I-behind-the-headlines eyiyo i-check check on the options of control control
Inkcazo ka-Septemba 2016 kwiThe New York Times yabiza isilingo sesidlo esincinane se-carb ngaphambi kokuya kutyando lwe-bariatric. Oku kunokubhenela ngokukhawuleza kuthiwa kuthiwa senze into yokuphila njengamayeza. Nakhu ukulungisa izicwangciso ekhitshini, kunokuba igumbi lokusebenza! Ngelishwa, nangona kunjalo, eli phephancwadi lidukisa. Akukho sikhokelo senkqubela ekhethiweyo yokutya okuncinci; bahamba nje ngokusemandleni okusebenza ngexesha elifutshane kwaye banokuphelelwa ixesha, njengalowo nawuphi na.
Nangona kukho ukuhanjiswa kwekhwalithi yokutya kunye nempilo ngaphandle apho, kukho ezininzi eziqhubekayo iingcamango ezingalunganga kunye neziphoso; kwakungeke kwenzeke ukubamba nabo bonke apha. Kodwa le nxalenye ethile yeNew York Times ixabisa ukuhlola nokucaciswa, ngakumbi ngenxa yengxoxo ebalulekileyo, ebalulekileyo.
UGarth Davis, MD, ilungu leBhunga leQumrhu leQumrhu leQumrhu eliQinisekileyo kwaye uyakwazi ukubonisa indlela abalobi beli nqaku abachaze ngayo indima yokuhlinzwa ngenxa yokulahleka kwesisindo, esebenza kakuhle xa isetyenziswe kakuhle. Uyenzela unyango kunye nokulahleka kokunyuka kokutya eMouston, apho umlawuli wezonyango zokuhlinzwa ngokunyameka kwiSibhedlele saseSixeko saseSikhumbuzo. Ungumlobi weencwadi ze- Proteinaholic: Kutheni ukugqala kwethu ngokutya kuyasibulala, kunye nesicwangco seNzululwazi yokuTyekisa ukuPhelelwa koLwaphulo .
UDkt. Davis ukhangeleka ukusuka kwindawo ephakamileyo kwaye unikezela ngenyameko malunga neendlela zokutya ezinokuthenjwa kwaye zihlanganisane nokulawulwa kwimizimba yokuhlala kunye nokukhuthaza impilo yonke.
I-Persistective Weight Loss Perspective: Garth Davis, MD
Njengogqirha ogqithisileyo wezilwanyana kunye nophando oye waphatha amawaka ezigulane ngaphezu kweminyaka engama-15, ndatshutshiswa ngumbono weNew York Times , "Ngaphambi kokuba usebenzise i-26,000 zamaRandi kwi-Surgery Weight Loss Surgery, Yenza Oku." Isiqwenga sinezinto eziphosakeleyo ndifuna ukujongana nazo.
Okokuqala: Ababhali bacacisa ukuba utyando lokulahlekelwa ubunzima alusebenzi.
Ukusebenza kovavanyo lokulahleka kwesisindo kuye kwagqitywa iminyaka emininzi ngezifundo ezinkulu. Ngoxa abalobi bebhala ingqalelo kumaphepha amaninzi okuphanda, bonke baqhutyelwa ngaphaya kwexesha elifutshane. Emva koko abalobi bazame ukuthelekisa utyando lokulahleka kobunzima kwi-low-carb dieting. Kwakhona, abakwazi ukwenza okuthelekisayo. Izifundo zexesha elide kwizidlo ezincinane ze-carb zikhoyo ngenxa yokuba abantu abakwazi ukunamathela kuzo ngenxa yemiphumo emibi.
Iziphumo ezifutshane zemizuzu emfutshane yezidlo zingabandakanya ukuzithemba, ubuthathaka, isisu, intlungu, ukudideka, isisu, isisindo, isisindo, ukuhlanza, ukuxinezeleka, ukuphazamiseka kwengqondo, kunye neentlungu ze-muscle.
Iziphumo ezide zexesha elide lokutya ukutya kwe-carb zingabandakanya i-cholesterol ephezulu, izifo zesifo senhliziyo, isifo seengso, ukulahleka kwethambo, ukungasebenzi komzimba, ukungondleki, kunye nomngcipheko wokwanda komhlaza.
Ababhali baqwalasela iphepha elilandelayo kwezigulane ezili-10 kwiiveki ezimbini. Uphonononga olu lincinci, kwaye lenzelwe ixesha elifutshane, ungasiniki idatha eyaneleyo yokwenza amabango atshabalalayo.
