Ke ʻeha pinepine nei ʻoe i ka ʻōpū? Ua luhi ʻoe i ka piha ʻana, ka ʻeha ʻana o ka ʻōpū, a i kekahi manawa ka maʻi diarrhea? He ʻike hoʻonāukiuki loa kēia, ʻoiai no ka poʻe me ka maʻi ʻōpū mumū (IBD). I kēia lā ke kamaʻilio nei mākou e pili ana i kahi papaʻai kūikawā e hiki ke kōkua i kēlā poʻe. Ua kapa ʻia kēia ʻo 'Special Carbohydrate Diet' a i ʻole SCD.
He aha ka SCD? Pehea i hoʻomaka ai?
I ka ʻōlelo maʻalahi, ʻo ka SCD kahi papa ʻai e hoʻopau ana i nā kalapona i koho ʻia mai kāu papaʻai. ʻO ka pahuhopu ka kaohi ʻana i nā hōʻailona o ka maʻi gastrointestinal. ʻO ka poʻe e hahai ana i kēia papaʻai e pale i nā palaoa, e like me ka berena, pasta, a me nā cereals, a me nā mea i hana ʻia mai nā palaoa. Hoʻopaʻa nui lākou i ke kō a me ka lactose, kahi ʻano kō i loaʻa i ka waiū.
He ʻano kahiko iki ka mōʻaukala o kēia ʻai. Ua hoʻolauna mua ʻia i ka makahiki 1920 e Kauka Sidney Haas, he kauka keiki ʻAmelika. I kēlā manawa, ua hoʻohana ʻo ia i kēia ʻano hana e kōkua i nā keiki me ka maʻi Celiac. Eia naʻe, ua lilo hou ia i mea kaulana i ka hopena o nā makahiki 1980 ma hope o ka kākau ʻana o Elaine Gottschall i kahi puke i kapa ʻia ʻo "Breaking the Vicious Cycle." Ma kēlā puke, ua wehewehe ʻo ia pehea i ho'ōla ʻia ai ka maʻi ʻōpū mumū (IBD) o kāna kaikamahine e kēia ʻai.
ʻO ka mea mua, e nānā kākou i ke ʻano o nā kalapona.
ʻO nā kalapona, a i ʻole e like me kā mākou e kapa nei iā lākou, 'starch', ʻo ia nā kō, fiber, a me nā starches i loaʻa i kekahi o nā meaʻai a mākou e ʻai ai. Hoʻololi ko mākou kino i kēia mau kalapona i kahi ʻano kō i kapa ʻia ʻo glucose e hāʻawi iā mākou i ka ikehu.
ʻElua ʻano nui o nā kalapona:
- Nā Kalapona Paʻakikī: ʻO kēia ke ʻano "maikaʻi" o nā kalapona . Piha lākou i nā huaora, nā minelala, a me ka fiber. ʻOi aku ka lōʻihi o ka ʻeli ʻana, no laila ʻaʻole lākou e hoʻonui i nā pae kō koko i ka manawa hoʻokahi. Hāʻule nā palaoa piha, nā nati, nā hua, nā mea kanu, a me nā huaʻai i loko o kēia māhele.
- Nā Kalapona Maʻalahi: ʻO kēia nā ʻano 'maikaʻi ʻole' . Hoʻoheheʻe koke ʻia nā meaʻai a me nā mea inu kiʻekiʻe i ke kō a hoʻoulu i ka piʻi koke ʻana o ke kō koko. ʻO kēia ka mea e hoʻoikaika ai iā ʻoe no kekahi manawa, akā a laila hoʻomaka hou ʻoe e luhi. Loaʻa kēia mau mea i nā mea ʻono, nā biscuits, a me ka ice cream. Loaʻa maoli kēia mau kō maʻalahi i ka waiū a me nā hua.
Pehea ka hopena o kēia papaʻai i ko mākou kino?
E noʻonoʻo i kēia ʻano. ʻAʻole hiki i nā ʻōnaehana hoʻoheheʻe o kekahi poʻe ke hoʻoheheʻe maikaʻi i kekahi mau ʻano kalapona. A laila noho kēia mau ʻāpana meaʻai i hoʻoheheʻe ʻole ʻia i loko o nā ʻōpū. Lilo kēia i wahi hānai kūpono no nā bacteria ʻino i loko o ko mākou kino.
ʻO nā bacteria ʻino e hilinaʻi nei i kēia mau kalapona i hoʻoheheʻe ʻole ʻia e ulu nui ana i loko o nā ʻōpū. Hiki i kēia ke hōʻino i ka uhi palupalu o nā ʻōpū, e hoʻoulu ai i ka mumū, a e hoʻonui ai i nā hōʻailona.
