I-behind-the-headlines inguquko yangempela mayelana nezinketho zokulawula isisindo
Ukuhlaziywa kuka-September 2016 kuThe New York Times kudinga ukuvivinywa kokudla okuphansi kwe-carb ngaphambi kokuhlinzwa ukuhlinzwa. Lokhu kunesikhalazo esisheshayo, ikakhulukazi kulabo abazinikele ekuziphatheni njengemithi. Nazi izindlela zokwelapha ekhishini, kunokuba igumbi lokusebenza! Ngeshwa, noma kunjalo, lokhu kuhlaziya kudukisa. Asikho isisekelo sokuphikisana okukhethayo kokudla okuphansi kwe-carb; basebenza cishe esikhathini esifushane futhi bahluleka isikhathi, njenganoma yikuphi okunye.
Ngenkathi kukhona ukukhishwa kwekhwalithi yezinga eliphezulu lokudla kanye nempilo ngaphandle, kukhona okuningi okuqhubekisela phambili ukucabanga okungalungile kanye nokukhohlisa; bekungeke kwenzeke ukubhekana nabo bonke lapha. Kodwa le ngxenye ethile ye- New York Times iwufanelekile ukuhlola nokucaciswa, ikakhulukazi ngenxa yengxoxo enkulu, ebalulekile eyakhayo.
UGarth Davis, MD, ilungu leMkhandlu weNhlangano yeMpilo eQinisekisa impilo futhi ufanelwe ngokukhethekile ukuveza ukuthi abalobi balesi sihloko baphikisa kanjani indima yokuhlinzwa kokulahlekelwa isisindo, okuyinto ephumelelayo uma isetshenziswa ngokuhlakanipha. Usebenzisa ukwelashwa kwemithi nokwelashwa eHouston, lapho engumqondisi wezokwelapha wokuhlinzwa kwesisindo e-Memorial City Hospital. Ungumlobi wezincwadi ze- Proteinaholic: Kungani Ukugubha Kwethu Ukudla Kudla Ukusibulala , Futhi Umhlahlandlela Wabahloli We-Weight Loss Surgery .
UDkt. Davis ubheka ukusuka phezulu futhi unikeza isheke sangempela mayelana namaphethini okudla kakhulu ngokuthembekile futhi ngokuhambisanayo okuhlanganiswa nokulawula isisindo esihlala njalo nokukhuthazwa impilo yonke.
Umbono Wezinyathelo Zokuhlinza Ngosisindo: I-Garth Davis, MD
Njengogqirha wokuhlinza isisindo kanye nochwepheshe ophethe izinkulungwane zeziguli eminyakeni engaphezu kwengu-15, ngashaywa yinkinga yamuva ye- New York Times , "Ngaphambi kokuthi Uchithe $ 26,000 ku-Weight Loss Surgery, Yenza Lokhu." Isiqephu sinezinkohlakalo engingathanda ukubhekana nazo.
Okokuqala: Ababhali bacacisa ukuthi ukuhlinzwa kwesisindo akuphumelelanga.
Ukusebenza kokuhlinzwa kwesisindo sekuqinisekiswe iminyaka eminingi ngezifundo ezinkulu. Ngesikhathi abalobi beqaphela amaphepha amasha okucwaninga, bonke baqhutshwa ngezikhathi ezincane. Khona-ke abalobi bazama ukuqhathanisa ukuhlinzwa kokunciphisa isisindo ku-low-carb dieting. Futhi, abakwazi ukwenza lokhu kuqhathanisa ngokunembile. Izifundo zesikhathi eside ezidliwayo ezincane ezingenalutho zihluleka ngoba abantu abakwazi ukunamathela nabo ngenxa yemiphumela emibi.
Imiphumela emibi yesikhathi esifushane yokudla okuphansi kwe-carb ingabandakanya ukuqunjelwa, ubuthakathaka, isizungu, ubuhlungu bekhanda, ukudideka, ubuhlungu besisu, ukucasula, ukuhlukumeza, ukuhlanza, ukucindezeleka, ukukhubazeka kwengqondo nokuhlukunyezwa kwemisipha.
Imiphumela emibi yesikhathi eside yokudliwa kwe-carb ephansi ingabandakanya i-cholesterol ephezulu, isifo senhliziyo, izinso zezinso, ukulahleka kwethambo, ukungasebenzi kahle kwe-erectile, ukungondleki, kanye nengozi eyengeziwe yomdlavuza.
Abalobi balingisa iphepha elilandelayo eziguli ezingu-10 ngamasonto amabili. Ifunda le nto encane, futhi yenzelwe isikhathi esifushane, ungasiniki idatha eyanele yokwenza izimangalo ezikhulayo.
