Ingabe nawe uthola izinkinga zesisu uma uphuza ubisi? Lokhu kumayelana nokungabekezelelani ne-lactose!

Kuyinto evamile ukuthi abaningi bethu bazizwe bengakhululekile esiswini ngemva kokuphuza ubisi, noma ngemva kokudla umkhiqizo wobisi ofana ne-yogurt noma i-ayisikhilimu. Abanye abantu bazizwa begcwele, benomsindo wokubhonga, abanye babuhlungu esiswini, noma ngisho nokuqunjelwa. Wake waba nanoma yiziphi zalezi zinto? Ngemuva kwalokho sizoxoxa ngento engaba yinto ebaluleke kakhulu kuwe. Leso yisimo esibizwa ngokuthi ukungabekezelelani ne-lactose .

Kuyini ukungabekezelelani kwe-Lactose?

Kalula nje, ukungabekezelelani ne-lactose yisimo esenzeka lapho uhlelo lwethu lokugaya ukudla lungakwazi ukugaya i-lactose kahle, ushukela otholakala ebisini nasemikhiqizweni yobisi. Abantu abaningi banenkinga yokugaya le lactose, kodwa akubona bonke abantu ababhekana nezimpawu ezinkulu. Kodwa uma uzwa ukungakhululeki lapho udla imikhiqizo yobisi, yilokho esikubiza ngokuthi ukungabekezelelani ne-lactose.

Manje ungase ubuze, kuyini i-lactose malabsorption? Yisimo lapho imizimba yethu ingakwazi ukumunca izakhamzimba eziqukethwe kuma-molecule e-lactose. Lokhu empeleni kuvame kakhulu. Cishe ama-65% abantu abadala emhlabeni abakwazi ukugaya i-lactose kahle. Kulapho le lactose engagaywanga idlula ohlelweni lwethu lokugaya ukudla lapho abanye abantu bezwa khona ukungakhululeki okukhulunywe ngakho ngenhla.

Uyini umehluko phakathi kokungabekezeleli i-lactose kanye nokungabekezeleli i-lactose?

Lokhu kungase kubonakale kudida kancane, kodwa kulula. Akuwona wonke umuntu ongakwazi ukubekezelela i-lactose one -lactose malabsorption . Kodwa akuwona wonke umuntu ongakwazi ukubekezelela i-lactose anezimpawu zokungakwazi ukubekezelela i-lactose .

Cabanga ngale ndlela, i-lactose malabsorption iyenzeka emathunjini ethu amancane . Okusho ukuthi, i-lactose ayimuncwa kahle ngumzimba emathunjini amancane. Kodwa-ke, izimpawu (lezo zinkinga zesisu) ezenzeka ngenxa yalokho zenzeka kamuva, okungukuthi, emathunjini amakhulu .

Amathumbu ethu amancane yilapho esimunca khona izakhamzimba eziningi ekudleni esikudlayo. Amathumbu amancane aphula lezi zakhamzimba zibe yizinhlayiya ezincane bese ezidlulisela odongeni lwamathumbu ziye egazini. Ukudla okungamuncwanga kudlulela emathunjini amakhulu.

Manje, lapho izinhlayiya zikashukela ezingagaywanga (kulokhu i-lactose) zifika emathunjini amakhulu, inani lamanzi liyakhuphuka lapho, kanti negesi nayo iyanda. Ukuze kusizwe ekukhipheni lezi zinhlayiya zikashukela ezingagaywanga, ithumbu elikhulu likhipha uketshezi olwengeziwe. Futhi, lapho amabhaktheriya emathunjini amakhulu evundisa lawa shukela, kukhiqizwa igesi. Yilokho okubangela ukuqunjelwa, ukuqunjelwa, kanye nobuhlungu besisu.

Ukuthi zingaki izimpawu onazo kuncike kwezinye izinto ezimbalwa. Isibonelo, ungakwazi yini ukugaya i-lactose noma ungayigayi nhlobo? Udla i-lactose engakanani ngesikhathi? Ingabe unezinye izimo zezokwelapha ezithinta inani lamanzi nomoya emathunjini akho? Lezi yizinto udokotela azokubuza zona.

Ziyini izimpawu?

