Incazelo yezokudla kanye nemenyu yesampuli
Ukudla okune-ketogenic yokuphefumula ukudla okhethekile okuye kwasiza izingane eziningi kanye nabanye abadala ukuba bazuze kangcono (noma ngisho nokugcwele) ukulawulwa kwabo. Kuyindlela yokwelapha lokuqala kokuthola amakhemikhali ambalwa okuphuza, njengokuphuza ngenxa yokuguqulwa kwe-GLUT-1 noma i-pyruvate dehydrogenase.
Umlando we-Ketogenic Diet for Epilepsy
Ukudla kwe-ketogenic yokufelwa kwesifo (i-KDE) yasungulwa ngawo-1920 nguDkt. Hugh Conklin eMichigan.
Kodwa uma kwakhiwa imithi ephumelelayo, ukudla kwakungasetshenziswa kaningi. Ubuye wabuye waqaphela futhi ufunde futhi manje uhlelo oluyisisekelo lokulondoloza izingane ezinesifo sofuba kunzima ukulawula ngemithi. Ngabantwana abangaphezu kuka-300,000 e-US abanenkinga yokuthungatha, lokhu sekube yinto ephawulekayo ekwenzeni imithi yokwelapha isithuthwane. Abacwaningi baqala ukubona ukuthi kungasiza kanjani abantu abadala nabantu abanezinkinga ezihlukahlukene ze-neurologic.
Kubalulekile ukuthi noma ubani osebenzisa lokhu kudla ngenxa yokugula kwengculazi akwenze ngaphansi kokuqondiswa udokotela owaziwayo kanye no-dietitian. Kunama-nuances amaningi nokuhlukahluka komuntu ngamunye okuyokwenza ukuthi umuntu ngamunye adle ukudla okuqondile, futhi ukuxhumanisa lokhu nemithi kungaba yinto ekhohlisayo. Lokhu akuyona into okufanele izame wena ngokwakho.
Okuyisisekelo se-Ketogenic Diet for Epilepsy
Ukudla kwe-ketogenic yokuphefumula kuyinto yokudla okunamafutha kakhulu, eneprotheyini ewanele yokondliwa komzimba nokukhula, namanani aphansi kakhulu ama-carbohydrate.
Esimweni se-ketogenic, umzimba udala ama-molecule abizwa ngokuthi i-ketones (ebizwa nangokuthi imizimba ye-ketone) uma amafutha ehlelwa ngamanzi. Umgomo we-KDE wukuthi ubuchopho basebenzise amaketoni wamandla kune-glucose ngangokunokwenzeka. Amaketoni (ikakhulukazi) anomswakama ngamanzi, ngakho-ke akhuthwa kalula ebuchosheni.
Ubuchopho abukwazi ukusebenzisa ama-fatty acids ngamandla, kodwa kungasebenzisa amaketoni ingxenye enkulu yezidingo zayo zamandla.
I-KDE ivame ukuqala esimweni sesibhedlela, futhi ivame ukuqala ngesinye isikhathi sokuzila ukudla kwezinsuku ezimbili (nakuba kungase kube khona ukuhamba kude kokubili kwezidingo). Emva kokuqaphela inani elifanele lamaprotheni (kuye ngokuthi ubudala, njll), ukudla kuhlelwe njengokulinganisa kwamafutha amagremu amaprotheni amagremu kanye nama-carb gramu. Ngokuvamile kuqala ngesilinganiso esingu-4 kuya ku-1, bese kulungiswa kahle kusuka lapho. Ukudla ngokuvamile kuvamise ukhalori-okulinganiselwe futhi okulinganiselwe-okulinganiselwe kanye. Ukwengeza, akukho okuphakelayo "okuphansi kokudla" (ukuthungatha, imigoqo, njll) kuvunyelwe okungenani inyanga yokuqala.
Ngenxa yokuthi igramu lamafutha linamaphesenti angaphezu kwamabili ama-calories wegremu lamaprotheni noma ama-carbohydrate, lokhu kulinganisa kusho ukuthi okungenani amaphesenti angu-90 ama-khalori ekudleni avela kumafutha. Lokhu kudla okunzima kakhulu, futhi kudinga isikhathi ukufunda ukubeka ndawonye ukudla okuhambisana nefomula. Zonke ukudla kumele zilinganiswe futhi zirekhodwe.
Ukunciphisa ukudla kuvivinywa ngemuva kweminyaka emibili, nakuba ezinye izingane zigcinwa ekudleni isikhathi eside.
Imenyu Yosuku Lomcimbi
Ngezansi incazelo encishisiwe yemenyu ebonakala ephepheni, "I-Ketogenic ne-Atkins Diet: Ukupheka Kokulawulwa Kwegazi," i- Gastroenterology ewusizo , ngoJuni 2006 .
Kutjho ukunikela umqondo walokho abantwana abakudlako ekudleni, akusilo imithi efaneleko. Khumbula, zonke lezi zokudla zilinganiswa ngokucophelela futhi zilinganiselwe.
