Ingabe uvame ukuba nezinkinga ezifana nokungakhululeki esiswini, ukuqunjelwa, izinhlungu zesisu, noma uhudo? Nakuba lokhu kujwayelekile kwabanye abantu, kungaba yinkinga enkulu kulabo abanezifo zokugaya ukudla esezinesikhathi eside. Ngakho-ke namuhla sikhuluma ngokudla okukhethekile okungasiza ekulawuleni lezi zimo. Lokhu kubizwa ngokuthi 'i-Specific Carbohydrate Diet' noma 'i-SCD' ngamafuphi.
Kalula nje, iyini i-SCD?
Kulula kakhulu. I-SCD uhlelo lokudla olukhethekile olususa ngokukhetha izinhlobo ezithile zama-carbohydrate ekudleni kwethu. Ngokukhethekile, isusa ama-carbohydrate ayinkimbinkimbi okunzima emizimbeni yethu ukuwagaya. Lokhu kusiza ekunciphiseni izimpawu zezinkinga zokugaya ukudla, ikakhulukazi isifo samathumbu esivuvukalayo (IBD) .
Umuntu olandela ukudla kwe-SCD akadli okusanhlamvu, njengesinkwa, i-pasta, kanye ne-cereal. Futhi kunciphisa kakhulu ushukela kanye ne-lactose, uhlobo lukashukela olutholakala ebisini.
Ubani owaqala ukuthola le ndlela?
Ukudla kwe-SCD kwaqala ukwethulwa ngawo-1920 nguDkt. Sidney Haas, udokotela wezingane waseMelika. Wakwethula ukusiza izingane ezine-Celiac Disease, okuyisifo sokugaya ukudla. Kodwa-ke, kwathandwa emhlabeni wonke ngawo-1980 ngenxa yencwadi eyabhalwa ngu-Elaine Gottschall, owabhala ngendlela indodakazi yakhe, eyayine-IBD, eyathuthukisa ngayo izimpawu zayo ngalokhu kudla.
Okokuqala, ake sibone, kuthiwani lawa ma-carbohydrate?
Ama-carbohydrate ayi-fiber, izitashi, noshukela okutholakala ekudleni esikudlayo. Imizimba yethu iguqula lawa ma-carbohydrate abe uhlobo loshukela olubizwa ngokuthi i-glucose yamandla.
Kunezinhlobo ezimbili eziyinhloko zama-carbohydrate:
1. Ama-carbohydrate Ayinkimbinkimbi: Lawa angama-carbohydrate anempilo kakhulu emzimbeni wethu. Aqukethe amavithamini, amaminerali, kanye ne-fiber. Njengoba ethatha isikhathi eside ukugaya, awabangeli ukwanda okungazelelwe kwamazinga kashukela egazini lethu. Okusanhlamvu okuphelele, ubhontshisi, uphizi, udali, amantongomane, izithelo, kanye nemifino kuwela kulesi sigaba.
2. Ama-Carbohydrate Alula: Lokhu ukudla okunoshukela omningi. Lokhu kugaywa ngokushesha okukhulu futhi kubangele ukwanda okungazelelwe kwamazinga ethu kashukela egazini. Ngakho-ke, yize sithola amandla ngokushesha, ayaphela ngokushesha bese siqala ukuzizwa sikhathele. Ubisi nezithelo ngokwemvelo kuqukethe lolu hlobo lukashukela. Ngaphandle kwalokho, ushukela owengezwa ekudleni okufana namakhekhe, amabhisikidi, i-ayisikhilimu, kanye noshukela kuma-sauces afana ne-ketchup nawo awela kulesi sigaba.
Lokhu kudla kwe-SCD kusebenza kanjani?
Odokotela basacwaninga ukuthi lokhu kusebenza kanjani. Kodwa lena yimbono eyamukelekayo okwamanje. Abantu abanezifo ezithile zokugaya ukudla abakwazi ukugaya izinhlobo ezithile zama-carbohydrate kahle. Bese, lezi zinhlayiya zokudla ezingagayiwe zihlala emathunjini ethu.
