Ingqwalasela ye-IBD Diet kunye neZondlo
Buza abantu abayishumi abanezifo zesibindi esisifo (IBD, esiqulethwe yisifo sikaCrohn kunye nesifo sezilonda zesilonda) malunga nokutya kwabo kwaye uya kufumana iimpendulo ezilishumi ezahlukeneyo malunga nokutya, zokupheka kunye nendlela iimpawu ezichaphazeleka ngayo. Oku kungenxa yokuba akukho mpendulo enye malunga nokutya kunye nesondlo xa kufike kwi-IBD.
Njengoko kuninzi nezinye izihloko ezinxulumene ne-IBD, kukho iimbono ezininzi kwaye kungekho kakhulu kwindlela yolwazi.
Nangona kunjalo, zikho izikhokelo abantu abanokusebenzisa i-IBD abangasebenzisa ukufumana indlela yabo yokutya okunempilo okondla umzimba wabo.
Kutheni kungabi nakwaziwa ngokutya kunye ne-IBD?
Ukutya kuyisihloko esinzima ukufundisisa. Abantu ababandakanyekayo kuyo nayiphina inkalo yokutya kufuneka banamathele ekudleni kwabo banikwayo. Ukuba azinjalo, oku kuya kubangela nayiphi na inamba yeengxaki. Oko akuthethi ukuba izifundo zokutya azikwazi. Enyanisweni, njengoko iinkalo ezininzi ze-IBD ziqondwa, uphando ngokutya lusekwe ngoku.
Nangona i-IBD yoluntu ilinde iziphumo zezifundo ezifana nale, ingcamango engcono kukuxhomekeka kwizinto esiziziyo ngoku.
Ukuqulunqa ubunzima bokutya kuyinkcazo ebonakalayo yokunxibelelana. Kukho uphando olubonisa ukuba abantu abane-IBD kunye noogqirha babo banemibono eyahlukeneyo yokutya. Olunye uphando lubonisa ukuba ezinye izigulane kunokuba oogqirha bacinga ukuba ukutya kukuchaphazela i-IBD. Izigulana zikwazisa ukuba azizange zithole iingcebiso ngokutya, kodwa phantse bonke oogqirha bathi baye banikezela izikhokelo kulo. Kwaye isiqingatha sezigulane zathi zilandele iingcebiso zonyango ngokutya.
Isidlo sithinta njani i-IBD?
Ukutya akuyona imbangela ye-IBD okanye i- IBD .
Nangona kunjalo, kubalulekile ukuba izigulane ezine-IBD zisebenzise imizimba yazo ngokutya okunomsocoko. Ngethuba lokuhamba, kubaluleke kakhulu ukugxila kwisondlo ukuze kuphuculwe ngcono umzimba ukuba ubhekane nokuvuvukala.
Abantu abaninzi abane-IBD banciphisa ukutya ngexesha lokutshatyalaliswa ukwenzela ukunciphisa impawu ezinjengeentlungu kunye nesifo sohudo. Kodwa izidlo ezithintekayo zingakhokelela ekunqongopheni kwe-vitamin kwaye zichaphazele umgangatho wobomi-esinye esinye isizathu sokuba kunyango olufanelekileyo lwe-IBD nokubuyela kwisidlo esiqhelekileyo kubalulekile.
Ukungabi nesidlo kuqhelekileyo kubantu abane-IBD, ingakumbi ngexesha le-flare-up. Oku kunokwenza ukuba ubunzima obunempilo bunzima ngakumbi; Kuqhelekile ukuba abantu abane-IBD balwe nokubeka isisindo. Ukutya ukutya okunomsoco-mninzi, ukutya okuncinci kancinci, kunye nokufumana ubuchule kunye nokutya, njengokuzama ukutya kumaqondo ahlukeneyo, izicwangciso ezinokukunceda.
Sisiphi Isondlo Esihle Kuzo IBD?
Akukho nto yokutya eye yaboniswa ukunceda abantu abane-IBD. Abanye abantu bayichaza ukuba ukutshintsha ukutya kwabo kunceda iimpawu zabo.
Kodwa akukho ukutya okuye kwaboniswa ukunceda bonke abantu abane-IBD.
Ukusebenza ne-dietitian obhalisiweyo kuya kunika ithuba elihle lokuphumelela ekufumaneni ukutya okunceda ngeempawu kwaye akuthinteli iivithamini kunye nezondlo. Nazi ezinye zezidlo eziqhelekileyo zathethwa malunga nokubhekiselele kwi-IBD:
- Isondlo sokungena kwi-intanethi (EEN). Ukutya okukuphela okuye kwafundiswa ngokwaneleyo ukuba kukho ubungqina obunobululwazi bokuwusebenzisa yi-EEN. I-EEN iboniswe ukunceda kwisifo sikaCrohn kubantwana, kodwa kukho ubungqina obuncinane bokuthi isebenza kakuhle kubantu abadala. Oku kutya kunomlambo kwaye ngokuqhelekileyo unikezwa ngetyhubhu ehla empumleni kwisisu, ngokuqhelekileyo ngobusuku. Ingongoma ephambili kule ndlela yokutya ayikho nje kuphela inceda ekuphuculeni iimpawu, kodwa inokunceda ekuphuculeni ukuvuvukala emathunjini.