- Ukudla kwasekuseni: Amaqanda akhiwa ukhilimu olunzima nebhotela, ubhekeni, isithelo esincane
- Usuku lokudla: I-salad ye-Tuna (eyenziwe nge-mayo ne-cream enzima) ku-ulethisi
- Isidlo: I-Cheeseburger eyenziwe ngamafutha engeziwe, isaladi encane, ubhontshisi obuluhlaza
- Ukunambitha: "Keto custard" eyenziwe ngeqanda kanye ukhilimu olunzima. "I-yogurt yogurt" eyenziwa ngokuxuba ukhilimu omuncu, ukhilimu olunzima, nesithelo esincane. "Amabhola e-peanut butter" ingxube yebhokisi le-peanut nebhotela
Izinguquko zalolu hlelo lubeka amafutha kakhukhunathi noma amafutha e-MCT okwe-cream okweqile nebhotela.
Enye imenyu yesampula ibonakala ku "I-Ketogenic Diet: Umhlahlandlela Owusizo Wabahlengikazi," I- Pediatric Annals , ngoDisemba 2016.
Yeka ukuthi i-Ketogenic Diet iphumelela kanjani ngokuphefumula?
Izifundo ngokuvamile zibonisa ukuthi cishe ingxenye yesithathu yeziguli izoba nokuncipha kwamaphesenti angama-90 ekubanjeni, kanti enye yesithathu izothola amaphesenti angu-50 kuya kokunciphisa amaphesenti angu-90. Lokhu kuyamangalisa, ngicabanga ukuthi lezi ziguli ngokuvamile lezo ezihlukunyezwayo azilawulwa kahle ngemithi. Qaphela ukuthi igama elithi "isithuthwane" lihlanganisa iqembu lezinkinga ngezimbangela ezihlukene ezingezona zonke eziqondakala ngokugcwele, okuyingxenye yezizathu ezihlukene abantu ababhekana ngazo zokwelashwa ezahlukeneyo.
Kungani Ukudla Kudla?
Kunemibono embalwa mayelana nendlela nokuthi kungani ukudla kusebenza, kodwa akekho owaziyo ngokuqinisekile. Izinguquko kuma-neurotransmitters, inkulumo yegenesis, nemithonya ye-neuron receptors yilezi ezinye zezindlela.
Eminye indlela yokudla okunomthelela omkhulu we-Ketogenic
Okunye okuthandwayo okusiza abaningi kuthiwa i-Modified Atkins Diet. Lokhu kudla akuvimbela kakhulu, njengama-calories, ama-fluids, namaprotheni akulinganiswanga. Ukudla kuqala ngamagremu angu-10 e-carbohydrate ngosuku lwenyanga yokuqala, bese uhamba kancane kancane ufike ku-15 noma 20 amagremu. Kufana nesigaba esiqinile kakhulu sokungeniswa kwe-Atkins. Kube okungenani kube nokucwaninga okukodwa, lapho abanye bezuze ukulawula okungcono kokuthungatha lapho beshintsha kusukela ekudleni kwe-Atkins kuya ku-KDE.
Ingabe Abantu Abadala Abanemizwa Bayakwazi Ukuzuza Ekudleni Kwe-Ketogenic?
Kuye kwaba nezifundo ezimbalwa ze-Atkins Diet eguquliwe kubantu abadala abanenkinga yokungena, futhi imiphumela ifana nezifundo nezingane. Ngokuthakazelisayo, kuboniswe komunye wembiko ukuthi kunzima kakhulu ukugcina abantu abadala ekudleni ngoba kusobala ukuthi banokulawula okungaphezu kwalokho abakudlayo. Ukucwaninga kusalokhu kulinganiselwe kule ndawo futhi kudingwa ukuhlolwa okuningi.
> Imithombo:
> Kossoff, et al. Ingabe ukulawulwa kokulawula kungathuthuka ngokushintsha kokudla okuguquliwe kwe-Atkins kuya ekudleni kwe-ketogenic yendabuko? I-Epilepsia 51:12 (2010) 2496-2400.
> Luat AF, Coyle L, Kamat D. I-Ketogenic Diet: Umhlahlandlela Owusizo Wabahlengikazi. Amanothi wezingane . 2016; 45 (12). i-doi: 10.3928 / 19382359-20161109-01.
> I-Lutas A, i-Yellen G Ukudla kwe-ketogenic: amathonya amathintekayo ekukhunjweni kobuchopho kanye nesithuthwane. Amathrendi ku-Neurosciences . 36: 1 (2013) 32-40
> Martin K, Jackson CF, Levy RG, Cooper PN. Ukudla kwe-Ketogenic nezinye izindlela zokwelapha zokuphefumula. I-Cochrane Database yezibuyekezo ezihleliwe . September 2016. ini: 10.1002 / 14651858.cd001903.pub3.
> Weber S, et al. Ukuguqulwa kwe-Atkins kudla izingane nezingane ezinesithuthwane esingenakulinganiswa. Seizure . 18: 4 (2009) 237-240