Ake sithi kukhona amabhaktheriya amahle kanye nama-bacteria amabi emathunjini ethu. Lezo zinhlayiya zokudla ezingagaywanga ziba ukudla okuhle kwala ma-bacteria amabi. Bese ziphindaphindeka ngokushesha, zibangele ukuvuvukala nokungakhululeki emathunjini.
Ukudla kwe-SCD kumayelana nokususa lawo ma-carbohydrate anzima ukuwagaya ekudleni kwakho . Sidla kuphela ama-carbohydrate agaywa kalula futhi amuncwa umzimba. Lokho kuphuca lawo magciwane amabi ukudla futhi kuyalawula. Lokho kunganciphisa ukuvuvukala nezimpawu emathunjini.
Lokhu kudla futhi kuqeda kakhulu ukudla okucutshunguliwe, izithasiselo, kanye nezilondolozi. Ezinye zalezi zinto zitholakale zandisa ukuvuvukala emathunjini. Ngakho-ke ukuziqeda kungaba esinye isizathu sokuthi uzizwe ungcono ngale ndlela.
Ubani ofanele lokhu kudla?
Indlela ye-SCD ingaba usizo ezinganeni nakubantu abadala abanezimo ezithile ezingamahlalakhona, okuhlanganisa:
- Izifo zamathumbu ezivuvukalayo (IBD) , njengesifo sikaCrohn kanye ne-ulcerative colitis.
- I-Juvenile Idiopathic Arthritis yisifo sokuvuvukala kwamalunga esenzeka ebuntwaneni.
Ngaphezu kwalokho, kuye kwaphakanyiswa ukuthi le ndlela ingaba usizo kwezinye izifo eziningana ezifana ne-diverticulitis, isifo se-celiac, kanye ne-cystic fibrosis, kodwa lokhu kusesesigabeni socwaningo.
Yikuphi ukudla okungadliwa nokungenakudla ekudleni kwe-SCD?
Lena yingxenye ebaluleke kakhulu. Ake sibone ukuthi yini ongayidla nengayidli ngokwale ndlela yokudla.
| Ukudla kwe-SCD - Uhlu Lokudla | |
|---|---|
| ✅ Izinto ezifanele ukudliwa | ❌ Izinto ezingafanele ukudliwa |
| Inyama, inkukhu, inhlanzi, kanye ne-shellfish ngaphandle kwezithako zokwenziwa ezengeziwe. | Zonke izinhlamvu ezifana nebhali, ummbila, i-oats, i-quinoa, ilayisi kanye nokolweni. |
| Amaqanda. | Yonke imikhiqizo eyenziwe ngokusanhlamvu okufana nesinkwa, i-pasta, amakhekhe, amabhisikidi, kanye nokusanhlamvu. |
| Imifino emisha, eqandisiwe noma ephekiwe (isb. ubhontshisi). | Imifino enesitashi njengamazambane, ubhatata, kanye nama-turnip. |
| Izithelo ezintsha noma ezomisiwe ezingenashukela owengeziwe. | Zonke ushukela ezicutshunguliwe, njengoshukela, i-fructose, isiraphu yommbila, isiraphu ye-maple, njll. |
| I-yogurt eyenziwe ekhaya ebilisiwe okungenani amahora angama-24. | Imikhiqizo yobisi equkethe i-lactose eningi, njenge-yogurt ethengwa esitolo, ubisi, ukhilimu, kanye ne-ayisikhilimu. |
| Ezinye izinhlobo zoshizi, njenge-cheddar ne-Swiss. | Ezinye izinhlobo zemifino, njengesoya kanye nobhontshisi. |
| Eminye imidumba, njenge-lentile, uphizi, nobhontshisi oluhlaza. | Inyama ecutshunguliwe. |
| Amantongomane afana nama-cashew, amantongomane, nama-alimondi kanye nofulawa owenziwe ngawo. | Izinongo ezifakwe ufulawa (isb. i-curry powder, i-garlic powder). |
| Uju. | Ukhula lwasolwandle. |
Uqala kanjani lokhu kudla?
Lokhu kuyinto ebaluleke kakhulu. Akuyona into enhle ukuqala ukudla okukhawulela ukudla okuningi okufana nalokhu wedwa .
