Kodi nthawi zambiri mumavutika m'mimba? Kodi mwatopa ndi kukhuta, kupweteka m'mimba, komanso nthawi zina kutsegula m'mimba? Izi ndi zokhumudwitsa kwambiri, makamaka kwa iwo omwe ali ndi matenda otupa m'mimba (IBD). Lero tikulankhula za zakudya zapadera zomwe zingathandize anthu otere. Izi zimatchedwa 'Special Carbohydrate Diet' kapena SCD.
Kodi SCD ndi chiyani? Inayamba bwanji?
Mwachidule, SCD ndi dongosolo lodyera lomwe limachotsa chakudya cham'mimba chomwe mwasankha. Cholinga chake ndikuchepetsa zizindikiro za matenda am'mimba. Anthu omwe amatsatira zakudyazi amapewa tirigu, monga buledi, pasitala, ndi chimanga, ndi chilichonse chopangidwa kuchokera ku tirigu. Amaletsanso shuga ndi lactose, mtundu wa shuga womwe umapezeka mu mkaka.
Mbiri ya zakudya izi ndi yakale pang'ono. Zinayambitsidwa koyamba m'ma 1920 ndi Dr. Sidney Haas, dokotala wa ana waku America. Panthawiyo, adagwiritsa ntchito njira iyi kuthandiza ana omwe ali ndi matenda a Celiac. Komabe, idatchukanso kumapeto kwa zaka za m'ma 1980 Elaine Gottschall atalemba buku lotchedwa "Breaking the Vicious Cycle." M'bukuli, adafotokoza momwe matenda a kutupa m'matumbo (IBD) a mwana wake wamkazi adachiritsidwira ndi zakudyazi.
Choyamba, tiyeni tiwone kuti chakudya cham'mawa ndi chiyani.
Chakudya, kapena monga momwe timachitcha, 'sitachi', ndi shuga, ulusi, ndi stachi zomwe zimapezeka muzakudya zina zomwe timadya. Matupi athu amasintha chakudyachi kukhala mtundu wa shuga wotchedwa shuga kuti atipatse mphamvu.
Pali mitundu iwiri ikuluikulu ya chakudya cham'thupi:
- Chakudya Chovuta Kwambiri: Izi ndi mtundu wa chakudya 'chabwino' . Zili ndi mavitamini, michere, ndi ulusi. Zimatenga nthawi yayitali kuti zigayidwe, kotero sizikukweza shuga m'magazi nthawi imodzi. Mbewu zonse, mtedza, mbewu, ndiwo zamasamba, ndi zipatso zili m'gulu ili.
- Chakudya Chosavuta: Izi ndi mitundu 'yoyipa' . Zakudya ndi zakumwa zokhala ndi shuga wambiri zimagayidwa mwachangu ndipo zimayambitsa kukwera kwadzidzidzi kwa shuga m'magazi. Izi ndi zomwe zimakupangitsani kumva kuti muli ndi mphamvu kwakanthawi, koma kenako mumayambanso kutopa. Izi zimapezeka mu maswiti, mabisiketi, ndi ayisikilimu. Shuga wosavuta uyu amapezekanso mwachilengedwe mu mkaka ndi zipatso.
Kodi zakudya zimenezi zimakhudza bwanji matupi athu?
Taganizirani izi motere. Magayidwe a chakudya a anthu ena sangathe kugaya bwino mitundu ina ya chakudya. Kenako tinthu ta chakudya chosagayidwa timeneti timatsalira m'matumbo. Izi zimakhala malo abwino kwambiri odyetsera mabakiteriya oopsa m'thupi lathu.
Mabakiteriya oopsa omwe amadalira chakudya chosagayidwachi amakula kwambiri m'matumbo. Izi zitha kuwononga matumbo, zomwe zimayambitsa kutupa, ndikupangitsa kuti zizindikiro zikhale zovuta kwambiri.
Zakudya za SCD zimachotsa chakudya cham'mimba chomwe chimavuta kugaya m'zakudya zanu. Kenako mumadya chakudya cham'mimba chokha chomwe chimagayidwa mosavuta ndikulowetsedwa ndi thupi. Izi zimachotsa mabakiteriya owopsawo chakudya ndikulamulira kukula kwawo. Kenako kutupa m'matumbo kumachepa ndipo mumayamba kumva bwino.
Zakudya zimenezi zimachotsanso zokometsera zopangidwa, zosungira, ndi zakudya zopangidwa ndi makina. Zina mwa zinthuzi zapezeka kuti zimawonjezera kutupa m'matumbo. Choncho kuchotsa zimenezo ndi chifukwa china chomwe mungamve bwino.
Kodi mtundu uwu wa zakudya ndi woyenera kwa ndani?
Zakudya zimenezi zadziwika kuti ndizothandiza kwambiri kwa anthu omwe ali ndi matenda a m'mimba, makamaka:
- Matenda otupa m'matumbo monga matenda a Crohn ndi ulcerative colitis .
- Matenda a Nyamakazi a Ana Osauka ndi matenda otupa mafupa omwe amakhudza ana ena aang'ono.
- Microscopic Colitis .
Buku la Elaine Gottschal likusonyeza kuti zakudya zimenezi zingakhalenso zothandiza pa matenda monga diverticulitis, matenda a celiac, ndi cystic fibrosis. Komabe, kafukufuku wa sayansi akupitirirabe pa momwe zimagwirira ntchito pa matenda amenewa.