Emva kokuba baphathe abantu kunye nezidlo ezincinane ze-carb kunye ne-gastric overpass, iziphumo azikwazi ukuthelekiswa.
Ndibona iipesenti ezingama-80 ukuya kuma-85 eepesenti zam izigulane zam isisu zinezigulane zonyango lwabo lwesifo sikashukela eminyakeni emihlanu kamva, evuyisa kakhulu. Akukho zifundo zonyaka ezintlanu kwiidlo eziphantsi kwe-carb kuba abaninzi abantu abakwazi ukuhlala ixesha elide kubo.
Okwesibini: Ababhali babonakala bacinga ukuba izigulane ezibona oogqirha be-bariatric abazange bazame ukutya ngaphambi kokuba.
Enyanisweni, zonke izigulane zethu zenza izilingo zokulahlekelwa kwesisindo, amaxesha amaninzi. Abaninzi baye batya kuba "iinkampu ezinqatha" njengabantwana. Inombolo enye yokutya izigulane zethu zizama ukutya kwe-Atkins (indlela eyaziwayo ephantsi-carb), rhoqo ngamaxesha amaninzi, obangela ukwesaba i-carbohydrates.
Akukho mntu uya kuhlinzwa ngaphandle kokuba anike umzamo onamandla ekudleni. Kwiinkampani ezininzi ze-inshorensi, iinzame zokulungiselela ukudla ukutya ziyimfuneko, kwaye ndiyazi ukuba bambalwa oogqirha abaza kusebenza kwisigulane esingazange sizame ukunciphisa umzimba.
Okwesithathu : Ababhali babonisa ukungabikho kolwazi malunga nenkqubo engundoqo ebangela isifo sikashukela.
Kubonakala ngathi bacinga ukuba isifo sikashukela singumphumela weshukela ophezulu wegazi , xa ngokwenene ishukela eliphezulu liphawu, kungekhona isizathu, sesifo sikashukela. I-low fat carbohydrates intake iya kulahla ushukela wegazi, kodwa ayiyikujongana nombindi ophakathi-umzimba awusakwazi ukuqhuba i-carbs.
Enyanisweni, isifo sikashukela sibangelwa ukuthotywa kweenqatha kwisistim kunye neeseli zesibindi. Oku kuphazamisa kakhulu amandla omzimba okwenza i-insulin receptors, kwaye ngaphandle kwe-receptor receptors, ishukela ayikwazi ukungena kwiseli. Ukutya okuphantsi kwe-carb kuya kunciphisa ishukela legazi, kodwa akuyi kulungisa ingxaki engundoqo yokuxhatshazwa kwe- insulin .
Okwesine: Ababhali babonakala bebonisa ukuba ukutya okuncinci kwe-carb kwakungumdla kunye nesondlo kuphela sesifo sikashukela de kutshanje.
Oku ku buxoki. Enyanisweni, kwiDyuvesi yaseDuke kwiminyaka ye-1940, uWalter Kempner, MD, waphatha isifo sikashukela ngokuphumelelayo kunye neRicy Diet.
Izilingo zonyango ezingaqhelekanga ziqala ngowe-1976 ngokubaluleka ngokugqithiseleyo ukusetyenziswa kwesondlo esisekelwe kwisityalo kwi-diabetes management. Uphando olutshanje olunikezelwa yiZiko leZiko lezeMpilo (NIH) lisibonise ukuba izidlo ezisekelwe kwizityalo zisebenzise ngakumbi kuneyona ndlela yokutya yesidlo se-American American Diabetes Association (ADA). Ngenxa yoko, i-ADA ifaka iipatheni zokutya ezisekelwe kwisityalo njengendlela yokucwangciswa kokutya kwiziphakamiso zabo zondlo kubantu abanesifo sikashukela.
Enyanisweni, nayiphi na ukutya okukhawulelwe khalori kuya kuba neenzuzo malunga nokulawula iswekile yegazi.
Okwesithandathu: Ababhali bathi ukutya okuncinci kwe-carb kuye kwandelwa ngokungafanelekanga kwaye kufuneka kubuyiselwe.
