Kodi kusagwirizana kwa lactose ndi chiyani? Zomwe zimayambitsa ndi zizindikilo

Maphunziro a Zaumoyo

Ngati munakhalapo ndi vuto lakumimba mutadya tchizi kapena ayisikilimu, mwina simukulekerera lactose. Ndi shuga wopezeka mkaka ndi zinthu zina za mkaka. Pulogalamu ya FDA akuti anthu 30 mpaka 50 miliyoni ku United States sangathe kupukusa bwino. Nazi izi zomwe zikutanthauza kwa inu.

Kodi lactose ndi chiyani?

Lactose ndi mamolekyu akulu amkaka a shuga omwe amapezeka mumkaka. Amapanga 2% mpaka 8% ya mkaka-ndipo amapezeka m'mankhwala ena.Lactose ndi disaccharide (shuga iwiri) yomwe thupi limagawira shuga wosavuta shuga ndi galactose. Thupi limatha kugwiritsa ntchito mphamvu kuchokera kumashuga awa pazinthu zambiri monga kukonza maselo, kumanga minofu, ndikuwonjezera zochitika zatsiku ndi tsiku.

Kodi kusagwirizana kwa lactose ndi chiyani?

Kusagwirizana kwa Lactose (komwe kumatchedwanso lactose malabsorption) ndikulephera kukumba lactose. Anthu omwe ali ndi vuto losagwirizana ndi lactose alibe enzyme yokwanira ya lactase mthupi lawo, zomwe ndizofunikira kupukusa lactose. Popanda lactase, lactose sichingagwere m'magawo ake ang'onoang'ono, zomwe zikutanthauza kuti thupi silingathe kufikira mamolekyulu ofunikira a shuga.

Vutoli limakhudza pafupifupi 36% ya anthu aku US. Zowopsa pakukulitsa kulolerana kwa lactose ndikuphatikizanso kukhala ochokera ku Africa American, American Indian, Asia, kapena Puerto Rico; kukhala wamkulu; kapena kubadwa masiku asanakwane.

Ndi matenda osatha omwe pakadali pano alibe mankhwala. N'zotheka kukhala wosalolera lactose mwadzidzidzi ngati matenda ena-monga gastroenteritis-kapena kudziletsa kwa mkaka kwa nthawi yayitali kumayambitsa thupi. Ndi zachilendo kusiya kulekerera kwa lactose mukamakula.

Zimayambitsa kusagwirizana kwa lactose

Pali mitundu iwiri ya kusagwirizana kwa lactose komwe asayansi amazindikira: kusagwirizana kwa lactose koyambirira komanso kwachiwiri. Kusagwirizana kwa lactose koyambirira kumayambitsidwa ndi kuchepa kwa lactase kapena kuchepa kwa lactase komwe kumafala kwambiri ndi ukalamba.

Mavuto m'matumbo ang'onoang'ono, omwe amachititsa kuchepa kwa lactase, kumayambitsa kusagwirizana kwa lactose. Matenda, kuvulala, matenda, kapena matenda a leliac angayambitse mavutowa.

Mitundu yonseyi yolekerera imakhudzana ndi kulephera kugaya lactose chifukwa cha milingo yaying'ono ya lactase. Kusagwirizana kwa lactose koyambirira kumakhala kofala kwambiri kuposa kulolerana kwa lactose kwachiwiri. Ku North America, 79% ya Amwenye Achimereka, 75% a ku America, 51% a Hispanics, ndi 21% a ku Caucasus tsankho lalikulu la lactose .

Kuperewera kwa lactase ndizotheka. Pakadali pano, anthu amayamba kusagwirizana ndi lactose akamakalamba.

Zizindikiro za kusagwirizana kwa lactose

Kusalolera kwa Lactose kumapangitsa zizindikilo zina kuzindikirika mosavuta. Ngati mwangodya kumene mkaka ndipo muli ndi zizindikiro zotsatirazi pasanathe mphindi 30 kapena maola awiri mutadya, mutha kukhala osalolera lactose.