Umuntu ongakwazi ukumelana ne-lactose angase abe nezimpawu ezifana nalezi:

• Isisu esivuvukele: Umuzwa sengathi isisu sigcwele umoya.
• Igesi yamathumbu: Ukuphuma komoya njalo.
• Isicanucanu nokuhlanza: Abanye abantu bazizwa befuna ukuhlanza, kanti abanye bangase bahlanze.
• Ubuhlungu besisu kanye nokuqaqamba: Ubuhlungu obuzwakala sengathi isisu sicindezelwa ngaphakathi.
• Ukubhonga noma ukuduma kwesisu: Umsindo ovela ngaphakathi esiswini.
• Uhudo: Ukudlula kwendle ewuketshezi.

Lezi zimpawu zenzeka lapho i-lactose engagayiwe ingena emathunjini akho amakhulu. Kuthatha cishe amahora ayisithupha kuya kwayishumi ukuthi ukudla kuhambe kuye emathunjini akho amakhulu ngemva kokukudla. Kuthatha amanye amahora angama-24 kuya kwangu-36 ukuhamba emathunjini akho amakhulu. Lokhu kusho ukuthi ungabhekana nezimpawu ngisho nosuku noma ezimbili ngemva kokudla okuthile okuqukethe i-lactose.

Yikuphi ukudla okubangela izimpawu zokungabekezelelani ne-lactose?

Iningi lobisi nemikhiqizo yobisi liqukethe i-lactose, ngaphandle uma ikhishwe amafutha. Ubisi lwenkomo nolwembuzi luqukethe lokhu. Eminye imikhiqizo yobisi ine-lactose eningi, kanti eminye inencane. Isibonelo, ubisi olusha nokhilimu kune-lactose eningi, kanti ushizi oqinile une-lactose encane. Ngezinye izikhathi ungangeza ushizi omncane esaladini.

Ngakolunye uhlangothi, uma uzwela kakhulu ku-lactose, ngisho nomthamo omncane ungabangela izimpawu. Ngakho-ke uma uthenga ukudla, hlola uhlu lwezithako kumalebula. Ngezinye izikhathi i-lactose ifakwa ekudleni okucutshunguliwe esingakucabangi nhlobo. Isibonelo, esobho, izitsha zesaladi, ukudla okulula, njll. Kunezikhathi lapho i-lactose ifakwa khona kweminye imithi.

Yiziphi izimbangela zokungabekezelelani kwe-lactose?

Kunezimbangela ezimbili eziyinhloko zalokhu: i-lactose malabsorption ( ukungakwazi ukumunca i-lactose kahle) kanye nokuzwela emathunjini . Okubaluleke kakhulu kulokhu yi-lactose malabsorption. Uma i-lactose ingahlakazeki kahle futhi ingamuncwa emathunjini amancane, i-lactose ingena emathunjini amakhulu futhi ibangele izimpawu.

Ukuntuleka kwe-enzyme ye-Lactase

Amathumbu ethu amancane adinga i -enzyme ekhethekile ukuze ahlukanise ushukela we-lactose ube yizinhlayiya ezincane umzimba ongazimunca. Ibizwa ngokuthi i-lactase.Uma sisebancane, okungukuthi, uma sincelisa, le enzyme ye-lactase ikhula kahle emathunjini ethu amancane. Yiyona esisiza ekugayeni ubisi lwebele. Kodwa-ke, njengoba sikhula, ukukhiqizwa kwale enzyme ye-lactase emizimbeni yabantu abaningi kuyancipha.

Uma ungenayo i-lactase eyanele, ngeke ukwazi ukugaya i-lactose. Abanye abantu bane-enzyme eningi, kanti abanye bane-enzyme encane. Kodwa empeleni, iningi labantu emhlabeni linenkinga yokumuncwa kwe-lactose ngenxa yokuntuleka kwale enzyme. Amaqembu athile kuphela abantu abathuthukisa i-lactase baze babe ngabantu abadala.

Wena kanye nohlobo lwamathumbu akho

Yilapho ukuzwela kwamathumbu akho kungena khona. Sonke sidla izinto esingakwazi ukuzigaya kahle ngezinye izikhathi. Ezinye izinto ezitholakala ekudleni kanye noshukela zidlula emgudwini wokugaya ukudla bese ziba ukudla kwamagciwane asemathunjini ethu. Kwabaningi bethu, lezi zinto ezincane azibangeli izimpawu ezinkulu.

