Chii chinonzi lactose Intolerance? Zvinokonzera uye zviratidzo, zvakatsanangurwa

Dzidzo yehutano

Kana iwe wakambove nedumbu rakatsamwa mushure mekudya chizi kana ice cream, unogona kunge usingashiviriri kune lactose. Ndiyo shuga inowanikwa mumukaka nezvimwe zvinogadzirwa nemukaka. Iyo FDA inofungidzira kuti vanhu vanosvika mamirioni makumi matatu kusvika makumi mashanu muUnited States havagone kuigaya zvakanaka. Hezvino izvo zvinoreva iwe.

Chii chinonzi lactose?

Lactose ihombe yemukaka shuga yemukaka inowanikwa mune zvigadzirwa zvemukaka. Inoita 2% kusvika ku8% yemukaka-uye inotowanikwa mune mimwe mishonga.Lactose disaccharide (kaviri shuga) iyo muviri unodonha uchipinda mune yakapusa shuga shuga uye galactose. Muviri unogona kushandisa simba kubva kumashuga aya kune zvakawanda zvinhu sekugadzirisa maseru, kuvaka mhasuru, uye kukurudzira zviitwa zvezuva nezuva.

Chii chinonzi lactose Intolerance?

Lactose kusagadzikana (inonziwo lactose malabsorption) ndiko kusakwanisa kugaya lactose. Vanhu vane kusagadzikana kwelasise havana enzyme yakakwana yelactase mumuviri wavo, zvinova izvo zvinodiwa kugaya lactose. Pasina lactase, lactose haigone kupaza muzvikamu zvayo zvidiki, zvinoreva kuti muviri haugone kuwana iwo akakosha mamorekuru eshuga.

Ichi chirwere chekugaya chinokanganisa zvikamu makumi matatu nezvitatu zvevanhu vemuU.S. Njodzi zvinhu yekukudziridza kusagadzikana kwerakosi kunosanganisira kuve wemuAmerican American, American Indian, Asia, kana chizvarwa cheSpanish; kuva mukuru; kana kuzvarwa nguva isati yakwana.

Icho chirwere chisingaperi icho parizvino chisina mushonga. Zvinokwanisika kuita lactose isingashiviriri kamwe kamwe kana chimwe chirwere - senge gastroenteritis - kana kurega kwenguva refu kubva mukaka kuchikonzera muviri. Izvo zvakajairwa kurasikirwa nekushivirira kune lactose sezvaunenge uchikwegura.

Zvinokonzera kusagadzikana kwelactose

Kune mhando mbiri dzekusavhiringidzika kwelasise dzinozivikanwa nemasayendisiti: yekutanga uye yechipiri lactose kusagadzikana. Kuwedzera kwekusagadzikana kwerakisi kunokonzerwa nekushomeka kwea lactase kana kuderera kwekugadzira lactase iyo inova yakanyanya kuwanda nezera.

Matambudziko ari mudumbu ura, zvichikonzera kudzikira kugadzirwa kwea lactase, kunokonzera yechipiri lactose kusawirirana. Kurwara, kukuvara, hutachiona, kana chirwere chechiliac chinogona kukonzera matambudziko aya.

Mhando mbiri idzi dzekusashivirira dzine chekuita nekusagona kugaya lactose nekuda kwenzvimbo dzakadzika dzeractase. Kunyanya lactose kusagadzikana kune kwakanyanya kuwanda kupfuura kwechipiri lactose kusagadzikana. MuNorth America, 79% yevaNative America, 75% yevaAmerican vekuAmerican, 51% yevaSpanish, uye 21% yeCaucasians vane primary lactose kusagadzikana .

Yakawana kushaya lactase zvinoitawo. Muzviitiko izvi, vanhu vanowana kusagadzikana kwelasise sezvavanokwegura.

Zviratidzo zvekusavhiringidzika kwelactose

Lactose kusagadzikana kunokonzera zvimwe zviratidzo zvinooneka zviri nyore. Kana uchangobva kudya zvigadzirwa zvemukaka uye uine chero chinotevera zviratidzo mukati memaminitsi makumi matatu kusvika maawa maviri mushure mekudya, unogona kunge uine lactose isingashivirane.