Vele, kufanele ukhulume nodokotela wakho ngaphambi kokuqala into efana nale. Uzohlola isimo sakho sezempilo bese enquma ukuthi lokhu kudla kukufanele yini.
Uma udokotela wakho evuma, ungase welulekwe ukuthi ugcine ijenali yokudla ukuze ubhale phansi ukudla okudlayo, izimpawu, kanye nezinguquko ekudleni kwakho. Le ndlela ivame ukuqala ngezinsuku ezimbili kuya kwezinhlanu zokudla ukudla okulinganiselwe kakhulu, okulula ukugayeka. Bese, kancane kancane wengeza okunye ukudla.
Yiziphi izinzuzo kanye nokungalungi kwale ndlela?
Izinzuzo
Uma ulandela ukudla kwe-SCD kahle, izimpawu zakho zingaphela cishe ngokuphelele. Lokhu kubizwa ngokuthi ukuthethelelwa. Ocwaningweni lwabantu abangu-200 abanesifo sikaCrohn, cishe ingxenye yalabo abalandela ukudla babona ukwehla okukhulu kwezimpawu zabo. Babike ukwehla kobuhlungu, ukukhathala nezinkinga zokulala.
Izingozi
- Ubunzima bokulandela: Ukuyeka ukudla okuningi ngale ndlela kungaba yinselele, ikakhulukazi lapho udla ngaphandle nabangani noma ngezikhathi zemikhosi.
- Izindleko eziphezulu: Njengoba ukudla okungabizi njengesinkwa nelayisi kuqedwa, izindleko zokudla zingase zikhuphuke.
- Ukuntuleka kokudla okunempilo: Lena ingozi enkulu kunazo zonke. Lokhu kudla kungabangela umzimba wakho ukuthi untule izakhamzimba ezibalulekile njenge-calcium, amavithamini B, D, kanye no-E. Lokhu kungaholela ekungondleki kahle kanye nokwehla kwesisindo okungenampilo . Ngenxa yalesi sizathu, udokotela wakho angakuthumela kuchwepheshe wezokudla.
Kufanele ubonane nini nodokotela?
Kungakhathaliseki ukuthi ulandela ukudla kwe-SCD noma cha, uma unezimpawu ezilandelayo, bona udokotela wakho ngokushesha.
| Isibonakaliso | Incazelo |
|---|---|
| Igazi esitulweni | Lokhu kungaba uphawu lwesimo esibucayi. |
| Ukungakhululeki kwesisu isikhathi eside | Ukuqunjelwa njalo, ukuqunjelwa, kanye nokuqunjelwa. |
| Ubuhlungu obungapheli | Ubuhlungu obungapheli esiswini noma kwenye indawo. |
| Ukwehla kwesisindo ngokuzumayo | Ukwehla kwesisindo okukhulu ngaphandle kwesizathu esaziwayo. |
| Ukukhathala okungaqondakali | Ukuzizwa ukhathele kakhulu noma ubuthakathaka kunokujwayelekile. |
Abanye abantu balandela ukudla kwe-SCD impilo yabo yonke. Abanye, ngemva konyaka noma ngaphezulu bengenazo izimpawu, babuyisela ukudla ababekushiyile ngaphambilini (isb. ilayisi, i-oats, amazambane). Kodwa-ke, uma izimpawu zibuya, kufanele babuyele ekudleni.
Umlayezo Wokuya Nawe Ekhaya
- I-SCD uhlelo lokudla olukhethekile, olunemingcele olusetshenziselwa izifo ezithile zesistimu yokugaya ukudla, njenge-IBD.
- Lokhu kuhilela ukususa ama-carbohydrate anjengokusanhlamvu, ushukela, kanye nesitashi okunzima ukukugaya ekudleni.
- Le ndlela ingaba usizo kakhulu ekulawuleni izimpawu kwabanye abantu.
- Kodwa-ke, ungalokothi uqale lokhu kudla ngokwakho ngaphandle kweseluleko sikadokotela.
- Lokhu kungaba nzima ukukulandela futhi kunengozi yokuntuleka kokudla okunempilo. Ngakho-ke, xoxa ngalokhu nodokotela wakho njalo futhi ucele usizo kuchwepheshe wezokudla uma kudingeka.
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