Kodwa wonke umuntu uhlukile kancane. Izakhi zethu zofuzo, impilo yamathumbu, ukuzwela, kanye nokudla konke kudlala indima. Ingxube yamagciwane esiswini sakho (ebizwa nangokuthi i-gut microbiome yakho) ingahluka kweyomunye umuntu. Ngakho-ke, izimpawu zakho zizokutshela ukuthi ungabekezelela i-lactose engakanani.

Yiziphi izinhlobo ezine zokungabekezelelani kwe-lactose?

Kunezinhlobo ezine eziyinhloko zalesi simo, kanye nezimbangela zazo:

• Okuyinhloko: Lolu uhlobo oluvame kakhulu. Lubangelwa ukwehla kancane kancane kokukhiqizwa kwe-enzyme ye-lactase emathunjini amancane.
• Okwesibili: Kwenzeka lapho amathumbu amancane onakele ngenxa yesinye isifo, ukulimala, noma isifo. Isibonelo, ukuhlinzwa okuthile, izifo, noma izimo ezifana nesifo se-Celiac .
• Ukuzalwa: Lokhu akuvamile kakhulu. Kubangelwa ukuntuleka kwe-enzyme ye-lactase lapho izalwa.
• Ukukhula: Kwenzeka ekuzalweni ngaphambi kwesikhathi ngoba amathumbu amancane awakakhuli ngokugcwele.

Ingabe ukungezwani ne-lactose kuyizakhi zofuzo?

Yebo, izakhi zofuzo zidlala indima kulokhu ngezinga elithile. Izakhi zofuzo zakho zinquma ukuthi umzimba wakho ukhiqiza isikhathi esingakanani i-enzyme i-lactase. Zingathinta nokuzwela kwamathumbu akho kanye nezinhlobo zamagciwane esiswini sakho. Amanye amagciwane aguqula i-lactose ibe yigesi, kodwa amanye aguqula i-lactose ibe yi-lactic acid. Lokhu kwakheka kwe-lactic acid kungase kungabangela izimpawu.

Kungenzeka kakhulu ukuthi ube ne-lactose malabsorption kanye nokungabekezelelani ne-lactose uma iphrofayili yakho yezakhi zofuzo ilandelayo:

• Isi-Asia
• Umdabu waseMelika
• AmaHispanic

Uma iphrofayili yakho yezakhi zofuzo inje, kungenzeka ukuthi uqhubeke nokukhiqiza i-lactase futhi ubekezelele i-lactose:

• INyakatho Yurophu
• UmAfrika
• Emaphakathi Mpumalanga

Akuvamile kakhulu ukuthi abanye abantu bazalwa benokuntuleka kwe-lactase . Lesi yisimo sofuzo esibangela ukungabekezelelani ne-lactose kusukela ekuzalweni.

Ingabe ukungabekezelelani kwe-lactose kungavela ngokuhamba kwesikhathi?

Abantu abaningi bahlushwa ukungezwani ne-lactose kusukela ebuntwaneni kuya ebudaleni. Uhlobo oluvame kakhulu , ukungezwani ne-lactose okuyinhloko, esikhulume ngakho ekuqaleni, lukhula njengoba umzimba wakho unciphisa kancane kancane ukukhiqizwa kwawo kwe-enzyme i-lactase. Futhi, ukuzwela kwamathumbu akho kungashintsha ngokuhamba kwesikhathi.

Ngaphezu kokumuncwa kwe-lactose, kungenzeka kakhulu ukuthi ube nezimpawu uma unezinye zezimo ezilandelayo:

• I-Irritable Bowel Syndrome (IBS)
• Ukwanda kwe-visceral (ukwanda kwe-intestinal hypersensitivity)
• Ukwanda ngokweqile kwamagciwane emathunjini amancane (SIBO)

Lezi zimo zivame ukukhula kancane kancane ngokuhamba kwesikhathi.

Kungenzeka yini ukuthi umuntu angabekezeleli i-lactose ngokuzumayo ngaphandle komlando wangaphambilini?

Yebo, ukungabekezelelani kwesibili kwe-lactose kungavela ngokuzumayo ngenxa yomonakalo emathunjini akho amancane. Ukulimala, ukuhlinzwa, ukutheleleka, noma ukugula isikhathi eside kungalimaza amangqamuzana enza i-lactase. Lokhu kungabangela ukungamuncwa kwe-lactose kanye nokungabekezelelani, noma ngabe wawukwazi ukugaya i-lactose ngaphambilini.