1. Bloating
2. Kubata ropa
3. Manyoka
4. Nausea
5. Kusvipa
6. Kubata mudumbu
7. Kuzvidya mwoyo
8. Belching

Zviratidzo izvi zvese zvinoitika nekuti ura hudiki haugadzike zvakanaka shuga mune zvigadzirwa zvemukaka. Nekuda kweizvozvo, mabhakitiriya ari mukoloni anovirisa isina kugayirwa lactose, zvichikonzera kuwanda kwegasi nemvura. Vakuru uye vana uchasangana nezvakawanda zvakafanana zviratidzo kana ivo vari lactose vasingashivirane. Izvo zvisingawanzoitika asi zvichiri kugona kuti vacheche vange vaine kusagadzikana kweiyo lactose.

Kune vacheche nevana, ese mukaka wemukaka uye mukaka-wakavakirwa mafomula ane lactose. Kana vabereki vakatenda kuti mucheche anogona kunge aine kusagadzikana kweiyo lactose, vanofanirwa kubvunza kuna chiremba wavo uye vofunga nezvekubvisa mukaka kubva mukudya (kana uchiyamwisa) kana kuchinjira kune isiri-mukaka fomura yemucheche. Vabereki vanofanirwa kukurukura zvinovanetsa nevana vavo pamberi kubvisa chikafu kubva pakudya kwevana vavo kuti vave nechokwadi chekudya kwakakwana uye kukura.

Dzimwe nguva kusagadzikana kwe lactose kunovhiringidzwa nekuda kwemukaka kurwisa kwevana vadiki, asi kuve neukama nemukaka chinhu chakasiyana kwazvo. Vana vane mukaka kurwara vanogona kukudziridza mikoko, kufema, kubuda mvura, manyoka, kana kupomba mudumbu.

Kusagadzikana kwelactose kunoonekwa sei?

Kusagadzikana kweLactose kazhinji kunozviongorora, asi mazhinji ezviratidzo zvekusavhiringidzika kwelactose zvakangofanana neinotsamwisa bowel syndrome uye nemukaka kurwara. Sakakana iwe uchifungidzira kuti haushiviriri, zvakakosha kuti ukurukure nezvako nemupi wako wekutanga wekuchengeta kuti uone kuti hapana zvimwe zvekurapa kana zvehutano.

Mimwe bvunzo dzekurapa dzinogona kubatsira kunyatso kuongorora mamiriro acho kuitira kuti vanhu vakwanise kubata zviratidzo zvavo nenzira kwayo. A hydrogen mweya wekufema , iyo inopihwa neyegastroenterology nyanzvi, inoyera kuti yakawanda sei hydrogen iri mukufema mushure mekudya zvigadzirwa zvemukaka. Inoedza hydrogen nekuti muviri unoshandura isina kugayirwa lactose kuita hydrogen gasi.

Kuongororwa kweropa ndeimwe mhando yekuyedzwa kwerabhoritari iyo inogona kubatsira kuongorora lactose kusagadzikana. Kuongororwa kweropa kunotarisa huwandu hweshuga yeropa mushure mekunge murwere adya chiyero chakaenzana che lactose. Kana mwero wehuga yeropa ukasakwira, izvi zvinoreva kuti muviri hausi kutyora lactose pasi kuita glucose.

Kana mumwe munhu aine kusapindirana kwemajini, ivo vacharamba vaine zviratidzo kunze kwekunge vagara kure nezvigadzirwa zvemukaka. Sekondari lactose kusagadzikana kunogona kuenda mushure mekuti ura hwepamuviri hwaporeswa uye wotanga kuita zvakajairika zvakare, izvo zvinogona kutora mavhiki kana mwedzi. Zvisinei, kana lactose yabviswa kubva mukudya, kugona kwemuviri kuburitsa iyo enzyme yelactase inoderera, zvichikonzera kushomeka kwekugaya lactose.

Lactose kusagadzikana kurapwa

Kugadzirisa kusagadzikana uku kazhinji inyaya yekuita shanduko yekudya, asi mimwe mishonga inogona kubatsira.

Kudya kunochinja

Vanachiremba vazhinji vanobvuma kuti nzira yakanakisa yekurapa kusashivirira ndeyekudzivisa kushandisa lactose kutanga nayo. Lactose iri mune zvigadzirwa zvemukaka uye zvigadzirwa zvisiri zvemukaka, saka kuverenga zvinyorwa zvekudya nemishonga zvakakosha.