Zimene mungadye ndi zomwe simungadye pa zakudya za SCD
Popeza chakudya ichi ndi choletsa pang'ono, ndikofunikira kudziwa bwino zomwe mungadye ndi zomwe simungadye.
| ✅ Zakudya Zololedwa | |
|---|---|
| Nyama ndi nsomba | Nyama yatsopano, nkhuku, nsomba, ndi nkhono zopanda zotetezera. |
| Ndiwo zamasamba ndi zipatso | Ndiwo zamasamba zatsopano, zozizira kapena zophikidwa (monga nyemba). Zipatso zatsopano, zouma kapena zophikidwa popanda shuga wowonjezera. |
| Zakudya za mkaka | Tchizi monga cheddar (sharp cheddar), Swiss, ndi zina zotero. Yogati yopangidwa kunyumba yomwe yawiritsidwa kwa maola osachepera 24. |
| Mtedza ndi ma flakes | Nyemba zopyapyala monga nyemba, nyemba zobiriwira, ndi nyemba zobiriwira. Ma cashew ndi mtedza wosakazinga. Ufa wopangidwa kuchokera ku mtedza monga ufa wa amondi. |
| Zina | Mazira, uchi, batala wa mtedza wachilengedwe wosatsekemera, mafuta, viniga, khofi ndi tiyi (zopanda shuga ndi zotetezera). |
| ❌ Zakudya Zoyenera Kupewa | |
|---|---|
| Chimanga | Balere, chimanga, oats, mpunga, tirigu, ndi chilichonse chopangidwa kuchokera ku izo, monga buledi, pasitala, makeke, ndi mabisiketi. |
| Mitundu ya shuga | Shuga wokonzedwa, molasses, manyuchi a maple, manyuchi a chimanga, chokoleti, ndi zakudya zonse zotsekemera. |
| Ndiwo zamasamba zokhuthala | Mbatata, mbatata, turnips. |
| Zakudya za mkaka | Mkaka, kirimu, ayisikilimu, kirimu wowawasa, ndi yogurt yogulitsidwa m'sitolo (chifukwa cha kuchuluka kwa lactose m'thupi). |
| Zina | Nyama yokometsera monga soseji, ndiwo zamasamba zam'chitini (zokhala ndi zotetezera), soya, nandolo, ufa wa zonunkhira monga ufa wa curry/adyo, ndi nyanja zamchere. |
Kodi ndiyamba bwanji izi? Kodi ubwino ndi kuipa kwake ndi kotani?
Izi ndizofunikira musanayambe!
Musanayambe kudya zakudya zoletsa ngati izi , muyenera kulankhula ndi dokotala wanu . Iye ayenera kusankha ngati izi zikugwirizana ndi vuto lanu. Angakutumizireninso kwa katswiri wa zakudya.
Kawirikawiri, poyambitsa zakudya izi, amalangizidwa kuti muchepetse kudya zakudya zosavuta komanso zosavuta kugaya kwa masiku awiri kapena atatu, kenako pang'onopang'ono muwonjezere zakudya zina zovomerezeka.
Ubwino ndi kuipa kwake
Ubwino:
Phindu lalikulu ndi kuthekera kwa zizindikiro kutha ndipo matendawa atha. Kafukufuku wina wasonyeza kuti pafupifupi theka la anthu omwe ali ndi matenda a Crohn amamva mpumulo ku zizindikiro monga ululu ndi kutopa pa zakudya izi.
Zoyipa (zoopsa):
- Zovuta kutsatira: N'zovuta kupitiriza izi mukamadya kunja, makamaka mukamapita ku phwando, chifukwa mumakhala mukusowa chakudya chambiri.
- Ndalama zogulira zinthu ndi zambiri: Mtengo wa chakudya ukhoza kukwera chifukwa cha kutayika kwa zakudya zotsika mtengo monga buledi ndi mpunga.
- Kusowa zakudya: Ichi ndiye chiopsezo chachikulu. Thupi likhoza kusowa michere yofunika monga calcium, vitamini D, vitamini B, ndi vitamini E. Chifukwa chake , kuchita izi popanda upangiri wa dokotala kungayambitse kuchepa thupi komanso kusowa zakudya m'thupi.
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo.
Kaya mukutsatira zakudya za SCD kapena ayi, ngati mukukumana ndi zizindikiro zotsatirazi, samalani kwambiri ndipo funsani upangiri wa dokotala nthawi yomweyo.
- Kutuluka magazi m'thupi
- Kupweteka m'mimba kosalekeza, kudzimbidwa, kapena kutsegula m'mimba
- Kuchepetsa thupi popanda chifukwa chilichonse
- Ululu wosatha
- Kutopa kwambiri kapena kufooka popanda chifukwa
Anthu ena amatsatira zakudya zimenezi kwa moyo wawo wonse. Ena, atakhala opanda zizindikiro kwa chaka chimodzi, pang'onopang'ono amawonjezera zakudya zina (monga mpunga, oats, mbatata) muzakudya zawo. Ngati zizindikirozo zibwerera, amatha kubwerera ku zakudya zimenezi.
Uthenga Wopita Nawo Kunyumba
- SCD ndi chakudya chapadera chomwe chimaletsa zakudya zina zomwe zimagwiritsidwa ntchito pochiza matenda am'mimba monga IBD.
- Izi zimachotsa chakudya chophikidwa m'mimba chomwe sichingagayidwe bwino, zimawongolera kukula kwa mabakiteriya oopsa m'matumbo, komanso zimachepetsa kutupa.
- Musayambe nokha kudya zakudya izi popanda kufunsa dokotala wanu.
- Ngakhale izi zimapereka ubwino monga kuchepetsa zizindikiro, zimakhalanso ndi zoopsa zazikulu monga kusowa zakudya m'thupi. Chifukwa chake, malangizo ochokera kwa dokotala kapena katswiri wa zakudya ndi ofunikira.
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