Ingabe uvame ukuphatheka kabi esiswini? Ingabe ukhathele ukuzizwa ugcwele, ukuba nezinhlungu esiswini, futhi ngezinye izikhathi uhudo? Lokhu kuyinto ecasulayo kakhulu, ikakhulukazi kulabo abanesifo sokuvuvukala kwamathumbu (IBD). Namuhla sikhuluma ngokudla okukhethekile okungasiza abantu abanjalo. Lokhu kubizwa ngokuthi 'i-Special Carbohydrate Diet' noma i-SCD.
Kuyini i-SCD? Yaqala kanjani?
Kalula nje, i-SCD uhlelo lokudla olususa ama-carbohydrate akhethiwe ekudleni kwakho. Umgomo ukulawula izimpawu zesifo sokugaya ukudla. Abantu abalandela lokhu kudla bagwema okusanhlamvu, njengesinkwa, i-pasta, nokusanhlamvu, nanoma yini eyenziwe ngokusanhlamvu. Futhi kunciphisa kakhulu ushukela ne-lactose, uhlobo lukashukela olutholakala ebisini.
Umlando walokhu kudla mdala kancane. Kwaqala ukwethulwa ngawo-1920 nguDkt. Sidney Haas, udokotela wezingane waseMelika. Ngaleso sikhathi, wasebenzisa le ndlela ukusiza izingane ezine-Celiac Disease. Kodwa-ke, yaphinde yathandwa ngasekupheleni kwawo-1980 ngemuva kokuba u-Elaine Gottschall ebhale incwadi ebizwa ngokuthi "Breaking the Vicious Cycle." Kuleyo ncwadi, uchaze indlela isifo sokuvuvukala kwamathumbu (IBD) sendodakazi yakhe eselapheka ngayo yilokhu kudla.
Okokuqala, ake sibone ukuthi ayini ama-carbohydrate.
Ama-carbohydrate, noma njengoba siwabiza ngokuthi, 'isitashi', ushukela, i-fiber, kanye nesitashi esitholakala kokunye kokudla esikudlayo. Imizimba yethu iguqula lawa ma-carbohydrate abe uhlobo loshukela olubizwa ngokuthi i-glucose ukuze lisinike amandla.
Kunezinhlobo ezimbili eziyinhloko zama-carbohydrate:
- Ama-carbohydrate Ayinkimbinkimbi: Lawa uhlobo 'oluhle' lwama-carbohydrate . Agcwele amavithamini, amaminerali, kanye ne-fiber. Athatha isikhathi eside ukugaya, ngakho awanyusi amazinga kashukela egazini ngasikhathi sinye. Okusanhlamvu okuphelele, amantongomane, imbewu, imifino, nezithelo kuwela kulesi sigaba.
- Ama-Carbohydrate Alula: Lezi yizinhlobo 'ezimbi' . Ukudla neziphuzo ezinoshukela omningi kuyagaywa ngokushesha futhi kubangele ukwanda okungazelelwe kwamazinga kashukela egazini. Yilokhu okwenza uzizwe unamandla isikhashana, kodwa bese uqala ukuzizwa ukhathele futhi. Lokhu kutholakala kumaswidi, amabhisikidi, kanye ne-ayisikhilimu. Lawa shukela alula atholakala ngokwemvelo obisini nasezithelweni.
Lokhu kudla kuyithinta kanjani imizimba yethu?
Cabanga ngalokhu. Izinhlelo zokugaya ukudla zabanye abantu azikwazi ukugaya kahle izinhlobo ezithile zama-carbohydrate. Bese lezi zinhlayiya zokudla ezingagayiwe zihlala emathunjini. Lokhu kuba yindawo efanele yokudla kwamagciwane ayingozi emizimbeni yethu.
Amabhaktheriya ayingozi athembele kula ma-carbohydrate angagaywanga akhula kakhulu emathunjini. Lokhu kungalimaza ulwelwesi oluthambile lwamathumbu, kubangele ukuvuvukala, futhi kwenze izimpawu zibe zimbi kakhulu.