Ngemuva kokuphatha abantu kokubili ukudla okuncane-carb kanye ne-gastric bypass, imiphumela ayikwazi ngisho nokuqhathaniswa.
Ngibona amaphesenti angama-80 kuya kuma-85 amaphesenti eziguli zami zokugcoba esiswini ezithinta imishanguzo yabo yesifo sikashukela eminyakeni emihlanu kamuva, okuyinto evuza kakhulu. Azikho izifundo ezinyaka emihlanu ezidlweni ezincane-carb ngoba abantu abaningi nje abakwazi ukuhlala isikhathi eside kubo.
Okwesibili: Ababhali babonakala bacabanga ukuthi iziguli ezibona odokotela bama-bariatric azikaze zizame ukudla ngaphambilini.
Eqinisweni, zonke iziguli zethu zomkhuba ziye zazama ukudla okuyisisindo, izikhathi eziningi. Abaningi baye badla kusukela "amakamu amanoni" njengezingane. Inombolo eyodwa yokudla izigulane zethu zizama ukudla kwe-Atkins (indlela ethandwa kakhulu ye-carb), kaningi izikhathi eziningi, okwenza ukwesaba ama-carbohydrate.
Akekho owenza ukuhlinzeka ngaphandle kokunikeza umzamo onamandla wokudliwa. Kuzinkampanini eziningi zomshuwalense, imizamo yokulungiselela ukugaya ukudla iyadingeka, futhi ngiyazi abahlinzayo abambalwa abazosebenzisana nesiguli esingakaze sizame ukulahlekelwa isisindo ngaphambi.
Okwesibili : Abalobi baveza ukungabi nolwazi mayelana nendlela engabangela isifo sikashukela.
Kubonakala sengathi bacabanga ukuthi isifo sikashukela singumphumela weshukela ephezulu wegazi , kanti empeleni ushukela ophezulu yisimpawu, hhayi imbangela, yesifo sikashukela. Ukudla kwe-carbohydrate engezansi kuzokwehlisa ushukela wegazi, kodwa akuyikuxazulula inkinga ephakathi-umzimba awusakwazi ukucubungula i-carbs.
Empeleni, isifo sikashukela sibangelwa ukutholakala kwamafutha zibe amangqamuzana omzimba nesibindi. Lokhu kuphazamisa kakhulu amandla omzimba wokwenza i-insulin receptors, futhi ngaphandle kwama-receptors, ama-sugar receptors, ushukela awukwazi ukungena esitokisini. Ukudla okuphansi kwe-carb kuzokwehlisa ishukela egazini, kodwa ngeke kulungiswe inkinga engaphansi kwe- insulin ukumelana .
Okwesine: Ababhali babonakala ukuthi ukudla okuphansi-carb kwakuwukudla okuthandayo futhi okuwukuphela kwesifo sikashukela kuze kube yamuva.
Lokhu kungamanga nje. Eqinisweni, eDuke University eminyakeni yama-1940, uWalter Kempner, MD, waphatha isifo sikashukela ngempumelelo ngeDiet Diet.
Izilingo zomtholampilo ezingahleliwe kusukela ngo-1976 ziqokomisa ngokubambisana ukuphumelela kokudla okutshalwe esitshalweni ekulawulweni kwesifo sikashukela. Ucwaningo lwamanje oluxhaswe yiNational Institutes of Health (NIH) luye lwasikhombisa ukuthi izidlo ezisekelwe ezitshalweni ziphumelela nakakhulu kunezinhlelo zokudla zendabuko yaseMelika yaseDamerican Diabetes Association (ADA). Ngenxa yalokho, i-ADA ihlanganisa amaphethini asetshenziselwa ukutshala izitshalo njengendlela yokukhethwa kokudla ekuphakamisweni kwabo okunomsoco kubantu abanesifo sikashukela.
Ngempela, noma yikuphi ukudla okukhawulelwe khalori kuyoba nezinzuzo ngokulawula ishukela legazi.
Okwesishiyagalolunye: Abalobi bafakazela ukuthi izidlo ezincane-carb ziye zalahlwa ngephutha futhi kufanele zibuyiselwe emuva.