Hoʻopau ka ʻai SCD i kēlā mau kalapona paʻakikī ke ʻeli ʻia mai kāu ʻai. A laila ʻai wale ʻoe i nā kalapona i maʻalahi ke ʻeli ʻia a komo ʻia e ke kino. Hoʻonele kēia i kēlā mau bacteria ʻino i ka meaʻai a kāohi i ko lākou ulu ʻana. A laila emi ka mumū i loko o nā ʻōpū a hoʻomaka ʻoe e ʻoluʻolu.
Hoʻopau nui kēia ʻai i nā mea ʻono hana, nā mea mālama, a me nā meaʻai i hana ʻia. Ua ʻike ʻia kekahi o kēia mau mea e hoʻonui i ka mumū i loko o ka ʻōpū. No laila, ʻo ka hoʻopau ʻana i kēlā mau mea kekahi kumu e ʻoluʻolu ai ʻoe.
No wai kēia ʻano meaʻai kūpono?
Ua ʻike ʻia kēia meaʻai ʻo ia ka mea pono loa no ka poʻe me nā maʻi ʻōpū, ʻoiai:
- Nā maʻi ʻōpū mumū e like me ka maʻi a Crohn a me ka colitis ulcerative .
- ʻO ka Juvenile Idiopathic Arthritis kahi maʻi mumū o nā hono e hoʻopilikia ai i kekahi mau keiki ʻōpio.
- ʻO ka Colitis Microscopic .
Manaʻo ka puke a Elaine Gottschal he mea pono paha kēia ʻai no nā maʻi e like me ka diverticulitis, ka maʻi celiac, a me ka cystic fibrosis. Eia nō naʻe, ke hoʻomau nei ka noiʻi ʻepekema i kona pono no kēia mau maʻi.
He aha kāu e hiki ai a ʻaʻole hiki ke ʻai ma ka papaʻai SCD
ʻOiai he ʻano papaʻai kēia, he mea nui e ʻike pono i ka mea hiki iā ʻoe ke ʻai a me ka mea hiki ʻole ke ʻai.
| ✅ Nā Meaʻai i ʻae ʻia | |
|---|---|
| ʻIʻo a me ka iʻa | ʻO ka ʻiʻo hou, ka moa, ka iʻa, a me nā pāpaʻi me ka ʻole o nā mea hoʻomalu. |
| Nā mea kanu a me nā huaʻai | Nā mea kanu hou, hau ʻia a i ʻole i hoʻomoʻa ʻia (e.g. pī). Nā hua hou, maloʻo a i ʻole i hoʻomoʻa ʻia me ke kō ʻole i hoʻohui ʻia. |
| Nā huahana waiū | Nā tīhi e like me ke cheddar (cheddar ʻoi), Swiss, a pēlā aku. ʻO ka yogurt hana home i hoʻomoʻa ʻia no 24 mau hola ma ka liʻiliʻi. |
| Nā nati a me nā ʻōpala | Nā pīni palupalu e like me nā lentil, chickpeas, a me nā pīni ʻōmaʻomaʻo. Nā cashews a me nā pīni i kālua ʻole ʻia. Nā palaoa i hana ʻia mai nā nati e like me ka palaoa ʻalemona. |
| ʻĒ aʻe | Nā hua manu, ka meli, ka pata pīnati kūlohelohe me ka ʻono ʻole, nā ʻaila, ka vīnega, ke kofe a me ke kī (ʻaʻohe kō a me nā mea mālama). |
| ❌ Nā Meaʻai e Pale aku ai | |
|---|---|
| Nā meaʻai palaoa | ʻO ka bale, ke kulina, ka ʻoka, ka laiki, ka huita, a me nā mea a pau i hana ʻia mai ia mau mea, e like me ka berena, ka pasta, nā keke, a me nā bisiketi. |
| Nā ʻano kō | Kōpaʻa i hana ʻia, molasses, syrup maple, syrup kulina, kokoleka, a me nā mea ʻono a pau. |
| Nā mea kanu starchy | ʻUala, ʻuala, kāpeti. |
| Nā huahana waiū | Waiū, kirīmi, ʻaikalima, kirīmi ʻawaʻawa, a me ka yogurt i kūʻai ʻia ma ka hale kūʻai (ma muli o kona nui o ka lactose). |
| ʻĒ aʻe | ʻO nā ʻiʻo i hoʻomoʻa ʻia e like me nā sausage, nā mea kanu i loko o ka pahu (me nā mea hoʻomalu), nā soybeans, nā chickpeas, nā pauka mea ʻala e like me ka curry/kālika pauka, ka limu. |
Pehea e hoʻomaka ai i kēia? He aha nā pōmaikaʻi a me nā hemahema?