Ukudla kwe-SCD kususa lawo ma-carbohydrate okunzima ukuwagaya ekudleni kwakho. Ngemuva kwalokho udla kuphela ama-carbohydrate agaywa kalula futhi amuncwa umzimba. Lokhu kuncisha lawo magciwane ayingozi ukudla futhi kulawula ukukhula kwawo. Khona-ke ukuvuvukala emathunjini kuyancipha bese uqala ukuzizwa ungcono.
Lokhu kudla futhi kuqeda kakhulu ukunambitheka okwenziwayo, izithasiselo, kanye nokudla okucutshunguliwe. Ezinye zalezi zinto zitholakale zandisa ukuvuvukala emathunjini. Ngakho-ke ukususa lokho kungesinye isizathu sokuthi uzizwe ungcono.
Ubani ofanele lolu hlobo lokudla?
Lokhu kudla kutholakale njengokuzuzisa kakhulu abantu abanezifo zamathumbu, ikakhulukazi:
- Izimo zokuvuvukala kwamathumbu njengesifo sikaCrohn kanye ne -ulcerative colitis .
- I-Juvenile Idiopathic Arthritis yisifo sokuvuvukala kwamalunga esithinta ezinye izingane ezincane.
- I-Microscopic Colitis .
Incwadi ka-Elaine Gottschal isikisela ukuthi lokhu kudla kungaba wusizo nasezimweni ezifana ne-diverticulitis, isifo se-celiac, kanye ne-cystic fibrosis. Kodwa-ke, ucwaningo lwesayensi lusaqhubeka mayelana nokusebenza kwayo kulezi zimo.
Lokho ongakudla nongakudla ekudleni kwe-SCD
Njengoba lokhu kuyindlela yokudla enemingcele ethile, kubalulekile ukwazi kahle ukuthi yini ongayidla nokuthi yini ongayidli.
| ✅ Ukudla Okuvunyelwe | |
|---|---|
| Inyama nenhlanzi | Inyama entsha, izinkukhu, inhlanzi, kanye ne-shellfish ngaphandle kwezithako zokulondoloza. |
| Imifino nezithelo | Imifino emisha, eqandisiwe noma ephekiwe (isb. ubhontshisi). Izithelo ezintsha, ezomisiwe noma eziphekiwe ezingenashukela owengeziwe. |
| Imikhiqizo yobisi | Ushizi olufana ne-cheddar (i-sharp cheddar), i-Swiss, njll. I-yogurt eyenziwe ekhaya ebilisiwe okungenani amahora angama-24. |
| Amantongomane nama-flakes | Ubhontshisi onamaqhubu uthanda amalentili, ama-chickpeas, nobhontshisi oluhlaza. Ama-cashew namakinati angakagayiwa. Ufulawa owenziwe ngamantongomane njengofulawa wama-alimondi. |
| Okunye | Amaqanda, uju, ibhotela lamakinati lemvelo elingafakwanga ushukela, amafutha, uviniga, ikhofi netiye (akunashukela futhi akunazo izithasiselo). |
| ❌ Ukudla Okufanele Ukugweme | |
|---|---|
| Okusanhlamvu | Ibhali, ummbila, i-oats, ilayisi, ukolweni, nakho konke okwenziwe ngazo, njengesinkwa, i-pasta, amakhekhe, namabhisikidi. |
| Izinhlobo zikashukela | Ushukela ocutshunguliwe, ama-molasses, isiraphu ye-maple, isiraphu yommbila, ushokoledi, kanye nakho konke ukudla okumnandi. |
| Imifino enesitashi | Amazambane, ubhatata, ama-turnip. |
| Imikhiqizo yobisi | Ubisi, ukhilimu, i-ayisikhilimu, ukhilimu omuncu, kanye ne-yogurt ethengwa esitolo (ngenxa yokuqukethwe kwayo okuphezulu kwe-lactose). |
| Okunye | Inyama enongiwe njengesoseji, imifino ekheniwe (enezilondolozi), ubhontshisi, ubhontshisi, impuphu yezinongo njengempuphu ka-curry/garlic, ulwandle. |
Ngingaqala kanjani lokhu? Yiziphi izinzuzo kanye nokungalungi?
