Isidlo seKetogenic for Epilepsy

Inkcazelo yeSidlo kunye neMenyu yesampula

Ukutya kwe-ketogenic yokuthwala isifo esizodwa esiye sabancedisa abantwana abaninzi kunye nabanye abadala ukuba bafezekise (okanye bazalise) ukulawula kwabo. Yinkqubo yokuqala yamanyathelo omzimba amancinci, okufana nokuhluthwa ngenxa yokuguqulwa kwe-GLUT-1 okanye i-pyruvate dehydrogenase.

Imbali yeCetogenic Diet ye-Epilepsy

Ukutya kwe-ketogenic yokuhluthwa (i-KDE) yaphuhliswa kuma-1920 nguDkt. Hugh Conklin eMichigan.

Kodwa emva kokuba kuphuhliswe amayeza asebenzayo, ukutya kwakusetyenziswa kangangoko. Liye laphinde laqaphela kwaye lifunde kwaye ngoku liyilo lokugcinwa kwinqanaba elincinane kubantwana abanesifo sokuxhwala kunzima ukulawula ngamachiza. Ngabantwana abangaphezu kwama-300,000 e-US abaneengxaki zokungena, le nto ibe yongezwa ebalulekileyo kwi-arsenal yezokwelapha ekuthinjeni. Abaphandi baqala ukubona indlela enokubanceda ngayo abantu abadala nabantu abaneengxaki ezahlukeneyo ze-neurologic.

Kubalulekile ukuba nabani na abasebenzisa le ndlela yokutya ngenxa yokuphazamiseka kwintlungu bayenza phantsi kolawulo lwegqirha kunye nolwazi lokutya. Kukho amaninzi amanqanaba kunye nokwahlukana komntu ngamnye okuya kuchaphazela ukutya okuthe ngqo kumntu ngamnye, kwaye ukulungelelanisa oku kunye namayeza kunokunyaniseka. Oku akuyiyo into emele ikhelwe yedwa.

Isiseko seKetogenic Diet yokuSwaphu

Ukutya kwe-ketogenic yokuthwala i-fatty is a fat-fat diet, eneeprotheyini ezaneleyo zokugcinwa komzimba kunye nokukhula, kunye nexabiso elincinci kakhulu le-carbohydrate.

Kwimeko ye ketogenic, umzimba udala iamolekyu ebizwa ngokuba yi-ketone (ebizwa ngokuba ngamagumbi e-ketone) xa amafutha ahlaziywa. Injongo ye KDE kukuba ingqondo isebenzise i-ketone yamandla kunokuba i-glucose kangangoko kunokwenzeka. I-Ketoni (ngokuyininzi) i-soluble yamanzi, ngoko iyakuthuthukiswa kalula kwingqondo.

Ingqondo ayikwazi ukusebenzisa ama-acids acids ngamandla, kodwa ingasebenzisa i-ketoni inxalenye enkulu yamandla ayo.

I KDE ngokuqhelekileyo iqale kwisibhedlele esibhedlele, kwaye iqala ngokuqala ngexesha lokuzila ukudla kweentsuku ezimbini ukuya kubini (nangona kunokuthi kubekho umgama ngaphandle kokubini kwezi mfuno). Emva kokumisela inani elifanelekileyo leprotheni (kuxhomekeke kwiminyaka, njl.), Ukutya kuhlelwe njengomlinganiselo wegrama zegrama kwiprotheyini yegram kunye ne-carb gram. Ngokuqhelekileyo iqalisa ngomlinganiselo we-4 ukuya kwe-1, kwaye ke unokulungiswa kakuhle ukusuka apho. Ukutya kudla ngokukhawuleza kunye ne-calidal-limited. Ukongezelela, akukho phakethe "ukutya okuncinci" (ukugubha, imivalo, njl.) Kuvunyelwe ubuncinane ngenyanga yokuqala.

Ngenxa yokuba igram yeoli iphindaphindiweyo kabili igram yeprotheni okanye i-carbohydrate, eli lingano lithetha ukuba ubuncinane ubuncinane iipesenti ezingama-90 zeekhalori ezidliwayo. Oku kukutya okuqinileyo, kwaye kuthatha ixesha ukufunda indlela yokubeka ndawonye ukutya okuhambisana nale fomyula. Zonke ukutya kufuneka zilinganiswe kwaye zirekhodwe.

Ukunciphisa ukutya kukuzama emva kweminyaka emibini, nangona abanye abantwana begcinwa ekudleni ixesha elide.