1. Kuphulika
2. Kudzikweza
3. Kutsekula m'mimba
4. Nseru
5. Kusanza
6. Kupunduka m'mimba
7. Kudzimbidwa
8. Kuyimitsa

Zizindikiro zonsezi zimachitika chifukwa matumbo ang'onoang'ono sangathe kugaya bwino shuga wazogulitsa mkaka. Zotsatira zake, mabakiteriya am'matumbo amathira lactose wosagaya, kupangitsa gasi ndi madzi kuchuluka. Akuluakulu ndi ana adzakumana ndi zizindikiro zofananira ngati ali ndi lactose yosalolera. Ndizachilendo kwambiri komabe zimatheka kuti makanda azikhala ndi tsankho la lactose.

Kwa makanda ndi ana, mkaka wa m'mawere ndi njira zopangira mkaka zimakhala ndi lactose. Ngati makolo amakhulupirira kuti khanda lingakhale ndi tsankho la lactose, ayenera kufunsa ana awo kuti awononge mkaka pazakudya (ngati akuyamwitsa) kapena asinthire mkaka wa mkaka wopanda mkaka. Makolo ayenera kukambirana nkhawa zawo ndi ana awo kale kuchotsa zakudya zomwe ana awo amadya kuti zitsimikizire kuti akukhala ndi chakudya chokwanira komanso kukula.

Nthawi zina kusagwirizana kwa lactose kumasokonezeka chifukwa cha mkaka mwa ana aang'ono, koma kuyamwa mkaka ndichinthu chosiyana kwambiri. Ana omwe ali ndi chifuwa cha mkaka amatha kukhala ndi ming'oma, kufinya, mphuno, kutsekula m'mimba, kapena kupweteka m'mimba.

Kodi kusagwirizana kwa lactose kumapezeka bwanji?

Kusalolera kwa Lactose nthawi zambiri kumatha kudziwika, koma zizindikilo zambiri zakusamvana kwa lactose ndizofanana ndi matenda am'mimba komanso mkaka. Koterongati mukuganiza kuti simukulekerera, ndikofunikira kuti mukambirane ndi omwe amakupatsani chisamaliro choyambirira kuti muwonetsetse kuti palibe zovuta zina zamankhwala kapena zakudya.

Mayesero ena azachipatala amatha kuthandizira kuzindikira vutoli kuti anthu athe kuchiza matenda awo moyenera. A kuyesedwa kwa mpweya wa hydrogen , yomwe imayendetsedwa ndi katswiri wa gastroenterology, amayesa kuchuluka kwa haidrojeni yomwe ili mu mpweya itatha kumwa mkaka. Imayesa hydrogen chifukwa thupi limasintha lactose yosagayidwa kukhala mpweya wa hydrogen.

Kuyezetsa magazi ndi mtundu wina wa mayeso a labotale omwe angathandize kuzindikira kuti kusagwirizana kwa lactose. Kuyezetsa magazi kumayang'ana kuchuluka kwa magazi m'magazi wodwalayo akadya kuchuluka kwa lactose. Ngati kuchuluka kwa shuga wamagazi sikukwera, izi zikutanthauza kuti thupi silikuphwanya lactose kukhala shuga.

Ngati wina ali ndi vuto lodana ndi lactose, apitilizabe kukhala ndi zizindikilo pokhapokha atakhala kutali ndi mkaka. Kusagwirizana kwa lactose kwachiwiri kumatha kutuluka m'mimba matumbo atayamba kugwira ntchito bwinobwino, zomwe zimatha kutenga milungu kapena miyezi. Komabe, lactose ikachotsedwa pachakudya, mphamvu yakutulutsa mavitamini a lactase imachepa, zomwe zimapangitsa kuti lactose isagayike.

Mankhwala osagwirizana ndi Lactose

Kuthetsa kusalolera kumeneku nthawi zambiri kumangokhala kusintha kwa zakudya, koma mankhwala ena atha kukhala othandiza.

Zakudya zimasintha

Madokotala ambiri amavomereza kuti njira yabwino yothanirana ndi kupewa kudya lactose kuyambira pachiyambi. Lactose ali mu mkaka ndipo zosagulitsa mkaka, kotero kuwerenga zolemba za chakudya ndi mankhwala ndikofunikira.