Iingcamango kukuba izidlo ezisezantsi zisebenza kodwa "i-fat fat craze" ngaphambi kwexesha, kwaye engafanelekanga, iphelile ukuthandwa kwe-carb low diet. Izidlo eziphantsi kwe-carb ziye zajikeleza ukususela nge-1800s. Kukho iincwadi ezininzi ezithengisa kakhulu ngokudlulela i-carb low-diet njenge-grail engcwele. Sekunjalo, ukutya kunokuphindaphindiweyo, kungekhona ngenxa yeqhinga elincinci, kodwa ngenxa yokuba iziphumo zecala ziye zagcina zingasetyenziselwa ixesha elide.
Ndiye kwi-American Society yeBatriric Physicians (ngoku kuthiwa yi-OMA) intlanganiso yonyaka iminyaka; Iidlo eziphantsi kwe-carb ziye zaba yintloko yonyango yale nhlangano. Baye baqhubeka basebenzisa le ndlela yokutya, bengayishiyi njengoko ababhali bekunokukholwa.
Umbuzo wam kukuba, ukuba isidlo se-carb esezantsi sisetyenziselwa ezininzi izigulane zam izihlandlo ezininzi, kwaye zisetyenziswe uninzi lwabagqirha kwizame zokunyanga isifo sikashukela kunye nokukhuluphala , ngoko kutheni sinesxaki esinjalo? Kuyacaca ukuba, ukutya okuncinci kwe-carb akusebenzi nje njengesisombululo sesikhathi eside. Njengoko ndixelela izigulane zam, "Ukuba wenza oko uhlale uyenzile, uya kufumana oko uhlala ukhona."
Ukuxelela isigulane esinezilwanyana ezinesifo sikashukela ukuhamba kwesinye isidlo se-carb esincinci yindlela yokuhlambalaza amanoni kunye nokulawulwa kakubi kwesi sifo.
Ungayilungisa njani i-Diabetes?
Zibuze lo mbuzo: Ziziphi iindawo kwihlabathi ezona zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala ziphela? Ucwaningo lweSizwe se-Blue Geographic Zones lufumene iindawo ezininzi kwihlabathi elinempilo engenakulungileyo kunye nenani elikhulu labaneminyaka eyi-centenariya nganye. Izidlo zala macala ahlukileyo zikwabelana ngentambo eqhelekileyo-zonke zilawulwa zizidlo ezine-carbohydrate.
Ama-Asiya adla ngokudlula imbali ama-carbs afana nelayisi kunye namazambane athambile njengesiqhelo. Nangona i-diabetes e-Asia yayingekho, i-China kunye namanye amazwe ase-Asia ngoku aqala ukujonga amazinga okukhula kwesi sifo-kungekhona ngenxa ye-carbs, kodwa ngenxa yenyama enokuba yindawo ephakathi kokutya.
Njengoko amajelo ashicilela ukunyathelisa ngokugqithiseleyo, ulwazi oluphambene nolwazi olungalunganga kwizidlo ezincinane ze-carb, abafundi basabela ngoloyiko olunzulu lwama-carbs. Olu loyiko lubangela ukusetyenziswa okuphezulu kwemveliso yenyama. Oku kunyuka kwezilwanyana kuyinkathazo, njengoko kunokuba negalelo kwi-hypertension nesifo seentliziyo xa unyusa umngcipheko wakho wesifo.
Ndiyavumelana nabalobi ukuba sinokuphelisa isidingo sokuhlinzwa kwabanye abantu ngokutya, kodwa ukutya kufuneka kube kakhulu kwizityalo, imifuno, i-legumes, kunye ne-grains. Isiphakamiso sam kwizigulana ezinxulumene nokukhuluphala kunye nesifo sikashukela kukutya ngokutya ngokubanzi, ukutya okutyalwa kwezityalo kunye nokusebenzisa. Bamele bayeke ukutya / ukufakela ukutya kunye nokugxila kwizinto ezifanelekileyo zokutya eziye zagcina iintlalo ezininzi ziphila ubomi obuphilileyo kunye nezifo.
Ukuba ukunyanya ngokweqile okanye uhlobo lwesifo sikashukela sikhulu, utyando lusetyenziswa kakhulu. Akukho zondlo zikhona naphaya kobuchule obunokungqina bokuhlinzwa, kwaye kule nkqubo yanamhlanje, ukuhlinzwa kuyindlela ekhuselekileyo. Oko kuthetha, isixhobo kufuneka sisetyenziswe ekutshintshelweni kwindlela yokuphila enempilo, kungekhona njengokuphela kwayo kunye nayo.