Umqondo wukuthi izidlo ezisezingeni eliphansi zasebenza kodwa "amafutha aphansi" ngaphambi kwesikhathi, futhi ngokungafaneleki, zaqeda ukuthandwa kokudla okuphansi. Ukudla okuphansi kwe-carb kuye kwaba khona kusukela ngo-1800. Kuye kwaba nezincwadi eziningi ezithengisa kakhulu phakathi neminyaka ebeka phansi i-low-carb dieting njenge-grail engcwele. Kodwa-ke, ukudla okuye kwahluleka ngokuphindaphindiwe, hhayi ngenxa yelinye iqhinga elincane le-fat, kodwa ngoba imiphumela emibi iye yaligcina ingasetshenziswa isikhathi eside.
Ngiye eMelika Society of Bariatric Physicians (manje ebizwa ngokuthi i-OMA) umhlangano waminyaka yonke; Ukudla okuphansi kwe-carb kuye kwaba yikona lesisekelo lezokwelapha kule nhlangano. Baye baqhubeka nokusebenzisa lokhu kudla, hhayi ukushiya njengoba ababhali bekuyokholelwa.
Umbuzo wami uwukuthi, uma izidlo ezincane-carb zisetshenziselwa iziguli eziningi izikhathi eziningi, futhi zisetshenziswe iningi odokotela ngomzamo wokuphatha isifo sikashukela nokukhuluphala , kungani sisenenkinga enkulu kangaka? Ngokusobala, ukudla okuphansi kwe-carb akusebenzi nje njengesisombululo sesikhathi eside. Njengoba ngitshela iziguli zami, "Uma wenza lokho oye wakwenza njalo, uzothola lokho oye wakuthola njalo."
Ukutshela isiguli esinesifo sikashukela esine-morbidly ukuhamba kwesinye isidlo esincane se-carb yisimo sokuhlambalaza amanoni futhi ukuphathwa okungalungile kwalesi sifo.
Ungabhekana Kanjani Okuhle Kokuvimbela Nokuguqula Uhlobo Lwe-Diabetes?
Zibuze lo mbuzo: Yimiphi imiphakathi emhlabeni enempilo ehlala isikhathi eside kunawo wonke kanye nezinga eliphansi kunazo zonke zesifo sikashukela? Ucwaningo lukazwelonke lwe-National Geographic Blue Zones lwathola izindawo eziningana zomhlaba ezinempilo engenakulinganiswa kanye nenani elikhulu lama-centenarians per capita. Ukudla kwala miphakathi ehlukumezekile kubelana ngentambo evamile kakhulu-bonke babuswa ukudla okucebile kwe-carbohydrate.
Abantu base-Asiya badla ama-carbs njengamarayisi namazambane njengesiyisisekelo. Futhi ngenkathi isifo sikashukela e-Asia sasingeke sibe khona, iChina namanye amazwe ase-Asia manje aqala ukubona izinga elikhulayo lesi sifo-hhayi ngenxa ye-carbs, kodwa ngenxa yenyama ehamba phambili ekudleni.
Njengoba abezindaba beqhubeka bephrinta ngokweqile, ngokuvamile ulwazi olungalungile mayelana nokudla okuphansi kwe-carb, abafundi basabela ngokwesaba okukhulu lwe-carbs. Lokhu kwesaba kuholela ekusetshenzisweni okukhulu kwemikhiqizo yenyama. Lokhu kwandisa inyama yokudla kuyinkimbinkimbi, ngoba kungasiza ekwenzeni umfutho wegazi ophezulu kanye nesifo senhliziyo ngenkathi ukwandisa ingozi yomdlavuza.
Ngiyavumelana nabalobi ukuthi singakwazi ukuqeda isidingo sokuhlinzwa kwabanye abantu ngokusebenzisa ukudla, kodwa lokho kudla kufanele kube kakhulu kakhulu ezitshalweni, emifino, emasimini, nasezinhlameni ezigcwele. Isiphakamiso sami ezigulini ezithinta ukukhuluphala nesifo sikashukela ukudla ukudla okuphelele kakhulu, ukudla okutshala izitshalo nokuzivocavoca. Kumele bayeke ukudla okuphazamisayo / ukufakela ukudla bese begxila ekutheni ukudla okunomsoco okuye kwagcina imiphakathi eminingi iphila impilo enempilo futhi engenazo izifo.
Uma ukukhuluphala noma ukuthayipha isifo sikashukela 2 sinzima, ukuhlinzwa kuyithuluzi eliphumelelayo kakhulu. Akukho ukudla kunoma yikuphi ukuphumelela okuqinisekisiwe kokuhlinzeka, futhi kule nkathi yanamuhla, ukuhlinzwa kuyindlela ephephile kakhulu. Uma kuthiwa, ithuluzi kufanele lisetshenziswe ukushintsha impilo enempilo, hhayi njengokuphela kokuzimele.