Kunezimbangela eziningana ezingaba khona zokungabekezelelani kwe-lactose yesibili:

• Ukwelashwa ngemisebe
• Ukususwa kwamathumbu amancane
• I-cystic fibrosis
• Isifo samathumbu esivuvukalayo (IBD) (isib. isifo sikaCrohn, i-ulcerative colitis)
• Isifo se-Celiac
• I-Enterocolitis ( ukutheleleka nokuvuvukala kwamathumbu)

Kodwa-ke, lokhu kungezwani kwesibili kwe-lactose akuvamile ukuba khona. Uma amathumbu akho amancane esebenza kahle, ungase uphinde ukwazi ukugaya i-lactose.

Wazi kanjani ukuthi awunawo amandla okumelana ne-lactose?

Uma uqhubeka nokuzwa ubuhlungu besisu obufanayo njengoba kushiwo ngenhla ngemva kokudla ubisi, ungase usole ukuthi awunawo amandla okumelana ne-lactose. Kodwa-ke, abantu abaningi abanamazinga aphansi e-enzyme i-lactase bangakwazi ukubekezelela amanani athile e-lactose ngezinye izikhathi. Ngakho-ke, uma ungaqiniseki ukuthi i-lactose ibangela ngempela ukungakhululeki kwakho,Into engcono kakhulu ukuthola udokotela.

Yiziphi izivivinyo zokungabekezelelani kwe-lactose?

Odokotela banezivivinyo eziningana zokuqinisekisa lesi simo. Izivivinyo ezivame kakhulu yilezi:

• Ukuhlolwa kokuphefumula kwe-hydrogen: Lokhu kulinganisa inani le-hydrogen ne-methane gas emphefumulweni wakho. Lawa magesi akhiqizwa amabhaktheriya asemathunjini akho amakhulu. Uma unezinga eliphezulu legesi ngemuva nje kokuphuza uketshezi oluqukethe i-lactose, kusho ukuthi amabhaktheriya asemathunjini akho abilisa i-lactose futhi akhiqiza igesi.
• Ukuhlolwa kwe-glucose egazini: Uma ukuhlolwa kokuphefumula kungaphumeleli, udokotela wakho angase akuyalele lokhu kuhlolwa kwegazi. Lokhu kuhlolwa kulinganisa amazinga kashukela egazini lakho ngaphambi nangemva kokuphuza i-lactose. Uma amazinga kashukela egazini lakho engekho phezulu, kusho ukuthi awukayigayi i-lactose.
• Ukuhlolwa kwe-acidity yendle: Lokhu kuhlolwa kuvame ukusetshenziswa ezinganeni ezincane nasezinsaneni. Ngemva kokunikeza ingane i-lactose, kuthathwa isampula yendle bese ihlaziywa. Amazinga e-lactic acid kanye neminye imikhiqizo ephumayo esithweni angasetshenziswa ukuthola ukuthi umzimba uyayimunca yini i-lactose.

Yiziphi izindlela zokwelapha ukungabekezelelani ne-lactose?

Ukuze ugaye i-lactose, udinga ukuba ne-enzyme i-lactase emathunjini akho. Abantu abaningi abangakwazi ukumelana ne-lactose abakwazi ukwenza i-lactase ngokwemvelo. Kodwa-ke, unganika umzimba wakho i-enzyme ye-lactase oyidingayo ngokuthatha izithasiselo ze-lactase . Lokhu kungathathwa ngendlela yamaphilisi noma amaconsi ngaphambi kokudla ukudla okuqukethe i-lactose.

Abacwaningi bahlola nohlobo lwebhaktheriya elibizwa ngokuthi amabhaktheriya e-lactic acid njengendlela yokwelapha izimpawu zokungabekezelelani ne-lactose. Lawa mabhaktheriya aguqula i-lactose ibe yi-lactic acid esikhundleni somoya. Ukuthatha la mabhaktheriya njengama -probiotic , kanye nokuthatha ama-prebiotic, anikeza ukudla, kutholakale ukuthi kwandisa ukubekezelelana ne-lactose.

Ungakulawula kanjani ukungabekezelelani kwe-lactose ngokudla okunempilo?