- Ukutya okutywala. Ukutya okungekho mveliso akukhuthazwa ngokuqhelekileyo, ngokubanzi. Kodwa kukho amaxesha apho kunokusetyenziswa. Izihlandlo ezibini xa ukutya okucetywayo kunokunconywa kubandakanya emva kokuhlinzwa okanye xa kukho isithintelo (inxalenye encinci emathunjini). Oku kukutya, ngokuqondakalayo, akufanele kulandelwe ixesha elide ngenxa yokuba igalelo lezondlo.
- Ukutya okuphantsi. Ukutya okuphantsi kwe-fiber kunokusetyenziswa ixesha elithile emva kokuhlinzwa okanye ngexesha lokutshatyalaliswa. Ukuthintelwa kwemali yefiber kungakhokelela kwizihlalo ezimbalwa. Inokukunceda ekunciphiseni ukubetha okanye intlungu kuba kunokutya okungekho ngaphantsi kokuhamba okuhamba emathunjini. Oku kutya akulindelekanga ukuba kulandelwe ixesha elide kwaye abantu abane-IBD kufuneka babuyele ekudleni okubanzi okubandakanya zonke iintlobo zokutya ngokukhawuleza.
- Ukutya okungekho i-Lactose. Abanye abantu abane-IBD banokufumana ukuba iswekile (ubisi lwe- lactose ) ibangela ukuqhaqhabalalisa, ukuhanjiswa, okanye ukuphazamiseka. Iimpawu zinokuthi zihluke kwi-mildness to severe. Ukusika yonke imveliso yobisi equkethe i-lactose ngaphandle kokutya kuyindlela efanelekileyo yokuphepha iimpawu.
- I-carbohydrate yokutya ekhethekileyo (SCD). I-SCD kukutya okususa i-grains, i-lactose, kunye noshukela ekudleni. I-drawback eyona nto yondlo kukuba izigulane ezininzi zifumanisa ukuba zithintela kwaye kunzima ukuyilandela. Akuzange ifundwe ngokubanzi ukuze isebenziswe kubantu abane-IBD kwaye ngoko-ke ukusebenza kwayo akungaziwa. Nangona kunjalo, akucingelwa ukuba yingozi.
- Ukutya okuphantsi kweFODMAP. "I- FODMAP " isichazi-magama se-oligosaccharides, i-disaccharides, i-monosaccharides, ne-polyols. Isiseko saloo mlo kukukhusela naluphi na ukutya okunamaFODMAP kuwo. Uninzi lwabantu aluzi kakuhle ukuba zeziphi ukutya eziphezulu-i-FODMAP okanye i-FODMAP ephantsi , ngoko kulunge ukuzama oku kutya xa usebenza ngokusondeleyo kunye nomdlathi oqonda i-IBD. Kukho iiphononongo ezincinci kwi-low-FODMAP yokutya kunye ne-IBD ebonise iziphumo ezilungileyo. Izilingo zonyango zifunekayo ngaphambi kokuba oku kutya kunconywe kwiqela eligulane ngokubanzi ne-IBD.
Abantu abanokuba ne-IBD bachonga njani iiNgxaki zokutya?
Ukulinganisa okokutya okubangela ukuba iimpawu zesifo sohudo okanye ukubhula zingathatha ixesha kunye nokuhlelwa. Ukugcina idayari yokutya eneenkcukacha ezibandakanya iimpawu kunye nokuphendula kwiindawo ezithile zokutya kunokunceda ekufumaneni iimeko zengxaki. Inxalenye ebaluleke kakhulu yokugcina idayari yokutya kufuneka ihambelane nayo kwaye ibandakanye ulwazi oluninzi njengoko kunokwenzeka.
Ukuzama ukutya kokunciphisa ukutya kukunye ubuchule obuya kunceda. Ukusebenzisa le ndlela, kubalulekile ukufumana isiluleko somqeqeshi wezempilo oqeqeshekileyo-ngokubhekiselele kwi-dietitian-kubhalisiweyo-ekubeni ukutya okunjalo kunokuba luninzi ixesha kwaye ludideka. Ukuphelisa ukutya kufuneka kwenziwe kuphela kwixesha elifutshane kude kubekho na ukunyanzeliswa kokutya okukhoyo . Ukuba ukutya okanye amaqela okutya kufuneka aphetshwe ngokuqhubekayo, isondlo sezondlo singenza isicwangciso esenza i-vitamin ne-mineral intake.