Zakudya zomwe zili ndi lactose ndizo:

• Mkaka wa ng'ombe
• Mkaka wa mbuzi
• Mkaka wa m'mawere ndi mkaka wokhazikika mkaka
• Ayisi kirimu
• Hafu ndi theka
• Yogurt (Yogurt yachi Greek imakhala ndi lactose yochepa)
• Mkaka wouma wouma, zolimba mkaka, ndi zopangidwa ndi mkaka
• Tchizi, makamaka tchizi wofewa (Parmesan, Swiss, ndi cheddar ali ndi lactose yochepa)
• Kirimu tchizi
• Tchizi cha koteji
• Zakudya zonona
• Batala
• Mkaka wokhazikika
• Sherbert
• Zophika khofi
• Batala
• Ghee
• Whey

Zopanda mkaka za lactose:

• Mankhwala
• Zakudya zapompopompo
• Margarine
• Mavalidwe a saladi
• Mbewu zosinthidwa

Kuwona zolemba za zakudya ndiyo njira yabwino kwambiri yowonera ngati chakudya kapena mankhwala omwe ali mmatumba ali ndi lactose kapena ayi - chizindikirocho chidzawerengeredwa chopanda mkaka kapena lactose. Ngakhale zochepa zimakhala zovuta kukumba, ndipo zakudya zina zimatha kuyambitsa zizindikilo zambiri kuposa zina.

Barry Sears, Ph.D., wolemba wa Malo Amafa t zonena kuti zakudya zina zili ndi lactose yocheperako kuposa zina. Kwa anthu omwe sangathe kulekerera lactose iliyonse pazakudya zawo, Dr. Sears amalimbikitsa zopangira mkaka wopanda lactose ngati gwero la mapuloteni apamwamba. Malo ogulitsa zakudya zathanzi nthawi zambiri amakhala ndi zakudya zamtunduwu, ndipo malo ogulitsira zakudya nthawi zonse amayamba kusungitsa zinthu monga mkaka wopanda lactose momwe ogula amafunira. Olowa m'malo asanduka kwamakono . Mumsewu wamkaka, mutha kupeza soya, mpunga, amondi, coconut, macadamia, ndi oat mkaka.

Ngati mukuda nkhawa kuti kuchotsa mkaka muzakudya zanu kumatanthauza kuti simukupeza vitamini D kapena calcium yokwanira, mutha kuyesa kuwonjezera zakudya zina pazakudya zanu. Mkaka suli wofunikira kunja kwa ukhanda, kotero ndizotheka kuwonjezera ndi zinthu zina. Nsomba zamafuta, mazira, bowa, masamba obiriwira, ndi mtedza ndizochokera ku calcium ndi vitamini D.

Kwa ena, kudya yogurt ndikotsika kwambiri mu lactose kuti isadzetse mavuto, Sears akuti. Tchizi wolimba ndi wotsika kwambiri mu lactose, ndipo zopangira mkaka zopanda lactose zilibe lactose konse. Njira yabwino yodziwira kuti ndi zakudya ziti zomwe zimakuvutitsani kwambiri ndikuchotsa magwero onse a lactose kwa sabata imodzi kapena ziwiri, kenako ndikuwonjezeranso kamodzi.

Mankhwala

Mankhwala ena amathandiza kugaya chakudya pogwiritsa ntchito lactose. Madontho ndi mapiritsi omwe ali ndi lactase amatha kuthandizira kugaya chakudya. Kuwonjezera madontho a lactase mkaka musanamwe, kapena kumwa piritsi musanadye mkaka kungapangitse kusiyana kwakukulu.

Lactase ndizogwiritsidwa ntchito popanga zinthu monga Lactaid ndipo Lac-Mlingo ndi zopangira zawo. Ndi ma enzyme omwe amawonjezera wodwala wosalolera ayenera kutenga asanadye chilichonse chokhala ndi lactose. Mankhwala amtunduwu amagwira ntchito bwino kwa anthu ena, koma si mankhwala.

Kulekerera kwa Lactose sikudzatha konse kwa wina yemwe ali ndi chibadwa. Ndizotheka kuthana ndi zizindikilo, ndipo anthu ambiri amawona kuti zizindikilo zawo zimatha patatha masiku angapo atachotsa mkaka pazakudya zawo. Njira yabwino yophunzirira zambiri zakusavomerezeka kwa lactose komanso momwe mungachitire ndi kukambirana ndi wazakudya wanu kapena wothandizira zaumoyo.