Zama ukudla kwakho ukuze uthole umkhawulo wakho we-lactose. Abanye abantu bakulungele ukudla okunye kobisi, ngamanani athile, noma okunye ukudla. Qala ngokudla okungena-lactose, bese ufaka kancane kancane ukudla okune-lactose ukuze ubone ukuthi umzimba wakho usabela kanjani .

Abanye abantu abangakwazi ukubekezelela i-lactose bangabekezelela cishe amagremu ayi-12 e-lactose ngesikhathi. Lokho kufana nenkomishi yobisi noma isipuni se-ayisikhilimu. Futhi, imikhiqizo eminingi yobisi ezitolo ezinkulu manje ine-lactose encishisiwe futhiIzinhlobo ezingenayo i-lactose ziyatholakala. Cabanga ngokungeza lezi nezinye izindlela zobisi ekudleni kwakho.

Ingabe ukungabekezelelani ne-lactose kungelapheka ngokuphelele?

Ukungabekezelelani kwe-lactose kwesibili , okubangelwa ukulimala kwamathumbu amancane, kungathuthuka ngemva kokuba umonakalo usupholile. Kuya ngokuthi umonakalo uhlala isikhathi eside kangakanani. Kungathatha isikhathi esithile. Ukungabekezelelani kwe-lactose ekukhuleni, okubangelwa ukuzalwa ngaphambi kwesikhathi, kuvame ukuphela njengoba izingane zikhula.

Kodwa-ke, uma unesifo sokuqala noma uzalwa naso sokungabekezelelani ne-lactose, umzimba wakho ngeke ukhiqize i-lactase eyengeziwe ngokwemvelo. Kodwa-ke, uma impilo yesisu sakho noma i-microbiome yamathumbu ishintsha, izimpawu zakho zingashintsha. Ungase ukwazi ukubekezelela okwengeziwe, noma ube nezimpawu ezimbalwa.

Kwenzekani uma ukungabekezelelani ne-lactose kunganakwa?

Ukungabekezelelani ne-lactose ngeke kukubangele umonakalo omkhulu. Uma ungakwazi ukubekezelela izimpawu kuze kube yilapho i-lactose idlula ohlelweni lwakho lokugaya ukudla, zizophela ngemva kwesikhashana. Kodwa-ke, ungazigwema kalula lezi zimpawu ezingakhululekile ngokusebenzisa izithasiselo ze-lactase kanye nemikhiqizo yobisi engenayo i-lactose.

Ingabe ikhona imiphumela yesikhathi eside yokungabekezelelani ne-lactose?

Ukungabekezelelani ne-lactose kuthinta ukudla kwakho, ngakho-ke kudingeka uqaphele ngezakhamzimba ozidlayo. Uma ususa yonke imikhiqizo yobisi, ungase ungabi ne -calcium ne -vitamin D eyanele. Nakuba ungathola lezi zakhamzimba kwezinye izinhlobo zokudla, imikhiqizo yobisi iwumthombo ovame kakhulu.

Ukuntuleka kwe-calcium noma ukuntuleka kwe-vitamin D kungathinta amathambo akho, imisipha, kanye nesimiso sezinzwa. Lokhu kuntuleka kungathinta ikakhulukazi izingane ezisakhula. Uma ungakwazi ukuthola okwanele kwalokhu ekudleni, udokotela angase ancome ukuthi uthathe izithasiselo ze-calcium noma ze-vitamin D.

Ingabe ukungabekezelelani ne-lactose kuyi-allergy?

Cha. Ukungezwani nokudla kuyindlela umzimba wakho osabela ngayo, ngokuvamile kuphrotheni ekudleni okudlayo. Isimiso sakho somzimba siyayibona leyo phrotheni njengosongo futhi siyasabela ukuyisusa. Uma une-allergy, ngisho nenani elincane lephrotheni lingabangela ukusabela okukhulu, futhi ngokuvamile kwenzeka ngemva nje kokudla ukudla.

Ukusabela kokungezwani komzimba kungabangela izimpawu hhayi nje kuphela ohlelweni lwakho lokugaya ukudla, kodwa nakuwo wonke umzimba wakho. Ungase uzwe izinto ezifana nokuvuvukala, ukuqunjelwa, kanye nobunzima bokuphefumula. Ungase futhi uzwe ubuhlungu besisu, isicanucanu, kanye nokuhlanza, kodwa lokhu kuvame ukwenzeka ekuqaleni kwenqubo yokugaya ukudla, lapho iphrotheni isesiswini.