Imenyu yemihla yohlobo

Ngezantsi kuchazwe inkcazo yemenyu ebonakalayo kwiphepha, "I-Ketogenic ne-Atkins Diets: Iingcebiso zokuLawula ukuLungisa," i- Gastroenterology eSebenzayo , ngo-Juni 2006 .

Kuthetha ukunika ingcamango yento abantwana abayidlayo ekudleni, kungekhona imithi efanelekileyo. Khumbula, zonke ezi zokutya zilinganiswa kwaye zilinganiswe.

Utshintsho lwalolu cwangciso lubambela ioli yekakhukhunta okanye i-oil ye-MCT kwezinye i-cream eluhlaza kunye nebhotela.

Enye imenyu yesampula ibonakala kwi "I-Ketogenic Diet: Isikhokelo esiSebenzayo sabantwana bezilwanyana," iAnalals Annals , ngoDisemba 2016.

Isebenza njani i-Ketogenic Diet ye-Epilepsy?

Izifundo ngokuqhelekileyo zibonisa ukuba malunga nesithathu sezigulane ziza kuncitshiswa ekunciphiseni i-90%, kwaye enye yesithathu iya kuba nama-50 ekhulwini ukuya ku-90%. Oku kuphawulekayo, ekuqwalaseleni ukuba ezi gulane ngokuqhelekileyo abo baxhatshazwayo abalawulwa kakuhle ngamachiza. Qaphela ukuba igama elithi "ukuxhonywa" libandakanya iqela leengxaki ezinobangela ezingafaniyo ngokupheleleyo, okuyinxalenye yezizathu ezahlukileyo abantu abazisabelayo kunyango ezahlukeneyo.

Kutheni Kuthetha Ukutya?

Kukho iingcamango ezimbalwa malunga nendlela kwaye kutheni ukutya kusebenza, kodwa akukho mntu uyazi ngokuqinisekileyo. Utshintsho kuma-neurotransmitters, intetho yesini, kunye neempembelelo kwi-receurors ye-neuron ngamanye amathuba.

Eminye indlela eya kwi-Super-Strict Strict Food Diet

Enye into eyaziwayo ebanceda abaninzi baninzi i-Modified Atkins Diet. Oku kutya kukuncinci kakhulu, njengama-calorie, ama-fluids kunye neeprotheyini. Ukutya kuqala nge-10 gram ye-carbohydrate ngosuku ngosuku lwenyanga yokuqala, kwaye ngokukhawuleza ihamba ukuya kwi-15 okanye i-20 amagremu. Kufana nesigaba esiqinileyo sokuqulunqwa kweAtkins. Kukho ubuncinci besifundo esithile, nangona abanye bephumelele ukulawula ukuthungatha okungcono xa besuka kwi-Atkins yokutya kwi KDE.

Ngaba abantu abadala abanokuxhamla kwi-Ketogenic Diet?

Kukho izifundo ezimbalwa ze-Atkins Diet eguqulelweyo kubantu abadala abaneengxaki zokungena, kwaye iziphumo ziyafana nezifundo nabantwana. Ngokuthakazelisayo, kwachazwa kwenye yeengxelo ukuba kwakunzima ukugcina abantu abadala ekudleni kuba ngokucacileyo banokulawula ngakumbi oko batya. Uphando lusekuncinci kule ndawo kwaye kukho iimvavanyo ezininzi.

> Imithombo:

> Kossoff, et al. Ngaba ukulawula ukuthatha ingxaki kuphuculwe ngokutshintshwa kwi-Atkins yokutya ekudleni kwe-ketogenic? I-Epilepsia 51:12 (2010) 2496-2400.

> Luat AF, Coyle L, Kamat D. I-Ketogenic Diet: Isikhokelo esiSebenzayo sabantwana. Amanqaku omntwana . 2016; 45 (12). i-doi: 10.3928 / 19382359-20161109-01.

> I-Lutas A, Yellen G Ukutya kwe-ketogenic: iimpembelelo ezinobungakanani bezobuchopho ezikhuselekileyo kunye nokuhluthwa. Iintlobo zeeNyuroscience . 36: 1 (2013) 32-40

> Martin K, Jackson CF, Levy RG, Cooper PN. Ukondla kwe-Ketogenic kunye nezinye iindlela zokunyanga zokutya. I-Cochrane Database yeeNkqubo eziPhezulu . NgoSeptemba 2016. Ithenda: 10.1002 / 14651858.cd001903.pub3.

> Weber S, et al. Ukuguqulwa kweAtkins ukutya kubantwana nakwishumi elivisayo kunye nesifo sokuhluthwa ngokungathintekiyo. Ukuhluma . 18: 4 (2009) 237-240