Lokhu kuyimfuneko ngaphambi kokuqala!
Ngaphambi kokuqala ukudla okunemingcele efana nale , kufanele nakanjani ukhulume nodokotela wakho . Kuyodingeka anqume ukuthi lokhu kuyafaneleka yini esimweni sakho. Angase futhi akuthumele kudokotela wezokudla.
Ngokuvamile, lapho uqala lokhu kudla, kuyalulekwa ukuthi uzikhawulele ekudleni okumbalwa okulula kakhulu, okulula ukugayeka izinsuku ezimbili kuya kwezintathu, bese ufaka kancane kancane okunye ukudla okuvunyelwe.
Izinzuzo kanye nokungalungi
Izinzuzo:
Inzuzo eyinhloko ukuthi kungenzeka ukuthi izimpawu zinyamalale futhi lesi sifo siphinde siphumule. Ezinye izifundo zibonise ukuthi cishe ingxenye yabantu abanesifo sikaCrohn bathola impumuzo ezimpawini ezifana nobuhlungu nokukhathala kulokhu kudla.
Okubi (izingozi):
- Kunzima ukulandela: Kuyinselele ukugcina lokhu lapho udla ngaphandle, ikakhulukazi lapho uya ephathini, ngoba ususa ukudla okuningi.
- Izindleko ziphezulu: Izindleko zokudla zingase zikhuphuke ngenxa yokulahlekelwa ukudla okungabizi njengesinkwa nelayisi.
- Ukuntuleka kokudla okunempilo: Lena ingozi enkulu. Umzimba ungase untule izakhamzimba ezibalulekile njenge-calcium, i-vitamin D, i-vitamin B, ne-vitamin E. Ngakho-ke , ukwenza lokhu ngaphandle kweseluleko sikadokotela kungaholela ekunciphiseni isisindo okunempilo kanye nokungondleki kahle.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Kungakhathaliseki ukuthi ulandela ukudla kwe-SCD noma cha, uma uhlangabezana nezimpawu ezilandelayo, qaphela ngokukhethekile futhi ufune iseluleko sezokwelapha ngokushesha.
- Ukopha kwegazi endulo
- Ubuhlungu besisu obuqhubekayo, ukuqunjelwa, noma isifo sohudo
- Ukwehlisa isisindo ngaphandle kwesizathu
- Ubuhlungu obungapheli
- Ukukhathala ngokweqile noma ubuthakathaka ngaphandle kwesizathu
Abanye abantu balandela lokhu kudla impilo yabo yonke. Abanye, ngemva kokungabi nazimpawu cishe unyaka wonke, kancane kancane bafaka okunye ukudla (njengelayisi, i-oats, amazambane) ekudleni kwabo. Uma izimpawu zibuya, bangabuyela kulokhu kudla.
Umlayezo Wokuya Nawe Ekhaya
- I-SCD ukudla okukhethekile okunciphisa ama-carbohydrate akhethiwe asetshenziswa ekwelapheni izifo zokugaya ukudla ezifana ne-IBD.
- Lokhu kususa ama-carbohydrate angagayeki, kulawula ukukhula kwamagciwane ayingozi emathunjini, futhi kunciphisa ukuvuvukala.
- Ungalokothi uqale lokhu kudla ngokwakho ngaphandle kokubonisana nodokotela wakho.
- Nakuba lokhu kunikeza izinzuzo ezifana nokulawula izimpawu, futhi kunezingozi ezinkulu ezifana nokuntuleka kokudla okunempilo. Ngakho-ke, isiqondiso esivela kudokotela noma kuchwepheshe wezokudla sibalulekile.
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