Umehluko phakathi kokungabekezelelani i-lactose kanye nokungezwani nobisi

Umehluko omkhulu ukuthi ukungezwani nobisi kuyindlela umzimba wakho osabela ngayo kumaprotheni obisi. Ukungezwani ne-lactose kuyindlela umzimba wakho osabela ngayo kushukela (i-lactose) obisini. Ukusabela kokungezwani nobisi kuyindlela esheshayo nenzima. Kungaba ngokushesha, kube nzima, futhi ngezinye izikhathi kusongela ukuphila (okubizwa ngokuthi i-anaphylaxis ).

Uma uhlelo lwakho lokugaya ukudla lusabela kushukela ongagayeki, kungabangela izimpawu ezingakhululekile ngesikhathi senqubo yokugaya ukudla, kodwa akusiyo ingozi. I-lactose engagayeki ibangela amanzi negesi eyengeziwe ukuthi kuqongeleleke emathunjini akho. Ungase uzizwe uvuvukele futhi unegesi kuze kube yilapho idlula, kodwa ngeke ikulimaze.

Umehluko phakathi kokungabekezelelani i-lactose kanye nokungabekezelelani amaprotheni obisi

Njengokungezwani ne-lactose, ukungezwani namaprotheni obisi kuqala ngokumuncwa okunganele emathunjini amancane. Uma amathumbu akho amancane engakwazi ukuwohloka nokumunca iphrotheni ebisini (ngokuvamile i-casein noma i-whey ), iphrotheni engagaywanga idlula emathunjini akho, kanye noshukela ongagaywanga.

Umehluko uwukuthi, amaprotheni angagayeki emgudwini wakho wokugaya ukudla angathumela isexwayiso ohlelweni lwakho lokuzivikela komzimba. Kamuva enkambisweni yokugaya ukudla, uhlelo lwakho lokuzivikela komzimba lungayibona leyo phrotheni njenge-allergen bese luqala impendulo yokuzivikela komzimba ebambezelekile. Ungaba ngisho nokungezwani naleyo phrotheni kamuva.

Ukungabekezelelani i-lactose akusona isifo. Kumane kuwukuhlukahluka kwemvelo endleleni izinhlelo zethu zokugaya ukudla ezisebenza ngayo. Eqinisweni, ikhono lokugaya i-lactose ngemuva kobuntwana liyinguquko entsha yezakhi zofuzo kubantu. Akusibo bonke esinalo lelo guquko, futhi lokho akuyona inkinga. Ungaphila impilo enempilo ngokungabekezelelani i-lactose.

Uma unezinkinga zokugaya ukudla ocabanga ukuthi zihlobene nemikhiqizo yobisi, udokotela angakusiza. Angakuhlolela ukungabekezelelani ne-lactose kanye nezinye izimbangela zezimpawu zakho. Uma ungabekezelelani ne-lactose, udokotela angakusiza futhi wenze izinguquko endleleni yokuphila ukuze akusize ulawule izimpawu zakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Abantu abaningi bazizwa bengakhululekile esiswini lapho bedla ubisi noma imikhiqizo yobisi, okubizwa ngokuthi ukungabekezelelani ne-lactose .
• Isizathu esiyinhloko salokhu ukwehla kwe-enzyme i-lactase emzimbeni.
• Izimpawu azifani kuwo wonke umuntu, futhi kubalulekile ukuthola inani le-lactose ongayibekezelela.
• Izithasiselo ze-lactase kanye nemikhiqizo engenayo i-lactose zingasetshenziswa.
• Lokhu akulona uhlobo lokungezwani komzimba, kodwa njengoba ukudla kobisi kunqunyelwe, qaphela i-calcium ne -vitamin D.
• Uma unokungabaza ngalokhu, kungcono ukufuna iseluleko sezokwelapha. Akukho okufanele ukhathazeke ngakho, lesi yisimo esilawulekayo!

Ukungezwani ne - lactose, ukungabekezelelani ne-lactose, izinkinga zokugaya ubisi, ukuqunjelwa, i-lactase, ukudla kobisi, ukugaya ukudla