Ukolo ludlala indima enkulu ekudleni kwabantu abaningi. Ukudla kwasekuseni, ama-sandwich kokudla kwasemini, i-pasta ye-dinner, nama-pretzels, amakhukhi, namaqebelengwane akhonza njengama-snacks, enza usuku oluhle olukhishwe ukolweni. Ngenkathi ukukhohlisa, kodwa ukudla okuphansi okusebenzayo kwe-FSMAP ye-IBS kuqala kuqala ezweni, yonke imikhiqizo equkethe ukolweni idinga ukugwema ngesikhathi sokuqeda kokuqala kokudla.
Ngomuntu odla ukudla okuvamile eNtshonalanga, lo mkhawulo ngokuqinisekile uzobonakala ubangele kakhulu. Noma kunjalo, ukutholakala okusha kungase kwenze nje ukudla okungaphezulu kwenzeke. Ake sibheke ukuthi izibalo zikakolweni zibe kanjani ekudleni okuphansi kwe-FODMAP.
Kungani UKolweni Kuyinkinga
Ngenkathi abantu abaningi bakholelwa ukuthi amaprotheni gluten kakolweni kuyinkinga kubantu abane-IBS , abacwaningi be-FODMAP baseMonash University baveze ingxenye ehlukile yekolweni njengalesi sigwebo - i-carbohydrate eyaziwa ngokuthi i-fructan. Ngenxa yokuthi i-fructan iyinxenye yesitshalo engagciniwe (okusho ukuthi ayiphuli emathunjini amancane futhi ingene emigodleni yegazi lethu), yenza indlela yayo ibe emathunjini amakhulu lapho kwenziwa khona amagciwane . Lokhu kusebenzisana kwakha ukuvuthwa kwe-carbohydrate, okuholela ekutheni igesi lomathumbu lingabangela ubuhlungu besisu nesimo sokukhulelwa (isifo sohudo / ukuqothula) se-IBS.
Ngenxa yalesi sifo sokudla okuqukethe ama-fructans ezimpawu ze-IBS, konke ukudla okuqukethe i-fructans kubonakala njengokudla okuphezulu kwe-FODMAP futhi kwakufanele kugwenywe ngesikhathi sokuqala sokudla. Lokhu kufaka yonke imikhiqizo eyenziwe ngokolweni, (kanye nemifino eningi njengegalikhi no-anyanisi).
Abantu abalandela ukudla badutshulwa ukuba badle izinguqulo ezingenayo gluten zokudla okuthandayo.
Lokhu akusho ukuthi abantu abane-IBS akufanele nanini badle ukolweni futhi. Ukuklama kokudla kunjalo lapho umuntu eseqedile isigaba sokuqeda okokuqala (ngokuvamile amasonto amabili kuya kwayisithupha), isincomo singenjalo ukwethula kancane kancane uhlobo olulodwa lwe-FODMAP , kuhlanganise ne-fructans, emuva kokudla ukuze kuhlolwe ikhono lomuntu ukubekezelela ukudla ngaphandle kokubona izimpawu. Umgomo oyinhloko wokudla uwukuthi umuntu adle ngokudla okunhlobonhlobo njengalowo ongakwenza ngenkathi ejabulela ukugaya okuthulile.
Imiphumela Yokucwaninga ngo-2015
Abacwaningi base-Monash University abaphansi-FODMAP baqhubeka behlola ukudla kokuqukethwe kwabo kwe-FODMAP. Indlela engcono kakhulu yokuhlala ngaphezulu kwalezi zibuyekezo ukulanda uhlelo lokusebenza lokudla lokudla okuphansi kwe-FODMAP kudivayisi yakho yeselula.
Ekupheleni kuka-2015, uhlelo lokusebenza lwembule ukuthi izingxenye ezincane zemikhiqizo yekolweni zitholakali ziphansi ngokwanele kuma-FODMAP ukuze zibekezeleleke abantu abaningi abane-IBS. Ngokukodwa, okuvunyelwe (okuvunyelwe ukudla kwesigaba sokuqeda) kukhona:
- Isiqephu esisodwa sezinkwa ezimhlophe zikakolweni
- 1/2 indebe yekhakishi ephekwe i-pasta
Lokhu kusho ukuthini lokhu
Ngokuqinisekile ikhono lokudla ucezu lwesinkwa noma ukujabulela inani elincane le-pasta lizokwenza ukudla kube lula kakhulu.
Manje uzoba nokunye okukhethwa kukho mayelana nokuthi yini ongayidla emibuthanweni yomphakathi noma lapho udinga ukudla ekugijimeni. Uma ngabe ugweme ukuzama lokhu ukwelashwa okuphumelelayo kokudla ngenxa yokwesaba ukuthi ngeke ukwazi ukubhekana nayo yonke imingcele yokudla, lokhu okutholayo kungase kube yilokho okudingayo ukunikeza ukudla okuhambayo.
Kunezinye izinto ezimbalwa okufanele uzikhumbule ngokukolweni:
Okokuqala, uma kuziwa kuma-FODMAP, ukubekezelelana ngabanye kungahlukahluka kakhulu. Ngakho-ke, ngenxa yokuthi lebhu ithi ukudla kubekezeleleke akusho ukuthi umzimba wakho uzovuma. Kuphela ngesilingo nangesiphambeko ungahlola ukubekezela komzimba wakho ngokudla okuthile.
Okulandelayo, kusekhona inkinga ye-gluten ngokolweni. Ukungahambisani okungenalutho kwe-gluten kuye kwahlotshaniswa nezimpawu zomzimba zomzimba (kuhlanganise ne-IBS), kanye nezimpawu ezingapheli ezithinta ezinye izingxenye zomzimba. Ngakho-ke ngenkathi ungase ukwazi ukubekezelela amazinga aphansi ama-fructans atholakalayo ekudleni okungenhla, umzimba wakho usengaba nesenzo esibi ku-gluten etholakala kulezi zokudla.
Okokugcina, ukudla ukudla okwenziwe ngotshani elicwengile, njengesinkwa kanye ne-pasta, kungenzeka manje kube kuhle ngezindaba zakho zesisu, kodwa zihlotshaniswa nezinga eliphezulu le-cardiovascular, isifo sikashukela, nokukhuluphala.
Njengoba ubona, isinqumo sokuthi udla ukolweni yini ngesikhathi sokudla okuphansi-FODMAP noma nhlobo umuntu oyedwa. Uzosebenza kangcono impilo yakho yokugaya nokugcina ngokulalela umzimba wakho, uhlale unolwazi ngemiphumela yekolweni empilweni, futhi uhlolisise ukulinganisela.
Imithombo:
I-Biesiekierski
Gibson, P. & Shepherd, S. "Ukuphathwa kokudla okusekelwe ebufakazini bokubonakaliswa kokusebenza kwamathumbu: Indlela ye-FODMAP" Journal of Gastroenterology and Hepatology 2010 25: 252-258.