He mea pono kēia ma mua o ka hoʻomaka ʻana!
Ma mua o ka hoʻomaka ʻana i kahi papaʻai kaupalena e like me kēia , pono ʻoe e kamaʻilio me kāu kauka . Pono ʻo ia e hoʻoholo inā kūpono kēia no kou kūlana. Hiki iā ia ke kuhikuhi iā ʻoe i kahi meaʻai meaʻai.
ʻO ka maʻamau, i ka hoʻomaka ʻana i kēia ʻai, ua ʻōlelo ʻia e kaupalena iā ʻoe iho i kekahi mau meaʻai maʻalahi a maʻalahi hoʻi e ʻeli no ʻelua a ʻekolu mau lā, a laila e hoʻohui mālie i nā meaʻai ʻē aʻe i ʻae ʻia.
Nā Pōmaikaʻi a me nā Pōʻino
Nā Pōmaikaʻi:
ʻO ka pōmaikaʻi nui ka hiki ke nalo nā hōʻailona a hoʻomaka ka maʻi e hoʻomaha. Ua hōʻike kekahi mau noiʻi ua kokoke i ka hapalua o ka poʻe me ka maʻi Crohn e ʻike i ka hōʻoluʻolu mai nā hōʻailona e like me ka ʻeha a me ka luhi ma kēia ʻai.
Nā pōʻino (nā pilikia):
- Paʻakikī ke hahai: He mea paʻakikī ke mālama i kēia i ka wā e ʻai ai i waho, ʻoiai ke hele nei i kahi pāʻina, no ka mea, ke hoʻopau nei ʻoe i ka nui o ka meaʻai.
- Kiʻekiʻe nā lilo: Hiki ke piʻi aʻe ke kumukūʻai o ka meaʻai ma muli o ka nalowale ʻana o nā meaʻai makepono e like me ka berena a me ka laiki.
- Nā hemahema meaʻai: ʻO kēia ka pilikia nui loa. Loaʻa paha i ke kino nā meaʻai koʻikoʻi e like me ka calcium, ka wikamina D, ka wikamina B, a me ka wikamina E. No laila , ʻo ka hana ʻana i kēia me ke aʻo ʻole ʻia e ke kauka hiki ke alakaʻi i ka pohō kaumaha maikaʻi ʻole a me ka ʻai ʻole.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
Inā ʻoe e hahai ana i ka papaʻai SCD a i ʻole, inā ʻike ʻoe i nā hōʻailona ma lalo nei, e mālama pono a e ʻimi koke i ke kōkua lapaʻau.
- Ke kahe koko ʻana o ka rectum
- ʻEha mau o ka ʻōpū, ka pehu ʻana, a i ʻole ka maʻi palahēhē
- ʻO ka pohō kaumaha me ke kumu ʻole
- ʻEha mau loa
- Luhi nui a nāwaliwali paha no ke kumu ʻole
Hahai kekahi poʻe i kēia papaʻai no ke koena o ko lākou ola. ʻO kekahi poʻe, ma hope o ka ʻole o nā hōʻailona no kahi makahiki, hoʻohui mālie lākou i nā meaʻai ʻē aʻe (e like me ka laiki, ka ʻoka, ka ʻuala) i kā lākou papaʻai. Inā hoʻi mai nā hōʻailona, hiki iā lākou ke hoʻi i kēia papaʻai.
Leka Lawe-Home
- He papaʻai kūikawā ka SCD e kāohi ana i nā kalapona i koho ʻia e hoʻohana ʻia no ka mālama ʻana i nā maʻi ʻōpū e like me IBD.
- Hoʻopau kēia i nā kalapona indigestible, kāohi i ka ulu ʻana o nā bacteria ʻino i loko o nā ʻōpū, a hōʻemi i ka mumū.
- Mai hoʻomaka i kēia papaʻai ma kāu iho me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- ʻOiai ke hāʻawi nei kēia i nā pono e like me ka kaohi ʻana i nā hōʻailona, aia nō hoʻi nā pilikia koʻikoʻi e like me ka hemahema o ka meaʻai. No laila, he mea nui ke alakaʻi ʻana mai ke kauka a meaʻai meaʻai paha.
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