. Ngenxa yalokho, lokhu kudla kwakunezinga eliphansi lamafutha kanye namazinga aphezulu amaprotheni kunokuba kubonwe ekudleni okuvamile kwe-ketogenic.
Imiphumela yabonisa ukuthi bonke ababambiqhaza babika ukuphumula okwanele kwezimpawu okungenani kwamasonto amabili ababeku-VLCD, kanti abayishumi babika ukukhululeka okwanele kuwo wonke amasonto amane okudla okuvinjelwe. Ukukhululeka okwanele kwezibonakaliso njengendlela ethile kwakungumphendvulo wombuzo abahlanganyeli ababuzwa wona ngesonto ngalinye. Eminye imiphumela ibandakanya imibiko yokunciphisa imvamisa yezinyawo kanye nobuhlungu nokuthuthukiswa okubonwe ekuhambeni kwesitoreji kanye nekhwalithi yokuphila.
Le miphumela kufanele ibhekwe njengengqayizivele ngenxa yenani elinganiselwe labahlanganyeli kanye nesikhathi esifushane socwaningo. Ngaphezu kwalokho, kwakungekho iqembu lokulawula, ngakho-ke akuyazi uma imiphumela emihle ivela emkhawulweni we-carbohydrate noma kusuka kumphumela we-placebo. Futhi khumbula ukuthi ukudla okufundwayo kwakuyi-diet low carbohydrate, hhayi ukudla okune-ketogenic, ngakho kungaba nzima ukuthola iziphetho mayelana nokudla kwe-ketogenic. Okokugcina, kufanele kuqashelwe ukuthi abahlanganyeli banikwe konke ukudla kwabo isikhathi sesonto eliyisithupha, hhayi into echazwe kalula empilweni yangempela.
Okufanele Ukulindele
Ukudla okune-ketogenic kufanele kuthathwe ngendlela efanele ngaphansi kokuqondiswa udokotela kanye nokusekelwa kwesidlo sokudla. I-dietitian izoqinisekisa ukuthi i-dieter ayilandeli nje kuphela imihlahlandlela yokudla kodwa ukuthi ithatha ukudla okwanele. Amanye ama-protocols yokwelashwa adinga ukuthi uzila ukudla ngaphambi kokuqala ukudla, kodwa hhayi konke. Inzuzo yokuzila yilapho eletha isimo se-ketosis ngokushesha.
I-dietitian ingakufundisa ukuthi yikuphi ukudla okumele udle nokuthi ungayilungisa kanjani ukuze ulandele iziqondiso zokudla ngokuqinile. Zizophinde zinikeze isiqondiso mayelana nokuthi yiziphi izithako ezinamavithamini nezamaminerali okumelwe uthathe ukuze wenze labo abalahlekelwe ngumkhawulo wokudla. Izithako ezijwayelekile eziphakanyisiwe kumuntu ngokudla okune-ketogenic zihlanganisa i-calcium, i-folic acid, i-iron ne-vithamini D.
Uma ukhetha ukuya ekudleni, uzobe udla ukudla okuningi okuqukethe ukudla okunamafutha amaningi nokuqukethe amaprotheni. Ukulungiswa okukhulu kuyoba yi-low carbohydrates intake. Ngenxa yesinqamulelo esinamandla se-carbohydrate, ungase uzizwe udangele ngezinsuku ezimbalwa zokuqala zokudla. Kubalulekile ukuthi ulandele iziqondiso zokudla ngokuqinile. Ukudla ngisho nokudla okulodwa okungahambisani nemihlahlandlela kunganciphisa kakhulu izinzuzo ongazithola kusukela ekudleni.
Okubalulekile
Okwamanje akakho ubufakazi bokutholwa komzimba ukuthi ukudla okune-ketogenic kungasiza kumuntu onayo i-IBS. Ukudla kunzima kakhulu futhi kungaba nzima kakhulu ukulandela. Ngalowo mzamo wokuzikhandla, ungase uhlinzekwe kangcono ngokunikeza ukudla okungezansi-FODMAP ukuzama - ukudla okunomtholampilo ophawulekayo wokusekela ukusebenza kwayo kwe-IBS. Ngokudla okuphansi kwe-FODMAP, kubuye kugxile ekuvimbeleni ama-carbohydrate, kodwa kuphela izinhlobo ezithile ze-carbohydrates, ezibhalwe ndawonye ngokuziwayo njenge- FODMAP , eziye zabonwa ngokwesayensi njengengxenye yezimpawu ze-IBS.
Uma usuqiniseka ukuthi ungathanda ukunikeza ukudla okune-ketogenic zama, qiniseka ukuxoxa ngokudla nodokotela wakho ukuze uqiniseke ukuthi ngeke kube yingozi kuwe unikeze umlando wakho wezokwelapha ohlukile. Uzodinga futhi ukuthola umuntu odlayo oqeqeshiwe futhi usebenze eduze nalowo muntu ukuqinisekisa ukuthi zonke izidingo zakho zokudla okunomsoco zihlangene.
Imithombo:
U-Austin G, u-Dalton, u-C, u-Yuming H, no-al. "I-Low-Carbohydrate Diet Ithuthukisa kakhulu Izimpawu Nekhwalithi Yokuphila Ku-Diarrhea-I-Irritable Bowel Syndrome" Eyinkimbinkimbi " I-Gastroenterology Clinic ne-Hepatology 2009; 7 (6): 706-708.
Paoli A, Rubini A, Volek JS, Grimaldi KA. "Ngaphandle kokulahlekelwa isisindo: ukubuyekezwa kokusetshenziswa kokwelapha kokudla okuncane kakhulu kwe-carbohydrate (ketogenic)" I- European Journal of Clinical Nutrition 2013; 67 (8): 789-796.
"I-Ketogenic Diet" iwebhusayithi ye-Epilepsy Foundation .