Zvikafu zvakakwirira mu lactose zvinosanganisira:

• Mukaka wemombe
• Mukaka wembudzi
• Mukaka wemukaka uye mukaka-wakavakirwa fomula
• Aizi kirimu
• Hafu nehafu
• Imwe yogati (Greek yogati ine lactose shoma)
• Mukaka wakaoma upfu, mukaka solid, uye mukaka ne-zvigadzirwa
• Cheese, kunyanya chizi chizi (Parmesan, Swiss, uye cheddar vane lactose shoma)
• Cream chizi
• Cottage chizi
• Heavy cream
• Buttermilk
• Mukaka wakakomberedzwa
• Sherbert
• Kofi creami
• Ruomba
• Ghee
• Gumbo

Asina-mairi manyowa e lactose:

• Mishonga
• Chikafu chiripo
• Margarine
• Saladi kupfeka
• Zviyo zvakagadziriswa

Kuongorora zvinyorwa zvekudya ndiyo nzira yakanakisa yekuona kana chinhu chakapakirwa chikafu kana mushonga une lactose mukati -chiratidzo chinoverenga chisina mukaka kana chisina lactose. Kunyangwe zvidiki zvidiki zvinogona kunetsa kugaya, uye zvimwe zvekudya zvinogona kukonzera zvimwe zviratidzo kupfuura zvimwe.

Barry Sears, Ph.D., munyori we Nzvimbo Inofa t akateedzana anoti zvimwe zvekudya zvine lactose shoma mazviri pane zvimwe. Kune vanhu vasingakwanise kutsungirira chero lactose mukudya kwavo, Dr. Sears anokurudzira zvigadzirwa zvemukaka-zvisina mukaka sosi yeprotein yemhando yepamusoro. Zvitoro zvekudya zvine hutano zvinowanzo takura izvi mhando dzechikafu, uye zvitoro zvenguva dzose zvekutengesa zviri kutanga kuunganidza zvinhu zvakaita semukaka usina-lactose sezvo vatengi vachida zvinokwira. Vanotsiva vava zvine mutsindo . Munzira yemukaka, unogona kuwana soy, mupunga, almond, coconut, macadamia, uye oat mukaka dzimwe nzira.

Kana iwe uine hanya kuti kutora zvigadzirwa zvemukaka kubva mukudya kwako kunoreva kuti hausi kuwana zvakakwana vitamini D kana calcium, unogona kuedza kuwedzera zvimwe zvekudya mune chako chikafu. Mukaka hauna kudikanwa kunze kwehucheche, saka zvinokwanisika kuwedzera nezvimwe zvigadzirwa. Hove dzakakora, mazai, howa, miriwo yakasvibira yemashizha, uye nzungu zvese zviwanikwa zvikuru zvecalcium uye vhitamini D.

Kune vamwe, kudya yogati yakaderera zvakakwana mu lactose kuti isakonzere matambudziko, Sears anodaro. Yakaomeswa chizi yakadzika kwazvo mu lactose, uye zvigadzirwa zvemukaka zvisina lactose hazvina lactose zvachose. Nzira yakanakisa yekuona kuti ndezvipi zvekudya zvinonyanyo kukunetsa iwe kubvisa zvese zviwanikwa zve lactose kwevhiki kana maviri, wozozviwedzera zvekare mune imwe panguva.

Mishonga

Mimwe mishonga inobatsira iyo yekugaya system process lactose. Over-the-counter madonhwe uye mahwendefa ane iyo lactase inogona kubatsira kugaya. Kuwedzera madonhwe erakisi kumukaka usati wainwa, kana kutora piritsi usati wadya zvigadzirwa zvemukaka zvinogona kuita mutsauko mukuru.

Lactase ndicho chinhu chinoshanda mune zvigadzirwa senge Lactaid uye Lac-Dosi nemageneral avo. Iyo enzyme inowedzera murwere ane kusashivirira anofanira kutora asati adya chero chinhu chine lactose mairi. Rudzi urwu rwemushonga runoshanda zvakanaka kune vamwe vanhu, asi hausi mushonga.

Kusavhiringidzika kweLactose hakuzomboperi zvachose kune mumwe munhu ane hutachiona akaisirwa kwairi. Izvo zvinokwanisika kugadzirisa zviratidzo, uye vanhu vazhinji vanoona kuti zviratidzo zvavo zvinopera mukati memazuva mashoma mushure mekubvisa zvigadzirwa zvemukaka kubva pane zvavanodya. Nzira yakanakisa yekudzidza zvakawanda nezve lactose kusagadzikana uye maitiro ekurapa iko kutaura neyako dietitian kana mupi wezvehutano.