Ingaba kukho naziphi na izikhokelo zeDetal General?
Abantu abane-IBD badinga ukutya okunempilo okondla umzimba. Wonke umntu one-IBD uza kufumana ukutya kwakhe okusebenzayo. Ingcamango enhle ukufumana ezinye zokupheka eziqulethe ukutya okunomsoco kunye nokunyamezela kwaye ufunde ukupheka. Oku kuya kunceda ekuphepheni ukutya okulula okanye ukutya okukhawulezayo xa ujamelana nokukhathala okanye ezinye iimpawu zesifo.
Kukho izikhokelo eziqhelekileyo ezinika intloko ukuqala ekuqondeni indlela yokutya kwi-IBD:
- Utywala. Ukusela kuyinto enye indawo eyahlukileyo kuwo wonke umntu one-IBD. Abanye banokufumanisa ukuba ibhiya ingakhokelela kwi-gas kunye nokuqhaqha. Amanye amachiza asetyenziswa ukuphatha iingxaki ze-IBD okanye ze-IBD angasebenzisana notywala, ngoko kukulungele ukujonga ngugqirha okanye okhemisi ngaphambi kokusela. Utywala bunemiphumo kwinkqubo yokutya, ikakhulukazi isibindi, kwaye le micimbi iya kuqwalaselwa kwaye ixoxwe ngayo ngoncedo lomboneleli wezempilo.
- Iziyobisi. I-carbonate eyongezelelweyo inokubangela ukuqhaqha kunye ne-gas , ezingenakufunwa, ingakumbi ngexesha le-flare-up.
- Ukutya okuthosiweyo. Ukutya okuthosiweyo kaninzi kuphezulu kumanqatha kunye neekhalori ezingenanto kwaye kunokukhokelela ekuhanjeni kwabanye abantu.
- Ukutya okuphezulu. I-Fibre yinto ebalulekileyo yokutya okunokulinganisela, kodwa ukutya okuphezulu kwi-fiber-njengamantongomane, ingqolowa, imbewu, kunye ne-popcorn-kungadinga ukukhawulwa. Oku kuyinyani ngakumbi emva kokuhlinzwa kwesisu ( ostomy okanye j-pouch surgery ) kunye nabani na onokwenziwa kwesigxina .
- Lactose. Ukunganyamezelani kwaLactose kuvamile . Ukuphelisa iimveliso zobisi kuya kunceda ekuphepheleni nayiphina impawu ebangelwa ubisi iswekile.
Inqaku esuka
Abantu abaninzi abane-IBD banalo ubudlelwane obunzima kunye nokutya nokuzabalazela ukwazi oko kukutya. Uvavanyo kunye nephutha lidla ixesha kwaye liphazamisekile, kodwa ngoku liyona ndlela eyona ndlela yindlela efanelekileyo yokuhamba ngokutya okusebenzayo ukukhusela iimpawu kwaye uphilile.
Injongo ye-IBD yokunyanga ukunyanga ukulawula iimpawu kunye nokuvuvukala kwaye ubuyele ekudleni okunempilo ngokukhawuleza. Yaye indlela efanelekileyo yokufumana ukutya okunempilo kukufuna uncedo kwaye usebenze ngokusondeleyo kunye nabaqeqeshi bezempilo.
> Imithombo
> Usuku lwe-AS, i-Lopez RN. "Isondlo esisodwa sokungeniswa kwabantwana abanesifo sikaCrohn." Ihlabathi J Gastroenterol . 2015 Juni 14; 21: 6809-6816.
> Holt DQ, Strauss BJ, Moore GT. Izigulane ezinezifo zesibilini kunye nezigulana zabo zonyango zinemibono eyahlukileyo malunga nokutya. " J Hum Nutr Diet . 2016 Julayi 14.
> Limdi JK, Aggarwal D, McLaughlin JT. Iindlela zokutya kunye neenkolelo kwizigulane ezinezifo ezikhubazayo. I-Inflamm Bowel Dis . 2016 Jan; 22: 164-170.
> I-AC AC, i-Myers CE, i-Myers CE, i-Joyce T, i-Irving P, iLomer M, i-Whelan K. "Ukunciphisa i-Carbohydrate Restriction (i-Low FODMAP Diet) kwiZenzo zoKliniki kuphucula imiSebenzi yokuSebenziselwa kweziThambo ezisisigxina kwizigulane ezinezifo ezithintekayo. I-Inflamm Bowel Dis . Ngo-2016 ngoMeyi; 22: 1129-1136.